Health and Wellness 2013

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Free Free

Health

WELLNESS DI Y Natural

Beauty

Mountain Mama Midwives

ACTIVE SENIORS

Why Yoga?

Teton Valley News empowering the community

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Introducing Cardiology Services Visit with cardiologists from the Idaho Heart Institute and Eastern Idaho Cardiology Association, now accepting appointments at Driggs Health Clinic

Specialty Telemedicine Care in affiliation with University of Utah Health Care Telestroke and teleburn care available beginning November 2013 through Teton Valley Hospital and Driggs Health Clinic

General Surgery Dr. George Linhardt offers the very best in treatment and surgical services for abdominal, breast repair and other general surgery needs.

Low infection rates less than 1% over the past two years

High patient satisfaction scores over 96% in patient satisfaction

Experience healing in Teton Valley We’re Family

208-354-2383

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208-354-6307

Contact info@tvhcare.org for more information or call 208 354 6301

We’re Family

208-354-2302


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WELLNESS

is a publication of Teton Valley News 75 North Main, Driggs, ID 83422 208-354-8101 • tetonvalleynews.net

contents For most people, getting healthier means l osing weight and getting fit, but well ness is more than that. It’s a lifestyle and a mindset. Take a look inside at stories that help make Teton Vall ey a healthy place to live, work and play.

NUTRITION QUIZ

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SELF MASSAGE

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HOMEOPATHY

8 ­— 9

WHY YOGA ACTIVE SENIORS keeping moving is the way to staying young LUMINOTHERAPY The need for light in the cold months

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12—13

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MIND & BODY WORK

16—17

MIDWIFERY with Mountain Mamas

20—21

AVOIDING GLUTEN

24—25

NATURAL BEAUTY

26—27

BARRE & OULA Fitness 28—29

SCOTT ANDERSON Rachael Horne

Publisher

Managing Editor

Bridget Ryder

Writer

Erinn Butulis

Contributor

Ken Levy

Cate Stillman Meg Heinen Tina Dean

Amy Birch

Moira Dyer

Sharon Fox

Writer

Contributor

Zucchini Muffins

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AVOIDING STRESS

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HEALTH EXCHANGE information 40—41 WHY YOGA

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Advertising Director Advertising Sales

Senior Art Director Art Director

Office Manager

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Nutrition Quiz: what’s the best snack?

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est your knowledge about what you eat between meals. See if you can tell which statements are true and which are false.

Fresh fruits are a good source of fiber and satisfy the appetite.

1 When it’s time for a snack, drinking fruit juice is as nutritious as eating fresh fruit. To F o

Healthy Bodies Healthy Minds Healthy Smiles Owens Orthodontics

Local Specialists in Orthodontics and the Diagnosis, Prevention and Treatment of Dental and Facial Irregularities

2 Chocolate milk is not a healthy snack. To F o

3 Snacks should always come from at least two of the four food groups: milk and dairy products, meat and alternatives, grains and pastas, or fruit and vegetables. To F o 4 Firm cheese combined with fresh fruits or whole wheat crackers help with oral hygiene. To F o

5 All snack bars are the same. To F o

Answers

1 False. Unlike even 100-percent pure fruit juice, fresh fruits are a good source of fiber, which satisfies hunger longer. What’s more, drinking too much fruit juice promotes teeth decay. 5 False. It contains the same nutritional elements as pure milk and no more sugar than an equivalent quantity of 100-percent pure grape or apple juice. 3 True. That means candy, white flour pastries, chocolate, cookies, and the like are not great choices.

4 True. The nutritional elements of cheese neutralize the mouth’s acid content and coat the teeth with a protective film against bacteria.

5 False. Some are very healthy while others are just sugary treats. Choose bars containing higher amounts of fiber, less sugar, and less saturated and trans fat n

Treatment for Children, Adolescents and Adults.

Owens Orthodontics Certified by the American Board of Orthodontics Dr. S. Ed Owens, DDS, MSD • Dr. Shannon E. Owens DDS, MS

14 E. Little Driggs • 354-8808 5


Personal

Hearing

Check Do you sometime feel that people are mumbling or not speaking clearly? Do your family and/or friends complain about your hearing? Do you experience chronic noise in your ears? Do you find it difficult to follow conversation in a noisy restaurant or crowded room? Does your TV or radio volume upset other people in the room?

If you answered YES to any of these questions, it may mean that you have a hearing problem. Call todaY to schedule your Hearing Evaluation. AMERICAN HEARING CARE

3345 Merlin Drive, Suite 200 Idaho Falls

(208) 529-1514 6


Cate Stillman Special to H&W

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ime and again I hear from the Living Ayurveda Course students that self massage has changed their lives.

The practice of self massage is simple. In fact, here is a handout to print and post on your fridge until it becomes second nature. In Indian culture, where Ayurveda originates, it’s a daily practice that you would have first experienced in utero. Then, when you were born, you would have received “infant massage”. Infant massage leads to toddler massage. Toddler massage leads to small child massage. etc. etc. etc. Soon you have cultivated an adult that know how to take care of themself by simply taking their health into their own hands.

What are the benefits of self-massage (abhyanga)? What I recommend is to give yourself a massage (instructions here or

below) and then assess how you feel. Sure, you can read this commonly printed list of benefits. While some benefits come from claims from the ancient Ayurvedic texts, studies are actually being done to qualify or dismiss these claims. Here is a list of claims commonly found on websites, substantiated by MAPI. • Increased circulation, especially to nerve endings • Toning of the muscles and the whole physiology • Calming for the nerves

• Lubrication of the joints

• Increased mental alertness

• Improved elimination of impurities from the body • Softer, smoother skin

• Increased levels of stamina through the day • Better, deeper sleep at night

In many ways, this is amazing. I’ve also heard vaidya’s (Ayurvedic masters) claim that self massage improves all of the sense organs, and remarkably, improves eyesight. What I know from personal experience is that self massage is the best tool I have: • To boost my immune system

• To make me feel whole again

• To nourish my body and soul simultaneously

Benefits of Child Massage I also know that giving my daughter her massage creates these benefits:

• Creates a grounding, relaxing mood.

• Keeps her skin from drying out. (Dry skin indicates Vata is in the lymph system, which creates an easy target for bacteria or viruses to take root). Self Massage continued on page 42

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What is Homeopathy? A holistic and natural approach to healing

By Alyssa Beck, H&W staff

In 1844 the American Institute of Homeopathy was formed two years before the American Medical Association was formed. Homeopathy was founded by Dr. Samuel Hahnemann, a doctor and chemist who lived in Germany from 1755-1843. By 1950 an estimation of 50-100 doctors were Homeopaths in the USA, however, due to political and social changes, the art of homeopathy became somewhat unknown over time. In the 1980’s the FDA consumer reports reported a 1000 percent increase in homeopathic sales and it has continued to gain popularity since then due to its extreme safety and effectiveness.

Homeopathy differs from Allopathy (today’s medical approach) in one fundamental way. Homeopathy works with the body as a whole rather than simply working against the body’s symptoms. Allopathy implies going to war against symptoms thus attempting to eradicate them. Homeopathy acts to address the whole person and how they express their symptoms (physically, mentally and emotionally) not just the disease or invader, so it is truly a holistic and natural approach to healing. The entire being is gently strengthened, as the person’s vitality grows stronger, chronic complaints fall away and health is restored naturally, gently and thoroughly so the person may have a lasting, balanced vibrant life experience.

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As an example, if you cut into an onion, you may have a runny nose, your eyes burn, itch and water and you begin to sneeze. If you had similar symptoms during a cold or allergy attack, such as a runny nose, watery eyes and sneezing, a homeopathic micro-dose of the remedy Allium cepa

(red onion) would help your body heal itself. What makes Homeopathic remedies different from medicine is that it uses micro doses of plants, minerals or any substance found in nature to support the entire being as opposed to a strong, knock out the symptom or poison approach. This philosophy has been scientifically proven to work gently and permanently.

Homeopathy is like finding the right key to your car (if the key was lost among similar looking car keys) and turning the ignition on, once the engine starts you don’t have to think about what is happening to make the engine go, it just does the work on its own. The key that engages your car’s ignition and turns on the engine is like finding the exact correct homeopathic remedy for an individual. Once the remedy is found and the individual takes it, then their body begins to heal and operate more effectively over time as the symptoms fade away naturally.

Why choose to see a Homeopath or take a Homeopathic approach to producing health and healing?

Homeopaths take the time to listen carefully to the individual about what is going on with them. gh It is a gentle and efficient way to restoring health from within, making it very affordable. gh That only one Homeopathic remedy is chosen for the entire being, emotionally, mentally and physically. gh It’s non toxic, making it safe for children, the elderly as well as animals gh -It does not interfere with medication gh -There are no “side effects” gh


We’re Family

Alyssa Beck

252 South Main, Victor, Idaho 83455 208-354-6307

Family care . Pediatrics Lacerations . Abrasions Lab tests . Sprains & strains Well child . Well baby Open Monday–Friday

Uh Oh.

(208) 354-6307 Alyssa Beck CHom, CCH (cand) of Bluebird Homeopathy in Victor, ID, works with people who want to take the natural route in creating lasting health. She graduated from The Homeopathy School International three year advanced program in Boulder, Colorado in 2011, continues to study with Dr. Douglas Falkner MD, MHom and has been building a Classical Homeopathic practice for two years. Her office is located at: 255 S Main Street, Victor, ID alyssa@bluebirdhomeopathy.com 208-201-0120

Like her page on Facebook (Bluebird Homeopathy) or send an email alyssa@bluebirdhomeoapthy.com if you would like to stay up to date about future talks, events and promotions. n

We’re Family 283 North First East, Driggs, Idaho 83422 208-354-2302

Whoops.

