Healthy Utah | October '13 by Healthy Magazine

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HEALTHY UTAH OCTOBER 2013

Healthcare Reform. We don’t make the laws. But we do make sense of them.

selecthealth.org/reform

2 HEALTHY UTAH OCTOBER 2013

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DAVID S. GOURLEY, M.D.

BREAT H E

E AS I E R !

N O

L I M I TS!

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Just like any legendary sports team, the team of surgeons at Hoopes Vision knows there are key factors that can make a dramatic difference in a successful outcome. When it comes to your vision correction surgery, three main factors are: determining the procedure best suited to your unique vision needs, using the most advanced technology available, and finding a surgeon with the knowledge and experience to properly utilize the technology. PROCEDURES: Hoopes Vision offers a full range of vision correction procedures including All-Laser LASIK, PRK, ICL, refractive lens exchange, and custom laser cataract surgery. These many options allow us to customize a solution for your unique vision needs. We select the right procedure based on prescription, age, lifestyle and the results of our thorough, complimentary evaluation using the most advanced testing equipment available. EXPERIENCE: Most doctors agree that a key component of successful vision correction surgery is experience. An experienced surgeon will know what to look for when screening a patient, how to handle the unexpected, and what options will yield the best results for a patient’s unique vision. Hoopes Vision is home to the most experienced LASIK surgeon in Utah, the most experienced ICL surgeon in the US and among the most experienced custom laser cataract surgeons in the country. TECHNOLOGY: Using the most advanced technology for vision correction surgery can increase safety and improve results. Hoopes Vision was the first in the Salt Lake Valley to use safer, all-laser LASIK technology. We were also first in Utah to provide wavefront-optimized treatments to reduce halo and glare at night, and Hoopes Vision is the first in the world to offer multiple laser cataract platforms, including the OptiMedica CatalysTM and Alcon LenSxTM lasers, to provide our patients with an unequaled level of accuracy, precision and customization.

Trusted to be the

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Dr. Phillip Hoopes and Dr. Phillip Hoopes, Jr. have been selected among the 10 “Most Dependable” refractive surgeons in the U.S. (as seen in Forbes Magazine) three years in a row.

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*Call for details. LASIK is not for everyone. As with any surgery there is some risk. During your free evaluation, you will be told if you are a LASIK candidate, if another procedure

may be better, or if you are not a candidate for vision correction surgery. Risks and benefits will be discussed in detail to allow you to make an educated decision. Facebook.com/HealthyUT HEALTHY UTAH OCTOBER 2013

october

VOL. XIII № 10

birds, bees & babies

FIVE QUIRKY GYM TOOLS EXPLAINED How many machines and devices do we actually feel confident using in a gym? Dumbbells and squat racks are pretty familiar, but there are other gym tools that are worth your time.

TEN ENERGY BOOSTING FOODS A Snickers is probably a bad idea for an energy boost, but it might be what we grab because we don’t know what actually will pump us up.

MIND THE CHILDREN’S MINDS Children, like adults, have heart problems. They have skin issues. They have lung diseases. It should come as no surprise that they have mental illnesses.

NEW TRENDS IN SUICIDE Health professionals are feeling the pressure to find effective prevention measures, as suicide rates are beginning to pass other historically more common causes of death.

UDDERS AND ALMONDS Milk is a staple beverage, but the options can be bewildering. Skim or 2 percent, goat’s or cow’s, almond or soy?

6 6HEALTHY UTAH OCTOBER 2013 HEALTHY UTAH OCTOBER 2013

THE BIG DAY As the ninth month approaches, tension rises, especially for young couples. The day can be remembered fondly, but there are some keys to success. Here is a five step guide to a successful birth.

DAD MATTERS Women do the heavy lifting when it comes to giving birth, but the husband’s role is vital.

IT’S NOT THE END Infertility is something millions of Americans deal with. Modern medicine has numerous options for couples dealing with this ultimate disappointment, but navigating those options can be intimidating.

TEN MOMMY MAKEOVER TIPS Mothers want to look good, try to look good, and often fall short of looking good. A few simple rules can make a huge difference.

THE MIDWIFE DEBATE Some misconceptions exist about midwives, but that doesn’t stop a rising number of American women from teaming up with them for delivery day. Here’s why women love midwives, and why you might too, along with some warnings.

Healthy-Utah.com Healthy-Utah.com

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801-785-5100 • www.UtahFertility.com • www.facebook.com/UtahFertility Pleasant Grove, Murray, St. George - IVF treatments including retrievals and transfers now available in St. George Facebook.com/HealthyUT

HEALTHY UTAH OCTOBER 2013

LIFE. O ne thing is clear to me. Life is precious. And fleeting. And more valuable the older we grow. Still, life is only as valuable as we make it.

I recently met with my financial planner to review our retirement plan, consider a health savings plan, and talk life insurance. From a legal, life-insurance perspective, the value of life is interesting. Am I worth a few thousand dollars, or a few million? Depends on how much I want to pay each month, apparently! Insuring 'life' is an ironic concept. Any insurance agent can tell you what the no-fault payout for killing someone in a car accident is. But, ask a war casualty's widow or parents what they are paid when a military member is killed, and what they would pay to have them back. Monetizing the value of an irreplaceable life is an intriguing disparity. When I hold a baby, I marvel. An infant truly is a priceless miracle. A healthy infant, even more so. When you think of all the systems at play in making a human body function properly—eyes, ears, lungs, bone structure, brain, etc.—it truly is a wonder that any of it goes right at all. And yet, it does most of the time. Except, when it doesn't. Life comes and goes. We win, and we lose. We experience highs and lows, joys and sorrows, disappointment and fulfillment. Opposition in all things is clearly part of the mortal plan.

P H O T O B Y T I F F I N E E D AW N . C O M

WRIT TEN BY JOHN A. ANDERSON, EDITOR IN CHIEF

8 HEALTHY UTAH OCTOBER 2013

Healthy

EDITOR'S NOTE

UTAH

OCTOBER 2013 VOLUME XIII, № 10

For any who have lived with, or cared for someone with some type of disability, you know and understand how difficult, and also how rewarding that can be. Not easy, yet enriching in peculiar ways. My oldest brother and his wife have cared for their beautiful, mentally disabled, though highly capable daughter, Candace, for over thirty years. She's brought so much unique joy to our entire family.

EDITOR-IN-CHIEF John A. Anderson | john@healthy-mag.com MEDICAL DIRECTORS Steven N. Gange, M.D. Lane C. Childs, M.D. PUBLISHER Kenneth J. Shepherd | ken@healthy-mag.com MARKETING DIRECTOR Timothy Howden | timothy@healthy-mag.com

I have a very active cousin who became completely disabled from the neck down within weeks of getting married in his 20's. It was tragic and unbearable. And amazing, as Jeremy has gone on to become a father, a teacher, and a PhD candidate. Through his extremity has come glorious capability and inspiration.

MANAGING EDITOR Michael Richardson | michael@healthy-mag.com ASSOCIATE EDITOR Whitney Lewis | editor@healthy-mag.com ONLINE EDITOR Dallin Law | dallin@healthy-mag.com DIRECTOR OF OPERATIONS Sandy Wise | 801.369.6139

I have another cousin who was highly intelligent, artistically inclined, with impressive scholarships to Stanford University. He suffered from mental illness and tragically took his very promising life. That was challenging to understand.

CIRCULATION MANAGER Ron Fennell | distribution@healthy-mag.com CONTRIBUTING WRITERS Aubrey Taylor, Brooke Kittel, Darrin F. Hansen, David Joachim, Douglas H. Jones, Robert Jones, Andy Peiffer, Lisa Mathews, Stuart B. Porter, Mark Saunders

I have witnessed and feebly consoled other close family members who have struggled to have children, and/or whom have lost children at birth. Infertility and child loss are two very heartbreaking issues that further highlight the fragile nature of life.

CIRCULATION

Healthy Utah® is distributed widely to more than 800 locations along the Wasatch Front. It is also mailed to doctors, dentists, chiropractors, medical practitioners, health clinics, banks, and other businesses along the Wasatch Front. If you’d like to have Healthy Utah® delivered for distribution in your place of business, contact us.

As the saying goes, 'Whether it be a grain of sand or a rock, in water they sink the same.' No matter how big or small the trial, it's never easy to handle. But, it can be rewarding. Each of these personal life challenges I mention seemed to be offset by an increase of love and understanding, of closeness and caring that, perhaps, would not have been there without the pain and setback. Maybe, like the body itself, tragedy finds its own way of healing and harmonizing. So, this month, we turn our attention to life. Giving life. Infertility. Pregnancy. Living and loving life. And we also touch on the troubling trend of suicide, and taking life. Hopefully, the overall message is about joy, happiness, and hope for a better, more enriching life, whatever life opportunities you must embrace.

DESIGN EDITOR Phillip Chadwick | design@healthy-mag.com

Healthy Utah® Magazine 256 Main St., Suite F l Alpine, UT 84004 (801) 369.6139 l info@healthy-mag.com To be included in our free online directory, please e-mail your contact information to directory@healthy-mag.com PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission.

FACEBOOK.COM/HEALTHYUT T WIT TER: HEALTHYMAGAZINE Healthy Magazine is dedicated to using recyclable materials.

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“Where my child’s smile is concerned, I want the best. Any father would feel the same.” — Jason, 38

Your child. Your orthodontist. Whether you’re considering clear aligners, retainers or today’s braces, an orthodontist is the smart choice. Orthodontists are specialists in straightening teeth and aligning your bite. They have two to three years of education beyond dental school. So they’re experts at helping you get a great smile – that feels great, too.

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HEALTHY UTAH OCTOBER 2013

3/19/13 8:55 AM

Baby Talk / in the news

4,000,279 Number of US births in 2010, latest statistics Source: CDC

The most children born to one woman is 69. The woman died at age forty, and by that time had 16 twins, 7 triplets and 4 quadruplets.

MOST COMMON BIRTH MONTHS

"DIAPER backward spells REPAID. Think about it."

1. 2. 3. 4. 5.

August September July October June

35%

Researchers in Scotland found that if your mother was obese during pregnancy, you have a 35 percent higher chance of dying before the age of 55.

Giving birth in the U.S. is more expensive than any other country in the world. Amount Paid for Conventional Delivery Childbirth, 2012 United States: $9,775

Source: CDC

-Marshall McLuhan

Switzerland: $4,039 France: $3,541 Chile: $2,992 Netherlands: $2,669 Britain: $2,641 South Africa: $2,035 Source: International Federation of Health Plans

CRY BABY CRY

Recent research from Brown University says a babyâ&#x20AC;&#x2122;s cry is a window into his brain. Researchers there have developed a computerbased instrument that breaks recorded cries into millisecond segments, and analyzes them. The analysis can determine whether the child has neurological or developmental problems, researchers say.

10 HEALTHY UTAH OCTOBER 2013

Journal of Speech, Language and Hearing Research

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GET YOUR LIFE BACK ON TRACK WITH NEW SPINE TREATMENTS. thesmartclinic.com

Herniated disc? Spinal problems? Think major surgery is your only option? Not anymore. Ground-breaking procedures

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Spinal Cord Stimulation: Tiny electrical impulses are sent to the nerves through small, flexible medical wires. Those impulses mask the pain signals going to the brain Discography: Investigates and establishes the role of intervertebral discs in the production of low back pain. Radio frequency (RF) Nerve Ablation: A therapeutic procedure designed to decrease or eliminate pain symptoms within spinal facets by temporarily deactivating minor nerves around the spine. Rehabilitation Therapy: Land and aquatic based therapies administered by certified physical therapists, athletic trainers and sports kinesiologists.

SMART F.I.T. (Functional Innovative Training) is a dynamic fitness program created by our physicians, physical therapists, and personal trainers. It is a multifaceted approach to fitness and wellness. The innovative cardiostrengthening program is based on exercise science and is individualized for your specific goals. It is designed to burn fat and strengthen muscles, as it synergistically improves your cardiovascular system. Since there is no set way of training, the body must be constantly challenged in different ways in order for the muscles to adapt and respond to functional activities. The program incorporates plyo-metrics, kickboxing, stability training, cardiovascular training, functional movements, suspension training, balance awareness, and strength training. Group sessions are available (2-5 at a time). Visit www.thesmartclinic.com to get started today.

The SMART Clinic, fully staffed by board certified physicians, provides a comprehensive diagnostic, management and treatment facility with hospital and surgery center credentialing-the highest credentials possible. Their ground breaking endoscopic and minimally invasive treatments are equally as effective as conventional surgery-without the risk, pain, scarring and lengthy recovery associated with traditional, invasive procedures.

The SMART Clinic

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thesmartclinic.com | 10011 South Centennial Parkway Suite 150, Sandy, UT 84070

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HEALTHY UTAH OCTOBER 2013

>> Advisor FITNESS

EXERCISE M OTIVATION is different in Men and Women

Just finding the will, desire and time to exercise can be hard. It is scientifically proven that exercise can prolong our lives but many are obese. We all know what we have to do to stay healthy and yet we just can’t make ourselves. Motivation is the key to consistently exercising and ultimately improving our health. Understanding that men and women are usually motivated in different ways may help us overcome some of the road blocks that keep us from working out. The lists below are just general gender tendencies and may not exactly fit into what personally motivates you. The more we learn about what makes us tick the more success we will have. Try new things that will keep your workouts fresh. Staying excited about the same thing over and over doesn’t work. Change up your workout routine every 4-6 weeks. You have to mix things up. Your body adapts to the same stimuli so you need to challenge your body in different ways.

MEN

• Men generally focus on strength training and muscle gain. • They are motivated by measuring strength increases. • Love to compete whether it is with themselves and their weights or with others. • Tend to avoid group or choreography based classes. • Tend to work their upper bodies to bulk up.

WOMEN

• Women are generally pushed to stay active so that they feel good about themselves. • They want to have a better body image and exercise to fix a certain body part. • They are more in touch with their bodies and use the mind-body connection to find good health. • They exercise to maintain the energy they need to face the dayto-day demands. • They don’t mind exercising in groups or classes and love the camaraderie and friendships. • Tend to work their lower bodies to lean down.

