Hole Health 2015

Hole Health

April 29, 2015

A special supplement to the Jackson Hole News&Guide

Growing your own wellness Gardening is good for body and soul, page 8.

BRADLY J. BONER / NEWS&GUIDE

One way to eat enough vegetables is to grow them. Gardeners enjoy raising their own crops and say their produce tastes better than store-bought.

St. John’s Community Health Fair • 9 a.m. to 1 p.m. Saturday, May 2 • See story on page 3.

Senior status

Older people thrive on the valley’s outdoor lifestyle and senior center programs, but housing can be a problem. See page 4.

Average athletes

You don’t have to be an extreme adventurer to get fit: Regular Jackson Hole folks stay active, too. See page 9.

Hunting for nutrition

Game meat is better for you than grain-fed beef, and that’s turning some people into hunters. See page 10.

2 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

BIOHEALTH

Biofeedback and Behavioral Health

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ackson Hole provides more than a few opportunities for healthy living.

Forest trails can be accessed in minutes. The surrounding hills teem with wildlife that, for the dedicated hunter, can put food on the table all year long. And organizations and agencies around the valley work around the clock to help provide care for people in need.

This year’s edition of the Hole Health special section explores the myriad ways valley denizens can work on their own wellness.

Mike Koshmrl takes a look at the nutritional benefits of eating game meat. Jennifer Dorsey explores how growing your own garden is good for body and soul. And Jeannette Boner explains how a regular person in uber-fit Jackson Hole can take everyday steps to get active and healthy.

But you’ll also find in these pages explanations of a few of the barriers that Jackson Hole residents face

Joy Nelson Lundeen RN is a board certified practitioner.

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• STRESS

Letter from the editors when it comes to healthy living.

The recently completed Teton County Community Health Needs Assessment found that the top priority for health care in the valley is to improve access to care. Our county typically has one of the highest rates of uninsured residents in the state. And the cost of care often keeps people from seeking it.

St. John’s Medical Center and other organizations are doing what they can to help overcome those barriers. But a good first step is to get plugged in to your own wellness and the opportunities available in the community by attending the hospital’s annual Jackson Hole Community Health Fair, which takes place from 9 a.m. to 1 p.m. Saturday at Teton County/Jackson Recreation Center and the neighboring Davey Jackson Elementary School.

— Ben Graham and Mike Koshmrl

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Publisher: Kevin Olson Editor: John R. Moses Deputy Editors: Richard Anderson, Johanna Love Hole Health Section Editors: Ben Graham, Mike Koshmrl Layout and Design: Kathryn Holloway Photographers: Bradly J. Boner, Price Chambers Copy Editors: Jennifer Dorsey, Mark Huffman Features: Richard Anderson, Jeannette Boner, Emma Breysse, Julie Butler, Jennifer Dorsey, Clark Forster, Mark Huffman, Mike Koshmrl, Frances Moody, John Moses, Jason Suder Director of Advertising: Adam Meyer Advertising Sales: Karen Brennan, Matt Cardis, Tom Hall, Chad Repinski Advertising Coordinator: Oliver O’Connor Creative Services Manager: Lydia Redzich Advertising Design: Andrew Edwards, Sarah Grengg Pre-press: Jeff Young Press Foreman: Greg Grutzmacher Pressmen: Dale Fjeldsted, Johnathan Leyva, Mike Taylor

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015 - 3

Health fair opens doors Free screenings, exercise classes and info booths promote wellness.

By Richard Anderson

D

uring its 20-plus-year history the Jackson Hole Community Health Fair has become a “one-stop shop” for people to get information about their health and to make contact with health care professionals.

That’s a good thing, said Julia Heemstra, coordinator of St. John’s Medical Center’s Wellness Institute, because Teton County residents can and do take advantage of a host of free screenings, exercise demonstrations and information offered at as many as 100 booths.

But it also underscores a big problem in Jackson Hole — the big problem, according to the recently completed Teton County Community Health Needs Assessment — namely the barriers that many in Teton County face when trying to access health care services.

This year’s Health Fair will take place from 9 a.m. to 1 p.m. Saturday, May 2, at a new site: the Teton County/ Jackson Recreation Center and the neighboring Davey Jackson Elementary School.

PRICE CHAMBERS / NEWS&GUIDE FILE

Children at the St. John’s Medical Center Community Health Fair get moving during a Zumba class last year. This year’s fair is at the rec center, and some of the exercise demos will be held in the pool.

The event will include popular favorites, including professional assistance in interpreting results of blood screenings, an ambulance and fire engine for children to climb on and explore, bike races and rodeos for youngsters, free healthy snacks and coffee donated by businesses, and free on-site screenings for vision, hearing, skin cancer, blood pressure, cognition and other conditions.

There will also be many new offerings. While Heemstra said this year’s fair will offer fewer exercise demos, some of them will take place in the rec center pool.

“So bring your swimsuits,” she said.

Also the annual 5-kilometer Spring Runoff footrace was rescheduled for the date of the health fair, and its start-finish line was moved to the Greater Yellow-

‘22 in 21: The State of our Health’ Questions such as “What is the state of Teton County’s health care system?” can’t be answered with a simple report or with a gathering of experts. But both can offer insights and perspectives that can eventually lead to some sort of answer.

To that end Jonathan Schechter’s nonprofit Charture Institute presents “22 in 21: The State of our Health,” set for 8 a.m. to 1:30 p.m. Thursday, April 30, at Spring Creek Ranch’s conference center.

Tickets to the gathering have already sold out.

As with Charture’s past four “22 in 21” conferences, the health care version will feature expert speakers and round-table discussions.

