Susan G. Komen Idaho / Montana

IMPACT. MAGAZINE 2016

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SAINT ALPHONSUS | COMPREHENSIVE BREAST CARE

All about staying fierce.

The best kind of breast care is there when you need it, to detect problems early and treat you quickly. That’s why Saint Alphonsus offers the latest in 3-D screening, breast surgery, reconstruction and cancer care — all supported by a team of breast health experts, including a personal navigator to help guide the way.

And with five Breast Care Centers and two mobile mammography coaches that travel across the region, you’ll get state-of-the-art care that’s convenient for you.

Whether you’re staying fierce in the fight against cancer, or something else, you’ll find a full range of women’s services at Saint Alphonsus that are all about you.

Boise | Eagle | Nampa | Ontario | Baker City SCHEDULE YOUR MAMMOGRAM TODAY

208-367-8787

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From Cervical Cancer HPV vaccine is cancer prevention.

Talk to your doctor about vaccinating your 11–12 year old sons and daughters against HPV.

ImmunizeIdaho.com

IMPACT. MAGAZINE 2016

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Plumbers In Pink.

Working Together to Help Flush Cancer.

Taking action in our community to create happy, healthy customers through superior service, customer satisfaction and community support & involvement.

For Comfort Today:

(208) 489-0855 www.perfectairboise.com • www.a1plumbingboise.com

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SUSAN G. KOMEN IDAHO / MONTANA 2016

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IMPACT. MAGAZINE 2016

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ARTICLES 12

RACE DAY SCHEDULE

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EVERYDAY HEROES RIGHT HERE IN IDAHO

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YES, I’VE GOT BREAST CANCER. TALK TO ME.

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WHAT’S YOUR RISK?

30

EARLY DETECTION IS YOUR BEST PROTECTION

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RESTARTING AFTER DIAGNOSIS

This year is going to be big! Here’s your guide to everything you need for the Susan G. Komen Idaho/Montana race.

THERE’S A HERO IN ALL OF US. These heroes are active members of the breast cancer community, each fighting the fight in their own way.

If someone close to you was recently diagnosed with breast cancer, these tips may be helpful to you.

Breast cancer currently represents nearly a third of all female cancers and is ranked 2nd in mortality only to lung cancer.

All women should have access to regular mammograms when they and their health care providers decide that it is the right time.

Worry crowds your life, be it worries about money, work, school or time. But when your doctor says “you have cancer,” that’s different.

44 WHICH SCREENING IS BEST FOR ME?

It’s hard to turn on the news without hearing about a new breast cancer screening or new recommendations for mammography.

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I M PAC T MAG A Z I N E

DIRECTOR’S NOTE

on our mind

KOMEN 2016 Idaho / Montana Affiliate of Susan G. Komen Race for the Cure

18 YEARS OF CELEBRATING THE BOISE RACE FOR THE CURE! EXCITEMENT IS IN THE AIR AT THE KOMEN IDAHO MONTANA OFFICE, AS WE LOOK FORWARD TO ANOTHER BEAUTIFUL MORNING WHEN NEARLY 10,000 IDAHOANS COLOR ALBERTSONS HEADQUARTERS AND PARKCENTER BOULEVARD PINK TO RACE FOR THE CURE. We have so much to be proud of over the past year. Our Affiliate has not only expanded into Eastern Idaho to provide breast health services and education to every Idahoan in need, but we have also merged with our neighbor to the East to become Susan G. Komen, Idaho Montana.

Because Idaho and Montana rank among the last in the U.S. for women receiving mammograms, the need for better breast health services stretches across our States’ border, and we believe sharing goals, ideas and resources through the state line will only make our Affiliate stronger.

We are also very excited about the 2016 Race campaign “Everyday Heroes”. Many members in our community fight against breast cancer each day with the work they do. Whether it’s in screening, treatment, or research, these Heroes should be recognized for their inspirational efforts. Please make sure to visit the article in this edition of Healthy Idaho to meet our Everyday Heroes.

The 2015 Community Profile is complete. Every four years, Komen Idaho Montana goes through an assessment process to better understand our service area’s breast cancer burden. The results identify areas of need that assist us in determining criteria for future grant cycles. This process is vital for Komen Idaho Montana to align our community outreach and grant-making activities towards the same goal(s). The completed version of the 2015 Community Profile is available at komenidahomontana.org.

Our mission is to save more lives in our now-100-county service area. Where you live should not determine whether you live, and everyone should have equal access to care. We are constantly working with our Grantees to ensure that access to screening, diagnostic services, patient assistance and education is available to those in need. The support of the Treasure Valley community has been a major factor in helping us do just that, and we look forward to seeing you all at the start line as we celebrate another successful year!

For the Cure,

EXECUTIVE DIRECTOR Hilarie M. Engle PRESIDENT, BOARD OF DIRECTORS Kathie Jones, RN MARKETING DIRECTORS Julie Guyer | 208-371-4533 Steve Wallace | 208.850.4983 sales@healthy-idaho.com EDITOR-IN-CHIEF | PUBLISHER John A. Anderson | john.anderson@stardocs.com DESIGN DIRECTOR Phil Chadwick | design@stardocs.com CHIEF TECHNICAL OFFICER Ken Shepherd | ken.shepherd@stardocs.com DIRECTOR OF OPERATIONS Allyson Long | allyson.long@stardocs.com MANAGING EDITOR Michael Richardson | | michael@stardocs.com ONLINE EDITOR Chelsa Mackay | | chelsa@stardocs.com PHOTOGRAPHER Jack Floegel / Sawtooth Photo Pros COVER PHOTO Huck Photography 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.

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2016 RACE DAY SCHEDULE 12

Friday, May 6th 4:00 - 6:30 pm LAST CHANCE PACKET PICK-UP CapEd Credit Union, ParkCenter Blvd

Saturday, May 7th 7:00 am

SHUTTLE SERVICES BEGIN—(strollers allowed on all shuttles) Boise Factory Outlet Mall

7:30 am SHUTTLE SERVICES BEGIN—(strollers allowed on all shuttles)

RAM Restaurant & Brewery

& Washington Group Lot 7:30 am

RACE DAY LATE REGISTRATION

Survivor Tent & Booths Open

8:00 am

JAZZERCISE WARM-UP

8:30 am

Promise Parade & Photo

9:00 am

KENDALL FORD COMPETITIVE 5K START

9:05 am

5K FUN RUN/WALK START 1-MILE START

10:00 am

KENDALL FORD COMPETITIVE 5K AWARDS

10:15 am

BODYBUILDING.COM COOL DOWN

10:30 am

TEAM FUNDRAISING AWARDS INDIVIDUAL FUNDRAISING AWARDS SURVIVOR AWARDS/DRAWING

11:30 am

Final Shuttles Depart

Survivor Information Survivors/Forever Fighters and one guest have a place to relax and sit on race day at the survivor tent. Enjoy light refreshments and coffee from Starbucks before the Race and sandwiches after the Race sponsored

by Blimpie America’s Sub Shop.

Please note the Promise Parade and photograph will take place before that Race this year. The parade will begin at 8:30 am with the group photo immediately following the parade. Parking is available for survivors wearing their pink shirts (based on availability) in the West parking lot of Albertson’s Headquarters if you

SUSAN G. KOMEN IDAHO / MONTANA 2016

arrive before 8:00 am. For the safety of participants, Parkcenter from Beacon to Mallard will be closed to ALL traffic at 6:00 am but we will allow survivors through until 8:00 am.

Anyone who approaches the road barricades after 8:00 am will be asked to park in the parking lot between Ferguson St and The Ram and take the shuttle. We do recommend taking a shuttle but if you prefer parking inside of the road closure please keep in mind that you will not be able to leave until the road is reopened to traffic.

KOMENIDAHOMONTANA.ORG

BOISE RIVER AND GREENBELT

Promise Parade Start 8:30am

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Komen Race for the Cure encourages recycling!

Recycling and Garbage bins will be located approx every 25 yards within the Expo area and near every food booth and sponsor booth.

SPONSOR BOOTHS

Kendall Ford

5K

FINISH

5K

START

Competitive 5K Corral

PARKCENTER BLVD.

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Race Day Parking & Shuttle Information WE HIGHLY RECOMMEND THAT PARTICIPANTS TAKE A SHUTTLE TO THE RACE SITE AS THERE WILL BE ROAD CLOSURES FOR THE RACE ON PARKCENTER BLVD. All shuttle details are listed below, and ALL SHUTTLES CAN ACCOMMODATE STROLLERS. Please arrive early to your shuttle destination. Shuttles will serve on a first come first serve bases.

DEPARTURE SHUTTLE SCHEDULE RAM RESTAURANT AND BREWERY– FAR EAST PARKING LOT —First Shuttle 7:30am —Last Shuttle 8:15am BOISE OUTLET MALL —First Shuttle 7:00am —Last Shuttle at 8:00am Return Shuttles will begin as soon as participants finish and load buses.

LAST SHUTTLE WILL BE AT 11:30am to ALL LOCATIONS.

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SUSAN G. KOMEN IDAHO / MONTANA 2016

There will be special parking available for survivors wearing their pink shirts (must arrive before 8:00am).

SHUTTLE SPECIFICS

Ram Restaurant and Brewery Additional Parking – 709 E Park Blvd., Boise, ID 83712 – Parking will be available in the far east lot between The Ram and Townsquare Media.

Shuttles will pick up on the east end of the parking lot.

Survivors/Forever Fighters and Handicap Parking There will be special parking available for survivors wearing their pink shirts and those who need handicap access in the Boise State Yanke Family Research Park parking lot – 220 E Parkcenter Blvd. This parking area will be monitored and someone in your party must be wearing a survivor shirt or have handicap parking permit in order to park in this area.

For the safety of participants Parkcenter from Beacon to Mallard will be closed to ALL traffic from 6:00am-Noon. Survivors wearing their pink t-shirts or race bib and those with Handicap permits will be allowed through the closure at Beacon and Parkcenter until 8:00am.

Anyone who approaches the road barricades after 8:00am will be asked to park in the Ram parking lot and take a shuttle. These spots are first come first serve and because of the road closure during the race, there will be no exit access until the Boise Police open the road.

KOMENIDAHOMONTANA.ORG

BOISE_RUN_B_REV3

Thank you to our 2016 local race for the cure sponsors!

PRESENTING SPONSOR

®

COMMUNITY HEALTH CARE PARTNERS ™

MEDIA SPONSORS

IDAHO RACE SERIES

PLATINUM SPONSORS

Healthy

®

®

®

IDAHO

COMPETITIVE 5K

GOLD SPONSORS

SURVIVOR LUNCH

SILVER SPONSORS

Sarah Bolender, M.D. • C.H. Robinson Company • Integrity Audio Visual RUBY SPONSORS BOISE OUTLET MALL • CALDWELL TRANSPORTATION • CAPED CREDIT UNION • CHEVRON TATES RENTS & TATES TENTS & EVENTS • VEIN CENTER OF IDAHO • WALMART

CRYSTAL SPONSORS A COMPANY PORTABLE RESTROOMS • ACCESS MINI-STORAGE • BUTTE FENCE, INC. • CARPENTER’S SCREEN PRINTING • CLEARVOICE TELECOM DOWNTOWN STORAGE AND RECORDS MANAGEMENT • ESP PRINTING AND MAILING • IDAHO POWER COMPANY, EMPLOYEE COMMUNITY FUND INJURY CARE MEDICAL CENTER • JAZZERCISE • MERCHANTS MOVING AND STORAGE • NORTHWEST TRAFFIC SERVICES • OLIVE GARDEN PAPA JOHN’S PIZZA • RAM RESTAURANT AND BREWERY • REPUBLIC SERVICES • SAFEGUARD BY IBF • SAWTOOTH PHOTO PROS SPRINGHILL SUITES – MARRIOTT • STARBUCKS COFFEE • SWIRE COCA-COLA • US BANK • WIGOD PLASTIC SURGERY, P.A.

KIDS FOR THE CURE

TEAMS FOR THE CURE BOISE_RUN_B_REV3

PRESENTING SPONSOR

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EVERYDAY HONORING. IMPAC TING. THERE’S A HERO IN ALL OF US. THESE HEROES ARE ACTIVE MEMBERS OF THE BREAST CANCER COMMUNITY, EACH FIGHTING THE FIGHT IN THEIR OWN WAY. RIGHT HERE IN IDAHO WE HAVE MANY DIFFERENT ALICIA ROSALES, LCSW, OSW-C –

ELIZABETH PRIER, MD –

JAMIE RAMSEY, RT(R)(M) –

Survivorship is the arena where Alicia is heroic. Transitioning from constant care and attention to resuming a “normal” life after breast cancer treatment isn’t easy. Alicia, and other heroes in the survivorship arena, work to ensure women have the support and tools they need to resume a life that is cancer free.

