Fall 2011 Health & Wellness Guide by Independent Record

HEALTH & wellness a guide to healthy living in the Helena area

Preventing Chronic Disease

Through Healthy Living page 5

what is

Intramuscular Manual Therapy (IMT)? page 10 Want Better Health? Get Up & Move! page 24

fall 2011

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HEALTH & wellness

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CONTENTS Preventing Chronic Disease Through Healthy Living........5 New Hope for Patients with Spinal Fractures...................7 How a Physician Assistant Can Work for You...................9 Intramuscular Manual Therapy.....................................10 10 Weight Loss Tips.......................................................12 Carrot Raisin Muffin Recipe..........................................13 Recovery Home Providers...............................................14 Addressing Common Concerns of Aging........................17 Help for Sleep Disorders................................................18 Annual Diabetes Education Event.................................19 Hospice of St. Pete's......................................................21 Techniques of Breathing Easier.....................................23 Get Up & Move!.............................................................24 MT Clean Indoor Air Act–A Public Success....................25 Anti-Aging Secret..........................................................26 Physical Therapy Month.................................................28

health & wellness guide is published four times a year by the Independent Record

317 Cruse Avenue, Helena, MT 59601 | 406-447-4003

Cover photo of John & Jenny Iverson with daughter Stella by Eliza Wiley.

HEALTH & wellness

preventing chronic disease through

Healthy Living By David Smith CEO, Helena Family YMCA

Right now, our country faces an epidemic of obesity and related chronic disease, fueled by years of unhealthy eating and declining physical activity.

ore than one-third of American adults—over 60 million people—are obese. And obesity rates for young people have more than tripled. In Montana, 61.7 percent of adults are overweight or obese. (CDC Behavior Risk Factor Surveillance System, 2008) and 22.3 percent of Montana high school students are overweight or at risk of becoming overweight. (CDC Youth Risk Behavior Surveillance System, 2009).

In communities across the country, the Y is a leading voice on healthy living. The Y brings families together, encourages good health and fosters connections through fitness, sports, fun and shared interests. As a result, millions of youth, adults and families receive the support and resources they need to achieve greater health and well-being. In Helena, the Y is on the forefront of preventing chronic disease through our collaboration with the City of Helena on the ACHIEVE project and our own healthy living initiative. Additionally, the YMCA is the only facility of its kind in Helena to offer financial assistance to individuals and families seeking to improve their health and well-being. Programs like this help Ys find and help the people most in need in our community. As a nation, we know that our own choices and behaviors— including physical inactivity and unhealthy eating—have contributed to rising rates of chronic disease and obesity. We also know that healthier communities are stronger communities, and Ys are working to ensure that all of the places where people live, work, learn and play support healthy lifestyles. The Y has been listening and responding to Helena’s most critical needs for over 120 years. Whether welcoming and connecting diverse populations or preventing chronic disease and building healthier communities, the Y gives all people the care they need and the respect they deserve.

HEALTH & wellness

The Y offers these reminders to help you stay healthy and maintain your weight. n Shrink Your Plates! Control Your Portions Studies have shown that using smaller plates can be an effective strategy for reducing the amount of food that your family eats. Our tendency when we serve food is to fill the plate, which often leads to larger portion sizes than we actually need. Consider serving your meals on the salad plates in your family cupboard instead of the larger entrée plates. When and if anyone wants seconds, it’s a better idea to be prepared to provide additional servings of fruits and vegetables instead of the typically more calorie rich entrée. n Check the Label–All Fats are Not Created Equal For children ages 5 to 12, nearly a third of the daily calories in the healthy foods we provide should come from fat. Fat is an essential part of growing and being healthy, and the NUTRITION FACTS label can help you steer clear of the fats that are not particularly healthy. Trans fat is one type of fat found in processed foods that you should avoid entirely. Saturated fat is a second type of problem fat that you can easily eat too much of if you are not careful. Low-fat dairy products, avocados, no-sugar added peanut butter or almond butter, and modest amounts of foods prepared in olive, canola or peanut oil are healthy options for kids to get the fat they need. n H2O Is the Way to Go One of the simplest and most important things you can do for your health is to drink water. The human body is made up mostly of water (about 60 percent), and it relies on water to help perform every function. This means your body uses lots of water and needs you to replace it continuously. Make water your first choice every time, especially during warmer seasons and after vigorous physical activity. A good guide for most people is to try and drink 8 glasses of water each day. n AIM For Five Every Day Your local farmers’ market or the produce aisle in your grocery store is full of interesting shapes, textures and colors inviting youthful exploration. It is also full of flavors, but you’ll have to take some of them home and try them to experience that for yourself. Make trying new things fun by building a “real foods” adventure into your trips to the market or the produce section. Bring some new fruits or vegetables home and try them raw or cooked in a variety of ways. Involve the kids in the process and watch their willingness to try new things grow and flourish. n Sunday, October 30, 2011

Dr. Eugen Dolan

BH-20178395

Sunday, October 30, 2011

HEALTH & wellness

ask the patient

New Hope for Patients with Spinal Fractures By Medtronic

lizabeth Pottinger was gardening in her backyard when one stroke of a tool to hard soil sent a sharp pain through her back and rendered her nearly immobile. Osteoporosis had caused her bones to become so weak and brittle that everyday activities, such as gardening, became more difficult than usual. Elizabeth’s pain, she later discovered, was caused by a fracture in her spine, also known as a vertebral compression fracture (VCF).

“The pain was so bad, I couldn’t do anything,” Elizabeth said. “I couldn’t get out of bed. It was awful.” Increased risks for VCFs Elizabeth isn’t the only one at risk for spinal fractures. A recent report issued by the Surgeon General noted that by 2020, one in two Americans over age 50 will be at risk for fractures from osteoporosis and low bone mass. The National Osteoporosis Foundation estimates that 700,000 vertebral compression fractures - more fractures than in the hip and wrist combined - occur annually due to osteoporosis in the U.S. Alarmingly, an estimated two-thirds of all spinal fractures go undiagnosed or untreated due to the absence of symptoms or difficulty determining the cause of symptoms, leading some to call osteoporosis a "silent disease."

