Hole Health 2018

Hole Health

May 2, 2018

A special supplement to the Jackson Hole News&Guide

21st century

Health

Parents, pediatricians and educators are grappling with how screen time affects children’s mental, social and emotional development.

How much is too much? See page 8.

BRADLY J. BONER / NEWS&GUIDE

St. John’s Community Health Fair • 9 a.m. to noon Saturday, May 5 • See story on page 3.

Performing at altitude

No one knows quite how to cure altitude sickness. But tips and tricks can lead to quicker acclimatization and stronger days in the mountains. See page 4.

Winter got you down?

A lack of exposure to the sun leaves some feeling groggy, unmotivated and depressed.

A remedy that’s increasing in popularity just takes the flip of a light switch. See page 6.

The power of zzz’s

The importance of a good night’s sleep can’t be understated: Hitting the hay for enough hours can facilitate healing and change brain activity.

See page 18.

2 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

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From the editor Readers, What does health mean to you?

Maybe it’s adhering to a wellbalanced diet that leaves you feeling full and replenished. Maybe it’s logging hours of training so you can haul yourself up and down these peaks we call home. Maybe it’s managing a chronic illness, getting enough sleep to heal from injuries or practicing meditation as a way to stay mindful and grounded.

Whatever the case, they say health is wealth. And whoever “they” are, they are probably right.

Mental, physical and emotional health are key components to living a happy life.

U.S. News and World Report recently ranked Teton County as the 19th healthiest county. Though that report took into account a lot of additional public health factors — from metrics like housing and the environment to mental health and food availability — I think you’ll see a lot of those issues explored in this collection of stories.

In this special section reporters

Emergency and Community Services

Child and Family • School based services • Home based services • Play Therapy • Summer Day Treatment • Consultation with local agencies and childcare facilities (Head Start, Van Vleck)

Publisher: Kevin Olson Associate Publisher: Adam Meyer

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Editor: Johanna Love Deputy Editor: Melissa Cassutt Hole Health Editor: Kylie Mohr Layout and Design: Kathryn Holloway, Andy Edwards Photographers: Bradly J. Boner, Ryan Dorgan, Amber Baesler Copy Editors: Jennifer Dorsey, Mark Huffman, Tom Hallberg Features: Melissa Cassutt, Jennifer Dorsey, Clark Forster, Allie Gross, Tom Hallberg, Mark Huffman, Isa Jones, Mike Koshmrl, Kylie Mohr, Therese Metherell, Emily Mieure, John Spina

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of

We fix We fix We fix

Serving Teton County and the surrounding

Happy reading, Kylie Mohr, Hole Health Editor

Special supplement written, produced and printed by the Jackson Hole News&Guide

• 24 hour crisis support

Adult

explored an array of topics that relate to health and wellness in Jackson Hole. Clark Forster examines how concussion baseline testing can help keep high school athletes safe in high-impact sports like football and soccer. Isa Jones reports on the health benefits of CBD hemp oil, a chemical compound in marijuana that’s often used as a remedy to reduce pain and inflammation. Allie Gross tackles our addiction to screens, while John Spina explains how light therapy can help cure those winter blues and Melissa Cassutt goes behind the scenes to learn more about allergy testing.

I hope you enjoy digging into these stories and close the final page with relevant nuggets of information — like how to identify frostbite or acclimate your visiting friends and family to high-altitude adventures.

Got ideas for additional health stories? I’m all ears.

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 3

Fair offers a quick look at your health This year’s focus is access to care.

Get checked for free

By Mark Huffman

H

undreds of people will be up early Saturday to have their skin examined, their blood drawn, their ears peered into and their aches and pains probed and stretched.

And then they’ll be told what they need to do about their complaints.

It’s the annual St. John’s Community Health Fair, a chance for attendees to get some professional advice and a range of information about what they should do to keep themselves healthy.

The Health Fair is more than 20 years old and began in the lobby of St. John’s with a handful of participants.

Now it’s held at the Teton County/Jackson Recreation Center. Julia Heemstra, director of St. John’s Medical Center’s Wellness Department, expects “500 or more” people to attend.

The fair will run Saturday from 9 a.m. to noon, an hour shorter than in the past. And this year organizers became bit more stringent about what health care experts will offer.

“We’ve changed the Health Fair pretty significantly this year in response to having access to care identified as one of our primary needs in the community,” Heemstra said.

Despite a lot of great medical care many people lack the money to get any of it and are discouraged from taking even the first step. New policies at the Health Fair, Heemstra said, are designed to provide — even more so than in the past — a first level of medical care for people in that situation.

All booths this year are required “to provide evidence-based screenings, and all screenings have to be free,” she said. “It’s not just handing out brochures any more.”

BRADLY J. BONER / NEWS&GUIDE FILE

A giant inflatable colon will once again be part of the St. John’s Community Health Fair.

People who have been shut out of medical care in the past due to their income, she said, are “the demographic we’re dedicated to serving.”

Free screenings at the fair often provide some life-saving information.

“Screenings are where we’ve made a difference,” Heemstra said. “People have sometimes participated in a screening they hadn’t planned to participate in, and they’ve caught conditions so they could get care.”

One good example of how dangerous conditions can be spotted early is a simple skin cancer exam, she said.

“It’s a particular need in our community because of the prevalence of skin cancer,” she said.

Two other useful offerings are a vision screening for children, whose problems may not be recognized and who “may not even know why they’re having challenges in school,” and a new orthopedic screening, geared to-

ward people who have a nagging pain but put off treatment because they’re fearful of cost and hope the condition will clear up on its own.

Other medical screenings will focus on physical therapy, cardiology, nutrition, cognitive health, surgery, diabetes and many others. (See sidebar) Some experts come to the fair to offer information that’s more about safety and prevention than fixing things that have already happened. A good example is the children’s car seat fitting that will be offered to parents.

St. John’s also provides some entertainment. There will be fire trucks and ambulances on hand so that kids can get onboard and meet the firefighters and EMTs. There will be another visit by the giant walk-through colon, for those with interest in such things. And the Spring Runoff 5K race is back, running north and back along the pathway paralleling Highway 89.

Experts will offer free assessments and referrals at booths, including: • a selective functional movement assessment, which can also include a children’s sleep habits questionnaire • an injury screening • body mass index and a body-fat percentage assessment • information on breast screening, cancer prevention and screening, atrial fibrillation screening • memory screening • A1c screening and diabetes risk assessment • blood pressure checks and pulse oximetry • a wellness blood screening interpretation with a physician assistant • assessments of balance and risk of falling • screening for safe sleep, continuous positive airway pressure and sleep apnea • visual acuity testing, visual ocularmotor screening • cognitive memory assessment • immunization screening • skin cancer screening • test grip and pinch strength with calibrated instruments • “Fit-Kits” take-home screening for colorectal cancer • services and equipment for people with hearing loss and speech impairments

The race began with about 30 runners but has grown to nearly 300 in the past few years. For registration info see TetonParksAndRec.org.

Contact Mark Huffman at 732-5907 or mark@jhnewsandguide.com.

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4 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

Gasping for air

How high altitude and less oxygen impacts performance in the mountains.

By Kylie Mohr

I

t’s a familiar feeling for newcomers and tourists: huffing and puffing up a mountain, feeling like reaching the summit is impossible or close to it.

Physical fitness aside, there’s a very real reason people not acclimated to altitude feel physiological changes, like difficulty breathing, when exerting themselves in a new alpine environment.

A continuous supply of oxygen is essential for physical and mental functioning. Your heart, muscles and brain all need better oxygen delivery, especially when they’re working harder. At higher altitudes, there’s less oxygen, resulting in a condition called hypoxia.

The lack of oxygen at high altitude can cause acute mountain sickness.

People experience dizziness, thirst, fatigue, nausea, sleeplessness and swelling of the brain and sometimes even die as their respiratory system works harder to supply the same levels of oxygen to the bloodstream.

“High-altitude environments have adverse effects on the normal functioning body of people accustomed to living at low altitudes,” states a paper on the effects of high altitude on sleep and respiratory systems in The Scientific World Journal.

Sustained exposure to hypoxia, scientists explain, has adverse effects on body weight, muscle structure and exercise capacity, mental functioning and sleep quality.

Altitude sickness can feel a lot like a hangover, which is why experts suggest drinking lots of water, limiting alcohol and transitioning slowly from the valley floor to higher peaks during the acclimation process.

But there’s much more to it. Researchers at the University of Colorado’s School of Medicine’s Altitude Research Center are taking a closer look at hypoxia, and for good reason: Altitude illness impacts 25 percent of tourists to Colorado’s many mountains and can set in at as low as 8,000 feet.

On the cutting edge of altitude Understanding how altitude affects the body is important to mountainous states, like our neighbors to the south.

“Because millions of visitors travel to high-altitude locations each year, acute mountain sickness is a public health problem and has economic consequences, especially for the ski industry,” wrote Robert Roach, the director of the Altitude Research Center, in a paper in the New England Journal of

RYAN DORGAN / NEWS&GUIDE FILE

Ellen Gallant sets up an altitude tent in October 2016. She routinely slept in a low-oxygen environment that simulated being at 18,000 feet as part of her training for an ascent of Mount Everest. There are a variety of ways to prepare for exercise, and life, at high altitudes.

Medicine in 2012.

His colleague Andrew Subudhi focuses on studying cerebral blood flow and exercise performance related issues related to altitude.

“The big picture we’re really chasing is how we can mitigate or lessen the effects of altitude for everybody who comes to altitude,” Subudhi said.

While Subudhi and his team are making strides, that hasn’t always been the case in altitude research.

Drugs like acetazolamide and dexamethasone, the most commonly prescribed treatments, have risks and negative side effects.

“The field has really been stuck for the last 50 years,” Subudhi said. “We haven’t had any new ways to help people with mountain sickness.”

A subset of the population tends to get extra attention, thanks to funding by the Department of Defense.

“We’re sending troops to high-altitude locations, and they get sick, just like the rest of us,” Subudhi said.

“They don’t perform well physically, just like the rest of us. They’re no different. They’re not immune, but the military would like to make them.”

In 2011 the Pentagon awarded a $4 million grant to the Altitude Research Center to develop ways to combat high-altitude sickness in soldiers and sailors.

One of the challenges Subudhi and

other face in their altitude research is not being able to tell how quickly, if at all, people acclimatize to altitude.

“Believe it or not, we don’t know,” Subudhi said.

There’s no test. Instead scientists can ask how people feel — Does your stomach hurt? Does your head hurt?