Dr. Prier is a hero to many women needing breast cancer surgery.

She, along with other surgeon heroes around the state, works to provide the best care possible during breast cancer surgery. Each breast cancer is unique and requires an individualized approach to treatment.

Jamie is one of many mammography screening heroes throughout Idaho.

As a mammographer in rural Idaho, Jamie sees many women for their annual mammogram and ensures if they need a follow-up appointment they get one.

Having access to mammography when and where you need it is important to Jamie and all the mammography heroes throughout the state.

HONORING. IMPAC TING. 16

SUSAN G. KOMEN IDAHO / MONTANA 2016

KOMENIDAHOMONTANA.ORG

HEROES SUPPORTING. INSPIRING. Will Hughes, PHD BSU Research Team, Hero My wife is my hero – she chooses to live boldly with breast cancer.

TEAMS DOING THEIR OWN WORK ON BREAST CANCER. EACH BREAST CANCER PATIENT ENCOUNTERS THESE HEROES, OR HEROES SIMILAR TO THEM, ALONG THEIR FIGHT. LET’S MEET THESE EVERYDAY HEROES. SEAN MCNALLY – Sean represents all those co-survivors and co-forever fighters who battle breast cancer alongside their loved ones.

From attending doctor appointments and chemotherapy treatments, to holding their loved ones tight when they need a shoulder to cry on, the unsung heroes that support every breast cancer patient are just as important in the battle against breast cancer as all the other heroes.

WILL HUGHES, PHD Dr. Hughes and his team are made up of chemists, physicists, and engineers working to create low-cost, early-stage diagnostic tools with diagnostic and prognostic capability. More specifically, they engineer machines made from synthetic DNA that are capable of: (1) capturing circulating RNA molecules that signal for a specific disease in bodily fluids, (2) amplify the RNA signals so they can measured and compared with confidence, (3) report the presence or absence of the RNA biomarker via a color change - similar to a pregnancy test.

DON MORRISON, RN – Don, focuses his attention on making sure everyone has access to the screenings they need for breast cancer. Many women don’t know they need annual mammograms beginning at age 40 and they don’t know how to get them, especially if they don’t have health insurance. Hero Don works to make sure women know they need a mammogram and helps everyone get them, regardless of their ability to pay.

SUPPORTING. INSPIRING. IMPACT. MAGAZINE 2016

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BY THE NUMBERS

FACTS

EDITED BY HE ALTHY MAGA ZINE

ABOUT BREAST CANCER INTHE UNITED STATES

l Breast cancer is the most commonly diagnosed cancer in women. l Breast cancer is the second leading cause of death among women. l Each year it is estimated that over 220,000 women in the United States will be diagnosed with breast cancer and more than 40,000 will die. l Although breast cancer in men is rare, an estimated 2,150 men will be diagnosed with breast cancer and approximately 410 will die each year.

A GLOBAL BURDEN

According to the World Health Organization, breast cancer is the most common cancer among women worldwide, claiming the lives of hundreds of thousands of women each year and affecting countries at all levels of modernization.

GOOD NEWS ABOUT BREAST CANCER TRENDS

In recent years, perhaps coinciding with the decline in prescriptive hormone replacement therapy after menopause, we have seen a gradual reduction in female breast cancer incidence rates among women aged 50 and older. Death rates from breast cancer have been declining since about 1990, due in part to better screening and early detection, increased awareness, and continually improving treatment options.

SOURCE: NATIONALBREASTC ANCER.ORG USED WITH PERMISSION

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SUSAN G. KOMEN IDAHO / MONTANA 2016

KOMENIDAHOMONTANA.ORG

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Excel V is the most advanced aesthetic technology that combines two powerfully precise lasers to target and eliminate vascular concerns (redness, unsightly veins) and benign pigmented lesions (age spots, sun spots, discoloration) on the face and body.

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PINK POWER 20

SUSAN G. KOMEN IDAHO / MONTANA 2016

KOMENIDAHOMONTANA.ORG

R

KOMEN IDAHO / MONTANA

SUSAN G. KOMEN IS THE WORLD’S LARGEST BREAST CANCER ORGANIZATION, FUNDING MORE BREAST CANCER RESEARCH THAN ANY OTHER NONPROFIT WHILE PROVIDING REAL-TIME HELP TO THOSE FACING THE DISEASE. SINCE ITS FOUNDING IN 1982, KOMEN HAS FUNDED MORE THAN $800 MILLION IN RESEARCH AND PROVIDED $1.7 BILLION IN FUNDING TO SCREENING, EDUCATION, TREATMENT AND PSYCHOSOCIAL SUPPORT PROGRAMS SERVING MILLIONS OF PEOPLE IN MORE THAN 30 COUNTRIES WORLDWIDE. KOMEN WAS FOUNDED BY NANCY G. BRINKER, WHO PROMISED HER SISTER, SUSAN G. KOMEN, THAT SHE WOULD END THE DISEASE THAT CLAIMED SUZY’S LIFE. VISIT KOMEN.ORG OR CALL 1-877 GO KOMEN.

MONTANA AFFILIATE

In 1995, with proceeds from its first Race for the Cure, Komen Montana began its mission of providing breast cancer education and screening throughout the state. The Montana Affiliate of Susan G. Komen was officially formed in 1999 to carry out the promise of Susan G. Komen.

An existing group of dedicated breast cancer survivors, breast health advocates and others continued to work tirelessly as volunteers. In 2007 the Affiliate hired its first Executive Director. In 2010 Komen Montana achieved a landmark goal of having awarded over $1 million dollars in grants throughout the state.

Since 1999, Komen Montana distributed 67 community grants totaling almost $1.5 million to provide over 7,000 mammograms and distribute education materials to tens of thousands of Montanans. One of the greatest disadvantages for people living in Montana can be the access to mammograms. Priority funding has been for free mammograms to women in impoverished, rural areas.

IDAHO AFFILIATE

Komen Boise and Komen Coeur d’Alene were both founded in 1999. Komen Boise originally covered 5 counties in southwest Idaho but later expanded to cover 19 counties in southwest and central Idaho.

Komen Coeur d’Alene covered 5 counties in Northern Idaho. In April 2012, Komen Boise united with Komen Coeur d’Alene to become Komen Idaho and cover 19 counties in southwest, central, and northern Idaho. In April 2015, Komen Idaho expanded to cover all 44 counties in Idaho, providing services in Eastern Idaho for the first time.

Since 1999, Komen Idaho has granted over $5.4 million dollars that stays in our local service area and is dedicated to breast cancer awareness, education, screening, support and treatment in Idaho.

IDAHO MONTANA AFFILIATE

In June 2015, The Idaho Affiliate and the Montana Affiliate merged to form Komen Idaho Montana. The merging of the Affiliates strengthens Komen presence in both states allowing for more focus on the mission of saving lives and ending breast cancer forever.

75/25

We donate 75 percent of net funds raised to vital local breast health services, and dedicate the remaining 25 percent to national research to find the cures.

Although the data was limited, the response did provide Komen Idaho with some idea about the needs in each target community. Health Care Providers identified lack of education and access to screening services as barriers for their patients. Women over 40 identified distance to travel for screening services as a barrier to annual mammography. Finally, survivors identified lack of survivorship and post treatment support as a limitation.

A complete version of the 2016 Community Profile will soon be available at www.komenidaho.org.

IMPACT. MAGAZINE 2016

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YES, I’VE GOT BREAST CANCER.

TALK TO ME.

IT’S

OK. IF SOMEONE CLOSE TO YOU WAS

RECENTLY DIAGNOSED WITH BREAST CANCER, THESE TIPS MAY BE HELPFUL TO YOU. THESE TIPS WERE COMPILED USING SUGGESTIONS FROM WOMEN WHO ARE BREAST CANCER SURVIVORS.

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SUSAN G. KOMEN IDAHO / MONTANA 2016

KOMENIDAHOMONTANA.ORG

TREAT ME LIKE I'M NORMAL.

When women are diagnosed with breast cancer, they don't feel "sick." Most women don't want to be treated like they are sick. Most breast cancers are diagnosed early, so survival rates are high. If your friend is having a bad day, don't treat her like she is dying. It's just one day, and she'll probably feel a little better the next day.

JUST BE THERE TO LISTEN.

As women with breast cancer are making decisions about their treatment options, sometimes they just need someone to listen to what they are thinking about. Don't feel like you need to give adviceâ&#x20AC;&#x201D;just listen.

I HAVE CANCER, BUT I HAVE OTHER THINGS GOING ON AS WELL.

Most women still have to work and take care of their families while they are undergoing breast cancer treatment and recovering. Don't forget to talk to them about these important parts of their lives. Sometimes treatment and recovery make juggling everyday life difficult.

See if you can help by doing something simple, like picking up her kids from school or from soccer, cooking a simple dinner on one of the days that she has treatment, or just driving her to a doctor's appointment so that she can talk and relax.

IT'S OKAY TO ASK ME HOW I'M DOING. JUST DON'T ASK EVERY DAY.

Women with breast cancer appreciate your caring about them. But if you ask them too often how they are feeling, it makes them feel like they are sick. Remember, it's important to women with breast cancer that they feel and act as normally as possible.

ASK ANOTHER BREAST CANCER SURVIVOR FOR ADVICE.

If there is a situation that you don't know how to handle with your friend, reach out to another breast cancer survivor and ask for advice.

Someone who's been on this journey can give you good insight on how your friend with breast cancer may be feeling. If you know women who are breast cancer survivors, ask if they would reach out to your newly diagnosed friend. Having the advice and support of women with experience really helps in areas where doctors might not be able to help, such as what to wear during radiation treatments or other "non-medical" concerns.

CELEBRATE LIFE.

Look for simple ways to help your friend with cancer celebrate life. For instance, a note to tell her you care, a walk in the park, a funny matinee. Simple things like this can make all the difference on a difficult day. Help her celebrate the milestones through her journey, e.g., finishing chemotherapy, finishing radiation therapy, reaching survival milestones. Celebrate by planning something special, or just calling to say "congratulations."

SOURCE: Mammosite.com

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Teams for the Cure – Sponsor Highlight

SHU'S IDAHO RUNNING COMPANY HAS BEEN INVOLVED WITH THE RACE FOR THE CURE FOR MORE YEARS THAN THEY CAN COUNT ON 2 HANDS! THEIR CONTINUED SUPPORT ALLOWS SUSAN G. KOMEN IDAHO MONTANA THE OPPORTUNITY TO BETTER ENGAGE RACE PARTICIPANTS AND REWARD THEM FOR THEIR EXTRAORDINARY FUNDRAISING EFFORTS. Each year, Shu’s Idaho Running Company assumes the role of our Teams for the Cure sponsor. They offer fun incentives to encourage our participants to register for the race, train for a 5K and most importantly…

FUNDRAISE.

“We love being involved and being there.

The Boise Race for the Cure really gives the feeling of camaraderie and support”.

LEONE RUSHER, SHU’S IDAHO RUNNING COMPANY

New this year – Shu’s agreed to sponsor our High School Challenge program which motivates students and faculty to make a positive impact in their local community by volunteering, fundraising and starting a Race team. Students participating in this program will have a special tent on Race Day sponsored by Shu’s as a thank you.

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SUSAN G. KOMEN IDAHO / MONTANA 2016

When Shu’s Idaho Running Company opened the store in February 1997, the community really showed them support when their store manager was going through some health issues. From then on, they have vowed to always give back to the community. Shu’s always strives to make sure people have the support they need to get out there and move comfortably, whether it’s walking, running or a different fitness activity. Movement is so important. If you haven't stopped by to see the crew at Shu’s Idaho Running Company – They would love to hear your story for motivation/inspiration.

On behalf of Susan G. Komen Idaho Montana we are truly grateful for the support of Shu’s Idaho Running Company!

