Hole Health 2017 by Teton Media Works, Inc.

Hole Health

May 3, 2017

A special supplement to the Jackson Hole News&Guide

Reiki practitioners balance mind, body and spirit. Page 8.

BRADLY J. BONER / NEWS&GUIDE

St. John’s Community Health Fair • 9 a.m. to 1 p.m. Saturday, May 6 • See story on page 3. Sunscreen required

Those who live and recreate at high altitudes are at higher risk for skin cancer. Decrease damage by slathering on sunscreen — even on cloudy days. See page 6.

Stay away from sugar

Besides taste and an immediate energy boost, nutritionists have nothing good to say about sugar. Learn how to wean off sweet treats and soda. See page 10.

Is social media healthy?

Online connections are both good and bad. How social media affects its users depends on how the medium is used. See page 14.

2 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017

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Skip the batteries

From the Editor

ur community has a lot going for it — two national parks, miles of pathways, a community health fair offering free screenings for just about everything and seemingly endless opportunities to recreate in a beautiful place. As such, the people who live here are also pretty healthy. “We are the healthiest county in Wyoming,” Teton County Public Health Director Jodi Pond recently told the Jackson Town Council and Teton County Commission. “In most cases we do better than other Wyoming counties, but in other cases we’re not as healthy as other communities around the nation,” Pond said. “We’re always aiming for the best community in the country.” One of the ways our county is leading the charge is with low asthma rates, which may be due to our clean air (see story on page 4). And though many health and human service agencies are facing statewide cuts (page 17), Teton County Public Health recently secured funding to offer long-lasting birth control options to the under- and uninsured populations (page 12). St. John’s Medical Center also made

a deal with a telemedicine company to connect psychiatrists with those in need (page 13), filling a critical hole. In this year’s Hole Health section, writers have also explored ways to continue to improve our health, including kicking a sugar habit (page 10), avoiding skin cancer (page 6), making Jackson Hole friendly for all ages (page 16) and choosing appropriate fueling options for endurance athletes (page 7). Writer Kelsey Dayton dives into our cover story — the art of Reiki, a form of energy work that is growing in popularity in Jackson Hole. Learn more about the practice on page 8. Those still wanting more can check out St. John’s Community Health Fair (page 3), scheduled for Saturday at the Teton County/Jackson Recreation Center. This year’s fair has more health screenings than ever before, offering residents another way to make sure we stay No. 1 in the state. Cheers to our health. — Melissa Cassutt Special Sections editor

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Editor: Johanna Love Managing Editor: Richard Anderson Hole Health Section Editor: Melissa Cassutt Layout and Design: Kathryn Holloway Photographers: Bradly J. Boner, Ryan Dorgan, Ashley Cooper Copy Editors: Jennifer Dorsey, Mark Huffman, Tom Hallberg Features: Melissa Cassutt, Erika Dahlby, Kelsey Dayton, Clark Forster, Mark Huffman, Isa Jones, Mike Koshmrl, Kylie Mohr, Emily Mieure, John Spina

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Health Fair screens from head to toe Come for the inflatable colon, stay to get the full-body assessment.

When and where it’s happening Who: St. John’s Medical Center and several other Jackson health organizations What: St. John’s Community Health Fair When: 9 a.m. to 1 p.m. Saturday Where: Teton County/Jackson Recreation Center How much: Free

By Mike Koshmrl

t’s not a substitute for going to the doctor, but attending the St. John’s Community Health Fair with the intention of making the rounds is something like getting a free fullbody inspection. Vision blurry? There’s a free screening for that. Have a discolored mole ? Skin cancer specialists will check it out. Everything from physical therapy to atrial fibrillation screenings are available at the 2017 health fair, and the breadth of all the assessments is something that St. John’s

RYAN DORGAN / NEWS&GUIDE FILE

Sharon Chapman of Core Pilates works with Ollie Tripp during last year’s St. John’s Community Health Fair at the Rec Center. The annual fair offers free skin checks, vision screening, blood pressure tests and more.

Wellness Program Coordinator Julia Heemstra is looking forward to.

“I’ve been around for the last six health fairs, and I’ve attended the last 11,” Heemstra said,

“and one of the things that I’m most excited about this year is some of the additional screenings that we’re offering to the community.” “Screenings are really the one draw that will bring people to the health fair who otherwise might not attend,” she said. Those with high-deductible insurance, or with no insurance at all, will particularly benefit from the free services. There will be booths for or-

thopedic injury and general injury assessment. Also on tap are functional movement tests, blood pressure readings, concussion baseline tests and assessments for blood, memory and diabetes. Vouchers for audiology screenings will also be available, as will a sign-up sheet for teen heart screenings. For the youngsters who may not be as excited about blood panels or memory screenings, See health fair on 5

Booths will abound for testing and information Age Friendly Jackson Hole Air Idaho Arbonne Art Association of Jackson Hole Community Safety Network Donor Alliance Inc. doTerra Four Pines Physical Therapy Happy Little Camper Healing Waters Therapeutic Float Center Healthy Being Juice and Cafe Healthy Teton County Hole Family Eyecare Huntsman Cancer Institute JH Therapeutic Riding Association Juice Plus Legacy Lodge at Jackson Hole

Medicine Wheel Wellness Mountain Nutrition Nerium Neura Logic One22 Right to Life of Teton County Senior Center of Jackson Hole St. John’s Diagnostic Imaging Department St. John’s Family Health and Urgent Care St. John’s Hospital Foundation St. John’s Medical Center Audiology St. John’s Medical Center Cardiology St. John’s Medical Center Cardiopulmonary St. John’s Medical Center Cognitive Health St. John’s Medical Center Diabetes St. John’s Medical Center General Surgery St. John’s Medical Center Home Health and Hospice

St. John’s Medical Center Living Center St. John’s Medical Center OB St. John’s Medical Center Oncology St. John’s Medical Center Peak Joint Replacement St. John’s Medical Center Physician Practices St. John’s Teton Physical Therapy and Rehabilitation St. John’s Medical Center Trauma Program Teddy Bear Clinic Teton Area Wildfire Protection Coalition Teton County/Jackson Parks and Recreation Teton County Public Health Teton County Weed and Pest Teton Dermatology Vision Center at Jackson Western Medical Equipment Wyoming Cancer Resource Services Wyoming Karate Club

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Words on Wellness (WOW)

Senior Services in Teton County May 30 | 6 PM | Teton County Library

Join our valley's providers for a panel discussion about current services for seniors and the gaps that still exist.