Brian Gragnoloti, senior vice president of the Johns Hopkins Health System and a board member of the American Hospital Association, will talk about the health care environment for small rural communities.

Dr. Lou Hochheiser, CEO of St. John’s Medical Center, and Michael Tennican, chairman of the hospital’s board of trustees, will discuss the challenges and opportunities facing Jackson Hole’s nonprofit hospital.

And Julia Heemstra and Sara Salo, of St. John’s Wellness Institute, will present a summary of the recently completed Teton County Community Health Needs Assessment.

For information visit 22In21.com.

stone and Jackson Hole Visitor Center on North Cache Street to make it part of the day’s festivities.

The most exciting new addition of all? Undoubtedly that would be a giant inflatable colon — “complete with polyps!” Heemstra said, as well as interpretive signs and labels — to walk (or run) through.

“We felt the health fair needed a face-lift,” Heems-

tra said.

Over the past few years the St. John’s Wellness Institute has developed and nurtured a working relationship with the parks and rec department. This year sees that relationship reaching a new height as the agency participates as more of a partner of the health fair.

“We wanted to demonstrate that wellness is so much more than just medical services,” Heemstra said. Parks and rec’s expanded role “highlights the importance of getting active as being a critical component of wellness.”

In fact, this year’s health fair will go far beyond eating right, staying fit and being well. As part of what might be better called Health Week, the nonprofit Charture Institute will host a special “22 in 21” session (22 referring to the number that appears on Teton County license plates, 21 to the current century) focusing specifically on health care (see box).

Also, St. John’s and Teton County Public Health will host a press conference May 13 to present an overview of the Community Health Needs Assessment. Set for 4 to 6 p.m. at Teton County Public Library, the event will hit the highlights of the assessment’s See health fair on 5

No. 1 Health Care Issue: Access Developing Teton County’s Health Needs Assessment took a lot of data and analysis. Ultimately the study concluded that the highest priority for the health care community was to improve access to care.

“The three indicators we used that moved access to health care into the realm of the biggest need,” said Julie Heemstra of St. John’s Wellness Institute, “were uninsured adults, uninsured children and cost as a barrier to care.”

Participants in the assessment compared those figures with statewide figures, federal statistics and the federal government’s Healthy People 2020 goals.

They found that 23 percent of

Teton County adults are uninsured, compared with 21 percent in Wyoming and 15.7 percent in the U.S. The Healthy People 2020 goal is zero percent.

In Teton County 13 percent of children are uninsured, compared with 8 percent across the state and 9.4 percent in the country. Again, the Healthy People 2020 goal is zero percent.

Eleven percent of Teton County respondents said costs prevented them from seeking care, compared with 12 percent in Wyoming.

Heemstra did not have a figure for the country as a whole. The Healthy People 2020 goal is to get that figure down to 9 percent.

Mental and physical go together Medical professionals in the valley are trying to ensure that problems of mind and body are addressed in a coordinated fashion.

By Emma Breysse

D

octors and psychologists earn different degrees but are often responsible for the wellbeing of the same people.

That’s the theory behind the latest push in Jackson Hole’s mental health community: to coordinate a patient’s physical health care and mental health care in a single treatment plan.

“It’s more cost-effective because you have more focused care and more quality care, because it treats the whole person,” said Deidre Ashley, executive director of the Jackson Hole Community Counseling Center. “I think everyone agrees that’s the way it should go. It’s just the conversation of how do we get there that is going on right now.”

As the head of one of the valley’s central hubs for mental health, Ashley is heavily involved in that conversation, which attempts to bridge the

gap between general practitioners and mental and behavioral health professionals as well as the gap between nonprofits like hers and private practitioners.

It’s a theory that makes sense.

Roughy 68 percent of patients treated for mental health problems have behavioral and general health problems to tackle as well, such as drug abuse, heart conditions or obesity, Ashley said.

General practitioners also tend to be the first to notice physical symptoms of mental and behavioral health problems, including drug abuse and depression.

Having those responsible share information and work together is the direction practitioners are going nationwide, helped along by requirements of the Affordable Care Act. In Teton County the idea seems to be going well among organizations that already work collectively — such as St. John’s Urgent Care Clinic and the Community Counseling Center — particularly where they already share patients, Ashley said.

The challenges continue when practitioners in one field notice that their patients may need assistance in another.

“What’s needed, we’re finding, is some education on both parts of understanding the two dif-

ferent systems,” Ashley said. “The problem here in Jackson, because we’re so rural, is that the different systems have kind of been set up to be separate.”

In larger cities, where coordinated care is further along in the development process, efforts often focus on putting the two types of care in the same location, either by setting up offices nearby or by having both types of professionals working in the same office.

In Jackson that isn’t always possible, and efforts largely are focused on finding ways for the two types of professionals to work together to plan one person’s care.

“I think what we’re aiming for is creating more of a system, something that works the same basic way every time no matter who is involved,” Ashley said.

“Right now it’s ... relationship-based, and it’s working because we have good relationships with primary-care physicians in town or with private therapists.

“It’s a changing philosophy,” Ashley said, “and we’re in the process of changing to meet it.”

Contact Emma Breysse at 732-7066 or courts@ jhnewsandguide.com.

4 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

AT THE MOMENT OF FERTILIZATION, ProLife Answers to ProChoice Arguments Randy Alcorn, page 65

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the baby’s heart is not only beating but pumping blood throughout his or her body.

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BRADLY J. BONER / NEWS&GUIDE

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for seniors is Pioneer Homestead Apartments, a senior living community located across from the senior center in east Jackson. But apartments opening up there are few and far between.

