Health & Wellness Focus Section

Port Townsend & Jefferson County Leader

Wednesday, September 30, 2015 • A 11

Girls’ Night Out, Oct. 1, is fun for a great cause ‘Beautiful, Healthy You’ is theme; Tiara Trot kicks off the day Thirty-two stores have signed up to participate in Port Townsend Main Street’s “Girls’ Night Out” event on Thursday, Oct. 1.

This year’s theme is “Beautiful, Healthy You,” and the day starts with a free early-morning “Tiara Trot.” Meet at 213 Taylor St. to register for this 1.47 mile walk/ jog/run, which starts at 7 a.m. All participants get a tiara, while supplies last. Refreshments are provided by Arran Stark of Jefferson Healthcare after the Tiara Trot.

From 11 a.m. to 8 p.m., Girls’ Night Out participating businesses are offering special events, in-store promotions and refreshments. The evening ends with the popular Wrap Party at 8 p.m. at the Belmont Restaurant, 925 Water St., with a no-host bar, appetizers, dessert and door prizes.

Admission is by a $5 suggested donation at door. Sporty attire is encouraged.

Goodie bags, $10, filled with OZONE socks and small gifts, are on sale on Oct 1.

Participating businesses are: About Time Clothing*, Abracadabra, April Fool & Penny, Too*, Bickie’s Cotton Casuals*, The Boiler Room, The Clothes Horse*, Conservatory Coastal Home, Elevated Ice Cream, Expressions Apparel, Face of Grace, Getables, Glow Natural Skin Care*, The Green Eyeshade, Jefferson Healthcare Pop-up at 213 Taylor St., Lively Olive Tasting

Bar, Maestrale, Magpie Alley, Maricee*, The Perfect Season, Pippa’s Real Tea, Port Townsend Fudge Co.*, Posh Hair Salon and Day Spa*, Quimper Mercantile, Sea Salt Cottage, The Spice and Tea Exchange, Summer House Design, Tickled Pink*, Wandering Angus, Wandering Wardrobe, What’s Cookin’, The Wine Seller, and World’s End. (* Indicates goodie-bag sponsors.)

Raffle tickets, for a prize valued at over $700, are available in advance for $5 at many of the participating merchants. The prize includes an overnight stay at the Bishop Victorian Hotel; a Deja View Photography studio session and print; a $100 Belmont gift certificate; a Port Townsend Athletic Club one-month membership; Rose Theatre tickets/treats; two haircuts at Seasons Hair Salon, one with Jolene, one with Mary Lou; a Posh Salon gift certificate; membership to the Wine Seller wine club; pampering gifts; jewelry and more.

PROCEEDS HELP WOMEN Proceeds from raffle sales and goodie bag purchases benefit Jefferson Healthcare Foundation to help provide breast and cervical cancer screenings, care and treatment for low-income Jefferson County residents and the Port Townsend Main Street Program, both 501(c)(3) nonprofit organizations. The newly established Jef-

Call to schedule your appointment

Diagnostic Imaging department located on the second floor of the hospital.

3D mammography (tomosynthesis) screening and diagnostic tools, designed for early detection of breast cancer, can be done in conjunction with a traditional 2D digital mammogram. The technology provides three-dimensional images of the breast by using a technology similar to CT scans, or computed tomography.

According to the Jefferson Healthcare website, researchers are finding that Hologic 3D mammography combined with 2D mammography provides greater than 25 percent improvement in overall cancer detection rates, finding invasive cancers 40 percent earlier than conventional 2D mammography alone; better visualization of masses, distortions and asymmetric densities; and significant reduction in false-positive recall rates by up to 40 percent.

Visit jeffersonhealthcare.org for more information.

To date, Port Townsend Main Street’s Girls’ Night Out event has raised nearly $30,000 to assist local women in need to receive cancer screenings. This event is sponSue Arthur, Bickie Steffan, Kris Nelson, Connie Segal and Amy Jordan get sored by the Port Townsend Main in the Girls’ Night Out spirit. Arthur, Steffan and Segal are PTMS Promotion Street Program, Jefferson HealthCommittee members, and Nelson and Segal are board members. The 12th care, OZONE Socks and particiannual event takes place in downtown Port Townsend on Thursday, Oct. 1. pating businesses. For program Photo by Deja View Photography updates, visit ptmainstreet.org.