LIZ BRODIE EVENTS & FINANCE MANAGER SUSAN G. KOMEN IDAHO MONTANA

KOMENIDAHOMONTANA.ORG

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SURVIVOR

SANDI HAWK

SOMEONE YOU KNOW, SOMEONE YOU LOVE: HOW BEING INVOLVED CAN HELP THE CAUSE. HOW DID YOU BECOME INVOLVED WITH THE BOISE RACE FOR THE CURE? One of my dear friends Terri from high school was diagnosed with Breast Cancer in 1996 before her 40th birthday. That following year Terri, MaryAnn & I attended the race. It soon became a way for us to all reconnect annually. In April of 2004, I also was diagnosed with breast cancer. That year, I formed a team called Footloose. Around 10 years ago I discovered that many of my co-workers wanted to be involved and my team evolved to “Idaho Independent Bank Footloose.” Idaho Independent Bank has become a huge support system. Employees organize bake sales, donation challenges, and fundraising efforts within all of 11 branches. We are proud to be the top fundraising team in our category 3 years in a row.

26

HOW MANY YEARS HAVE YOU BEEN A BREAST CANCER SURVIVOR?

I just celebrated my 12th anniversary as a survivor.

SUSAN G. KOMEN IDAHO / MONTANA 2016

WHAT IS THE BEST ADVICE YOU HAVE TO INSPIRE OTHER PARTICIPANTS TO FUNDRAISE? Throughout the years I have always reflected on the quote “someone you know, someone you love” will be diagnosed with breast cancer in your lifetime. We need to find a cure. It affects so many people.

Grandmas, Mothers, Sisters, Friends, there is no better cause.

This disease touches so many lives.

I think we are all passionate about the same goal and in the end we are all one big team.

WHAT IS YOUR FAVORITE PART ABOUT RACE DAY? Each year, I am inspired in a new way by the empowerment of all the men and women that come together in support of Susan G Komen. Watching everyone’s smiling faces, come rain or shine as one big team marching together

in hope of finding a cure. You just have to experience it, and I am personally thankful that I am still here another year to participate.

HOW HAS THIS EXPERIENCE CHANGED YOUR PERSPECTIVE? Every day, I feel blessed that I received treatment that saved my life. I got to see my children grow up. Not everyone is this fortunate.

Susan G Komen is fighting to help give everyone a chance. A chance to get a mammogram if you can’t afford one, a chance for treatment if you don’t have insurance , a chance for research to continue to help us find a cure. Who wouldn’t want to be a part of that?

KOMENIDAHOMONTANA.ORG

Peace of Mind with

Today’s Advanced Technology

3-D Mammography is the most advanced breast screening technology available today. stlukesonline.org

Here’s why: • Tumors are more visible.

• Cancer can be found earlier.

• A questionable area in the breast is more readily confirmed or ruled out, reducing unnecessary callbacks, waiting, testing, anxiety, discomfort, and costs.

3-D Mammography is particularly recommended for women with dense breast tissue or a personal history of cancer. Available in Boise, Meridian, Nampa, McCall, and Wood River.

Call (208) 706-2055 to schedule today.

Financial assistance is available to help cover the cost of mammography or diagnostic breast studies. To learn more, call (208) 381-2095.

IMPACT. MAGAZINE 2016

27

WRITTEN BY MARK SAUNDERS, MD

WHAT’S

your risk?

BREAST CANCER CURRENTLY REPRESENTS NEARLY A THIRD OF ALL FEMALE CANCERS AND IS RANKED 2ND IN MORTALITY (DEATH) ONLY TO LUNG CANCER. ABOUT 20 PERCENT OF ALL FEMALE CANCER DEATHS ARE DIRECTLY ATTRIBUTABLE TO BREAST CANCER. ACCORDING TO THE NATIONAL CANCER INSTITUTE, A WOMAN’S LIFETIME RISK OF DEVELOPING BREAST CANCER IS APPROXIMATELY 1/8 OR 12.5 PERCENT. FOR YOUR INFORMATION, LUNG CANCER IS STILL THE NO. 1 CANCER KILLER OF WOMEN, OF COURSE HIGHLY ASSOCIATED WITH SMOKING.

Source: American Cancer Society, Inc.

28

SUSAN G. KOMEN IDAHO / MONTANA 2016

KOMENIDAHOMONTANA.ORG

SO WHAT ARE THE RISK FACTORS FOR BREAST CANCER? Well, the single biggest risk is out of your control, and that is your risk steadily increases as you age. Yes, breast cancer is typically a disease of older women, but may strike at any age. I personally have known of two patients who got breast cancer at age 20! A controllable factor is weight. There is a slight increase in risk associated with weight and larger breasts.

In addition, women without children are at an increased risk. Perhaps the other greatest risk, that of an inherited abnormal cancer gene, is also out of your control.

WHAT CAN YOU DO TO DECREASE YOUR OWN PERSONAL RISK OF EVER DEVELOPING BREAST CANCER? A number of studies have revealed an interesting fact— the number of children a woman breast feeds, the lower her risk of developing breast cancer! The number is actually very significant. For each child a woman nurses, she reduces her own risk of breast cancer by a whopping 7 percent (not to mention giving her child a great immune system for the rest of his/her life). Nursing mothers rejoice! Besides nursing, a low fat diet and proper weight might reduce your risk, so keep up the exercising.

Unfortunately, much of a woman’s risk is based on genetics, which of course is not under our control. Women who have a first degree relative, a sister or a mother, who develop breast cancer prior to menopause, have a particularly increased risk of developing breast cancer themselves. It may be as much as 3-5 times the general population. Fortunately, there are some newer genetic tests that can help to determine your own personal risk.

I recommend breast cancer screening to women if they have a first degree relative with pre-menopausal breast or ovarian cancer. It is a very simple test using scope mouthwash or a simple blood draw. You should ask your doctor whether or not you are a candidate for this screening based upon your own family history.

For the general population, breast cancer screening has received much press in the past 2-3 years. Different guidelines are used based upon which professional organization is followed. For years,

most doctors followed the guidelines established by the American College of Radiologists, which recommends yearly screening of all women at age 40 with annual mammography. However, the new guidelines set forth by the United States Preventive Services Taskforce now recommends no screening till age 50 for woman without a family history.

I recommend following the USPST guidelines as they were developed based upon statistical analysis only, while the ACR guidelines involve professional judgment as a bias. However, most insurances will allow a woman and her doctor to choose at which age she would like to begin screening.

Estrogen has been long implicated for a risk factor in breast cancer, but newer research is perhaps implicating progesterone as more important.

The relative risk of using Hormone Replacement Therapy (HRT) in causing breast cancer is only 1.07. This is only very slightly increased to no use of 1.0 RR. In fact, in the Nurses’ Health Study, women who used estrogen only replacement after a hysterectomy actually had a 23 percent REDUCTION in their lifetime risk. Another study showed a decreased risk of recurrent breast cancer among women who got pregnant after a diagnosis of breast cancer. This flies in the face of estrogen as a cause of breast cancer as estrogen levels are extremely elevated in pregnancy.

I would like to point out some of the downsides to breast cancer screening.

Last year alone, over a million women had unnecessary breast biopsies associated with over diagnosis. That is to say, over a million women underwent the stress and discomfort and costs associated with surgery without any real benefits. It has been shown that these women suffer real loss and anxiety over these needless interventions. Because of the way our legal system is set up, radiologists and general surgeons tend toward over-intervention, as underintervention could lead to “malpractice.”

In addition, along these lines, we no longer recommend that women do monthly breast self-exams. Women who do monthly self-exams have no decrease in death rates but do substantially have more unnecessary breast biopsies!

Obviously, if you do feel a breast lump. please bring it to your doctor’s attention.

In summary, breast cancer a deadly disease and there is much we still don’t know. For this reason if you haven’t had a serious discussion with your doctor recently, perhaps it is time to do so. It could end up saving your life!

Solving THE OBESITY PUZZLE

NUTRITION

Nothing works long term if you can’t understand it AND stick with it.

Although our program is scientifically based, we teach nutrition in simple, real people terms. Do you know what a protein is? Do you know your daily protein need? People know more about what octane level they put in their car than how much protein they need or eat. What are good carbs; bad carbs; slow carbs; fast carbs? Forget all of those, it is too complicated. We teach carbs as teaspoons of sugar.

Your allowed intake is based on your chemistry, how much can you consume and still take back your health. We share real life answers for real life needs.

FREE SEMINARS – 7:00 pm Boise – Monday, May 9

Tuesday, May 10 Nampa – Wednesday, May 11 LIMITED SEATING

208-343-3652

idahoweightloss.com IMPACT. MAGAZINE 2016 29

PREVENTION

Know your risk

Early Detection Is Your Best Protection SUSAN G. KOMEN IDAHO MONTANA BELIEVES THAT

•

Talk to both sides of your family to learn about your family health history of breast cancer

•

Talk to your provider about your personal risk of breast cancer

Get screened •

Have a clinical breast exam at least every 3 years starting at age 20, and every year starting at age 40

•

Have a mammogram every year starting at age 40 if you are at average risk

ALL WOMEN SHOULD HAVE ACCESS TO REGULAR MAMMOGRAMS WHEN THEY AND THEIR HEALTH CARE PROVIDERS DECIDE THAT IT IS THE RIGHT TIME FOR SCREENING BASED ON INDIVIDUAL RISK FOR BREAST CANCER, AND THAT THE SCREENING TESTS SHOULD BE COVERED BY THIRD-PARTY PAYERS SUCH AS INSURANCE COMPANIES AND GOVERNMENT PROGRAMS. RECENT NEWS REPORTS MAY HAVE LED TO CONFUSION ABOUT WHEN TO GET SCREENED AND WHAT SCREENING IS BEST FOR YOU. KOMEN IDAHO MONTANA WANTS TO REMIND INDIVIDUALS TO:

Changes That Should Be Reported Include:

30

SUSAN G. KOMEN IDAHO / MONTANA 2016

Make healthy lifestyle choices • • • • •

Maintain a healthy weight Add exercise into your routine Limit alcohol intake Limit menopausal hormone use Breastfeed, if you can If you or someone you know needs a mammogram, we can help, call the Komen Idaho Montana office at 208-384-0013 or 877-665-9088.

KOMENIDAHOMONTANA.ORG

Solving THE OBESITY PUZZLE

METABOLISM

Idaho’s only 24-hour emergency & specialty center 208.375.1600 westvet.net

Why can some people eat what they want and not gain weight? Yet some of us seem to gain weight if we even just think about food. Obesity is a disease of communication failure between the GI tract and the brain.

The body systems and feedback control mechanisms don’t work correctly. Our medical doctors do a history, physical exam, and lab testing to evaluate each and every patient.

Then we prescribe medications as a tool to help. We are most proud of the metabolic and health improvements of our patients. In many cases, diabetics no longer require insulin; blood pressure and cholesterol medicines are no longer needed.

Located at the corner of Chinden/50th in Garden City

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Does Your Child Suffer from: Low Self-Esteem Peer Pressure Bullying Under-Achievement Behavioral Issues

Fast Facts About Breast Cancer

Anxiety Attention Deficit Negative Self-Image Family Conflict

If so, we can help.

Our professional staff use a variety of counseling and therapy techniques. Get help now so your child can experience success.

Serving children ages 3-18.

• Each year in the United States, more than 200,000 women get breast cancer and more than 40,000 women die from the disease.

• Men also get breast cancer, but it is not very common. Less than 1% of breast cancers occur in men.

• Most breast cancers are found in women who are 50 years old or older, but breast cancer also affects younger women. About 11% of all new cases of breast cancer in the United States are found in women younger than 45 years of age.

Summer Now isisthe theperfect perfecttime timetotomentallymentally and emotionally prepare your and emotionally child for the school year ahead.

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1833 S. Millennium Way Meridian, ID 83642 SUSAN G. KOMEN IDAHO / MONTANA 2016

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MANY FACTORS CAN INFLUENCE YOUR BREAST CANCER RISK, AND MOST WOMEN WHO DEVELOP BREAST CANCER DO NOT HAVE ANY KNOWN RISK FACTORS OR A HISTORY OF THE DISEASE IN THEIR FAMILIES. HOWEVER, YOU CAN HELP LOWER YOUR RISK OF BREAST CANCER IN THE FOLLOWING WAYS— • • • • • • • •

Keep a healthy weight.

Exercise regularly (at least four hours a week).

Get enough sleep.

Don’t drink alcohol, or limit alcoholic drinks to no more than one per day.

Avoid exposure to chemicals that can cause cancer (carcinigens).

Try to reduce your exposure to radiation during medical tests like mammograms, X-rays, CT scans, and PET scans.

If you are taking, or have been told to take, hormone replacement therapy or oral contraceptives (birth control pills), ask your doctor about the risks and find out if it is right for you.