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An educated exerciser will be empowered and motivated to keep exercising. Know that your physiology doesn’t change from the waist up or the waist down. Women need to work their upper body and definitely add strength training to their workout routines. Women don’t have to bulk up when using weights. Men, don’t avoid your lower body. Be adventurous and try some group classes. Find what makes you tick and then grow from there. Never stop finding reasons to exercise. Your longevity depends on it.

ABOUT THE AUTHOR Lisa Mathews

Treehouse Athletic Club 801-553-0123 TacFitness.com

Healthy-Utah.com

hu_13010.pdf

9/5/13

7:47 PM

JUVÉDERM® XC Important Information Indication JUVÉDERM® injectable gel is injected into areas of facial tissue where moderate to severe facial wrinkles and folds occur to temporarily add volume to the skin, which may give the appearance of a smoother surface. IMPORTANT SAFETY INFORMATION

Your physician will ask about your medical history to determine if you are an appropriate candidate for treatment. The product should not be used in patients who have: Severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies A history of allergies to lidocaine or Gram-positive bacterial proteins

CMY

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HEALTHY UTAH OCTOBER 2013

s s e n d t i F y aine k r i u Expl , s l Too

6 WR

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LLI

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TRUE STRETCH CAGE

If you ask me, this looks more like something you’d find in a zoo, but there is more to this big piece of metal than meets the eye. One stretch session with the True Stretch Cage after a body-crippling workout will have you coming back for more. Robinson says its complex design allows for more effective stretch positions. You know what this means; no more stretching on whatever area of floor your can find.

HOW TO USE IT:

Use the cage daily following any workout. There is an easy to follow diagram that shows how to stretch specific muscle groups. These stretches are designed to feel natural, yet help you improve muscle function and flexibility.

WE’VE ALL HEARD IT’S IMPORTANT TO SWITCH UP YOUR WORKOUT, BUT HOW DO YOU DO THAT WHEN SO MANY TOOLS AT THE GYM LOOK FOREIGN?

AB WHEELS

The ab wheel looks like a large version of a training wheel. Not too intimidating right? Think again. This small and seemingly innocuous devise presents quite a challenge, according to Robinson. This is a simple way to achieve rock hard abs.

HOW TO USE IT:

Start standing with the wheel at your feet holding on to the handles. Roll the wheel out until you are laid out as far as you can go, all while maintaining control. Then pull back until your feet and hands come back together. You can also use the wheel in a pushup position, resting your feet on the handles.

Follow advice from Personal Trainer Blake Robinson, owner of Evolve Fitness in Salt Lake City, so the unfamiliar gym equipment doesn’t stop you from achieving amazing results. His tips will help you utilize these quirky fitness tools, and look good while doing it.

14 HEALTHY UTAH OCTOBER 2013

Healthy-Utah.com

BOSU BALL

You may think this bubble shaped toy is only for those working on a balancing act, but it proves to be much more than that. The Bosu Ball has some very interesting strength training benefits. Robinson says trying to maintain proper form while doing simple exercises like pushups and squats can keep your body guessing. This pushes the difficulty to a whole new level, resulting in higher caloric burn and a stronger core.

HOW TO USE IT:

This is the perfect tool to use if you feel you’re workout routine is becoming too routine. Perform squats, lunges and holds on the Bosu. Your core muscles will work extra hard to keep you from falling off. A word of caution; make sure the Bosu ball you choose to stand on doesn’t say “no standing.” There are a few brands that are not made for standing.

VIBRATION PLATFORM

This is what I like to call the “Jiggler.” Quirky, yes, but don’t be fooled by the machine’s shaky nature. There are lasting benefits from spending time on its platform. Will you lose weight? Not likely, but the physical benefits are there. By standing on the vibration platform, Robinson says you activate the fast twitch muscles in your legs. This no impact exercise can also help to strengthen bone density, improve muscles strength and help with balance. When recovering from an injury, the vibrating platform will increase your range of motion if you stretch.

PLYO BOXES

No, these boxes aren’t a place for lacing up your sneakers or resting. Jumping onto these metal boxes can turn up the calorie burn, sculpt your legs and butt and give your joints a break from the usual burpees and squat jumps, Robinson says.

HOW TO USE IT:

The vibrating platform can be used before and after workouts for stretching. Start by placing one foot on the platform at a time and work your way up to standing on the platform with both feet while stretching. The platform can be used daily. A caution to women who may be pregnant: avoid the vibration machine all together.

Start with the smallest box available and work your way up to the biggest, slowly. Jumping both feet onto this box will torch calories and improve your ability to jump higher. Be sure to swing your arms up for momentum.

HOPZ PRO

Vertical jump is a key component to athletic ability. Using the Hopz Pro, athletes will develop explosive leg drive and power increasing their vertical. With up to 80+ lbs of resistance this performance trainer pushes athletes to the next level.

HOPZ FEATURES

• Builds explosive jumping ability by training the lower body. • Portable unit includes heavy-duty belt, four resistance cords and foot attachments. • Resistance cords clip to belt and ankle straps easily with a carabiner.

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HEALTHY UTAH OCTOBER 2013

any grab granola bars for a quick snack, not really even counting them into the day’s calorie count. It’s oats and grain, so how could it hurt?

16 HEALTHY UTAH O OCTOBER 2013

It turns out that granola bar makers take some measures to make their bars taste better. Take Nature Valley, for example, whose crunch Oats ‘N Honey bars have six grams of fat, and dish out 200 calories. Nature Valley’s much-loved Sweet and Salty Peanut bars are even worse, containing 13 grams of fat (a fifth of your daily intake) and 250 calories. Maybe it’s the frosting on the bottom half of the bar. But one bar is dry and crunchy, while the other is moist, you say. Chewy doesn’t have to mean fatty, it turns out. Take Kashi’s Chewy Granola Bar, for example, which has only 5 grams of fat. Cascadian Farms also makes some excellent bars with low fat content. Kind Plus Almond Cashew bars have a high amount of fat (10 g), but it comes from almonds and cashews, which is the kind of fat your body needs every day.

SUGAR

ome bars are marketed as granola bars, but really they are more like lightweight candy bars. Consider the Kudos Bar, by Mars, which contains a reasonable amount of calories, but that is because it is about half the size of a normal granola bar. Besides, they offer very little valuable nutrition, which should be part of the reason to eat a granola bar in the first place. More traditional granola bars don’t often fare much better. There are 12 grams of sugar in Nature Valley’s Oats 'N Honey bars, and 18 grams of sugar in their Sweet and Salty Peanut Bars.

If you like a sugary snack bar, try a Larabar Pecan Pie, which has a high amount of sugar, but sugar that comes from natural dates, instead of additives.

Staff favorites include Larabar's Cashew Cookie and Coconut Cream Pie bars.

FIBER

FAT

GRANOLA BAR GUIDELINES

ANYTHING GRANOLA IS HEALTHY, RIGHT? WELL NOT IF YOU ADD MOUNDS OF SUGAR AND PACK IN FAT. BUT THERE ARE HEALTHY GRANOLA BARS. HERE ARE SOME GUIDELINES.

any Americans don’t get enough fiber in their diet, which should be at about 25 grams a day, according to the Academy of Nutrition and Dietetics. Fiber can help prevent heart disease, diabetes and digestive problems. The best sources of fiber are fruits, vegetables, whole grains and beans. Don’t rely on fiber bars to get your fiber. Also, if your excuse for eating a ton of granola bars is that you need the fiber, you might just try eating more fruit. Fruit gives you fiber and a bunch of other good nutrition at the same time. Furthermore, some report that eating multiple fiber-filled bars in one day leads to digestive issues. Another reason to not rely on bars for fiber. If you aren’t getting enough produce and whole grain, try a Kind Almond & Apricot, which combines a lot of natural ingredients with a good amount of fiber.

Healthy-Utah.com

10 BO OST S QUICK ENERGY

hether you’re in the office trying not to let your head fall and smash into your keyboard because you’re so tired, or at home with the kids feeling exhausted just thinking about making dinner and carpooling and homework, you can jumpstart your body with a little bit of the right food for fuel. Tara Harwood, a registered dietician recommends, “three meals and three snacks a day and to never go over three to four hours without eating something.” She warns that, “If you become too hungry, this can cause you to overeat.” The best quick energy foods are a combination of protein and complex carbohydrates. Stock up your shelves with a good selection of these options. They're not only quick to give you energy but they're also quick to prepare. Here are a list of favorites from doctors, dieticians, and even moms and dads:

1. CHEESE & CRACKERS

When you’re ready to crash you may be thinking "candy bar!" but a sugar shock will just leave you lagging again in an hour. “For a nearly instant energy boost that lasts, eat a healthy snack containing protein and a complex carbohydrate,” says Christine Gerbstadt, MD, a spokesperson for the American Dietetic Association and a weight control researcher. "Try a whole-grain cracker with low-fat cheese," Gerbstadt says. Whole grain crackers and some delectable cheese will pump you up and keep you going.

2. PBJ: TRIED AND TRUE FOR THE TIRED YOU It’s not just for kids anymore. Peanut butter on whole grain bread is another easy carb + protein snack.

This combination will digest more slowly than simple carbs and will keep your blood glucose sustained so your energy level can keep up.

3. WATER… OBVIOUS, BUT REALLY

Keep a water bottle or two close by to avoid getting tired. “Some studies suggest even mild dehydration can slow your metabolism and sap your energy. The solution is simple—drink plenty of water or other unsweetened beverages throughout the day,” recommends Laura Martin, MD and medical educator.

4. FRESH FRUIT

Loaded with vitamin C, antioxidants, and fiber, fruit is great for times when you need a little energy boost. Tara Gidus, RD, a spokesperson for the American Dietetic Association promoted these fruits saying, "It's got vitamins, minerals, and good carbs, which give you quick energy." Take your pick of any fruit. They’re all packed with natural sugars to get you going. Bananas, apples, and oranges are easy to pack along because they don’t require refrigeration. Berries are a sweet treat with a lower sugar density. Christine Richmond, a green health expert, recommends citrus because it will kick in within 20 minutes of eating it.

5. NUTS

A small portion, about 1 oz., will do the trick.

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6. QUINOA

“This super grain is provides energy, heart healthy benefits and has powerful anti-oxidant properties. This is one of the most nutrient rich if not the most nutrient rich grains on earth,” wrote Robert Reames, personal trainer and dietician.

7. HONEY

A great, quick energy booster because it’s a sugar, but it is more complex than the processed white sugar found in jams and jellies which means it will digest more slowly and you get to avoid the sugar crash.

8. VEGETABLES

Your mom was right: Veggies are where it’s at. They are rich in fiber and are complex carbohydrates so they digest slowly leaving you feeling full for longer.

9. TRAIL MIX

If you don’t want to down a handful of nuts, make yourself a healthy mix of your personal favorites. Add some seeds, raisins, and even a little dark chocolate if you want and you’ll have an effective fix to your afternoon drag.

10. FRUIT JUICE

This energy booster has many of the same benefits as whole fruit, but it is often sugary, so dilute it with half a cup of water for every half cup of beverage unless it’s 100% juice.

HEALTHY UTAH OCTOBER 2013

HFCS:

The Super Sweetener in Everything I

t’s everywhere! If you check the food labels in your own grocery cart, chances are, many of the items there will contain high fructose corn syrup (HFCS). So why is HFCS so prevalent? The molecules in this sweetener are structured slightly differently than cane sugar molecules which make HFCS great to cook with because it gives foods a moist texture, beautifully browns baked goods, creates a lower freezing point for really cold drinks, and it makes foods taste sweeter because the sugars in HFCS more easily ferment than table sugar.

WHY IT’S WORSE THAN SUGAR

Proponents of HFCS argue that it is similar to table sugar so it is digested the same way. If it’s so similar, then why does it react differently in baking and taste different in drinks? The structures between cane or beet sugar and HFCS are very similar, but not identical. Scientists explain that “as a result of the manufacturing process for high-fructose corn syrup, the fructose molecules in the sweetener are free and unbound, ready for absorption and utilization,” as opposed to cane and beet sugar molecules which are all bound to other glucose molecules. This extra bond requires that sucrose (beet and cane sugar) must go through another metabolic step before it can be used by the body. This distinction might make all the difference if HFCS is all being immediately stored as fat. A Princeton University research team has demonstrated that all sweeteners are not equal when it comes to weight gain: Rats with access to high-fructose corn syrup gained significantly more weight than those with access to table sugar, even when their overall caloric intake was the same. In addition to causing significant weight gain in lab animals, long-term consumption of high-fructose corn syrup also led to abnormal increases

18 HEALTHY UTAH OCTOBER 2013

in body fat, especially in the abdomen, and a rise in circulating blood fats called triglycerides. The researchers say the work sheds light on the factors contributing to obesity trends in the United States. "Some people have claimed that highfructose corn syrup is no different than other sweeteners when it comes to weight gain and obesity, but our results make it clear that this just isn't true, at least under the conditions of our tests," said psychology professor Bart Hoebel, who specializes in the neuroscience of appetite, weight and sugar addiction at Princeton University. "When rats are drinking high-fructose corn syrup at levels well below those in soda pop, they're becoming obese—every single one, across the board. Even when rats are fed a high-fat diet, you don't see this; they don't all gain extra weight."

THE ECONOMICS OF OBESITY

HFCS is infiltrating so many foods because it is cheaper and sweeter: just what the food corporations want. “Beginning in the late 1970s, the U.S. instituted tariffs that drove up the price of sugar. By coincidence, a few years later, the corn subsidy started driving down the price of corn. The combination suddenly made HFCS a great deal for food producers. Beginning in the mid1980s, the sweetener started working its way into foods, and within a few years, it was showing up in thousands of products—contributing thousands of empty calories a week to the average American diet,” wrote Daily Finance journalist Bruce Wilson.