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Christina Riley, LCSW

Lisa Delaney

Jean Day

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Teton County sees low rate of asthma

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Becky Zaist

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a proactive standpoint, as what we’re not doing wrong,” Riddell said. “The main thing that drives that difference is air quality. We just live in a region where we’re blessed with very clean air.” More populated and polluted areas By John Spina like New York, Massachusetts, Ohio sthma is on the rise nation- and Washington, D.C., have asthma wide, but the prevalence in rates around 11 or 12 percent. But Teton County has actually de- the effects of air pollution can even be seen on a micro level in Wyoming. creased. Counties that heavily depend on “We have very few kids with asthma here,” said Teton County Public the extraction of oil, gas and coal Health Officer Dr. Travis Riddell, have significantly higher rates of who is also a pediatrician. “In my asthma. The two highest rates are training, which was back in Boston, found in Niobrara and Washakie asthma was probably the most com- counties, with 13.3 and 11.2 percent. mon reason I saw kids in the clinic “Even down in the Green River baand the ER and sin they have had one of the most some outdoor air common reapollution issues, sons kids were which people admitted to the have linked to hospital.” gas exploration According to activities,” Riddata from the dell said. “When Centers for Disthey have bad air ease Control days there are and Prevention, — Dr. Travis Riddell more kids with the proportion breathing probteton county public health officer of people with lems. Even localasthma in the ly there’s pretty United States good anecdotal grew by nearly evidence of that relationship.” 15 percent over the past decade. Sublette County has an asthma Today about 9 percent of the pop- rate of 5.2 percent, Lincoln is at 7.1 ulation nationwide is affected by percent and Sweetwater County is asthma. Numbers in Wyoming are at 10.6 percent. slightly lower at 8.3 percent, and only 4 percent of Teton County is af- Other causes not a factor here fected, the lowest rate in the state. Outdoor air quality, however, is “That cause and effect is really only part of the equation. hard to pull out,” said Dr. Alexia Research shows that particulate Harrist, state epidemiologist for the matter caused by mold, pet dander Wyoming Department of Health. or cockroaches, among other carri“There’s not one thing that causes it, and there is more than one type ers, is closely associated to asthma. of asthma. It’s linked to outdoor and For the most part Teton County indoor air pollution, obesity, expo- homes avoid most of these issues. “We occasionally run into older sure to smoke and even household income, which restricts access to homes that have mold issues,” Riddell said. “I think it’s probably less medical care.” common here because, No. 1 our Fresh and clean air housing stock is not as old as on the While the causes of asthma vary, East Coast, and No. 2 we live in a Teton County’s commitment to con- really low-humidity environment.” Those factors may matter less as servation and sustainability is a likely reason for the area’s low rate, Jackson’s housing stock ages and much of the rental stock begins to deteriorate Riddell said. “I think it’s probably not so much and become more susceptible to such See asthma on 5 what we’re doing right, at least from

“We just live in a region where we’re blessed with very clean air.”

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017 - 5

asthma

Continued from 4

problems. The Jackson Town Council is in the process of enacting renter protections that would require units to be annually inspected as landlords apply for permits, which would help mitigate such problems. Town staff is drafting an ordinance for the board to consider this summer.

Money needed for asthma study Less is being done at the state level. There is no specific funding for asthma research, and surveys that once monitored asthma cases are defunct. Harrist, who recently came into her job at the Department of Health, would like to see that changed. “We just don’t have funding for it right now,” she said. “In an ideal world we would be able to improve surveillance and provide education.

health fair Continued from 3

the fair offers activities to educate and entertain. On site once again will be a giant inflatable colon that delighted in its debut, Heemstra said, as well as a teddy bear clinic that has proven “extraordinarily popular” with younger folks concerned that Teddy may have sustained a tib-fib fracture during the ski season. Other tot-friendly attractions include a giveaway (in limited numbers) of free bike helmets, a Smokey Bear cameo, ambulance and fire truck tours and — as long as the weather holds up — tours of a medical helicopter. The fair will be held from 9 a.m. to 1 p.m. Saturday at the Teton County/ Jackson Recreation Center. Enter the building by 1 p.m. and Rec Center facilities are free the rest of the day. In conjunction with the fair, once again, is the annual Jackson Hole

“It’s something to think about as we apply for grants,” she said. “We definitely recognize it’s a huge part of health that people can modify depending on how bad their symptoms are with knowledge and resources.” While proper treatment or preventive action will never eradicate asthma, it can be controlled if properly diagnosed and treated, Riddell said. “In this day and age there are excellent treatments for asthma,” he said. “A child with asthma should be able to absolutely participate in every sort of activity and have the same level of athletic performance as a kid without asthma. “Just about every kid should be able to really control it to the point where it’s not a daily issue for them in any sort of way,” he said. Contact John Spina at 732-5911, town@jhnewsandguide.com or @JHNGtown. Spring Runoff 5K race, held on the North Highway 89 pathway alongside the National Elk Refuge. The competitive running division starts at 8:15 a.m., followed by the walk/fun division at 9:15 a.m. Owing to the race’s popularity and the limited width of the pathway, dayof registration isn’t permitted this year. Last year, Heemstra said, over 350 people registered for the $10 race/walk, the proceeds of which go to the Rec Center. The deadline to register is 3 p.m. Friday; find the form at TetonParksAndRec.org/ races/spring-runoff. Participation in the Spring Runoff has really turned around, and interest in the casual, noncompetitive walking division has spiked. “That’s very exciting,” Heemstra said, “because a lot of those people have never participated in a 5K before.” Contact Mike Koshmrl at 732-7067, env@ jhnewsandguide.com or @JHNGenviro.

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6 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017

Valley folks at high risk of skin damage Sunscreen must be used every day, year-round. By Emily Mieure

s summer approaches and you make plans to spend more time outside, it’s time to think about ways to protect your skin from the sun. Valley residents who live at high elevation and tend to recreate even higher need to be proactive about protecting their skin from the sun’s harmful rays. “We see so much more skin cancer than anywhere else I’ve ever worked in my life,” said Robin Sproule, a certified physician’s assistant at Western Wyoming Dermatology and Surgery. “We are at a very high elevation, and people in the valley spend a lot of time outdoors.” Those who work outside or have hobbies that keep them outside for long hours should apply sunscreen early in the day and reapply every two hours, Sproule said. “Treat it like you’re painting a house,” she said. “Put on two layers because you may have missed a spot.” Though education about sunblock and the damaging effects of the sun has improved, many people still forget the first and simplest step: application. “There’s more of an awareness about it,” Sproule said, “but in practice we probably all forget to reapply it.” Broad-spectrum sunscreen with a sun protection factor of 15 or higher is recommended, no matter your age or skin type. SPF 30 is recommended if you plan to be active outside. Anything higher should still be re-

BRADLY J. BONER / NEWS&GUIDE FILE

Ryan Mertaugh ascends the Southwest Couloir of the Middle Teton in 2014. Recreation at high elevations requires careful attention to protecting the skin, including reapplying sunscreen with an SPF of at least 15 every two hours.

applied every two hours, she said. According to research from the Skin Cancer Foundation, one in five Americans will develop skin cancer in the course of a lifetime and nearly 50 percent who live to 65 will have at least one bout with skin cancer. “Once you’ve had a bunch of burns that increases your risk of skin cancer,” Sproule said. “I think that’s what we experience here because there are so many older people in this valley who are really active.” Other key preventive measures, besides reapplying liberal doses of sunblock, include wearing layers, a wide brimmed hat and UV-blocking sunglasses. Sunscreen should be applied to

all parts of the body, including the often-forgotten-about ears, neck and under the chin. It should also be worn every day — even on cloudy or snowy days — because rays can penetrate clouds and car windows, Sproule said. “People don’t know that,” she said. It’s also important to toss those grungy old bottles of sunscreen, like the one that’s been in your car’s glove compartment since who-knowswhen, said Dr. Christian Dean, a board-certified family physician at St. John’s Family Health and Urgent Care. “It’s recommended to change it out every two years,” Dean said.