By Julie Butler The Living Center is 24 years old, and Hochheiser said that with an eople older than 65 may acaging population in the valley and count for only 6 percent of the more second-home owners choosing population here in the valley, to retire here, it will soon need to be but as baby boomers rack up their replaced. birthdays that percentage will grow.

A new facility would cost up to “The concept of what makes a $15 million and would require a senior a senior is changing,” said new location, Hochheiser said.

Becky Zaist, executive director of “You can’t rebuild the Living Centhe Senior Center of Jackson Hole. ter with people in it,” he said.

The Older Americans Act of 1965 Hochheiser said the biggest fly defines a senior citizen as someone in the ointment is that the hospital age 60 or older. If you use that defi- can’t afford to buy the land needed nition then people could be “seniors” for a new nursing home. for up to 40 or so years of their lives.

“For what it costs for land we In Jackson Hole the label applies would have to charge more to stay to a pretty sprightly population, sup- at the center to make up for that ported in good measure by the senior high cost, and that doesn’t work,” he center’s programs and by the fact said. “But I am hopeful regardless that the valley provides a plethora of and will keep working on the idea of ways for people of all ages to stay ac- building a bigger and better nursing tive year round. home.”

“We are a Despite some community that of the challengis full of very es for seniors, vital people in Hochheiser, 78, their 70s, 80s is also quick to and even 90s,” point out the said Dr. Lou Hopros of aging in chheiser, CEO Jackson Hole. of St. John’s Aside from Medical Center. the fact that “But we are not St. John’s is a – Lou Hochheiser “great hospital without chalCEO, st. john’s medical center that takes care lenges for the aging population of its seniors in a here.” more hometown One problem is that suitable type of atmosphere,” Hochheiser housing for seniors isn’t close to the said, this is a warm community that services they need. offers a lot of outreach programs.

“A lot of older people have been “It is better to be here than othin their homes for a long time and er places I’ve lived,” he said. “The would like to move closer to down- beauty that is here, the parks ... it’s a town,” Hochheiser said. “Many are pretty ideal place if you can deal with on the outskirts, and they can’t the cold, no matter what your age.” move closer because they can’t afFor older adults a happy and ford it, or what is here isn’t really healthy oasis — both mentally and senior-friendly. physically — can be found at the se“Housing is a challenge, and we nior center. don’t have the continuum of care It offers exercise classes and prothat other places have.” grams to keep older people agile Many communities across the and healthy so they can get out and country have facilities for seniors be active elsewhere in the Jackson that provide independent living, Hole environment. assisted living and skilled nursing Those programs include Zumba, care all in one location. tai chi and yoga. There are also In Jackson there is MorningStar chair massages, physician talks Assisted Living in Rafter J and St. and games of mahjong and bridge.

Health is also a priority. The cenJohn’s Living Center, the 60-bed long-term care skilled nursing facil- ter offers health exams and home ity that is part of St. John’s Medical services such as homemaking and personal care assistance.

Center.

One in-town housing option See seniors on 5

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015 - 5 Continued from 4

“We are trying to change the image of the senior center,” Zaist said. “It is not just for the wheelchair, walker and bridge set, like some people think. There has always been a wide variety of ages of participants here.”

Zaist said aging is often viewed as a negative thing, yet it doesn’t have to be.

“I may not be able to skin up Glory Bowl and ski down it as I once could,” the 62-year-old said. “But there are still trails I can ski at the resort instead. Your quality of life can still be good.”

Last fall a portion of the community health assessment was focused on young and old residents at Teton County Library.

“What kept coming out in focus groups was that seniors didn’t feel they had enough of a voice,” Zaist said. “And even if they did they weren’t heard. So we formed AgeFriendly Jackson Hole.”

The vision statement for the fledgling grassroots group says it wants to “enhance the accessibility and inclusivity of older adults in all

aspects of life in Jackson Hole.” It is dedicated to ensuring that the voices of older adults are heard and respected and to create a community that responds.

This winter the group and the senior center put barrels of ski poles on either side of Hansen Street between the center and the Pioneer Apartments to help older people safely navigate the ice- and snow-covered road. Zaist said the group is hoping to have that courtesy expanded to other areas of town.

“We have made great strides here at the center in coordinating between MorningStar and the Living Center and hope to do even more with Age-Friendly Jackson Hole,” she said.

What does senior center stalwart Barbara Daily, 89, say is the secret to aging gracefully?

“Don’t ever do anything that would embarrass you, stay happy and be around other people,” Daily said.

“I still have things I want to do. I just don’t know what they are yet.”

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health fair Continued from 3

findings and give attendees the chance to ask questions and learn more over refreshments.

“It will be to really celebrate the end of this first phase” of the assessment process, Heemstra said, “and to transition into the second phase” — which is action.

Heemstra called the health needs assessment “an ongoing process.”

“It’s not like when we get done with this document we’re finished,” she said. “We then move into an action cycle that will continue until we launch the next revision. That will

Contact Richard Anderson at 7327078 or rich@jhnewsandguide.com.

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Creating that action plan and putting it into play will be the work of the 45 or so groups — like St. John’s, Public Health, the Community Resource Center and many others — that worked on the assessment.

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6 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

Fitness meets mindfulness

Nia combines dance, martial arts and yoga to work mind and body.

By Frances Moody

P

racticing Nia is like taking part in a meditative form of dance.

A fusion of martial arts, modern dance and yoga, the exercise regimen is designed to work the mind and the body.

Though Debbie Rosas and Carlos AyaRosas founded Nia in 1983, the trend is just starting in Jackson.

“It has always had a steady following,” Alice Bever said, “but it doesn’t have the major popularity of practices such as Zumba.”

Certified in Nia in 2009, Bever started teaching it at Dancers’ Workshop and at the Teton County/Jackson Recreation Center at the beginning of the year.