Foods to check for HFCS: Soda Fruit juice Cereal Bread Yogurt Peanut Butter Mayonnaise

According to the Center for Disease Control, today, about one-third of American adults are obese. HFCS may be contributing to this dangerous trend because it is in so many common foods that could use more natural sweeteners. Don’t end up like the lab rats and check the food you’re taking home!

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birds, bees & babies

The Day of Delivery

FIVE KEYS TO A SUCCESSFUL BIRTH

3. ESTABLISH COMMUNICATION GUIDELINES

Especially for first-time couples, tension rises as the ninth month approaches. Here are five tips for making delivery day a success.

1. BE PATIENT Despite the pain for mom, the day your child comes into the world will most likely be one new parents will never want to forget. Let the process take its course and try to enjoy the day.

2. TRUST YOUR DOCTOR For soon-to-be moms, trust your own body, yes, but also trust the medical professionals surrounding you, whether you’re at a birthing center or at the hospital. This might mean not pushing to be induced, or pushing for more medication.

20 HEALTHY UTAH OCTOBER 2013

When a woman’s labor extends for hours, worried phone calls start streaming in as family and close friends wonder what’s going on. Before the big day arrives, plan with your mother, mother-in-law, sisters, brothers, aunts, uncles and friends when you will let them know the news, so you don’t get a telephone tsunami in the middle of your labor hurricane. Usually it is best to plan on spreading the news once the delivery is over.

“This usually helps you be less stressed during the day, to not have to worry about others so much,” says Mark Saunders, Utah OB/GYN.

4. FIGURE OUT DETAILS BEFOREHAND

You and your husband may have decided who will be present during delivery, along with some other big decisions, but don’t forget the small stuff. Do you want music? Would you rather wear your own clothes? Do you want to keep your contacts in the whole time? Do you want to spend the first part of labor standing, lying down, walking, etc.? What painkillers are you comfortable taking during the big day? What about cameras?

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COMMUNICATION MISHAP “A couple who didn't speak English came in ready to deliver. The man kept trying to get out of the delivery room, but we kept insisting he had to stay for moral support. When the baby emerged, I turned the man's head so his eyes were on the delivery. Unfortunately, the next day I found out that he wasn't the woman's husband. He was her brother.” Marilee, nurse, Hamilton, Ohio, Parents.com

5. THINGS YOU MIGHT WANT You might know about the essentials, but here are some extras that might be good. Music device: Bring headphones and an mp3 player (or smartphone, etc.) to help you relax during different moments of the day. Makeup: These pictures might be on your mantelpiece for decades, so some makeup might help you feel more excited about photos. Coming home clothes: You’ll probably want to feel fresh after delivery day. Your own bathrobe, slippers and socks. Some money for vending machines, food, etc. Cell phone charger.

Camera Ready “Eager to have her baby's birth captured on film, a mom started to get pretty annoyed when her husband, who was manning the camera, got woozy and sat down. She couldn't coax him out of his daze, so she grabbed the camera and started snapping away herself—while pushing the baby out.” -Cindy, nurse, West Columbia, South Carolina, Parents.com

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birds, bees & babies

Dad

Matters

Important Tips for Dads During Pregnancy A few decades ago, parenting was almost solely considered a womanâ&#x20AC;&#x2122;s responsibility, but not anymore. In the 1970s, fathers spent on average 15 minutes a day with their children. In 1999 that number soared to 2 hours per day, according to a study conducted by the Oregon Social Learning Center. Dads are more involved than ever, even during pregnancy. Expectations and privileges for father involvement have been rising in recent years. Here are 5 reasons they are crucial, even in this very beginning stage of life.

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1 Emotional Support

Women’s hormones are going crazy during pregnancy. The worry of being a good mother and having a safe delivery weighs heavy. Mothers may even cry spontaneously because they feel fat. They need their husbands there to help them stay calm and stable. Few can adequately replace the stabilizing role of the husband. They’re needed, at all hours of the day and night. Wives need to be proactive about involving their husbands emotionally in the pregnancy. “When [the wife is] feeling anxious, make time every day to talk to your husband about your worries, whether they're about how your relationship might change or how you'll handle the new financial demands," advises Heidi Murkoff, a pregnancy expert. “If your partner tunes out whenever you want to talk, he may be stressed, too. Ask him to vent. The most important thing is to keep the lines of communication open.” Sometimes men may even feel nauseous along with their spouse or experience anxiety and doubt about the future. Talk about it and be sympathetic of each other.

Tip: Be open & patient! Even at 3am. This is a challenging time of life for everyone involved.

Physical Comfort The dad can provide much appreciated physical strength to help the wife be more comfortable. “As the pregnancy continues, the baby’s weight increases,” says Alice Sun-Cua, an OB/GYN. “The woman’s back muscles will compensate by contracting against this weight to right the torso, and keep the body’s center of gravity to avoid falls. This will cause back pains.” By full term, a baby may weigh as much as a bowling ball you just can’t put down, so help getting around is greatly appreciated.

Tip: Offer your arm to your wife while walking, especially up or down steps. Give her a back rub and apply warm compresses to the lower back.

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Even before junior comes home from the hospital, parents can have expectations about what parenting life is going to be like. Planning the baby room, saving for college, helping your wife with buying the stroller and unexpectedly taking on the dishes are just the sort of things that will lay the foundation for what kind of parenting partnership will prevail. "If you establish the model of shared care at this point it pays dividends both in the short term and for years to come” wrote a fathering advocate.

Of course pregnancy can be rough on women, but it doesn’t leave men unscathed! With hormones running wild, sleep becoming fitful and finances strained, pregnancy can often lead to tense situations and arguments, however this doesn’t mean your marriage has to be on the rocks for nine months. Experienced healthcare professionals have found that these times can actually be a great opportunity to have meaningful chats as a couple which will improve your marriage.

Set Expectations RIGHT from the Start

“Doing everything possible to properly engage fathers at this stage [pregnancy] would mean that fathers would be connected with their children's lives from the start, and would be able to build on this engagement in the future” reported The Guardian, a national British magazine reporting on women’s health.

Tip: You can already connect with the baby even though he/ she is in the mother’s womb by going to prenatal appointments to ask questions, hear the heartbeat, etc.

Turning Stress to Success

“Because being parents is a lifetime endeavor and not only a nine-month exercise, both would-be mother and father will have many fears, doubts, and anxieties,” suggests Dr. Sun-Cua. “Pregnancy is the best time to talk about these together, perhaps with their healthcare provider, to discuss parenting styles, financial preparation, and just about anything. These moments will make the couple become closer, and the male partner will certainly feel more involved.”

Tip: Shop together—choosing the crib, stroller and blankets together is an opportunity for bonding as a couple, and with the coming baby the experience may be something to fondly reminisce about when the child is grown. And of course being co-conspirators on your spending spree eliminates any financial blame.

Fitness Matters

Women are much more likely to eat well and exercise often if their partner is too. By walking, jogging, swimming, or biking together, the health of the baby and ease of the delivery can be improved. You and your wife can prepare for a healthy delivery right now! TIP: Take your wife on a walk or leisurely ride bikes together. A healthy mom and dad are more likely to have a healthy baby.

Dad may not be the one carrying the baby to full term, but he can step in as his wife and baby’s hero by following the simple tips above. The role of a father can save the day, or even all nine months.

HEALTHY UTAH OCTOBER 2013

>> Advisor Infertility

The Birds and Bees of Infertility We were all given a version of the birds and the bees talk. We assumed when the time is right, and we are ready to start our families, it would happen naturally. But sometimes it does not happen so easily. Infertility affects 15 percent of couples and can be a frustrating and difficult disease. The good news is that for the majority of those couples, the causes and challenges of infertility can be overcome. One of the many questions we are left with is “how do you know when it’s time to take the plunge and seek an infertility evaluation?” The general rule of thumb is if you and your partner have been having regular

unprotected intercourse for one year with no conception, it’s time for a thorough examination. If the female partner is over the age of 35, however, it is recommended to seek a workup after just 6 months of trying. If there are other known conditions that may cause difficulties conceiving such as irregular menstrual cycles, recurrent pregnancy loss, endometriosis, polycystic ovarian syndrome or male factor considerations, seeking help sooner is advised. Women are born with a set number of eggs as opposed to men who produce new sperm every day, so the issue of ‘aging eggs’ is why women over the age of 35 should be evaluated earlier.

Infertility affects

15% of couples

Now that you have made the decision to seek help, what should you consider in choosing? A women’s health provider can start the infertility evaluation on the female partner and begin treatment with ovulation induction. Your OB/GYN physician may refer you to a Reproductive Endocrinologist and Infertility specialist for further evaluation of both partners and treatment. In many cases it is perfectly reasonable to go directly to a specialist. When seeking a fertility specialist, you may want to ask the following questions: • • • • •

Is the fertility center SART compliant? What are the physicians credentials? How are the center’s pregnancy rates? How much does treatment cost? Do you offer comprehensive treatment and a variety of financial options?

Utah Fertility Center is a leading center in the intermountain region and is one of only three SART reporting centers in Utah specializing in infertility. The UFC team led by medical director Russell A. Foulk, MD understands the challenges of infertility and manages with expertise and compassionate care. Utah Fertility Center offers locations in Pleasant Grove, Murray and St. George. Dr. Foulk along with Shawn E. Gurtcheff, MD, MS and Deirdre A. Conway, MD magnify hope and produce results for couples facing this difficult disease. The most effective means to overcome frustration with infertility is to learn what is causing it and to create a path to overcome it with realistic endpoints. To help empower patients with learning, the Utah Fertility Center conducts free patient seminars each month. Remember that investigation of causes does not necessarily commit you to treatment if you choose to continue to try on your own. On the other hand, if the testing does uncover an abnormality, treating the underlying problem will expedite your ultimate goal of building your families, conceiving a healthy baby or leading you to other options. For seminar and additional information contact Utah Fertility Center at 801-785-5100 or go to www.utahfertility.com.

ABOUT THE AUTHOR Deirdre A. Conway, M.D. Utah Fertility Center 801-785-5100 www.UtahFertility.com www.facebook.com/UtahFertility

The Utah Fertility Center (UFC) was established in 2008 and is a nationally certified reproductive endocrinology and infertility clinic in Utah Valley. UFC is a full service fertility clinic, offering a variety of state-of-the-art fertility treatments. Our physicians are highly experienced and have held leadership roles in reproductive medical societies. Utah Fertility Center provides high quality, supportive, and individualized care to our patients.

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birds, bees & babies

It’s Not the End WRITTEN BY WHITNEY LEWIS

26 HEALTHY UTAH OCTOBER 2013

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CHILDREN, ALTHOUGH EXPENSIVE AND WHINY,ARE THE BEST PART OF LIFE FOR MOST PARENTS. Unfortunately, not everyone can become a parent so easily. Infertility plagues millions of Americans, which means you probably know someone having fertility issues. Six percent of married couples in the U.S. experience infertility, according to the Centers for Disease Control and Prevention. In Utah, where birth rates are higher than in any other state and family is a major focus, this inability to have children hits home in painful ways for many couples.

MODERN TACTICS FOR

So what can be done? With modern technology, medical advancements, and instant communication around the world, couples wanting to have a baby can hold onto hope.

DEFEATING INFERTILITY

FERTILITY DRUGS THE PROCESS: Either in the form of pills or injections, fertility drugs use a hormone to induce ovulation which boosts egg production and makes the uterus more receptive to embryo implantation. RECOMMEND FOR: Women who ovulate irregularly or have partners with poor sperm quality. NOT RECOMMENDED FOR: Women with damaged or blocked fallopian tubes from endometriosis as overcoming these conditions requires IVF. PROS: Low cost, convenience, and no surgery or intrusive procedures necessary. CONS: Possible side effects include bloating, headaches, hot flashes, nausea, premature delivery and the formation of large ovarian cysts. PRICE: Costs vary as much as $60 per cycle to $6,000 per cycle depending on whether the drug is taken in pill form or as shots and whether blood tests and ultrasounds are included.

4050%

SUCCESS RATE: 40–45% by pill, up to 50% with injections.

There are a myriad of treatments to help couples get pregnant. Below are many of these options with explanations to help families know which route is right for them.

ARTIFICIAL INSEMINATION (also known as Intrauterine Insemination or IUI)

THE PROCESS: Sperm is specially prepared and inserted directly into the uterus through a thin catheter. RECOMMENDED FOR: Women whose partners have slow-moving or low quality sperm or a low sperm count. It is also recommended for women who have produced antibodies to their partner’s sperm or whose cervical mucus is too scant, acidic or thin to transport sperm to the egg. PROS: The procedure is simple and can be done in a doctor’s office. CONS: IUI can result in unexpected multiple births such as twins or triplets. There’s the ultimate more for your money! PRICE: About $1200–$2000 without insurance, according to IVF Info Organization’s 2012 report.

2070%

SUCCESS RATES: 15–20% per cycle. 60–70% chance of pregnancy after 6 cycles. This is the most common fertility method and is often coupled with taking fertility drugs.

IN VITRO FERTILIZATION (IVF) THE PROCESS: This procedure involves conception in a lab. Eggs are extracted and fertilized with sperm in a lab where they grow into embryos. One or two embryos are then placed in the uterus to grow to full term. RECOMMENDED FOR: Older women or those with blocked or severely damaged fallopian tubes or scarring. Men with sperm quality and couples with unexplained infertility are also recommended this option. PROS: Pregnancy becomes even possible for couples with serious fertility problems. CONS: It’s expensive and physically demanding, including a rigorous schedule of fertility drugs before and after each cycle. PRICE: About $12,400 according to WebMD

20.947.6%

SUCCESS RATES: 47.6% chance of pregnancy for women 35 and under and 29.9% chance of pregnancy for women 38–40, according to the Center for Disease Control and Prevention’s 2010

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HEALTHY UTAH OCTOBER 2013

OTHER INFERTILITY TREATMENTS TO CONSIDER DONO R SPER M O R E G G S Some men and women carry genetic disorders that they don’t want to pass onto their children. Using donor eggs or sperm is a way around this issue. It is also a good option for those couples experiencing male factor infertility, or if the woman has prematurely failing ovaries. Donor eggs can cost up to $30,000, though sperm is much cheaper ($300-$700).While success rates with donor sperm or eggs are decent, the main hang-up might be that one parent won’t have genetic relation to the child. SURRO GACY Some women are incapable of carrying a baby, due to disease or previous medical procedures. Infertility specialists can create an embryo from the sperm and egg of either parent, and place it in a surrogate mother. This is a reliable ladder over infertility issues, but it is also the most expensive. Expect to pay $50,000-$100,000, according to parents.com.