The Port Townsend Main Street Program fosters economic vitality care, according to a press release ferson Healthcare Foundation’s and preservation of place within mission is to develop relationships from Main Street. the historic business districts, Patients at Jefferson Healthand financial resources to support while maintaining our small town the healthcare programs, projects care can receive the latest in 3D quality of life. mammography screening at the and services of Jefferson Health-

For more Information, visit

A 12 • Wednesday, September 30, 2015

Port Townsend & Jefferson County Leader

What’s Happening?

The blessing of advance health care directives

By Viviann Kuehl Contributor

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NOVEMBER 23 Barbara Vane, Certified Personal Trainer/senior fitness “Intro to Exercise & Aging; use it or lose it.“

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NOVEMBER 30 Sharon Senner, Certified personal Trainer “Behavior change: Setting goals that are appropriate for your health.“

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When I was newly married, my mother-in-law, Margaret, took me aside one day during a visit, and casually showed me the file in which she and her husband kept their end-of-life wishes.

She patted the wooden file cabinet, pulled open the drawer to show me the file’s location right in front, and then closed it, and we went on visiting.

At the time, I thought it was sweet to be included.

Later, I realized what a great gift they’d given their family.

Dealing with the decline of loved ones is an agonizing ordeal, and it’s made worse by having to figure out wishes using hindsight.

I appreciated Margaret, always kind and gracious, even more when the time came to carry out those wishes. She was stricken with Parkinson’s, and even though there were many choices to be made, the way was clear, thanks to her foresight. Although she wasn’t able to acknowledge any gratitude at the end, it’s endured far beyond her death.

ADVANCE DIRECTIVES Washington state recognizes advance directives, the written and oral instructions about future medical care made by a person for a time when he or she is unable to speak for himself or herself.

Washington state law specifies, in hierarchical order, who may speak for you when you can’t. First is a guardian with health care decision-making authority, if one has been appointed, then the person named in your durable power of attorney with health care decision-making authority.

Next are your spouse, your adult children, your parents, and your adult brothers and sisters. If you are in one of the last three categories and there is more than one person in that category, they must all agree. If your family has differences of opinion, it’s a good idea to make sure your wishes are reflected in specific documents.

THREE TYPES There are three different types of advance directives recognized in Washington state: a health care directive, a durable power of attorney for health care and Physician Orders for Life Sustaining Treatment.

A health care directive, or living will, is for situations of terminal illness with no hope of recovery, such as irreversible coma, for which

Attorneys offer help with advance directives

The Clallam-Jefferson County Pro Bono Lawyers plan to offer a free drop-in clinic Saturday, Nov. 14 to help people complete an advance directive.

“Our goal is to educate participants about powers of attorney and health care directives and to give them the opportunity to leave with completed legal documents,” said Shauna Rogers, director of the organization.

“We did this in Clallam County a couple of months ago and it was hugely successful,” she said.

The event is from noon to 3 p.m. Saturday, Nov. 14 at the Port Townsend Community Center, 620 Tyler St. Reservations are not necessary. On the day of the event, people are asked to bring photo identification.

Those interested can call Rogers at 360-504-2422.

treatment will artificially prolong life but not avoid death, and stopping treatment will allow a natural death. You and two witnesses who are not related to you and will not inherit anything from you must sign it.

A durable power of attorney for health care is for any medical situation in which you are unable to make your own decisions. It a legal document allowing you to authorize a person as your health care agent, someone who would have the same power as you to consent to, stop or refuse most medical treatment.

This person should know what you would want in various situations. You and two witnesses must sign the form, preferably with a notary present.

The Physician Orders for Life Sustaining Treatment (POLST) form is relatively new in Washington. It helps people with serious illnesses to make their wishes known should they be faced with emergency medical situations requiring life support. The bright green form should be posted in a place where emergency personnel will see it, such as on a refrigerator or near a medicine chest, because it will be recognized as orders to be followed. The POLST form must be signed by both the patient and the attending physician, nurse practitioner or certified physician assistant.

