2016 Healthy Living - Family Wellness

july 2016

Family Wellness

Your health…

We’re in this together.

At our integrated clinics, whole person care means you work with a collaborative team of healthcare providers to take an active role in your well-being, both physical and emotional. annual & well child exams | preventative screenings lab tests | chronic disease management | counseling illness & injury | immunizations | oral health coordination

Offering comprehensive primary and behavioral healthcare at four convenient locations in Cortez and Durango

For all ages CORTEZ INTEGRATED HEALTHCARE 691 EAST EMPIRE STREET CORTEZ 970.565.7946

LA PLATA INTEGRATED HEALTHCARE 1970 EAST THIRD AVENUE, UNIT 1 DURANGO 970.335.2288 hablamos español

For La Plata County youth of all ages SCHOOL-BASED INTEGRATED HEALTHCARE AT FLORIDA MESA ELEMENTARY SCHOOL 216 HIGHWAY 172 DURANGO 970.385.1168

AT DURANGO HIGH SCHOOL 2390 MAIN AVENUE DURANGO 970.375.3832

private insurance | Medicaid | CHP+ sliding fee scale for eligible patients | insurance enrollment assistance

axishealthsystem.org 229131

• Specialized Medication Compounding • One-on-one diabetes self-management program • Select immunizations for seniors, children and travel • Free Local Delivery (Call for details)

A team of community members can empower you to make healthy choices.

CHIEF EXECUTIVE OFFICER DOUGLAS BENNETT VICE PRESIDENT OF FINANCE & OPERATIONS BOB GANLEY VICE PRESIDENT OF ADVERTISING DAVID HABRAT CREATIVE SERVICES PRODUCTION MANAGER SUZANNE DUKE SENIOR MANAGER OF DESIGN TODD BARTZ EDITOR RACHEL SEGURA

Primary Health Care for Women

Women Caring for Women

Courtney Lupia Blasi CNP, MS • Karen Zink CNP, MS • Amanda Preston Araújo CNP, MS

Accepting New Patients

ADVERTISING DESIGN/PREPRESS JIM DODSON MICHELLE MARTIN LINDA MCDARBY JUSTIN MEEK CHRISTIAN RIDINGS ACCOUNT EXECUTIVES HANK BLUM BART COLLINS TAMARA DESROSIERS COLLEEN DONLEY BRIAN HOWELL KAYLEE KEMPINSKI SARA KNIGHT SHAWNA LONG TERESSA NELSON RYAN ROBISON

Family Wellness Issue 02 Making a Difference 03 Piñon Project 05 SafeCare® Colorado 06 Managing Joint Pain 08 Building Healthy Families — Sometimes Difficult 10 Flexible Flyers 12 The Top 5 Noisy Summer Activities That Can Hurt Your Ears 14 A Paradigm Shift on Nutrition for Weight Loss & Wellness 15 Support Groups Can Provide Extra Strength to Fight 16 Feeding the Whole Family 17 DID YOU KNOW? 18 Eyewear Through the Ages 19 Team Based Care in the Primary Care Medical Home 20 Get Smart: Antibiotics

575 Rivergate Lane, Suite 210 • Durango, CO

www.southwestwomenshealth.com • 970-247-0042 We Accept Most Insurance

The Durango Herald uses reasonable effort to include accurate and up-to-date information for its special magazine publications. However, all information comes from a variety of sources and may change at any time for any reason.

To verify specific information, refer to the organization or business noted.

To view the online version of this guide, visit: www.durangoherald.com

July 2016 | Four Corners Healthy Living | 1

Making a Difference A fresh approach to healthcare

T

he mind and body are not separate, but one integrated system that is uniquely you. While talking about the mind and body as one makes obvious sense, healthcare has not traditionally connected the two.

New integrated health clinics use technology, health screenings and an integrated team to provide care differently. It’s healthcare for the whole person.

As a patient, you have a team that takes an active role in your health with you.

This approach connects the emotional and physical to help you get well and stay well. These clinics provide comprehensive care, including: wellness exams, sick visits, chronic disease management, behavioral health support and treatment, and oral health screening and referrals. Your care team partners with you to improve your health and your family’s health, too.

How does this work in an actual doctor’s visit? Here’s an example: Jan (not her real name) made an appointment because of knee pain. During the appointment, Jan noted that she felt tired and hungry all the time, had gained 15 pounds in the last year and was experiencing some vision blurring and a dry mouth. After listening to her symptoms and reviewing her screenings, her provider team found that she had Type 2 diabetes accompanied by moderate depression. In the discussion that followed, Jan said that she eats junk food when she feels depressed, which had been with increasing frequency. Through working with her care team, Jan learned about Type 2 diabetes. In follow-up visits, she and her team combined their skills and expertise to help her manage her health more effectively. Jan’s physical symptoms of the diabetes diminished, she lost a few pounds, her knee pain was relieved, her mood lifted and she felt empowered to take charge of her health and her life.

Whole person care is better healthcare for anyone, at any age or for any health condition. Whether your symptoms are mild, moderate, severe, or you are just trying to maintain good health, there are benefits across your lifespan: ou have a team of healthcare providers. Your diverse care Y team can expand or change to ensure you receive the right care, at the right time, with the right provider.

You have an active role. The team approach gives you more control over your own health and well-being, both physically and emotionally.

You work together on your health.

One-stop shopping. Getting to multiple appointments at different locations can be challenging. The comprehensive healthcare provided at these clinics makes care easier.

Affordable care options and support. The clinics accept private insurance, Medicaid, Medicare and offer a sliding-fee scale for those who qualify. Support is available for enrollment in Medicaid or insurance.

Unlike the traditional model of healthcare with a trail of disconnected providers, the essence of whole person care is collaboration. This is a truly fresh approach that can make a difference in your health. La Plata Integrated Healthcare and Cortez Integrated Healthcare are leading the charge in bringing all aspects of your healthcare together.

EXPERIENCE WHOLE PERSON CARE Enroll in Whole Person Care at Axis Health System clinics.

VISIT: La Plata Integrated Healthcare in Durango at 1970 East 3rd Ave. (970) 335-2288

VISIT: Cortez Integrated Healthcare at 691 East Empire St. (970) 565-7946

Both clinics are accepting new patients of all ages.

An Axis Health System team contributed to this story. AHS is a trailblazer for innovation in primary healthcare delivery in Colorado, providing quality care across the lifespan for 55 years in Montezuma, Dolores, La Plata, San Juan and Archuleta counties.

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Photos by: Mike Yank/The Piñon Project

Piñon Project Volunteers offer their time to change the lives of children in the Four Corners

BY RACHEL SEGURA

T

here is no argument that one of the most effective practices in helping young kids achieve success in school, improve social skills and build behavioral changes is a mentor. The Piñon Project in Cortez, a non-profit organization focused on serving children and families in Southwest Colorado, is a catalyst for mentoring programs. They currently have 10 mentors matched with children, and another 50 kids waiting.