Elizabeth’s doctor realized how “My pain was important this treatment option was relieved almost for her. “Elizabeth’s osteoporosis immediately after caused small fractures in her spine, the procedure,” said making her a prime candidate for Balloon Kyphoplasty,” said Dr. Elizabeth. “After Michael Russell, an orthopedic 45 minutes, I could surgeon in Tyler, Texas. “With proper stand up straight diagnosis and treatment, spinal and walk out of the fracture sufferers can significantly hospital pain-free.” improve their ability to perform normal activities of daily living and enjoy an overall improvement in their quality of life.” “I feel absolutely wonderful,” Elizabeth said. It is important to determine the underlying cause of back pain. Whereas there are many causes of back pain, a complete physical exam, x-rays, and MRI will help determine whether or not a spinal fracture is present. Be sure to consult a doctor for a discussion of the risks. n For more information about Balloon Kyphoplasty or to locate a physician near you, please visit www.kyphon.com.

Traditional treatments for patients with spinal fractures include bed rest, medication and back bracing. While these therapies may help to decrease a patient's pain over time, they do not treat the deformity related to osteoporotic fractures. If left untreated, one fracture can lead to others, which may create a curvature of the spine called “kyphosis,” sometimes referred to as a “dowager’s hump.” Over time, this curvature becomes more pronounced, painful and debilitating. There’s hope Once diagnosed with a spinal fracture, Elizabeth asked her physician about a procedure called Balloon Kyphoplasty that she learned about from a presentation at her senior center. Balloon Kyphoplasty is a minimally invasive procedure designed to treat spinal fractures. It can be performed under local or general anesthesia and typically takes about one hour to treat each fracture. In some cases, it may require an overnight hospital stay. To date, over 500,000 patients and 675,000 spinal fractures have been treated worldwide with Balloon Kyphoplasty. Balloon Kyphoplasty can restore vertebral body height, significantly reduce back pain, and increase mobility--often shortly after the procedure. In addition to reducing pain, patients experience an increased ability to return to simple, everyday activities such as walking, reaching, bending and lifting. Patients also report improved and sustained mental health, vitality, social function and emotional health.

HEALTH & wellness

Sunday, October 30, 2011

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Sunday, October 30, 2011

HEALTH & wellness

How a Physician Assistant

can work for you By Lindsey N. Lyman, PA-C and Lena C. Phelps, PA-C Helena Orthopaedic-Prompt Care

ver 40 years ago there was a proposal made within the medical field that would forever change the realm of healthcare and it’s providers. Back in 1965 Eugene A. Stead established the first physician assistant (PA) program at Duke University, initially developed for former Navy medical corpsman. The position was established purely as a “physician’s assistant” that could help physicians with technical procedures but also develop a degree of medical responsibility themselves. Since that time the term has matured into more than an assistant but into a mid-level provider that has improved the quality of patient-centered healthcare. Today there are 149 accredited PA programs and over 74,000 NCCPA certified PAs throughout the nation. All PA programs are required to follow the same family practice approach to medicine in order to give each student a well rounded foundation. The first 12-14 months is referred to as the didactic year where students spend long hours in the classroom learning everything from epidemiology of medicine and public health

Helena Orthopaedic Prompt Care • Quality walk in care for aches, pains and strains • Scheduled appointments Digital xray services on premises

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HEALTH & wellness

Phillip M. Steele, MD Lindsey N. Lyman, PA-C 2442 Winne Ave #2 Helena

457-4105

issues to clinical assessment courses that give them real life vignettes of current medical cases. Each student is put through vigorous practical and written exams for the first year before they are able to enter into their clinical year. This clinical year is also about 12-13 months and consists of about 8 rotations each of which cover a different specialty. Students are set up with physicians, certified PAs or nurse practitioners who specialize in family practice, obstetrics, emergency medicine, pediatrics, Internal medicine, behavioral medicine, general surgery and then a speciality of their choice. Having a basic knowledge in every field serves as a major benefit for PAs. When they graduate and are nationally certified they can choose the specialty of their liking. Although PAs are trained to veer towards a general practice they have the skill and knowledge to learn the additional requirements needed in any Physician assistants specialty such as orthopaedics or have made a huge cardiothoracic surgery.

impact on the healthcare model, specifically for smaller, rural communities such as Helena, MT. Also, physician assistants are helping fill the gap with our current and expected shortage of primary care physicians in our nation.

As mid-level providers, PAs can diagnose and treat just as physicians do under the supervision of a medical doctor. The foundation of PAs education is designed around quality and individual patient care. A PA prides themselves on spending quality time with their patients and not just getting to know the patient’s ailments but more importantly building a relationship getting to know the person. Physician assistants work closely with physicians as a team and also have a certain level of autonomy that allow them to develop themselves as practitioners. Whether you see them in the operating room, the hospital floors or in the clinic, PAs are finding their place amongst all aspects of healthcare. Their patient oriented attitudes and broad knowledge base are making them a popular commodity within the medical community. As a PA our goal is to serve the community and provide the best possible care we can give. More importantly, the goal of a PA is to become a trusted healthcare provider that demonstrates our true compassion for each and every patient we see, building our relationships with the community we serve. n

Sunday, October 30, 2011

what is

Intramuscular Manual Therapy (IMT)? (AKA Trigger Point Dry Needling (TDN) By Sandra Marston, (abd) DScPT, COMT, IMT, CPI, Fellow in Training