Full time orthopedics . Family care General surgery . Pain management Neurology . Telepsychiatry . Nutrition Well baby . and so much more Open 7 days a week.

(208) 354-2302

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Where Injury Meets Recovery Rafael Williams, MD

Heidi Jost, MD

David Khoury, MD

Joshua Beck, MD

Geoffrey Skene, DO

Andrew Bullington, MD

Shoulder Surgery Hand & Upper Extremity Sports Injuries Fracture Care

Knee & Shoulder Surgery Sports Medicine Arthroscopy Trauma & Fracture Care

Non-Surgical Spine Back and Neck Electrodiagnosis–EMG Epidural Steroid Injections

Hand & Upper Extremity Foot & Ankle Surgery Custom Orthotics Fracture Care

Adult & Pediatric Spine Surgery Joint Replacement Surgery Fracture Management

Knee & Shoulder Surgery Sports Medicine Joint Replacement Surgery Trauma & Fracture Care

Teton Orthopaedics’ physicians & surgeons are Board Certified and Fellowship trained Physican on call 24/7 Locations: Jackson, Wilson, and Afton To schedule an appointment please call (800) 659-1335 or (307) 733-3900 10


Yoga?

Why Preston Lindsay, H&W staff

A Yoga Journal study released last year reports 20.4 million Americans are now practicing yoga, up 29 percent from 2008 at 15.8 million. Forty Four percent of Americans call themselves “aspirational yogis.”

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oga hit pop-culture in a big way about 50 years ago in the 1960’s. But even then it was perceived as goofy, and out of the norm for many Americans. It has only been recently, within the last decade, that a wide following and even wider social acceptance has occurred. It now seems everyone carries a mat and expounds yoga’s benefits. So, what is yoga then? There is some debate as to how old yoga actually is. Some purport yoga first came into existence a guessed 1,500 years ago, when the word, “yoga” was first seen in the Gita. Yet, no one really knows how old the Bhagavad Gita is. In the Vedas, Hindi scripture dating 3,500 years ago, the word yoga was found again, and was defined as a “yoking” or “discipline.” This yoking was meant to unite body, mind and spirit.

Other devotees claim its inception was around 5,000 years ago. Either way, yoga then was nothing like the yoga today. The most beloved of all texts for yogis (people who practice yoga) is the Bhagavad Gita. In the Gita, yoga was a meditation, or sitting. In this most sacred of texts, it was taught a yogi must never be attached to the outcome of his actions. The focus was on the here and now. For anyone who has ever practiced yoga, keeping one’s focus on the present isn’t very difficult. Yoga can be described quite simply as ... painful, yet invigorating all at once. Of course the benefits of yoga are paramount. So paramount in fact, according to research released in the fall of 2012 by New York University, it helps children with autism to gain focus and calm. YOGA continued on page 45

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Senior Center wants new name, activities Ken Levy H&W Staff At age 66, my wife Lana is more active than many folks half her age. She tried retirement for a while after working careers as the key liaison for school districts, as a technical records specialist with the state of Idaho in several departments, and as a legal assistant, among others. It didn’t take her long to realize that retirement, at this time, just wasn’t enough to satisfy her naturally-active outlook on life. She returned to work as a legal assistant for an all-female law firm, became active with her church both on the spiritual and business side, and got deeply involved in political and social issues.

At home, she was the primary caregiver for her mother, who passed at the age of 93. After mom’s passing, she took an active part in helping remodel the house to prepare it for a home office and studio for both of us. Most recently, she joined me on a tent-camping trip for 12 days along the California coast. She immersed herself in the communities she visited, sharing her natural optimistic outlook with everyone with whom she came in contact. In short, she didn’t just want to sit around the house, watching television and crocheting. Of course, she still makes time for these activities, but on the whole, she’d rather be

Seniors continued on page 18

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A rider picks up speed during the Targhee Hill Climb.


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Stay Strong

Pilates Back classes Fit and Fall Proof balance classes (free) please call for info TM

208-354-0089 | 600 Valley Centre Dr., Driggs Mon/Wed/Fri: 8:30AM - 7PM | Tues/Thur: 8:30AM - 5PM Early Morning/Evening/Weekend appointments available with advanced scheduling.

Serving women and families with the best in prenatal, birth and postpartum care, in your own home or in our birth center. We provide: • water birth • full prenatal, labor and delivery and postpartum care • pregnancy, postpartum and infant massage • placenta encapsulation • pregnancy nutrtion classes • breastfeeding classes • Bradley method Child birth classes

Mondays 9:00 - 5:00 Tuesdays 10:00 - 5:00 14

(208) 745-7571

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uminotherapy, or light therapy, offers many benefits for our bodies and moods. It can give us the opportunity to recharge our batteries during the long, dark months of winter when many of us feel so tired and listless. Luminotherapy consists of daily exposure to artificial wide-spectrum white light which imitates the soft rays of the sun. It allows us to make up for a lack of natural sunlight, which is so precious to the human body. In concrete

terms, the light helps to regulate our biological clocks by increasing serotonin production, a neuromodulator linked to mood. It’s perfect for chasing away the seasonal blues or for countering symptoms related to wintertime disruptions of our internal biological clock, such as insomnia, chronic fatigue, or dietary problems. This therapy is also perfect for people who work during the night or for those who suffer from jet lag. It can also be a boost for people who work in an enclosed space where they can’t

Embrace Autumn with Invigorating Specials at the Stillwaters Spa & Salon

see daylight. An exposure of 15 to 60 minutes per day, ideally as early in the morning as possible, will create a sense of well-being comparable to our feelings on a beautiful sunny day. It is important to pay attention to the light intensity diffused by your luminotherapy lamp in order to correctly determine the required length of exposure. So, go ahead and energize your body by giving it a good dose of artificial sunshine. It’ll lift your spirits!. n

DEPRESSION IS REAL TALK TO SOMEONE WHO CAN HELP The Teton Valley Mental Health Coalition wants to make your mental wellness a higher priority.

90 minute massage for the 60 minute price $120 ($40 Savings!) NOW Featuring doTERRA products. Try one of our doTERRA essential oils in your next massage for only $5 more Valid now through November 30th. Please mention this ad at the time of booking. Not valid with any other offers.

208-787-7250 10 Warm Creek Lane, Victor Idaho 83455 www.tetonspringslodge.com L O D G E

&

S P A

We are the #1 resource for all things related to mental health in Teton Valley. Our mission is to promote mental wellness through education, community action and coordination of resources. For more information or to make an appointment with a coalition counselor go to:

www.tetonvalleymentalhealth.com For immediate help, call the national suicide prevention hotline at 1-800-273-talk

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A workout for

mind & body

Bridget Ryder, H&W staff

“Your first wealth is your health.” The quotation from Ralph Waldo Emerson is one of Christina Heilman’s favorites. But is well being a question of mind over matter or a harmonization of the human person’s psychosomatic form? “The mind leads the body,” Heilman said. “So you can’t really do one without the other.”

“The sequence is deliberate,” she said. “We first work on the body, which helps to release the mind.”

The exercise that gets sweat pouring from face and limbs also turns on neurotransmitters and releases hormones that stimulate the brain and warm up the thinking muscle for a 45-minute mental workout. Heilman begins the training with a guided imagery script designed to take the person to an interior vista where he or she can get a 30,000-foot view of life.

Heilman, Doctor Heilman actually, is a performance enhancement specialist who has worked with athletes from skier to golfers and professionals to amateurs. She “your earned doctorate with a specialty in the psychologifirst cal aspects of sport from the University of Utah. She wealth also brings that expertise to the general public in is your Teton Valley. This fall she is offering another session health” of Live Well, a six-week workshop of mind-body exercises and community to help participants set Ralph Waldo and achieve goals from the inside out. Emerson The one-hour-and-fifteen minute class starts with 30 minutes of exercise, usually calisthenics style movements, but Heilman also mixes it up with weights, kettle balls or body resistance. She keeps the emphasis however on form and body alignment beginning with a lesson on posture. Core and body alignment are essential for Heilman. “We go through that at our first class,” Heilman said. “We lay on the floor and understand our posture.” From training for the body, Heilman leads the class into a workout for the mind.

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“We’re looking at the big picture. What does a healthy, vibrant life style look like for you?” she explained. From the mountaintop perspective, participants spend the next five weeks honing in on particular aspects of achieving the vision. The mind is a powerful thing.

“We live in a pedal to the metal society and our brain is really smart. We can override what our body is telling us,” she said.

Athletes do this when they ignore injuries to push through a race, game or match with the mental mantra “I’m not injured, I’m not injured.” But when downtime or holidays come the mind can no longer ignore feelings of injury or illness. Heilman doesn’t want her students to wait to figure out what’s going on.


“I have people start to focus on the their own body and its needs,” she said.

She teaches them to tune into the body with the mind and let the intellect be curious about feelings, pain and corporal sensations.

Healthy Kids

Balanced Bodies • Bright Minds • Healthy Habits

“Now be scientist,” she said she tells the class. “Explore what the mind is telling you, explore what body is telling you.”

It may take a couple of tries to get it right, but trial and error is inherent to experimentation. From consciousness of the physical state of being Heilman then leads the class to an examination of other mental machinations such as self-talk and attitudes toward weight and body image.

“There’s so much behind your perception of weight,” Heilman said. ”It’s not about how much you weigh or fitting in a pant’s size. It’s about you feeling better when you eat better, that simple connection.”

But as powerful as the mind is, most people do not achieve their goals, Heilman notes. Heilman has participants change the status quo by breaking their goals into small steps, identifying their fears and listing the action and behaviors that will get them to the proverbial finish line. Participants also hold each other accountable and Heilman checks in individually to give each one tips or tweak goals. She limits the class to 10 participants so she can connect with each person. Heilman also deliberately cultivates a community environment. It starts with icebreakers and deepens into discussions and accountability partners. Heilman shares, too. “I allow myself to be vulnerable. I tell them what I struggle with,” she said of her contribution to the group sharing.