Do you feel dizzy? — and monitor how they’re performing physically.

“Are you performing better than you were when you first came to this altitude? That’s how we judge acclimatization,” Subudhi said. “There’s no real objective standard there. So what we’re trying to do is create more objective standards.”

Strides are being made, albeit in a one-step-forward, two-steps-back fashion. Years ago the team at the Altitude Research Center developed a blood test that can sometimes identify those who will get AMS. “The science is evolving so fast,” Subudhi said. “Every year there are new and more sophisticated tests. Will it come to pass? Maybe. I don’t think it’s really ready for prime time yet.

These are integrated problems that are complex. Sometimes the blood tests are very good, and sometimes they’re not so good.”

The team is also studying how people acclimate to hypoxia, hoping to use the results of the study to develop drugs that improve human performance

when oxygen is limited.

A more recent finding of the Altitude Research Center, published in a 2016 article in the Journal of Proteome Research, found that even short exposures to high altitudes can trigger changes within red blood cells that make it easier for people to deal with low-oxygen conditions.

Scientists thought that red blood cells might be what cause that phenomenon, but they were wrong.

“There’s some memory of that acclimatization,” Subudhi said. “They don’t lose everything. That’s a really interesting finding that’s been supported by a bunch of anecdotal stuff. Mountaineers have been saying that for years. But nobody’s got the answer yet, so we’ve got to figure that out. And what we know is that it’s probably never going to be one single thing. There are thousands of changes that go on, and it’s probably some combination of these things that lead to acclimatization.”

Ways to be prepared There are ways to prepare your body for exertion at high altitude. Depending how high you plan to go — the summit of Mount Glory, say, or the summit of Mount Everest — techniques vary.

Local cardiologist Ellen Gallant is an expert at how to prepare for altitude. Gallant trained for the past See air on 19

Beware of the misconceptions about altitude sickness There’s a lot of confusion around altitude sickness and what, if anything, can be done to mitigate it. Here are some of the most common traps to avoid.

1. MYTH: You can “beat” the altitude Altitude researcher Andrew Subudhi said he hears of professional football teams trying to race against time by scheduling matches at high altitude as soon as players set foot on the ground.

“You can’t fly in and beat the altitude,” he said.

“They’re getting confused between the timeline at which mountain sickness develops and the effects on performance.”

The effects on performance happen immediately, even though it takes between four and six hours for symptoms to set in.

“Never are you going to perform better just because you arrive five minutes before the event,” Subudhi said.

2. MYTH: Bottled oxygen will fix everything If you’ve traveled to a mountain town you’ve likely seen handy bottled canisters of oxygen promising myriad benefits.

While for some situations they might come in handy as a quick hit, they’re not going to mitigate the full effects of altitude.

“There’s only so much oxygen in that bottle,” Subudhi said. “It’s not going to sustain you for long periods of time. It’s not going to magically make your symptoms go away, it’s temporary relief. You’ll feel better — for a minute.”

The canisters are too heavy to carry all the oxygen you’d need for hours in the mountains.

“Your body utilizes a large amount of oxygen every minute when you’re exercising,” Subudhi said. “You can’t carry enough oxygen with you unless you’re super human because of the weight of one oxygen tank.”

3. MYTH: Training at altitude is a shoo-in advantage Many athletes think that after living and training in a place like Jackson, competing in a place like San Francisco will be a breeze.

Subudhi said most people living at moderate altitude will perform better at lower altitudes.

“Not everybody, though,” he said. “We find a few people in every study that we do, even when we give them extra oxygen, they don’t actually do better.”

Even Olympians, for example, tend not to be affected much by a transition from moderate to low altitude.

And, Subudhi said that if you live at moderate altitude you might not be able to train as hard as your lower-elevation competitors, putting you at a disadvantage, not an advantage.

“It’s debatable how much it works for everybody,” he said. “But the live-high, train-low paradigm seems to work for a reasonable number of people.”

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 5

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BRADLY J. BONER / NEWS&GUIDE FILE

Lucky’s Market has a selection of hemp extract and supplement products. Jackson Whole Grocer also sells hemp-based CBD oils.

CBD craze shows no sign of slowing A part of the marijuana plant is becoming a go-to medication for many people.

By Isa Jones

O

ne thing Blair Garside, apothecary manager at Lucky’s Market, wasn’t expecting when the store started stocking CBD products was for a customer to hug her.

A man came in seeking relief for his anxiety attacks and chronic foot pain. Garside, a believer in the powers of cannabidiol, a substance found in hemp and marijuana plants, suggested the product to him and gave him a sample bottle.

“He came back a week later and hugged me,” Garside said. “His foot pain has gone away, and his anxiety has gone away, and his insomnia had gone away. He could not believe how good it is.”

This kind of interaction isn’t unusual at Lucky’s, which started stocking the products in fall 2017. Garside said the decision to have CBD products in the store is nothing short of a success.

“It’s insane. We can’t keep it in stock, it seems like,” Garside said.

Lucky’s is part of a nationwide trend that is turning to the natural substance as an alternative form of medication to traditional painkillers.

The substance is still too new to verify its health benefits, but that hasn’t stopped a whole industry from growing around it.

So what does it do?

A cure-all oil If you need a cure for joint pain, anxiety, insomnia, depression, low energy, focus or other ailments, CBD might be for you.

First thing to know is that no, it doesn’t get you high.

Cannabidiol is a cannabinoid, one of the 60-plus compounds found in yes, cannabis. It’s a different compound from THC which produces the psychedelic effects that make cannabis both popular and illegal. In today’s industry CBD is commonly harvested from hemp, a form of cannabis that contains less than .3 percent THC. CBD acts on the body in different ways than THC. According to an article in Medical News Today, “CBD stops the body from absorbing anandamide, one compound associated with regulating pain. Increased levels of anandamide in the bloodstream may reduce the amount of pain a person feels.”

“Cannabidiol may also limit in-

flammation in the brain and nervous system, which may help people experiencing pain, insomnia and certain immune-system responses,” the article states.

The product is also natural and plant-based, unlike over-the-counter or prescribed painkillers and other medication.

“We have cannabinoid receptors,” Garside said. “It’s a part of us. When we take it we’re absorbing it and it takes us back to homeostasis.”

Garside said that for her, CBD has helped with anxiety, depression and her hypermobile joints, reducing her pain, which in turn allows her to be more active.

In 2017 the New England Journal of Medicine reported that CBD had passed stage 3 clinical trials for the treatment of epilepsy in children.

That same year the Proceedings of the National Academy of Sciences published a finding that CBD normalized social behavior and decreased socialanxiety behaviors in mice.

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A new industry forms Now that the benefits of CBD are going from word of mouth to scientific studies, entrepreneurs of all kinds have jumped on the cannabinoid bandwagon to market the drug to consumers.

Brands available at Lucky’s when the product first found its way onto shelves included the house brand, Lucky’s Apothecary, and eight others: PureKind Botanicals, CV Sciences, EnerHealth, Restorative Botanicals, Hemp Fusion, Empower, CW-Charlotte’s Web and Functional Remedies.

Many brands are based in Colorado, where marijuana, in addition to hemp, has been legalized and there is more infrastructure in place for the production and marketing of such products.

Marketing for the product is wide.

In Colorado, Floyd’s of Leadville targets athletes for its CBD products.

GOOP, “a modern lifestyle brand” helmed by actress Gwyneth Paltrow, published an article in December on CBD-infused cocktails.

“Depending on where you live and what the laws are (they’re about to become even more relaxed here in Los Angeles), it seems like just about everyone is experimenting with cannabidiol (also known as CBD) oils and tinctures,” the article states.

However, this form of business has met some problems with the law. CBD oils are legal only under certain circumstances in Wyoming, according to the Wyoming Department of Criminal Investigations.

See cbd on 17

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6 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

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Shellie Keegan uses a light therapy lamp every day at work, usually from November through April. The lamp mimics outdoor light, which during the short days of the winter months can help ease the symptoms of seasonal affective disorder.

Switch on the light so you’re not SAD Alternative remedies like lamps and vitamin D help beat winter blues.

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easonal affective disorder, also known as SAD, is a tricky ailment to diagnose. No one really knows what causes it, and it’s often ignored as simply “the winter blues.”

What many people don’t know is that it can be effectively managed without the use of medication.

While the exact cause of SAD remains unknown, it’s widely believed that the lack of exposure to sunlight in the fall and winter months lowers serotonin levels in the brain while increasing its production of melatonin, leaving people feeling groggy, unmotivated and depressed for long periods.

Young adults, people with a family history of depression and women are particularly susceptible to SAD. According to the National Institute of Mental Health, four times more women are diagnosed with it than men.

“For some people it can get really extreme,” said Deidre Ashley, executive director of the Jackson Hole Community Counseling Center. “It can lead to severe depression. When it gets to that point most people are seeking help, which is good, but we’re seeing more prescriptions for antidepressants, and there are a lot of other things you can do that can help.”

In cases in which SAD is diagnosed early enough, light therapy is quickly becoming a widely accepted alternative for medication.

Shellie Keegan, a 29-year-old marketing and communications specialist for Teton Science Schools, began to notice a change in her moods while living in New York City six years ago.

“I was living in NYC and was really unhappy and trying to do anything I could to get some more sunshine in my life,” she said. “At first I felt a little sheepish because seasonal affective disorder implies you’re depressed, but I wouldn’t classify it as depressed.

You just start to feel bummed out in the dead of winter, and I wasn’t excited about doing what I needed to do.”

Looking for help, Keegan turned to the internet. After doing some quick research she found her “happy light,” a small lamp placed on her desk used to replicate sunlight. Though the lights have been around since the ’80s, as awareness of SAD spreads and advances in technology lower the price and mobility, they’ve become increasingly popular.

Light therapy boxes filter out ultraviolet rays and emit 10,000 lux of coolwhite fluorescent light that simulates

a concentrated sunlight substitute.

Depending on the person, just 20 minutes to an hour of exposure can stave off the effects of SAD. Light therapy can be augmented by taking vitamin D pills, which some studies suggest help the brain produce serotonin.

The more Keegan used her happy lamp, the more she appreciated its effects. Even after she moved back home to Jackson, where she lived a more physically active winter lifestyle skiing and skinning around the valley, she still feels its positive effects.

“I could never replace my relationship with my happy light; it’s my buddy,” she said half-jokingly. “It’s like a natural caffeine. I find that it puts me in a better place even if it’s a placebo effect. But, like caffeine, you can have too much. If I sit in front of it for too long I’ll be bouncing off the walls and get a headache.”