Intramuscular Manual Therapy (IMT/TDN) is an evidence based treatment performed by physical therapists that have been trained and proficiency tested in manual therapy and dry needling. The body may develop tight muscle knots or bands called trigger points in response to trauma, repetitive motion, psychological and emotional stress, and more. If there is a neurological cause for the trigger points such as disc dysfunction, compression of circulation and/or nerves such as carpal tunnel, metabolic disorders such as diabetes, or even biomechanical strain from posture, the muscles may remain tight. Muscles make joints move, so if only some muscles around a joint are overly tight while others are not, there becomes an imbalance of forces tugging on the joint which can then cause the joint to wear out unevenly; much like when the wheels of your car are out of alignment; the car gets pulled to one side thereby wearing out the tires unevenly. IMT/Dry needling involves putting a solid, non-injectable needle into the trigger points thereby releasing the trigger points. Movement becomes easier, pain is reduced, and the forces around the joint become balanced. Research is finding that this release is often permanent, unless there is continued stress and trauma to the area. Physical therapists then follow up with strengthening, stabilization, and mobilization to help ensure the issue that CAUSED the trigger point is alleviated. Other tissue such as tendons, ligaments, and scar tissue may benefit from IMT/TDN. Research supports that IMT/TDN decreases muscle tension, aids in pain control, and helps the muscles, tendons, and ligaments recover faster. Patients often ask the question, “Is this the same as acupuncture”? The answer is NO! Acupuncture is a system of Traditional Chinese Medicine and current Oriental Medicine and its practices for evaluation and treatment are quite different from that of the physical therapist. Physical therapy is based in Western medicine and is focused on determining if nerves, muscles, ligaments, and joints are working correctly and in concert with one another so the patient can move without pain and limitation. While both professions insert needles, the intention, techniques, areas chosen to needle, and expected outcomes are not the same. Patients may benefit from both IMT/TDN AND acupuncture as the areas needled for the same condition may be completely different. Both techniques have been proven in peer reviewed medical journals to benefit medical conditions. Helena is blessed to have so many excellent professionals with many ways to help you heal. IMT/TDN is another great option with a sound research backing. n

Sunday, October 30, 2011

The body may develop tight muscle knots or bands called trigger points in response to trauma, repetitive motion, psychological and emotional stress, and more.

Advanced Rehab Physical Therapy & Pilates Clinic When you have been somewhere else with no results... Remember

“Education Matters!” Specializing in: Traumatic injuries from auto/work related incidents, neck and back injuries, chronic pain and more.

Sandra Sa d a Ma Marston, t Fellow in Training Helena’s Manual Therapist with Advanced Certification in Trigger Point Dry Needling

417 N. Benton Avenue, Helena

495-8995

www.advancedptclinic.com BH-20178367

HEALTH & wellness

You have a choice of quality Medicare certified Home Health & Hospice services.

iin Helena H l 406-443-4140 â&#x20AC;˘ 800 Front Street also inâ&#x20AC;Ś

Bozeman Butte Frontier Home Health Frontier Home Health 406-586-0022 406-723-8933

Sandra Marston works with a patient. Photo by Eliza Wiley

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All providers accepting new patients Dr. Fritz Dr. Keefe Dr. Reynolds Dr. Palcisko Dr. Augustine

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HEALTH & wellness

1122 N Montana Ave 449-5563 www.helenapediatricclinic.com HOURS: Mon.-Fri. 8am-6pm Sat. 8am-12pm Sunday, October 30, 2011

By Linda Winfield RNCNP-WHNP, Medical Weight Management, Inc.

weight loss tips:

1. Have COMMITMENT to your program. 2. See your diet as an INVESTMENT in yourself. 3. Keep your diet efforts CONSISTENT. 4. Have CONFIDENCE in your will to be thinner. 5. Be patient. RESULTS take time. 6. See weight loss as a result of medical TREATMENT. 7. Remember that results follow EFFORTS. 8. Make diet CHOICES convenient for yourself. 9. Allow yourself to take PLEASURE in small weight losses. 10. Use the comparison of the old you to the new you, so that you can APPRECIATE your progress.

Keys to SUCCESS in weight management: 

Readiness, Motivation, Expectations, Commitment, Problem Solving and Small Changes.



Receptivity to change is the first step.



REMEMBER: The scale tells you how much you’ve lost.

(Courtesy of the American Society of Bariatric Physicians)

FFeel eel Better Bet ter & Enjoy Enjoy TThe he Health Health B Benefits enefits N Now! ow! • Medically Managed Weight Loss • Nutrition Education • Safe, Effective, Affordable • FREE Consultation Nurse Practitioner with Over 10 Years Experience in Weight Loss Management

Linda Winfield RNCNP, WHNP 25 S. Ewing St., Suite 521, Helena Privately Owned 442-9302

Sunday, October 30, 2011

BH-20178459

Only you know what's been gained! HEALTH & wellness

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Low Fat

Carrot Raisin Muffins

Breast Cancer Treatment is here in Helena

The applesauce is used in place of the traditional oil.

Ingredients: 2 cups unbleached white flour 1 cup whole wheat pastry flour 1 teaspoon baking soda 1 teaspoon baking powder 1/4 teaspoon salt 1 cup sugar 1 teaspoon cinnamon 1/2 cup raisins 1 egg, whole 1 teaspoon vanilla extract 1 cup soy milk 1/2 cup applesauce 2 cups grated carrots 1 egg white

If experience is the difference,

then we’re the difference Dr. Debra Kontny, Oncoplastic Surgeon Dr. Kontny is board certified by the American Board of Surgery and is a member of the American Society of Breast Surgeons. She is the leader in the Helena community with regard to advanced Breast Care.

Serves: 8 Cooking Time: 30 minutes - one hour

Mammosite® (partial breast irradiation) Minimally invasive in-office breast biopsy Breast reduction Breast lift

Instructions: Preheat oven to 350. In a large mixing bowl, combine the dry ingredients. Add raisins. Make a well in the center. In a separate bowl, lightly beat egg and egg white, or Egg Replacer. Stir in vanilla, milk and applesauce. Fold in carrots. Add wet ingredients to dry ingredients; stir just until well blended. Pour batter into papered muffin cups.

3130 Saddle Dr. Suite 2, Helena

513-1962 find us in the Sussex Building

Bake 25-30 minutes, or until toothpick comes out clean. Recipe from Real Food Market & Deli • www.realfoodstore.com