Breastfeed your babies, if possible.

Solving

THE OBESITY PUZZLE

BEHAVIORS

Weight control is a PROCESS, NOT a PROJECT. There should be no start and stop. Yet how do you handle getting discouraged (as we all do)? We want your weight control to be a lifelong success. Therefore, we educate and motivate during these real-life behavioral situations. We consume calories for reasons other than hunger.

• HOW DO WE HANDLE GATHERINGS?

• WHAT SHOULD I DO AT THE

FOOTBALL TAILGATE? • CAN I HAVE CAKE AT MY CHILD’S BIRTHDAY PARTY?

We have a simple approach to help these times.

FREE SEMINARS – 7:00 pm Boise – Monday, May 9

Tuesday, May 10 Nampa – Wednesday, May 11 LIMITED SEATING

208-343-3652

idahoweightloss.com IMPACT. MAGAZINE 2016 33

FOCUS

LEARN TO SAY NO

SIMPLIFIED LIFE Relax WE ALL STRIVE TO BE SUPERSTARS at work, stay in top shape, have fabulous relationships, maintain a beautiful home, and find the time to volunteer for causes we support. But in trying to accomplish all this — at times simultaneously — we often have even less time for ourselves, our friends, and our families and end up instead with more stress, which can eventually lead to health problems. Try the following tips to simplify your life for a happier, healthier you.

“

2

3

Learn to say no

Create a place for everything We've all lost countless minutes searching for our keys or that favorite pair of black pumps, inevitably when we're already late for work and trying to rush out the door. Create a place for your keys — put a hook by the door, for example, or a small silver tray in the foyer — and put your shoes back in their proper place in the closet after you wear them. Do the same with those other things that always seem to vanish. Your life will run much more smoothly.

Pay bills automatically Buy yourself time and energy each month by signing up for automatic bill payments. It works best with utility bills such as your cable and telephone bill, which are about the same amount every month (and therefore unlikely to cause unpleasant surprises to your bottom line). You won't have to write checks or buy stamps, and your bills will always be paid on time. A bonus: It's good for the environment too, because you won't use the resources needed to mail a check.

”

NO MATTER how long the winter, spring is sure to follow.

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SUSAN G. KOMEN IDAHO / MONTANA 2016

1

One of the easiest ways to destress and find more time for yourself and the things that really matter is to learn to say one simple word: No. It's easier said than done, of course, but you don't need to give a lengthy explanation for your response; a simple "I would love to, but I just don't have the time right now" will do. Does that leave you feeling guilty? Try saying "No, but…" and offer an alternative that works better for you.

-Proverb

KOMENIDAHOMONTANA.ORG

7

4

The average person spends about seven hours a week on e-mail.

Needless to say, not all of that time is spent wisely. If your job allows for it, turn off your e-mail alerts and check e-mail only a few times a day.

Second, create an e-mail account that is solely for your subscriptions (such as sales notifications, frequentflier updates, newsletters, and so on) so they won't clutter your in-box.

Clean your closets

5

Do a clean sweep of your closet twice a year: at the start of spring and fall. Be as ruthless as possible, removing everything you haven't worn for two years or longer.

Donate old work clothes to Dress for Success or the Salvation Army.

When your closet is less cluttered, you'll spend less time searching for your skinny black pants, and getting dressed every morning will be that much easier.

Invest in smarter lighting Compact fluorescent lightbulbs, which use up to 75 percent less energy than regular incandescent bulbs, aren't just better for the environment and your bank account — they also make your life easier. How? They last ten times longer than incandescent bulbs, so you'll spend less time running to the store for replacements — and you'll never get caught in the dark.

Save time with speed dial Save the numbers of your favorite take-out restaurants in your cell phone.

You can order on your way home from work or the gym so your dinner will be ready for pickup when you get there. It's a good idea to store all your important phone numbers in your cell, including those you call infrequently, like your doctor, dentist, and hair stylist. You won't waste time looking them up again.

BOOK AHEAD

DON’T BE SLAVE TO E-MAIL

6

Don’t be a slave to e-mail

Book ahead

8

Next time you're leaving your hair salon or doctor's office, why not schedule your next appointment?

It will be one less call you'll need to make a few weeks down the line, and you'll get a prime time slot.

Always ask for an appointment at the beginning of the day or after the office's lunch break so you'll be less likely to spend time cooling your heels in the waiting room. Record it into your PDA or onto your calendar.

Prep your gym bag

9

Next time you get home from the gym, throw your sweaty clothes into the laundry hamper right away and put a clean set into your gym bag. You'll have one less excuse not to go to Pilates or spin class!

Stock your desk

10

Keep extras of basic supplies in your desk at work so that if the need arises, you won't be caught off-guard. Stock up on hand lotion, tissues, pantyhose, contact lenses, snacks, and pain medication.

CLEAN OUT YOUR PURSE

©Monkey Business Images | Dreamstime.com

reinvent yourself

11

Clean out your purse

Throw out old gum wrappers, grocery lists, and other trash from your purse on a weekly basis.

Designate a safe place in your wallet for receipts, in case you need them later. A clean, lighter purse makes it easier for you to find your keys, lipstick, and other essentials and will save your shoulder from excess strain.

Ask for a helping hand

Solving THE OBESITY PUZZLE

PSYCHOLOGY

Excess weight can carry an emotional burden. It often is associated with shame. It unfortunately carries a social stigma. Sometimes the emotional burden is a cause and sometimes a result of weight gain. Asthma and Cardiac patients don’t feel “shame” from their conditions. Yet nearly 100% of persons that are significantly overweight feel shame about their weight. Yes, we love the metabolic health improvements, but we also love when patients share their emotional and social benefits of weight loss. “I am no longer ashamed to undress in front of my spouse.” “My teenagers saw their mom in a bathing suit for the first time.”

“I can tie my shoes without losing my breath.” “My mom will go out in the daylight for the first time in years.”

12

Although it's a natural inclination to attempt to do everything on your own, that doesn't necessarily mean it's a good thing. When trying to complete an office project, delegate parts to co-workers or team members. On the home front, you may find it's helpful, if your budget allows, to hire someone to do the work for you — for example, send your clothing to a laundromat, hire a monthly housekeeper, or have an accountant do your taxes. If you have a hard time making it to the gym, enlist a trainer to help get you there.

Are you ready for the spring? Check out Healthy-Idaho.com for more home and self-iprovement tips.

FREE SEMINARS – 7:00 pm Boise – Monday, May 9

Tuesday, May 10 Nampa – Wednesday, May 11 LIMITED SEATING

208-343-3652

idahoweightloss.com IMPACT. MAGAZINE 2016 35

DIAGNOSIS

WRITTEN BY HEALTHY-MAGAZINES.COM

Restarting After a Diagnosis

A CANCER DIAGNOSIS CAN KNOCK YOU DOWN. HERE IS HOW TO GET UP. WORRY CROWDS YOUR LIFE, BE IT WORRIES ABOUT MONEY, WORK, SCHOOL OR TIME. BUT IN THE MOMENT THE DOCTOR SAYS “YOU HAVE CANCER,” THE WORRIES YOU HAD BEFORE CHANGE FROM HURDLES TO CRACKS IN THE SIDEWALK. THE NEW MOUNTAIN THAT LOOMS IN YOUR PATH MAKES STARTING THE JOURNEY DIFFICULT. HERE ARE SOME KEYS TO IGNITION. LEARN THE REALITIES OF YOUR CONDITION. Cancer comes in many shapes and sizes. Irrational fears and ignorance about your disease will hurt you as you try to cope, so ask your doctor all the questions you have, and do your own research.

36

PREPARE YOURSELF FOR PHYSICAL CHANGES. Part of educating yourself is understanding what changes will come to your body. You may be weaker, lose hair and change in appearance in other ways, so don’t let it surprise you.

FOCUS ON A HEALTHY LIFESTYLE. Maybe jumping jacks won’t cure you, but the Mayo Clinic says a healthy diet and exercise are important for cancer patients. Eating a healthy diet consisting of a variety of foods and getting adequate rest may help you manage the stress and fatigue of the cancer and its treatment.

SUSAN G. KOMEN IDAHO / MONTANA 2016

FIND OUT WHAT YOUR REAL PRIORITIES ARE. This can help you feel good about the life you live. This step is different for everyone, which is why there is no one best answer for how to deal with cancer.

Hope.

ESTABLISH AND MAINTAIN RELATIONSHIPS. There is a good chance that people will be important allies as you deal with cancer. Make sure you reach out to friends and family, and embrace the support that is offered.

Also important is talking with those who’ve dealt with your specific situation, so seek these people out.

The anxiety and distress that comes naturally with a cancer diagnosis can significantly impair a person’s quality of life, and may even cause patients to miss check-ups or delay treatment, according to the National Cancer Institute.

“Anxiety may increase pain, affect sleep, and cause nausea and vomiting,” they write. “Even mild anxiety can affect the quality of life of patients with cancer and their families and may need to be treated.”

Some diagnosed with cancer develop severe depression.

Knowing some steps to take right after diagnosis can help patients start the journey on the right foot.

KOMENIDAHOMONTANA.ORG

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WELLNESS

FASCIA & CANCER RECENTLY, A JOINT CONFERENCE WAS HELD AT HARVARD MEDICAL SCHOOL ON FASCIA AND ITS RELATIONSHIP TO CANCER. FASCIA IS THE CONNECTIVE TISSUE IN OUR BODIES THAT SURROUNDS, PENETRATES, AND BINDS ALL OF OUR OTHER TISSUES TOGETHER. IF YOU PEEL AN ORANGE, FASCIA IS SIMILAR TO THE WHITE STUFF UNDER THE PEEL THAT BINDS AND SEPARATES THE WEDGES AND IS CONTINUOUS DOWN TO THE SMALL TEARDROP PIECES WITHIN EACH WEDGE. FASCIA CAN BECOME STIFF WITH AGE, INJURY, OR SCARRING. The premise of this conference was to bring to light the recent research about how tissue stiffness effects cancer. There is growing evidence that increased tissue (fascia) stiffness can change how the cells in our body work. Lab studies show there are about 3,000 genes in our cells that will demonstrate a different expression when the surrounding tissue stiffness is increased. Decreasing tissue stiffness can reduce the cancerous cell to a less dangerous state. There is much work on the research side to be done, however, the experts at this conference suggest some simple things all people can safely do to either reduce the risk of cancer or help when battling cancer.

1. Exercise aerobically, 30-60 minutes a day, 5 days a week, at a moderate intensity. (This includes fast walking) 2. Meditate daily for relaxation.

3. Eat more colorful fruits and vegetables.

4. Have regular massage therapy and bodywork to keep tissue healthy.

5. Utilize physical therapy for pain, stiffness, and fatigue.

Therapeutic Associates Physical Therapy – SE Boise has taken this groundbreaking information about tissue stiffness and incorporated it into its Physical Therapy and Wellness programs. Physical therapists often use manual techniques to improve range of motion, reduce pain, and improve mobility, but providers at this clinic think about interventions on a whole new level. The hands-on treatment for aches, pain, and stiffness focuses on reducing fascial stiffness, especially now since it helps with cancer.

In addition, the Wellness team offers many ways to keep the body fit and healthy that coincides with anti-cancer recommendations, including Myofascial Release, Fascial Distortion Model, massage therapy, Reiki, and personal training. Coming soon is a brain training program (BrainyEX) to sharpen the mind even after injury or chemotherapy, and which may delay the onset of dementia.

38

SUSAN G. KOMEN IDAHO / MONTANA 2016

ABOUT THE AUTHOR

Matt Booth DPT Matt is the clinic director of Therapeutic Associates Physical Therapy – SE Boise. His clinic offers specialties in treatment of sports and work comp injuries, chronic pain, and Men’s and Women’s Health for pelvic pain and incontinence. Matt blends his athletic interests of running, cycling, and triathlons into the clinic to offer specialized bike fitting, treadmill video gait analysis, and injury prevention/treatment workshops.

KOMENIDAHOMONTANA.ORG

Idaho Urologic Institute Three Locations to Serve You. Meridian, Boise, and Nampa.

Idaho Urologic Institute, PA is setting the standard for urologic care in the Treasure Valley and is dedicated to comprehensive urologic care for men, women, and children.

Cynthia A. Fairfax, M.D.

William H. Fredriksson, M.D.

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Todd M. Waldmann, M.D.

Joseph H. Williams, M.D.