Drinking water can decrease your chances of getting a sunburn, Dean said. “It’s important to stay hydrated,” he said. Doctors recommend examining the body head to toe once a month to look for any irregularities or new spots. Some warning signs of potential problems are red or brown spots, crusty patches, rough and elevated bumps or open sores. “We can treat a lot of things that are precancerous before they turn into cancer,” Sproule said. Contact Emily Mieure at 732-7066, courts@jhnewsandguide.com or @JHNGcourts.

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TRX • Yoga • Climbing Wall CrossFit • Spin • Group Fitness • Cardio Massage • Hot Tubs • Sauna • Pool

Taking Charge! How to Utilize the Tools for Memory Retention Thursday | June 8 | 6–7:30 pm Teton County Library

Good News in Memory Loss Research Friday | June 9 | 12–1:30 pm Teton County Library This presentation will be followed by an extended Q&A session with Dr. Press and Martha Stearn, MD, Director of St. John’s Cognitive Health.

Questions? Get in touch! annie@clearviewstrategieswy.com 307.690.5284

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IN THE ASPENS AT THE BUS STOP www.TetonSportsClub.com • 307-733-7004 • info@tetonsportsclub.com 328590

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017 - 7

Submit a Poster, Video, Art Project, Song, Poem, Story or Website Promoting How YOU Practice Safe Tech Within Your Everyday Life

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MYKE HERMSMEYER / COURTESY PHOTO

Wilson resident Jax Mariash Koudele marches through the snow in November during her final 4 Deserts race in Antarctica. Koudele won the 250-kilometer race to become the women’s champion in the 4 Deserts Grand Slam Plus series of ultramarathon races.

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Right foods, liquids power ultrarunners Reed and Koudele have found combinations that work for events that can last up to a week. By Clark Forster

ou can’t take a long road trip without filling your car with gas, and you can’t finish an endurance event without the proper fuel for your body. World-renowned ultrarunners Jax Mariash Koudele and Pam Reed have competed in and won some of the longest and most challenging runs the globe has to offer. Both rely on relentless training to reach their peak. But what they put in — Jax their bodies on race day and the days leading up to it is what helps that training pay off. Koudele makes sure to load up on fats, proteins, carbs and lots of water in the days leading up to big races such as the 4 Deserts Grand Slam Plus, a race she won in 2016 that is recognized as the most prestigious outdoor footrace series in the world. “I’m making sure I’m getting in pretty raw foods,” she said. “My biggest rule is that I know all the ingredients and that’s it’s a good balance of fat, protein and carbs.

“I really focus on making sure I’m hydrated,” she said. “I’ll have a gallon of water a day.” On race days Koudele continues with fats and proteins from peanut M&Ms, almonds, coconut shavings and Honey Stinger products such as gels and waffles. “Every time I’m eating, which is usually every 45 minutes, I’m having a mixture of energy foods, sugars, plus I’m adding in that fat and protein to sustain really solid energy,” she said. Koudele makes sure to hold back on the water, though. At least in its natural state. “You don’t want to just drink water,” she said. “It actually will create a situation where you could become hypoglycemic. Salt tabs are another thing I do out there, usuMariash Koudele ally one an hour, ultrarunner especially if it’s really hot. And I have a stick of DripDrop every hour and a half.” DripDrop, an electrolyte replacement powder, was Koudele’s secret weapon during the 4 Deserts race series. She credits the product for keeping her from bonking during 250-kilometer races over seven days in the world’s toughest environments. “It’s a medically backed hydration formula,” she said. “Call it a really scientific sports drink. It’s twice the electrolytes and half the sugar.

“My biggest rule is that I know all the ingredients and that’s it’s a good balance of fat, protein and carbs.”

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BRADLY J. BONER / NEWS&GUIDE PHOTOS

Stevie Duren works on a client. She has been practicing Reiki therapy in Jackson for 15 years. “As a practioner of Reiki, you are the tool, a conduit that takes on universal energy,” she said. “And you are specifically attuned to be able to take on greater amounts of high-vibrating energy and you translate that to your client.”

Healing Hands Reiki practitioners align body and mind to provide clients with peace and healing. By Kelsey Dayton

Duren uses stones and crystals to create a grid, like this self-love grid, to energetically support and align the client’s intention.

an Dedrick simply wanted a massage while on vacation in Jackson in February. The “energy sage” she booked at Bliss Bodywork was far beyond what she’d imagined. The treatment, a combination of energy work — specifically Reiki — and massage, produced an experience hard for Dedrick to describe. It was only comparable, she said, to entering a meditative state. “For me it really took me to a different level,” Dedrick said. “I felt so much more connected to God, and I felt so much more connected to the universe.” Dedrick had heard of Reiki but didn’t know much about it when, out of curiosity, she booked her session. She ended up under the hands of owner and Reiki practitioner Stevie Duren, and became one of a growing group of people discovering Reiki and other forms of energy work offered by Jackson practitioners. “It’s becoming way more accepted and well-known and mainstream,” Duren said. Bodies are made of energy, Duren said. Pathways in the body allow energy to flow. Energy work channels and moves that energy, she said. There are many modalities that fall under the umbrella of energy work, but Reiki is one of the most common and well known. “As a practitioner of Reiki, you are See healing on 9

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017 - 9

the tool, a conduit that takes on universal energy,” Duren said. “And you are specifically attuned to be able to take on greater amounts of high-vibrating energy and you translate that to your client.” Reiki is best described as “directing energy,” said Laura Garrard of Reiki in the Tetons. Reiki practitioners can help people feel better physically and emotionally, especially if their clients are holding on to tension or trauma, she said. In some cases it doesn’t even involve laying hands on a client. Garrard and Duren offer noninvasive forms of Reiki, meaning they don’t touch the client’s body. Reiki can also be done from a distance. The client doesn’t have to be in the same room or even the same state, said Duren, who has clients she works with over the phone. In person Duren sometimes incorporates gemstone and crystals into her sessions, surrounding and covering her clients with stones picked specifically for their energy properties and qualities. Gemstones and crystals can enhance and amplify energy and help her put energy back in balance, Duren said. But Duren’s most popular service remains her combination Reiki and massage sessions, and demand for them is growing. Between 2015 and 2016 Duren offered 11 “energy sage” treatments. The following year that

jumped to 20, she said. In the 12 years that Garrard has offered Reiki sessions the work has become more accepted and understood in the United States, she said. As it has become more common, Garrard believes clients and those interested in energy work have started to ask more questions about the intersection between science and spirituality. With each scientific discovery there arises another question about spirituality and how the two connect, she said. Still, most people visit Garrard — at least initially — for physical relief from aches and pains. As part of that assessment, Garrard tries to dig into what someone is going through mentally and emotionally because the — Laura Garrard body and mind reiki practitioner are connected and inform each other, she said. Sometimes, she said, physical pain is the body’s way of making people deal with something emotionally. At the end of Reiki sessions, Duren and Garrard report most clients have experiences like Dedrick. They feel relaxed and at peace. “Every time I do body work and energy work, there is a ‘wow’ moment,” Garrard said. “When someone finds a practitioner they can experience healing with, and perhaps through, it’s a miraculous thing,” she said.