HEALTH & wellness

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Sunday, October 30, 2011

Recovery Home Providers Needed to Help the People with Serious Mental Illness

live a better life By Rick Henson, Center for Mental Health Southern Services Director

ecovery Homes are a middle ground for people with serious and disabling mental illnesses like schizophrenia, bipolar disorder, major depression or post-traumatic stress disorder to name a few. Recovery Home providers help them transition from institutions or incarceration to living on their own. Karrie Bird coordinates the local Recovery Homes says the program is so important because “it gives you the ability to have your freedom, to come and go as you please along with rules that go along with the house and still lead a fairly normal life, but have structure of making sure you get meds on time and your meals” Clients held a contest to rename the program because the former name Adult Foster Care implied helplessness instead of recovery. Providers are licensed and paid through a contract with the state. The state provides a thorough step by step guide and inspections. Training is provided by the Center for Mental Health through shadowing a current provider. The whole process to become a provider takes 2 to 4 months. In addition to a provider offering support and care, clients are assigned a case manager. Paul Wear is a Recovery Home provider. His previous experience in the mental health field helped expedite his training process and made him feel very comfortable and prepared to take on this job. He speaks highly of the shadowing process saying “you'll see a person who's trained that's already doing it and get a good synopsis of what it all involves”. Many people with chronic mental illness do not have family support. That's why Recovery Homes are so special, they provide a surrogate family. Wear says, “I just like being able to help somebody realize a little more of their own potential”. He explains, “it gives them an opportunity to be an equal person in the community”. Experience with mental illness is preferred, but not required. The majority of clients entering the program are coming out of Montana State Hospital and need some intensive services. Providers monitor medications, attend all medical, dental, and psychiatric appointments. Providers are on-call 24 hours per day. They teach daily living skills such as cleaning, cooking, hygiene, social skills, and become mediators between clients. They attend all treatment team meetings and follow the

Sunday, October 30, 2011

recommendations on the treatment plan to assist the client to gain more independence. It is not an easy job, but a job that will make a very important difference in someone's life, including the provider's. n

To learn more about the Recovery Homes program in the Helena area contact Karrie Bird at 443-7151.

More Recovery Home Providers Needed (formerly known as Adult Foster Care) p Compassionate? p Supportive? p Empty nest? pLike the idea of helping others develop life skills? Consider working at home as a Recovery Home provider.

Call a coordinator nearest you. More info: n Colleen Kuhn 761-2104 (Great Falls) n Suzanne Berger 265-9639 (Havre) n Karrie Bird 443-7151 (Helena) HEALTH & wellness

center4mh.org

Empty Nesters Needed Recovery Home providers needed (Formerly Adult Foster Care)

work at home & change a person’s life

Call 443.7151 for info

900 N Jackson • Helena • 406.443.7151 HEALTH & wellness

Sunday, October 30, 2011

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www.Dr.Dove.com HEALTH & wellness

Addressing

By Hunters Pointe

common concerns of aging

Aging brings uncertainty for many seniors and their families. When physical capabilities diminish, healthy habits can often be difficult to maintain.

Common concerns include: n isolation: Many seniors have spent a considerable portion of their lives in the company of others, whether in the workplace or raising a family. Upon reaching retirement age, and with children leaving the house, the opportunities for socialization often decrease. n diet: Many seniors prefer not to cook when preparing food just for themselves while others may be limited physically. Poor eating habits and malnutrition can lead to a myriad of other health problems. n driving: It can be a significant challenge when seniors can no longer safely operate a vehicle and are forced to surrender their keys. This often signals the end of their independence and adds stress to primary care givers, who must take on the role of chauffer. n safety: Most homes are not designed to meet the needs of seniors and living independently can be a detriment, leading to increased falls and hospital visits. Basic home maintenance and routine chores may also be taxing.

who require additional support are welcome to acquire outside home health care services*.

Another unique aspect of Hunters Pointe is the safety of live-in managers available 24/7. These compassionate managers get to know residents on a personal level and provide invaluable security by monitoring the emergency call systems that are located in each apartment. In case of emergency, residents can pull the cord and a member of the management team will arrive within minutes, alerting emergency personnel if necessary. Managers are often described as “part best friends, part guardian angels.” Hunters Pointe has helped many seniors overcome the worries of aging by providing a carefree independent lifestyle. Tours are available daily by calling 406-443-4222. More information is available at www.hunters-pointe.com. n

*Hunters Pointe is not affiliated with any home health care provider.

ortunately, there are more senior living options available today than ever before. Families and seniors are no longer resigned to facing these obstacles on their own or making a premature move to a nursing home or assisted-living community.

Seniors capable of living independently now have the option of independent retirement living communities. Pioneered by Holiday Retirement in 1971, independent retirement living communities provide a more carefree lifestyle in the safety of a larger community. Hunter’s Pointe, located at 2801 Colonial Drive, has helped many seniors and families address the burdens of aging. The community, which features 115 private apartments, provides three nutritious chef-prepared meals daily served in a restaurant-style dining room that promotes socialization among residents. Enriching, daily activities also help keep residents mentally and physically engaged.

HEALTH & wellness

All-inclusive, month-to-month rent Around-the-clock live-in managers Three chef-prepared meals daily Life enriching programs & activities Pets warmly welcomed Exclusive travel program Complimentary shuttle service So much more!

Discover all-inclusive and affordable independent retirement living at Hunters Pointe. Visit us today to take a tour and learn more! Welcome to Holiday. Welcome home.

For those no longer able to drive, or simply wishing not to, Hunter’s Pointe provides complimentary shuttle service to scheduled appointments, to errands and on community outings.

Hunters Pointe

Independent Retirement Living BH-20178456

Housekeeping and linen service is also provided and residents avoid strenuous and expensive home maintenance tasks while enjoying a community with a senior-friendly design. Those

Sylvia is a resident at Hunters Pointe

2801 Colonial Drive, Helena, MT 59601 406-443-4222 | hunters-pointe.com Sunday, October 30, 2011

help for

sleep disorders By Joe Boule, Polysomnographic Technician St. Peter’s Sleep Center

he Sleep Center of St. Peter’s Hospital has been serving the Helena Community since 1995 and provides diagnostic services for a wide range of sleep disorders including Obstructive Sleep Apnea, Periodic Limb Movement Disorder, and Narcolepsy. The Center is accredited by the American Academy of Sleep Medicine and strives to give patients the best care and understanding a team can offer. The facility uses state-of-the-art digital equipment for the collection of data used for diagnosis. At the Sleep Center, patients have a private room with a full size bed, an attached handicap accessible bathroom, and a television. Patients can relax by reading or watching favorite television programs. If a hospital bed or recliner is required to sleep in, a patient may call ahead of time and arrangements will be made. Sleep disorders are medical conditions that can be very serious and need medical solutions. They can contribute to health problems like heartburn, high blood pressure, heart

attack and stroke. Some symptoms of sleep disorders may include: loud snoring, gasping, apnea, morning headaches, high blood pressure or fluctuating blood pressures, drowsy driving, frequent kicking at night, aching or crawling sensations in legs, weak knees or a weak feeling when laughing or upset. Patients should discuss these symptoms with a physician. Most health insurance plans cover the majority of the cost of sleep studies and the Sleep Center of St. Peter’s Hospital accepts assignment on most. Studies at the Sleep Center of St. Peter’s Hospital are very private and painless. If a patient prefers a tour of the Center prior to the study, that can be arranged. Many patients feel that this eases the stress of having the study. n Call the Sleep Center of St. Peter’s Hospital at 447-2656 for more information.