“The important thing with this program is consistency,” said Mike Yank, youth mentor case manager for the Youth Empowerment Project, or YEP. “There is a one-year commitment between the mentor and the mentee. They meet once a week to spend time together. They also can attend several events the Piñon Project offers to the community, or any special events we have specifically for YEP.” Currently, the Piñon Project is seeking volunteers to become mentors for the 50 children on their waitlist.

Yank said the commitment may seem daunting, but the impact is everlasting. It’s also not necessary to take these children to extravagant places, or always engage in an adventure. Sometimes, a visit to the grocery store or spending time at the mentor’s home is all that is required. If one considers their schedule in a week, one hour isn’t hard to set aside for a friend in need. Mentees are referred to YEP by schools, physicians and other community organizations concerned with the child’s personal growth.

“Time with mentees can be normal everyday tasks,” Yank said. “You would be surprised at what the most simple things can do to impact the life of a child and their families. Kids who are matched with mentors are excited, happy and less depressed all because of one person who hangs out with them from time to time. It’s not as much work as some people think considering what you gain in the long run.”

In order to become a mentor, an application needs to be filled out to completion. The form consists of a very detailed background check, four references,

personal questionnaire and information on liabilities and grievances. Once the person has passed through the application process they are interviewed by Piñon Project staff. The interview is solely to get to know the person’s hobbies, likes and dislikes, interests, family, etc. This is to best match the mentor and the mentee, who also goes through an application and interview process.

“We match them based on their personalities and commonalities to help create that close bond,” said Lauren Lacourciere, activities leader for YEP. “It’s a shared opportunity for both parties to connect. I think people want to make an impact on someone else’s life and mentoring is an easy way. It really does take a village and mentors become a support system for kids, and an aid to their parents.”

Families of children who are involved in YEP are present during the match-up of a potential mentor and mentee. The Piñon Project is an organization that prides itself on creating better relationships within the families. To have the parents involved is important for all in order to better the commitment and keep communication open. Children who come into the program are generally from a combination of at-risk factors such as; single-family homes, low-income, substance abuse within the family, struggles in school, or difficulty with socialization.

“This is a program that the mentors can sometimes get more out of, especially because we have many cultural diversities within our community,” said Kellie Willis, executive director at the Piñon Project. “It also helps improve the relationships with children in their home by interacting with someone who isn’t related to the child. People may make assessments of their own child, but another person could make a different assessment. It’s just an good addition to the family unit and creates a better world for the child.”

Having that open communication between parents and mentors is what helps improve the quality of life

The Piñon Project offers many opportunities for their mentors and their junior partners to play together, such as Mentor Bike Day, picnics in the park, bowling, movies, and more.

Mentors and their mentees form strong bonds in the year they share together. When the commitment is up, partnerships could request to stay together or move on, but are nonetheless changed by the experience.

for all these kids. Sometimes it only takes one adult to make a difference with these children. If you are interested in becoming a mentor with The Piñon Project, call (970) 564-1195 for more information.

You can also visit www.pinonproject.org to view the application for mentorship.

July 2016 | Four Corners Healthy Living | 3

Stay Active & Improve Y our Health!

Come LIVE with us! eveningsporch.com 970-884-0101

42811 Highway 160 • Bayfield, CO 81122

Family Fun For Everyone!

Cortez Rec Center

Cortez Outdoor Pool (970) 565-7877 803 E. Montezuma Ave. Cortez, CO 81321

www.cityofcortez.com

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(970) 564-4080 425 N Roger Smith Ave Cortez, CO 81321

SafeCare Colorado

®

Providing aid for building family connections in Colorado homes.

“What are your strengths?

What makes you happy?”

40 YEARS IN THE MAKING SafeCare® is a nationally recognized, evidence-based, in-home parent education program that provides direct skills training to caregivers in the areas of parenting, home safety, and child health.

• The parenting model was developed in 1979 and has been implemented at more than 137 sites across 19 states.

• In Colorado, it is implemented as a voluntary service for families in an effort to prevent entry or re-entry to the child welfare system.

• The program is designed for high-risk families with children ages zero to five years.

• Typically takes 18-20 weekly sessions to complete (about 4-6 months) and each session lasts 1 to 1.5 hours.

• Is delivered in the home by trained parent support coaches.

• Is funded by the Office of Early Childhood and implemented in partnership with The Kempe Center.

BY RACHEL SEGURA

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arenting doesn’t come with instructions. Even if it did, the book would go on forever, and parents would still end up confused. First time mothers looking for helpful advice could ask their own moms, friends who have had children, or even brave the Internet. However, there is a local service that creates valuable lessons and strengthens familial bonds – and they do it right in your own home.

SafeCare® Colorado is a statewide program that is facilitated through the county office. In Montezuma and La Plata Counties there are three women who service families by offering safety, health and parent/ child interaction. Midge Kirk and Sharon Pellegrom are the facilitators for SafeCare® through the Montezuma County Health Department. Holly Allen works through the La Plata County Health Department. Their main focus is to work with families and provide materials on modules dedicated to three areas of childcare: parent/ child communication, how to enhance safety in the home, and information on medical health.

“We are meeting with people in their homes where they can be in a comfortable environment for open communication with our workers,” Allen said. “We want them to be comfortable with us because it’s important we see how they conduct their lives. It allows us to help build on their strengths and see everyday things that they enjoy doing. That is new to them, because most health professionals are asking, ‘What’s wrong?’ whereas we are asking ‘What are your strengths?’ ‘What makes you happy?’”

Families come into the SafeCare® program on a voluntary basis. They can be referred by: healthcare professionals, friends, others who have participated in the program, or simply seeing the information in the community. There are no applications, but there is a lengthy intake, which requires one of the women to visit with the parents. The program is for children ages five and under. If the family has more than one child under five, depending on their age, they could be referred to another program for infant care, or they can choose which child they want to focus on.

They can choose from one module or all three. The modules are about six weeks long for one, 18 to 20 weeks for all three. At the end, the families receive a certificate of completion. “Many times a family may sign up for one module, like safety, and at the end decide they want to continue with another,” said Kirk.

“With these modules, we aren’t there to preach to them.

We are engaging them to maybe think about things they wouldn’t have before.”

When a family chooses a module such as health, the women are helping to assess their home for situations where a child could potentially get hurt. They look at locks, securing loose furniture, and checking drawers and cabinets in the rooms where the child spends the most time. Children, being incredibly resourceful, oftentimes move chairs to suppress their curiosity.

Many parents may not realize how resourceful their kids actually are.