A full-time English as a Second Language teacher and a part-time actor, Bever is happy to set time aside to introduce people to Nia, a method of exercise she discovered when she took a “movement for actors” course in college.

“It was the first time I felt I could dance without having to follow a really specific dance structure,” she said.

Nia isn’t about executing flawless dance steps. In fact, most of its routines can be modified and adapted to fit any person’s abilities.

A combination of 52 simple

PRICE CHAMBERS / NEWS&GUIDE

Alice Bever leads a small class in Nia, a low-impact technique developed in the 1980s that combines martial arts, modern dance moves and yoga. Nia is offered at the rec center and at Dancers’ Workshop.

moves borrowed from dance, martial arts and the healing arts, Nia is practiced barefoot.

That quashes the notion that people can work out only while wearing special shoes.

And Nia doesn’t subscribe to the idea that there is no gain without pain.

Bever, who recently hurt her back, said the low-impact cardio aspect of Nia helps her stay in shape without making her injury worse or more painful.

Dancer Kate Kosharek, who took Bever’s March 30 class at Dancers’ Workshop,

said Nia is a great way to acquaint people with dance, a sport and art form she believes many are afraid to try.

“I think it’s a great option for a low-impact exercise class,” Kosharek said. “It feels more like a dance class than a fitness class because there’s nothing jarring or abrupt about it.”

The workout also exercises the mind, she said after the class.

For a course this spring Bever focused on hand movements. Assuming one of Nia’s

many standing poses, participants isolated different fingers while “dancing the grape vine,” tapping their feet or spinning in circles.

“This particular Nia class teaches you to use your hands to connect your upper body and lower body,” Bever said. “It also protects joints and strengthens your core.”

Each time Bever teaches Nia she focuses on a different part of the body or mind.

Sometimes she asks class participants to work on core strength or balance. Other

L I V E

Women’s Health CENTER

times she asks them to focus on sounds and chants, which are often used in the healing art of meditation.

“When you make sounds, it keys into something in your brain,” Bever said. “When you focus on your body you tend to tense up. Sound helps you to release.”

Set to what can be described as New Age music, Nia’s mix of leg extensions, asanas and breathing exercises is comparable to a choreographed interpretative dance.

Bever said the correlation makes sense. Used to express human thoughts and emotions, interpretative dance encourages its participants to make the dance their own.

Nia does the same thing. A Nia dancer has the option to burn calories, calm the mind or work on flexibility.

“Fitness meets mindfulness with Nia,” Bever said.

Because anyone can complete at least one aspect of Nia, Bever also wants to volunteer to teach Nia at the Senior Center of Jackson Hole or to cancer patients and people with other kinds of long-term ailments.

Bever’s class at Dancers’ Workshop is 11:30 a.m.

Mondays and Wednesdays. It costs $120 for 10 classes, $16 for one. She teaches at the rec center at 12:10 p.m. Tuesdays and 4 p.m. Wednesdays.

Those classes cost $8.

Contact Frances Moody at 732-7079 or features2@ jhnewsandguide.com.

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Joint replacement comes of age

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015 - 7

Advances in surgery make recovery much easier.

By Clark Forster

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ny athlete who spends enough time in the Tetons will likely experience joint or hip pain at some point.

But even the kind of pain that leads to a joint or hip replacement isn’t slowing down people the way it used to.

Advancements in treatment have allowed many athletes to regain function, feel better than they did before and continue their active lifestyles.

“Surgical techniques have improved,” said Michael Tennican, chairman of the St. John’s Medical Center board. “The implants, the prostheses have improved. And I think the whole attitude toward recovery has changed with time.”

Tennican knows firsthand. The 77-year-old has had both hips replaced: one 14 years ago in Boston and the other just three years ago in Jackson. His second surgery was easier to recover from than the first.

“The second time around, when Gus [Goetz] went in, rather than cutting a lot of muscles, which creates a longer recovery time, he was able to spread the muscles and get the saw in, dislocate the hip and do what’s really some pretty heavy-duty carpentry with a lot less damage to the muscles.”

Out and about in no time As soon as Tennican woke up from anesthesia after the second surgery, he said, “I got up out of bed and drafted testimony which I was filing in a few days. Worked all day, worked all next day and got out of the hospital.

“I was using for a short while a walker just for stability but was full-weight-bearing from the get-go.

Within four weeks I was climbing on a top rope and indoors at the rock gym. In eight weeks I was following outside.”

Tennican was thrilled to know he’d be back doing the things he loves in no time. Because that was not the case after the first operation.

“With the first hip I was partialweight-bearing, which is to say I was on crutches for nearly two months,” he said. “I was not climbing, skiing or snowboarding for a year.”

Norene Christensen, owner of Four Pines Physical Therapy, said Tennican’s recovery from his second operation is no longer uncommon.

“I would say the hip replacement typically does not need the physical therapy postoperatively that a knee and shoulder requires,” Christensen said.

“Some patients don’t even get ther-

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apy. Those patients progress quite well and can pretty much return to the majority of activities.”

Joint replacements today work in a similar way, Christensen said. With joint replacements in the knee, for example, doctors no longer have to replace the whole component. They can replace the meniscus and get patients feeling better than ever before.

“Most of them, their lifestyle significantly improves,” Christensen said of joint replacement patients.

“We have plenty of people out on the mountain skiing with replaced hips and replaced knees. They are just out of pain, and they feel so much better that they can really get back to an active lifestyle that has to be appropriate for the type of surgery they had.”

Of course, nobody wants to end up in the operating room to begin with.

A well-rounded, active lifestyle can help delay pain and surgery “Varying your activities is very important for your whole body, for any joint,” Christensen said.