& Andrew M. Malany, MD, PC

Specializing in Obstetrics and Gynecology • Examination • Diagnosis • Prevention and Treatment of Women’s Health

45 Medical Park Dr.

442-1914 www.obgynoffices.com

Sunday, October 30, 2011

We Welcome New Patients of All Ages Andrew M. Malany MD, PC

Lynne Bryant, CNP

Jack W. McMahon, Jr., MD

Susan Ditchey-Hellems, MSN

Board Certified

Certified Nurse Practitioner

Denise Smigaj, FNP

Family Nurse Practitioner

Certified Nurse-Midwife

HEALTH & wellness

annual

Diabetes Education Event is November 8

eople living with diabetes and those affected by the disease are invited to attend St. Peter’s Diabetes Dialogue free community health and wellness event on Tuesday, Nov. 8, at St. Peter’s Hospital.

Seven Best Habits for Healthy Living #1. Get and Keep Tobacco Out of #5. Floss Your Teeth Every Day Your Life - Gain 10-14 years Gain 1½ years #2. Always Buckle Your Seat Belt #6. Limit Alcohol to 2 Drinks Daily Gain 10 years or Less #3. Exercise Regularly (5 Days Weekly) - #7. Take 1000 IU Vitamin D Daily Gain 3 years (More if you are Pregnant or #4. A Diet That Lowers Your Nursing) Cholesterol Level - Gain 2½ years

Richard P. Sargent, MD, PC

820 North Montana Avenue | 443-7733 Office hours Monday-Friday 8am-5pm Sage Medical Clinic Specializing in the Care of your Family

BH-20178397

This year’s keynote speaker is Endrocrinologist Dr. Barry Cohan who will make a presentation at 6 p.m. covering the latest information and techniques for managing diabetes. From 4:30 to 6 p.m., there will be a health and wellness fair featuring free health screenings including body fat and blood pressure. Various booths from St. Peter’s and the community will have free diabetes educational information. Healthy refreshments will be offered. Diabetes is the sixth leading cause of death and in the United States, however, research shows that when managed properly, other serious health complications from diabetes can be prevented or delayed.

Diabetes Dialogue is sponsored by NovoNordisk and Medtronic. For more information, visit www. stpetes.org or call 444-2116. BH-20178370

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Forever transformations start here! HEALTH & wellness

Spring Meadow Life Coaching Carla Williams, MD, Life Coach 461-6621 springcoach@gmail.com Sunday, October 30, 2011

We’ll make your legs feel and look beautiful. It’s easy to see who made the decision to visit us. Varicose and spider veins are not only painful, but unattractive as well. With the latest in safe and effective treatments, you don’t have to suffer any longer. Michael Orcutt, MD, an expert in vein therapy, offers the most advanced, painless and affordable ofﬁce-based procedures that promote a rapid recovery time.

Great Falls Center: 406.727.8346 Helena Center: 877.390.8346 www.cavc.com

There’s no longer any reason to be uncomfortable with how your legs look and feel. Call Dr. Michael Orcutt today and ﬁnd out how easy it is for your legs to feel and look beautiful again.

Michael B. Orcutt, MD, FACS, RVT Fellow American College of Surgeons Member American College of Phlebology

The expert care your legs deserve™

BH-20178442

Sunday, October 30, 2011

HEALTH & wellness

hospice

Serves Any Patient Who Needs Assistance

Reclaim Your Active Lifestyle

By Sheila Cotter, R.N., St. Peter’s Hospice Director

ospice of St. Peter’s was started by volunteers in the 1970s and is one of the first hospices in Montana. In 1985, when the legislature recognized hospice as a Medicare benefit, Hospice of St. Peter’s hired staff and began operations as a not-for-profit department of St. Peter’s Hospital. Hospice of St. Peter’s remains the only not-for-profit hospice in Helena and serves patients in Helena and all the surrounding communities. Hospice of St. Peter’s employs 18 staff consisting of Registered Nurses, Licensed Practical Nurses, Certified Hospice Aides, Social Workers, Bereavement Staff, a Chaplain, two Medical Directors and a Volunteer Coordinator who oversees 60 volunteers. Hospice of St. Peter’s serves any patient who qualifies for hospice services; regardless of ability to pay or insurance coverage. St. Peter’s Hospital Foundation raises funds for hospice patients to cover un-reimbursed care and other services such as travel expenses for families. Hospice provides all medication related to the terminal illness, as well as oxygen supplies, medical supplies and any necessary equipment needed as beds, wheelchairs, walkers, or LifeLine. n

A Hospice professional is available at any time to consult with patients and families about available services at 444-2244. A hospice library with books, pamphlets and videos related to death and dying and bereavement is available for anyone who may need them at St. Peter’s Hospice office, 201 S. California.

HEALTH & wellness

Regional leader in comprehensive vein care. Board certified surgeon specializing in vein treatment.

Before

After

Offering VenaCure™ Laser Treatment and RF-Radiofrequency (VNUS) Closure® for the treatment of varicose veins. Also offering Microphlebectomies, Ultra Sound guided Sclerotherapy, Standard Sclerotherapy and treatment of facial veins.