“Parents who already have children tell me they

are happy to have this refresher,” Kirk said. “With each child, new experiences arise and it’s nice to have someone offer a different perspective and a little help.”

Between the three women, they are working with 35 families residing in Montezuma, Dolores, La Plata, San Juan and Archuleta Counties. They also work with both the Southern Ute and Ute Mountain Tribes. Home visits generally last one hour and are scheduled each week, but appointments are flexible. During visits, the ladies have booklets and handouts for parents.

They also give them “homework” during the week, like securing bookshelves or filling out an emergency contact list, which they discuss on their return visit.

Kirk has been in her position for a little over a year.

The program itself has been in the area for three years.

She hopes to see it expand to more families.

“I think these families are grateful for the program,” she said. “They are establishing better relationships with their children, they are seeing behavioral changes, and are becoming more confident in their parenting skills. They get invested in the time they spend with us because they are creating changes they can actually see. We see that they really want to be good parents.

Everyone needs a little support sometimes.”

Families who are interested in participating in the SafeCare® Colorado program can contact the Montezuma or La Plata County Health Departments.

You can also call Midge Kirk at (970) 564-4780 with any questions.

July 2016 | Four Corners Healthy Living | 5

Protect your joints & prevent pain

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oints play vital roles in the human body forming the connections between bones and facilitating movement. Damage to the joints can be especially painful, and that damage may result from conditions such as osteoarthritis or gout.

Treatments for joint pain and stiffness range from medication to physical therapy.

Finding the right regimen may take some effort, including trial and error.

While not all joint pain is debilitating, the discomfort of joint pain is such that it’s wise for adults to take steps to protect their joints with the hope of preventing pain down the road. According to the American College of Rheumatology, arthritis and other rheumatic diseases afflict roughly 23 percent of Americans. The number of people living with arthritis is expected to increase as the Baby Boomer generation continues to age. Recognizing that joint pain can negatively affect quality of life, the Arthritis Foundation offers the following tips to men and women.

Forgo fashion with regard to footwear When women choose their footwear, fashion should not be their top priority.

According to the Arthritis Foundation, three-inch heels stress the feet seven times more than one-inch heels and they put additional stress on knees, possibly increasing women’s risk for osteoarthritis. Though heels may be fashionable, the risk of developing joint pain is not worth making the fashion statement.

Get some green in your diet A healthy diet pays numerous dividends, but many may not know that a healthy diet can help prevent joint pain. Green vegetables such as spinach, broccoli, kale and parsley are high in calcium and can reduce age-related bone loss while also slowing cartilage destruction.

Four Corners Rolfing

Structural IntegratIon Movement • Education Awareness • Pain Relief

Rolfing Structural Integration is a form of body work that can help: • Reduce pain and stress • Improve range of motion and posture • Improve integrity and stability of joints • Improve flexibility and balance • Teach you to resource more of your body and improve body awareness • Teach you how to be more efficient with your movements and gain more energy

Nikki Gillespie

Certified Rolfer • Licensed Massage Therapist 102 East North Street • Cortez, Colorado 81321

970-882-8850

For more information about Rolfing, visit:

www.fourcornersrolfing.com Email: fourcornersrolfing@gmail.com

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Shed those extra pounds If you start including more healthy vegetables in your diet, you might just start to lose a little weight as well. Such weight loss also can help your joints, as the AF notes that every extra pound a person gains puts four times the stress on his or her knees. The AF also notes that research has shown that losing as little as 11 pounds can reduce a person’s risk of osteoarthritis of the knee by 50 percent.

Hit the pool Swimming is a great full-body workout and can be especially helpful to the joints. The buoyancy of water supports the body’s weight, reducing stress on the joints and minimizing pain as a result. If possible, swimmers already experiencing pain should swim in heated pools, which can help relieve pain. While you can still benefit from swimming in pools with colder temperatures, cold water may not soothe the joints like warm water can.

Joint pain & aging do not have to go hand in hand.

Take breaks at work Many people develop joint pain thanks to their jobs. If you spend all day sitting at a desk or standing on your feet, try to find a greater balance between the two. Joints can grow stiff from sitting all day, while standing throughout your work day can stress the joints. Take a short break every 30 minutes to stand up and walk around if you spend most of your day at a desk. If you stand a lot at your job, stop to sit down for a few minutes once every half hour.

More information about joint pain is available at www.arthritis.org

That Place in Dolores ~ Our Home is Your Home ~

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They made sure we had everything we needed.” -KS Keeping seniors safe and independent at home….where they want to be!

Call Visiting Angels for all your in home, non-medical needs.

Proud, caring partner, to assist our Veterans.

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Our Dishes Are Made from Scratch Savor the Hometown Flavor 970-676-0035 101 S 11th St. Dolores, CO 81323 thatplaceindolores.com July 2016 | Four Corners Healthy Living | 7

Building Healthy Families — Sometimes Difficult F

BY JOSEPH C. GAMBONE, DO, MPH

or nearly one in six American couples, getting pregnant and having a baby can be associated with difficulty and extra expense, even great expense in some cases.

Something that should be easy and natural can create anxiety and extra stress, the need for medication and even multiple medical procedures. It is a problem that often is kept quiet and hidden from friends and even family members. Some couples may try for years with or without treatment, and one in five couples that are trying may never succeed. Today, with more modern treatments and greater knowledge about the reproductive process, about eight out of ten couples that undergo treatment can be successful.

Normally, it can take perfectly healthy couples at least a year of trying on their own before treatment is indicated. Age can be a problem, especially when women are older than 35. Fertility rates are best when women are about 24 years old. At this age they have about a 25 percent chance of conceiving each cycle (28 to 30 days) that they ovulate (produce and release an egg). At age 30, this monthly rate decreases to less than 15 percent and by 40 it is less than a 5 percent chance of conceiving each month that an egg is released. It is not only the woman who may have a problem when couples try for pregnancy. In fact, nearly half of the time a ‘male factor’ is identified as the sole

“It is not only the woman who may have a problem when couples try for pregnancy.

In fact, nearly half of the time a ‘male factor’ is identified as the sole problem or part of the problem.” problem or part of the problem. Testing both the man and woman as a couple is the best approach for infertility evaluation.

The stress and trouble associated with infertility can be enormous with many couples seeking psychological support along the way. One national organization called ‘Resolve’ is set up to provide information, education and collaborative support. Meetings are set up where other couples can share their experiences and wisdom about infertility so that those who are having trouble conceiving do not feel they are alone. This type of support can make a big difference to couples that are struggling to conceive.