Hospital builds its program Five years ago St. John’s Medical Center committed to building its joint replacement program. The next step, a program called Peak Joint Replacement, will involve dedicated space for patients recovering from joint replacements, implementation of bestpractice protocols, and the renovation of rooms in the primary care unit.

“Because joint replacement surgery is an elective procedure,” hospital spokeswoman Karen Connelly wrote in an email, “and patients have multiple options for this service, we want to enhance the patient experience so patients will choose our SJMC for their surgery.”

St. John’s already has one believer in its board chairman.

Contact Clark Forster at 732-7065 or sports@jhnewsandguide.com.

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8 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

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ake half your plate fruits and vegetables.

That’s the U.S. Department of Agriculture’s “key consumer message” in its dietary recommendations.

Unless you’re vegan or vegetarian, though, you may find it easy to allow proteins and starches to take over the plate, especially if you’re a typical Jacksonite burning a gazillion calories and working up gargantuan appetites while playing outdoors.

One way to make sure you eat enough is to grow them.

“In theory when you grow stuff you feel like you’re obligated to eat it before it goes to waste,” said Elizabeth Rinn, a Teton County/Jackson Recreation Center employee and a dedicated gardener who lives south of town.

By mid-March she had planted broccoli, tomato and zucchini seeds inside.

She planned to transplant the seedlings in her garden toward the end of May and keep the garden under plastic at night for a few weeks after that.

“I’m very faithful about covering my garden at night,” she said.

Gardening is in Rinn’s blood.

“I was born and raised on a farm in Virginia,” she said. “From Day 1 we’ve always grown our vegetables.”

It’s work, but she likes it.

“I use it as a hobby,” she said. “I totally enjoy getting out in the garden, weeding and watching it grow.” And the daily weeding and watering, she said, “is definitely exercise.”

An enjoyable pastime Joan Lucas, who is retired, said that when she began growing vegetables — she raises raspberries, too — it gave her a sense of independence.

“I moved here 45 years ago, and I started a little vegetable garden pretty soon after that,” said Lucas, who lives off the Village Road. “This was back in the day when we were all trying to be self-sufficient about everything, so the thought of growing my own food was appealing. It was fun to grow my own stuff and see things getting out of the ground.”

She has found that except for crops that require a really long season or are frost-sensitive “you can grow a lot of things here and they do well.

“When I first started I asked local people what they could grow here,” she said. “Somebody looked at me and laughed and said, ‘Turnips.’ So I had turnips in the beginning.”

She expanded her repertoire and for many years grew almost all her vegetables. Now she has scaled back to

BRADLY J. BONER / NEWS&GUIDE

Jackson Hole gardeners say the vegetables they grow taste better than store-bought and and aren’t tainted by toxic chemicals.

primarily salad greens, carrots, peas, pole beans, peppers, basil and raspberries. Some things she grows in tubs, others in beds.

“I’d eat that way anyway, but I like eating my own stuff when I can.”

Besides broccoli, zucchini and tomatoes Rinn grows lettuce, spinach, collard greens, kale, radishes, onions, potatoes and peas. Many things aren’t ready to eat until late summer, so she also goes to the farmers market in Movieworks Plaza.

A matter of taste “The flavor of garden-grown is so much better than store-bought,” Rinn said. “Broccoli and peas and tomatoes taste completely different than when you buy them at a grocery store, even if they’re grown in a hot house.”

Rinn and Lucas also enjoy knowing their produce isn’t tainted with nasty man-made products.

“I’m an organic grower,” Lucas said.

“There’s no chemicals or pesticides.”

So do they feel healthier for growing their own veggies?

“Whether it makes my health better I couldn’t tell you,” Rinn said, “but sometimes I feel better.”

A new community garden in east Jackson soon could help more people cultivate their green thumbs. The half-acre garden is slated to open at May Park this summer and will provide space for 70 additional plots. It will be run by parks and rec and the University of Wyoming Extension in Teton County. Demand is high, according to those behind the effort.

“That’s why it’s really important that we get this thing going,” said Jordan McCoy, nutrition and food safety educator at the extension office. “We have so many people who want a community garden.”

The existing community garden at Jackson Hole Middle School on the west side of town has a long wait list, but the new space could soon get more people tilling the earth and cultivating their own health.

Contact Jennifer Dorsey at 732-5908 or jennifer@jhnewsandguide.com.

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015 - 9

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The best step is the first step For regular folks in uber-fit valley, one good choice is all it takes to get on path to better health.

By Jeannette Boner

B

eing a “normal” person in Jackson Hole can be intimidating when it comes to health and wellness.

Surrounded by ski junkies, mountain men and ultra-moms running ultra-races with jogging strollers can make that morning stroll feel like a puny effort by comparison.

That was the case for 32-year-old Emily King. Every year she found a new excuse: “Next year I’ll start exercising, eating fruits and vegetables, drinking less, sleeping more.”

You know. It’s what you’ve said to yourself last month — or maybe just the other day.

“In Jackson it’s easy to get lost,” said King, a transplant from New York. “There is so much food and cocktails every weekend. It’s easy to put off your goals of getting healthy.”

For King, who works at King Sushi and Healthy Being Juicery, all she needed was a good first step — a step toward wellness that would help her make another good choice that would lead to another good choice and so on.

“The first step was hard,” she said laughing. “I’m an average person, you know? For me it was finding people that I could laugh with. It was finding that camaraderie when I was working out. I found people that cheered me on and were supportive.”

A domino effect But King didn’t start with a workout class. She started with volunteering at the Good Samaritan Mission in downtown Jackson. By taking that first step beyond herself she found purpose in volunteering.