Ashley and Keegan said the key to managing SAD is to maintain a keen sense of self-awareness and be able to recognize when they are feeling down or less energetic than usual.

“A lot of people confuse mindfulness with mediation,” Ashley said. “It’s more about being present and being aware of what’s going on. When you zone out while you’re driving or you have to read the same page 20 times, you’re kind of letting your mind take the wheel, and it will spin on negative thoughts or create a sense of anxiety that you’re not in control of. Getting in this cycle happens a lot with seasonal affective disorder. It doesn’t have to be something grand to break that cycle. All it takes is getting out and getting your blood moving and paying attention to what’s going on.”

Keegan makes a note to take some time each morning to gauge her energy levels.

“Everyone has to test it out on their own and find what works for them,” she said. “Same with coffee — some people have one cup, some people have seven.

For me, when I wake up and look outside and my immediate reaction is, ‘Oh, great, it’s snowing again,’ it’s a personal indication to check my attitude and turn on my light.”

Along with improving her mood, Keegan said her happy light makes it easier to talk about her seasonal affective disorder than if she was taking an anti-depressant, not only helping raise her own self-awareness but also that of her friends and family.

“I think more people could benefit from this than they think,” she said. “I don’t think we question people drinking coffee in the morning. It’s giving me a leg up.”

Contact John Spina at 732-5911, town@ jhnewsandguide.com or @JHNGtown.

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 7

Frozen skin a risk of high-altitude play Knowing how to treat frostbite is essential.

By Emily Mieure

STAGES OF FROSTBITE STAGES OF FROSTBITE

Normal

Frostnip

Normal

Frostnip

T

he first time Bob Turgeon suffered severe frostbite was when he was a teenager.

“I had major, major frostbite when I was 15 and we had gotten a car stuck in the backcountry and ended up pushing it out for two hours in tennis shoes on the way home from a ski competition,” Turgeon said.

The 58-year-old lives part time in Jackson and part time in his home state of Minnesota. He still remembers the pain he felt when he arrived home after digging his friend’s car out and his toes started to thaw.

“When my toes started turning purple at home I took my shoes off and thawed out, and my mom took me to the doctor,” Turgeon said. “She was yelling, ‘What did you do?’”

The skin on his toes was blistering and eventually fell off, he said.

Knowing how to treat frostbite, a condition in which the skin and the tissue below the skin freeze, is essential.

Turgeon, a snow sport enthusiast, has had it on other extremities, including his fingers and nose.

“I’ve had second-degree frostbite on my nose,” Turgeon said. “That’s when it blisters. I had to put tape over my nose to keep it from freezing again.”

It was not only embarrassing but painful, he said.

Turgeon was skiing near Kicking Horse in British Columbia, and “the low was 25 every night,” he said.

One reason for his bouts of frostbite is that outdoor gear decades ago wasn’t as protective.

“The ski boots weren’t that warm.

We’re talking 30 years ago,” Turgeon said. “I coached skiing for a long time

Superficial Frosbite Superficial Frosbite

Deep Frosbite Deep Frosbite

Epidermis Epidermis Dermis Dermis Sub-cutaneous tissue Sub-cutaneous tissue

Source: MAYO CLINIC Source: MAYO CLINIC

in Minnesota, and I would stay on the hill while the kids were inside warming up. It wasn’t unusual for my feet to freeze every night.”

And his early exposure to frostbite made him more susceptible to future occurrences.

“If you have had frostbite already, you have a two to four times increased risk of another injury in the future,” said dermatologist Dr. Jon Baker, of Teton Dermatology.

Turgeon kept getting frostbite on his toes when he skied. Then heated boot liners were invented.

“I haven’t had severe frostbite since,” he said.

Frostbite cases are common in the rural Mountain West.

ANDY EDWARDS / NEWS&GUIDE ANDY EDWARDS / NEWS&GUIDE

Jackson residents tend to recreate more often and at higher altitudes, giving them more chances to experience freezing skin.

“A cold front at high altitude, combined with high wind chill, inadequate preparation, prolonged exposure, etc., could potentially lead to frostbite,” Baker said in an email, “as well as hypothermia, another form of cold injury, even in the summer.”

Baker said there are misconceptions about frostbite.

For example, it’s not true that you have to be outside and exposed for a long time to get it.

“If temperatures are extremely cold and wind chill is high, symptoms of frostbite can occur in a matter of

minutes,” he said.

Another misunderstanding is about clothing and the way it fits.

“Light, loose-fitting clothing is better to prevent frostbite because it traps warm air better and minimizes sweating,” Baker said.

People also tend to make mistakes when trying to treat frostbite, he said.

“The importance of rewarming the affected tissue can not be overemphasized,” Baker said. “Ideally, if accessible, one would gradually rewarm the affected area with warm water or a warm washcloth.”

Rubbing or massaging frostbitten skin will do more damage, he said.

“And do not submerge the affected area in hot water,” he said. “Avoid reheating with a stove or fireplace, as the tissue is numb and can easily be burned. If at all possible, avoid walking on frostbitten feet and toes, as this can cause more damage.”

There are different levels of frostbite, Baker said, and treatment can depend on how severe a case is.

“First-degree frostbite would include superficial damage to the skin, while second-degree frostbite includes damage to the deeper tissues, which may lead to more severe effects,” he said. “Severe frostbite unfortunately can potentially result in amputation.”

While Turgeon has had frostbite “hundreds and hundreds” of times, he’s never had to have anything amputated. And he credits high-tech outdoor gear, even an invention as simple as hand warmers.

“Frostbite is part of playing outside,” he said. “But we have better gloves, better mittens and better materials now. The difference between wet gloves and dry gloves is huge.”

Contact Emily Mieure at 732-7066, courts@jhnewsandguide.com or @ JHNGcourts.

Connect with help Through St. John’s Mental Health Resource Line A licensed mental health professional will connect you with the care you need.

Obstetrics & Gynecology Family Care Including Pediatrics S. Douglas George, M.D.

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In an emergency, please dial 911.

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8 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

BRADLY J. BONER / NEWS&GUIDE

Studies have linked heavy media use in childhood to obesity, fewer minutes of sleep per night, lower academic performance and cognitive, language and social-emotional delays.

That’s why it’s crucial for families to figure out the right limits and strike a balance that works for them. For kids 2 to 5, pediatricians recommend no more than an hour a day.

Kids’ screen time requires watching

“Everything went beautifully. I had both hips replaced 10 weeks apart. I was skiing in between operations and biking three months after my second surgery.”

Children need real-life conversations and time outdoors, not just TVs, iPads and cellphones.

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F

or the modern parent, managing kids’ “screen time” is uncharted territory.

“Our kids are in the guinea pig generation,” said Carrie Kirkpatrick, founder of Raising Girls, which focuses on the issue. “No other generation has had this at this age.”

There’s no rule book, and it wasn’t an issue when today’s moms and dads were growing up.

“We’re making the rules as we go along,” said Girls Actively Participating Director Jess Yeomans, “so it is a big challenge for parents.”

But the amount of time kids spend using digital devices is an important health issue, experts and pediatricians say.

Studies have linked heavy media use in childhood to obesity, fewer minutes of sleep per night, lower academic performance and cognitive, language and social-emotional delays.

That’s why it’s crucial for families to figure out the right limits and strike a balance that works for them.

TV is addictive When local pediatrician Dr. James Little Sr. gives advice to new parents, he tells them the two best things they can do for their babies: “Breast-feed and get rid of the television set.”

“I think that television is just terrible for kids,” Little said. Little said TV can impact young brains and nervous systems with its attractive, addicting nature.

“You’re looking at the screen, and multiple times a minute — advertising does even more of that with rapid cuts back and forth from perspectives and motion,” he said. “All of that, to our nervous systems, is really, really addicting. You have to watch what happens.”

Rachel Wigglesworth has a masters in parenting and family education and works with individual families locally through her company, Growing Great Families. She sees screen time as a health issue because of its addictive nature. And giving kids a screen to entertain them when parents need to turn their attention elsewhere can deprive children of an

American Academy of Pediatrics recommendations The pediatricians group recommends that children younger than 18 months avoid screen use other than video chatting.

Parents who want to introduce kids age 18 months to 2 years to digital media should choose “high-quality programming.”

Boys and girls age 2 to 5 should limit screen use to an hour a day of highquality programs.

For children age 6 and older, parents should “place consistent limits on the time spent using media, and the types of media.” opportunity to learn important skills.

“It doesn’t teach the kids the skills to regulate their emotions, or to be patient, or do other things to be creative in solving their problems,” Wigglesworth said. “It’s easy to go to a screen.

It’s harder to say, ‘I’m going to get out the coloring, or I can wait two minutes while Mom finishes the phone call, or I have these skills to regulate my emotions when I’m upset.’

“If we are using a device in place of learning how to regulate our emotions, that impacts our mental health,” she said.

Real interactions are better Also paramount is how screens interfere with other social interactions — talking and listening to people — and being active by playing outside or participating in sports.

“It’s much better for kids to play with each other, to interact with other people and grow up without TV,” Little said.

If kids are supplanting schoolwork, chores, creativity, reading and friends for media time, it may be time to rethink their screen time.

“For parents, what are your kids not doing because they’re using media?” Wigglesworth said.

Kirkpatrick said screen time can interfere with developing the skills to relate to people personally, face to face.

“I would feel remiss as a parent not teaching my kids the most key essential components of being a human being,” she said.

See screen time on 9

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 9

Of course, media can be positive and healthy in moderation, as an educational and connective tool. And kids need learn to be digitally literate in today’s tech-centric world. So it’s a matter of balance and setting limitations.

Content counts

Continued from 8

Striking a balance Many experts recommend working together with children to come up with a reasonable, fair plan for screen use. Rather than a top-down approach, families should openly discuss what the family’s values are and use that to reach an agreement.

“Coming up with some sort of rules or contract is best,” Yeomans said. “For the family together, as the child and parent, to go back and forth making up rules. So you’re not constantly being reactive, you already have these set rules in place.

They definitely need to change as kids grow or change. It’s this ongoing conversation.”

The rules could look like an hours-per-day limit, screen-free times like bedtime or screen-free zones like the dinner table or the car. But just as important as coming up with rules or a “contract” is following through and abiding by it, which can be tough for parents.

“These are hard things to do,” Wigglesworth said. “If you’ve never done this before, it’s going to be hard to change, and you have to decide how strongly you feel and whether it’s important or not.”