Prior to 1980, fewer than half of couples that were treated for infertility were successful. With the advent of in vitro fertilization (test-tube baby process), another 25 to 30 percent of those who try with treatment will be successful. Sometimes just stimulating the ovaries with the same medicines that are used to perform in vitro fertilization (IVF) may work without having to remove the egg or sperm and treat

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outside of the body. Also, the expense is much less than having to undergo the entire IVF procedure. The stress and anxiety is significant for any treatment when conception is not naturally and easily occurring.

For those who are very fortunate and are not having difficulty getting pregnant and starting a family, awareness of others who are struggling to do the same is important.

For those who are struggling there is help available with a local chapter of an infertility support group that meets monthly right here in Durango. Attending a support group meeting may be the best way and place to start an investigation of a possible problem.

The information shared by those who are currently dealing with infertility can be very supportive. More information about these meetings is available at Durango Reproductive Medicine. Information about Resolve (a national support group) is available online at www.resolve.org. Fertility specialists are also available to begin the process of treatment when it is appropriate.

Newer treatments for a form of infertility — conceiving but not carrying the pregnancy to viability, is also available here in Durango. This condition, called miscarriage, can be particularly stressful and difficult for couples to understand. The resolve that these couples frequently have may end up getting them ready for some very acceptable and commendable alternatives to natural conception such as adoption, or the transfer of donated embryos into their bodies. There is more than one way to build a healthy family.

Joseph C. Gambone, DO, MPH is a fertility specialist with Durango Reproductive and is American Board Certified in Reproductive Endocrinology and Infertility.

• Family Health Care • Hormone Balancing • Digestive Repair • Nutritional Therapy - Food Allergies - Celiac Disease • Stress Relief • Heart Health • Detoxification

July 2016 | Four Corners Healthy Living | 9

Flexible Flyers A large family is all smiles during a raft ride down the Animas River.

Flexible Flyers offers two hour, half-day or full- day rafting trips for adventurous families.

Photos Courtesy Flexible Flyers

Keeping families comfortable, smiling with knowledge & good spirits

BY RACHEL SEGURA

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E

rik Jorgensen was only a tiny tot when he first stepped foot into a raft. His father was in the rafting business, so he got a taste of the rapids very early in life. Now, as the owner of Flexible Flyers, Jorgensen likes to focus his rafting operation on providing fun, family adventures.

“Families are our biggest demographic,” Jorgensen said. “When I was a kid we were not wealthy. When we went on vacation we couldn’t do all the super fun, exciting activities that were more expensive. We like to keep our prices reasonable because it can be hard for all families to afford it.”

Flexible Flyers offers two hour and half-day trips for families who want to split their day between activities. They also offer a full day for those who have the time and the tenacity to be on the water all day. In Jorgensen’s experience, kids are

“I love to see the kids’ faces on the ride.

They have a love of being in the water and a natural sense of wanderlust.” better at taking on the rapids. “Kids handle these trips much better than their parents,” he said. “They have such an adventurous spirit.” Their natural sense of wonder and exploration keeps them in constant awe, and their parents in a bit of worry. “They aren’t yet aware of the dangers behind it. Adults know what could potentially happen but kids just don’t have that mentality yet. The most nervous clients are almost always moms.”

Jorgensen said nerves are natural for anyone getting into a raft. Even he continues to get nervous from time to time. A reaction he said is “healthy.” He doesn’t want to get too comfortable on the water because that’s when “something could go wrong.” It keeps Jorgensen alert and more prepared if he is paying attention to his body’s reaction. “I want to be nervous on the water, to an extent. If you aren’t, it means you probably don’t have the level of respect for the river that you should have.”

For mothers on the edge, the guides of Flexible Flyers have at least five years of experience under their belts. They are well versed in customer interaction and maintaining a calm undertow of communication. When they notice an uncomfortable rider they simply talk to their clients about the river, expectations, and what they should do in the raft. If everyone is on the same page and doing what they are expected, the trip should be smooth.

“We only hire experienced guides so the parents can feel comfortable. It helps mom relax a little if she knows her kids are in good hands. It doesn’t take long before she is smiling and having a good time as well. We want to keep them as happy and comfortable as possible. When they have the biggest smiles on their faces at the end of the ride, you know they had fun.”

Families should note what they want to bring on a rafting trip. Flexible Flyers provides most of the necessities, but it’s important riders dress the part. Jorgensen said clients should wear shorts, shoes that will stay on their feet, a short-sleeved shirt, hat, sunscreen and sunglasses. The company will provide drinking water but it’s okay, to bring more. Cameras are fine as well. “Anything you don’t mind getting wet is okay but we do advise against cell phones,” Jorgensen said. Most people tend to use their smart phones as a means of photography or clever teens may want to tend to social media while aboard. “We try to deter them from that because you never know what can happen to them (cell phones).”

Other than the obvious, a smile is always needed. Jorgensen has been on some hefty raft trips, including an 18-day in the Grand Canyon. He has guided in Wash., Ore., Calif., Ariz., Utah, and N.M. He spent two summers in Alaska before he was 21, where he was dropped with a group by helicopter for 5 to 12 days, then helicoptered back out. In his spare time, he explores creeks and rivers in the backcountry looking for what’s runnable. He also continues to raft class IV and V rapids all around Colorado. With all these amazing experiences under his belt, the best are still with his clients.

“I love to see the kids’ faces on the ride. They have a love of being in the water and a natural sense of wanderlust. It’s fantastic to see that and experience it through their reactions. Parents are generally happy if their kids are happy. We are there to make it as enjoyable for them as possible. After all, we’re flexible.”

Flexible Flyers is located at 890 Roosa Avenue in Durango. They are situated near the Animas River. To book a reservation, call (970) 247-4628 or visit the website for more information on rafting prices: www.flexibleflyersrafting.com.

Kids brave the waters fiercely down the Animas River. Children can choose to paddle the raft or simply hold on tight as they explode through the rapids.

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5

THE TOP FIVE

Noisy Summer Activities That Can Hurt Your Ears A local Audiologist’s protection recommendations DR. CHANDACE WILSON JEEP, AU.D.

W

ith summer in full swing in the Four Corners area, we all know the routine: use sunscreen, wear insect repellent and stay hydrated. What about those lovely ears? Because noise has a cumulative effect on hearing over a lifetime, here are the top five noisy summer activities and solutions to prevent noise-induced hearing loss.

1. CONCERTS Outdoor summer concerts at Red Rocks, Music in the Mountains at Purgatory and bluegrass festivals in Telluride are a must-do on any local’s list of summer goals.

Interestingly, concerts can produce sound levels exceeding 100 dB (decibels), well above the 85 dB limit, which is considered harmful to ears.

SOLUTION: Custom musician plugs with filters to reduce volume to safe listening levels while keeping a rich, full sound quality.