Each of these three forms

in health Alzheimer’s Association offers caregiver support For those caring for someone with memory loss who need information and support, Alzheimer’s Association family caregiver support groups provide a consistent and caring place to learn, share and gain emotional support from others in a similar situation.

Meetings are held 10:30 a.m.-noon the second Monday of the month at the Tri-Area Community Center, 10 West Valley Road in Chimacum. For more information, call Linda Whiteside at 206-529-3875.

Orthopedic health seminar in Gardiner A seminar on hip and knee total joint replacement surgeries and some alternatives for managing joint pain is offered

by Jefferson Healthcare, 6:308 p.m. Sept. 30 at the Gardiner Community Center, 980 Old Gardiner Road in Gardiner.

Jefferson Healthcare Orthopedic Surgeon Dr. David King is joined by Mitzi Hazard, DPT, physical therapist and clinical supervisor, who presents an overview of the

Jefferson Healthcare’s Total Joint Replacement Program.

The evening talk offers participants information on what to expect and how to prepare for total joint replacement surgery.

The seminar offers the opportunity to speak with King – the only fellowship-trained (at Massachusetts General Hospital/Harvard University) doctor and surgeon in hip/knee replacement on the Olympic Peninsula – and Mitzi Hazard directly. Light refreshments follow. Event is free, but space is limited, so those interested in attending are encouraged to arrive early.

More info at jeffersonhealthcare.org/ orthopedic.

Collage-making as a healing tool Oct. 17 Hospice Foundation for Jefferson Healthcare offers a day-long expressive meditative and arts workshop, titled “Contemplative Approach Mindfulness and Collage Making as a Healing Tools,” is scheduled for 10 a.m.-4 p.m., Saturday, Oct. 17 at the Co-Lab Conference Room, 237 Taylor St.

is separate and does not require the other two. The Washington State Medical Association (WSMA) recommends that everyone older than age 18 has a health care directive and durable power of attorney for health care.

Compassion & Choices of Washington, a nationally recognized advocacy group for choice for the terminally ill, and improved treatment of pain and other symptoms, offers a durable power of attorney for health care and health care directive. This combination form is detailed and allows individuals to use any portion of it to specify their wishes in particular areas.

LEARN MORE All forms can be changed or revoked at any time, and are available free, by download at wsma.org and compassionwa.org or by mail.

The WSMA form for advance directives can be obtained by mail, with a self-addressed, stamped envelope (SASE) sent to WSMA, Attn: Advance Directive, 2033 Sixth Ave., Suite 1100, Seattle, WA 98121.

POLST forms are also available (include an SASE) at WSMA, Attn: POLST, 2001 Sixth Ave, Suite 2700, Seattle, WA 98121. Take the form to an appointment with your attending physician to discuss it and your wishes regarding life-sustaining treatment.

Compassion & Choices of Washington’s advance directive packet includes additional information about advance planning, including how to talk to your family about dying. It’s available at compassionwa.org or by calling 877-222-2816 toll-free.

It’s not easy to deal with the death of a loved one. It’s not even easy to talk about when they’re in good health, but it’s worth it. When Margaret died, we knew just what she wanted. It was comforting to make that happen, and to focus on her.

That was her final blessing.

The day-long workshop is taught by Soul Collage facilitator and grief group facilitator Carolyn Cristina Manzoni, who is also a hospice/bereavement volunteer for Hospice of Jefferson Healthcare.

Participants must pre-register by Oct. 12 and pay a $10 non-refundable workshop supply fee.

Attendance is limited to ten participants.

“Death-related grief often leaves us in a place that is difficult to express in words.

Collage making can be a creative tool for accessing some of those hidden places and discovering insights into your healing journey,” said Manzoni, who emphasizes that participants do not need to have any artistic talent or prior experience.

To register for either workshop, call 360-379-9661 during regular business hours. More information at JeffersonHealthcare.org/ griefsupport.

In addition, a facilitated drop-in group meets 3-4:30 p.m. the second and fourth Wednesdays of every month.

No registration is required.

The bereavement programs and workshops are supported by the Hospice Foundation for Jefferson Healthcare, a 501(c)(3) nonprofit organization.