Parents aren’t off the hook, either.

One of the most important things is how parents model appropriate screen use for their children.

“How do we interact with screens, and how are we modeling social etiquette or screen etiquette?” Wigglesworth asked. “Are we picking up our phones in the middle of a conversa-

Time spent on screens isn’t the only concern for parents — what kids are using them for is important, too.

Participating with children on what they’re doing online is an effective strategy, Yeomans and Kirkpatrick said, and can help you connect with them.

“I think it’s really great to sit down frequently with little kids to look at what they’re looking at, doing it in a fun, playful way,” Kirkpatrick said. “Show me your favorite sites. Why are those your favorite?”

Wigglesworth recommends that parents talk with their sons and daughters about what values are being espoused in the media they consume.

“Is it promoting healthy values and lifestyle or not? If not, have a conversation with your child about it,” she said.

A worthy but uphill battle For Kirkpatrick it’s important to remember that it’s not kids’ faults that they’re addicted to screens: The tech industry designs the devices to be addictive. Even adults struggle to self-regulate with devices, she said.

“There’s a multibillion-dollar industry all geared toward, how do we keep you online?” she said. “That’s a huge entity that’s going up against a 12-year-old. It’s not a fair fight.”

But it’s a fight worth having for parents, she said, because the reward is invaluable: teaching kids “the most key, essential components of being a human being.”

“Relating to other humans is a large part of what brings us joy and makes us feel more human,” she said.

Contact Allie Gross at 732-7063, county@jhnewsandguide.com or @JHNGcounty.

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10 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

To eat or to not eat, the test decides Skin prick, blood tests give clarity on what to eat, what to avoid.‌

By Melissa Cassutt

T

errie Fair is allergic to peanuts.

Really allergic. The kind of allergic where her throat swells and her face puffs up — the kind you don’t mess around with. She used to carry an EpiPen, but with prices as they are it’s a big expense.

At 64 she’s learned to navigate around the nut.

The Alpine resident recently made an appointment with Dr. Martin Trott, an ear, nose and throat specialist at St. John’s Physician Practices, to find out more about other allergies as well — possibly other nuts, like cashews or walnuts. To be honest, discomfort and fear had her diet whittled down to game meat and rice, with Tootsie Rolls for energy on hikes (though she generally avoids sugar).

“Have you ever eaten Honey Nut Cheerios?” Trott asked during their initial consultation.

“No,” she said, “because it has ‘honey’ and ‘nut’ in it, and I won’t eat anything with those words in it.”

If patients have a reaction to the cereal, they’re typically reacting to almond extract, he said. But surprisingly, at least to Fair, one nut allergy doesn’t correlate to other nut allergies. Just because she’s allergic to peanuts doesn’t mean she’s allergic to almonds, he told her.

“My bet,” Trott told her before she was led back for a skin prick test, “is you’re not going to need to avoid so much stuff.”

Food can be a confusing topic to many people.

There is a range of issues that can be caused by food, the most serious causing anaphylaxis, like Fair’s peanut allergy.

Food sensitivities may be less life-threatening but still at the root of issues like acne, eczema, joint pain and migraines, said Dr. Mark Menolascino of the Meno Clinic in Wilson.

An allergy is the overreaction by the body to a foreign substance. With a peanut allergy, for example, exposure to the nut triggers B cells in the body to release Immunoglobulin E antibodies. Those antibodies attach to mast cells, which release histamine.

While the most severe reaction is anaphylaxis, marked by swelling, wheezing and difficulty breath-

BRADLY J. BONER / NEWS&GUIDE

Celeste Heikkila pricks Terrie Fair’s back with different allergens while conducting an allergy test at Dr. Martin Trott’s office.

ing, less severe reactions also signal an IgE reaction, like the itchy and watery eyes commonly seen with inhaled environmental allergens.

“The histamine allergies are very obvious when you have them,” said Menolascino, who has a master’s degree in immunology. “But what most people have are food sensitivities.”

To make matters more confusing, it’s also possible to have food allergies and sensitivities, the latter of which can make the former worse, Menolascino said.

“If you have food sensitivities, it can make your peanut allergy worse,” he said. “But you’re not going to make your peanut allergy go away by avoiding gluten [for example].”

Fair has seen both sides of the coin. She has un-

JACKSON HOLE

dergone a 96-subject blood panel at the Meno Clinic, which identified sensitivities. Her visit with Trott was to further examine her true allergies, classically tested with a skin prick test. The 14-poke panel tests given in Trott’s office reveal allergies to almonds, cashews, eggs, milk, shellfish and soybeans, among other foods.

He pulled the peanut allergen from the test, saying it was unnecessary to put a welt on her back for an allergy with such well-documented symptoms.

But everything else was fair game, including the nuts Fair had been avoiding for years, worried she’d see the same reaction to walnuts as peanuts.

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 11

TEST

Continued from 10

lay facedown on an examination table.

Clinic assistant Celeste Heikkila used a small plastic tool to prick the skin with different allergens, making two neat rows labeled 1 through 13. The positive histamine control was poked into Fair’s right shoulder; it created a small welt.

“If this gets itchy,” Heikkila told Fair of the samples on her back, “You cannot scratch.”

It’s not a fun test, but it’s also not unbearable, Fair said. She was hopeful the results will curb some of the fear she has with food. Her diet had become so restricted she worried about getting proper nutrition. After 20 minutes Trott entered to glance at the results.

They sat down to review the results.

“What’s 11?” she asked.

“Shellfish,” he said.

He had jotted a slight reaction on her chart, the only food out of the 13 that produced a notable reaction.

“Do you eat shellfish?” he asked.

“I don’t like it,” she said.

“Well, there you go,” he said. “That’s probably why.”

Your body lets you know Often the body does give cues to those with allergies to avoid certain foods, Trott said. Often those who have allergies don’t like the foods they are allergic to, either in taste or smell. Fair, for example, can’t stand the smell of peanut butter.

There’s also a mind-body connection.

“If they think they’re allergic to it or they think they’re sensitive to it, they’re probably going to be,” he said.

“I try to make sure people are safe. If people feel better by not eating something they think they’re sensitive to, that’s awesome. If people feel better I don’t really care what they do.”

Outside of specialized desensitization the treatment for true food allergies is to avoid the food, as Fair has

BRADLY J. BONER / NEWS&GUIDE

Dr. Martin Trott’s office uses various food, insect and pet allergens to test for bad reactions during allergy tests.

been doing with peanuts for years.

Nut allergies, like many food allergies, Trott explained, are durable.

“They don’t get better,” he said.

Seasonal allergies, like those to trees, grasses or weeds, tend to improve with age, he said. Some allergies can also be approved with desensitization, as can be done for bee venom and cat dander, for example. But while effective, the treatment is expensive.

It takes weeks to years to get someone desensitized, depending on the allergen and the person, and many people fail out of the time-consuming program. However, if it means someone doesn’t go into anaphylaxis when stung by a bee, or is given relief from an otherwise untreatable environmental allergy, it can be worth the time and effort, Trott said.

“The people that should be going through that are the people who are miserable,” he said.

As for Fair, she still has some detective work to do. She now knows she’s allergic to two foods — peanuts

and shellfish — but she has questions about food sensitivities or, as Trott put it, “everything else that’s not a true histamine-mediated response.”

Sensitivity versus allergy Sensitivities or intolerances “are the same thing,” Menolascino said.

But sensitivities can be sneaky, he said, presenting 12 to 36 hours after exposure.

“How you feel today is from what you ate a day and a half ago,” he said.

Allergies produce an immune response within 15 minutes.

“Sensitivities and allergies are completely different things,” he said.

Unlike Trott, who is focused on IgE, Menolascino looks for the antibodies Immunoglobulin G, or IgG, and Immunoglobulin A, or IgA, in a 96-food blood panel. IgG food reactions suggest “a sign of a leaky gut,” according to information provided by the Meno Clinic.

“When inflammation occurs, as is caused by an IgG reaction to a certain

food, there is also often microscopic damage to the tight junctions between cells in the GI tract,” a Meno Clinic document states. “And the intestines become leaky and food particles can enter the bloodstream where the immune system reacts to it as a foreign substance, causing IgG reactions.”

IgG reactions can also be the root cause of problems, including mood disorders and autoimmune issues.

Most common sensitivities include casein and whey, found in milk products, and gluten and gliadin, found in wheat products, but “you can be sensitive to any food,” he said.

“A lot of people have digestive stuff,” Menolascino said. “And a lot of people have acne and eczema and skin conditions, and those are all tied together.

“Food is medicine,” he said. “The kitchen is your pharmacy. Lifestyle is your doctor.”

Contact Melissa Cassutt at 732-7076, valley@jhnewsandguide.com or @ JHNGvalley.

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12 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

Sports world is tackling head trauma From the preparation to the playing surface to the equipment, action is being taken.

By Clark Forster

T

he sport of football may seem more dangerous than ever. But, in reality, the game has never been safer.

The National Football League promised to commit $100 million in 2016 toward developing safety technology and toward medical research as part of a player health and safety initiative.

That commitment followed thousands of lawsuits brought by former players who are living with conditions that harm their quality of life due to repetitive hits to the head while playing professional football.

With more information coming out each day about the long-term effects of concussions, more and more people are taking extra measures to make sure the effects are minimized.

Individuals are taking more precaution with their mental health, and professionals are developing systems to limit the head trauma.

Concussion tests Many football players around the valley visit Dr. Jim Little Jr. at St. John’s Family Health and Urgent Care even before they sustain a blow to the head. Little uses a 20-minute computer test and keeps the results on file to compare with future test results if an athlete endures a head injury.

“We use a system called impact testing,” Little said. “It’s a standardized set of questions that evaluates primarily visual and verbal memory

BRADLY J. BONER / NEWS&GUIDE FILE

The Jackson Hole High School defense smothers a Riverton ballcarrier during a Jackson win in 2015. While information continues to show how dangerous the sport of football is, measures have been taken to make it, and many other contact sports, safer.

and also reaction time. These are subtle changes that happen with concussions.”

A test before any concussion is sustained is invaluable.

“It’s really helpful to have a baseline test before a kid gets an injury

because then we can compare pre-injury results with a post-injury test to figure when their concussion is better and when they’re ready to return to sport,” Little said.

The test will help prevent concussions as well as treat them, and

it’s one of many prevention tools being used as technology continues to make football safer.