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WELLNESS

WHY DO I FEEL SO ROTTEN? MORE AND MORE RESEARCH POINTS TO TWO PRIMARY CULPRITS WHEN IT COMES TO THE DEVELOPMENT OF LIFE-THREATENING DISEASES AND A GENERAL FEELING OF MALAISE : ACID BUILD UP IN THE BODY AND INFLAMMATION.

Inflammation

All pain is ultimately due to inflammation. Chronic inflammation in the body is influenced by genetics, a sedentary lifestyle, stress, and exposure to environmental toxins. Inflammation appears to be at the root of heart disease, cancer, Alzheimer’s and autoimmune diseases such as lupus and rheumatoid arthritis. You can’t control your genetic destiny but you can introduce healthy lifestyle changes like exercise, meditation and avoidance of environmental toxins. The chief environmental toxin offender is a diet rich in refined and processed foods that foster a pro-inflammatory state.

WHAT PROMOTES INFLAMMATION IN THE BODY?

Wheat, rye and barley • Sugar and refined starches (i.e., bread) • Trans fat • Peanuts • Chemical additives • Processed corn (i.e., high- fructose corn syrup, corn starch, corn oil) • Red meat • Vegetable Oil • Dairy • Too much Omega 6-fatty acids (from fast food and snack food)

WHAT REDUCES INFLAMMATION IN THE BODY? • • • • • • • • • •

Kale Shitake mushrooms Sesame and hemp seeds Squash Blueberries Onions Garlic Peppers Dark leafy greens Herbs and spices (i.e., turmeric, oregano, rosemary, ginger and green tea) • Omega 3-fatty acids (i.e., salmon, sardines, herring, anchovies, flax seed and walnuts)

Acid Build-Up

When we are born, we have the perfect pH—not too acidic, not too alkaline. What does this mean? We become more acidic as we age. The more acidic we are, the more prone we are to illness, depression, sleep disturbances, early aging, digestive ailments and weight gain.

Your body must balance the blood’s pH at a slightly alkaline level (7.365) in order to survive. When you “burn” food for fuel, the metabolic process transforms this burnt food into a kind of “ashy” residue that is either acidic or alkaline. If the body can’t get nutrients to maintain the required alkaline state, it draws from its own stores like bones and other vital tissues.

This, in turn, decreases the body’s ability to absorb nutrients, produce energy in cells, repair damaged cells and detox metal.

The potential end-result is fatigue and illness. Additionally, research indicates that, as you age, eating more alkaline foods leads to a more youthful appearance and allows you to maintain more lean muscle mass.

40

SUSAN G. KOMEN IDAHO / MONTANA 2016

Acidic Foods: • • • •

Processed sugar Refined grains Conventionally produced meats Artificial sweeteners

*Alkaline Foods:

• Root vegetables (i.e., radishes, beets, carrots, turnips, rutabaga, horseradish) • Cruciferous vegetables (i.e., broccoli, cabbage, cauliflower, Brussels sprouts) • Leafy greens (i.e., spinach, kale, Swiss chard, turnip greens) • Garlic • Cayenne pepper • Lemon (most alkalizing)

The bottom line is this: get back to the basics!

Eat unprocessed foods that supply ample nutrients. The most healthful foods reside on the periphery of your grocery store. Avoid the “inner circle” where unhealthy options linger. Cheers to fruits and vegetables! *Please note that some of these alkaline foods appear to be acidic (i.e., lemons), however, once the body processes these foods, the “residue” left behind becomes alkaline.

ABOUT THE AUTHOR

Brooke Kittel

Certified Personal Trainor and an advisor to Healthy-Magazines.com. She may be reached at info-healthy-mag.com

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HORMONES

Bioidentical HORMONE REPLACEMENTtherapy HORMONAL IMBALANCES WREAK HAVOC ON YOUR DAILY LIFE. IF YOU’VE HAD SERIOUS ISSUES WITH MOOD SWINGS, WEIGHT GAIN, LOW LIBIDO, ETC., WOULD YOU KNOW IF YOUR HORMONES ARE TO BLAME? ASK YOURSELF IF ANY OF THESE SYMPTOMS SOUND FAMILIAR:

Drained You feel drained. Tired. Fatigued. Just plain worn-out. Frequently. It’s a struggle to keep going every day. You need a nap every afternoon. Feeling drained is routine, and you really can’t remember having energy.

Sadly, exercise isn’t much help. It makes you even more sapped. Energy drinks and sugar become your energy boost. Weight management is a losing battle. And, on top of all that negativity, you feel old beyond your years and your skin looks weathered.

Muscle tone is hard to maintain. Body parts are permanently heading south. Gravity isn’t kind to your physique.

Moody Irritability reigns supreme more often than not.

Anxious and tense. “I’m really not myself these days,” you tell yourself. But then you speculate, “Or is this what I’ve become?” Anxiety and depression are becoming the norm. Peaceful

night’s sleep — what’s that? You find yourself waking frequently and can’t shut off the day’s mental demands. You crave sleep, but it’s fleeting. You feel sexually indifferent — it’s a to-do, not a pleasure. You’ve got one nerve left, and everyone is on it, even those you love most.

Hormone Imbalance Too familiar? If so, perhaps your hormones have you out of whack, because all of the above problems can be directly related to imbalanced hormone levels. Can it be that simple? Commonly, yes, it can truly be imbalance to those little chemical messengers called hormones that traverse your body, giving orders and directing the show. When messages get mixed or not delivered at all, you feel like your life is falling apart. The good news is all of this can be treated. The natural hormones your body has fallen short on producing can be restored. It’s quite astonishing how many health problems are caused by hormone levels out of optimal

Bio-Identical Hormone Therapy for Men and Women Age-Management Medicine Complete Women’s Healthcare ALSO SPECIALIZING IN: Complete Women’s Health Polycystic Ovarian Syndrome PMS / PMDD Thyroid Disorders Genetic Testing for Weight Loss Sexual Dysfunction O-Shot® for Sexual Response and Urinary Incontinence

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SUSAN G. KOMEN IDAHO / MONTANA 2016

Embracing who you are and who you can become.

By Healthy-Idaho.com range. And it’s equally as impressive how quickly you can restore your body to vitality with the right hormone therapy. In just weeks, people begin looking better, feeling better and living better — free of the symptoms that used to trouble them.

Bioidentical Hormones As we age, our hormone levels continuously decline. This can have a dramatic effect on your health for the rest of your life. Bioidentical hormone therapy is designed to restore hormones back to youthful levels. Bioidentical hormones are exact copies of the hormones your body should still be making but probably isn’t. If you feel your hormone levels are low, consult a reputable, educated healthcare provider in your area that specializes in HRT and have them run tests to check your hormone levels to see if you are low, and then plan a customized program designed specifically to raise your own levels to a healthy, youthful level.

Who needs it?

Women suffering from early menopause symptoms, looking to put an end to hot flashes, night sweats, memory loss, mood swings, weight gain and low libido, are turning to these expert healthcare providers to replace hormones. These certified BHRT providers design individualized programs specifically for each woman suffering from perimenopause, menopause symptoms and severe PMS. Also, men experiencing male menopause who want to get a grip on weight gain, lost libido, fatigue, stress, energy, muscle mass and body fat are also finding solutions through natural hormone therapy. For men, andropause (the male menopause) happens gradually and when diagnosed, the symptoms are successfully treated using bioidentical HRT.

What Are Typical Bioidentical Hormone Therapy Services?

A comprehensive review of symptoms, medical, family and personal history • Testing—saliva, urine and/or blood laboratory analysis • Natural Hormone balancing • Ongoing evaluations • Quality compounded pharmacy • Highest quality supplements • Fitness programs • Nutrition planning • Stress reduction plans

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43

PREVENTION

which screening is best for me?

IT SEEMS LIKE YOU CAN’T TURN ON THE NEWS THESE DAYS WITHOUT HEARING ABOUT A NEW BREAST CANCER SCREENING OR NEW RECOMMENDATIONS FOR MAMMOGRAPHY.

Clinical Breast Exam (CBE):

A CBE is done by a health care provider who checks your breasts and underarm areas for any lumps or changes. It should be part of your regular medical checkup. If you are 40 or older, have your mammogram close to the time of your CBE. For women ages 20-39, have a CBE at least every three years. For women 40 and older, CBE combined with mammography may find more breast cancers than mammography alone. When used together, fewer breast cancers are missed.

Mammography:

A mammogram is an X-ray image of the breast. Mammography is the tool that uses X-rays to create mammograms. It is used to find early signs of breast cancer. It is the best screening tool used today to find breast cancer. It can find breast cancer early when it is small and the chance of survival is highest.

Starting at age 40, women should get a screening mammogram every year.

Women under 40 with a family history of breast cancer or other concerns should discuss with their doctor what screening tests are right for them.

MRI:

A breast MRI uses magnetic fields to create an image of the breast.

It can sometimes find cancers in dense breasts that are not seen on mammograms. Breast MRI is often used with mammography for screening some women at a high risk of breast cancer.

However, it can be costly and often finds something that looks abnormal, but turns out to be benign (false positive).

44

Thermography:

Thermography uses infrared light to measure temperature differences on the surface of the breast. Although breast cancer can cause abnormal heat patterns, many benign conditions also cause abnormal heat patterns.

Thermography cannot distinguish between benign and cancerous patterns.

Since thermography measures heat at the surface of the breast, it is not good at finding cancers deeper within the breast tissue. Neither the U.S. Food and Drug Administration (FDA) nor the American College of Radiology view thermography as a useful breast screening or imaging tool. In 2011, the FDA issued an alert warning the public about misleading claims by thermography practitioners and manufacturers on the screening benefits of the tool.

Ultrasound:

Ultrasound uses sound waves to make images of the breast.

It is often used as a followup test after an abnormal finding on a mammogram, breast MRI or clinical breast exam. When used on the breast, ultrasound can tell the difference between types of lumps, such as liquidfilled cysts and a solid mass.

Doctors use this to find out the size, shape, texture and density of a breast lump.

SUSAN G. KOMEN IDAHO / MONTANA 2016

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Have

OSTEO ARTHRITIS PAIN in a hip or knee?

A clinical research study for knee or hip pain caused by osteoarthritis is enrolling now.

• Investigational medication for up to 56 weeks.

• Study-related care from a local doctor Reimbursement may be provided for travel and other expenses related to participation.

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fi t n e ss| 13 THINGS

To do and not do when first starting an exercise program.

1 2 3 4 46

BY NICK NILSSON

DON'T

wait for the "perfect" time.

There will never be a perfect time. Learn a few of the basics and start as soon as you can. Putting it off is a great way to have nothing change.

DO

take it slow when you begin.

Rushing into an intensive training program when you are just starting out is sure to be overwhelming.

You'll have a much greater chance of sticking with it if you work into it gradually.

DON'T

5 6 7

change everything at once.

Think of how traumatic it would be if you suddenly went from relative inactivity and poor eating to a high-powered program and a strict diet. I recommend you start with an exercise program. Keep at it for 3 weeks consistently then think about gradually modifying your nutritional habits.

DO

make a committment.

One of the keys to establishing exercise as a habit is to make a committment to it. If you go in with the attitude that you'll do it when it's convenient or when you feel like it, your chances of sticking to your exercise program decrease.

SUSAN G. KOMEN IDAHO / MONTANA 2016

DON'T

expect infomercial results.

I'm not going to say you won't see great resultsâ&#x20AC;&#x201D;you will. Just don't expect it to happen in 2 weeks.

DO

learn as much as you can.

Knowledge is very important. If you don't know what to do, take a little time and learn first. The rewards will be huge!

DON'T

think you must exercise 2 hours a day to see results.

You don't have to exercise nearly that long. You can see results with as little as 20 to 30 minutes done 3 times per week.

8 9

DO

ask questions.

I will readily admit I donâ&#x20AC;&#x2122;t know everything about exercise and fitness, even though I have a college degree in that subject.

DON'T

work your muscles too hard.

You will most likely make yourself so sore and you won't want to train anymore. Take it fairly easy for the first few session then gradually increase your intensity.

KOMENIDAHOMONTANA.ORG

BLACK ORCHID TUNA

Nick Nilsson has a degree in Physical Education and Psychology and is the author of a number of bodybuilding eBooks including “Metabolic Surge - Rapid Fat Loss,” “The Best Exercises You’ve Never Heard Of,” “Gluteus to the Maximus “ and “The Best Abdominal Exercises You’ve Never Heard Of”.

10 11 12

DO

tell people your goals.