ZYGOTE INTRAFALLOPIAN TRANSFER (ZIFT)

THE PROCESS: Only one healthy sperm is selected by the doctor from the male’s semen and is injected directly into the egg with a microscopic needle. Once an embryo forms, it is placed in the uterus through IVF.

THE PROCESS: In vitro fertilization and gamete intrafallopian transfer are combined in this process to stimulate and collect eggs which are then inserted into the fallopian tubes (not the uterus which occurs in GIFT)

RECOMMENDED FOR: Couples who struggle with male-factor infertility due to low sperm count or poor sperm quality.

RECOMMENDED FOR: Couples with unexplained infertility or those in which the man has a low sperm count, the woman has at least one tube open, and/or there are ovulation problems.

PROS: Works well for men with very low sperm count or poor sperm quality CONS: Can be expensive, intrusive and the accompanying drugs may have unpleasant side effects. PRICE: The average cost was found to be $1,544 (before IVF costs) based on a survey of costs conducted by Family Building Magazine.

2530%

SUCCESS RATES: 25–30% chance of pregnancy according to The American Society for Reproductive Medicine and Society for Male Reproduction and Urology’s 2008 findings.

PROS: This procedure allows the reproductive endocrinologist to ensure that the egg has been fertilized before implantation. Many also see this procedure as more natural because the egg travels down the fallopian tube into the uterus on its own. CONS: Requires two surgical procedures: one when the eggs are retrieved, the other when it is implanted. There is a higher risk of multiple births. PRICE: $15,000 - $20,000 per cycle according to Women’s Health of the UK.

2936%

AGE MATTERS

DONO R EMBRYO S In some relationships, both partners are infertile, but they want to experience pregnancy. These couples can use unneeded donor embryos from other couples undergoing IVF. These donated embryos are transferred to the infertile woman. The live birth rate with this technique can be as high as 50 percent, with a cost much lower than IVF, but there may be legal hoops to jump through.

INTRACYTOPLASMIC SPERM INJECTION (ICSI)

SUCCESS RATES: 36% per cycle; 29% of these pregnancies are carried to term reports Women’s Health of the UK.

Many women are waiting until their 30s and 40s to have children. In fact, about 20 percent of women in the United States now have their first child after age 35, and this leads to age becoming a growing cause of fertility problems. About one-third of couples in which the woman is older than 35 years have fertility problems. Aging not only decreases a woman's chances of having a baby but also increases her chances of miscarriage and of having a child with a genetic abnormality. Aging decreases a woman's chances of having a baby in the following ways— ›› Her ovaries become less able to release eggs. ›› She has a smaller number of eggs left. ›› Her eggs are not as healthy. ›› She is more likely to have health conditions that can cause fertility problems. ›› She is more likely to have a miscarriage. Source: Center for Disease Control & Prevention

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GAMETE INTRAFALLOPIAN TRANSFER (GIFT) THE PROCESS: A woman’s eggs are removed, mixed with sperm and immediately placed into a fallopian tube. Unlike IVF and ZIFT, fertilization takes place inside the fallopian tube rather than in a laboratory, according to the American Assoc. of Pregnancy. RECOMMENDED FOR: Couples where the female has at least one working fallopian tube and/or the male suffers from low sperm count or sperm with poor motility. PROS: Allows fertilization to occur in a natural environment. CONS: There is no immediate verification that fertilization has been successful. There is a higher risk of multiple births than with normal. PRICE: $15,000–$20,000 according to WebMD

2530%

SUCCESS RATES: 25–30% reported a 2007 study by the Human Fertilisation and Embyrology Authority

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REPRODUCTIVE SURGERY THE PROCESS: Can remove obstructive tissue or alter an abnormally shaped uterine cavity for women. Men may also have reproductive surgery to remove ejaculation obstructions or to harvest sperm for IVF. Reproductive surgery can also be performed to try to regain fertility by reversing sterilization. RECOMMENDED FOR: Couples diagnosed with endometriosis (a female disorder where cells from the uterus grow in other places but cannot be shed in the normal outlets leading to inflammation, adhesions, and blockage). Can also help couples who have undergone a vasectomy or tubal ligation. PROS: Not only does this increase the likelihood of pregnancy, but surgery may also decrease pain associated with the excess tissue or other problems. CONS: Surgery can be invasive, expensive, and may require long recovery time. PRICE: Varies based on the type of procedure and severity of the problem. SUCCESS RATES: Vary greatly based on the type of procedure and severity of the problem.

HOW TO PREVENT INFERTILITY While many causes of infertility remain unexplained, doctors now have many answers for couples who wonder why they struggle to conceive. There are many factors contributing to fertility problems, some of them preventable and some not, but thankfully the most common causes can be prevented. Living a healthy lifestyle free of drugs and alcohol, having consistent good eating and exercising habits, and starting a family before the woman’s mid-30s all increase a woman’s ability to become pregnant. Female infertility is known to increase with age, smoking, excessive alcohol use, extreme weight gain or loss (eating disorders, for example) and excessive stress causing amenorrhea (the absence of a menstruation cycle). Although heartbreak and breaking the bank are often associated with fertility challenges, there are more options now than ever to help parents bring children into their family. Exploring these options may just produce a miracle—one that you’ll love forever.

HEALTHY UTAH OCTOBER 2013

birds, bees & babies

10 LIFE AFTER BABY CAN BE HARD FOR MANY WOMEN – I.E. CHANGES IN YOUR BODY, SLEEP DEPRIVATION AND STRESS. WHILE ALL THESE THINGS COME WITH THE TERRITORY OF PREGNANCY AND BABY, SIMPLY MAKING A FEW ADJUSTMENTS WILL HELP YOU TO FEEL MORE BEAUTIFUL, EMPOWERED AND LIKE YOUR OLD SELF AGAIN!

1. Get fitted for a new bra—If

there was ever a time to properly support your breasts, now is the time. As a new mom your body will go through many changes and likewise your breasts. As your breast size change, get fitted for a new bra that properly supports your breasts. You’ll find that wearing the right bra size will help you to look better and feel better too!

2. Ditch the maternity clothes—I know, your maternity clothes are right there in your closet and comfortable to wear but getting rid of your maternity clothes and getting some new ones will help you feel like your old self again. Clothes play an important role in how you look and how you feel about yourself. So as soon as you can, get rid of the maternity clothes and get yourself a few stylish pieces that will get you back on the path to “you.”

3. Get a new haircut—Life as a new mom can wreak havoc on your hair, because of things like poor nutrition, stress and fluctuating hormones. Getting a fab new haircut will get rid of damaged and/or lifeless hair and help you to look younger, sexier and feel more beautiful!

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Mommy Makeover Tips Written by Notoya Green, Founder of TripletsInTribeca.com

4. Wear makeup always—Wearing make-up is an easy way to add life and youthfulness to your face, especially as a new mom! Your life is going to change a lot as a new mom and many of those changes will negatively affect your skin. Simply applying foundation, blush and gloss will do away with unevenness in your skin, brighten your face and hide the effects of those sleepless nights!

BIO: Notoya Green, Family Law Expert and Mother of Triplets Notoya Green is truly an expert on all family matters, from her professional experience as a family law attorney to her personal life as mother to three-year-old triplets.

5. Brighten those eyes—There is

no way to avoid those sleepless nights as a new mom but your eyes don’t always have to tell the story. Brighten those dark and tired eyes with some concealer under your eyes even if you don’t have time for make-up!

6. Cover those grays—It’s difficult

to find time for yourself as a new mom and it’s even more difficult to make time for your appearance. Make time to cover those grays. Not covering grays can be a tipping point of other things we are neglecting with respect to our appearance. Covering your grays will help you to look healthier, more stylish and more youthful!

7. Put Vaseline on those hands!

—When you are a new mom you’re constantly washing your hands, which can rob the skin on your hands of its natural moisture. Constant hand washing (especially during the winter months) can make your hands look older, flaky and as though you’ve been living a hard life. I know this because it happened to me. Take care of your hands at night with good old fashion Vaseline. I’ve found that it is the most effective moisturizer for softening your skin when you are washing your hands constantly, and it will give your hands a more youthful appearance all while you sleep!

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8. Exercise —There is no doubt that exercise is the fastest and best way to regain your pre-baby body. So make time to exercise. Exercising will also help you to have more energy (which you need) and it will enhance your mood.

9. Get A little Zen —Your physical

appearance is important but so is your emotional well being. Life as a new parent will offer many challenges emotionally and it’s important to find time to reflect, meditate and/or pray. It will help you deal with some of the more challenging aspects of motherhood while staying sane.

10. Stay current—Mommy life can

swallow you whole sometimes and it’s easy to lose track of current beauty and fashion trends. Subscribe to a fashion magazine or blog even if you don’t think you’re interested in fashion. Looking at beautiful clothes and reading about fashion will keep you connected to the world and help you to find your personal style as a woman and as a mom!

With her law degree that she received in 2001, Notoya took on everything from child support to divorce. In 2007, Notoya took her passion for family law and parenting to the Administration for Children's Services (ACS), where she protected children by prosecuting parents accused of neglect and abuse, handling as many as 90 cases at a time. While at ACS she learned that all parents need support and information and how vulnerable children can be when their parents don’t have it. Upon the birth of her triplets in September of 2010, Notoya put her law career on hold to become a stay-at-home mom and care fulltime for her children. Like most multiples, Notoya’s triplets were born prematurely, at just 26 weeks, and stayed in the NICU for several months. The triplets were tiny at birth, yet fairly healthy. One preemie can be a lot for a family to handle, but preemie triplets created a special parenting challenge for Notoya and her husband. As infants the three were underweight and physically delayed in activities like rolling, sitting up and crawling. However, the triplets have since caught up and today are walking, talking, counting and will be attending preschool next fall. To create an outlet for herself, Notoya turned to the world of blogging, sharing her unique parenting experiences at www.tripletsintribeca. com. Notoya not only shares details of her family life but also helps all mothers by sharing her expertise and experiences, from selecting nannies to proper nutrition to navigating the preschool process. She’s also shared her wisdom with both The New York Times and the Wall Street Journal, along with multiple TV stations.

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birds, bees & babies

Midwife New Life for the

What Mothers Should Understand WRITTEN BY MICHAEL RICHARDSON AND DALLIN LAW

“There will always be people who have no idea what we do—they think we’re witches who perform seances and burn candles” —Midwife Barbara Sellars, New York Times interview

n the US, midwives still operate in the periphery of the birthing medical community, but their greater prominence has recently put midwifery in a spotlight that has attracted curiosity and debate. Though in other countries like the UK midwives deliver the majority of babies, in the US the proportion of births attended by a midwife has just recently grown to 8 percent of all births. Many women are wondering if midwives are qualified to give safe births, why they’re so popular now, and if they are the right choice—which we attempt to cover in this article.

Why a Midwife?

Midwifery is a branch of health care that serves women during pregnancy, labor, birth and the postpartum period. They perform pre- and postnatal checkups and deliver children in hospitals, homes and birthing centers. In the US, these medical concerns are usually treated by obstetricians: medical doctors specializing in childbirth complications. However, some mothers opt out of using traditional obstetricians and instead turn to midwives because of their uniquely individualized, holistic, and patient approach. This is because many women who’ve experienced both births with obstetricians and with midwives say midwives can make the whole ordeal more personal and less hurried and systematic. Constant attention and encouragement are something that doctors can rarely give in a busy hospital, especially if labor doesn’t progress quickly. In contrast, midwives

34 HEALTHY UTAH OCTOBER 2013

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are known to deliver constant, patient care through long labor, which importantly may add to your chances of spontaneous birth without induction. A Cochrane study published this year found that “Continuous support in labour increased the chance of a spontaneous vaginal birth, had no harm, and women were more satisfied.” “What I like most about midwives is that they treat you more like a friend and equal,” says Elizabeth Rotz of Orem, Utah, who had her first child with a traditional obstetrician, and the last three with midwives. “The doctor just says, ‘This is what we’re doing,’ but midwives say, ‘These are our options, what would you like to do?’” But of course, this is a generalization; many doctors do in fact give women many choices in the birthing process, according to Dr. Mark Saunders, an experienced OB/GYN in Utah. “I allow women to make their own choice but help guide them to make wise choices,” he says. But this fact doesn’t keep curious women from investigating birth with midwives.

I Don’t Want That

Fear of unneeded medical intervention like Caesarean sections, epidurals, labor induction, painkillers and frequent medical tests prompts some women to want control over who delivers their baby. Stories of women feeling pressured to receive treatment from hurried or overly cautious doctors are all too common. Many see the growing midwife trend as a direct reaction to the increasing rates of medical intervention. This fear of unnecessary intervention isn’t ill-founded. The number of induced labors doubled from 1990 to 2005, according to Childbirth Connection. Furthermore, US Caesarean sections account for over 30 percent of births while they only accounted for 4.5 percent of hospital births in 1965, even though the World Health Organization encourages a rate of 11-12 percent. Interestingly, C-section and induced labor statistics may actually be related; studies have suggested that inducing labor may actually lead to an increased risk of complications needing a C-section. Unnecessary C-sections should also be avoided because they can mean increased chances of complications for both mother and child. Why so many C-sections then? Saunders says that doctors are increasingly liable for any negative outcome. “If doctors don’t do a C-section and the result is bad, they can get sued,” he says. “Doctors are always covering themselves.” However, not all doctors are created equal. Experienced doctors are able to correctly assess the specific needs of a mother and avoid unnecessary procedures and medications and respect a mother’s preference to avoid medical intervention.