We can help you hear what you’ve been missing

• Diagnostic Hearing Testing for Adults & Children • Tinnitus • Digital Hearing Aids • Assistive Listening Devices • Custom Hearing Protection

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Dr. Chandace Jeep, Au.D.

(970) 375-2369 State Licensed in CO

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799 East Third Street, Suite 1 • Durango 20 South Market Street • Cortez www.animasvalleyaudiology.com

LEARN MORE AT www.animasvalleyaudiology.com 2. MOTORCYCLES, CONVERTIBLES & SPEEDBOATS

4. FIREWORKS

Whether it’s a ride on your Harley during the biker rally on Labor Day in Durango, a leisurely Sunday drive over a mountain pass with the top down or a weekend waterskiing at Navajo Lake, noise takes its toll on hearing. Speeds of 65 mph can produce wind noise levels above 100 dB, leading to hearing loss or tinnitus. If sound exceeds 115 dB, a mere 15 minutes is all it will take to cause irreversible damage to the tiny hair cells in our cochleas that take a beating from noise.

SOLUTION: Custom motorsport earplugs allow for hear-through protection to keep ears safe but maintain connection with surroundings, such as other vehicles and sirens.

We Americans love our Fourth of July firecrackers, and yet a great display can reach damagingly loud levels of 135 dB depending on proximity to the excitement.

SOLUTION: Baby Banz earmuffs for newborns and young children as well as a great distance from the fireworks themselves. Pediatric-sized foam earplugs are perfect for older children, and adults can simply wear generic foam plugs.

3. LAWN CARE EQUIPMENT A yard to be proud of takes work, and that work entails noise levels in excess of 85-105 dBs Proper precautions are vital when using lawn mowers, weed whackers and leaf blowers. Perhaps the easiest and most readily available noise protection for yard work are standard earmuffs. Ideally, ‘doubling up’ with both earplugs and earmuffs is recommended. Need music to whistle while you work?

Some earmuffs can protect your hearing while streaming your favorite jam or podcast via Bluetooth or a headphone jack. Look for the highest NRR (noise reduction rating): the higher the NRR, the greater the noise attenuation.

SOLUTION: Hang the earmuffs on the lawn mower’s handle, making it just that much easier to grab and use them every time the lawn gets its makeover.

5. TARGET SHOOTING As many as 40 million Americans spend time at target ranges shooting guns that produce sound between 120-140 dB when fired. Low-profile earmuffs are perfect for shooters, as they eliminate bulk near the shoulder stock.

SOLUTION: Custom-made passive hunting plugs are recommended for avid hunters with filtered noise reduction designed for awareness of surroundings, including the game being hunted, yet protection from impact sounds greater than 80 dBs Protection is the key to keeping ears happy for years to come.

Dr. Chandace Wilson Jeep, Au.D. is a certified Doctor of Audiology and fellow of the American Academy of Audiology. She specializes in diagnosis of hearing loss and tinnitus in adults, children and newborns, as well as advanced fitting of hearing aids. She was born and raised in Durango and returned to our community in 2008 with her husband and three children. Dr. Jeep has practiced for 10 years and owns Animas Valley Audiology with office locations in both Durango and Cortez.

COMPREHENSIVE CARE FOR THE ENTIRE FAMILY

BOARD CERTIFIED FAMILY PHYSICIANS Jude Harrison, MD Susan Weber, MD Brad Lyons, MD Jordan Loftis, MD Lauren Loftis, MD Mandy Morford, MD Robert Klein, MD Ryan Duvall, MD

• • • • • • • •

Walk-Ins Welcome • Low Cash Pay Prices Sports Physicals and Well Child Care Childhood and Adult Vaccinations Comprehensive Care for All Ages Women’s Healthcare - Breast & Pap Exams Birth Control, IUDs, DepoProvera, Nexplanon Treatment of Skin Growths and Rashes Occupational & Industrial Medicine Services

Call for an appointment at 259-3110

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Website: lpfma.com

Your Appointment will ALWAYS be with a Board Certified Family Physician.

Open on SATURDAY for your convenience Walk-In Appointments for Acute Illness & Injury

HOURS: Mon.-Thurs. 8am—7pm Friday 8am-5pm Saturday 9am—5pm 316 Sawyer Drive in BODO PARK July 2016 | Four Corners Healthy Living | 13

A Paradigm Shift on Nutrition for Weight Loss &Wellness C

BY ASHLEY LUCAS, PHD, RD

onventional wisdom by the most part is inaccurate when it comes to nutrition for weight loss and weight loss maintenance. We have been given a one-sizefits-all approach that does not work for the majority of us, as evidenced by the current rates of obesity. Currently, one in three Americans are obese and twice that number are overweight despite major efforts to combat obesity. In 2030, we predict that 50 percent of the population will reach weights of obese proportions.

The majority of us are struggling to attain an optimal weight. We try our very best to follow the conventional guidelines: we strive to move more, eat less, achieve inexhaustible willpower and simply “eat everything in moderation.” To our dismay, none of these techniques are effective and we are stuck on the rollercoaster of weight loss and gain. We are frustrated and confused. Many of us feel that we are destined to be overweight, because we fail at what we are told “works.”

For those of us who have stubborn excess body fat, the foods that we have been advised to eat to lose weight and reach optimal health, actually spur physiological changes in our bodies that promote hunger, cravings and binging. An overweight or obese individual does not have less will power than their leaner friend. It is the foods that they eat that drive their insatiable hunger, the inability to stop eating once

they’ve started and the hormonal changes that promote fat storage rather than fat burn. When we continue to eat these foods while attempting to restrict calories and exercise more, we feel deprived.

The high carbohydrate, low fat diet that has been prescribed to us over the last 40 years is what has initiated our weight problem. For many of us, it leads to increased insulin (a fat storage hormone), elevated blood glucose and alarming cholesterol readings. That excess glucose/sugar in the blood and liver, in a sense, spills over. That spillage is turned to fat and becomes the fatty liver, or that stubborn excess body fat we all work so hard to keep at bay. In this situation, our cells are no longer efficient at accepting this glucose/sugar; they are left “empty” of fuel. While the glucose overspill and body fat accumulation continues, we are – our cells are – starving.

“… the foods that we have been advised to eat to lose weight and reach optimal health, actually spur physiological changes in our bodies that promote hunger, cravings and binging.”

In general, we need to reduce our carbohydrate intake (as that is the primary stimulator of insulin and glucose) and embrace the dietary fat that we’ve been so afraid of for so many years. We need to ultimately create a change in our physiology or rather a metabolic shift that enables satiation, fat burn, and once and for all, long term weight loss maintenance.

Ashley Lucas, PhD, RD is the owner of PHD Advanced Nutrition in downtown Durango. Her clinic provides an integrative weight loss program and individualized nutrition for enhanced sport performance. Please call to schedule your $30 initial consultation: (970) 764-4133 or visit phdadvancednutrition.com.