Port Townsend & Jefferson County Leader

Wednesday, September 30, 2015 • A 13

Getting the word out about health

Krummes take lead in getting health information out to people

By Viviann Kuehl Contributor In the complex world of health care, it can be daunting to figure out just what physicians and specialists are talking about, let alone the best things to do for yourself at home, particularly as aging brings its own issues.

“It used to be that health information didn’t play that much of a role,” said Ursel Krumme, a retired nurse educator who co-chairs the Port Ludlow Village Council Health & Wellness Committee with her husband, Gunter Krumme. “People relied on the doctor to tell them what to do, and that was that. Today, it’s different. It’s an enormous field, and it’s changing rapidly. The system itself is changing rapidly.”

The 10-member committee is working to assist Ludlowarea residents in accessing information relevant to their personal health interests. It offers forums, support groups and written resources in the form of notebooks, available at both the Bay Club and the Beach Club. An online resource center can be found at plhealth.org/resourcecenter.

“We’re in the info business,” said Ursel. “We touch on a bit of education, but mostly we’re in the info business.”

“Getting patients to become assertive is the biggest challenge,” said Gunter.

“You need to advocate for yourself.”

Advocacy can’t be done without information.

MAKE PRIORITIES At its inception in 2011, the Health and Wellness Committee created a list of priorities. It has addressed weight loss, brain function, dementia, aging in place, palliative care, Medicare and other insurance, chronic illness, caregiver support, cancers, medical protocols, balance and fall prevention, cardiac care and rehabilitation, stroke, maintaining personal health records, physical therapy, exercise, elder care, health laws, legal documents, diabetes, finding appropriate facilities, continuum of care, publicity and outreach.

Along with the enormous amount of medical information that is constantly changing and growing, today’s challenges include logistics of health care.

“We look for reliable and valid resources.”

Ursel Krumme co-chair Port Ludlow Village Council Health & Wellness Committee

Ursel and Gunter Krumme co-chair the Port Ludlow Village Council’s Health & Wellness Committee, which has had considerable success in raising awareness for Ludlow-area residents.

Photo by Viviann Kuehl

“Getting patients to become assertive is the biggest challenge.

You need to advocate for yourself.”

Gunter Krumme co-chair Port Ludlow Village Council Health & Wellness Committee

Knowing where services are offered and their organizational context is a challenge all by itself. For example, medical records kept by different institutions have been hard to locate and coordinate in times of need.

That is changing as regional institutions move to My Chart, a product allowing access to medical records for the patient as well as doctors in various specialties.

“We’re very excited that

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Jefferson Healthcare, Swedish, Providence and now Harrison are all going to be using My Chart,” said Ursel.

“Health care is getting so specialized. We hear one horror story after another about the difficulty of getting information from one doctor to another,” she said.

“Doctors here can refer to Seattle specialists, but they don’t send the information.

Communication needs have tremendously increased, so people still need paper documents or their own disc. It can happen that information doesn’t arrive in time for the appointment.”

‘FILE OF LIFE’ The Krummes advise getting personal and medical information together on a short list that can be easily accessed.

One format is a “file of life,” a boldly marked, red plastic envelope for refrigerator or wallet that contains a short form with relevant medical information. The form covers contact information for patient and doctor, emergency contacts, medical data that include conditions

and medications, blood type, past surgeries, allergies, health care proxy and living will information, insurance information, all on a single sheet. It conveys precisely what emergency responders and physicians need to know to start effective treatment.

“We look for reliable and valid resources,” said Ursel.

“When you are Googling, who knows what you get. There are a lot of clickable and free resources that our taxes are paying for, and people have never heard of.”

“A major concern is how to approach people, how to package the information and how to deliver it,” said Gunter.

Forums, large group meetings with expert presenters, have proven popular.

Support groups, smaller and with ongoing meetings, vary with the needs of residents.

is to meet one on one with people to focus on specific needs, said Ursel, something that can’t be done in a large group.

“We do navigation together,” she explained. “Some people get excited and start using the resource. I love this.”

This approach moves from relatively passive health and wellness learning to more active and engaged patient education modalities, said Ursel.