Timothy B. Richards, MD, FACS 2831 Fort Missoula Road, Building 2, Suite 104 Missoula, Montana 59804 Phone: 406-728-0285 Fax: 406-728-0613

www.rmssmontana.com Sunday, October 30, 2011

It’s ALL right here! Independent Living Single-family homes Assisted Living

A new name ... with the same great residents, staff, and ownership. (formerly Waterford on Saddle Drive)

FOR PEOPLE WITH HEARING LOSS Hearing technology is more discreet and flexible than ever in improving communication. Call Today to Schedule Your Complimentary Consultation and Demonstration with audiologist Dr. Hillary Carter 266-7038

TOUCHMARK ON SADDLE DRIVE

Saddle Drive

Helena, MT Touchmark.com

BEAUTIFUL HEALTHY SKIN Firm • Smooth • Youthful

Clear healthy skin possible with BROADBAND LIGHT® SKIN TYTE™ for fine lines & wrinkles Acne

• Botox® •

Facials

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Laser Hair Reduction

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Rosacea

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Restylane

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Spider Veins

FREE Cosmetic Consultation

324-7447

2626 Winne Ave Helena www.comphearing.com

Specialized Medical, Inc. Specialized Medical Offers Personalized Professional Service in the Mobility and Accessibility Field for the Entire State of Montana. We are Fully Licensed, Certified and Insured. You Can Be Sure Our Services Rank Top in the State!

• WHEELCHAIRS (MANUAL AND POWER) • POWER SCOOTERS • WALKERS • VEHICLE LIFTS • LIFT CHAIRS • STAIR LIFTS • HOSPITAL BEDS • RAMPS • BATH REMODELS • DURABLE MEDICAL EQUIPMENT

Karen Rowan, LPN Linda Burgess, LPN Licensed Esthetician & Laser Technician & Certified Aesthetic Consultant Certified Aesthetic Consultant 22 Years Combined Skin Care Experience

50 S. Last Chance Gulch, in the Guardian Building Caring for Helena Since 1981

Chris & John Nichols, Owners

3660 North Montana Ave

406-495-8600

BH-20178475

Sunday, October 30, 2011

HEALTH & wellness

techniques for

breathing easier

By Scott Anderson, Sales Representative Lincare/Home-Ox

e are all experts at breathing. Some of us, however, will develop shortness of breath, sometimes due to exercise or exertion, and All of us take sometimes due to disease processes. breathing for

granted for most of our lives. It is something we do 12-20 times a minute with little or no thought.

An important component of breathing air out is that the lung “rebound” after we take a breath. This is due to the elastic properties of the lung, and to the upward movement of the most important muscle in breathing: the diaphragm. In chronic obstructive lung disease (COPD), the lungs lose their elasticity and the diaphragm no longer moves upward as rapidly as it should. The end result of these losses is that the work of breathing increases due to the extra effort needed to get the air out of the lung during exhalation. For most of us, the diaphragm – located in the abdomen, is our most important breathing muscle. It does about 65% of the work during normal breathing. During times of exertion, we utilize the backup breathing muscles,

Breathe easy. Announcing the joining of 2 Great Names

& HomeOxygen 2-U

LINCARE - HomeOxygen 2-U responds to your individual needs by providing the oxygen system most appropriate for your lifestyle. Oxygen concentrators, liquid oxygen systems and home fill cylinders are provided according to your physician’s prescription and with consideration for your unique activity level. Our expert service representatives and clinical staff are always available when you need them.

most of which are located in the upper chest and shoulder areas. People with COPD have a tendency to stop using the most efficient respiratory muscle – the diaphragm – and use the back-up muscles instead. These backup breathing muscles are inefficient when compared to the diaphragm. The diaphragm is also an important muscle for coughing. Because it becomes flattened in COPD, it is no longer as effective as it should be for coughing up mucus, and breathing full complete breaths. In order to help you overcome the shortness of breath and the difficulty in coughing up mucus you be experiencing, oxygen therapy and nebulizer medication treatments are a good way to minimize the effects of COPD. Please consult with your physician for relaxation techniques, walking and coughing exercises. n

Respect Rebuild Restore

Elkhorn Healthcare & Rehabilitation, LLC, located in Clancy, Montana provides the following services: Nursing Home, Short Term Care: Rehabilitation, and Skilled Nursing Facility.

Elkhorn

Health & Rehabilitation, LLC

For more information please call your local LINCARE-HomeOxygen 2-U Center

BH-20178487

3330 Colton Dr. Suite B • Helena, MT (406)449-2253

HEALTH & wellness

474 Highway 282 • Clancy • 406-933-8311 Sunday, October 30, 2011

Want Better Health?

&Move!

Get Up

We all know that being physically active is good for our bodies and minds, and yetâ&#x20AC;Ś

When streets are designed for all users, they provide people the opportunity to choose more active ways to get around, such as walking and biking.

For school children, exercise is associated with improved academic outcomes and reduced anxiety, depression, and disruptive behavior.

Being overweight or obese, combined with a lack of physical activity, increases the risk of many chronic diseases, including diabetes, heart disease, some cancers and stroke. These diseases are costly both to our quality of life and to our pocketbooks. In the United States, health-care costs related to low levels of activity, overweight, and obesity have reached an estimated $117 billion.

We must find new ways to build physical activity into our daily routines. We must build communities where people are intrinsically more active.

e are an increasingly sedentary population. As a result, the percentage of Americans who are obese has doubled in the past two decades. Among children, rates have tripled.

In Lewis and Clark County, almost 60 percent of our adult population is obese or overweight. Health experts agree that inactivity is one of the primary culprits. One out of five adults in Lewis and Clark County say that they are not physically active in their leisure time. One reason for the rise in inactivity is that many communities are built to accommodate drivers, not walkers or bicyclists. Outdoor recreational activities are increasingly being replaced by indoor activities, like watching television and playing computer games.

We have "engineered" physical activity out of our lives, and the results are not healthful. Physical activity is a key factor in achieving and maintaining a healthy weight. It reduces symptoms of anxiety and depression and promotes healthy bones and joints.

Studies show that people are happier and healthier in places where physical activity is integrated into daily life. Encouraging and promoting active transportation is one way to incorporate physical activity into our daily routines. But we also must support community planning and design that provides safe travel options for all transportation users. We have to make active transportation the easy choice. We need to make it more convenient, more fun, and safer than the alternative. n

Integrating activity into our daily lives and living in environments where that is easy to do makes good health more accessible to everyone.

For more information, please contact the Lewis and Clark City-County Health Department at 457-8924.