Common Midwife Misconceptions

As Barbara Sellars knows, many people have a negative or misinformed opinion regarding midwives. Some of these we’ve listed here with clarifying facts. 1. MIDWIVES HAVE QUESTIONABLE QUALIFICATIONS Certified Nurse-Midwives are registered nurses with a master’s degree level of training in obstetrics. CNMs are well qualified to perform vaginal births for low-risk mothers and can deal with more complicated births such as breech births and twin births. There are other midwives that are self taught or go through largely unregulated accreditation programs which aren’t qualified for many birth complications. Be sure of your midwife’s qualifications before enlisting her help 2. MIDWIVES ARE FOR HIPPIES If anything, midwives are becoming trendy; many midwives have to turn away women because of increasing demand. 3. MIDWIVES CAN’T PRESCRIBE PAIN MEDICATION Midwives are allowed to prescribe medicine in all fifty states. However, in general they are less likely to recommend pain medication or epidurals. 4. MIDWIVES ONLY DELIVER BABIES AT HOME Most midwives practice in hospitals or birthing centers. Over 90% of midwives have privileges at a hospital where they assist births. 5. YOU HAVE TO CHOOSE EITHER A MIDWIFE OR A DOCTOR When giving birth in a hospital or birthing center, you can have the best of both worlds: the personal touch of a midwife with the safety net of an experienced obstetrician nearby.

So is a Midwife Right for Me?

This complex question really depends on whether you have a normal or high-risk pregnancy, what kind of experience you want, where you plan to give birth, and what your insurance will cover. But on the whole, midwives are a very viable choice if you’re interested in what they can provide. HEALTH Without a doubt, the most important question is whether a midwife is qualified to deal with your individual health needs. Saunders said he realizes that some women want more control in the birthing process, but the baby should be the first consideration. “This is your own flesh and blood,” he says. If you have any chronic medical conditions such as high blood pressure, epilepsy, heart disease, diabetes, or serious complications in previous pregnancy, you will probably be better served by an obstetrician. Likewise, highrisk pregnancies involving premature labor,

>>>>>>continued page 37 Facebook.com/HealthyUT

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>> Advisor Hormone Therapy

Stop Feeling Older! The Top 4 Mistakes We Make as We Age -

By Dr. Robert Jones

The two biggest problems with aging are weight gain and loss of muscles. Sound familiar? By the time you are 32 years old it’s downhill from there. BUT, it can be avoided if you’ll deal with the Top 4 Biggest mistakes:

1 For all patients that we see, if we had to

choose between cardio (aerobic exercise) or resistance training (weightlifting), hands down we would always pick resistance training. As we get past 32 years old, we start losing muscle mass. Over 50 percent of your musculature can be lost during your life—and that means getting older and weaker—and the less muscle you have the more fat you’ll gain. So if you only have time for one exercise, pick the weights up and move!

2 Don’t forget your hormones! As we age

our hormones drop quickly, especially if your stress levels are high. Thyroid drops, making you tired. Progesterone drops giving you insomnia, anxiety, and irritability. Estrogen drops and you get osteoporosis and hot flashes. Growth hormone falls, and you get flabby. Testosterone goes down and you lose your passion for life, not to mention your sex drive going out the window.

3 So many of our patients come into our

clinic on various medications that they may not even need and which may be causing a poor quality of life. For instance, taking a blood pressure medication may cause your blood pressure to drop too far, causing extreme fatigue/lethargy. Taking large doses of cholesterol lowering drugs can cause memory loss and sometimes moderate to severe muscle aching. We always review these meds for our patients.

4 We saved the biggest aging factor for

ABOUT THE AUTHOR Robert Jones, D.C.

last. Ready? We know you won’t like this, but the biggest aging factor we see today is called glycation: a fancy word for when your body just starts rusting. What is the culprit behind it? Sugar. America is hooked on sugar. Reducing sugar in your diet is the biggest thing you can do to feel and look younger. Sugar ages your skin and your muscles.

36 HEALTHY UTAH OCTOBER 2013

50%

Over of your musculature can be lost during your life

Utah Wellness Institute Hormone Therapy 801-576-1155

At the Utah Wellness Institute we specialize in getting our patients feeling younger and looking younger through Bio Identical Hormone Therapy, nutritional counseling, and exercise education.

Having a healthy balance of hormones is critical to a fulfilling life—and this is our specialty. Our wellness program also includes nutritional analysis and modifications, whole-food dietary supplementation, personalized exercise programs, a blockbuster medical weight loss program if needed, and education regarding your pH balance.

For more information call (801) 576-1155 or go to www.utahwellnessinstitute.com and take our free online tests.

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>>>>>>continued from page 31 twins, or preeclampsia are the job for an obstetrician who is better qualified to deal with these situations. But for the majority of women with low-risk births, a midwife is well qualified to be your primary health care provider.

“I’ve seen so many train wrecks come into the hospital,” Saunders says. “An uncomplicated birth can become a complicated birth in literally an instant.”

LOCATION Probably just as important as who assists you in your birthing experience is where it happens. Midwives are licensed to perform births in hospitals, birthing centers or at home, while obstetricians are generally only found in hospitals or birthing centers. Generally, deciding on a location is a decision between a low-stress, comfortable and controlled environment like your own home and a fully staffed, emergency-ready but sometimes impersonal facility like a hospital. A small minority of mothers choose to find a midwife willing to help with a home birth where they have complete control over the environment and conditions of the birth. However, in general, home births are more risky; the American College of Obstetricians and Gynecologists says that home births are inherently more dangerous than births in medically supervised settings. The issue with home birth is that, at times, giving birth has completely unforeseen complications and midwives often lack the equipment to deal with those complications, regardless of their skill level.

In contrast to homes, hospitals offer all the equipment, medication and personnel necessary to deal with even the most complicated births. However, mothers sometimes complain about the noise, harsh lighting, frequent interruptions, and sterile feeling. Despite the lessthan-stellar vibe, you can still enlist a midwife as most have privileges to work in hospitals. Even better, they partner with obstetricians to ensure emergency readiness. One great compromise is finding a local birthing center which provides the benefits of both home and hospital. Birthing centers find a middle ground with a comfortable environment allowing family members and more holistic practices like pool births but with the safety of an obstetrician nearby in case of emergencies.

Bottom Line

Ultimately, what kind of experience you want during your child’s birth will be greatly determined by what kind of relationship you have with your physician, whether it’s an obstetrician or a midwife. If you’re comfortable with a midwife or an obstetrician and you have good communication with them, stick with them if they have the correct qualifications. However, it’s best to interview whoever you choose to make sure your goals for childbirth will be respected and that that person can handle your specific health needs.

If you decide to opt for a midwife, seriously consider a birthing center or even a hospital where your midwife can work alongside an obstetrician with all the medical equipment ready should an intervention be necessary.

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WELLNESS

Mind the Children MENTAL ILLNESS AMONG CHILDREN IS MORE COMMON THAN WE TREAT IT WRITTEN BY MICHAEL RICHARDSON

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CHILDREN, LIKE ADULTS, HAVE HEART PROBLEMS. THEY HAVE LUNG PROBLEMS. THEY HAVE DIGESTIVE PROBLEMS. IT SHOULD COME AS NO SURPRISE THEN, THAT CHILDREN ALSO EXPERIENCE MENTAL PROBLEMS. Unfortunately, a myth persists that children are largely immune from problems of the mind, a myth that results in lack of needed treatment and the escalation of problems into adulthood.

SCOPE OF THE ISSUE For the first time in thirty years, mental health conditions have displaced physical illnesses as the top 5 disabilities in US children, according to a recent report published in the Journal of the American Medical Association (JAMA). These disabilities include problems with speech, learning, attention, emotion, behavior and development. Clair Mellenthin, a psychotherapist at Wasatch Family Therapy in Utah who works primarily with children, says that children often experience the same mental illness as adults, but the illness is just expressed in a different way. She says she’s seen a huge increase in the last few years of little kids with anxiety and attachment issues. Certain children have a biological disposition to develop certain mental problems, such as anxiety or negativity. But the majority of children in her experience, Mellenthin explains, are dealing with issues from outside events. Adoption, divorce, abuse, witnessing a traumatic event and many other things can be the root of mood disorders, anxiety disorders and more.

NO HELP? The disaster is that most mentally ill children don’t actually receive treatment, according to the American Psychological Association (APA). Part of the reason for this is the stigma and misperception that

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“Everyone is going to have a bad day now and then, but if you notice that extreme emotions or behavior are lasting for days or weeks, it is time to seek advice.” comes with mental illness. Incorrect beliefs associating mental illness with violent behavior, incurability and character flaws have caused mental illness to be an especially negative health issue, making parents and their children understandably hesitant to admit that mental illness exists in their family and to seek help. But stigma aside, it’s simply difficult for parents to determine whether their child’s behavior is problematic or just typical childish behavior, according to Teri Brister, PhD, who serves as the Director of Content Integrity and the NAMI Basics Education at NAMI, the National Alliance on Mental Illness. “Some parents mistakenly think they are just dealing with what other parents deal with, because they have no point of comparison,” she says.

CONSEQUENCES Whatever the cause for not seeking treatment, untreated mental illness carries far reaching consequences. It can be compared to a broken bone, Brister says. If you wait to set a broken bone, the problem becomes much more complicated than if you set it immediately. Research shows that untreated mental illness during childhood may be a risk factor for suicide, substance abuse, involvement in the correctional system, failure to complete high school and adult psychopathology, according to the APA. As schools and government try to work out some kind of solution, more and more mentally ill juveniles are finding themselves in the justice system.

>>>>>>continued Seven out of ten youth involved in state and local juvenile justice systems throughout the country suffer from mental health disorders, according to the National Center for Mental Health and Juvenile Justice. In more than 20 percent of these youths, symptoms are severe enough to significantly impair function.

>>>>>>continued page 42 HEALTHY UTAH OCTOBER 2013

FIXING THE PROBLEM

Secretary of Education Arne Duncan in a press release.

A shortage of child psychologists and counselors is part of the reason why kids aren’t getting the needed help. Mental health treatment for the young is difficult to provide, Mellenthin explains, which may be why some health professionals shy away from it. Traditional talk therapy doesn’t really work with the younger group, she says, because they are still learning how to express themselves and interpret their feelings. Mellenthin says her patients often come in from hours away to get treatment. The shortage is national in scope. In 2009 the US Congress introduced a bill for the Child Health Care Crisis Relief Act, which would “increase the number of well-trained mental health service professionals providing clinical mental health care to children and adolescents.” The bill cited reports by the Center for Mental Health Services estimating that “20 percent or 13,700,000 of the Nation’s children and adolescents have a diagnosable mental disorder, and about 2/3 of these children and adolescents do not receive mental health care.”

Utah’s Early Light Academy and the Cache County School District both received more than $330,000 in grants. Most recently, President Obama proposed action that would provide 5,000 additional mental health professionals to serve younger people. "We've got to do a better job of recognizing mental health [problems] in our children," he said in a recent address. He has also called for increased dialogue on the subject of mental health.

PARENTS’ ROLE While it is vital that institutions attempt to find ways of coping with mental illness in youth, Mellenthin says what happens at home is critical in determining if a child gets needed care. How can parents recognize mental illness in their children? Brister says the key is to recognize changes in patterns of behavior.

Despite this enormous need, there were only about 7,000 child and adolescent psychiatrists in the US in 2009, the bill reads, with only 300 new psychiatrists in this field each year. The Department of Education reported that there were 479 students for each school counselor; almost double the recommended ratio of 250 to 1.

“Everyone is going to have a bad day now and then,” she says, “but if you notice that extreme emotions or behavior are lasting for days or weeks, it is time to seek advice.”

The choice to seek treatment is difficult, but finding the appropriate treatment is often equally or even more difficult. Brister says that the mental health field is still evolving to accept and understand mental illness in children and adolescents. “I frequently run into parents who are seeing mental health professionals who won’t diagnose their child with mental illness,” she says. This can be due to a reluctance to label a child, or even a belief on the part of the professional that mental illness cannot actually be present until the age of 18 years. For this reason, parents should be tuned in to the emotional and mental state of their children. Emotional suffering and uncommon behavior should be taken seriously, and action should be taken without regard to outside perception. “The culture of your family system really influences whether a person will seek out treatment or whether a parent will seek out treatment for their child,” Mellenthin says.

Brister says that it is important for parents to become familiar with how a child behaves in a variety of settings.

The Act called for loan repayment and scholarships for child mental health professionals to help pay back educational loans, and for grants promoting the training of these professionals. Another act, the Mental Health in Schools Act of 2011, aimed to assist local school districts in implementing mental health programs and counseling. Both bills died. But some action has been taken. In 2011, the US Department of Education awarded $15.2 million in grants to 43 school districts in 19 states to establish or improve counseling programs. "We believe that school-based counseling programs offer great promise for improving the prevention, diagnosis and treatment of students with mental-health issues," said US

42 HEALTHY UTAH OCTOBER 2013

Find out how behavior at home may differ from behavior at school. If you suspect a problem, you don’t have to start with a psychiatrist, she says. A pediatrician can provide direction as to what action should be taken.

“I frequently run into parents who are seeing mental health professionals who won’t diagnose their child with mental illness” -Teri Brister, PhD

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A Perfect Smile For A Healthy Lifestyle Call today for your free consultation and a free x-ray with Utah Valley’s favorite orthodontist!