That first step had a domino effect.

“Volunteering was a way for me to put things into perspective,” she said. “I wanted to not only feel good physically, but I wanted to work on my mental health as well.”

Those steps led King to seek out a workout program. And she tried a lot of them on for size. She eventually landed at Revolution.

“I’m not a gym person, so it was important for me to find a place where people didn’t take themselves so seriously,” King said. “It’s important to be your own cheerleader, but you want to find your own cheering

squad, too.”

With those steps, small at first, came overall lifestyle changes.

Working out helped King rest better.

Resting helped her deal with stress better. Identifying stress in her life helped her find work that was more meaningful to her.

“My priorities started changing. I would ask, ‘What am I spending my money on? Booze or raw vegetables?’

“For me this process was never an issue with weight, though I did lose nine pounds. This was me trying to find an appropriate way to change my lifestyle that I could keep up with.”

Julia Heemstra agreed that the first step on the road to health and wellness can be difficult — but and one that takes a lot of courage.

“I firmly believe that wellness is another term for improved quality of life,” said Heemstra, director of the Wellness Institute at St. John’s Medical Institute. “I think everyone wants to feel better, and feeling better is what you get from being active, making better food choices, addressing stress in your life and looking at your mental health. Truly all of those components lead to a higher quality of life. I wish that for everyone, myself included.”

Change can be challenging And if you make a bad decision and go for the doughnut over the banana, Heemstra doesn’t want you feel so bad that you give up.

“Behavior change is hard for everyone,” she said, “and in our department at St. John’s we spend a significant amount of time encouraging people when behavior change gets hard.

“Eat the salad bar instead of the burger and fries,” Heemstra said, “and remember that’s a major accomplishment.”

The St. John’s Wellness Center serves a variety of public and nonprofit agencies in Teton County. This year it has taken the lead, using the annual Spring Run Off 5-kilometer run to start a program called “Couch to 5K” to get the “average” individual up and walking or running his or her first 5-km event.

Sometimes the desire is there, but for whatever reason — lack of motivation, fear, time, money — people hit a wall before they even lace up their running shoes. With the launch of the Couch to 5K, the response has been overwhelming.

“More than 50 percent running have not run a race before,” said Heemstra of the people who have See STEP on 11

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Include on or more of the following points when designing: 1 ) Don’t text while moving, especially driving 2) Avoid holding the phone directly against your head or body.

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10 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

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Alex St. Clair cuts an elk he hunted into steaks and burgers at his east Jackson home.

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ild game’s reputation for being of superior nutritional value to store-bought meat is becoming attraction many people, turning some of them on to hunting, experts say.

Some people are picking up a rifle for the first time, motivated primarily by wanting to put healthy eats on

the table, said Tasha Sorenson, the Wyoming Game and Fish Department’s hunter and angler recruitment coordinator.

“They want a pure source of protein, and they want to feed their families something that’s nutritious,” Sorenson said. “What’s better than an organic grass-fed elk?”

A common gauge of a cut of meat’s healthfulness is its fat content, and there’s no question that game such as elk, deer and pronghorn are much leaner than a grain-fed beef cow.

A trimmed and cooked 10-ounce See meat on 11

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isdom teeth are the last teeth to erupt within the mouth. When they align properly and the gum tissue is healthy, wisdom teeth do not have to be removed. Removal of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. This is known as impaction and can lead to problems such as infection, decay, bone loss, damage to adjacent teeth and occasionally cysts or tumors may develop.

Removal of wisdom teeth should not be taken lightly as there are risks such as nerve damage, openings between the mouth and sinus as well as bleeding and infection. Any dentist may remove wisdom teeth, however an oral surgeon has at least four additional years of hospital based training learning the intricacies of this procedure.

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015 - 11

meat

UW study.

Metherell warned against adding Continued from 10 fat to wild game, a common practice beef T-bone steak packs 537 calo- for many hunters. ries, with 26 grams of fat and 9 “One of the very important things, grams of saturated fat, according to if you happen to have access to lothe U.S. Department of Agriculture. cal game meat, is that you shouldn’t Nutrition data from the Agri- change the composition of the fats culture Department shows that a by adding beef suet to burger,” she chunk of elk roast of the same size said. “It has a lot of grams of satuhas 400 calories, 8 grams of fat and rated fat, and in my mind it ruins 2 1/2 grams of saturated fat. that beautifully healthy meat.”

The benefits of wild game don’t While nonhunters can buy and end with the lower proportion of in- enjoy game such as elk and bison tramuscular fat, Jackson nutrition- from supermarkets, butchers and at a number of Jackson Hole restauist Therese Metherell said.

“Game meat in general is ex- rants, there’s another option: learntremely high in omega-3 fats,” said ing to hunt. And in Jackson Hole, where opportuMetherell, a fornities to hunt mer hunting outare endless, fitter who writes the community the “Sound Bites” has a knack for column for the converting nonNews&Guide. hunters into “Elk is highest of hunters. the game meat in That’s the terms of the omeintent of Game ga-3s.” and Fish’s ForOmega-3 fatty ever Wild Famiacids, which benlies program, efit heart and which Sorenvascular health, – Therese Metherell son heads and are generated nutritionist which he is when animals eat considering exgrass rather than panding into the Jackson region. grain, Metherell said.

The program, according to a fact A 2002 University of Wyoming study corroborates that. Headed sheet, “builds community relationby Lydia Medeiros, the study found ships and partnerships that connect that fat in pronghorn, mule deer people, land, food and nature.” and elk contains between 3.6 and So far it is successfully turning 4.8 percent omega-3s. Omega-3s in people on to hunting and fishing, grain-fed beef, by comparison, are with 92 percent of the program’s just 0.4 percent of the total fat. first-year participants acquiring a By some other measures, though, fishing or hunting license the folsuch as protein and cholesterol con- lowing year. tent, there’s no nutritional advantage to consuming wild game over Contact Mike Koshmrl at 732-7067 or store-bought meat, according to the environmental@jhnewsandguide.com.