Former Jackson resident Thomas Hollingsworth works for Triax Technologies, a company that helped See head injuries on 13

BIOHEALTH

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 13

head injuries

and tear the rubber disperses, so parts of the field can become less Continued from 12 dense than others. develop Smart Impact Monitors for Splittgerber has compiled all football helmets. The product, called kinds of research that shows the the “SIM-G,” is a monitor that’s dangers of playing on surfaces that placed in the back of a headband or are too firm. skull cap to send real-time data for “One NFL study documents that each player to a coach’s cellphone.

24 percent of concussions in NFL Coaches know immediately when games are caused by the helmet conone of their players has taken a tacting the playing surface,” he said. traumatic hit and can remove that “The likelihood of injuries increases dramatically for younger playplayer from practice or a game.

Jackson Youth Football coach ers who are still growing as well as LaMonte Guillory began using the those who are participating in many non-helmeted monitors in activities.”

2014.

Guillory Splittgerber ’s was approached work helps point

by Hollingsworth out the many about the prodfields around uct and jumped the region that at the chance to are unfit for better protect his safety. He hasn’t players. received permis“Immediately sion to test JackI was drawn to — Dr. Jim Little Jr. son Hole fields. the technology physician Work continbecause I am a ues to minimize huge proponent head injuries, of figuring out a and every little way to use technology to better manage the health bit helps. Even the most minor of of young athletes,” Guillory told the collisions to the head can have a News&Guide in 2015. “We have a lasting effect, Little said. long way to go, but this a great step “Multiple small concussions can in the right direction.” sometimes be really significant,” he The equipment is changing for said. the better, and so is the field of play.

“The theory was if you had a mild Grass is difficult to maintain in this concussion and the symptoms went part of the country, and many out- away there was no permanent damdoor sports are played on artificial age done,” he said. “Now we know turf. Buzz Splittgerber, of Boise, that’s really not the case.

Idaho, has been hired all over the “We’re trying to be a lot more region to test turf fields in seven careful that the kids are fully back states, including Wyoming. to their baseline before we put them Splittgerber takes nearly a doz- back in sport again and we’re trying en test points on artificial fields to to address the risk of concussions in make sure the fields are soft enough sports.” to absorb hits in a safe manner. The fields are made of pieces of soft, Contact Clark Forster at 732-7065, black rubber that serve as padding sports@jhnewsandguide.com or @ beneath artificial grass. With wear JHNGsports.

“Multiple small concussions can sometimes be really significant. ”

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14 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

Overdoing protein not the way to eat T

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Born and raised in Jackson Hole, Sarah can appreciate its unique culture that cannot be found anywhere else in the world.

Passionate about her profession in Physical Therapy, Sarah has been given a valuable opportunity to help patients return to their lives by helping them meet and even exceed their goals.

Her current specialties are in Parkinson’s, neurologic rehabilitation and sports injuries.

Growing up skiing, fishing, hiking and biking, Sarah can appreciate the challenges that her PT patients face and works to develop individualized programs for their rehabilitation.

Since there is no place like home, she has chosen to return to Jackson Hole to work for ALL Body Therapy. Sarah values the unique community of Jackson Hole and is excited to be returning home to work and live. When you see Sarah and her dog, Tucker, be sure to welcome them back.

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he human body needs protein to way to get what the body needs. thrive. From muscle building to cell A vegan or high-level professional growth and repair it is a vital com- athlete may benefit from a shake. ponent of a healthy diet. Since it is the Most others will simply gain weight building block of every cell in the body from the extra calories.

— skin, the heart and even the brain According to the University of Calineed it — getting enough is important. fornia, Los Angeles, nutrition website, But are you addicted to protein? the body can absorb only 0.9 grams Eating the traditional Western diet, of protein per pound per day. That most Americans get twice the protein means a 150-pound person can absorb they need, according to the Physician’s only 136 grams of protein even if it is Committee for Responsible Medicine. spread over the day. High-protein diAnd the main sources of protein tend ets may exceed the liver’s capacity to to be meat and dairy, which are gener- handle the protein. ally high in fat, especially inflammaExcessive protein has been assotory saturated fat. ciated with rises in the risk for gout Excesses of these foods and kidney stones. Genercan raise the risk of heart ally plant protein is not a disease, cancer and diabehealth issue. It is when the tes. University of Southsource is beef, pork, lamb or ern California researchers pork or dairy that problems found that a high-protein arise. According to Daniel diet quadrupled the risk Pendick, former executive for cancer and diabetes. editor of the Harvard Men’s Research published in the Health Watch, a diet high journal Cell Metabolism in animal protein promotes concluded that risk for kidney stone formation by death increased 75 percent reducing the levels of ciTherese Metherell with that type of diet. trate, a chemical in urine Yet over the past 30 that prevents stones from years animal protein has been touted forming. as the cure-all for weight manageGout is a type of arthritis in which ment. First the Atkins and then the painful crystals form in joints, especialSouth Beach diets came on the scene. ly in the big toes. Again, limiting animal More recently the Paleo and keto di- protein while choosing a diet rich in ets seem to promise quick, permanent plants seems to resolve the issue. weight loss.

Osteoporosis risk may also increase And in the past few years I have with excessive animal protein in the seen athletes reaching for more pro- diet. A University of Chicago study tein. They seem to think, erroneously, found that with a low-carbohydrate, that protein will give them the same high-animal-protein diet, acid levels energy as carbohydrates while helping in the blood rose in the majority of the subjects. Because the body wants to them attain their training weight. normalize that process, study subjects Let’s look at the facts.

An easy way calculate how many excreted calcium from the bones. Dr. grams of protein you need per day is to Shalini Reddy, chief researcher, sugtake your body weight in pounds and gested this could lead to osteoporosis.

So, bottom line: Do those high-prodivide it by 2.2 to get kilograms. Then multiply by 0.8 for adults. Multiply by tein diets really work? Is all the risk 1.2 if you’re an endurance athlete and worth it to be a healthy weight? According to recently published research by 1.5 for strength training.

So for a 150-pound person, who in the Journal of the American Medispends time outside hiking, biking cal Association, both a high-protein, and skiing, here is the formula: 150 low-carbohydrate diet and a low-fat, pounds divided by 2.2 equals 68 kilo- higher- carbohydrate diet caused equal grams. Multiply kilos by 1.2 to get 82 weight loss. Yet over the course of a grams of protein needed to be healthy. year, those on the higher-carbohydrate That amount is easily obtained from diet stuck to their new eating plan and food without adding protein powders, kept the pounds off.

According to U.S. News and World bars or premade shakes. An 8-ounce steak contains most of what is needed, Report, which found medical experts and that is before adding any other to look at the research and rank diets, food sources. Extra protein may get the DASH and Mediterranean diets used as energy, but more often it gets tied for first place in the Best Overall category. Both are based on plenty of stored as body fat.

Protein should be spread out during fruits, vegetables and whole grains. the day for optimal absorption. Ideally, They include some animal proteins, eating small, frequent meals is best. like chicken and fish, but in smaller The body can absorb only about 10 portions than most people eat.

As for the protein shake, Dr. Tom grams of protein an hour, so slamming down a post-workout shake with 20 to Sanders, nutrition professor at King’s See protein on 15 40 grams of protein is an inefficient

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RESEARC RE Cell phone/ Ce damage the da sperm, and sp indicates inc ind YSAFETY TIPS FOR TIPS FAMILIES FOR FAMILIES headaches, he ort ntial or calls essential on cell calls phones. on cell phones. memory pro m radiation. ra es kerinmode speaker or with mode theoruse with ofthe use of All wirelessAl s. type of radi ty g one your against phonethe against body the like body in like in AT HOME AT k, Cell or phone bra. Cell manufacturers phone manufacturers Ea eeeamount that theofamount radiation of radiation you’re you’re Easily reduc HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 15

Protect the ones you love

RYAN DORGAN / NEWS&GUIDE

The Teton Sangha group meditates weekly at the Chiropractic and Sports Injury Center.

Meditating makes a mindful difference Empathy, cognitive health and clarity are benefits that practitioners tout.

American Academy of Pediatrics Recommends:

tion offers a Sunday sitting group in Driggs, Idaho. There are also classes or sessions offered through Akasha Yoga, Medicine Wheel Wellness, the Transcendental Meditation Center of Jackson Hole and other places.

By Mike Koshmrl CELL PHONE SAFETY TIPS FOR FAMILIES Meditation is also easily practiced octor David Shlim’s first taste of at home — or anywhere — but it takes Make only short or essential calls on cell phones. meditation was accidental and practice to get to the point of effectivecame many years ago while he ly disconnecting your mind from the minutiae of everyday life.

Use cell phones in speaker mode or with the use of was practicing yoga.

“Everybody struggles,” longtime As each session rolled to a close the hands-free kits. room would go silent as he settled into Jackson physician Bruce Hayse said. a relaxed pose, as during shavasana. “No matter how long you’ve meditated Avoid carrying your phone against the body like in Shlim, now a Kelly resident, noticed it can be a struggle.”

“I hear all the time, ‘I can’t do that, there would be a welcome break from a pocket, sock, or bra. Cell phone manufacturers heartache that had been following I tried that and it doesn’t work,’” he can’t guarantee that the amount of radiation you’re said. “It doesn’t ‘work’ right away for him around.

“I got a brief respite from being anybody. That’s not the deal. It takes absorbing will be at a safe level. overwhelmed with the emotions of los- practice.”

Hayse started meditating around ing a relationship,” Shlim said.

If you plan toSHOWS: watch a movie on your device, download The calm and easiness he felt were age 17 out of curiosity about his own RESEARCH mind.

He is now an almost everyday it first, then switch to airplane mode while you watch in side effects of having inadvertently Cellorder phone/Wi-Fi radiation can practiced meditation. The ancient practitioner who makes a point of carvto avoid unnecessary radiation exposure. practice developed thousands of years ing 30-minute chunks of time out of his damage the developing brain, busy schedule to tune out.

He frequently ago and traces to the earliest days of sperm, sleep.

Research Keepand an eye on your signal strength (i.e. how many bars a number of Eastern religions: Bud- recommends meditation to his patients, for health reasons that go beyond his dhism, Hinduism, Confucianism and indicates increased cancer risk, you have).

The weaker your signal, the harder your CELL PHONE SAFETY TIPS FOR FAMILIES personal predilection.