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3300 North Running Creek Way, Bldg. F #102 (Across from Micron / IM Flash in Highland HEALTHY UTAH OCTOBER 2013

WELLNESS

New Trends in

Suicide

38,364 suicides in US, 2010

Suicide deaths surpass deaths from motor vehicle crashes WRITTEN BY MICHAEL RICHARDSON

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SUICIDE IS INCREASINGLY BECOMING A NATIONAL CONCERN, AS DEATHS FROM SUICIDE CONTINUE TO RISE. Health professionals are beginning to recognize new suicide trends in recent years, and have highlighted the need for a new approach to suicide prevention. First, according to the Centers for Disease Control and Prevention (CDC), the age groups that traditionally are at highest risk for suicide are changing. “Traditionally, suicide prevention efforts have been focused mostly on youths and older adults,” the CDC writes, “but recent evidence suggests that there have been substantial increases in suicide rates among middle-aged adults in the United States.” Statistics show that over the last ten years, suicide in the 35-64 year-old age group increased by nearly 30 percent. Among white people of that age, the increase was more than 40 percent. Men in their 50s and women in their early 60s were the age groups with the most pronounced increases in suicide rates. In the younger age group (10-34), suicide rates also increased, but not nearly as dramatically. The same is true for the oldest age group (>65). So why is the middle-age group of Americans suddenly more prone to suicide? The CDC offers a possible explanation: the recent economic downturn. “Historically, suicide rates tend to correlate with business cycles, with higher rates observed during times of economic hardship,” the CDC writes. In a comment on a recent New York Times article about the rise in suicide rates, one

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person blamed economic hopelessness for her brother’s suicide. “My brother committed suicide last July. He had just turned 60. He lost his IT job in the Great Recession in 2008. Despite hundreds of resumes being sent out, and a lifetime of IT experience, he got few interviews and no job offers. He spent down his 401(k) and when he died the only thing he owned was a beat-up car. We later found out he had a lot of credit card debt, with which he had tried to keep himself afloat. After four years of no job offers, unemployment running out, having no health insurance, etc., his dignity was shot. He had lost hope of ever working again. How I wish he had not committed suicide; how I would give anything and everything to have him back.” But economics cannot fully explain the increase, researchers explain, and more study is needed to understand the underlying causes. And health professionals are feeling the pressure to find effective prevention measures, as suicide rates are beginning to pass other historically more common causes of death. In 2010, for example, there were 33,687 deaths from motor vehicle crashes, and 38,364 suicides. Suicide remains an incredibly complex issue. Communities and community leaders should be aware of the problem, and seek effective prevention methods.

TWO FACTS ABOUT SUICIDE 1. The West Coast has the highest suicide rates. 2. The three most common methods for suicide are to use a firearm, poisoning (often from drug overdose), and suffocation.

HEALTHY UTAH OCTOBER 2013

nutrition

Udders or Almonds

COW’S MILK If you’re not allergic or lactose intolerant, cow’s milk is the most nutritious choice, says Trish. It’s high in protein, calcium and vitamin D and it’s a complete protein, meaning it contains all of the essential amino acids.

Things to consider:

Children under the age of two should drink whole milk or vitamin D because they need the extra fat to help their brains and bodies develop. Anyone above the age of two should opt for a lower fat milk, like one or two percent.

Which milk carton should we reach for?

“I recommend avoiding skim milk all together,” says Trish. “There is little to no nutritional benefit from drinking skim milk. People who drink low fat milk verses skim milk tend to maintain a lower body weight.”

WRITTEN BY H ALLI T IN T I

Got milk? Yes we do

and plenty of it! From cow’s milk to almond milk and everything in between, how do we know which carton to reach for at the grocery store? Registered Dietician Trish Brimhall with Nutritious Intent says it’s all in the milk’s label. Trish says you don’t have to drink milk, but you do need calcium and milk is the easiest way to get it. Let’s look at the five most common types of milk you see in your local dairy isle.

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SOY MILK

ALMOND MILK

Soy milk comes in second best behind cow’s milk, says Trish. It provides a considerable amount of protein and is generally a great tasting option.

Almond milk is thicker in texture and better tasting than most other varieties of milk. It is naturally a great source of calcium, but contains less protein than soy milk.

Things to consider:

Make sure your check the soy milk label for at least a 25-percent daily value of vitamin D and calcium. Unless the label states “unsweetened” you can assume it has already been sweetened. Unsweetened soy milk will have a notso-sweet bean-like taste.

Things to consider:

Make sure that the almond milk you buy is fortified with vitamin D, although it will already be high in calcium.

HEMP MILK RICE MILK Rice milk is thinner in texture than other varieties of milk. It tastes great, but buyer beware: this milk does not contain enough protein to meet your daily needs and contains the highest amount of carbohydrates. While rice milk is no nutritional star, however, it is the closest milk to cow’s milk in both appearance and taste, says Trish.

Things to consider:

Make sure the rice milk in your grocery cart is fortified with at least 25-percent daily value of protein and calcium. Drinking rice milk is basically drinking fortified carbohydrates. You will not get the protein content that cow’s milk provides.

This newly popular drink provides a great source of protein, however, it is not a substitute for cow’s milk. It’s gritty and most people don’t love the plant-like taste.

Things to consider:

Be sure to check the label for protein, calcium and vitamin D content, all of which are common reasons for needing milk in our diet, says Trish.

GOAT’S MILK Goats rival cows, when it comes to milk. Goat’s milk has more calcium than skim cow’s milk, and more potassium. It is also a good source of phosphorous.

Things to consider:

Goat’s milk isn’t an alternative for anyone with more than a mild lactose intolerance. Furthermore, it carries more calories per cup than cow’s milk. The best advice may be to drink goat’s milk, but to drink it sparingly. At the end of the day, your choice of milk has to come down to what tastes good. Trish says, you won’t put in your mouth what you don’t like. Find a type of milk you like and stick with it, and don’t beat yourself up over that tablespoon of chocolate flavoring you know you love to add. The health benefits of drinking milk far outweigh the sugar content.

Harvard Researchers found in a study of 12,829 kids ages 9 to 14 from across the country that

"Contrary to our hypothesis, skim and 1% milk were associated with weight gain, but dairy fat was not." This is because fat helps you feel full and will curb your appetite and help you make better nutrition choices throughout the day.

For more tips on which milk is best for you, visit www.nutritiousintent.com

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HEALTHY UTAH OCTOBER 2013

Rec Pumpkin Soup

with Shrimp and Lime Serves 6 to 8

Although pumpkin is normally associated with Thanksgiving pie, in many other cultures it is used more innovatively as a vegetable or in richly flavored sauces. This soup, which is delicious hot or cold, has its origins in both French provincial and Latin American cuisine. It’s breathtakingly easy and makes an elegant start to any meal. Large (approx. 5 quart) slow cooker Blender or food processor

3 1 tbsp 6 cups 4 cups 1 tsp Pinch 1 cup 8 oz 6 to 8 2 tbsp 1. 2. 3. 4.

Pumpkin for Baby

If your baby isn’t loving plain pureed pumpkin, try mixing in brown rice and a peach. The sweetness of a peach sometimes can help make food more palatable for the nino. Pumpkin is more than decoration and a hay-ride spectacle; it provides important vitamins and minerals.

48 HEALTHY UTAH OCTOBER 2013

leeks, white part only, cleaned & coarsely chopped oil peeled pumpkin, cut into 2-inch (5 cm) cubes chicken or vegetable broth salt Freshly ground black pepper Zest and juice of 1 lime cayenne pepper heavy or whipping (35%) cream cooked salad shrimp (see Tips) cherry tomatoes, halved toasted pumpkin seeds, optional (see Tips) Finely chopped chives or cilantro leaves

In slow cooker stoneware, combine leeks and oil. Stir well. Cover and cook on High for 1 hour, until leeks are softened. Add pumpkin, broth, salt, and black pepper to taste. Cover and cook on Low for 6 hours or on High for 3 hours, until pumpkin is tender. Transfer to a blender or food processor fitted with metal blade, in batches, or use an immersion blender, and purée. If serving hot, return soup to slow cooker, add lime zest and juice, cayenne, cream and shrimp and cook on High for 20 minutes, until shrimp are heated through. If serving cold, combine ingredients in a large bowl and chill thoroughly. When ready to serve, ladle soup into individual bowls and garnish with cherry tomatoes, pumpkin seeds, if using, and chives or cilantro.

Tips If pumpkin is unavailable, substitute any orange-fleshed squash, such as acorn or butternut. If you prefer, substitute 2 cans (33⁄4 oz/106 g) shrimp, rinsed and drained. When purchasing pumpkin seeds, taste first, because they tend to go rancid quickly. Store in the freezer until ready for use. To toast pumpkin seeds: Place seeds in dry skillet over medium-high heat, stirring constantly, until they are lightly browned and begin to pop. Immediately remove from heat.

Make Ahead Complete Steps 1 through 3. Cover and refrigerate for up to 2 days. When you’re ready to serve, if serving hot, reheat in a large saucepan on top of stove before completing Step 4.

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cipies

Sweet Mango Chutney Simple flavors complement the rich taste of mango in this all-purpose chutney. Ingredients (Makes about seven 8-ounce jars)

All photos credited to Colin Erricson/www.robertrose.ca

7 cups chopped peeled sweet mangos 3 cups chopped red bell peppers 11⁄2 cups chopped onions 2 cups packed brown sugar 1 tsp pickling or canning salt 1 tsp ground cinnamon 1 cup cider vinegar 1⁄4 cup freshly squeezed lime juice

Prepare canner, jars and lids. In a large pot, combine mangos, red peppers, onions, brown sugar, salt, cinnamon, and vinegar. Bring to a boil over medium heat, stirring often. Reduce heat and boil gently, stirring occasionally, for about 40 minutes or until onion is soft and mixture is thick enough to mound on a spoon. Stir in lime juice. Ladle hot chutney into hot jars, leaving 1⁄2 inch (1 cm) headspace. Remove air bubbles and adjust headspace as necessary by adding hot chutney. Wipe rim and place hot lid disc on jar. Screw band down until fingertip-tight. Place jars in canner and return to a boil. Process for 10 minutes. Turn off heat and remove canner lid. Let jars stand in water for 5 minutes. Transfer jars to a towel-lined surface and let stand for 24 hours. Check lids and refrigerate any jars that aren't sealed.

TIPS Be sure to use mangos that are ripe but not mushy. The skin should yield slightly when pressed, and the mangos should have a fragrant aroma, particularly at the stem end. Look for rich-flavored mangos with yellow skin for a wonderful flavor and texture. There are several varieties, such as Ataulfo or Alfonso. You'll need about 12 of these smaller varieties or 5 of the large varieties.

Mango For Baby Choose a ripe mango, with soft flesh. Peel, remove the pit and mash. Add apple or pear juice, yogurt or just water and continue mashing until you get the desired consistency. Excerpted from The Complete Book of Pickling by Jennifer MacKenzie © 2009 Robert Rose Inc. www.robertrose.ca Reprinted with permission. All rights reserved.

>>>>>>continued on page 51 Facebook.com/HealthyUT

HEALTHY UTAH OCTOBER 2013

EAT

Fine Dining by Night Once a month, The Flip happens. Out come the fine linen, the candles and the servers and down come the lights. Stacey and Aly carefully plan a themed threeto-five course dinner, reservations only. Making reservations includes choosing among the two or three options for each course, which makes dining on Flip nights surprisingly streamlined. Walk in and you’re greeted, seated and by the time they’ve finished getting your drinks, your first course is on the table.

Shapeshifting

The Flipside style of fine dining was born out of dissatisfaction with other highend restaurants’ dining experiences. Aly expressed her frustration, echoing questions many have had. “Why pay a hundred dollars or more for a meal of such small portions you wonder what exactly you’ve eaten?” Instead, during The Flip per person you’ll only pay a set 20 to 40 dollars for hearty portions of excellent food to make sure you leave 100 percent satisfied.

Flipside Cafe

A DELICIOUS MONTHLY METAMORPHOSIS

Whether you choose to visit by day or night, Flipside Cafe will satisfy you with quality, freshness, and value.

Cafe by Day

When expanding their catering business led Alyssia and Stacey to buy up a restaurant space late last year, they faced a difficult decision: how could they stay true to their passion for excellent food and their skills gleaned from culinary school while also delivering a restaurant experience that could be a staple in the community? They settled on Flipside Cafe, which by day offers excellent and affordable lunches and one night a month transforms (yes, like a werewolf) into a gourmet restaurant. This somewhat bipolar restaurant idea seemed to fit the bill both for Aly and Stacey and now also satisfies their community’s culinary desires. Fittingly, in order to discuss the cafe’s food, it’s necessary to divide up the Flipside’s two sides: the everyday cafe and the fine dining one night a month.

Only open for lunch and breakfast, the cafe’s offerings span from made-to-order sandwiches and wraps to excellent burgers, and daily-made soups. Every morning Aly and Stacey roast turkey, grill chicken, bake focaccia, and make soups from scratch. Though these offerings are all filling, well prepared and flavorful and use fresh ingredients, amazingly all the sandwiches, burgers, and wraps are under seven dollars. Considering one sandwich was enough to fill me to the satisfied+ level, I’d venture to say that Flipside Cafe is a bargain. Definitely try the Buffalo Chicken Wrap filled with provolone, tomato, grilled chicken, homemade onion straws, house buffalo bleu cheese sauce and romaine lettuce, which finds a good balance between a fresh tomato and romaine taste with richer, deeper tones in the fried onion straws and grilled chicken. The burgers are priced similarly to what you’d find in chains like JCW’s, though at Flipside expect a juicy burger miles away from the hockey pucks you deal with at chains. The Mushroom Swiss Burger is a good first candidate with fresh mushrooms sauteed in rich au jus sauce with swiss cheese over a ¼ lb patty and finished with secret house sauce.

192 S 500 E, American Fork, UT • (801) 756-5960

50 HEALTHY UTAH OCTOBER 2013

Every month is different, but as a sampler of the possibilities, take a look at last month’s Italian Flip. FIRST COURSE: SALADS CAPRESE: tomato, basil, mozzarella with balsamic reduction sauce CAESAR: Crisp Romaine, homemade croutons, parmesan crisp, caesar dressing SECOND COURSE: ENTREE CHICKEN MARSALA: grilled chicken breast with mushroom marsala sauce, garlic mashed potatoes and sautéed vegetables PORK TENDERLOIN MEDALLIONS: juicy pork tenderloin medallions with a port wine reduction sauce, garlic mashed potatoes and sautéed vegetables THIRD COURSE: DESSERT TIRAMISU: lady fingers dipped in coffee, layered with a mascarpone cheese custard, and flavored with cocoa FLOURLESS CHOCOLATE TORTE: rich chocolate torte with vanilla cream sauce and raspberries

Healthy-Utah.com

>>>>>>continued from page 49

Vegetable Paella This version of the traditional Spanish dish is quick and simple. 11⁄2 cups 1⁄2 tsp 1 tbsp 1⁄4 cup 1⁄2 cup 1⁄4 cup 1⁄4 cup 1⁄4 cup 1. 2.