“It’s worth any effort to get the information out there,” said Gunter. “It’s wonderful what there is, but who’s going to get it out?”

“We’re all here for a limited period of time, because we’re all old, so a major

concern is how to establish a permanent structure,” he said.

The committee sprang out of a realization that although the PLVC had programs for recycling, trails, disasters and so on, it had nothing on health.

There is a commercial website, Port Ludlow Today, with a health component.

“They did an enormous amount of work, but it died two years ago because no one took it over,” said Gunter.

“You need workers,” he said. “I have a suspicion that a commercial site wouldn’t work here.”

The Health and Wellness Committee is doing a fine job with its volunteers.

Check out the Nov. 14 forum on health advocacy and post-hospital complications to see for yourself.

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A 14 • Wednesday, September 30, 2015

Port Townsend & Jefferson County Leader

Poetic Justice presents dialogue on health care Tharinger, other legislators to attend events set for Oct. 20, 22 in Port Townsend The Mandala Center for Change presents “Gambling with Our Lives: Healthcare Access and Affordability,” a “legislative theatre” event featuring the Poetic Justice Theatre Ensemble.

Two performances are scheduled: 6:30 p.m., Tuesday, Oct. 20 and Thursday, Oct. 22 at the Cotton Building, 607 Water St., in downtown Port Townsend.

Admission is free; donations are welcome.

Open to all, this participatory event is especially designed for local people who have experienced challenges with affordability of and access to health care. Come and participate actively or simply witness the process. Audiences are invited to attend one or both evenings, which promise to be very different.

Legislative theatre is a unique and engaging way for regular citizens to solve problems and ultimately

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Johnny Colden (left) and Michael Hindes are members of of the Poetic Justice Theatre Ensemble, which offers two presentations on health care Oct. 20 and 22.

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propose policies in the presence of local legislators who have the power to create the change, said event organizers.

“My biggest concern regarding health care is access,” said Jenifer Taylor of Jefferson County Citizens for Healthcare Access in a press release.

“The Affordable Care Act (Obamacare) didn’t fix that. Our doctors and dentists get paid so little under the subsidized plans that some of them can’t afford to take AppleHealth and Medicaid patients.

We need to talk about and work on this issue until things change.” And talking is just the beginning with the upcoming legislative theatre event presented by Port Townsend’s Poetic Justice Theatre Ensemble.

Never before done in this region, this event could be considered a kind of “town hall” with a creative twist to address real needs of local citizens around health care, said event organizers. Months

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Free dental, vision, medical offered in Seattle Free dental, vision and medical care is offered Oct. 22-25 at Seattle Center Exhibition Hall at 301 Mercer St. All are welcome.

Patients do not need ID or proof of citizenship, and no advance registration is required; the event is first come, first served. Admission tickets are distributed at 5 a.m. at Seattle Center. Tickets for Saturday and Sunday are in the highest demand.

Those attending should come prepared for a long day, bringing food, warm clothing, etc. Licensed health care professionals, both male and female, are available. Free parking is at Mercer Street Garage at 650 Third Ave. N. More information and a complete list of services is available at seattlecenter.org/patients, or call 206-684-7200.

of organizing efforts and preparation set the stage for an evening of participatory theater, engaging community dialogue and an opportunity to actively generate solutions.

Each evening has a basic structure, beginning with a short play based on local community members’ real-life experiences of unaffordable health care, high bills from collections, and confusion about the system. Following the

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short play, audience members are invited on stage to offer solutions to the problems presented – on the individual, institutional and governmental levels.

A community dialogue then takes place, leading into the legislative theatre – a mock legislative session during which audience members may propose policy ideas and vote on those they want to see passed.

Local legislators who have been invited to attend and witness the process hear all of the information.

Invitations have been sent to all hospital commissioners and candidates, city council members, county

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commissioners, and state and U.S. senators and representatives. So far, seven legislators have confirmed that they will be attending one or both performances, including Rep. Steve Tharinger, and more are expected.

The intention of this event is for the desires of the people brought forth in this creative community dialogue to inform and impact health care legislation, according to a press release.