Taoism, among others. phone hashyperactivity, to work and the more radiation it gives off. headaches, and “There’s science supporting the Shlim went on to live and work in Make onlyNepal, shortforor15essential on benefits,” cell phones. health Hayse said. “It clearly Katmandu, years, learn-calls memory problems from cell phone ing Buddhism with Tibetan lamas. helps with things like mood problems, Avoid making calls in cars, elevators, trains, and buses. radiation.

Nowadays the spiritual exercise of concentration problems, the ability to RESEARCH SHOWS: Use cell phones in speaker mode or with the use of The cell phone works harder (and emits more radiation) meditation is intertwined in his daily focus. And it’s been scientifically proven Cell phone/Wi-Fi radiation can Alltowireless devices emit the same to help with increasing empathy. life, and he says it pays dividends. hands-free kits. get a signal through metal. damage the developing brain, “We spend so much of our time wor“Peacefulness and relaxation are type of radiation as cell phones. sperm, and sleep. Research the side effects,” Shlim said. “But rying about and focusing on ourselves,” Avoid carrying phone the“and body like incan SAFETY that cell phones are not toys or cancer risk, meditation take you TIPS Remember what I get is clarity.your And my abilityagainst to he said, indicates increased CELL PHONE FOR FAMILIES AT HOME: away from that.

It definitely can put have compassion for others expands.” teething items. a pocket, sock, or bra. Cell phone manufacturers headaches, hyperactivity, and Recent research published by the you more at peace.”

Make only short or essentialEasily calls onreduce cell phones. from AAP’s HealthyChildren.org wireless radiation memory problems from cell phone can’t guarantee that the amount of radiation you’rewith adverCenters for Disease Control and PreShlim has had brushes radiation. at home.

Get landline vention has will foundbe that sity since his epiphany years ago absorbing at meditation, a safe level.

Use cell phones inabout speaker mode or with the ausecorded of like yoga, is gaining traction in the the personal benefits of meditation.

He phone and forward cell phones All wireless devices emit the same hands-free kits.

United States. A 2017 study found had a heart attack while backcountry type of radiation as cell phones. to it.

Ifthat youtheplan to watch a movie yoursouth device, download percentage of people in theonskiing of Teton Pass in January Avoid carrying your phone against the body like in workforce meditate mode 2013. He was carried out on in a tarp by itAmerican first, then switch who to airplane while you watch SHOWS: pocket, bra. Cell RESEARCH phone manufacturers 100% SAFETY = CORDED AT HOME: increased from 8 to 10 percent over fellow skiers a and flown sock, to St.orJohn’s Easily reduce wireless radiation Cell phone/Wi-Fi radiation order avoid period. unnecessary radiation exposure. a recenttofive-year Most of the can’t guarantee that the amount of radiation you’re can Medical Center, thanks to a 20-person ETHERNET CONNECTIONS at home. Get a corded landline gains came from white-collar workers, rescue operation that saved absorbing willthe beday. at a safedamage level. the developing brain, Use non-wireless corded with blue-collar professionals lagging phone and forward cell phones In the aftermath of his bars near-death sperm, and sleep. Research Keep eye on your signal strength (i.e. how many behind an significantly. experience, lifeFAMILIES smoothly, withto it. connections for printers, Ifwent you on plan to watch a movie on yourincreased device, download indicates cancer risk,mouse, CELL PHONE SAFETY TIPS FOR Hole happens to sit in one of youJackson have).

The weaker your signal, the emotional harder your out severe trauma or anto urge headaches, hyperactivity, and it first, then switch airplane mode while you watch in computers, laptops, tablets, video the most rural, Make blue-collar states in 100% SAFETY = CORDED to radiation find himself.

Partially, he said, he onlywhere short orthe essential calls on order cell phones. phone hasit’sto the more it gives off. from cell phone memory problems to avoid unnecessary radiation exposure. nation, but alsowork a placeand there’s coped so well because of meditation.

ETHERNET CONNECTIONS game systems, e-readers, routers, radiation. ample opportunity to meditate under “That’s what I get out of of it: stability, Use non-wireless corded Use cell phones in speaker mode or with the use headphones, anbuses. eyebad onevents,” your signalkeyboards, strength (i.e. how many bars speakers, the tutelage of professionals.

Avoid making calls in kits. cars, elevators, and and not trains, being Keep so rocked by connections for printers, mouse, All wireless devices emit the same hands-free Teton Sangha, a group that practic- Shlim said. “That’s you have). weaker signal, the harder your what The anybody can yourand other accessories–with all The cell phone works harder (and emits more radiation) computers, laptops, tablets, video type of radiation as cell phones. es vipassana, or “insight meditation,” get out of it.” phone has to work and the more radiation it gives off. wireless functions off.

Avoid carrying your phone against the body like in Monday at the meets weekly, at 6 p.m. game systems, e-readers, routers, to get a signal through metal.

AT HOME: Chiropractic and Contact Mikemanufacturers Koshmrl at 732-7067, env@ a Sports pocket,Injury sock, Center or bra. Cell phone keyboards, headphones, speakers, Avoid making calls in cars, elevators, trains, and buses. on Scott Lane.can’t Theguarantee same organizajhnewsandguide.com or @JHNGenviro.

Easily reduce wireless radiation MORE AT EHTrust.org that the amount of radiation you’re and other accessories–with all

D

American Academy of Pediatrics Recommends:

American Academy of Pediatrics Recommends:

American Academy of Pediatrics Recommends:

emits radiation) Remember that cell phones are not toys orThe cell phone works harderat(and home.

Getmore a corded landline absorbing will be at a safe level. to get a signal through metal. teething items. phone and forward cell phones Are you in need of rehab? Although protein

frommay AAP’s you notHealthyChildren.org bedevice, physically addicted to plan to watch a movie on your download Remember that cell can phones to areit. not toys or protein, a psychological compulsion it first, then switch to airplane mode while you watch in teething 100% SAFETY = CORDED College in London, says it’s a lot of “nu- exist. If you are ready items. to recover from order to avoid unnecessary radiation exposure. from AAP’s HealthyChildren.org ETHERNET CONNECTIONS tri-babble.” He said people are being this habit, maybe it is time to plant taken in by the hype at gyms, where yourself firmly in the produce aisle.

Use non-wireless corded an eyemoney on your trainers could Keep be making off signal strength (i.e. how many bars connections for printers, mouse, Therese Lowethe Metherell, dietitian and you have).

Theway weaker signal, harder your supplements. It’s also a simple for your computers, laptops, tablets, video nutritionist, has been itingives private practice the dairy industry to get ridto of work a cheese phone has and the more radiation off. game systems, e-readers, routers, by-product, whey, in the form of pro- for 25 years in Jackson. Contact her via columnists@jhnewsandguide.com. tein powder. Avoid making calls in cars, keyboards, headphones, speakers, elevators, trains, and buses. and other accessories–with all The cell phone works harder (and emits more radiation) wireless functions off. to get a signal through metal.

If you Continued from 14

wireless functions off.

MORE AT EHTrust.org

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16 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

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Francine Bartlett, owner of Medicine Wheel Wellness, demonstrates BioMat heating pads used to relax stiff muscles by combining the power of infrared rays, negative ions and amethyst crystals. An eye mat and soothing music also help patients relax.

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icture yourself lying comfortably sandwiched between two pads that spread heat through your body. Imagine that warmth making you healthier.

That’s the experience of a BioMat, and you’ll be able to try it out at the Medicine Wheel Wellness booth at the St. John’s Medical Center Community Health Fair.

“We bring this to the Health Fair every year,” said Francine Bartlett, owner of Medicine Wheel Wellness. “It’s such a huge variety of people that it can help.

That’s why I love it.”

A BioMat — that’s a brand name from Richway International — relaxes stiff muscles the way old-fashioned heating pads do but confers many more benefits. It combines the power of far infrared rays, negative ions and amethyst to reduce stress and fatigue, improve sleep, ease seasonal affective disorder, aid circulation, remove toxins and boost immune function, just to name a few.

“It’s all about depth of heat, which makes them very different from a regular heating pad,” Bartlett said. “These can penetrate 6 to 7 inches deep. So during a session you have one underneath you and one on top so [the heat] gets through the entire body.”

Medicine Wheel Wellness literature explains how it works: • Far-infrared rays increase circulation, aiding in reducing inflammation, removing toxins and strengthening the

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immune system.

“I like to call it ‘the new tanning bed,’ ” Bartlett said. “Instead of causing cancer it eliminates toxins from the body.”

• Negative ions — ions are charged particles — are emitted, enhancing air quality and making antioxidants more available to the cell membrane.

“Negative ions are found in waterfalls and other areas of low stress,” Bartlett said. “We find positive ions in areas of stress and pollution and congestion, like a city.”

• Amethyst crystals amplify far-infrared rays to promote a deeper heating of the body.

BioMat temperatures and session times are adjusted to accomplish specific goals. The lower heat range, for example, treats stress and insomnia. The heat could be turned up and applied for 40 minutes to two hours to improve circulation and soothe tight muscles.

Shorter sessions — a max of 30 minutes — in the high-temperature “red zones” would be used to break high fevers or weaken the growth of cancer cells.

Clients in a BioMat session at Medicine Wheel Wellness also are treated to aromatics and outfitted with a pair of noise-cancellation headphones with sound therapy programs.

Bartlett, who is a licensed physical therapist, said BioMat therapy is something to be used in addition to other treatments, including conventional medical therapies.

“We don’t recommend it as an instead-of option,” she said. “It’s natural and affordable — it’s a complementary service.”

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 17

heat

Continued from 16

Complementary and Integrative Health as non-mainstream practices used in tandem with conventional medicine — continue to gain traction in the U.S. Those services include ones offered by chiropractors, acupuncturists and massage therapists.

Americans spent $30.2 billion outof-pocket on complementary health approaches, according to the National Center for Complementary and Integrative Health, part of the National Institutes of Health. That number, derived from data in a 2012 national survey, represented 9.2 percent of all out-ofpocket spending by American on health care but only 1.1 percent of total health care spending.

Bartlett said the BioMat and other versions of it are used more widely in

cbd

Continued from 5

“Wyoming law makes it illegal for anyone to possess, use, and/or distribute any substance containing any amount of THC, which is a schedule I controlled substance,” a recent release from the department stated.

“The only exception to this is if the individual possesses a ‘Hemp Extract Registration Card.’”

A lawyer for the Lucky’s chain as well as Jackson Whole Grocer and Cafe’s lawyer (the store also sells hempbased CBD oils), told the companies the product is legal.

As the industry grows, so does the curiosity, but Garside is careful to note that CBD may not always cure what ails you.