3. 4.

water or homemade vegetable stock ground turmeric olive oil chopped onion medium-grain rice, rinsed chopped green bell pepper chopped red bell pepper frozen peas

In a measuring cup, whisk together water and turmeric. In a skillet, heat oil over medium-high heat. Add onion and cook, stirring, until tender, about 3 minutes. Stir in rice, green pepper, red pepper, peas and stock mixture; bring to a boil. Reduce heat and simmer, partially covered, until rice is tender and liquid is absorbed, about 15 minutes. Transfer to blender and purée on high speed to desired consistency. Makes about 2 cups (500 mL)

Tips Combining vitamin C–rich foods with iron-rich foods helps the body absorb more iron. Red peppers are rich in vitamin C, and enriched rice is a good source of iron.

Nutritional Info (per 1/4 cup):

Calories: 74 Fiber: 1 g Carbs: 11 g Fat: 2 g Protein: 3 g Iron: 1 mg Vit. C: 15 mg

Squash Special Smoothie Serves 2 or 3 1⁄2 cup 1 cup potato 1⁄4 cup 1⁄4 tsp 1⁄4 tsp Pinch

apple juice cooked squash or sweet chopped apricots ground turmeric cayenne pepper ground cumin

In a blender, combine apple juice, squash, apricots, turmeric, cayenne and cumin. Secure lid and blend (from low to high if using a variable speed blender) until smooth.

Squash for Baby • • • • •

Cut squash in half Place cut squash side-by-side, cut side down in a baking dish, the dish filled with about half an inch of water. Bake at 350 degrees, until the flesh is soft when pierced with a knife. Scoop out flesh, puree. Mash with fork if flesh is soft enough. With leftover squash, freeze it into cubes with an ice cube tray. Put frozen cubes in a freezer bag, and use as needed.

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HEALTHY UTAH OCTOBER 2013

>> Advisor Women's Health

The C-Section

EPIDEMIC When I was born in 1961, the Cesarean delivery rate in the US was just under 5% despite all the wonderful advances in modern medicine during that time. Ironically, the one area where patient care may have actually declined is obstetrics. The national Cesarean rate now hovers around 30%, with nearly 1/3 of all births performed via Cesarean. But why? Improvement, have all made it a national priority to reduce the early (prior to 39 weeks) elective delivery rate. This has reference to mainly mothers who have had prior vaginal deliveries.

THERE ARE CERTAINLY MULTIPLE FACTORS FOR THIS, WITH OUR GENERAL IMPATIENCE AS A SOCIETY BEING ONE OF THE LEADING FACTORS. WE WANT WHAT WE WANT, AND WE WANT IT NOW! Back in 1961, only a very few women were induced. The classical definition of a woman’s due date was considered to be 40 weeks from the first day of her last menses, plus or minus 2 weeks. In fact, it was not uncommon for a woman to go 3-4 weeks beyond her due date before her obstetrician would even consider induction of labor. Of course, I am not advocating a return to 43 or 44 week pregnancies, but multiple studies have shown a very substantially increased risk of Cesarean delivery in first-time mothers who have their labors induced. In fact, in one study, if a first time mother was induced with an unripe cervix, nearly one half ended up with a Cesarean. In addition to causing an increase in a Cesarean, early elective delivery has recently been targeted for corrective action by several large national organizations. The LeapFrog Group, National Quality Forum, and the Institute for Healthcare

52 HEALTHY UTAH OCTOBER 2013

In a recent publication of OB/GYN News in July of 2012, when referring to elective inductions, “Primiparous women (first time mothers), had a thirteen-fold increased risk for Cesarean deliveries compared with multiparous women.” Therefore, I personally do not start first time mothers until 41 weeks EGA to try to avoid that 13 times increased risk of Cesarean with induction. Along with the clause that “patience is a virtue,” the exact same study aforementioned was referenced in an issue of OB/GYN News, showing that women who receive an epidural prior to 4 cm dilation have double the risk for a Cesarean compared to later epidural placement. The actual quote is “The risk of a C-section doubled in women undergoing induction of labor who received an epidural before 4 cm. dilation, compared with later epidural administration.” This makes sense because active labor is defined as regular uterine contractions along with a cervical dilation of at least 4 cm. Therefore, by simply waiting until you are at least 4 cm. before getting an epidural you can cut your own risk of a C-section in half.

until you have a Bishop’s score of 9 or greater also enhances your chances of a normal delivery. And finally the liberal use of VBAC or vaginal birth after a Cesarean delivery will further help decrease the alarming C-section rate. Only about one-fifth of patients who are safe and eligible candidates for a TOLAC (Trial of labor after Cesarean), actually undergo a trial of labor after Cesarean. However, about 80% of my patients who undergo a TOLAC are successful in having a vaginal delivery. We should encourage rather than discourage the use of VBAC. In summary, your own mother was right when she said that “patience is a virtue.” By waiting for spontaneous labor rather than induction, by waiting for an epidural until cervical dilation of 4 cm. and waiting for a “ripe” cervix if you do choose induction, you can greatly reduce your own chances of a C-section, as well as the increased risk that goes with an operative delivery.

ABOUT THE AUTHOR Mark Saunders, MD

Obstetrics & Gynecology Personal Care 801-692-1429 drsaundersobgyn.com

Another finding, also demonstrating the importance of patience, found that a Bishop’s score of less than 5 also doubles the risk for C-section. Thus, waiting

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HEALTHY UTAH OCTOBER 2013

>> Advisor SURGERY

Invincibility B

efore trying any new adventure I contemplate the risk of bodily damage or harm to myself. This wasn’t always the case. I loved to rock-climb, snow ski and mountain bike as I grew up and if I wasn’t climbing higher cliffs, jumping further and going faster with each excursion, I wasn’t having fun.

to have premature wrinkling, sunspots or skin cancer. Decreasing these risks requires little. Simply limit sun exposure during peak hours, 10:00 A.M. to 2:00 P.M., wear protective clothing and use sunscreen. Apply generously and frequently when in the sun. The best sunscreen is one with good UVA & UVB coverage.

Now before engaging in new adventures I consider what possible injury may befall myself and what that will mean to me or those for whom I am responsible.

Despite plentiful research to support smoking’s ill effects, an unfortunate number of people smoke. Ceasing to smoke will improve health. It will also benefit your skin. It’s never too late to stop. Your physician will be glad to assist you if you need help to quit.

Patients often discover they have acted just as brashly in their younger years in regards to their appearance. Sun worship, smoking or large fluctuations in weight may, like falling while mountain biking, leave injury in their wake. Our faces are especially at risk because they are always exposed. We wouldn’t willingly damage our appearance if what we did left an immediate scar. However, because no obvious damage is immediately present, we bask in the sun, or continue to smoke without concern. Healthy choices regarding what we expose ourselves to or put into our mouths can slow the hands of time. Coupled with healthy exercise habits, we can create a discrepancy between our chronological age and our physical age. Though genetics certainly play a part, if we take healthy, sensible precautions, we give ourselves a great advantage.

What are the best things we can do to retain our good looks? First, limit sun exposure and use sunscreen. The more we are exposed to the sun the more likely we are

Obesity is a plague. Many discover after having weight gain that with perseverance, dietary control and exercise, they can lose unwanted weight. To be most effective, don’t think of diets, but choose to live differently. The health benefits of weight loss are tremendous. Blood pressure decreases, cholesterol lowers, joint stress is decreased, the heart is happier and the likelihood of diabetes diminished. Despite these benefits of weight loss, skin damage may already have occurred. Simple procedures and a good skin care program can often remedy facial-skin discoloration. Minor wrinkles respond well to Botox or Fillers. Loose skin may respond to skin tightening devices. If more significant skin laxity is present, surgical removal is an option. Teens beware. The best approach to forever-youth is prevention. If, however, you find yourself looking more aged than you feel, many options are available. In the meantime, go get some sunscreen.

ABOUT THE AUTHOR Dr. Benjamin Dunkley Envision Cosmetic Surgery 801-268-2650 See online: envisionsurgery.com

54 HEALTHY UTAH OCTOBER 2013

Dr. Dunkley is the physician providing services at Envision Cosmetic Surgery. He is dual board certified in Facial Plastic Surgery/Otolaryngology and General Cosmetic Surgery. Born and raised in Utah, he now practices Cosmetic Surgery in the state he loves.

Healthy-Utah.com

>> Advisor Surgical Weight Loss

Lap Band Car Some people who are significantly overweight have been disappointed with diets and various weight loss programs. It just doesn't seem to be fast enough to ever get there. In the efforts to be healthier individuals have tried to walk or crawl to the goal of a better scale report. Sometimes something faster than walking is needed to help get you there. The fastest and most effective tool is a vehicle. The safest weight loss "car" is a Laparoscopic Adjustable Gastric Band. The Lap-Band is the most popular of the "Bands." It is a tool for weight loss. The Lap-Band is the safest weight loss surgery vehicle. Just like a car can get you to your destination, a Lap-Band can HELP you get to your weight loss goal. Like all weight loss programs or surgery, it has to be understood and

Set Yourself Free

used correctly or it will fail, or "crash," leaving you stranded. There is no autopilot weight loss surgery. If you don't drive it or ever start the engine there won't be any progress, even if you "buy the vehicle." All weight loss surgery requires "maintenance" effort. At Utah Lap-Band the mission statement is to "Provide excellent compassionate care and education for the highest potential improvement of health." Intense support, education and encouragement combined with exact, experienced surgical technique will provide the best opportunity for success. See Utah Lap-Band to get to your goal faster.

ABOUT THE AUTHOR Darrin F. Hansen, MD, FACS Utah Lap-Band 801-LAP-BAND UtahLapBand.com

HOPE. HELP. LASTING WEIGHT LOSS.

Darrin F. Hansen, MD., F.A.C.S.

801-LAP-BAND Facebook.com/HealthyUT

HEALTHY UTAH OCTOBER 2013

>> Advisor Allergies

Keep the Boo! Lose the Achoo! FOLLOW FOUR TIPS TO SCARE AWAY HALLOWEEN ALLERGY AND ASTHMA TRIGGERS

alloween survival involves more than dodging zombies and avoiding tummy aches – especially for little ghosts and goblins with allergies and asthma. But unlike eluding the walking dead, avoiding allergy and asthma triggers requires a strategy to ensure a fun and safe holiday. There are several steps parents need to take to make sure Halloween is not a frightful experience for kids with allergies and asthma. The American College of Allergy, Asthma and Immunology suggest the following to side step (sometimes surprising!) triggers: _______________________________ 1. BE WARY OF HAUNTED HOUSES – Creeping through a haunted house may be scary fun, but a visit can cause real-life fright if your child can’t breathe easily. Excitement and anxiety provoked by zombies, ghouls and goblins can sometimes trigger asthma if your child’s asthma isn’t properly controlled. Running from house to house in

56 HEALTHY UTAH OCTOBER 2013

search of treats can also trigger symptoms. Make sure their asthma is controlled now, and also ensure your child carries their emergency medicine, such as a quick-relief inhaler. _______________________________ 2. MENACING MOLD – While jumping through piles of leaves can be tempting for your little one as they are trick-ortreating, it can also be harmful. Molds, such as Alternaria, are commonly found on leaves this time of year and can trigger asthma attacks. Running through leaves can cause mold to stir into the air, resulting in high exposure. Plan ahead and call me to discuss seasonal allergy and asthma triggers, and how they can be avoided. _______________________________ 3. WATCH OUT FOR MORE THAN NUTS – Halloween is a tricky time if your kids have food allergies, especially to peanuts. But dairy, wheat and eggs are also common allergens found in different candies and other Halloween treats. Read product

labels carefully before letting your child indulge in their sweets. Also, if you suspect your little one has a food allergy, make sure to see an allergist for testing to identify all of your child’s triggers far in advance of Halloween festivities. Treatment for food allergies is also available! _______________________________ 4. DERAIL DERMATITIS – Costumes can be more than a scary sight if you child has contact dermatitis. Their skin can be sensitive to certain irritants such as the preservatives in makeup. If your child insists on wearing makeup for the complete effect, test a patch of skin a few days before Halloween to see if there is an itchy rash or swelling. Or try hypoallergenic or theater makeup. Also beware of nickel that is often found in jewelry and costume accessories, which can lead to a rash. If you’re not sure what triggers your child’s allergies, let me help you pinpoint the problem.

Take these precautions and make sure you and your child survive Halloween allergyand asthma-related pitfalls. For more information about allergies and asthma, visit www. rockymountainallergy.com or call 801-775-9800.

ABOUT THE AUTHOR Douglas H. Jones, MD Rocky Mountain Allergy, Asthma & Immunology 801-775-9800 rockymountainallergy.com Dr. Jones specializes in the diagnosis and treatment of all conditions relating to allergies, asthma and immune system disorders. He is board certified by the American Board of Allergy and Immunology and the American Board of Internal Medicine. He earned his MD from Penn State University and completed his specialty training at Creighton University.

Healthy-Utah.com

>> Advisor Surgery

Dumbo. Mickey Mouse. Goofy.

ll names my patients with prominent ears have been called. You know those kids. Their ears stick out from the side of their head in a most distracting fashion. While they talk to you, you are watching their ears. When you sit behind them you can’t help but stare. My son was one of those kids. My wife took him with her to her first appointment with a new doctor. That doctor walked in the room and said to her, “Whoa! Those are some elephant ears. Are you going to do something about that before he starts school?” She was devastated. Even a doctor may say the worst of things. I remember the day my son lost the blessing of childhood obliviousness and became aware of his own appearance. We were in a hotel and he was sitting in front of a full length mirror. He suddenly began to laugh hysterically. I mean he was falling over laughing. We were perplexed. “Look at my ears!” he managed to squeak out. From then on he was always aware. No amount of loving parental talks about loving your differences and being special made a bit of difference.