One of the best ways to ensure you keep your promise to exercise is to tell your friends and family what you're doing. This way, you make yourself accountable to people other than just yourself.

DON'T

feel you need to buy all the latest equipment.

You can exercise without any equipment at all!

Walking doesn't cost a dime and bodyweight exercises such as push-ups are completely free too!

DO

stretch and warm-up.

Stretching during and after your workouts promotes flexibility. Warming up prepares your muscles for more strenuous work to come.

13

DON'T

give up your favorite foods all at once.

A great way to make yourself focus on a certain food is to quit eating it. For example, if you love chocolate cake and tell yourself you can never have it again, are you going to be thinking about chocolate cake a lot?

Chances are, yes. Treat yourself now and again. It will keep you from stressing and binging later.

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Hotel 43 | 981 West Grove Street, Boise 208.383.4300 ChandlersBoise.com IMPACT. MAGAZINE 2016

47

STRENGTH IN NUMBERS WORKING OUT IN A GROUP CAN BE A GREAT MOTIVATIONAL TOOL FOR REACHING NEW FITNESS HEIGHTS.

BY HALLI TINTI

Waking up at the crack of dawn to fit in a run, dragging yourself to the gym after a long day of work, or popping in a Zumba DVD with only a figure on the TV screen to keep you company can be lonely.

Getting in shape can make you feel lonesome, especially when you’re just starting out and may have little to no motivation whatsoever!

Hillary Galyean, Certified Personal Trainer and Group Fitness instructor at the Sportsplex in Kaysville, Utah says working out doesn't have to be lonely. In fact, going at it alone may be the reason you haven’t quite hit your fitness peak.

“Group fitness keeps people coming back for more,” states Galyean.

“Even the ‘back row-joes’ who avoid attention love to tear it up in a step class.”

HERE IS WHAT KEEPS THEM COMING BACK 1. Working out in a group setting increases the energy in the room so people are more likely to reach peaks they've never hit on their own.

2. Group fitness classes are generally designed so that anyone and everyone can attend them. There are usually 3 levels of fitness: beginner, intermediate and advanced. Your group fitness instructor is trained and dedicated to making everyone feel successful and challenged.

3. When working in a group setting, you get to know your team around you and your team and instructor will literally hound you for not showing up, at least if they are a good group.

4. Group fitness classes are created by professionals who know how to safely and effectively work out your body.

5. Group fitness instructors should coach the proper form and technique so you get the best results possible!

If group fitness classes aren’t your thing, there is always an option for small group training or a personal trainer.

“Group and personal training provides accountability with a personal trainer,” says Galyean. “In addition, most gyms offer customized nutrition plans, team events and all the accountability one needs to be successful!”

And lastly, if you’re not ready to pony up the cash for a personal trainer, finding a friend to take walks or a bike ride with may just be what the doctor ordered.

Group training is a way of making personal training affordable—the only difference is you train with a team, rather than one-on-one! Having that valuable support system will keep you on the ball.

Think of group fitness or working out with a friend as strength in numbers.

We all know that misery loves company, and there’s no better way to sweat and be miserable then with a buddy. However you look at it, know that the support you choose for your fitness regime will help give you that extra boost you need to become a fitter more energized you.

For more tips on the benefits of group fitness verses working out alone, you can find Hillary Galyean at www.sportsplexgyms.com

“Group fitness keeps people coming back for more.”

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SUSAN G. KOMEN IDAHO / MONTANA 2016

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Q A

A normal result of aging is that it takes more energy to do tasks. For example, walking a mile may take 15-20 percent more energy when you’re older, compared to when you’re a younger age. Researchers at Humboldt State and the University of Colorado found that seniors who ran regularly used less energy to walk certain distances.

Something about running makes our bodies work more efficiently.

Q A

Inquiring minds...

Running Improves Your Body’s Efficiency

Firm Handshakes Grip strength is an indicator of heart health, according to a recent study published in The Lancet. Researchers measured the grip strength of more than 140,000 people in the study, and followed their health for four years. Decreased grip strength was found to be associated with increased risk of dying from heart disease, stroke, or heart attack. Researchers found grip strength to be a better indicator of cardiovascular disease than systolic blood pressure.

Is Food Too Available?

Researchers from the University of Georgia used economic models to see how economic variables influence obesity rates, and found that economic changes may account for as much as 43 percent of the rise in obesity. The same researcher, Charles Courtemanche, found that the presence of a Walmart Supercenter in a community is associated with a 2.4 percent rise in the obesity rate.

Question

I WAS TRYING TO PURCHASE A DIET BOOK THE OTHER DAY AND THERE ARE SO MANY TO CHOOSE FROM, WHICH IS THE BEST?

Answer

It can be confusing, staring at all those books and hearing all the news reports about what to eat, what not to eat and seeing all the celebrities jumping on different diet bandwagons. First, the word “diet” implies something you go on and off or a plan you cannot continue long-term.

That’s a bad way to look at eating.

O N VAC ATION

Make fitness a priority

If the book talks about doing something drastic for a period of time, run away. Run far away. Yes, forget the weird cabbage diet, grapefruit diet or liquid diets that aren’t sustainable.

Good diet plans and books will include all food groups. Taking something out of the mix can cause deficiencies and actually cause us to crave and then binge on the foods we are missing. Think balance. The plan should recommend and encourage physical activity as well. If they are touting that you don’t need exercise and you can reach your goals with diet alone, it is fundamentally flawed.

If the plan is pushing new packaged food brands or lots of supplements or are using phrases like “it’s quick and easy and works like magic,” then be very leery.

VACATIONS ARE MEANT TO PROVIDE REST AND RELAXATION, BUT THAT DOESN’T MEAN FITNESS CAN’T BE PART OF YOUR ADVENTURE, TOO. AN ACTIVE VACATION CAN INCLUDE HIKING, SWIMMING, CAMPING OR WALKING TOURS. HERE ARE SUGGESTIONS TO CONSIDER WHEN PLANNING AN ACTIVE VACATION:

• Choose a destination based on your family’s needs and interests.

• Get the kids involved in the itinerary.

• Leave electronic games at home and pack healthy snacks for car rides.

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AT ANY

WEIGHT | L O S S

IT’S NEVER TOO LATE TO GET HEALTHY

60’s

If you retire from a full-time job outside of the home, you may go from being partially active to being inactive. But don’t retire to the couch.

Instead, “Re-fire!”

• Pursue new interests, passions, goals and activities, or take the time to rekindle old ones.

• Gather a group of friends for a game of tennis or a round of golf, or buddy up with someone for regular walks.

• Try activities to help you improve your flexibility, such as yoga.

• You may feel some limits in what your body can do. For example, you may experience joint pain or difficulty with balance. Listen to your body at any given moment to avoid doing harm in the course of trying to stay healthy or lose weight.

NOTE - CLEAR ANY NEW REGIMENS OR ACTIVITIES WITH YOUR PRIMARY CARE PHYSICIAN. 50

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AGE

P R E S E N T E D BY H E A LT H Y- I DA H O.CO M W R I T T E N BY N I C H O L A S Y P H A N T I D E S , M . D. , M . P. H . , M E D I C A L E D I TO R F O R TO P S C LU B , I N C .

MANY KNOW ALL TOO WELL THAT THERE ARE NO SHORTCUTS TO LASTING WEIGHT LOSS, PARTICULARLY BECAUSE REAL WEIGHT LOSS REQUIRES REAL CHANGE: CHANGE OF PERSPECTIVE, CHANGE OF HABITS, CHANGE OF ROUTINE, AND CHANGE OF ATTITUDE. THIS IS TRUE NO MATTER WHAT YOUR AGE HAPPENS TO BE. BUT IT’S ALSO TRUE THAT AS YOU AGE, YOU FACE DIFFERENT CHALLENGES AS YOUR BODY, RESPONSIBILITIES, PRIORITIES, AND LIFE CIRCUMSTANCES CHANGE. CONSIDER THE FOLLOWING RECOMMENDATIONS TO OVERCOME OBSTACLES AND FEEL HEALTHIER THAN EVER.

50’s 40’s 30’s

Effects of excess weight, including elevated blood pressure, diabetes, high cholesterol, and arthritis, are most likely to appear beginning in this decade.

• Make sure you and your doctor schedule regular examinations and health screenings, so you can stay informed about your health. You may face the choice of taking medications for a variety of conditions. It can be empowering to take control of your welfare by making healthy choices that lead to long-term change.

• Your metabolism will continue to slow down, and you will likely gain weight unless you make changes to your diet.

• Avoid using food to deal with stress.

Excess calories will have an even greater impact in terms of weight gain.

Be deliberate about finding alternative ways to unwind and relax.

• Strategically replace high-calorie foods or drinks with lower-calorie ones.

For example, choose flavored water, tea, or seltzer instead of soda or pop.

Your metabolism will start to slow down. We lose about five percent of our metabolic rate for each decade of aging, according to some estimates.

• Heat up your body’s “furnace” by eating healthy calories in the morning, including high-fiber foods to keep you satisfied well into the day.

• Maintaining, or even building, muscle mass is a key way to combat a slower metabolism. Consider investing time and money in a personal trainer. Even just a few sessions can help you learn strength training techniques and routines that you perform on your own.

• Men experience a gradual loss of testosterone, which can mean lower energy over time. Most women will experience hormonal changes, including declining estrogen and progesterone levels, which can lead to fatigue. It may seem counterintuitive, but regular exercise, such as a 30-minute walk most days, can increase your energy.

• Also, aim to get at least seven hours of sleep each night. If you feel tired, try a short nap to catch up on sleep and feel refreshed.

Career and family demands may leave you feeling short on time, all the time. Choose fruit, nuts, and yogurt on the go, rather than skipping a meal and ‘making up for it’ later. This could cause you to get so hungry that you end up binge eating.

• If you have young children, they may want sugary snacks or other foods that aren’t good for them—or you. Be mindful about snacking with your children. You don’t need to eat a cookie (or two) every time they do. Avoid eating what they leave on their plates.

• Fill the fridge and cupboards with healthy options. By choosing well at the grocery store, you and your family will have good choices available at home.

• If you can’t make it to a gym, find other opportunities to stay active.

Park as far as is practical from your destination, take the stairs instead of the elevator, and go on walks, even if they’re short—such as during a break at work.

TOPS Club Inc.® (Take Off Pounds Sensibly®) is the original weight-loss support and wellness education organization. Founded more than 66 years ago,TOPS promotes successful weight management with a “Real People. Real Weight Loss.®” philosophy that combines support from others at weekly chapter meetings, healthy eating, regular exercise and wellness information.TOPS has more than 125,000 members – male and female, age seven and older – in thousands of chapters throughout the United States and Canada.

IMPACT. MAGAZINE 2016

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10

AT ANY AGE

WAYS TO FEEL YOUNG AGAIN WRITTEN BY ALYSSA ETIER

Frank Sinatra may have called it "Young at Heart" and Bob Dylan, "Forever Young," but both musicians understood one thing: You're only as old as you feel. While we can't dodge our next birthday, how we approach life every day can make a big difference. "Feeling young is about maintaining vitality as you get older," says Dr. Susan Hughes, professor and codirector of the Center for Research on Health and Aging at the University of Illinois at Chicago. "Some people never feel old, despite their chronological age." No matter what your stage in life, staying active and being positivewill help keep you in a youthful frame of mind.

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Whether you're 35 or 95, look for ways to stay active, be engaged, and learn something new.

PICK UP A HOBBY

As you move into retirement or your home becomes an empty nest, now could be the moment to relish your newfound freedom by reviving a hobby you once enjoyed. Pull out your oil paints, dust off that guitar, dig out your tattered guide to songbirds. "The important thing about activity," says Hughes, "is that it is meaningful." Or maybe the time is right to try your hand at something new—you could learn to knit or take up photography.

You may be surprised how rewarding a creative interest can be.

GET PHYSICAL

Pump up your energy while pumping some iron. Being active can help you feel younger in every way — resulting in increased dexterity, a new fit appearance, and renewed feelings of emotional wellbeing. Exercise is also protective against many health issues, including heart disease, diabetes, and pain management.

To begin, choose an exercise program that fits your interests, schedule, and skill level. Whether you work out at the gym, follow a fitness video at home, or join a yoga class, it's never too late to start!