Participants tell Heilman that after the class they see the world and their lives through a different lens and gain new perspectives. One participant came to another of Heilman’s fitness classes some months later. “She was like ‘Chris, I’m already good enough,’” Heilman said.

The class runs Sept. 18 through Oct. 23 and takes place at Dreamchasers in Driggs. Heilman offers session throughout the year. For more information and to register contact Heilman at chris@mindset-coach.com. n

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Patient- Centered Oncology Care

Seniors continued from page 12 around people and contributing to her community.

Lana is a prime example of what’s becoming the new norm for people over 50, those folks who are considered seniors but who do not fit the stereotype of those who came before, reaching retirement age. Shauna Crandall believes the coming “senior set” is anything but old-timers in the commonly-accepted sense.

Crandall

“There’s a whole new mindset when it comes to aging,” said Crandall, executive director of the Seniors West of the Tetons Senior Center. “When I think about my own grandparents, the idea of retirement meant watching the sunset, rocking in a rocking chair, the stereotype.”

That’s all changed now, and older folks are as likely to talk about going to the Himalayas or learning how to ski, and 21st Century seniors are doing more than ever as far as traveling, continuing education, clubs and recreation among other things.

- Regular clinics with John Ward, MD, hematologist/oncologist from Huntsman Cancer Institute in Salt Lake City, UT - Nationally certified oncology nurses - Chemotherapy and biotherapy infusion services - On- site oncology nurse practitioner Kerry Carr, FNP- BC, AOCNP - Cancer patient navigator: Paige Janssen, RN, OCN, CBPN- C - Individualized survivorship plans including nutrition, exercise and psychosocial support - Cancer support groups - Therapies that complement treatment, including hand massage for infusion patients, healing touch, and reduced- rate acupuncture - Visit tetonhospital.org/expansion for updates on the construction of our new oncology pavilion.

St John’s

Oncology Services 625 E. Broadway Jackson, WY 307 739 6195 tetonhospital.org/oncology 18

“We want to encourage that,” said Crandall. Older folks want to be healthy and active, and their expectations for what their lifestyles can be like “is way different than the stereotype,” Crandall said.

That’s especially true in the Teton Valley. Here, “older folks can run circles around anyone of any age,” she said. “Many folks are here to enjoy the recreation opportunities and therefore not only are they young physically, but young in outlook, lifestyle and what they choose to enjoy.” Crandall cited 83-year-old Ruby Parsons as a prime example of those who have so much to give to the community. Parsons chairs the SWT board, as well as the Teton Valley Fire Department, and serves as head chaplain at Teton Valley Hospital.

Because of the change in the lifestyle of this demographic — in the U.S. a senior is considered a person over the age of 60 — the name “Senior Center” has become somewhat of a misnomer. Crandall said the board is not only looking at new directions to serve those who once carried that moniker, but also to change its name to reflect that diversity.

The board, she said, knows the current aging population focuses on myriad activities and interests “that promote wellness, active lifestyles, experiential learning and expansion of physical, mental and emotional health.” To that end, the board is seeking ideas from the community not only on the name change but also for input on what it wants from the organization and its center that can improve social and physical health in the valley. “It’s not about what we want, it’s about what the older Americans want, and they want a different scenario than the past,” said Crandall. “I’m not thinking about hanging around watching TV all day. I want to learn new things.” So do others approaching or in the age bracket, and SWT wants to encourage valley seniors to exchange ideas on how to improve the valley.


“We have a physical space, where we encourage folks in our age demographic to rendezvous, have support groups, start a club” and more, Crandall said. “We are not an assisted-living center, that’s not who we are. We are a social center showing leadership. We’re trying to remind seniors they’re very valuable in leadership in the community, what they can contribute in many sectors that have nothing to do with age. It’s what they can provide in their wisdom and their talents.” Many members are volunteers in the community, and the time they have to give “can be more valuable than money,” she said. Currently the center offers exercise classes five days a week, and is developing a hospice volunteer station and support group. Lunch is offered Monday, Tuesday and Thursday.

“We hope to bring back our dance series classes,” she said. “We need an instructor.”

SWT is also developing its monthly community dinner program and may have that going soon.

“We don’t want to lose sight of our mission statement, which states that we are here to provide a place for older community members to socialize, eat a delicious meal, get wellness treatment and information and ‘hang out,’” said Crandall. To provide ideas on the center’s new name and possible programs, email: tetonseniorcenter@hotmail.com, phone (208) 354-6973 or write SWT, PO Box 871 Driggs, Id. 83422. The center is in the Driggs City Center in Downtown Driggs. n

Trust us

for your natural birth Mountain Mamas Midwifery offers: • Personalized Prenatal, Birth, and Postpartum care • Pre-Conception Health and Nutrition counseling • Breastfeeding Support and Education and More! Call 208-403-5860 or email mtn.mamasmidwifery@gmail.com for information or to schedule a free one-hour consultation. Krista Nichols Certified Professional Midwife Licensed in Idaho

TRUST THE EXPERT

Mark Menolascino, MD, MS, ABIHM, ABAARM Board Certified Anti-Aging Specialist Board Certified Holistic Medicine Specialist Board Certified Internal Medicine Specialist

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Mountain Mamas Midwifery in the mountains Complied by Bridget Ryder H&W staff

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Midwifery is alive and well as a childbirth option even amid ever advancing medical technology. Krista Hays Nichols, a local midwife with Mountain Mamas Midwifery, gave Health and Wellness an overview of the practice. H&W: What made you decide to become a midwife?

Nichols: I developed an interest in birth as a young child helping my grandfather during calving season on his ranch. I couldn’t get enough of baby animals, or baby humans, as I grew up. I was fortunate to live in an area where there was a community midwife practicing (Salmon, Idaho), and was exposed to family and friends having babies at home with a midwife. The first human birth I experienced was a home-birth of a close family member and I was hooked. I knew immediately that this was my path in life. I think the Creator decided for me.

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H&W: When and how did you start your practice in Teton Valley? Nichols: I started my independent practice here in Spring of 2012 after completing my requirements for a license to practice in Idaho, though I have attended several births in Teton Valley over the course of many years. H&W: What was your training?

Nichols: I have been trained under the supervision and guidance of senior midwives through the traditional apprenticeship model, which included many years of hands on experience in all aspects of midwifery care and rigorous academic study. My training was primarily in the home-birth setting, however, I have also practiced at a high-volume birth center. I began my first formal apprenticeship in 1991, and completed my requirements for certification and licensing in 2011. (Idaho did not offer licensing for direct-entry


midwives until 2010). I am a Certified Professional Midwife through the National Association of Registered Midwives and am licensed to practice by the Idaho Board of Occupational Licensing. I am also certified in Adult/Infant CPR, Neonatal Resuscitation, and Birth Emergency Skills. H&W: How many births have you assisted with?

Nichols: I have assisted at over 200 births as a primary midwife, and many more as a doula/ support person for both in-hospital and out-ofhospital settings.

H&W: What’s the different between a doula and a midwife? Nichols: The main difference between a doula and a midwife is that a midwife is a primary health-care provider who is trained in monitoring the health & well-being of the mother-baby unit throughout the prenatal, labor & birth, and postpartum periods. Doula’s provide physical and emotional support for women as they labor and birth, but are not

H&W: What method or methods of childbirth do you practice? Describe its basic principles. Nichols: My style of practice is rooted in traditional midwifery, which views pregnancy and childbirth as natural and normal processes of women’s lives. I believe in helping women be collaborators in their health-care and encourage my clients to learn as much as they can about their bodies, pregnancy, and the birth process so they and their partners can make informed decisions. Good midwifery care emphasizes holistic wellness: good nutrition, physical fitness, healthy relationships, and self-nurturing are key components. By focusing on education and wellness, we are able to reduce the need for medical interventions and have great outcomes (our current Cesarean rate is Zero, and Breastfeeding success 100%) H&W: What other assistance do you provide?

Nichols: Mountain Mamas provides pre-conception counseling, pregnancy testing, nutritional counseling, comprehensive prenatal & postpartum care, pregnancy & birth related private or group classes, in-hospital Doula care, waterbirth, labor & birth attendance(with emergency equipment), newborn wellness evaluation, newborn metabolic screenings, and more! H&W: What are the advantages of a homebirth with a midwife?

Krista Hays Nichols (second from left) with assistant Angela Daft, Travis and Mandy Rockefeller with their children Conley and Arah, and doula Kelly McKamey.

trained to monitor physical health, or to manage deliveries of babies. Many people are confused by the two terms, and others might define them differently than I do. My definition is specific to midwives who are trained in the Midwifery Model of Care, and are certified or licensed to practice outside of the hospital setting.

Nichols: High on most families list of advantages are autonomy, informed choice, and minimal, or often, no interventions. The labor process is allowed to progress at its own pace, which is generally less stressful to babies. Laboring mothers are able to move about freely in a familiar environment surrounded by loved ones, which promotes natural pain reducing hormones, and helps the baby navigate the pelvis more easily. In addition, she and the baby are attended to by experts in natural childbirth who bring all the necessary medical equipment to the home, and are there to identify and deal with any variations from normal. The woman and her partner are fully informed decision makers during the entire experience. Dads and mothers are often the first people who touch their precious new babies. The list of advantages my clients report is very long! MOUNTAIN MAMAS continued on page 22

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Midwifery continued from page 21

Midwifery in the mountains

H&W: What circumstances do not recommend using a midwife? Nichols: There are several health conditions (pre-existing diabetes, hypertension, obesity, for example) that make birth outside of the hospital too risky. There are other personal circumstances where choosing out-of-hospital midwifery care may not be a good choice. If a woman fears childbirth, isn’t comfortable or confident in her body, and doesn’t like to eat lots of green vegetables or exercise, she may find midwifery care too demanding or intimidating. It is important for consumers to understand that midwives come in many forms, Certified Nurse Midwives, who in Idaho primarily work in hospitals, Certified Professional Midwives, who may or may not be Licensed depending on what State they practice in, and some, usually known as Lay Midwives, who have little formal training. I encourage everyone to carefully interview potential care providers regarding their training, experience, and safety protocols. In my practice, in order to be eligible for home-birth, women must be in excellent health, willing to read and learn A LOT during the pregnancy & to prioritize good

ARE YOU

SAFE?