Lose Weight & Keep it Off. Feel Energized, Healthier, Happier!

Before: Michael Kelley at 370 lbs

“Ashley has taught me how to lose weight, and keep it off.” ~Michael Kelley

After: Weight loss thus far, Michael is down 126 lbs

Weight-loss is a by-product of healthy living.

Let us help you change your life!

Dr. Ashley Lucas is a registered dietitian with a doctorate in nutrition. She offers supportive, one-on-one weight-loss and nutrition counseling to help you achieve optimal health.

970-764-4133 p H dadvancednutrition . com

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Support Groups Can Provide Extra Strength to Fight

C

ancer is a prolific disease that continues to affect millions of people around the world each year. The World Health Organization says that each year 12.7 million people are diagnosed with cancer and 7.6 million people die from the disease. Despite the prevalence of cancer, many cancer patients experience feelings of isolation when diagnosed with the disease.

A cancer diagnosis can lead to anxiety and depression, which can impact cancer patients’ ability to fight their disease. Finding a support group can provide the extra boost cancer patients need to make it through a difficult time in their lives. There are many different paths to take in finding a group. One of the first places is with your own doctor. He or she may have a list of nearby support groups that can help you make it through your treatment. You also may be put in touch with other patients who are going through the same struggles.

Another avenue is through a cancer organization. For example, the American Cancer Society has programs and services to help people find the emotional support they need, and that help is usually free. The National Cancer Information Center has 24-hour support. According to the center, trained cancer information specialists are available via phone, email or live chat to provide accurate, up-to-date information to patients, family members, and caregivers.

These specialists also can help connect callers with valuable services and resources in their communities.

Support groups can help cancer patients connect with people in similar situations and find the resources and emotional support they need. Here is a small list of support groups in the Four Corners, please note this list is not comprehensive. For more group listing visit blueprintsofhope.org or ask your local healthcare facility for more information.

Reach to Recovery – American Cancer Society (ACS): A program for newly diagnosed men and women with breast cancer that matches them with a trained volunteer who is a breast cancer survivor. Meetings may be one-on-one or over the telephone. For more information, call the ACS at (970) 247-0278.

Advanced Cancer Support Group: This group provides psychosocial support for adults with advanced cancer, their adult family members, and caregivers.

Meets the 1st Wednesday of each month at 10 a.m. at San Juan Regional Cancer Center, Farmington, N.M. For more information, contact Fran Robinson at (505) 609-6089.

Montezuma County Breast Cancer Support Group: Meets the 4th Thursday of each month. For more information, time and location call: Sue Tompkins at (970) 882-4484 or Ginger Kingman at (970) 882-7586.

Mercy Cancer Support Group: This support group is facilitated by professional social workers, and is open to all those who are living with a cancer diagnosis. Meets the first Thursday of each month from 12 to 1 p.m. in Conference Room C at Mercy Regional Medical Center in Durango. For more information, call (970) 385-7977 or email: mercycancersupportgr@centura.org.

Women’s Cancer Support Group: This is an informal, non-facilitated consortium of women dealing with cancer issues as patients, survivors, or as caregivers. For time and location in Durango call Joanna at (970) 385-7316 or Marybel at (970) 382-0870.

July 2016 | Four Corners Healthy Living | 15

Feeding the

WHOLE FAMILY W

BY DR. NICOLA ST. MARY, ND

hen it comes to feeding our kids, not to mention ourselves, it can be overwhelming to make good choices: or to even know what that means anymore. With all of the fad diets and significant changes in nutrition research and philosophies, it can make even the most health-conscious parent throw their hands up in frustration. Is agave good for you? Should we look at calories on the label? Meat: or no meat? The web is a proverbial rabbit’s hole of conflicting information.

Dr. Nicola St. Mary, ND, sees her clients in her naturopathic medical practice, Pura Vida Natural Healthcare in Durango. In addition to seeing patients, Dr. Nicola is CEO of Happy Healthy Employee Programs, a worksite wellness consulting practice. She also teaches a variety of classes and corporate wellness retreats.

• Depression • Anxiety • ADHD • Bipolar • Insomnia Nicola St. Mary, • Fatigue ND Naturopathic • Women’s Health • Digestion Medicine

• Insomnia • Headaches • Stress • Digestion • PMS Rikki Gensheer, • Menopause LAc • Effective pain Acupuncture & management Chinese Medicine

Optimize your vitality today.

Call for an appointment.

16 | Four Corners Healthy Living | July 2016

GIVE CHOICES YOU’LL BE HAPPY WITH:

Rather than asking “what do you want to eat?” try offering a few choices that would make you happy.

For example, when offering a snack, let your kids choose between cucumbers, peppers or carrots. That way your child still feels empowered to choose, and you feel good about whatever they choose. When packing lunches, let them choose one prepared snack like fruit leather or a bar, then offer three veggies and three fruits to choose from as well as a choice of protein.

MEAL PLANNING:

Taking a few minutes each week to think about the week ahead and writing down dinner ideas can have a huge impact on ensuring a healthy meal is on the table each night. It also helps to create a shopping list, which in turn reduces our food budget. The meals don’t have to be fancy – homemade tacos with beans, rice, avocado and greens is common in our house – but thinking about what time you’ll get home from work, what activities the kids have and how much time you have to prep food will help you base your dinners in reality, rather than relying on take out. Plus, it allows you to do one big grocery shop for the week and you have all the ingredients ready in the kitchen.

CHOOSE WHOLE FOODS:

READ LABELS:

Acupuncture & Chinese Medicine

970.426.1684 160 E. 12th St., Suite 1 Durango, CO puravidahealthcare.com

What can be so frustrating about choosing to avoid foods or eat well is that we feel like we are never going to have any fun again. For most folks I work with I offer the 80/20 principle, where about 80 percent of the time you are eating a “haven” diet – low sugar, lots of fresh fruits and veggies, protein, minimallyprocessed foods. If you turn from those choices for a celebration or a splurge, your body should be able to handle those foods. The same applies for me with my son – he eats well the majority of the time, so when he’s at a birthday party stuffing his face with cupcakes with blue icing, I know he will be okay.

This is probably something you’ve heard before and it bears repeating. Reduce processed foods as they do not bring any nutrition and, because they lack nutrients, they actually rob the body of vitamins and minerals in order to process them.

Heal and Restore Body~Mind~Spirit Natural Treatments for Physical & Emotional Health

HAVEN DIET:

Often, foods are loaded with hidden sugars or chemicals. Even foods like yogurt and granola can be surprisingly high in sugar. Folks that market food are experts in helping us make emotionally-based decisions about what to buy. If a product label looks healthy, it doesn’t always translate. The only way around this is to be an educated consumer. A good rule to remember is that four grams is equivalent to one teaspoon of sugar or fat. This can help put ingredients into perspective.