“Game meat in general is extremely high in omega-3 fats.

Elk is highest of the game meat in terms of the omega-3s.”

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registered. “This is a huge, huge, huge victory to even commit to walking 3 miles.

“We are their biggest cheerleaders right now. As a community we are so focused on the uber-athlete, but just as remarkable are the people who are taking steps to complete their first steps.”

Jordan McCoy, a nutritionist and food safety educator with the Wyoming Extension Office, said that while Jackson is a health-conscious place, this landlocked island in the Tetons can get pricey along the road to wellness. People shouldn’t feel ashamed if they can’t buy organic or raw foods, McCoy said.

“Food here in Jackson is expensive,” she said.

McCoy said Jackson has lots of options — including the grocery stores — for buying fruits and vegetables.

She suggested shopping for varieties that are in season but also taking advantage of the frozen foods section.

“Berries are really expensive out of season,” she said. “If you’re doing smoothies and you are shopping on a budget, then get frozen berries.”

The extension office heads up two community gardens in the summer — a great way for people to get their hands on food they have grown.

“When people talk to me about life changes and losing weight, I always say, ‘Let’s start with small changes,’ ” McCoy said. “Taking diet pop out of your life is a good change.

“If they are coffee drinker, maybe have the foo-foo drinks on the weekend and drink black coffee during the week. Instead of cheese let’s go with carrots and bell peppers. This is the difference between taking one step forward and three steps back.”

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12 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

“It is never too late to be what you

School nurse has heard it all

Stetson deals with serious and not-so-serious matters.

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hree days before spring break, Elaina Stetson sat in the nurse’s office at Colter Elementary School analyzing students who had “pre-spring-break syndrome.”

“You can stay here for 15 minutes and close your eyes if you like,” she told one ailing child, “or you can go on back to class.”

In 21 years of nursing Stetson has heard it all.

“I had a student tell me that they could increase their temperature if they put a penny in their mouth for five minutes, and that would allow them to have a temperature that would require them to be sent home,” she said. “Older kids tell me that it works.”

Jokes and hypochondria aside, Stetson is a health care provider for the entire community at Colter and Jackson Hole Middle School. Students and teachers alike come to her for medical attention.

“There are days when sometimes I see as many staff as I do students,” Stetson said.

On a given day she will administer medication, act as a first responder, give vision and hearing screenings, and educate.

“Part of our job in an assessment,” Stetson said, “is to help children learn how to express themselves better and share the details of how they’re feeling.”

Sometimes a morning visit can turn into an all-day affair as parents

BRADLY J. BONER / NEWS&GUIDE

School nurse Elaina Stetson provides health care to students and teachers.

struggle to take time off work or find the right public bus to the school.

“There are always challenges with children that are sent home, because parents are busy,” she said.

Stetson began her career as a social worker with children in the state psychiatric facility in Evanston. She moved to mental health nursing before taking the Teton County schools position.

Dealing with someone else’s struggles requires a separation of work from the rest of life.

“If all you did was work,” she said, “that wouldn’t work.”

Contact Jason Suder at 732-7062 or schools@jhnewsandguide.com.

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015 - 13

BRADLY J. BONER / NEWS&GUIDE

Though a recent measles outbreak hasn’t reached Wyoming, doctors tout the importance of vaccinations. An old iron lung — once used to treat polio patients — outside Dr. Brent Blue’s Emerg-A-Care clinic serves as a reminder of the days before the polio vaccine.

291705

Wyoming dodges measles outbreak

Vaccinations are the key to protecting everyone.

By John R. Moses

A

multistate measles outbreak traced to an unknown source at a California amusement park hasn’t reached Wyoming — and state health officials hope that stays true.

Vaccinations are the main barrier standing between healthy humans and a case of the highly contagious measles virus, health professionals say.

“We’re doing OK with that one,” Wyoming Department of Health spokesman Kim Deti said. “We haven’t had an outbreak in ages.”

But though there hasn’t been a measles case in Wyoming since 2010, Deti said it “wouldn’t be a shock to see an isolated case.”

‘We really do pretty well’ With vaccinations required for school attendance, and few people seeking medical or religious exemptions, Wyoming kids live in an environment where it’s likely they — and those around them — have been vaccinated, she said.

People with vaccinations and those who have already had the disease should be safe if they come into contact with an infected individual, Deti said.

“We really do pretty well with our vaccinations,” she said.

“Because of the success of the measles vaccine program, most young physicians have never seen a case of measles,” the Centers for Disease Control in Atlanta recently said, “and may not take a detailed history of travel or pov

tential exposure and initially may not consider the diagnosis in a clinically compatible case.”

Jackson pediatrician Dr. Travis J. Riddell doesn’t buy that. Riddell began practicing in 2001, the year measles was declared eliminated in the U.S., and indeed has not seen a case. But that doesn’t mean the disease is off the medical profession’s radar, he said.

“It’s come roaring back,” Riddell said, and medical journals and papers are being published about it.

The importance of vaccinating kids can be a tricky topic and one he faces often.

“This is something I talk to parents about literally every day,” he said.

Vaccines are a ‘no-brainer’ Riddell said he understands why some parents are guarded about vaccinating their children: “You’re taking a perfectly happy, pristine baby and injecting it with something.”

That “something,” however, has scientifically proven benefits.