A healthy relationship has mutual respect, trust, honesty, good communication, and the ability to argue without insult. If you have questions about the safety of your relationship, we can help.

A safe place to start.

208-354-8057 Hotline: 208-354-SAFE Department of Justice, Office on Violence Against Women.

22


nutrition, physical fitness, and emotional wellness. They also must be committed to being responsible for the health and well being of their developing baby, and start out with some basic trust in the natural birth process. A supportive partner, family and friends are also ideal. H&W: What are three things every woman should know about giving birth? Nichols: 1. “Your body is not a Lemon”- a favorite quote from my midwifery hero, Ina May Gaskin. Your body is designed to give birth, and to do it very well, naturally.

2. You are the most important “health care provider” you have. Be choosy about who you invite to collaborate with you during your pregnancy and birth journey. Surround yourself with other care providers and support persons who help you feel informed, safe, and confident.

3. Take time to educate yourself about the hormones of birth and the natural “pain-relief” that your body and brain can provide for you. These hormones can help make birth an enjoyable and transformative experience. They don’t cost anything, and don’t have harmful side effects. n

Martin Trott, MD, FACS Board Certified ENT

Trained at the Cleveland Clinic Foundation Treating ear, nose, throat and allergy problems for adults and children Specializing in - Throat & sinus disorders - Chronic ear infections - Allergy testing & treatment - Tonsils, adenoids & throat surgery - Head & neck cancer

St John’s

Ear, Nose, Throat & Allergy View St. John’s quality statistics, including our low infection rate data, at tetonhospital.org/quality

307 739 7665

ent.tetonhospital.org

555 E. Broadway, St. 224 23


THE NEXT BEST THING TO HOME Our mission is to enhance our residents quality of life by providing a home-like setting that fosters independence, dignity and choice in a loving and caring atmosphere.

We provide quality service with a commitment to excellence. Our caregivers are committed to your health and happiness in a home and family environment.

Our loving and caring staff can enrich and enhance the quality of life and self-dignity that your loved ones deserve.

Andrew Little, Administrator 208.201.6284 andrew@crosshealthcare.org 655 Valley Center Dr., Driggs 208.354.0263 24

Why you should pay attention to gluten cross contamination Erin Brutulis, Special to H&W

R

esearch estimates 15 million Americans have food allergies. Every three minutes, a food allergy reaction sends someone to the emergency room, which is more than 200,000 emergency room visits per day.

Words like gluten and celiac are becoming more and more common every day, and even though it may not put someone directly into the emergency room this deadly protein can cause over 250 different medical ailments with reactions lasting up to 28 days. According to the National Foundation for Celiac Awareness, simply 1/70th of a slice of bread (a crumb), or 20ppm (parts per million) can cause intestinal damage, lesions and medical reactions to someone who is sensitive to gluten. Symptomatic and asymptomatic reactions may occur to people who suffer from Celiac’s and NCGS (non-celiac gluten sensitivity) who have been exposed to minuscule amounts of gluten proteins. Visually 20ppm is the equivalent of 1 drop of blue food dye being dispersed into a gallon of water.

Though the awareness is growing for food allergies, Celiac’s and gluten, one piece to the puzzle that is still overlooked frequently is gluten contamination or cross contamination. It takes an individual with a gluten intolerance or sensitivity several years to learn how to handle the intolerance, from cleaning out their own kitchen, learning how to grocery shop and read labels, to sharing a kitchen, learning how to re-cook everything, to feeling safe to eat out. What is gluten contamination or cross contamination?

Gluten contamination or cross-contamination occurs when gluten free foods come into contact with gluten filled foods or (wheat, rye, barley, malt, spelt, or oats). There is no simple way to avoid it but it can occur anywhere and everywhere (at home, restaurants, bars, growing, processing and packaging).


Where can gluten cross contamination occur? Growing: Some crops are grown next to wheat, rye barley and malt, or may be cover crops sharing the same soil nutrients. An example of this would be oatmeal and lentils. There are a few companies that sell gluten free oatmeal out there; personally I still have a reaction to the gluten free oatmeal which can be normal for someone with Celiac’s. Lentils are tricky but many companies are now labeling on the back when they are processed, packaged or grown and cross contaminated with wheat.

Processing: This is a huge source of cross contamination. Some articles out there believe that there is no safe grain for someone with full blown Celiac’s. For example, lentils are often processed in a facility that wheat is also processed in, meaning lentils can be cross contaminated with gluten or have particles of wheat in the lentils during the packaging process. Also, many companies carry several product lines, some products may contain gluten and some may not, however, they are all run through the same machine.

Packaging: Lots of facilities that package products are also packaging gluten throughout the day. Think about a company that claims to offer a gluten free product. Then take a look at other products the company produces. Examples are Kikkoman, General Mills, and Betty Crocker. All of these companies have gluten free options now; however the main ingredient they process and package are wheat based. The FDA just rolled out a new regulation that these companies must pass a 20 PPM inspection. However, it will be at least a year before this regulation is fully enforced. At Home: Sharing utensils to spread butter on toast with gluten and then on gluten free food, pots and pans, cooking utensils, and counters/surfaces.

Eating Out: Cooking utensils, pans, flat top stoves, wok’s, fryers, cutting boards and surfaces for all food items gluten free or not. I will share some real scenarios I have encountered over and over again working for different restaurant’s over the past decade. General Cross Contamination:

Flat tops: Buns and bread get cooked on the same space that burgers, dogs, and steaks are cooked, plus the spatula and tongs are used universally on all food.

Fryers: Typically used to cook breaded items and wheat or flour based products.

Utensils: An example, the tongs used on fry’s from the hot line may get used on gluten free terra chips that are stored in a different container. Same goes for hands, a great real life scenario is if an expo is lining up 5 plates in the middle of lunch rush for one table and 2 plates have gluten free terra chips, and 3 plates have fry’s. Unless the expo is gluten free and is sensitive to the order of plating a gluten free table GLUTEN CONTAMINATION continued on page 38

Arriving Soon

St. John’s Maternity Care and Family Birth Center We offer exceptional care, comfort and privacy for mothers, newborns and families. Maternity care and birth services include: - Childbirth education classes - Prenatal testing - Clinics for higher risk pregnancies with University of Utah physician specialists - Gestational diabetes services - Variety of relaxation techniques for mothers choosing natural labor - Pain management options - Lactation support - High exclusive breast feeding rate - Low cesarean section rate

307 739 6175

St John’s

Family Birth Center Visit tetonhospital.org/expansion for updates on the construction of our new family birth center. 625 S. Broadway

Jackson Wyoming

25


Natural

BEAUTY

DIY remedies to beautify the healthy way Erinn Brutulis, Special to H&W

Are you speaking Greek? Do you ever

find yourself randomly turning over a bottle of shampoo, or lotion to scan the endless list of ingredients that you can’t even pronounce? The average woman wears or consumes 516 chemicals per day. The average man, woman and child place over 100 chemicals on their body through soaps, lotions, deodorants and cosmetics. Every day you wake up and follow a morning routine. For some this may be simply brushing your teeth and splashing some water on your face. For others it may include a meticulous regimen of a varying degree. Some use everything from mouth wash, to face and body lotions, and sunscreen, to putting on make-up. Surveys are showing that 2/3rds of people think about what’s in or on their food, however a majority of people do not consider what’s in their beauty and hygiene products.

Our skin is the largest eliminatory organ in the body. With that being said, there is just as big of a surface that can absorb toxins. Some resources will tell you we absorb up to 60% of what we put on our skin. Not only are these products costly to our wallets, but it can be costly to our health. Check out some great Do It Yourself remedies that will save your wallet money and give your skin a rest. Allow your body two weeks to adjust to new products and neutralize to its natural way of functioning. 26

Three Alternatives to Deodorant Propylene glycol, aluminum compounds, triclosan, and steareths are all additives to deodorant, which provide solutions to create a product. However, are these anti caking and anti-sweating agents harming us in the process? Deodorant absorbs into the skin and builds up layers. It doesn’t always get washed off before it’s in the body for good, plus it clogs the pores and prevents your underarms from breathing. Essentially by using the above ingredient base it’s like suffocating your underarms with a plastic bag. Try these simple recipes and stay out of harm’s way! Natural powders like cornstarch and arrowroot powder aid in absorbing moisture, while essential oils like tea tree oil and clove oil have antibacterial properties.


1 Lemon or Lime- Try rubbing a slice of lemon or lime under each arm after shower. Allow to dry before getting dressed. Sounds silly but it really works!!! 2 Rubbing Alcohol - Fill a small spray bottle with rubbing alcohol and essential oils. Try tea tree oil and witchazel to absorb oils and relieve body odor.