“One thing we do well in Port Townsend is thinking outside the box and taking action to create the change

we want. Health care is no different. It’s not enough to vent our frustrations to a friend about what’s not working. Theater is a powerful tool for community dialogue, and this is one way we can put it to use,” said Zhaleh Almaee Weinblatt, member and trainer with Poetic Justice Theatre Ensemble, and codirector of the Mandala Center for Change with her husband, Marc Weinblatt.

Now in its 15th season, Poetic Justice is a multiethnic, multigenerational (currently represented by ages 18-75) troupe of local actor/activists that uses interactive theater as a tool for awareness and social change. A program of the Mandala Center for Change, the Poetic Justice Theatre Ensemble was developed as a local community resource to stimulate deep dialogue and invite positive action toward the creation of a more just and joyous world for all people.

For more information on this event or Poetic Justice, contact 344-3435 or info@mandalaforchange. com, or go online to mandalaforchange.com.

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Port Townsend & Jefferson County Leader

Wednesday, September 30, 2015 • A 15

Chace: Nutritionist enlists family, friends to taste smoothies useful recommendations. ▼Continued from page 1

“Breast cancer is where we have the most research right now,” she said.

.

Red blood oranges contain flavonoids, carotenoids, ascorbic acid, hydroxycinnamic acids and anthocyanins, which efficiently counteract the oxidative damage that plays a role in the development of cancer.

This smoothie is a rich blend of crushed citrus flavors and herbal fragrance.

SERVES 2 1 cup blood orange segments 1/2 cup Meyer lemon segments 1/2 cup lime segments 1/2 cup frozen wild blueberries 2 Tablespoons protein powder 1 Tablespoon fresh gingerroot 1/2 teaspoon turmeric powder

Recipe from :Healing Smoothies – 100 Research-based Recipes That Provide Nutrition Support for Cancer Prevention and Recovery” (Skyhorse Press, 2015)

POR

use as a basis. I had to come up with the recipes on my own. So I spent a year in the kitchen with potato flour, tapioca flour, rice flour, garbanzo bean flour and almond meal. This was when bread machines were very in,” she recalled.

All told, Chace has written around 20 books over the years. She has also written for magazines, including Better Nutrition magazine, Women & Cancer and Self.

She is looking forward to writing and producing “Nutrition Matters” for NPR, which launches this month.

Her mother, Linda Landkammer, who has lived for 30 years in Port Townsend, is serving as her voice talent for the show, and friend Wes Eng, also from Port Townsend, announces the sponsors and host before each segment.

“He’s a gardener by day and my NPR voice talent on the weekends. I love working

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with my family and friends,” she said.

Friend and artist Julie Read, also of Port Townsend, did drawings for “Turning Off Breast Cancer,” and those cartoons are modeled on her and her mother, Chace said That book also acknowledges the work of physician Sandra Poling, M.D., of Port Townsend.

When Chace tests smoothie recipes in her home, she enlists the taste buds of friends and family.

“I’d often have my mother and her friends over, so they’re in the living room tasting, too. It’s helpful to have other people’s opinions about flavor,” she said.

Her own favorite smoothie recipe is The Elysemo, which is named after friend Elsye Garling, a local jeweler who inspired the recipe.

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foods that will help fight whatever illness they might have. She has had apps created that target breast cancer, prostate cancer, heart disease and diabetes, and is looking for an investor to take the grocery-store apps to the next level.

“That’s what it’s all about. For me, the books, the radio show, the apps, the classes and my website are designed to help use this information right now to change the course of our own individual health,” she said.

Chace is hosting a free breast cancer nutrition class in November to show people how to get started.

By changing diet and lifestyle, she says, it is possible to change how we feel and how we function as well as reduce the risk for developing disease.

In short, change can happen now; it doesn’t have to wait 30 years for protocols to make their way into health care systems.

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about cancer years ago. After she wrote “What to Eat When You Have Cancer,” the owner of Cancer Centers of American, whom she said used the book, asked her to develop nutrition protocols for his clinics.

After creating those protocols, she moved to Sun Valley, Idaho, and while there, did a program called “Nutrition Minute.”

It aired daily for three years.