“If people come in and want to talk about it, the first thing I ask is, ‘Why do you want to take it?’” she said. “’What do you think your issue is?’ Sometimes CBD may not be the answer.”

While CBD may not fix every prob-

places outside the U.S. “Our country is a little behind the times,” she said.

But it’s a U.S. Food and Drug Administration-approved medical device, so that’s changing.

“Because the FDA has approved this we’re starting to see some minds open up. ... Some doctors and practitioners use this a complementary therapy,” Bartlett said.

A BioMat treatment at Medicine Wheel Wellness starts at $35 for a 40-minute session. Medicine Wheel also rents mats and sells a Charmed-brand mat for $310.

“That’s why this is such a great treatment,” Bartlett said. “It’s affordable. If someone really likes it they can buy one and use it at home.”

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Contact Jennifer Dorsey at jennifer@ jhnewsandguide.com or 732-5908. lem you, or your dog — yes, there are CBD products for canines — has, that doesn’t mean you should steer away from it.

Garside said people may be uncomfortable trying it due to its newness or its relationship to marijuana. But you can always “start low and go slow,” she said.

Each bottle, or gummy or oil or chewy caramel, comes with a dose number on the front (250 mg, 500 mg or more) and what that translates to in terms of serving sizes.

“The big numbers on the front let you know if it’s a higher dosage,” she said. “You’ll get higher dose but won’t have to take as much. Start with half a dropper and see how you feel, and go from there.”

Though there are hesitations, questions and still-infant research, Garside hasn’t slowed in spreading the word: “I recommend it to everyone.”

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18 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

MEDICINE WHEEL WELLNESS OFFERING SPORTS AND WELLNESS CHIROPRACTIC! INJURY PREVENTION AND MANAGEMENT

BY ABBY DELGOFFE, DC Spine and Extremity Adjustments - Myofascial and Active Release - Cupping - Gua Sha - Prenatal Care

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the amen clinic / COURTESY SCAN

These images show how insomnia and sleep apnea inhibit blood flow to the brain.

Experts say a good night’s sleep is a big part of healing after injury.

ulate healing or inhibit it.

The deeper stages of sleep control the body’s response to inflammation, which often accompanies the musculoskeletal injuries common in Jackson’s action sports and ranching communities. If we don’t enter slow-wave sleep our body may produce more leukocytes, or white blood cells, which are pro-inflammatory.

Though white blood cells are helpful in our response to disease, at high levels they can increase inflammation and decrease blood flow to the brain.

“The lower blood flow to the brain causes several reactions,” Krauss said.

“It can decrease blood to the hippocampus, leading to poor memory retrieval, and can affect orexin levels, which manage our appetite and circadian rhythms.”

The decreased blood flow may also increase risk of infection because bacteria and waste can build up in the blood stream, and it can lower frontal lobe performance, leading to poor decisionmaking, Krauss said.

A bad night’s sleep hurts your recovery

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the amen clinic / COURTESY SCAN

These SPECT scan images show normal blood flow to the brain.

M

any in Jackson have found themselves in bed with an injury, struggling to sleep.

Maybe the pain is too great; maybe the injury changes the way we lie in bed.

Whatever the reason, the sleep cycle is disrupted and we wake unrested and irritable, showing the emotional effects of a sleepless night. But experts say that disrupted sleep can also have physical effects, lengthening the healing process and changing brain activity.

“Sleep is really our repair cycle,” said Francine Bartlett, a physical therapist and the owner of Medicine Wheel Wellness. “There’s a lot of qualities of healing that sleep is vital for. If you’re not sleeping, the stress you’re under slows the healing process.”

The U.S. Department of Health and Human Services estimates that chronic sleepiness has cost the nation $16 billion in health care expenses each year, and that poor sleep costs an estimated $50 billion in lost productivity annually.

And a study by the RAND Corporation found that sleep deprivation increases the risk of mortality by 13 percent.

While sleep needs vary significantly, the Mayo Clinic and most medical experts suggest that adults get between seven and nine hours a night.

In any given restful night we move through five stages of sleep several times, according to the National Institutes of Health. The first two stages are characterized by faster brain waves, while brain activity slows considerably in the third and fourth stages. The final stage is REM sleep, when brain waves speed up and we do most our dreaming.

Sleep better, sooner

Simply knowing poor sleep can increase inflammation, risk of infection and appetite while hurting hormone production, decision-making and memA SPECIAL EVENING WITH ory won’t help those lying in bed trying to sleep through the pain of an injury.

That’s why specialists like Krauss and Bartlett give their clients skills to help them sleep better.

Both said nutrition plays a role.

Bartlett recommended avoiding caffeine after noon and staying away from food and drink that promote inflammation in the body like alcohol, meat and fried foods. Krauss minced no words.

“The American diet is actually backward,” he said. “You should be proteinheavy in the morning and eat your carbs late at night. People who have these huge meals with lots of meat close to bedtime are activating their brains All sleep isn’t the same and causing inflammation.”

He said sugar is a “terrible culprit in A typical sleep cycle takes 90 to 110 minutes. We typically spend more time many sleep disorders.” Both Krauss and in the slow-wave stages in the first cy- Bartlett said foods that stimulate the cles after falling asleep and more time brain, including sugars, make it harder Alcohol Awareness Month in REM sleep later in the night. But fit- to slip into deep-wave sleep stages.

Bartlett also said our constant comful sleep can shift that balance.

Can you go 72 hours without drinking?

“If people are not able to transition panion — the smartphone — and other MENTALHEALTHJH.ORG To kick off Alcohol Awareness Month, NCADD (the National through the stage of sleep properly, that electronics should be ignored before bed.

Council on Alcoholism and Drug Dependence) is sponsoring: “You should have no stimulating can cause other health issues or take “Alcohol Free Weekend: April 3-5, 2015” Balcony Seats Available for $10.00 them longer to recover and heal,” said things in your bedroom,” she said. “No During this seventy-two-hour period, NCADD extends an open invitaRoger Olin, the sleep lab coordinator at TV. No phones. Make your bedroom tion to participate in three alcohol-free days. If a person finds that US abstaining FOR ADDITIONAL MENTAL HEALTH MONTH EVENTS: St. John’s Medical Center. your sanctuary.” theyJOIN have difficulty from alcohol for 72 hours, they may want to contact the Curran Seeley Foundation for information about The stage of sleep that is most imporBartlett does tell her clients to lisalcohol use, abuse, dependencyMay and recovery.

Awareness Wed. May 16th, 6pm Thurs.

10,Alcohol 6pm tant for healing comes near the end of ten to “binaural beats” as they are fallMonth was established in 1987 to help reduce the stigma so often asthe sleep cycle, according to the U.S. De- ing asleep. Dozens of channels abound movie screening, “The Glass Castle” “Mental Health in our Valley” panel sociated with alcoholism. partment of Health and Human Servic- on YouTube of the calming songs that For the month of April, Curran Seeley is sponsoring discussion Teton County Library Teton County Library es. The third and fourth stages produce contain specific sound frequencies that Free Consultations with a licensedThe therapist to help Community Foundation is investing in 30 Jackson Hole nonprofits BROUGHT YOU THROUGH WITH THESE ORGANIZATIONS delta waves crucial for healing, said in- lull the restless into the Greek god of you determine ifTO alcohol is an issuethis in December yourCOLLABORATION life. with competitive grants totaling $224,450. jury recovery specialist Nick Krauss.

Over the past 27 years, local organizations have received dreams Morpheus’ realm.

THANK YOU $8.8 million in critical supplemental funding “Human-growth hormone is also inCall us to schedule your free It’s hard to unplug and change the SUPPORT YOUR HOMETOWN for through the Foundation’s competitive grants programs. consultation at 733-3908 or go to duced during the slow-wave sleep cy- way we eat, but harder to lie in bed or on Celebrating COLLEGE AT OLD BILLS! 40 Years www.curranseeley.com to learn more Please consider a gift to this important fund by contacting the Community Foundation. the couch with a nagging injury. Tweaks with Us Donations accepted through cle,” Krauss said. “If we don’t get to that about our services.

September 15th at oldbills.org stage we don’t release human-growth to your habits help you get out on the hormone, which facilitates healing.” slopes or back on your bike, so you don’t he TYFS 40th Anniversary Celebration Grant Slow-wave sleep also produces tes- have to sit inside looking at Instagram tosterone in men and estrogen in wom- stories of friends having all the fun. en, important hormones for physical 345160 IMPROVING LIVES THROUGH PHILANTHROPIC LEADERSHIP health. Krauss said several other pro- Contact Tom Hallberg at 732-5902 or LEARN MORE AT MENTALHEALTHJH.ORG cesses occur during sleep that can stim- thallberg@jhnewsandguide.com. $450,000

MAY IS MENTAL HEALTH MONTH

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The following is a listing of those who contributed to the TYFS 40th Anniversary Celebration Grant

Lisette Davis and Dan Abraham a Kunstel and Joe Albright and Shaun Andrikopoulos and Dan Armour beth Super and John Austin e and Aaron Ackley Ann Petroff and Mark Barron and James Baumann Becker Frame and Ed Beddow hew Belford nd Gainor Bennett Birrer s Bourne and Stu Plummer nd Will Bradof Bratspis anie Brennan y and David Bressler aret and Andrew Brigham and Tony Brooks e and Norris Brown a and Jeff Brown her Burcham e and Bruce Burkland nd Alan Bybee and Bill Campbell and John Carey arlin and Tom Caruso and Andy Cavallaro d Kevin Cohane Cohen tine Coleman and John Comerford Anne Concannon n and Mike Cottingham ael Cox and Peter Coxhead Marie and Michel Crouzillat

Frances and Elliot Gerson Tracy Giarrusso Maggie and Les Gibson Martha and John Gilmore Lisa and John Goldstein Jenn Sparks and Ari Goldstein Sandra and Derek Goodson Oliver Goss Colleen and Bob Grady Elizabeth and Horace Gray Louis and Anne Green Mary Gunderson Peggy Gilday and Maho Hakoshima Marti Halverson Miga Rossetti and Chris Hansen Leslye and David Hardie

ah and William Kopacz e and Bob Kopp orpi nd Mike Kraft Kruse and Corbin Lang LaPier pher Lee nd Jim Leversee and Ed Liebzeit a and Matt MacEachern aung and Alan Mainwaring Maldonado nd Bill Maloney Martino Mattheis