3 Coconut Oil- This recipe is super easy to make at home and a fraction of the cost of buying deodorant. Save your old deodorant sticks and pour this recipe into them. Or you can mold in ice cube trays or cupcake liners to create fun easy to use shapes. 3 T Coconut Oil 3 T Baking Soda 3 T Shea Butter 2 T arrowroot powder or cornstarch 15-20 drops of essential oils 1 tsp. Vitamin E oil

Method:

1 Mix baking soda and arrowroot together in a medium sized bowl. 2 Melt coconut oil and Shea butter in a double boiler, or a glass jar placed in a simmering sauce pan of hot water on stove top. 3 Add essential oils, and vitamin E oil if desired. 4 Remove liquids from heat and add powder based ingredients 5 Stir until a smooth paste is formed 6 Store in small glass jar or old deodorant container for easy use

Eye Make Up Remover

Do your eyes ever burn when you use store bought eye make-up remover? Do they feel sore and swollen from using certain products? Try a 50/50 blend of Olive or Grape Seed Oil and Castor Oil. This easy combination will leave your sensitive eyes feeling clean and soft with minimal irritation.

Tinted Lip Balm

1 Tbsp. beeswax 2 Tbsp. shea, or cocoa butter 2 Tbsp. coconut oil 5 - 10 drops of essential oil of choice (my favorite is peppermint coco) Tint with beet juice, or coco powder, or leave a neutral color

Your Skincare Your Way Expert providers of medical grade skincare and laser tattoo and hair removal.

Method: 1 2 3. 4 5 6

If you don’t have a double boiler place a small glass mason jar or bowl in the simmering sauce pan of water (water should be ¼ inch below the rim of jar or bowl) Melt beeswax 1st- this product takes longer to melt Add shea butter and coconut oil Stir until all ingredients are blended Add essential oils Hint: Use an eye dropper to transfer hot lip balm to storage container NATURAL BEAUTY continued on page 31

393 E. 2nd N. - Rexburg

Other services include: • Botox • Derma Filler • Chemical Peels • Microdermabrasion • Skincare products & makeup

Call for an appointment today 208-359-5600 27


Barre and Oula

Bridget Ryder H&W staff

28

“If you’re not shaking it’s not barre,” Christi Baughman said. She had already taken her barre fitness class through an arm series down in a wide plié position followed by almost too many repetitions of plank exercises. Next was a knee-quaking ten minutes standing at the barre. Feet turned out, heels touching but lifted and knees

bent, Baughman and class then lifted one leg behind as high as possible. Then the movement— little pulses that constantly challenged the flexible range of motion and the strength of the muscle to pull the limb into position. Knees were wobbling, but not buckling.

Baughman is a fitness guru who has taught everything from step classes on cruise ships to cardio kickboxing, which she also offers at Shine Studio in Victor. She ran her own human powered bicycle shuttle service on the Teton River

bring

this summer, too. The fit-as-afiddle mother of three said there are two misconceptions about the barre method—first, that it’s about dance and, second, that it’s easy. On the contrary, barre is an intense, well-choreographed strength training routine motivated by music.

Isometric repetitions from a point just beyond extension induce isolated muscle fatigue through the precise leg lifts, pliés, abdominal crunches and other motions in the routine “That’s where the strengthening comes from,” Baughman said.


diversity, intensity to fitness! Stay in resistance, Baughman repeated often to her class in Victor

Professional dancer Lotte Berk developed the form of exercise from her own experience. Berk, a ballerina who fled Nazi, Germany and landed in New York, suffered a serious back injury. Through her rehabilitation occurred to her to combine her physical therapy exercises with her dancer’s barre work. She opened her first studio for the method in New York in 1959. Brooke Shields and Joan Collins have been among her clients. Baughman adds intensity by also applying the principle of “do as many reps as possible.” True to her music motivation style, she employs a beat and a song to take exercisers to that point of exhaustion.

dents that even damaged internal organs. Plus, it made her muscles not only strong, but also more elastic.

“I’m so much more flexible than I used to be,” she said. The class intervals between the muscle burning repetitions and stretches, the combination usually leaving a relaxed sensation in place of soreness. Baughman won’t guarantee

learned and once familiar with the motion students, too, “can get deep into a song,” But the sounds of Swan Lake

won’t be pushing the music forward, rather Baughman’s teenage son plays maestro for her playlist.

The barre method comes in almost as many forms as there are instructors, and Baughamn integrates kick boxing movements into her class. Punching motions with weights while holding plié started Thursday evening’s class. Traces of Pilates also evidence themselves. But, barre is hands down the class of choice for the active woman. She attributes the exercise to her recovery from serious cycling acci-

“It creates an experience for people to really let go and dance,” Simmons said. Simmons moved to Teton Valley from Missoula about a year ago and thought she couldn’t live without Oula, so she downloaded the music and did it by herself in her living room. Then she interested a few friends and the dance

party moved to the basement of another friend’s house. Dancing with friends, taking joy in freedom of body movement is really the essence of the class, according to Simmons. The moves themselves are even at times “silly, funny and playful.” They vary from low, earthy, grounded African moves to high, airy maneuvers. It’s deceptively fun.

“There are beats to a measure for a reason,” Baughman said.

The repeated chorus and equally measured verses provide a natural balance for exercising both sides of the body equally. Baughman said she spends a lot of time on her play list and routines. She moves and choreographs and gets lost in the music. The movements are easily

Simmons got her introduction to the class. Kali Lindner, a dancer, created Oula as the class she always wanted— high intensity, fun and done to the top 40 music everyone here’s on the radio.

“I’ve got mention that its really a workout,” Simmons said. “In a one hour class, it’s like running 6 miles.”

Christi Baughman demonstrates one of the moves that will make your legs shake in her barre fitness class. it, but she said people are often pleasantly surprised to not experience morning-after pain following a barre class. For Baughman it’s an ideal class for someone who can only squeeze one or two workouts in a week. To add a cardio workout, she also suggests Oula with Stacey Simmons, also teaching at Shine Studios. Oula Dance

Oula is short for Missoula and code for a new dance fitness workout from the Montana town, which is where

The intensity comes from the fast movement of many body parts at once.

“Your whole body is involved, your arms are moving, you’re jumping, you’re flying through he air, your dancing,” she explained.

The expanding dance party inspired Simmons to take the instructor’s course for Oula. She now teaches both at Dreamchasers in Driggs and Shine Studio in Victor. The Driggs class is Mondays at 9 a.m. and the class in Victor is on Wednesdays at 6 p.m. Barre classes are Mondays, Wednesdays and Fridays at 9 a.m. and Tuesdays and Thursdays at 5:30 p.m. at Shine Studio located next to Roots Hair Studio (170 N Main St. Victor). n

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NATURAL BEAUTY continued from page 27

Natural

BEAUTY

Your Healthcare Your Way

Lip Scrub Raw honey is an amazing product. Not only does it help heal dry skin, it also retains moisture, has antiseptic properties and promotes new tissue growth. Brown sugar or coconut sugar helps exfoliate and removes dead skin. Olive oil provides moisture and antioxidants to lips.

1 tsp. of raw honey 1 tsp. brown sugar 1 tsp. olive oil

Method:

Stir ingredients together, and store in cool dry place.

Natural Bronzer

Arrowroot, cinnamon and cocoa powder can all be blended to create your own personalized shade of bronzer. Start at your temple and then swoop in an arching motion from your temple to under your cheek bone, and again with a second arching swoop from under your cheek bone to the bottom of your jaw line. It should look like you are blending the number three on the outsides of your face from temple to below the cheek bone to jaw line. Trace over the number 3 several times until bronzer is blended.

Liquid Soap

Most bars of high quality condensed soap can be grated and placed into boiling water to turn the bar into liquid soap. 1 bar of soap can be expanded to 1 gallon of shower or hand soap. I used to refill my fair trade condensed liquid soaps at health food stores for almost 16 dollars for less than a quart of soap. Now I just grate down a bar of the same soap and have a gallon for less than 4 dollars! Tip: Buy the bars of soap when they are on sale and you will save big time for bars ranging from 2-3 dollars. Note: if you are used to lots of bubbles and suds many soaps have surfactants, agents and chemicals which create extra suds and bubbles. When you reduce soap it will create the same outcome but with much less of a picture perfect soapy bubble mountain.

Method:

1 Hand grate 1 bar of soap and 2. Place grated soap into 1 gallon of boiling water 3 Stir until soap is dissolved 4 Let cool before placing in any container.

We are a full-service one stop medical center providing all your health care needs under one roof.

393 E. 2nd N. - Rexburg Call for an appointment today 208-359-5600 31


Zucchini Muffins Ingredients 1⁄2 Cup Applesauce

1⁄2 Cup White Sugar

Zucchinis are plentiful, make sweet bread Anna Improta Special to H&W

A

utumn has encircled us. And once again we frantically cook and bake our way through the season to make any dish we can think of out of squash. Whether you get your zucchinis and pumpkins from your own garden, your neighbor’s garden, or at your local farm and farmers market; these fall fruits are plentiful and inexpensive. Growing up my mom used to make loaves and loaves of zucchini sweet bread; so when my neighbor knocked on my door with two huge zucchinis from Snowdrift Farms, I was inspired to bust out my baking skills. Packed with fiber and Vitamins A and C, these Zucchini Pumpkin Muffins are a delicious morning snack that are nutritious yet satisfy that sweet tooth. Top with some peanut butter for some extra protein before a day hike or along day on the slopes.

Anna moved to the Teton Valley after graduating from the University of Montana. Working in the restaurant industry, food is what she knows. Cultivating healthy recipes with local ingredients has become a passion. Anna spends her days skiing and baking, and nights serving beer at a local pub. 32

1⁄2 Cup Brown Sugar 3 Eggs, lightly beaten 1 Teaspoon Vanilla

1 Cup Mashed Cooked Pumpkin 2 Cups Zucchini, grated

2 Cups Whole-Wheat All Purpose Flour 1 Teaspoon Baking Soda 1⁄4 Teaspoon Salt

1 Tablespoon Cinnamon 2 Teaspoons Nutmeg

3⁄4 Cup Slivered Almonds 4 Tablespoons Flaxseed Yield 24 Muffns Directions

• Preheat oven to 350 Degrees. Use muffin cups, or coat muffin pan with Pam, butter, or shortening. • Sift together in a medium bowl flour, baking soda, salt, cinnamon and nutmeg. Set aside.