“When someone finds a practitioner they can experience healing with, and perhaps through, it’s a miraculous thing.”

Contact Kelsey Dayton via valley@ jhnewsandguide.com.

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10 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017

Nothing’s sweet about sugar’s effects It’s blamed for weight gain, energy slumps and hormonal imbalances. By Kelsey Dayton

ack in the 1970s low-fat diets were all the rage. Cutting fat, people believed, would make you thin and reduce your risk of heart disease. Companies created low-fat and fat-free options with added sugar to make up for the lack of taste, said Cynthia Clausen, a nutritionist and health coach who teaches classes at Medicine Wheel Wellness. Now about 70 percent of foods at the grocery store have added sugar, which the body easily stores as fat, she said. “It’s definitely the culprit in the obesity epidemic in the United States today,” Clausen said. Sugar also increases inflammation and accelerates the aging process. In fact, it’s hard to find anything good about it, said Lisa Smith, a nutritionist at St. John’s Medical Center. “Sugar is a food without any nutritional value other than providing energy,” Smith said. Yet it’s in everything, from condiments like ketchup to foods like energy bars, which are often labeled as healthy.

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Dr. Mark Menolascino holds up a glass showing the amount of sugar in one serving of Mountain Dew. The can he’s holding contains two servings. Nutritionists blame sugar for the obesity epidemic and say it also increases inflammation and accelerates the aging process.

People have become more aware of sugar and its effect on health, if only because of the nationwide obesity epidemic, said St. John’s Medical Center nutritionist Tenley Burlingame. Yet people keep reaching for foods with refined sugars.

“Processed foods are cheap, available, quick and easy,” Burlingame said. “It makes sense why we’ve adapted to incorporate these foods into our daily life.” However, it’s important to differentiate between refined sugars — highly concentrated sugars found in

processed foods — from natural sugars found in fruit, Burlingame said. Fruits don’t have the same impact on the body as processed foods because of the sugar concentration, as well as the fiber and other nutrients. There are better diet changes to

focus on than reducing fruit, Burlingame said.

Better alternatives, better results Smith suggested first looking to beverages. The calories in drinks don’t reduce hunger, and the sugar See sugar on 11

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Tips for cutting sugar Cynthia Clausen, a nutritionist and health coach who teaches classes at Medicine Wheel Wellness, offers the following advice for curbing sugar cravings and cutting refined sugars from your diet. – Check your beverages. Soda, sweet tea, energy drinks, flavored coffee, juices and alcohol are the No. 1 source of added sugar in most people’s diets. – Use fruits and spices to satisfy your sweet tooth. – Check your protein. Too much or too little animal protein in your diet can lead to sweet cravings. – Get enough sleep. When people wake up tired they automatically look for a boost in caffeine and sugar. – Stay away from low-fat and fat-free foods. They have added sugar and won’t satisfy hunger. – Exercise. It not only burns the extra sugar in the body so it isn’t stored but also decreases cravings. – Create new post-meal rituals. For some people the meal isn’t over until after dessert. Switch out traditional desserts with something like yogurt and raisins or a cup of tea. Or brush your teeth to signify the end of the meal. You’ll eventually retrain your brain. Think about what you really want when you reach for food when you aren’t physically hungry. Usually if you want chocolate, you are seeking pleasure. Reaching for a cocktail? You might want to relax. Brainstorm ways other than eating to nourish these needs, like walking the dog or reading a book. If you can’t give up your afternoon soda or other sugary treat, have something with fiber, fat and protein at the same time. It will diminish the impact of the sugar on your system, and you’ll feel more satisfied.

sugar

Continued from 10

goes straight into storage. But don’t replace sugar-drinks with those with artificial sweeteners because it won’t reduce cravings, she said. The best thing to do is focus on eating whole foods and more grains — and brace for a couple weeks of discomfort. It takes two weeks of deprivation to curb sugar cravings, Burlingame said. The American Heart Association recommends women not exceed 25 grams of sugar a day. The recommendation for men is to not exceed 36 grams. The American Hospital Association says children should not consume more than 6 teaspoons, or 25 grams, of sugar a day.

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For comparison, a 12-ounce can of Coca-Cola has 39 grams of sugar. The average American eats 154 pounds of sugar a year. Two hundred years earlier we consumed about 7 pounds annually, Clausen said. When Clausen’s clients are able to cut sugar, they can feel and see a difference, including increased energy getting out of bed in the morning, as well as more energy during the typical midmorning and late-afternoon slumps. Cravings also decrease, inflammation subsides and hormones balance. “And you are going to lose weight,” Clausen said. “You just will.”

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12 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017

Public Health touts benefits of IUDs Low-cost birth control devices are now available through Title X funding.

How it works

By Erika Dahlby

hen a woman goes to Teton County Public Health looking for birth control, she will now be able to get an intrauterine device at low cost. Public Health just received Title X funding, which was established to ensure that women have access to wellwoman care and birth control. “We provide care that in the end helps the community as a whole,” said Janet Garland, Public Health county nurse manager. “But we try to serve the underserved with the overall goal of trying to improve the health of the county population in general.” With the new funding Public Health will be able to purchase birth control including long-acting reversible contraceptives. Previously the county received free birth control from the Wyoming Department of Health, but options were limited and did not include IUDs. The funding cannot be used to terminate a pregnancy, Garland said. An IUD is a plastic or copper Yshaped device that is inserted into the uterus. It’s as effective as tying your tubes, but completely reversible. “We will no longer receive the free funding from the state, but it’s a sustainable program,” Garland said. Last year Public Health saw 275 family planning clients and an additional 460 people for testing for sexually transmitted infections. Garland said almost all clients who come to the clinic are underinsured or uninsured. Patients are charged on a

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Intrauterine devices are about 1.25 to 1.30 inches tall, not including the strings, which are clipped once inserted. Teton County Public Health offers the devices at low cost.

sliding-fee scale. “We’d like to be that safety net for people,” Garland said. Because of the effectiveness of the IUD, she said, it will be a great option for women because it eliminates user error and prevents unwanted pregnancies. The IUD is covered by most insurance companies, but for people who don’t have coverage it can cost hundreds of dollars. “We’ll now have the ability to offer that to any person,” Garland said. There are two types of IUD: copper and hormonal. They work a little bit differently, said Dr. Kathryn Noyes from Women’s Health and Family Care. Each brand of IUD is active for

different lengths of time. “It’s an excellent form of birth control for women who are looking for something that is low-maintenance and very effective,” Noyes said. “It wins in all those categories.” The copper IUD, sometimes referred to as the copper T or by its brand name ParaGard, lasts for up to 12 years. One of the main reasons women get the copper device versus the other type of IUD is that it lacks hormones. “People either medically or philosophically don’t want any hormones in their body,” Noyes said. In general, people who choose the copper IUD are going to have monthly periods that can be heavier than they