Deborah and William Kopacz Debbie and Bob Kopp Tina Korpi Carol and Mike Kraft Carrie Kruse Nancy and Corbin Lang Krista LaPier Christopher Lee Mary and Jim Leversee Carole and Ed Liebzeit Martha and Matt MacEachern Amy Laung and Alan Mainwaring Penny Maldonado Carol and Bill Maloney Nancy Martino Gary Mattheis

Kelly and Dan Peterson Lucy and Toby Rankin Margie and Fred Reimers Story and Bill Resor Charles Resor Francesca and Richard Rice Annie and Travis Riddell Lisa Ridgway Rebecca and Kevin Ritter Larrie and Don Rockwell Peta and Gary Roubin Michele Gammer and Andrew Salter Debbie Schlinger Claudia and Michael Schrotz Bev and Ira Schulman Jean and Andy Schwartz Patricia Scott Ali and Sam Sehnert Sandy and Dick Shuptrine Kelly and Carl Shuptrine Jodi and Brian Siegfried Susan Singleton Jackie and Bob Skaggs Christy and Lewis Smirl Berta and Wade Smith Ann Smith Imaging and Gerry Spence Mitch Springer Amy Staehr Diana Osuna and Tom Stallings Mary and Robert Stein Emilie and Ethan Steinberg Elizabeth Cheroutes and Walter Stoess Lisa and John Stout May Sumicand Elizabeth Thebaud David Toran Frances Van Houten Rebecca and Paul Vogelheim

Kelly and Dan Peterson Lucy and Toby Rankin Margie and Fred Reimers Story and Bill Resor Charles Resor Francesca and Richard Rice Annie and Travis Riddell Lisa Ridgway Rebecca and Kevin Ritter Larrie and Don Rockwell Peta and Gary Roubin Michele Gammer and Andrew Salter Debbie Schlinger Claudia and Michael Schrotz Bev and Ira Schulman Jean and Andy Schwartz Patricia Scott Patrice Kangas and Tim Harland Faith and Mike May Frank Hess Heide McBride Ali and Sam Sehnert Betsy and Jim Hesser Mike McCabe

For Children & Families Thanks To You

245 East Simpson Avenue • PO Box 574, Jackson, WY 83001 • 307-739-1026 www.cfjacksonhole.org • www.volunteerjacksonhole.org • www.oldbills.org

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018 - 19 Continued from 4

15-plus years in hopes of summiting Everest. After two previous attempts, one ending in tragedy, Gallant reached the top of Everest last May. While much of her training was physical, like bootpacking Mount Glory and Snow King with a 40-pound bag of cat litter on her back, Gallant also used sleep to her advantage. She slept for months with an altitude tent covering her bed, simulating a low-oxygen environment similar to that at 18,000 feet.

“It doesn’t negate the need to go to the gym or anything, but it certainly helps,” Gallant said. “I’m a believer.”

Subudhi agreed, no one should rely solely on the tents.

“It’s tough to really acclimatize in one of those small tents,” he said. “The data is pretty clear that you need to spend 12, 15 hours a day to get the same benefit of living at that real terrestrial altitude. That makes them pretty hard to use in that fashion. To say you’re going to do all your acclimatization in a tent, I don’t think there’s any data to suggest that’s your best strategy. Part of training is moving around.”

Gallant also used a mask that can simulate working out on a stationary bike at 18,000 to 20,000 feet. That’s much higher than Mount Whitney, which at 14,494 feet is the tallest mountain in the contiguous United States.

“I’d be on my bike, watching CNN for an hour and a half each evening, spinning at 20,000 feet,” she recalled.

For the comparatively mellower summits of the Tetons, trainer Crystal Wright knows firsthand how to get her clients up to snuff. Her methods include acclimating in the gym with training — strength training and working on raising heart rates with cardio — and then taking it outside.

“Fitness definitely helps with altitude, from my professional standpoint,” Wright said. “You’re going to acclimate

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faster if you train in a controlled environment in the gym.”

Muscles need oxygen to function, she said. And the more fit you are the more oxygen you can take in at high altitudes. Many studies of the benefits of moderate altitude training to improve competition performance at both altitude and sea level have found that training should include short-duration, high-intensity efforts at altitude.

“The quicker your heart rate can recover, the better as well,” Wright said.

Wright is just like us. At 12,000 feet she hits a wall. Even though her heart rate is lower than when she’s in the gym, she said, “I feel like I’m dying.”

Even fit people at lower altitudes shouldn’t underestimate the power of thinner air, she said. Many people travel to Jackson Hole to climb the Grand Teton. One of her clients, a triathlete, came in with an “I do Ironmans, this is no problem” attitude.

“I don’t think he made it to the top,” Wright said.

One tip she shared is to go to higher altitudes as frequently as possible.

“If you go up one of the Teton peaks once a week, that’s definitely going to make you a stronger athlete in general,” she said.

But training here, even at a base elevation of 6,237 feet in town, can be helpful.

“Super-good athletes come here for the summer, like pro bikers,” Wright said. “They get here and they’re like, ‘Whoa,’ just gasping for breath. I think it’s good for them to train here.”

Knowledge is power: No more blaming the pace of an ascent on the altitude in and of itself.

“A lot of people that move here will use altitude as an excuse for being deconditioned,” Wright said. “I get that excuse a lot.”

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Well-Being is a Skill: How to Have a Healthy Mind with Richard Davidson, PhD Wednesday, May 23 7 pm Center for the Arts Jackson, WY

Translating science into tools for well-being A New York Times bestselling author and confidante of the Dalai Lama, Davidson leads conversations on well-being on international stages. He is the founder and director of the Center for Healthy Minds at the University of Wisconsin–Madison.

$10 general admission.

Tickets available at jhcenterforthearts.org For information, call 307-739-7399 345251

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20 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 2, 2018

April 2018

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

Support Groups Teton Parkies (For those affected by Parkinson’s Disease)

Gather for mutual support, discussion of disease and therapies, and more.

• Walk at Emily’s Pond; dinner to follow Tuesday, May 8, 4 pm • “A new idea for treating Parkinson’s Disease,” with Irene Griswold-Prenner, PhD; founder of Nitrome Biosciences Tuesday, May 29 5:30 pm Jackson Whole Grocer, Community Room Contact Elizabeth at 307.733.4966, 614.271.7012, or epgerhard@gmail.com

Children’s Grief Support Program For children ages 5 and up. Led

by St. John’s Hospice social worker Oliver Goss, LCSW. Tuesday, May 8 5:45-7 pm Jackson Hole Children’s Museum 174 N King St, Jackson To register, call 307.739.7463 by noon on the day of the group.

Weight Management Support Group Open to everyone interested in weight loss and those considering (or who have had) bariatric surgery Call for updated date and time 307.739.7634

Type 2 Diabetes Prevention Group in Spanish In Spanish! ¡En Español!

Zumba with Elvis. Family friendly.

Mondays and Wednesdays 5:30 – 6:30 pm Moose-Wapiti Classroom St. John’s Medical Center For information, call 307.739.7678

Auxiliary Monthly Luncheon “Email Phishing and Internet Scams,” presented by Lance Spranger, St. John’s CIO Thursday, May 3 Noon Boardroom St. John’s Medical Center

Evening Social Thursday, June 7 5:30 pm

For information, call 307.739.7517

Health & Wellness St. John’s Medical Center Annual Community Health Fair A screening at every booth!

Saturday, May 5, 9 am-noon Teton County/Jackson Parks and Recreation Center For information, call 307.739.7399

Spring Run-Off 5k Walk/Run, Saturday, May 5 8:15 am runners/9:00 am walkers $10 pre-registration. tetonparksandrec.org For information, call 307.739.9025

The Eden Alternative Learn about the Eden Alternative’s role in successful, dignified aging Monday, May 14, 5:30-6:30 pm St. John’s Medical Center lobby 625 E. Broadway For information, call 307.739.7462

Advance Directive Workshop with Jim Little Jr., MD Complete the paperwork for an advance directive and have it included as part of your St. John’s medical record.

Assistance provided.

Friday, May 18 Noon; following the Friday Feast Senior Center of Jackson Hole For information, call 307.739.7399

Behind the Scenes 59th Annual Spring Fling Gala

Teton Mammas For new babies and their families Wednesday, May 9 1 – 2:30 pm Moose-Wapiti Classroom St. John’s Medical Center For information, call 307.739.6175

Grief Support Group

“A Homegrown Wyoming Evening” Saturday, May 26 6 pm Jackson Lake Lodge $125/person For tickets, call 307.739.7517

Foundation Pizza for a Purpose

Led by St. John’s Hospice social worker Oliver Goss, LCSW Drop-ins welcome, but please call ahead Wednesdays, May 9 and May 23 Noon – 1 pm Call 307.739.7463

To benefit St. John’s Child Care Center Tuesday, May 15 5–8 pm Hand Fire Pizza, 120 N. Cache For information, call 307.739.7517

Memory Loss Support Group

Mug Club Mile

For those suffering from persistent memory problems; family members and caregivers welcome Thursday, May 10 Noon – 1 pm For information, call 307.739.7434

One-mile fun run to benefit the Cancer Patient Support Fund Saturday, May 19 11–4 pm Yard Party Fun run begins at 1 pm Snake River Brewery For information, call 307.739.7517

Well Being is a Skill: How to Have a Healthy Mind with Richard Davidson, PhD Wednesday, May 23, 7 pm $10 tickets; available at jhcenterforthearts.org Center for the Arts, Jackson

Building Teams, Building Community Join St. John’s CEO Paul Beaupré, MD to learn about the opportunities and challenges of recruiting and retaining providers in Jackson Hole.

Tuesday, May 29 7:30–8:30 am and 5:30–6:30 pm Boardroom St. John’s Medical Center For information, call 307.739.7380

Spine Classes Information for people considering or scheduled for spine surgery Tuesday, May 1, 3-4:30 pm Monday, May 7, 1-2:30 pm Tuesday, May 15, 3-4:30 pm Thursday, May 24, 1-2:30 pm Tuesday, May 29, 3 pm Physical Therapy Room St. John’s Medical Center Please register by calling 307.739.6199

Joint Classes Information for people considering or scheduled for joint replacement surgery Thursday, May 3, 8-9:30 am Tuesday, May 8, 4-5:30 pm Thursday, May 17, 8-9:30 am Tuesday, May 22, 4-5:30 pm Physical Therapy Room St. John’s Medical Center Please register by calling 307.739.6199

For information, call 307.739.7466

tetonhospital.org/calendar

625 E. Broadway, Jackson, WY 345247