• In a large bowl beat applesauce and sugar together using an electric mixer.

• Add beaten eggs and vanilla to sugar mixture. Beat until smooth and syrupy. Mix in pumpkin and zucchini. • Using a wooden spoon slowly add dry flour mixture to wet and mix. Be careful not to over mix as that will result in holes in the bread. • Once combined add almonds and flaxseed. Spoon 1⁄4-1⁄2 cup of mixture into each muffin cup.

• Bake for 20 minutes or until an inserted knife comes out clean. n


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MA, LPC, LAT

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Personal care to help you function at home Offering:

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Rehabilitation Professionals • Physical therapy • Occupational therapy • Speech therapy

Housekeeping

Certified Home Health Nursing Assistants Medical Social Worker to assist with community access and long-term planning Medicare-approved and private insurances accepted Avalon brings these services to your door

(208) 538-0114

Meal Preparation Laundry Grocery Shopping Chore services Respite care Professional nursing You may qualify to receive these services at low cost or no cost through various state and federal programs.

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Caring for your family

On and off the field Richard Wathne, MD These are exciting times for local student ath- vented. In the event of a head injury, we adhere letes. Portneuf Sports Medicine Institute and to all concussive protocols with extensive the physicians of Pocatello Orthopaedics & concussive ImPACT testing. With all other Sports Medicine have put together a very com- injuries, we have the ability to consult and prehensive program for athletics that include coordinate care of all student athletes with the full spectrum of injury prevention, care and physicians in a full spectrum of specialty rehabilitation. areas. The hallmark of the Sports Medicine Institute For non-emergent sports injuries that occur and the team of medical professionals is their during the week, Pocatello Orthopaedics & unwavering commitment to provide the highest Sports Medicine are proud to once again level of support and care for all student athletes. sponsor the Bumps and Bruises clinic. The free It has been a labor of love to put all the neces- clinic held Saturday mornings at 10am, begins sary resources and expertise under one um- the weekend after Labor Day and continues brella. Thanks to the support and financial until Thanksgiving. Staffed with physicians, backing of Portneuf Medical Center, we will physician assistants and physical therapists, care for your family and your student athlete we offer care and consults to all student athboth on and off the field. letes. Onsite physical therapists and athletic trainers, The primary goal of the Portneuf Sports Mediunder the direction of Brent Faure, ATC, are cine Institute is to treat athletes in a way that skilled in injury assessment and management, allows for early, safe and efficient return to play. care of sports-related and general medical Though the specialty of sports medicine inneeds of athletes, as well as education and coun- cludes the prevention and treatment of injuries seling on illness and injury prevention. The to athletes and physically active people, sports Portneuf Sports Medicine trailer, formerly Tri- medicine physicians are ideal for the non-athMed, will be onsite at events to provide im- lete as well. We are primarily concerned with mediate access to diagnostic tools, trainers and the investigation, preservation and restoration supplies. by medical, surgical and rehabilitative means Injury prevention, conditioning and optimizing to all structures of the musculoskeletal system athletic performance, of course, is only one facet affected by athletic activity. The same principles of the program, but all injuries cannot be pre- used to return an athlete to the field are also

used to return workers back to work, restore function to non-athletes and allow for efficient return to the activities of daily living. From wellness to nutritional counseling to state of the art surgery and sports rehabilitation, Portneuf Sports Medicine and Pocatello Orthopaedics & Sports Medicine are renowned for their ability to keep high school athletes, weekend warriors and sports professionals at their very peak of performance. Whatever your passion, sport or activity, we are here to prepare you for and keep you in the game. On or off the field, you can count on us to care for your family. For more information about orthopaedic injuries and prevention visit www.wathneortho. com; to schedule a consult or to reach our office, call 208-233-2100. Dr. Richard Wathne is a board certified orthopaedic surgeon who is fellowship trained in sports medicine. He specializes in state of the art arthroscopic surgery of the shoulder and knee and is an active member of the Arthroscopy Association of North America. He has been providing expert orthopaedic care for the people of Southeast Idaho for nearly two decades.

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Good Dental Health is for Life

Reporting sexual assault is a personal decision.

Now there are options to make the decision easier. Blind Reporting

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Today individuals age 18 and over can receive both a medical and forensic exam in the Teton Valley Hospital Emergency Room without reporting to law enforcement. Evidence will be collected by a trained Sexual Assault Nurse Examiner and preserved for up to 1 year.

Time

Blind Reporting provides time to think about whether or not reporting to law enforcement is right for you. It assures the physical evidence associated with the assault is collected and stored for up to 1 year or until you are ready to report.

Cost

The forensic exam is paid by the Idaho Crime Victim’s Compensation Fund. Family Safety Network advocates will help you apply.

Support Reporting is often delayed because of fear. Many worry about disclosing details about the crime and how this will affect them personally. Family Safety Network victim advocates are available to help explain the options and offer resources to begin healing.

Call us for more information or to talk about options: Family Safety Network 354 -SAFE hotline 354 -8057 office Teton Valley Hospital

354 -2383 nurse’s station

This project was supported by Grant No. 2010-WR-AX-0061 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.

35


Dwayne M. Hansen MD, FACS General SurGeon Board Certified

Treating You Right Now

Medical School –Tulane University, New Orleans, LA Surgical Residency–University of Tennessee, Memphis, TN

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A Clinic of St. John’s Medical Center - Primary care for adults and children - Care for injuries and illness - Lab and x-ray services - School and influenza immunizations Staff Physicians: Cecelia A. Tramburg, FNP; Scott Thomas, MD Visiting Specialists: Angus “Gus” Goetz, DO - Orthopaedics William Ramsey, MD - Ophthalmology

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15 Stress Relievers

S

tress is our body’s reaction to a perceived danger or to an emotional or physical overload. Even though some level of stress is a normal part of daily life, it should not be present on a continual basis — for the good of your health, there should always be some resolution or release. Here are 15 tips to help you do that:

1 Learn to say no to projects or activities for which you have neither the time nor the energy.

2 At work, get up and stretch from time to time if you’re sitting for long periods. 3 Pet your dog or cat, if you have one — zootherapy has beneficial effects, particularly on blood pressure. 4 Turn what you might think of as a failure into a constructive learning experience.

5 Turn off your telephone and watch a good movie or get lost in a hobby. 6 When faced with a difficult problem, establish the best and worst thing that could possibly happen and how you would manage the latter if it became reality. 7 Listen to music or sing.

8 Get something done today that you have been putting off. 9 Save errands in town for low-traffic, non-rush times.

10 Make lunches and set out clothing for the next day before you go to bed. 11 Walk briskly for even just a few minutes. 12 Take a hot bath.

13 Take something to read while you wait, on public transportation, for example. 14 Reduce your caffeine consumption.

15 Give yourself an extra ten minutes to get to an appointment.

Most of all, it’s important to keep a sense of humor: it will help you cope with daily problems more easily. Try to look for the funny side of a situation.

37


GLUTEN CONTAMINATION continued from page 24

mention with staff rotations it is possible the 1 of the 30 employees has a different handling procedure and used a utensil that has some form of bread crumbs on it. This includes peanut butter, salad dressings, ketchup, mayo and mustard. Always double check what the source of the condiment is. Some companies who use Heinz have industrial style dispensers that shouldn’t have cross contamination.

Toaster Ovens: Gluten free bread is sent through on the same commercial toaster oven rotation line that regular toast is sent through on. Landing in a bed of delicious gluten filled crumbs. I don’t know about you, but last time I checked toast is like Velcro. TIP: Ask for toast to be cooked in a special pastry toaster bag (typically at 5 star establishments), or to have it pan fried in a clean pan. Asian Influenced Restaurants:

Cooks Hands: During prep staff may be prepping wontons and dumplings, which are not only made from wheat but coated in a flaky wheat powder on the outside of the product. If the staff is in a crunch for time in the back, a prep cook with wheat on their hands may grab your veggies for your “gluten free” dish and toss them in the pan now coated in wheat.

Rice Cooker: If a dish has the wrong rice (white vs. brown) on it, the server or cook will put the rice back into the

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community rice warmer, and place correct rice on plate. Now the rice which was laying in a puddle of soy sauce is all over the rice warmer and your “gluten free” rice. Edamame: Notorious for dipping sauces or being flash fried in a fryer. If an order is made wrong the chef will toss the edamame back into the hot water pot to clean it off before re-seasoning the edamame correctly. Then your “gluten free” order is now being heated and warmed in a pot of watered down sauces that all contain gluten in them.

WOKs and Pans: Anything that has a noodle cooked in it will have a slime like residue left on the pan. Even though the woks are quickly rinsed and circled with a steel wool sponge, this sponge now has wheat noodles stuck to it and the process is done so quickly that the wok has a slime trail of wheat noodle and wheat based sauces smeared across it. Also, many of the hand frying pans are soaked in a tub of water next to the burners. Pans are tossed into the water to rinse “camping style” between meals cooked. However, this tub of water has many gluten based sauces accumulating in the tub.

Cheaper Product Lines and Sauces: Most Asian influenced sauces have gluten in them with the exception of tamari and some fish sauces, not all. One thing to watch out for is most ketchup has gluten in them; however this is not required to be labeled by the FDA if the ketchup has rye or barley based binders. The one ketchup that is safe is Heinz, which very few Asian restaurants’ use because of the cost of this product, so steer clear of the Pad Thai.