LOOK OUT FOR FOOD SENSITIVITIES:

The most common symptoms I see related to food sensitivities include diarrhea, bloating, constipation, eczema, psoriasis, recurrent ear infections, rashes (especially around the mouth), joint pain and last but not least, behavior and mood changes. If you suspect a certain food category, experiment with taking that food out of the diet completely for two to four weeks. Note any symptoms and then reintroduce that food again with a symptom journal. This can be the least expensive and most accurate way to detect food issues. And, if your kiddo notices the difference, then s/he will be more invested in avoiding that food in the future.

BOTTOM LINE:

Each person, including the various members of your family, is an individual, so finding the right food for you is what is most important. Maybe someone you know can’t touch gluten but you seem to be okay with it. Maybe you do better with five small meals but your son eats really large quantities, three times daily. Both scenarios are okay. Within the healthy guidelines above, find the balance in eating that feels optimal in your body. And if you have more questions, don’t hesitate to ask.

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CYBERCHONDRIA

Did you know?

the internet has made it easier

than ever before TO access information quickly. But people who look to the Internet for answers to their medical questions may be doing themselves more harm than good. A 2013 study from the Pew Research Center found that one-third of study participants had gone online to diagnose a medical condition. While the Internet can be a valuable resource, selfdiagnosing medical conditions can be dangerous, as the risk of misdiagnosing signs or symptoms is considerable. But misdiagnosis is not the only potential problem of relying on the Internet instead of certified physicians for medical advice.

“Cyberchondria” is a term used to describe the unfounded escalation of concerns about certain symptoms a person might be experiencing. These unfounded concerns escalate as individuals search for and read information about their symptoms online.

In fact, a 2008 Microsoft analysis of online search patterns found that one-third of the hundreds of thousands of people examined in the analysis tended to escalate their medical-related searches, potentially turning relatively minor medical conditions into something far worse, all without consulting a doctor. Men and women concerned about symptoms or medical problems should resist the temptation to self-diagnose online and should book an appointment with their physicians instead.

laughter:

Research indicates that people who laugh a lot are much healthier and may live longer than those who don’t find time to chuckle. A good, deep belly laugh can provide your body and mind with a great workout. Dr. Lee Berk at the Loma Linda School of Public Health in California found that laughing lowers levels of stress hormones and strengthens the immune system. The organization Laughter Works, which teaches people how and why to laugh, says laughter can cause blood pressure to drop, blood to become oxygenated and endorphins to kick in, which can improve mood. And that’s just the beginning. Laughing can help reduce stress and promote stronger relationships between people who laugh together. Data indicates children around the age of six laugh the most, laughing roughly 300 times per day, while adults average only 15 to 100 laughs per day.

July 2016 | Four Corners Healthy Living | 17

Eyewear THROUGH THE AGES

BY TRACY HENDERSON

T

he considerations when buying glasses are unique at every age. Factors include not only vision needs and enhancement, but also comfort, durability, protection, appearance and image. It’s not common for babies to wear glasses, but if they do need them it is often for strabismus or amblyopia and are to help the eyes align and work together properly. Needless to say, there are concerns for comfort, durability and safety but also that the prescription and measurements are correct. Often glasses for these problems will reduce or eliminate need for glasses down the road and they must be worn to help with the development and proper function of the eyes.

For kids, it is important to consider frame fit for function and comfort. As it is a time of developing self-esteem, they should be able to choose a style that they love.

The lenses should be impact resistant. Quality frames will fit better, provide better comfort and even better vision. If children play sports, a specific safety frame and lens can help prevent serious injuries to the eyes and face.

A new concern is the HEV (high frequency blue light) emissions, which some studies show may cause retinal damage. These come from phones, tablets and computers. Today, kids are looking at these devices from such a young age, and at such close range. Only time will tell what the long term effects may be, so there are both filters available for the devices and coatings available for glasses that limit some of the exposure to this HEV light.

Kids wearing impact-resistant lenses are better protected from UV than kids who don’t, but Transitions or sunglasses will make being in the sun more enjoyable and prevent the cornea from getting burned. Teenagers should have the same impact and UV-resistant lenses. Having cool glasses is going to be important to teens; who often won’t wear their glasses if they don’t like them.

Contact wearers should have up-to-date, quality eyeglasses to help prevent misuse of contacts that can cause infections and corneal ulcers. Anti-reflective coatings not only provide for better appearance but also make the lenses perform better and enhance night vision, which is important for drivers of all ages. There are anti-reflective coatings, which also reduce HEV blue light.

For driving, sunglasses are important to provide comfort, limit fatigue and even sharpen vision in some light conditions. Sunglasses, whether prescription or not, should all have 100-percent UV protection. Your optician can offer advice on color and density of tint, polarization, anti-reflective or mirror lenses.

Each feature and color will affect performance and can be selected to best suit your lifestyle.

College students and young adults working long hours of close work and computer work, will sometimes benefit from special glasses for those tasks.

Indications for a need might be blurred vision, feeling fatigue, sleepiness, trouble retaining information, headaches and burning or watering eyes. Although these could be caused by a number of things, you may consult with an eye doctor to rule out the simple explanation of vision problems.

As people reach “40 something,” we have a new problem to deal with.

Presbyopia is an age-related condition that limits the eye’s ability to change its lens shape slightly to accommodate for different distances. Usually it is first noticed when light is dim. We can often accommodate by holding things farther away and using better light. There are multiple solutions with glasses.

We recommend getting a pair of progressive lenses, which allows vision at all distances first, then address needs for specialized glasses, i.e., work and hobbies.

Senior vision problems can be very frustrating. Often the vision cannot be corrected to 20/20 and even when it can theoretically, it seems common to have fluctuations in vision and trouble at night. Even a mild cataract can make things a little duller. The pupils may not react quickly, so changing light conditions such as oncoming headlights at night may cause temporary loss of vision. In addition to eye-related health issues, medications, diseases such as diabetes, dry eyes and even sleep problems may contribute to some of these vision symptoms and fluctuations.

We cannot recreate the vision of the perfect natural eye, however by analyzing information and using technology we can do a lot to help. We recommend seeing an eye doctor annually for optimal eye health and even overall health conditions which may be detected in an eye exam. As opticians, we want you to have optimal eye care and current prescriptions by your eye doctor so we can provide you with the best glasses possible. After all, what is more valuable than your eyesight?

Tracy Henderson, Optician since 1984, is the owner of Eye.D., a specialty optical shop providing unique frames, sunglasses, precision optics and fashion consultation for eyewear. 140 E. 12th St., 970-259-5414, www.eyeddurango.com.