HIT THE BOOKS

Always had a fascination with the stars and constellations? Ever wish you could speak a foreign language? Ready to take on new culinary challenges? Want to master the laptop your kids gave you for Christmas? Whatever your motivation, challenging yourself to learn something new will remind you how much there is to explore. Taking a class and mastering new skills will keep your mind active as well as help you meet new people and make new friends. And, according to Hughes, it's a great time to do so.

"Senior centers all around the country are gearing up [with] programs to attract people who really want to be involved in lifelong learning," she says.

SUPPORT A CAUSE

Volunteering is a great way to interact with others and give back to the community at the same time. And sharing your time is not just good for your mental health. Researchers at Johns Hopkins University, for instance, found that as older adults participated in Experience Corps, a national volunteer program for Americans over age 55, they showed both mental and physical improvements, including increased strength and endurance.

By choosing activities that are personally rewarding, you may discover similar benefits.

You may even learn something new!

JOIN THE CLUB

Studies have shown that social connections are the key to emotional wellness.

Staying active and engaged is very important in terms of cognitive and emotional health. As people get older, though, it's often challenging to organize outings with others. Joining a club or organization is a simple way to fill this need. The Red Hat Society [a social organization for women over

TREAT YOURSELF

No matter what your age, it's important to do something for yourself from time to time. In the hustle and bustle of everyday life, however, it's easy to forget about your own needs. So, take a day to celebrate yourself with an out-of-the-ordinary perk: Get a massage, sign up for a makeover, or buy a new outfit or even a big bouquet of flowers. Anything that brings a smile to your face will boost your spirit and renew your inner glow.

PACK YOUR BAGS

ENJOY THE OUTDOORS

Nothing rejuvenates like fresh air and sunshine—and with good reason.

Sunlight encourages your body to produce serotonin, a brain chemical that's a natural mood booster. So revel in every opportunity you get to spend time outside (after putting on sunscreen, of course). It doesn't have to be complicated: You can work in your garden, read a book in the park, or just take a stroll around the neighborhood. You'll find it's refreshing just to enjoy and be part of the world around you.

MAKE TIME FOR PLAYTIME

There's no better way to feel young than to spend time with those who are. Join little ones as they color, play with blocks, and spend time in the park. Or, take the lead and introduce a child to something new, like your favorite card game. Whether it's someone in your own family or simply a young person in need, there are endless ways for generations to play and learn together — and you'll both appreciate the bond you're forming in the years to come.

age 50] and others are terrific ways to stay engaged, develop a network of friends, and add zest to life. Start by looking for an organization that caters to one or more of your interests—be it a hobby, favorite philanthropy, or a religious group. Or join a club that's purely social. Before long, you'll have to pick and choose what dates make it onto your social calendar!

Looking for a quick way to feel footloose and fancy free? Try stepping out of your normal routine. Whether it's a mentally invigorating tour of historic homes or a relaxing stay on the beach, traveling somewhere new opens you up to fresh experiences and keeps your mind engaged. And it's not necessary to break the bank. Traveling on a budget is perfectly possible with senior discounts and economical options, such as group tours, which are perfect for those who dislike prevacation planning.

KEEP ROMANCE ALIVE

Whether you've been together for 50 years or just 50 days, romance can be the spark that keeps you young. "It's the ultimate — or most intimate — form of social connection," says Hughes. Love, new or seasoned, can boost morale and emotional wellness — and may even affect longevity, according to Hughes. To amp up the romance in your relationship, share a candlelit dinner, create a thoughtful, homemade gift, or dance the night away to your favorite song. You'll feel like young lovers all over again.

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food

H E A LT H Y FA R E

GRAB & GO

W R I T T E N BY R ACH E L R U BI O

Pressed for time?

With more options and obligations than ever before, time is especially of the essence today. That’s why we came up with quick, easy and healthy recipes for the health-conscious, on-the-go individual.

Veggie Chili Burrito

YIELD: YIELD: 1 1 BURRITO BURRITO II N NG GR RE ED D II E EN NT TS S :: 1 1 large large sprouted sprouted wheat wheat tortilla tortilla ½ cup shredded cheddar cheese 1 large piece of foil ½ chili (from acheese can) ½ cup cup veggie shredded cheddar 1 green ½chopped cup veggie chilionion (from a can) ½ tomato diced 1 chopped green onion 3-4 avocado slices ½ tomato diced 3-4 avocado slicesE Q U I P M E N T : Toaster oven or regular E Q U I Poven MENT: 1 large piece Toaster oven of or foil regular oven

1.

1.

2.

2.

3.

3.

4.

4.

5.

5.

6.

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7.

7.

8.

8.

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DDIRECTIONS: IRECTIONS: Put veggie veggiechili chiliininsmall smallstrainer strainer remove some Put toto remove some juice. juice.

(This juice can be as to a sauce to serve with (This juice can be used as used a sauce serve with burrito or burrito orremaining kept with veggie remaining chilimeal.) for another kept with chili veggie for another meal.)

Chop green onion & dice tomato, then set aside.

Chop green & diceand tomato, setin aside.

Turn oven ononion broil setting warmthen tortilla oven Turn itoven on broil setting and(2warm tortilla in oven until is pliable enough to roll minutes or so). until it istortilla pliableout enough rollTurn (2 minutes oroff so).broil Take the of the to oven. the oven Taketurn the itburrito out of the oven. Turn the oven off and to bake at 350. broil andwith turn“Lay it toout bake Replace theat foil350. and put the tortilla on Lay out thewith foil cheese and putand thethen tortilla cheese on it. Sprinkle thewith veggie chili. Roll it. Rollup it up halfway then in and tortilla halfway andand then tucktuck the the endsends in a finish finish Wrap itWrap in foil, a in rollingrolling it into atogether. cylinder shape. therolling wholeinto thing cylinder. foil will give the burrito a nice shape. foil to helpThe it keep shape.

Put the burrito burritoback backininthe theoven ovenforfor about 20–30 Put the about 20–30 minutes. minutes.

Remove the theburrito burritofrom fromfoil foiland andsprinkle sprinkle onion and Remove onion and tomato overit,it,pour poursauce saucefrom fromchili chili top, slice tomato over onon top, slice avocado and andlay layslices sliceson ontop topofofburrito. burrito. avocado Serve.

Serve.

SUSAN G. KOMEN IDAHO / MONTANA 2016

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Romaine Tacos Yield: 3 tacos INGREDIENTS: 3 leaves of romaine lettuce 6 oz. hummus 9 thin slices of cucumber 3 slices of tomato (cut in half) 6 thin slices of red onion

DIRECTIONS:

1.

2.

3.

Spoon 4 tablespoons of hummus lengthwise into each romaine lettuce leaf.

Arrange cucumber, onion, and tomato lengthwise into each lettuce leaf and serve.

Enjoy!

Hemp Tofu Pizza Yield: 1 pizza INGREDIENTS: 1 whole wheat naan bread 3 tablespoons of tomato sauce ¼ cup shredded kale 4 strips of hemp tofu* ¼ cup shredded mozzarella and parmesan ½ tablespoon of Hemp seeds ½ tablespoon of Hempseed oil* Substitutions: Substitutions are marked with an * Substitute tofu or cooked chicken for hemp tofu.

Substitute extra virgin olive oil for hempseed oil.

Equipment: Toaster oven or regular oven set on broil Oven-proof dish or aluminum pie tin DIRECTIONS:

1.

2.

3.

4.

Spread tomato sauce on naan bread and leave ½ inch border around edge.

Spread kale evenly on top of sauce.

Arrange hemp tofu strips on top like spokes of a wheel on top of kale.

Spread cheese evenly on top and broil in toaster oven or regular oven until golden brown. (10-15min.)

5. Drizzle a small amount of oil, sprinkle salt and hemp seeds on top and serve.

6. Enjoy!

presented by

Credits

Healthy IDAHO

®

Photos and Writing by Rachel Rubio Original recipes by Carrie Dayton-Madsen Food Styling by Chelsea Reimer Healthy-Idaho.com IMPACT. MAGAZINE 2016

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food

S P R I N G T I M E PA S TA

glossary

6 servings

Tortiglioni

Total time: 35 minutes

Tortiglioni are a little larger and thicker walled than rigatoni and work well with chunky sauces.

Farfalle

These butterflies, or bow ties do an excellent job of trapping and holding creamy sauces thanks to the pinch in the pasta.

Tortellini

Itâ&#x20AC;&#x2122;s a fact

springtime pasta salad

A colorful salad adds vitamins and minerals.

2 cups rotini

directions 1. Bring a large pot of lightly salted water to

Salt and pepper to taste

a boil. Cook pasta, stirring occasionally, until

1 cup cherry or grape tomatoes, halved

just tender, 8 to 10 minutes, or according to

1 cup diced yellow or red bell pepper

package directions. Drain and refresh under

1 cup grated carrots

cold running water.

ingredients

Is a variety of ringshaped pasta. They are typically stuffed with a mix of meat and cheese fillings.

Raviloi

A stuffed pasta that can be filled with meat, vegetables, and can include a creamy cheese such as ricotta.

1/2 cup chopped pitted kalamata olives

2. Add the pasta and Itanlian dressing, toss

1/3 cup slivered fresh basil

to coat. Add tomatoes, bell pepper, carrots,

1/4 cup Fat-free Italian salad dressing

scallions, olives and basil; toss to coat well.

Per serving: 175 calories; 6g fat (2 g sat, 5 g mono); 1 mg cholesterol; 29 g carbohydrate; 6 g protein; 4 g fiber; 291 mg sodium; 269 mg potassium.

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SUSAN G. KOMEN IDAHO / MONTANA 2016

Gomiti Rigati

Known as lined elbow macaroni. The noodles are best served with chunky sauces, especially sauces that also have oil or cream that can slip into the pasta.

KOMENIDAHOMONTANA.ORG

ŠBatman2000 | Dreamstime.com

1/2 cup chopped scallions

food

H E A LT H Y R E C I P E S

Shrimp Pasta Salad 1 cup green beans, cut into 1 inch pieces 1/2 cup oil-free Italian dressing (bottled) 2 cups sm. zucchini, thinly sliced 2 cups fresh mushrooms, sliced 1 med. red onion, thinly sliced 1 lb. sm. raw shrimp, shelled 1 clove garlic, minced 2 tbs. lemon juice 8 oz. rotini pasta Directions 1 Use a large non-stick pan. Use 2 tablespoons oil. Brown zucchini; remove to a large bowl. Add mushrooms and green beans to pan. Cover and cook 5 minutes until beans are just tender. Remove vegetables to the bowl.

go to For other succulent shrimp recipes visit www.recipes.com

2 Add shrimp, garlic, onions, and lemon juice. Cook until shrimp are pink and tender (not long).

Cook pasta separately; drain and rinse with cold water. Combine everything and add dressing, salt, and pepper to taste. Chill.

Sweet-sour sauce 1 Combine cornstarch, sugar, pineapple juice, vinegar, ketchup and soy sauce in a saucepan until smooth.

Bring to a boil; cook and stir for 1-2 minutes or until thickened. Remove from the heat; set aside.

©Branislav Senic | Dreamstime.com, ©April Turner | Dreamstime.com

Shrimp Egg Rolls 1/4 tsp salt 1/2 tsp pepper 1/2 cup sugar 2 tbs. ketchup 1 tsp. soy sauce 1 tbs. vegetable oil 4-1/2 tsp. cornstarch 12 egg roll wrappers 1 cup pineapple juice 1/2 cup white vinegar 1 cup chopped onion 1/2 cup grated carrot 1 cup shredded cabbage Additional oil for deep-fat frying 1 cup canned bean sprouts, chopped 1 cup frozen sm. cooked shrimp, chopped

Directions 2 In a large skillet, stir-fry the shrimp, bean sprouts, cabbage, onion and carrot in oil until crisp-tender; cool slightly. Stir in pepper and salt. Position egg roll wrappers with a long edge facing you. Spoon 1/4 cup of shrimp mixture on the bottom third of each wrapper.

Fold bottom over filling; fold sides over filling toward center. Moisten top edge with water; roll up tightly to seal.

3 In a deep saucepan, electric skillet or deep-fat fryer, heat oil to 375°. Fry egg rolls, a few at a time, for 4-5 minutes or until golden brown, turning often. Drain on paper towels. Serve with sweet-sour sauce. Yield: 1 dozen.