Tofu and Nuts: Both of these items are flash fried in the fryer which fry’s wheat. Mexican Influenced Food:

Rice: Often rice has seasoning that has a modified food starch or wheat in it. Also, often flash fried in a fryer that fry’s wheat

Chips: Most corn chips are flash fried, some may have extra seasonings and flavorings, or modified food starches

Sauces: Many sauces like green chili have flour or starch in them to thicken the sauce As you can see there are many sources of cross contamination for gluten to be in your food. Don’t let it discourage you, don’t give up, and keep trying and educating yourself!!! Tips At Home

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n Prepare gluten free items on a separate surface from surfaces that gluten have been on

n If the entire household is not gluten free, designate a gluten free counter and prepping space

n Remember to fully wash utensils and cooking supplies in between gluten and GF cooking n Prep and cook all gluten free meal first

n When baking clean entire work space first, bake gluten free items, let cool and store covered away from gluten based batches. Flour particles stay in the air for 48 hours and stick invisibly to everything.


n Remember to really wash pots and pans, example: pasta leaves a thick starchy residue on pots, make sure this is cleaned well, if not washed twice!!! n Use squeeze bottles for condiments Use the dollop method:

n Always use a spoon or knife in butter, peanut butter; condiments, jam etc… take a big glob and splat it onto desired dish. Whatever you do, don’t do the normal glob spread and re glob. Household shared items like butter and peanut butter will become quickly become gluten contaminated!!! Or, just have your own gluten free condiments that are labeled. n The toaster likes to hide gluten, if you can have a gluten free designated toaster!!! n If possibly purchase different color pots, knives and cutting board to use for designated gluten free or allergy free cooking, prepping, eating.

Tips for Eating Out: Eating out is a tough one. So many chefs, servers and line staff are not educated on how severe and extreme Celiac’s is, especially if it does not personally affect them or someone very close to them. I have had a hand in the Food and Beverage industry for over 15 years and privileged to have worked with chef’s all the way from five star resorts to cruise lines to little starter restaurants, and even college dining halls. Locally, over the past 2 years I wrote a 20 page allergy awareness guide for several restaurants in Driggs, and Jackson, however I found the implementation process to be challenging, and not 100 percent effective or efficient. Still finding myself sick at these restaurant’s due to several factors like language barriers and staff turnover. At this point I prefer to eat in, unless it’s a dedicated gluten free facility/dining option like Lotus Café.

If you do decide to eat out, contact the manager of the restaurant in advance. Eat during non-busy times. You are more likely to get gluten cross contaminated or poisoned if the kitchen and staff are busy (11:45 a.m. – 2 p.m. & 6:45 p.m. – 8pm). Always bring snacks just in case you end up with a group of friends at a place you cannot eat.

Trader Joe’s Trader Joe’s has become a prime example of a company making great strides in labeling cross contamination of their product lines. After asking a representative about their labeling procedures I was assured the dried fruit was labeled correctly and there would be no cross contamination. Excited I returned back to friends with dried apricots, cranberry’s and dates. Approximately two hours after consuming our snack of dried fruit and nuts we both became bloated and ill. I called Trader Joe’s and explained my situation. With assurance they said it was not their product but I could return it for full reimbursement. When I returned the product I was not only provided with full reimbursement, but each company of each product was called until the cross contamination was tracked down. We found out the apricots are processed on machinery that processes wheat based products. How’s that for diligence!

Reminders Gluten regulations vary country to country, including requirements for processing, packaging and labeling. Barley, rye, malt and oat are not required to be listed in products even though gluten sensitive people have reactions to it. Only the 8 major allergens (Peanuts, Soy, Wheat, Tree Nuts, Fish, Eggs, Milk, and Shellfish) are required to be listed on packaging, due to these 8 allergens being responsible for 90 percent of reported food related allergic reactions.

According to Udi’s gluten free food company 74 million U.S. adults want to reduce or eliminate gluten from their diet, this is 5 times the tourists who visit the golden gate bridge each year. For Teton Valley that is 18 times the amount of tourists who pass through Yellowstone every summer season. With the numbers on the rise the awareness on eating out and cross contamination will rise too.The best rule of thumb is always check products to see if they have been packaged in a facility with wheat. The one lesson that has helped me the most throughout my diagnosis of Celiac’s is that it takes years to re-work a life time of teachings on cooking, shopping, eating out and understanding a new way of life.

For more information on gluten cross contamination visit my blog at www.gf-blog.com. Some great resources and research can be found at The Mayo Clinic, Gluten Free Living, n

39


Finding your way through

the Health Exchange Submitted by Teton Valley Hospital

For an overview of general reform goals, I suggest you visit YouTube and watch a short, nonpartisan video made by the Kaiser Family Foundation to get up to date: http://youtu.be/ JZkk6ueZt-U If you don’t have access to the Internet and want information about our Idaho state health insurance plan, call 1-855-944-3246.

If you don’t know much about national and statewide health exchanges, you’re in good company. Around 60% of working people nationwide haven’t begun to educate themselves about health care reform, and only 9% of employers believe they’re ready to implement health care reform requirements accordingto a recent survey by Aflac.

Much of the confusion is due to two issues: lack of insurance exchange plan completion and last-minute changes to the federal requirements. When you add that confusion to the fact that 74% of workers rarely understand everything that’s included in their insurance policies anyway, that’s a prescription for high anxiety. I’m going to give you a basic road map to help guide you, with a cautionary disclaimer that, 1, anything could change and 2, this article may not address your individual or family needs and 3, even hospital administrators don’t yet have all of the information they need to completely inform their communities about healthcare reform. What’s going on?

We’ve all heard about health care reform (The AffordableCareActcommonly called Obamacare – and we’ve heard this and that about deadline and costs, etc. Now, health care reform is at our front door and it’s very important that we all take some time to learn how this may affect our medical insurance coverage and expenses.

40

Alert: Most of us must have health insurance by January 2014 or we may have to pay a penalty. If you’re currently covered by your employer, make sure you get a clear picture of any changes to your benefits. A workplace health insurance plan may have an impact on your options in the new Exchang Marketplace. If you live in Idaho, you can visit the Your Health Idaho health insurance marketplace (www. yourhealthidaho.org) to shop around for your health insurance. The Idaho marketplace will “open” October 1st and is primarily accessible online. Open enrollment begins October 1, 2013 and ends March 31, 2014. As of today, you’ll find 161 insurance options from which to choose, offered by 8 insurance companies. Fortunately, you should only have to fill out one form to submit for cost and coverage comparisons.

Under Health Exchange law, insurers will offer four levels of coverage with corresponding costs. Bronze level will cover 60% of expenses, Silver will cover 70%, Gold 80% and Platinum at 90%. Premiums (monthly fees) will be based on zip code, age and family size. A press release from Your Health Idaho shows examples of “premium ranges from bronze level to the highest priced metal plan offered in a region. These rates are full premium prices and do not reflect any premium assistance or subsidies an individual or family may be eligible for within the new marketplace. Table A shows premiums for a 31-year-old individual, and Table B is for a family of four with two parents age 40.”


Will everyone save money on monthly insurance premiums? No, not everyone will save money by signing up through the insurance exchange. Some people will fare better staying with private insurances. Others may pay more regardless of the type of coverage they select. Assistance with monthly premiums is offered for specific income levels and family sizes. Individuals who earn less than $45,960 may qualify for federal subsidies, and a family of four earning less than $94,200 may also qualify for federal assistance. Does everyone have to sign up?

You don’t have to sign up for insurance through the new Health Insurance Exchange. If you’re on Medicare or Medicaid, you will likely stay on those programs with the exception of pending decisions being made about the expansion of Medicaid. Medicaid expansion decisions were left up to individual states, not the federal government under the Affordable Care Act. Idaho has opted not to expand Medicaid. Many people will remain on private insurance or will continue coverage by their employers. Regardless of your situation, it’s very important that you take the time to research the new exchange, ask questions and help your friends and family members stay informed. Whether you were for or against Obamacare, change is here and it’s up to each of us to get the information we need to make the best decisions moving forward. Who can I go to for help?

For those people with Internet access, the first place to start would be at www.yourhealthidaho.org. You can also contact a state-trained In-Person Assister (IPA) or Consumer Connector ( insurance agent or broker. ) IPAs have been trained to help you understand your options and answer your questions. They cannot make insurance plan recommendations for you; that decision is up to you. A Consumer Connector can make recommendations for you, and may be able to sell plans only from the private insurers they represent. Where can I find an In Person Assister? Teton Valley Health Fair will have two In-Person Assisters available at the upcoming Harvest Health Fair to help you navigate the Exchange. The Healt Fair is 10 a.m. – 12:30 p.m. Saturday, Sept. 28 at the Driggs Elementary School. Health EXCHANGE continued on page 46

Just to remind you… Big changes are on the horizon that will change health insurance for all Americans. Open enrollment begins Oct. 1, 2013. Chandler Agency can guide you through the complex changes in the new healthcare law and assist you and your family with securing the right coverage at the best price.

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special time for yourself.

• Oil: sesame oil Vatas, sunflower or coconut oil for Pittas and olive or mustard oils for Kaphas. • Squeeze bottle: for easy access throughout the massage fill a squeeze bottle with oil

• Hot water in a bowl or in the sink: put the squeeze bottle in the warm water and allow the oil to warm to at least body temperature

Self Massage continued from page 7 • Teaches her how to take care of her sacred body.

How to give yourself a massage: Set aside some quiet time for your massage. 5-15 minutes is enough time to massage the oil on your body (preferably before you shower) though if you have no time, rub the oil on your skin (instead of soap) in the shower. Do this daily. You will need:

• Warm room: make this a comfortable and

• Towel or mat: choose something that you don’t mind getting oily. You might want one to stand on and one to dry off with.