The precise mechanisms of how the IUD works are largely unknown, but Dr. Kathryn Noyes said it’s likely several things. One of the ways the IUD works, both copper and hormonal, is that it is a foreign object in the uterus. “There’s a physical barrier to sperm swimming freely,” she said. The copper IUD sets up a sterile inflammatory reaction that essentially makes it hard for sperm to live. “The result is that the sperm don’t swim well or they die off,” she said. “We know that the sperm don’t make it to the fallopian tubes; they die out before they get there.” The hormonal IUD has a similar effect plus the hormonal component. The progestin thins the lining of the endometrium in the uterus so that it’s not favorable for implantation. “It’s not this nice environment for a fertilized egg to stick to,” Noyes said. used to be, Noyes said. Women who use other hormonal birth control methods, including the patch or the pill, don’t always like the side effects. But most of the adverse effects are caused by estrogen, she said. “It’s also a lot more localized effect,” she said. “You’re not taking a pill that’s going through your GI system.” The hormonal IUD does not have estrogen in it, only progestin. Common brands include Mirena, Skyla and Liletta. The hormonal IUD lasts anywhere from three to six years. See iuds on 18

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017 - 13

Telehealth to add psychiatric options Providers will have 24/7 access to specialists, including experts in mental health medications. By Kylie Mohr

“You limit the services that are provided to a community based on the level of training that your providers have,” Beaupre said. “So we could have incredibly skilled therapists — and we do in Jackson — who are very good at their job. “But there are patients in this community who need medication on top of just a counseling session … there’s a choke point to access.” Beaupre said not all of the 2,500 psychiatrists on-demand need to be licensed, only five or six point people.

new telehealth venture is coming to the valley. By midsummer medical practitioners will have access to psychiatrists 24/7, 365 days a year, thanks to a new contract between St. John’s Medical Center and Align Health, a No psychiatrists, more angst national psychiatric startup company. “Let’s take a world without psychiThe service will mainly allow lo- atrists,” Beaupre said. “If you have a cal health care providers to talk with psychiatrist-less community, everypsychiatrists to get treatment plans, body is frustrated. And that’s a big as well as provide the option of thera- concern in Jackson.” peutic sessions if a patient requests Beaupre said that everyone from that. therapists to emergency departTelehealth means using telecom- ment doctors run up against a wall. munications technologies to enhance While doctors are incredibly qualihealth care, public health and health fied, not all are going to have the education. knowledge of which antidepressant IPads with access to those psychia- is better for a particular patient or trists will be put in five locations: the the best course of action in a mental St. John’s emergency room, the inten- health crisis. A pregnant sive care and urwoman, for exgent care units, ample, might another central need to be on location in the medication for hospital and the postpartum deSt. John’s interpression. But nal medicine clinwithout a psychiic in Wilson. atrist, how does Community a doctor choose providers who which medicaaren’t working — Dr. Paul Beaupre tion to prescribe for St. John’s ceo, st. john’s medical center if they all have Medical Center side effects? will also have “That’s where access to the serpsychiatrists can vices. Hospital CEO Dr. Paul Beaupre sort through all of that and help you said a shortage of psychiatrists in the make that decision,” Beaupre said. valley prompted the entrepreneurial Beaupre also said more patients effort, which allows locals to contact seeking psychiatric care are coming 2,500 psychiatrists remotely. into the emergency room, something “We can’t go dark in psychiatric he called “not an ideal situation.” care in Jackson any longer,” Beaupre The partnership with Align Health said. will allow doctors in the emergency There are two practicing psychia- room and elsewhere to have immeditrists in Jackson, Drs. O’Ann Fred- ate access to specialists who can acstrom and Stuart Sugarman, a mar- cess the situation and provide advice. ried couple, who can’t manage the Specialties include adolescent paentire county’s needs by themselves. tients, geriatric patients, addiction Fredstrom, who provides services to and bipolar disorder. most of the organizations working in “The interface is not so much bethe mental health field, as well as to tween the patient and the machine,” private patients, said she will retire Beaupre said. “It’s between the prothis year. vider — who has this information now — and the psychiatrist at the end of Facing a shortage the line.” The St. John’s Hospital Foundation The initial yearly contract with Mental Health Report indicated an Align Health costs roughly $60,000. impending lack of psychiatric services Therapeutic sessions with a psychiaas an “important and urgent need” trist cost an additional fee per click, that if left unfilled would leave “a tre- so it could turn out to total a little mendous void.” more. But when hiring psychiatrists is difficult nationwide, how could not The personal connection just one but ideally, two or three or Beaupre admitted that he wasn’t four be lured to Jackson? completely sold on the second part of “I could have gone out and tried the telehealth contract — direct video to beat the trees,” Beaupre said, sessions with a psychiatrist at a pa“but you can’t recruit just one psy- tient’s wish. chiatrist.” “This is going to be interesting,” Beaupre said the amount of work he said. “And I’ll say that because if to be done in a community this size I personally needed to be in therapy, is “pretty daunting” on top of the I think having that person-to-person personal lifestyle choice to live in interaction is really, really important. the valley. It’s also a challenge in I’m trying to put my mind around the similar resort communities like Sun fact that we’re going to be doing this Valley, Idaho, and Aspen, Colorado, through an audio-visual component.” which also grapple with one generaHowever, adolescents who are fation of psychiatrists retiring without miliar with a screen might be more at enough younger doctors to take their ease with the idea than those in older place. generations, Beaupre posited. And no matter how talented local Beaupre also said the telehealth therapists are, there is a difference service isn’t meant to replace therabetween therapists and psychiatrists, peutic sessions and he’s “not doing namely that psychiatrists can preSee telehealth on 15 scribe medication.

“I could have gone out and beat the trees. But you can’t recruit just one psychiatrist.”