Special thanks: www.tasteofhome.com

IMPACT. MAGAZINE 2016

57

FUNDING CANCER Financial Resources for People Living with Breast Cancer

LOCAL SUPPORT – IDAHO

The Idaho Montana Affiliate of Susan G. Komen funds breast health and breast cancer education, outreach, screening, support, and treatment services for underserved populations through our yearly grant cycle. Other helpful online information and resources on early detection, treatment, clinical trials, complementary therapies and financial resources can be found on the Komen at http://ww5.komen.org/BreastCancer/FinancialResources.html AMERICAN CANCER SOCIETY – support services

IDAHO LYMPHEDEMA THERAPY CLINIC

2676 South Vista Ave, Boise, ID 83705 www.cancer.org / (208) 343-4609

– outpatient lymphedema therapy treatment

12072 West McMillan Road, Boise, ID 83713

ANGELS IN YOUR CORNER – wigs and supplies

www.spinept.com/lymphedema

2419 West State Street, Suite 3, Boise, ID 83702 www.wigsinboise.com / (208) 345-1551

– support services and classes

2504 Kootenai Street, Boise, ID 83705 cancerconnectionidaho.org / (208) 345-1145

Locations in Boise, Meridian, and Nampa www.brownfieldstech.com (208) 342-4659

THREE OAKS CLINIC AND ACADEMY

COMPASSIONATE HEARTS INC – support

https://sites.google.com/site/compheartsinc/home Donna Corless: 208-938-4171 Lenae Germano: 208-922-6259, lenaebear@cableone.net

IDAHO ORTHOTICS & PROSTHETICS – bras and supplies 1859 Topaz Avenue, Meridian, ID 83642 (208) 884-1294

CANCERCARE

– patient assistance

www.cancercare.org/financial (800) 831-HOPE

PATIENT ADVOCATE FOUNDATION

– financial support www.copays.org (800) 532-5244

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SUSAN G. KOMEN IDAHO / MONTANA 2016

(208) 939-0533

THE CANCER CONNECTION IDAHO

BROWNFIELD’S – bras and supplies

FINANCIAL SUPPORT

/

– restorative breast therapy

211 West State Street, Boise, ID 83702 www.threeoaksacademy.com / (208) 342-3430

WIGS AND THINGS

– wigs and supplies

412 West Haycraft Ave, Suite B, Coeur d’Alene, ID 83815 www.wigs-things.com / (208) 665-0002

METASTATIC CANCER RESOURCES METACANCER www.metacancer.org

LIVING BEYOND BREAST CANCER www.lbbc.org

METASTATIC BREAST CANCER NETWORK www.mbcn.org

For other helpful resources, call Susan G. Komen’s breast care helpline at 1-877 GO KOMEN (1-877-465-6636).

When you call, you will speak with a trained and caring staff member who can help you navigate your way through all of the complex breast cancer information as well as help you find local resources.

KOMENIDAHOMONTANA.ORG

2016-2017 IDAHO MONTANA AFFILIATE SUSAN G. KOMEN FOR THE CURE GRANTEES IN 2016, KOMEN IDAHO MONTANA GRANTED $157,500 TO FUND 15 LOCAL BREAST HEALTH AND BREAST CANCER PROGRAMS. THESE GRANTS HELP FUND BREAST CANCER SCREENING AND DIAGNOSIS, RURAL OUTREACH, AND PATIENT ASSISTANCE SERVICES NOT OTHERWISE AVAILABLE TO WOMEN AND MEN IN IDAHO AND MONTANA. COMMUNITY CANCER SERVICES ENRICHED RECOVERY PROGRAM FOR BREAST CANCER SURVIVORS

Assisting people who lack health insurance or otherwise have inadequate access to cancer care services by providing financial support and advocacy to help clients and their families.

(208) 255-2301, www.communitycancerservices.org

GLENNS FERRY HEALTH CENTER, INC. JOURNEY TO BREAST HEALTH

ST. LUKE COMMUNITY HEALTHCARE FOUNDATION ST. LUKE SUPPORTING BREAST HEALTH FOR NATIVE & UNINSURED WOMEN OF THE FLATHEAD RESERVATION

Increasing the number of Native and low-income women receiving screening and diagnostic mammography services. Cited barriers to care include transportation, cost/no insurance, and scheduling difficulties.

(406) 676-4441 ext 320, www.stlukehealthcare.org

ST. LUKE’S MOUNTAIN STATES TUMOR INSTITUTE – BREAST CARE SERVICES SGK BREAST CARE SERVICES FUNDING PROGRAM 2016

Ensuring low-income, uninsured women requiring a mammogram can obtain one free of charge.

(208) 366-7416

Providing a full-spectrum of services including screening, diagnostics, surgery, treatment, education and navigation, reconstruction and survivorship.

Providing a financial resource to patients thus reducing the financial barrier to care patients have as an obstacle for wellness and health.

(208) 706-2055, www.stlukesonline.org/specialties_and_services/breast_care

KOOTENAI HEALTH BREAST IMAGING SUPPORT PROGRAM

Providing funds for underserved, uninsured or underinsured men and women in need of lifesaving screening and diagnostic mammography services.

(208) 666-2345, www.kootenaihealth.org

KOOTENAI HEALTH BREAST CANCER PATIENT SUPPORT

Providing funds to help with essential living expenses and treatment support including child care, gas, groceries, transportation, medications, rent, medical equipment and supplies, and nutritional support.

(208) 666-2345, www.kootenaihealth.org

MINIDOKA MEMORIAL HOSPITAL MINIDOKA COUNTY’S 1ST DEFENSE AGAINST BREAST CANCER

Providing free mammogram services for underserved, culturally diverse and limited English speaking women.

(208) 436-8155, www.minidokamemorial.com

ST. LUKE’S MAGIC VALLEY - MSTI TREASURE CHEST

Providing financial support to relieve some of the stress and burden cancer treatment causes patients and families. When we are able to relieve some of the financial burden, the breast cancer patient and their family can focus on understanding their treatment and expending energy on getting well and moving on to survivorship.

(208) 814-1640, www.stlukesonline.org/magic_valley

ST. LUKE’S WOOD RIVER FOUNDATION ST. LUKE’S WOOD RIVER BREAST SCREENING FOR THE UNINSURED AND UNDERINSURED WOMEN PROJECT

Providing advanced breast imaging technology to all women, decreasing incidence of cancer and death by providing access to mammogram screenings.

(208) 727-8444, www.slwrf.org

NORTH CANYON MEDICAL CENTER RURAL CARE FOR LOW TO MIDDLE INCOME WOMEN

Providing free mammogram and diagnostic service to women who cannot afford them, with the intention of reducing the number of late stage breast cancers and promoting breast health awareness in their region.

(208) 934-9888, www.ncm-c.org

PANHANDLE HEALTH DISTRICT SCREENING AND EDUCATION FOR EARLY DIAGNOSIS OF BREAST CANCER

Providing a clinical breast exam, appointment, and voucher for mammography and/or ultrasound to low income, uninsured residents of North Idaho.

(208) 415-5293, www.phd1.idaho.gov

SAINT ALPHONSUS REGIONAL MEDICAL CENTER BREAST CARE CENTER BREAST CANCER EARLY DETECTION FOR THE UNDERSERVED

Providing low-income patients access to breast cancer screening and diagnostic imaging procedures. Reducing disparities in early detection and successful treatment of breast cancer, especially among poor, underserved and rural residents by reducing financial barriers.

(208) 367-3336, www.saintalphonsus.org/breast-care-center

ST. VINCENT HEALTHCARE FOUNDATION ST. VINCENT HEALTHCARE MOBILE DIGITAL MAMMOGRAPHY PROGRAM

Program to increase the number of underserved patients who receive digital mammograms in central and eastern Montana, with priority given to American Indian and rural women.

(506) 657-7000, www.svfoundation.org

TERRY REILLY HEALTH SERVICES TERRY REILLY KOMEN FOR THE CURE

Providing breast cancer screening mammography vouchers to low-income, medically underserved women.

(208) 344-3512, www.trhs.org

For details on these programs, visit http://komenidahomontana.org/grants/current-idaho-montana-grants IMPACT. MAGAZINE 2016

59

Celebrity

MOTHERS

Maria

BELLO

"My mother told me when I was a kid that each time we get to what feels like the edge of a cliff, we have two choices: to turn around and run or to jump. I have learned over time to jump — and though it is scary, I know somewhere inside me that I will be caught."

Alicia

KEYS

"My mom always said, 'Don't date a guy who thinks he's prettier than you.'"

MOM KNOWS BEST

Jennifer

GARNER

"The joy that my mom took in having a beautiful house and putting a beautiful meal down in front of us and always having something ready for a guest really inspires me. I used to be sort of messy, but now I laugh at myself, because I kind of like to come home and tidy things up. I'm turning into my mom!"

We all have memories of our mothers or mother figures in our lives. Some stories and sayings even stick with us through adulthood. And celebrities are no exception. In honor of Mother’s Day, here are some of our favorite celebrity quips and quotes about their mothers. See what you have in common.

Tina

FEY

"I get my sense of humor from my mom. There are so many quiet times you spend as a mother that aren't glorified but are a foundation for your kids. No matter what, there was always a thick safety net under this trapeze."

Ashton

KUTCHER

"My mom was more into the yelling. She was the enforcer.

She was the one that laid down the law. My dad made up the rules, but my mom laid down the law. It's not her words, it's her tone that sticks with me."

Jennifer

LOPEZ

"The one thing that stays with me is her saying: 'If you want to be in this business, you gotta be tough.

You gotta have a thick skin and don't worry about what people say and just do all the beautiful things I know you can do.' I think she's been very encouraging to me in that way."

Sage Advice From Celebrity Mothers

Johnny Depp, Ben Affleck and others talk about the pointers, tips and advice they learned from their moms.

Ben Affleck

Johnny Depp

Justin Timberlake

Simon Cowell

Adam

“One of the greatest pieces of “The values my mother taught “My mom came to a taping of Sandler “My mother is the advice I’ve ever gotten in my life me were like, if you're going to 'American Idol' and she pulled “My mom smartest woman I me aside and told me she watches me on know. She has a mind was from my mom. When I was do something, don't [do it half a little kid there was a kid who way]. I was probably 8 or 9. If thought it was totally improper TV and all she’ll like a steel trap. Her was bugging me at school and you're going to do something, that I was chewing gum. And say is, ‘Tuck in best advice to me she said “Okay, I’m gonna tell you go ahead and throw 115 on TV, too! Of course, I threw your shirt.’ I’m was: 'To thine own what to do. If the kid’s bugging percent at it, and if you get 100 it away immediately. The not a suit kind self be true.' She often you and puts his hands on you, percent back, well, there you contestants have to listen to me, of guy. I’ve tried thought Polonius was you pick up the nearest rock.” go — you're perfect.” and I still listen to my mother.” and I feel dorky.” much maligned.”

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SUSAN G. KOMEN IDAHO / MONTANA 2016

KOMENIDAHOMONTANA.ORG

2016 /17 SEASON

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2016 BALLET SUMMER CAMPS

Ages 4-7, morning and afternoon sessions available

THE SLEEPING BEAUTY CAMP Monday - Friday June 20 -24

PETER PAN CAMP Monday - Friday August 15-19 Register for Story Ballet Camps Today

FOR TICKETS CALL 208.343.0556 x220 OR VISIT

BalletIdaho.org

501 South 8th St., Boise | 208.343.0556 x232 www.balletidaho.org/the-academy IMPACT. MAGAZINE 2016

61

!

R YA

N’.

AKI E. FRE SOM S. E E AW SIT B WE Our Websites Work. Period.

Custom Design Mobile-Ready Future-Proof 62

SUSAN G. KOMEN IDAHO / MONTANA 2016

CALL TODAY FOR A FREE WEBSITE CONSULTATION

801-369-6139 stardocs.com KOMENIDAHOMONTANA.ORG

s n i e R e k Ta West Valley medical Center and the Caldwell Night rodeo are proud to offer free mammogram screenings through the Power of Pink program

Funds are available for women ages 40 to 65 to receive screening mammograms and for women of any age with breast cancer symptoms to receive diagnostic mammograms.

You are encouraged to seek a free screening if you: • Have no insurance • Have insurance with a deductible of $2,000 or more • Meet income criteria

Call for more information

208.455.3905 What makes us better, makes you better. westvalleyisbetter.com IMPACT. MAGAZINE 2016

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THE DECO COLLECTION

Simmons Fine Jewelry OVER

1220 North olive Ave | MeridiAN, id 83642 208.888.2799 | SiMMoNSfiNejewelry.coM

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SUSAN G. KOMEN IDAHO / MONTANA 2016

KOMENIDAHOMONTANA.ORG