How to give yourself a Self-Massage (technique)

• Undress completely and stand on your towel or mat.

• Starting with a small amount of oil in your hands begin to gently rub the oil into your scalp. Massage the oil into your scalp and hair with your fingertips. If you would prefer to keep the oil out of your hair simply omit the use of oil for this part of the massage. • Vigorously work down your body until

the oil has been massaged into every part of your body. Use long strokes on your limbs and circular strokes over all your joints, chest and abdomen. Cover every inch of skin, attuning to your bodily tissues with your hands. Spend extra time on areas that are less integrated (for some this is thighs, buttocks, breasts).

• Take ample time to massage the soles of your feet as this can have a particularly relaxing and soothing affect.

Rinse off the oil in the shower. Take time in the shower to allow the oil on your hands to mix with the water from the shower to massage your face and ears. Use gentle circular strokes to massage your cheeks and forehead, move out towards the ears in stroking motions around the eyes and lips. Soap is drying to the skin, including to the anus; try switching to oil instead. Cate founded Yogahealer in 2001 to help Yoga lovers learn Ayurveda to enhance their life. She offers super-practical teachings for yoga people to kick our personal and planetary wellness up a notch. Visit Yogahealer.com to get the blog and podcast in your inbox. n

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Seniors continued from page 12 contributing to her community. Lana is a prime example of what’s becoming the new norm for people over 50, those folks who are considered seniors but who do not fit the stereotype of those who came before, reaching retirement age.

in the community, what they can contribute in many sectors that have nothing to do with age. It’s what they can provide in their wisdom and their talents.”

“There’s a whole new mindset when it comes to aging,” said Crandall, executive director of the Seniors West of the Tetons Senior Center. “When I think about my own grandparents, the idea of retirement meant watching the sunset, rocking in a rocking chair, the stereotype.”

Currently the center offers exercise classes five days a week, and is developing a hospice volunteer station and support group. Lunch is offered Monday, Tuesday and Thursday.

Shauna Crandall believes the coming “senior set” is anything but old-timers in the commonly accepted sense.

That’s all changed now, and older folks are as likely to talk about going to the Himalayas or learning how to ski, and 21st Century seniors are doing more than ever as far as traveling, continuing education, clubs and recreation among other things.

“We want to encourage that,” said Crandall. Older folks want to be healthy and active, and their expectations for what their lifestyles can be like “is way different than the stereotype,” Crandall said.

That’s especially true in the Teton Valley. Here, “older folks can run circles around anyone of any age,” she said. “Many folks are here to enjoy the recreation opportunities and therefore not only are they young physically, but young in outlook, lifestyle and what they choose to enjoy.” Crandall cited 83-year-old Ruby Parsons as a prime example of those who have so much to give to the community. Parsons chairs the SWT board, as well as the Teton Valley Fire Department, and serves as head chaplain at Teton Valley Hospital. Because of the change in the lifestyle of this demographic — in the U.S. a senior is considered a person over the age of 60 — the name “Senior Center” has become somewhat of a misnomer. Crandall said the board is not only looking at new directions to serve those who once carried that moniker, but also to change its name to reflect that diversity.

The board, she said, knows the current aging population focuses on myriad activities and interests “that promote wellness, active lifestyles, experiential learning and expansion of physical, mental and emotional health.” To that end, the board is seeking ideas from the community not only on the name change but also for input on what it wants from the organization and its center that can improve social and physical health in the valley.

Many members are volunteers in the community, and the time they have to give “can be much more valuable than money,” she said. “We hope to bring back our dance series classes,” she said. “We need an instructor.”

SWT is also developing its monthly community dinner program and may have that going soon. “We don’t want to lose sight of our mission statement, which in a nutshell states that we are here to provide a place for older community members to socialize, eat a delicious meal, get wellness treatment and information and ‘hang out,’” said Crandall.

To provide ideas on the center’s new name and possible programs, email; tetonseniorcenter@hotmail.com, phone (208) 354-6973 or write SWT, PO Box 871, Driggs, Id. 83422. The center is in the Driggs City Center in Downtown Driggs. n

Individual and group psychotherapy

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“It’s not about what we want, it’s about what the older Americans want, and they want a different scenario than the past,” said Crandall. “I’m not thinking about hanging around watching TV all day. I want to learn new things.” So do others approaching or into the age bracket, and SWT wants to encourage valley seniors to exchange ideas on how to improve the valley.

“We have a physical space, where we encourage folks in our age demographic to rendezvous, have support groups, start a club” and more, Crandall said. “We are not an assisted-living center, that’s not who we are. We are a social center showing leadership. We’re trying to remind seniors they’re very valuable in leadership

43


Is it time for your brain’s annual physical? • Memory and cognitive health evaluations • Patient and family support and education by Carol Taylor, LCSW • Coordination of care with patient’s primary care provider Care team directed by Martha Stearn, MD Board Certified in Internal Medicine Adjunct Assistant Professor of Neurology at the University of Utah

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St John’s

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Upper Valley ENT & Allergy 30 Madison Professional Park Rexburg • 208-656-9646 44


YOGA continued from page 11

➤ teaches the use of breath for self-regulation. What is beautiful about Yoga is that it teaches us—and this is a critical point for those who feel trapped in their memory sensations—that things come to an end.”

Yoga?

Why

Preston Lindsay, H&W staff

Sidney Marquez, an assistant manger at Yogaworks in Los Angeles, one of the largest certifiers of instructors in the U.S. said, “Yoga has so many healing properties: mind, body . . . I was having the worst time with my knees, I started really practicing yoga poses specific to the strengthening of the ligaments and joints, and I just recently finished my 10th L.A. Marathon without any pain.”

A

s stated in another 14 studies, reported gains in depression and anxiety for women, increased regional gray-matter in the brain, increased relaxation, stress and inflammation reducer and an effective direct combatant to PTSD are to be had with veterans suffering from post traumatic stress disorder, with three more studies still ongoing. Results are so effective in fact, it is prescribed by one of PTSDs leading authorities, Dr. Bessel van der Kolk. When asked why yoga helps those affected by PTSD, Dr. Van der Kolk stated,

“Yoga helps regulate emotional and physiological states. It allows the body to regain its natural movement and

However, there can be a downside to yoga.

Marquez stated, “Yoga done wrong is dangerous. You can really injure yourself, especially with inversions.”

Although it is rare for major injuries to occur in yoga, when they do, it tends to be with more tight-muscled men, pushing themselves too far too soon. Yoga is something many instructors say one needs to relax into.

From sitting on the ground in meditation, to feathered peacock pose, yoga is now a way of life for millions around the country, and millions more a waiting in the wings. Preston Lindsay is a reporter, columnist and aspiring yogi at the Upper Valley Standard Journal. n

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Monarch Healthcare

Give a warm welcome to

Growing to Better Serve You

Dr. Chris Allphin

Who is eager to serve you and your family. Currently accepting new patients. At Monarch Healthcare, we keep on growing! We have recently added Dr. Chris Allphin to our staff as our sixth care provider. He has relocated from St. Louis after completing his residency at Mercy Hospital, where he participated in over 1000 child deliveries. He has always dreamed of calling Idaho Falls his home; after all, it’s where he met his wife. Welcome, Dr. Allphin – we hope Idaho Falls is a dream come true for you and your family! With three convenient locations in Idaho Falls, Rigby, and in Victor, Monarch Healthcare can meet the needs of patients from virtually anywhere in the Upper Valley. We specialize in women’s healthcare, with services like in-office ultrasound, infertility treatments, and more. Our doctors offer a complete line of women’s healthcare including obstetrics, gynecology, and family practice. So, whether you’re an expecting mother or a woman in search of an OB/GYN you can trust, expect high quality and family friendly service with Monarch Healthcare. Our staff is ready to serve you and your loved ones throughout your lifetime.

• Board Cerified in Obstetrics & Gynecology & Family Practice • High Risk Pregnancy • Family Friendly Service • Infertitlity Treatmenst • In-Office Ultrasound • Se Habla Español

Margaret Huggins, MD, FACOG Rebecca Adams, MD Chris Allphin, MD Serena R. Adams, PA-C Scott Ulrich, PA-C Nicole Long, FNP-C

208-535-0440 Three Locations: 2990 Cortez, Idaho Falls 426 Farnsworth Way #3, Rigby 338 Mountainside Blvd. #4, Victor 46


HEALTH EXCHANGE continued from page 41

We’re also hiring and training a Community Representative to be available to meet with community members and service groups to help keep everyone current on Exchange information and options. We hope to have this representative available by the beginning of October. Follow us on Facebook, Twitter or our website at www.tvhcare.org for ongoing information and deadline reminders. Also, Your Health Idaho will begin listing contact information on their website for both IPAs and Consumer Connectors.

Enjoy the Ride

Have you told me everything I need to know? Hopefully, we’ve given you a good starting point toward understanding the Idaho Health Insurance Exchange Marketplace. We’ll continue to share information along the way. Take an Info Trip: Be Prepared for Health Insurance Exchanges!

Idaho Health Insurance Exchange: www. yourhealthidaho.org

FederalHealth Insurance Exchange: www.healthcare.gov

Medicaid information: 1-877-456-1233 or http://healthandwelfare.

idaho.gov Información en Español: yourhealthidaho.org/what-you-need-toknow/en-español/

An overall explanation of national health insurance exchanges by the Kaiser Family Foundation: http://youtu.be/JZkk6ueZt-U

Horses and helmets go together. Expect the unexpected and prevent brain injuries by wearing a helmet every time you ride. We want to help you stay on the horse and out of the ambulance.

208-354-6341 *equestrian helmets are designed specifically for Western or English riding with more head coverage and testing requirements than helmets used for other forms of recreation.

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