“The benefits of vaccines so, so clearly outweigh any risk,” Riddell said. “It’s just a no-brainer.”

Even so, some parents refuse to vaccinate. He said there’s a fine line to consider, and he doesn’t want to push so hard that a relationship with a family becomes adversarial.

He’s not one of those doctors who “fire” patients with parents or guardians like that, but he said some practices do turn away those who will not vaccinate their kids. But he strongly recommends vaccination.

The CDC devotes a page, updated weekly, to tracking the spread of an

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See measles on 15

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14 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

Inspiring your

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Getting high can bring you low

Use of mind-altering drugs often is a sign of other problems and can turn into chronic abuse.

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eople have been altering their consciousness since probably before they actually became fully human. And the desire to turn on, tune in and drop out reached a cultural high during the 1960s, when Dr. Timothy Leary and hundreds of thousands of baby boomers found that interfering with their neurotransmitters could be a lot of fun.

On the other side of the trip, even larger numbers were warning that recreational hallucinating would convince you that doing crazy, deadly things made perfect sense and that your brain would soon be fried crispy.

Bummer.

Decades later the usual mind-altering drugs — LSD, psilocybin-rich mushrooms and peyote, a cornucopia of cacti, mushrooms and fungus — are still around and popular with the usual people: your college students, your hippies and your connoisseurs of nonreality.

You can find such drugs in Jackson Hole, as proven by a recent bust in which the law confiscated a load of LSD in liquid and gummy-bear form.

But hallucinogens are a small part of the problem that cops here see when dealing with illegal substances.

“They are not very common, it’s not something you see every day,” said Officer Andy Pearson, an investigator

with the Jackson Police Department.

“But they’re not so uncommon that when I see them I’m surprised. ... I’m not, ‘Oh, my gosh!’”

Pearson said that when local law officers do encounter psychedelics it’s most often mushrooms that are the trip of choice.

Terry Rogers, a longtime district court judge, now a prosecutor with the Teton County Attorney’s Office, agreed about the rarity.

“LSD is pretty rare here, though we’ve had a couple of cases in the last couple of months. I think psilocybin mushrooms are more common. ... I’ve had three or four cases in four years, and I’m guessing we might see five or less a year total.”

Much of the science about hallucinogens is still in the theory stage, due partly to the fact that in the 1960s the federal government declared them all to be dangerous drugs. That made it difficult to get a research grant for serious study.

What’s known is that hallucinogens have chemical structures that mimic those of the chemicals that are natural in your brain. Add the outside chemicals and your brain starts working in ways it’s not meant to. Under the influence you may see things that aren’t there, hear nonexistent noise. You may think you hear colors or see sounds.

You’re likely to encounter things that seem real but that are not. Mood and emotion may swing wildly for no reason, and you may feel despair or terror, then feel happier than you’ve ever felt in your life, may love everything and everybody. Your body temperature and muscle control can go haywire. It’s no See high on 15

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015 - 15 Continued from 14

wonder that the use of psychedelics began in spiritual, religious rituals, and is still seen in that context by many.

The fact that these substances are not physically addicting is a good thing, but that doesn’t mean their use can’t become a habit, according to Trudy Birkemeyer Funk, director of Curran-Seeley Foundation, a drug and alcohol treatment center in Jackson.

People start curious, and most have a first experience that encourages another trip.

“That’s what everybody says,” Funk said. “They take it and they just like the feeling.”

But, she said, as with anything, especially mind-altering things, “people get into this pattern of chronic use, which certainly has an adverse effect on their lives.”

Though users will say getting high

measles Continued from 13

outbreak that began Dec. 28, when the highly-contagious virus was spread through contact. Among the 17 states reporting 146 cases between Jan. 1 and March 20 are Wyoming’s neighbors Colorado, Utah and Nebraska.

Among the folks tracking the measles outbreak are officials in Uinta County, which devotes a web page to measles news and prevention.

“The United States experienced a record number of measles cases during 2014, with 644 cases from 27 states reported to CDC’s National Center for Immunization and Respiratory Diseases,” the website reported. “This is the greatest number of cases since measles elimination was documented in the U.S. in 2000.”

CDC scientists don’t know who the primary carrier was.

“The outbreak likely started from a traveler who became infected overseas

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Contact Mark Huffman at 732-5907 or layout2@jhnewsandguide.com. with measles, then visited the amusement park while infectious,” the CDC said in a statement. “However, no source has been identified.”

The “measles virus type in this outbreak (B3) is identical to the virus type that caused the large measles outbreak in the Philippines in 2014,” the CDC said. “This virus type has also been identified within the past six months in 14 other countries. Additionally, at least six other states in the U.S. have had measles cases with B3 virus type, not associated with the current outbreak.”

A Jan. 23 CDC notice states that one or more infected people visited Disneyland theme parks in Orange County, California, from Dec. 17 through 20.

For updated information go online each Monday to CDC.gov/measles/ multi-state-outbreak.html.

Contact John R. Moses at 732-7063 or john@jhnewsandguide.com.

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high

is harmless, and some claim hallucinogens lack the worst effects of other drugs, Funk said they’re not harmless.

People who use hallucinogens “will typically have other substance abuse issues,” she said. “If they’re using it to change the way they feel and it’s causing problems in their life, there’s room for growth there.”

And while there’s no clinical addiction involved, such as withdrawal symptoms, “people do develop tolerance to the effects” and are tempted to always up their dose.

There’s no special program of treatment: “The therapy for using substances is helpful whatever the substance might be,” Funk said. “We tell our clients first that we’re abstinencebased, so they’re not allowed to use hallucinogens, even if it’s not their drug of choice.”

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16 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, April 29, 2015

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