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That is where otoplasty comes in. Otoplasty is a surgical technique to reshape the ears or “pin” them into a more natural position. It usually involves an incision in the back of the ear and sometimes one on the front. If there is too much cartilage in the bowl of the ear, contributing to their exaggerated shape, a small amount of that cartilage can be removed.

be addressed. Otoplasty is usually done as an outpatient procedure. It takes a couple of hours. There is some initial pain, but it is relatively brief and easily treated with medication. The head is wrapped initially and when the dressing is removed a head band is worn for a few weeks to support the new shape and allow the ears to fully heal. Normal activities can generally be resumed during this time.

The most common cause of prominent ears is that a major fold of the cartilage of the ear fails to develop. If you look at the profile of an ear, the major fold forms a Y shape. Some individuals are missing the top branch of that Y and thus the fold that holds the ear close to the head is missing. The missing fold can be recreated by reshaping the cartilage with sutures— kind of like sewing a fold into a garment. Often this condition runs in families. My son comes from a long line of prominent ears, in varying degrees.

After my son’s surgery he was thrilled. I kind of missed his trademark appearance. Most kids look instantly more mature after otoplasty. But he didn’t miss it at all. His happy expression said it all; “My ears are like doors, they used to be open and now they are closed.”

Junior High is a rough time for any adolescent. Often we recommend that a youth have this corrected before hitting that rocky road. But even when this condition extends into adulthood, it can

ABOUT THE AUTHOR Dr. Dayne Petersen NuVista Plastic Surgery 801-261-5791 nuvistaplasticsurgery.com

Dr. Petersen recently moved his practice here to Utah after spending several years on the teaching faculty of the University of Oklahoma. To learn more about Dr. Petersen and Breast Oasis, the non-profit he supports, visit his website www.nuvistaplasticsurgery. com

HEALTHY UTAH OCTOBER 2013

play / october 2013

healthy events 10

2013 CELEBRATE THE BOUNTY

Held at the Union Pacific Depot (400 W. South Temple, Salt Lake City), this event celebrates and awards the best local food in the state. From best taste to best presentation, this event is a food-lovers place to be. The event includes a dinner.

www.localfirst.org/celebrate

events

17-20 RUNNER’S RETREAT

World Marathon Championships qualifier Renee Metitvier-Baille and her husband, a coach and massage therapist, will lead this 4-day retreat, where participants will learn drills and stretching routines, and will benefit from discussions on injury prevention, life/running balance and more. You’ll stay at Resorts West in Park City.

1-13 OKTOBERFEST

At Snowbird Resort, Oktoberfest is a German-themed festival spanning for weeks, with German food, music and fun. Come on Saturdays from 11 am to 6 pm. Admission is free.

1-877-773-1117

801-933-2222

1-19

ACTIVE LIGHT: PHOTOGRAPHY OF BARRY UNDERWOOD AND CHRIS MCCAW

Presented at Utah Valley University’s Woodbury Art Museum, this exhibit uses light as a participant in the artistic process.

MODIFIED 100, CAR RACING

Held at the Rocky Mountain Raceways in West Valley City, this event is a Super Oval race sure to entertain.

801-252-9557

Salt Lake City’s premier Halloween run, The Haunted Half brings together candy, fun and costumes in a great way.

http://thehauntedhalf.com

www.uvu.edu/museum

THE HAUNTED HALF

PROVO HALLOWEEN HALF MARATHON

Proclaimed as the most fun thing to do in Provo without being arrested, this race is full of costumes, competition and craziness.

www.halloweenhalf.com/

HARVEST FEST

The 4th Annual Harvest Fest will kick off at noon at High Star Ranch in Kamas, 976 N. State Rd. 32. Live music, wagon rides, vendors, kids’ activities and more.

435-649-9698

9-31 HAUNTED VILLAGE, THIS IS THE PLACE HERITAGE PARK You’ll find plenty of haunted houses this October, but what about an entire haunted village? Prepare yourself…

801-582-1847

9-31 BRIGADOON

The Hale Center Theatre in Salt Lake City presents this classic play about the enchanted Scottish village of Brigadoon. Shows every Monday-Saturday! 801-984-9000

REAL SALT LAKE VS. CHIVAS USA

Come watch the best of American soccer as RSL battles Chivas USA.

www.riotintostadium.com

25 FAMILY SLEEPOVER, NATURAL HISTORY MUSEUM

Come experience the Natural History Museum of Utah at night, where families participate in activities and sleep under the wonders of nature.

www.nhmu.utah.edu

25-26 ANTELOPE ISLAND BISON ROUND UP

The annual round up of more than 500 bison on Antelope Island State Park is an event worth watching. Drivers, cyclists and walkers all congregate to watch the cowboys and cowgirls do their work.

(888) 777-9771

58 HEALTHY UTA UTAH OCTOBER 2013

11/2 THE FAB FOUR THE ULTIMATE TRIBUTE

Healthy-Utah.com

concerts 4-6

STOMP

Kingsbury Hall, University of Utah. This award-winning show is a must-see. STOMP makes rhythm out of trashcans, tea chests, plungers and a bunch of other stuff, just not conventional instruments. 801-581-7100

IMAGINE DRAGONS 25

30 SECONDS TO MARS

The Great Saltair, West Saltair Drive, Magna. All ages. Saltair will be rockin' when Thirty Seconds to Mars and guests New Politics hit the stage October 9th. The doors open at 6 PM; Showtime is 7:30 PM. Don't miss out! Tickets are on sale now.

JOSH GROBAN

EnergySolutions Arena, 301 West South Temple, Salt Lake City. Spend an evening with classical/pop crooner Josh Groban when his In The Round tour fills EnergySolutions Arena with music from his latest release, "All That Echoes," and more October 11th. Judith Hill will also perform. The show begins at 8 PM. Tickets are on sale now.

www.joshgroban.com/intheround

PASSION PIT

The Complex, 537 West 100 South, Salt Lake City. Passion Pit bring their style of high energy, electronic pop to The Complex. Playing alongside special guests, The Joy Formidable, you can expect a deliriously fun, and fist-pumping time from this show. Tickets are on sale now. The doors open at 6:30 PM.

www.passionpitmusic.com/tour

17 P!NK

EnergySolutions Arena, 301 West South Temple, Salt Lake City. All ages. Pink has become one of the most successful artists of her generation, having sold over 100 million records worldwide as of 2013. Don’t miss her Truth About Love Tour at EnergySolutions Arena. The doors open at 6 PM, Showtime is 7:30 PM. Tickets are available now.

www.thetruthaboutlovetour.com

CITY AND COLOUR

In The Venue, 219 South 600 West, Salt Lake City. All ages. City and Colour, along with specials guests Sleepy Sun, are coming to town with their signature brand of soulful acoustic, indie rock in support of his new album, The Hurry and The Harm. Doors open at 6:30 PM.

www.smithstix.com

THE 1975

Kilby Court, 741 South 330 West, Salt Lake City. All ages. The 1975 are an English alternative rock band. Their sounds was described by Paste Magazine as "equal parts ethereal and synth pop", with "haunting" and "smooth" vocals. Though generally acknowledged as an alternative rock group, they have been influenced by diverse genres including electro-pop, electronic music, guitar pop, and R&B. Check these guys out if you’re feeling adventurous. The doors open at 7 PM. www.the1975.com/tour

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Dee Events Center, 3401 University Circle, Ogden. All ages. Imagine Dragons are a rock band from Las Vegas, Nevada. They gained exposure after the release of their debut studio album, Night Visions in September 2012. Billboard magazine named them "The Breakthrough Band of 2013", and Rolling Stone magazine called their single “Radioactive” "the biggest rock hit of the year."

www.imaginedragonsmusic.com/tour

www.thirtysecondstomars.com/tour

10/25

IMAGINE DRAGONS

MACKLEMORE & RYAN LEWIS

The Maverik Center, 3200 S Decker Lake Dr., West Valley. All ages. Macklemore & Ryan Lewis are coming to Maverik Center on Saturday, October 26th with special guests Talib Kweli and Big K.R.I.T. The doors open at 6:30 PM; Showtime is 7:30 PM. Tickets are on sale now.

10/11

www.macklemore.com/

A SUPERHERO HALLOWEEN, UTAH SYMPHONY

Abravanel Hall Salt Lake City. The Utah Symphony presents this annual tradition with pride. Come enjoy music from Star Wars, The Rocketeer, Hook, Batman and more. Participate in a costume competition as well.

JOSH GROBAN

www.utahsymphony.org

NOV. 2 THE FAB FOUR THE ULTIMATE TRIBUTE

Tuacahn Amphitheatre and Centre for the Arts, 1100 Tuacahn Drive Ivins, UT. All ages. The Fab Four is elevated far above every other Beatles Tribute band due to their precise attention to detail. With uncanny, note-fornote live renditions of Beatles' songs, The Fab Four will make you think you are watching the real thing. Showtime is 7:30 PM on Saturday.

www.tuacahn.org (Under the ‘Concerts’ tab).

10/9 30 SECONDS TO MARS

Utah Propels a New Age of Baby Monitors Entrepreneurs in Utah have created the world’s first baby “smart sock,” which sends information to parents’ smartphones about an infant’s heart rate, oxygen levels and more. Parents often worry about their newborns, especially if their child was born prematurely. “Every parent knows what it’s like to lay in bed and stress about whether your child is breathing,” says Jacob Colvin, father of two and co-founder of Salt Lake City-based Owlet Baby Monitors, which makes the smart sock and smartphone app.

Currently, parents have a baby monitor as their only practical ally, which can only indicate a problem through sound. While Owlet’s sock and app aren’t meant to be a medical instrument, the device provides a range of information that gives parents a detailed view of their child’s situation. Parents who exclaim “if only my baby could talk!” now have a kind of interpreter. For example, the device can monitor skin temperature, and can track a baby’s sleep quality. The app can even let parents know when the baby rolls over. Impressively, Owlet has won more than $160,000 in entrepreneurship contests. They recently launched their product, and have begun a crowdfunding campaign to jumpstart their business.

HEALTHY UTAH OCTOBER 2013

HEALTHY UTAH H E A LT H D I R E C TO R Y AESTHETICS & LASER

JEFFREY AYERS, MD MEDICAL DIRECTOR

Elase Medical Spa

801-495-2737 Healthy-Mag.com/Elase

ALLERGY & ASTHMA

EYE CARE

PHILLIP C. HOOPES ,MD

Hoopes Vision Correction Center 801-568-0200 Healthy-Mag.com/Hoopes

ORTHOPEDICS/SPORTS MED

TREVOR MAGEE, MD

Salt Lake Regional, The Center for Precision Joint Replacement

866-431-WELL (9355) Healthy-Mag.com/SLRegional

FUNC TIONAL MEDICINE

SPINE CARE / SURGERY

Rocky Mountain Allergy, Asthma & Immunology

RedRiver Health and Wellness Center

The SMART Clinic

801-775-9800 Healthy-Mag.com/Jones

801-446-2822 Healthy-Mag.com/Redd

801- 676-7632 Healthy-Mag.com/SmartClinic

B A R I AT R I C M E D I C I N E

HORMONE THERAPY

SPINE CARE / SURGERY

Utah Wellness Institute

The SMART Clinic

DOUGLAS H. JONES, MD

O. LAYTON ALLDREDGE MD, FACS

JOSHUA JAMES REDD, DC

ROBERT JONES, DC

South Valley Surgical

801-576-1155 Healthy-Mag.com/RobertJones

B A R I AT R I C M E D I C I N E

INFERTILIT Y

801-571-9511 Healthy-Mag.com/Alldredge

DARRIN F. HANSEN MD, FACS

Utah Lap Band

801-LAP-BAND (801-527-2263) Healthy-Mag.com/Hansen

RUSSELL A. FOULK, MD

Utah Fertility Center

801-492-9200 Healthy-Mag.com/Foulk

INSURANCE C A R D I O LO G Y

AMANDA DONOHUE, DO

Jordan Valley Medical Center

801-263-2370 Healthy-Mag.com/Donohue

COSME TIC SURGERY

BENJAMIN DUNKLEY, DO

Envision Cosmetic Surgery

801-268-2650 See online: envisionsurgery.com

D E N TA L : C O S M E T I C

WALTER MEDEN, DDS

Elite Smiles

801-572-6262 Healthy-Mag.com/Meden

D E N TA L : G E N E R A L

DON BIGELOW, DDS, PC

K. Don Dental

801-424-0600 Healthy-Mag.com/Bigelow

STEPHEN L. BARLOW MD, VICE PRESIDENT

SelectHealth

801-442-5038 Healthy-Mag.com/SelectHealth

INSURANCE

DENNIS HARSTON MD, MBA, CMO

Altius Health Plans

800-377-4161 Healthy-Mag.com/Altius

M E N ’ S H E A LT H

LANE C. CHILDS, MD, FACS

Western Urological Clinic

801-993-1800 Healthy-Mag.com/Childs

Western Urological Clinic

801-993-1800 Healthy-Mag.com/Gange

ORTHOPEDICS/SPORTS MED

Roseman University of Health Sciences

Salt Lake Regional, Precision Joint Replacement Center

801-302-2600 www.roseman.edu

AARON HOFMANN, MD

866-431-9355 Healthy-Mag.com/SLRegional

DIABETES

M E N ’ S H E A LT H

JDRF - Juvenile Diabetes Research Foundation

Men’s Health Center

LAURA WESTERN

801-530-0660 Healthy-Mag.com/JDRF

AUTUMN SPENCER COSMETOLOGIST, OWNER

Seasons Salon and Day Spa

801-223-9356 Healthy-Mag.com/Seasons

SKIN CARE

DOUGLASS FORSHA, MD

South Valley Dermatology

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V E I N T R E AT M E N T

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H E A LT H Y U TA H

E X P E R T PA N E L

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W O M E N ’ S H E A LT H 801-692-1429 Mark Saunders , MD | Dr. Saunders OB/GYN

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EYE CARE

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