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Social media could both harm and help Studies show online connections have varied health implications. By Isa Jones

For teens it could be the same. In 2015 Dr. Melinda Ring wrote for CNN that Instagram and YouTube helped her teenage son deal with anxiety and depression. Anecdotes like this are common. Last year the craze of the social virtual mobile game Pokemon Go sparked news articles and anecdotes about how it helped people with anxiety, depression, agoraphobia and other afflictions.

or better or worse, social media is a part of our lives. For some, it’s a huge part. It’s well known that social media allows users to express their thoughts, make plans with friends, share photos and catch up with high Newness may be wearing off school classmates. However, it is still Teens are starting to use social unknown how social media platforms media more effectively and in a affect our health and well-being. more mature way that may prevent “It is not as clear-cut as you might its negative impacts, said Jess Yeothink,” wrote Dr. Peggy Kern in an mans, executive director of Girls Acarticle for the University of Mel- tively Participating, a nonprofit that bourne in 2016. works to empower teenage girls. Kern and others studied whether “I think at this point we are posocial media is good for users. tentially coming off the newness of The answer: yes and no. social media and the excitement is For those struggling with depres- waning,” Yeomans said. “Teens are sion or stress, social media may help. starting to put on these social norms According to a 2015 study by Pew and teens have a better grip on it. Research Center, social media may They’re sort of creating their own lower stress levels in women. social norms that are beginning to While the study found little to become more respectful. … They’re no difference for stress in men, the starting to become smarter and unstudy concluded “the more pictures derstand the media literacy of it.” women share through their mobile Charlotte Reynolds, spokeswomphones, the more emails they send an for Teton County School District and receive, and the more frequently No. 1, said that cyberbullying and they use Twitter,Medical, the lower re- Skin responsible social media use are now Surgicaltheir & Cosmetic Care ported stress.” part of the curriculum from kinder- Board Certified by the Board of Dermatology The study found women had 21American garten to high school. Diagnosis and management of skin cancer “Our computer teachers in the elpercent lower stress levels with soJonat Fellow A - Surgery of the skin including skin cancer,level growths, cysts and moles level ementary and secondary cial media use. curriculum around digital citiThere’s no clear- Expert reason carewhy of skinthe disease,have rashes, acne and aging skin Britta Fellow A zenship,” Reynolds said. “Not just platform lowers stress, save for the - Adult and Pediatric dermatology somewhat obvious conclusion that one topic out of context — they really focus on it as part of their overall social media connects people. curriculum.” According to Pewusresearchers, it WY Find in Jackson, | www.tetondermatology.com | Other research, however, found somay have something to do with their past work. In 2011 Pew research cial media can be damaging. The stories of modern day cyberconcluded that “social media users also tend to report higher levels of bullying are endless. See social media on 15 perceived social support.” 327652

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017 - 15 Continued from 14

In 2016 a 16-year-old boy in San Antonio, Texas, committed suicide after being cyberbullied by classmates. The boy’s brother said that fellow students would add the victim to a group text to berate him and create fake social media profiles for the sole purpose of bullying. According to the Centers for the Disease Control and Prevention, 15 percent of high school students are cyberbullied. For middle schoolers the percentage rises to 24 percent. The number of students who are cyberbullied rose from 18 percent in 2007 to 34 percent in 2016. Research from the University of Pittsburgh School of Medicine in 2016 found that the more time teens spend on social media, the more likely they are to be depressed. “There were significant and linear associations between social media use and depression, whether social media use was measured in terms of total time spent or frequency of visits,” the study states. “For example, compared with those who checked least frequently, participants who reported most frequently checking social media throughout the week had 2.7 times the likelihood of depression.”

Effects may vary This is not necessarily causation, however, but correlation. The study said that people may feel like they wasted time, created negative feelings and saw idealized versions of life and became depressed. More time spent online increases the chances of cyberbullying and negative interactions, the study said. Yeomans said they are aware of cyberbullying with the teenage girls they work with, but the effects vary based on the personality of the child. “Yes and no,” Yeomans said. “There are some people who are susceptible to it, and there are some who are opposed and have the self-confidence to be like ‘screw them.’ There are some kids who will be crushed. … Across the board [cyberbullying] is inevitably there, and it depends on the

telehealth Continued from 13

this in any way, shape or form to go into competition with the therapists in town.” St. John’s is one of the first rural hospitals to take on such a telehealth program, which has been successful in other similar-size hospitals without a high number of psychiatrists. “We’re piloting with them,” Beaupre said. “They’re hoping that this is a blueprint to take this model and offer it to a number of rural hospi-

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What is a harmful amount? Oddly enough, one thing Yeomans said that doesn’t come across in research is how parents will tell teens to stay away from social media but become absorbed by it themselves. “I ask girls about their parents and social media,” Yeomans said. “They’ll say, ‘Yeah, my mom says not to get on my phone, but she’s on her phone all the time.’” A report by Nielsen at the beginning of 2017 found that Generation X social media users spend about seven hours a week on social media, while millennials spend about six hours per week. Six is still a lot, but is that amount harmful? “Across the studies it appears that it’s not so much that social media causes anxiety and depression, but that people have different ways of using social media, which may be more or less helpful,” Kern wrote in her report. “Notably, the number of hours that people spent on social media didn’t make a clear difference — it was more the feeling of being addicted to it. “It seems like what a person writes about is more indicative of their state of mental health than the number of hours spent online,” she wrote. “We each have unique patterns in how we use social media, in terms of the language we use and how we behave when we are using it.” Contact Isa Jones at 732-7062, entertainment@jhnewsandguide.com or @JHNGevents.

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Making Jackson friendly for everyone Senior-centric group focuses on addressing elderly needs.

is active in Age Friendly. She said the idea is to plan “for the challenges people face as they age and to make it less challenging.” People approached by the group, Zaist said, “have been very receptive” to advice from their elders. It’s the right thing to do, Zaist and Day said. It’s also good business, and often things that are seen to be aimed specifically at helping old people turn out to have a wider benefit.

By Mark Huffman

hen the newly renovated Teton County Library opened four years ago, it seemed that years of planning had overlooked something. The old entrance to the library had been on the side of the building adjacent to the parking lot. Suddenly it was around the corner, on Virginian Lane. Not that far — if you’re young and agile. But for the people who have a few more miles on their legs, those extra steps were inconvenient and uncomfortable. Becky Zaist, director of the Senior Center of Jackson Hole and the leader of Age Friendly Jackson Hole, said the change “made it difficult for some older people to get to the library — too far, too icy for them to get in.” The library, then under the direction of Deb Adams, wasn’t insensitive, Zaist said, but just hadn’t seen it the way seniors would. “Deb said to me, ‘It’s not that we don’t care about seniors, it’s that we didn’t know what they needed,’” Zaist recently recalled. “Age Friendly Jackson Hole tries to be the voice that gets that message across.” In that case the library quickly arranged access through a door close to the parking lot, and reserved spaces for older people, and made sure it had an automatic door function for those who needed it. That sort of thing, not complicated but often overlooked, is what Age Friendly Jackson Hole is all about. A community health needs assessment done in 2014 pointed to such

RYAN DORGAN / NEWS&GUIDE

Teton County Library’s entrance is some distance from the parking lot. Age Friendly Jackson Hole arranged for two dedicated parking spaces and access to the side door for seniors.

problems. At the Senior Center the message from old people was clear: “The focus group kept hearing from people, ‘Oh, I’m old, nobody cares what I think, no one wants to hear from me,’ that sort of thing,” Zaist said. The kind of oversight involved in the initial library planning, and preparation for many other projects, “is why people feel they don’t count,” Zaist said. And that’s important. Though the impression is that Jackson is a young community, and it may be, there are plenty of people around who are in the later part of their lives. In a county with about 22,000 people, the census estimated that in 2015 there were 4,259 older than 60, more than 18 percent. The Senior Center regularly serves about 1,550. And many tourists fall into the same age category. The most common complaint dur-

ing the health needs assessment was about the kind of thing that happened at the library: accessibility. What kept coming up, Zaist said, were ramps, handicapped parking, benches, safety on pathways, street crossings, the day-to-day obstacles that face seniors that rarely occur to young people who are focused on extreme skiing or mountain climbing. Age Friendly Jackson Hole obtained guidelines from the World Health Organization and AARP and began, slowly, unobtrusively, urging government and businesses to remember that there are older people in Jackson who have special but simple needs. The group now meets regularly, with a core of about a dozen who keep an eye on projects that might affect them. Jean Day is a Jackson attorney who serves on the Senior Center board and