18 | Four Corners Healthy Living | July 2016

Team-Based Care in the Primary Care Medical Home

BY DR. CECILE FRALEY

P

rimary Care medical practices are increasingly beginning to organize themselves around team delivery of care and serve as the central hub of care.

The team concept differs from the way many primary care practices now operate. Currently, patient care typically comes from the physician or advanced practice provider. Team-based care allows for a strategic redistribution of work among members of a practice team. In the model, all members of the physician-led team play an integral role in providing patient care In the team-based system a variety of medical professionals can employ the full extent of their training. In lieu of the primary care physician trying to do everything in a brief appointment, a whole team of healthcare providers is responsible; from nurses to doctors to behavioral health specialists to medical assistants to pharmacists to advanced practice providers to nutritionists. The team works together to anticipate the patient’s needs, communicate their findings with each other and allows team members to rise to the top of their licensed professions.

From the patient’s perspective this can be a one-stop shopping experience. This model is better for patients and their families and can help decrease healthcare costs. An Integrated Behavioral Health model can work with children, families and pediatricians on a range of developmental and health issues from toileting and tantrums, to chronic medical conditions and postpartum depression. It also works with local schools, early intervention programs and community mental health programs. It improves care by expanding support for and early identification of potential behavioral health issues.

An Integrated Behavioral Health model is more than just having counselors in the office. It changes how providers practice. A behavioral health consultant can be called into a visit with a patient if a need for support is seen. Follow-up is given — for instance, working with school counselors, providing targeted counseling interventions and helping with community referral. Providing integrated behavioral health services in the medical home de-stigmatizes it, and helps normalize behavioral health. Patients and families are comfortable talking about difficult issues in part because counselors are in-office.

Integrated Behavioral Health is a model that the state of Colorado is embracing.

Between February 2015 and January 2019, the State of Colorado will receive up to $65 million from the Center for Medicare and Medicaid Innovation (CMMI) to implement and test its proposed model for healthcare innovation with the main focus on developing integrated primary care and behavioral health services.

At Pediatric Partners our medical home-team based care-practice includes four Behavioral Health Consultants (BHCs), a Registered Dietitian, and Pediatric Partners of the Southwest Nurses and staff that assist with management of complex medical care and chronic conditions. Across the country, only 20 percent of children receive the behavioral healthcare they need. We’re changing that.

Dr. Cecile Fraley is a pediatrician and serves as CEO at Pediatric Partners of the Southwest. She is a graduate of Stanford and Case Western Reserve Universities.

Pediatric Partners of the Southwest is located at 810 East 3rd. St., Suite #301 in Durango. Visit ppswdurango.com or call (970) 375-0100.

July 2016 | Four Corners Healthy Living | 19

Get Smart: Antibiotics While antibiotics cannot treat infections caused by viruses, there are still a number of things you or your child can do to relieve some symptoms and feel better while a viral illness runs its course. Over-the-counter medicines may also help relieve some symptoms.

How to Feel Better – General Advice – Try these tips For upper respiratory infections, such as sore throats, ear infections, sinus infections, colds, and bronchitis: •Get plenty of rest •Drink plenty of fluids •Use a clean humidifier or cool mist vaporizer • Avoid smoking, secondhand smoke, and other pollutants (airborne chemicals or irritants)

• Take acetaminophen, ibuprofen or naproxen to relieve pain or fever (read about what is safe to give your child)

•Use saline nasal spray or drops

For a sore throat: • Soothe a sore throat with ice chips, sore throat spray, popsicles, or lozenges (do not give lozenges to young children)

•Use a clean humidifier or cool mist vaporizer •Gargle with salt water •Drink warm beverages • Take acetaminophen, ibuprofen or naproxen to relieve pain or fever (read about what is safe to give your child)

Ear Pain - Help ease the pain from earaches •Put a warm moist cloth over the ear that hurts • Take acetaminophen, ibuprofen or naproxen to relieve pain or fever (read about what is safe to give your child)

Runny Nose - Stop a runny nose in its tracks•Get plenty of rest •Increase fluid intake • Use a decongestant or saline nasal spray to help relieve nasal symptoms (read about what is safe to give your child)

Sinus Pain/Pressure •Put a warm compress over the nose & forehead to help relieve sinus pressure •Use a decongestant or saline nasal spray •Breathe in steam from a bowl of hot water or shower • Take acetaminophen, ibuprofen or naproxen to relieve pain or fever (read about what is safe to give your child)

Cough •Use a clean humidifier or cool mist vaporizer •Breathe in steam from a bowl of hot water or shower •Use non-medicated lozenges (do not give lozenges to young children) • Use honey if your child is at least 1 year old (know what is safe to give your child)

20 | Four Corners Healthy Living | July 2016

Over-the-Counter Medicines For children and adults, over-the-counter (OTC) pain relievers, decongestants and saline nasal sprays may help relieve some symptoms, such as runny nose, congestion, fever, and aches, but they do not shorten the length of time you or your child is sick. Remember to always use OTC products as directed. Not all products are recommended for children of certain ages.

Pain Relievers for Children For babies 6 months of age or younger, parents should only give acetaminophen for pain relief. For a child 6 months of age or older, either acetaminophen or ibuprofen can be given for pain relief. Be sure to ask your child’s healthcare professional for the right dosage for your child’s age and size. Do not give aspirin to your child because of Reye’s syndrome, a rare but very serious illness that harms the liver and brain.

Cough and Cold Medicines for Children Younger than 4 Years of Age Do not use cough and cold products in children younger than 4 years of age unless specifically told to do so by a healthcare professional. Overuse and misuse of OTC cough and cold medicines in young children can result in serious and potentially life-threatening side effects. Instead, parents can clear nasal congestion (snot) in infants with a rubber suction bulb. A stuffy nose can also be relieved with saline nose drops or a clean humidifier or cool-mist vaporizer.

Cough and Cold Medicines for Children Older than 4 Years of Age OTC cough and cold medicines may give your child some temporary relief of symptoms even though they will not cure your child’s illness. Parents should consult with their child’s healthcare professional if they have any concerns or questions about giving their child an OTC medication. They should also tell them about all prescription and OTC medicines they are giving their child.

FOR MORE INFO PLEASE VISIT

www.cdc.gov/getsmart/community/index.html Always talk to your healthcare professional or pharmacist if you have any concerns or questions about an OTC medication and also tell them about all prescription and OTC medicines currently in use.

Marc J. Meyer R.Ph, BPharm, CIC Pharmacy Practice & Infection Preventionist Southwest Memorial Hospital 1311 N. Mildred Rd., Cortez, CO 81321 Office: 970-564-2194 mmeyer@swhealth.org

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