BH-20178488

Sunday, October 30, 2011

HEALTH & wellness

Montana Clean Indoor Air Act-

A Public Health Success

By the Lewis & Clark City-County Health Department

ctober marks the sixth anniversary of the Montana Clean Indoor Air Act, a law that recognizes everyone’s right to breathe clean air by requiring all indoor public places and workplaces to be smoke-free. Compliance with the law continues to be high among workplaces and businesses in Broadwater and Lewis and Clark Counties. Secondhand smoke is an important health issue, because when people choose to smoke they can negatively impact the health of those around them. In fact, when nonsmokers are exposed to secondhand smoke at home or work, their risk of developing heart disease jumps 25%. Secondhand smoke contains more than 4,000 chemical compounds, many of which are cancer-causing agents. According to the Centers for Disease Control and Prevention, for every eight smokers who die from tobacco use, one nonsmoker also dies. Each year, an estimated 175 Montanans who never smoked die from breathing someone else’s tobacco smoke.

FREE and low-cost help is available for Montana residents who wish to quit using tobacco. Contact the Montana Tobacco Quit Line at 1-800-QUIT-NOW. For more information, call the Lewis & Clark County Tobacco Use Prevention Program at 457-8924.

A growing number of local organizations-- including the Lewis and Clark City-County Health Department, St. Peter’s Hospital, Blue Cross and Blue Shield of Montana, and Helena Food Share-- have gone a step farther to protect their employees and visitors from secondhand smoke and to encourage and support tobacco-free lifestyles. They have adopted tobacco-free campus policies. The Lewis & Clark County Tobacco Use Prevention Program has partnered with many organizations in the past several years to promote tobacco-free outdoor events in Helena as well. These include Alive at 5, Symphony Under the Stars, Chalk-Up Helena, and Shakespeare in the Park. Broadwater County is a statewide leader in tobacco use prevention and protection by implementing a County-wide Tobacco Free Grounds policy and have also provided tobaccofree venues for their outdoor community events such as the recent Townsend Fall Fest. The Montana Tobacco Use Prevention Program (MTUPP) continues to promote other important smoke-free and tobaccofree policies in Montana. It is working with public housing authorities, hospitals, medical facilities and colleges and universities to consider, develop, and implement campus-wide tobacco-free policies. These policies help protect vulnerable, at-risk Montanans, including children and seniors. n

HEALTH & wellness

Sunday, October 30, 2011

Redox Signaling Molecules ~

Anti-Aging Secret Revealed!

By Sandy Sands Independent ASEA Associate

Redox signaling molecules are the molecules that work with antioxidants to boost the immune system, increase athletic conditioning, and provide improved endurance. Antioxidants can’t work without them and yet, the antioxidants get all the good press.

Older Adults – you’re already feeling many of the signs of aging and want relief from some of the aches and pains that go along with growing old. You want to enjoy the spark of youth once again and live a life that is free of many of the aches and pains that may have plagued you for years.

It is the Redox signaling molecules that enable the body to maintain proper chemical balance. Maintaining this balance helps maintain good health, fight off infection, and fight visible and internal signs of aging. They enable you to look and feel younger than you have in years. It may not be the fabled Fountain of Youth but it is definitely the next best thing!

Athletes – you want to improve any edge you have. You want better athletic conditioning and improved endurance to help you gain an edge

Aging and Redox Signaling Molecules Since Redox signaling molecules are produced naturally in the body, there hasn’t been a lot of information published about their importance for fighting aging or the important role they play in making antioxidants work better.

The Better Question to Ask May Be “Who Can’t Benefit ?” To the individual who believes that how you look, act, and feel should not be limited by age, ASEA is the world’s first and only stable and bioactive solution that slows aging at the cellular level through the power of Redox Signaling, allowing you to live younger longer. n

The problem is that as you age, your body produces fewer and fewer of these molecules. This is why it takes longer to heal from injuries as you age and why you begin to wear the signs of aging more prominently on your face. Your skin is no longer able to repair the damage of the elements that it has quickly repaired in the past by using reactive agents that are produced naturally in the body. Until recently, there was no way to reproduce the Redox signaling molecules outside the body. Once they were gone, they were gone. There was no way to create or invent more. Today, that has changed with ASEA™.

Who Stands to Benefit? Baby Boomers – this is the generation that is feeling the pangs of aging and are fighting, kicking, and screaming every step of the way. You aren’t ready to go down and give up on living life on your own terms. You resent the signs of aging that are slowly creeping up on you and are ready to do whatever it takes to take back your youth, good health, and vibrancy.

A quantum leap in science Boosts the cell’s communication functions restoring body balance Antioxidant activator and enhancer Increases athletic endurance and speeds recovery after exertion For the sickest of the sick to the fittest of the fit Buy a case, do your own “case study”

Young Adults – you aren’t ready to give up on your

youth and beauty. You work hard and you play hard and there is little time left over to take it easy on your bones and joints. You want to get the most out of life and don’t feel like making excuses for it.

Info? Contact Sandy & Mary Sands Independent ASEA Associates (406) 461-6284 now4sands@msn.com www.resolute.teamasea.com BH-20178373

Sunday, October 30, 2011

HEALTH & wellness

ADVANCED TECHNOLOGY LENSES MAY JUST CHANGE THE WAY YOU SEE THE WORLD.

nce you’ve made the decision to have cataract surgery, you still have important choices ahead of you.

1. Who will do my surgery? 2. Where will my surgery be performed? 3. What lens best fits my lifestyle? ASTIGMATISM

DISTANCE

Monofocal Lens

NEAR

Today's advanced technology lenses give you more options than ever before.

INTERMEDIATE

During Surgery your eye’s cloudy natural lens will be replaced with an artificial lens.

These advanced lenses are designed to correct both cataracts and astigmatism at the time of surgery, for clear distance vision without the need for glasses. However, you will likely still need glasses for reading. These advanced lenses are designed to

both cataracts and astigmatism Astigmatism-Correcting correct at the time of surgery, for clear distance vision without the need for glasses. Monofocal Lens However, you will likely still need glasses for reading.

Multifocal Lens

Most lenses can only correct vision at one distance—these advanced technology lenses correct vision near, far and in-between, for your best chance at freedom from glasses!