“All ages can benefit from safer street crossings or being able to get into a restaurant.” — Jean Day senior center board member

“All ages can benefit from safer street crossings or being able to get into a restaurant,” Day said. “Everything Age Friendly does is good for all ages and abilities.” “If you make something age-friendly for older folks it’s friendly for younger folks, too,” Zaist said. “Access with a walker is the same as access with a stroller.” And, if you aren’t yet affected by accommodations for old folks or the handicapped, you can be sure that you will grow into an appreciation for the efforts. “We’re all on the same path,” Day said. “We’re all growing older.” Contact Mark Huffman at 732-5907 or mark@jhnewsandguide.com.

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017 - 17

Human services hit by funding squeeze More money is needed from local government after statewide cuts. By Erika Dahlby

t. John’s Medical Center’s emergency room typically sees two or three suicidal kids and teens annually. But that rate spiked in 2015. During a four-month closure of the Van Vleck House, St. John’s saw 16 kids, said Teton Youth and Family Services Director of Operations Sarah Cavallaro. The group home was closed for an investigation into a student’s death. Teton Youth and Family Services was cleared of any wrongdoing, but the closure made the value of the home clear to the community. “We were catching kids before they ended up in the ER,” she said. Over the past two years the Human Services Council, an alliance of 10 human service agencies, lost $1.2 million in funding, including a 20 percent decrease in state monies. Each organization is affected differently by the budget cuts, but for Teton Youth and Family Services less money means fewer kids getting the care they need. “We would love never to have kids here and have to have those services,” Cavallaro said. “But unfortunately that’s not the world we’re in.” When kids don’t get treatment their problems tend to become more critical, Cavallaro said. Officials are starting to see such a trend statewide, especially as fewer kids are placed in homes or receive treatment. “It really breaks my heart to know that we have available beds for kids and kids that need the help but we can’t connect them with that resource,” she said. Every time a child is placed with Teton Youth and Family Services the

Human Services Council The Human Services Council is made up of 10 local nonprofits: • Climb • Children’s Learning Center • Community Entry Services • Community Safety Network • Curran-Seeley Foundation • Jackson Hole Community Counseling Center • One22 • Senior Center of Jackson Hole • Teton Literacy Center • Teton Youth and Family Services

327890 327890

KATHRYN HOLLOWAY / NEWS&GUIDE

The Human Services Council is coping with a 20 percent decrease in state funding over the past two years. The nonprofits have increased fundraising and grants by 7 percent, local government funding by 3 percent and federal funding by 1 percent.

state pays a per diem of 60 percent of the cost. When the expense can’t be covered, kids end up in detention facilities, at the single psychiatric hospital in Wyoming or out of state. “We’re seeing kids getting sent out of the community or not getting taken into care until the wheels come off,” Cavallaro said. “We want to keep kids here so they can be close to their families.” Eighty-five percent of the operating cost of the organization goes to staffing, she said. With the budget continuing to be cut there is less money for things like building employee housing or rebuilding the Van Vleck House. Instead money is being saved and spent on urgent or critical needs. Though some of the Human Services Council organizations have been able to recover some of the money lost by state cuts, budgets have remained relatively flat. “If one of these organizations is struggling we all struggle,” Cavallaro said. As the population has boomed in Jackson, so has the need for these services. There has been a 23 percent increase in people served, Cavallaro said. “When you compare that to the budget being flat you can see how it’s really thin,” she said. Budget cuts have affected the Jackson Hole Community Counseling Center in the form of disappearing programs and positions. The Latino service coordinator and peer specialist positions were changed from full time to part time. Counseling for older adults has been limited to

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18 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017

Myths about IUDs abound

Bring the Kids

There are a lot of myths out there about intrauterine devices. Dr. Kathryn Noyes of Women’s Health and Family Care talks about some of the misconceptions, how they got started and the real facts. “I encourage people if they’re hearing a lot of mixed information to come talk to us,” she said. “We put these in every day.” • Myth No. 1: It’s dangerous and can cause infections and infertility. While both infections and infertility can occur, the IUD does not cause them. If there is a pre-existing infection in the uterus or vagina, like a sexually transmitted infection, insertion may cause problem. Noyes has patients take an STI test before the insertion. Serious problems are rare and most will occur during insertion or within the first few days, she said. There is also no scientific evidence that the IUD affects fertility. But because the IUD is long-lasting, when you take it out, say after 10 years, your fertility is going to be different. “If you get an IUD when you’re 20 and take it out when you’re 30 your fertility is not the same,” she said. • Myth No. 2: It’s risky to have one before you’ve had kids. When the IUD was first researched it was offered only to women who had given birth. But it’s safe for women who have never had children. Noyes said she usually offers an anxiety medication as well as a pain pill for the procedure. “We’ve been putting IUDs in women who have never had children for years and years,” she said. • Myth No. 3: It’s extremely painful. It varies from person to person. “It’s hard for us to predict who is going to have an easy time and who’s going to have a hard time,” Noyes said. But most women barely realize the IUD was inserted. A lot of it has to do with anticipation and anxiety about the procedure, she said. They envision it to be a lot worse than it actually is. • Myth No. 4: IUDs cause abortion. The IUD works to prevent sperm from fertilizing eggs and to prevent implantation. That’s what most birth control does, especially hormonal. It makes it harder for an egg to implant and cause a pregnancy. “There is no evidence that an already implanted egg is affected by an IUD,” Noyes said.

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Fire truck and ambulance tours

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Teddy bear clinic

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Car seat safety checks

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Free bike helmets

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Spring Runoff 5K at North Park (8:15 am start time for runners, 9:15 am start time for walkers/fun division)

iuds

Continued from 12

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Because of the hormones most women will have lighter periods or stop having them altogether. With either type of IUD the chance of getting pregnant is less than 1 in 100, whereas the chance with the pill or the patch is about 1 to 6 in 100. “All those methods are good but we’re going to see a few more unwanted pregnancies than with the IUD,” Noyes said. An IUD is perfect for women who want convenience and don’t want to worry about remembering to take a pill or change a vaginal contraceptive ring, she said. “We put it in at the office and you can forget about it,” Noyes said. “The memory part is taken out of it.” The IUD only works to prevent

pregnancy. Another form of birth control, a condom, should be used to prevent HIV and other sexually transmitted infections. The device can also be removed at any time, such as if a woman wants to conceive or just doesn’t like it. But the IUD may not be for everyone. Some women want estrogen in their birth control to help prevent things like ovarian cysts, Noyes said. There is one thing for sure, though — there are more options than ever. “The beauty of having so many contraceptive options now is that you can choose what you feel most comfortable with,” Noyes said. “The more choices, the more women who can meet their needs and their comfort level.” Contact Erika Dahlby at 732-5909 or features2@jhnewsandguide.com.

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ultrarunners Continued from 7

Without it I would have been dead.” Reed also relies on electrolytes when she’s clobbering her fellow runners in ultraraces such as the Zion 100, which the 56-year-old completed April 7. Her electrolytes come in different forms than Koudele’s. “I take electrolyte pills,” Reed said. “I just got this stuff called BASE Salt. You lick your finger, you put the salt on your finger and you lick it. I just did Ironman Texas, and it really helps.” Reed combines the pills with food like peanut butter sandwiches, oatmeal, mashed potatoes and Clif bars on race day. In the days leading up to the race she gets her fats and protein from good, old-fashioned beef. “I always eat steak at least the night before,” Reed said. “I feel like it gives me more energy.” Reed said her diet is always chang-

human services Continued from 17

referrals only, and free consultations for organizations after traumatic events are tightened. Wait times for people who are not in crisis are lengthening, making it more likely for an issue to worsen, Counseling Center Executive Director Deidre Ashley said. Mental illness, she said, reaches beyond those suffering, often extending into the workplace, where productivity drops, or into the homes, where children may be affected. “It just has this ripple effect throughout the community,” Ashley said. The Human Services Council has asked local government to increase its financial support of the member organizations, which has traditionally lingered around 11 percent of their total budgets. In the past two years council organizations have received an increase of 3 percent from government funds, but Cavallaro is hoping the bump will

ing during races, and she’s often putting down whatever her body responds to. She drinks club soda and even nonalcoholic ginger beer to settle her stomach. When the race is over Reed refuels with beer as well. But not the nonalcoholic stuff. “The electrolyte drinks have sugar in them, and by the end I don’t want water and I don’t want sweets,” she said. “Beer seems like it really works for me.” Koudele is no different. If she has another race the following day she’s trying to put fats, protein and carbs in her body within 30 minutes of finishing. On single-day races she treats her body just like Reed. “I’m usually in the beer garden having a couple beers,” she said.

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be higher this budget cycle. “In other states this is something government provides,” she said. “We’re a different model here — the publicprivate partnership. I think it’s really efficient because we’re not a big bureaucratic entity. We’re all really good at what we do.” The nonprofits have also increased their fundraising by 7 percent over two years, she said. “We can’t keep up with the hole the state is creating,” she said. “We get some fees for service, but we don’t want to make that piece any higher, otherwise people aren’t going to get care.” Cavallaro hopes to raise awareness of the importance of human services to the level of affordable housing or wildlife conservation. “It’s not beautiful stuff, but it’s really critical to having a healthy community,” she said.

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20 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 3, 2017

May 2017

St. John’s Calendar of Events Most events are free unless otherwise noted.

Health Education

Support Groups Cancer Support Group for Patients, Survivors, and Caregivers

Type 2 Diabetes Prevention Group in Spanish

Led by cancer nurse Beth Shidner, RN, OCN, and social worker Lynnette Gaertner, MSW, LCSW Thursday, May 4 Sleep and cancer Thursday, May 18 3–4 pm, Eagle Classroom

In Spanish! ¡En Español! Zumba with Elvis. Family friendly. Monday and Wednesday 5:30 – 6:30 pm, Moose-Wapiti Classroom St. John’s Medical Center

For information, call 307.739.6195

Teton Parkies (For those affected by Parkinson’s Disease) Tuesday, May 9 5:30 pm Jackson Whole Grocer 20-minute Tai Chi session with Rosie Askin Cully Tuesday, May 23 4:00 pm Emily Steven’s Park Walk & talk. Dogs welcome. Dinner following.

Spine Classes

For information, call 307.739.7678

Auxiliary

Information for people considering or scheduled for spine surgery Tuesday, May 2, 3-4:30 pm Monday, May 8, 1-2:30 pm Tuesday, May 16, 3-4:30 pm Thursday, May 25, 1-2:30 pm Tuesday, May 30, 3-4:30 pm Physical Therapy Room St. John’s Medical Center

Please register by calling 307.739.6199

Healthy U — in Spanish For those with chronic diseases Thursday, May 18-June 22 6–8:30 pm

Auxiliary Meeting Thursday, May 4 Noon – 1 pm Boardroom St. John’s Medical Center

For information, call 307.739.7517

Contact Elizabeth at 307.733.4966, 614.271.7012, or epgerhard@gmail.com

Childbirth Education Class Saturday, May 20 8:30 am-5:00 pm

Call 307.739.6175 to enroll Invites you

Grief Support Group

Focus on Wellness

Led by St. John’s Hospice social worker Oliver Goss, LCSW Drop-ins welcome, but please call ahead

Workshops and classes to help you on your cancer journey Saturday, May 20. 10 am – 2 pm Pinedale Aquatic Center

Wednesday, May 10 Noon – 1 pm

For information, call 307.739.6195

Wednesday, May 24 Noon – 1 pm Professional Office Building Suite 114, 555 E. Broadway

Call 307.739.7463

Teton Mammas For newborns and their families Wednesday, May 10 1 – 2:30 pm Moose-Wapiti Classroom St. John’s Medical Center

Words on Wellness (WOW) Educational Series Saturday, May 27th, 2017 Join Us! $125/guest St. John’s Auxiliary’s 58th 6:00pm Cocktails - 7:00pm Dinner To reserve, please call or email Jackson Lake Lodge | Moran, WY 307.739.7517 Annual Spring Fling Gala Music & Dancing to Screen Door Porch sjmcspringﬂing@gmail.com

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Grand Anesthesiology Services

For those suffering from persistent memory problems; family members and caregivers welcome Thursday, May 11 noon – 1 pm Professional Office Building Suite 229, 555 E. Broadway

Open to everyone interested in weight loss and those considering (or who have had) bariatric surgery Thursday, May 18 4 pm, Suite 206 Professional Office Building

For information, call 307.739.7634

tetonhospital.org/calendar

For information, call 307.739.7466

Joint Classes

Foundation Art Talk with Tamara Ashburn King Friday, May 26, noon – 1 pm St. John’s Professional Office Building, Room 206

RSVP to 307.739.7517

For information, call 307.739.7434

Weight Management Support Group

in Teton County: A panel discussion Learn about services for seniors and existing gaps. Tuesday, May 30, 6 pm Teton County Library

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For information, call 307.739.6175

Memory Loss Support Group

Services Tickets areSenior $125 per guest

Information for people considering or scheduled for joint replacement surgery Thursday, May 4, 8-9:30 am Tuesday, May 9, 4-5:30 pm Thursday, May 18, 8-9:30 am Thursday, May 25, 9-10:30 am Physical Therapy Room St. John’s Medical Center

Please register by calling 307.739.6199

St. John’s Community Health Fair & 5K Spring Run Off Information, health screenings, emergency vehicle tours, and healthy snacks Saturday, May 6 9 am – 1 pm Teton County/Jackson Recreation Center

For information, call 307.739.7466

625 E. Broadway, Jackson, WY 327907