Helena’s Only Comprehensive Eye Clinic

Offering Both Ophthalmology and Optometry in One Convenient Location Craig L. Wilkerson, MD Ophthalmologist, Eye Surgeon Helena’s only advanced technology cataract surgeon.

Chad M. Swanson, OD Optometrist •

Cataract Surgery: Traditional & Advanced Technology Lenses

•

Certified Opticians for Professional Fittings Contact Lens Fitting

•

Eyelid Surgery

•

Full Optical Services

•

Complete Eye Exams

•

Hundreds of Frames to Choose From

Specializing in cataract surgery for over 10 years. Thousands of eye surgeries performed right here in Helena

301 Saddle Drive • Helena, MT • (406) 443-4040 HEALTH & wellness

Sunday, October 30, 2011

October

is physical therapy month By Marjean Heisler, St. Peter's Rehabilitation Director

all is here and activities often shift for the cooler weather. If you find that you are having difficulty or pain with activity you may want to consider a visit to a Physical Therapist. Physical Therapists are experts at analyzing the body’s structure, alignment and movement.

of study including specific pre-requisites and then continue on through an intense 3-year focused study of the body. Education does not stop there however, as there is much to continue learning about specific treatment techniques, and new information is always on the horizon. Many therapists will go on to specialize in specific areas such as manual therapy, women’s health, neurological therapy, orthopedics, acute care, wound care, or pediatrics. n

Montana is one of many states where Physical Therapists can see patients without a physician’s prescription. Insurance policies, however, have varied requirements. You should first be aware of the particular requirements of your policy related to coverage of this service. Medicare is one type of insurance that requires a physician’s prescription to cover PT costs. Co-pays will vary also by policy rules. Today entry level Physical Therapists earn a doctorate in Physical Therapy. They complete an undergraduate course

For the beautiful you! Products for your comfort • Now Offering Wigs • Breast prosthesis & bras • Post-mastectomy leisure wear & products • Diabetic shoes • Compression stockings

Anderson Orthotics & Prosthetics Linda Roberts, Certified Orthotist, Certified Mastectomy Fitter Tues-Thurs 9-5, Mon & Fri by appointment BH-20178368

photo by Eliza Wiley

Your first visit should include an evaluation by a licensed Physical Therapist. They will take a thorough history and then look at any limitations you have in movement, areas of muscle weakness, and identify potential problem areas. Together with you, they will develop a plan to address those problems. You should always feel comfortable asking questions and learn as much as you can about your body structure and ways to prevent future problems.

St. Peter’s Physical Therapy has PT staff with many specialties as well as advanced certifications. There are two locations; at St .Peter’s hospital campus East Entrance and in the Capital City Health Club on North Montana Avenue.

November Health Observances • • • •

American Diabetes Month Lung Cancer Awareness Month National Healthy Skin Month COPD Awareness Month

Nov. 17 Great American Smokeout

2121 Euclid Ave 443-7743

Sunday, October 30, 2011

HEALTH & wellness

��

UrgentCare-Plus.com • 513-1052 • 39 Neill Ave Across from Starbucks Downtown BH-20178483

BROADWATER HEALTH CENTER

& Wellness Clinic

Ben Lindeman PA-C 110 North Oak St., Townsend

266-3186 Call for appointment: 266-4670

Improving Health.

Touching Lives.

www.broadwaterhealthcenter.com

BH-20178379

HEALTH & wellness

Sunday, October 30, 2011

Advertiser Index Advanced Rehab............................ 10 Anderson Orthotics & Prosthetics... 28 ASEA.............................................. 26 Associated Dermatology & Skin..... 22 Broadwater Health Center.............. 29 Center for Mental Health................ 15 Centers for Advanced Vein Care..... 20 Comprehensive Hearing Services... 22 Dinners Done Right...........................4 Doctor’s Weight Loss Clinic............ 19 Elkhorn Health & Rehabilitation...... 23 Frontier Home Health & Hospice..... 11 Heart & Soul Naturopathic.............. 16

Helena Denture Clinic........................8 Helena Eye Clinic............................ 27 Helena Family YMCA.........................4 Helena Ob\Gyn............................... 18 Helena Orthpaedic Prompt Care........9 Helena Pediatric Clinic.................... 11 Helena Surgi Center....................... 31 Hunters Pointe................................ 17 L & C Obesity Prevention................ 24 L & C Tobacco Use Prevention........ 25 Lincare/Home-Ox........................... 23 Medical Weight Management......... 12 Medtronic..........................................6

Mountain Surgical Arts................... 13 New West Medicare....................... 16 Nightingale Nursing & Caregiving......8 Richard P. Sargent, MD, PC............. 19 Rocky Mountain Surgical................ 21 Shodair Children’s Hospital............. 30 Sound Health Imaging.......................2 Specialized Medical, Inc................. 22 Spring Meadow Life Coaching........ 19 St. Peter’s Medical Group..................3 The Real Food Market & Deli.......... 32 Touchmark..................................... 22 Urgent Care Plus............................ 29

115Years of Caring • Residential and acute psychiatric care for children • Clinical and laboratory medical genetic services for people of all ages

To advertise in the next issue of the Independent Record Health & Wellness Guide Call Michelle Edmunds at 447-4089

Proud to be Montana’s only Children’s Miracle Network Hospital

Next issue publishes JANUARY 16. Call now to reserve your space.

www.shodair.org

406-444-7500 1-800-447-6614 2755 Colonial Drive Helena, MT 59601

BH-20178402

Sunday, October 30, 2011

HEALTH & wellness

A PERSONALIZED, MULTI SPECIALTY

OUTPATIENT SURGICAL CENTER MANAGED BY PHYSICIANS FOR PATIENTS

Offering full service outpatient orthopedic surgery for the Helena community since 1998. Montana orthopedic surgeons taking care of Montana people. Comfortable, caring environment Professional, compassionate and friendly staff Efficient and cost effective care Consistently high patient satisfaction Passed Medicare/Medicaid health survey in June with no deficiencies

2440 Winne Ave HEALTH & wellness

•

Suite 100 Helena

•

457-4200 Sunday, October 30, 2011

BH-20178480

�� Nutrition is not the only organic advantage. In addition to the personal ��

�� How do you feed your dreams?

��

��OPEN: Monday-Saturday 8 AM - 8 ��

PM ;

Sunday 9

-7