In Sun Valley, she happened to rent a home from actress Demi Moore, who started sending clients to Chace’s private nutrition practice.

“I learned so much, because my clients could afford to do all the testing that I need to really get down to the cause of their conditions,” she said.

It was there that she was able to hire a crew to help her work on an app that is aimed at helping people when they are in the grocery store pick out foods that are good for them,

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Nutrition facts (per serving) Calories 170 Fat 0 g Carbs 42 g Fiber 10 g Protein 8 g

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An app created by Daniella Chace offers recipe ideas for food shoppers. The recipes are tailored to include ingredients that are known to help in the healing process. Chace is looking for an investor interested in marketing the app.

Combine all ingredients in a high-powered blender or food processor and blend until smooth. Drink immediately.

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Daniella Chace has written two new books, “Turning Off Breast Cancer, A Personalized Approach to Nutrition and Detoxification in Prevention and Healing” and “Healing Smoothies,” which offer ideas for how to eat well in order to heal. Both are available at Imprint Books in Port Townsend as well as in both the Port Townsend Public Library and the Jefferson County Library.

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LATEST RESEARCH What that research shows, she said, is that by incorporating good nutrition into medical treatments and other care protocols, outcomes are better.

“When we incorporate these nutrition practices for those also on chemotherapy, their energy is good throughout treatment, they are able nutrient deficiencies.

“When they’ve tested to continue exercising and they are able to continue women who have just been working. And combined with diagnosed with breast cancer, physical therapies like icing almost all are vitamin D defi[patients’] heads during che- cient. They’re calling Vitamin motherapy, they don’t lose D deficiency a carcinogenic state. We really all need to their hair.”

A graduate of Bastyr have our vitamin D levels University in Seattle with a tested.”

“Turning Off Breast Canmaster’s degree in nutrition, and postgraduate training cer, A Personalized Approach in environmental medicine to Nutrition and Detoxification at Southwest College of Na- in Prevention and Healing” is, turopathic Medicine and Chace admitted, a technical Health Sciences in Tempe, book for breast cancer patients Arizona, Chace taps into the and family members.

She includes a list of steps latest studies from all over the world and soaks up the that patients can take at the latest research on subjects end of each chapter that simlike triple negative breast plifies the recommendations into a short to-do list, for excancer.

That kind of information ample, like getting your vitamin D level was hard to tested. get years ago.

It’s been “When I re“To come up with well was in school, ceived by at the Uni100 original, professionals. versity of Oncologist Washington medicinal cancer D.B. Boyd, in the midsmoothie recipes the director of 1980s you could access in the last book, cancer nutrition at Yale– it for $60 an I probably made New Haven hour through Health Systhe medical 1,000 recipes.” tem and an school, and assistant now it’s subDaniella Chace professor of sidized, so it’s nutritionist, author medicine at free through Yale School Pubmed,” she of Medicine, said. called it a “It takes, “must-read” on average, for patients.

30 years from research to make it into protocols and into a practice. But I say, we RESEARCH-BASED RECIPES For those who like colorful need this now. We have this growing epidemic of breast pictures and delicious-soundcancer issues and we need to ing recipes, Chace’s “Healing get this to people right now. Smoothies,” which offers 100 After all, there are no harm- research-based recipes for ful side effects in eating nu- cancer prevention and recovery, is an easier read. tritious foods.

Although that book just “‘Turning Off Breast Cancer’ is the result of years of came out on the heels of “Turnwork with breast cancer pa- ing Off Breast Cancer,” Chace tients and research into the has just signed a contract for underlying cause of breast another smoothie book that is cancer. We know that there tailored to breast cancer.

“So I’m going back to drinkare specific toxins and nutrient deficiencies that are driv- ing smoothies for another ers of breast cancer,” Chace month,” she said, remembering when she wrote “365 said.

Omega-3 fatty acids, found Skinny Smoothies” not that in fish, nuts and seeds, for ex- long ago.

“To come up with 100 origiample, inhibit the growth of certain types of breast cancer nal, medicinal cancer smoothie recipes in the last book, I cells, studies have found.

And there’s a new focus on probably made 1,000 recipes.

It takes time, especially when what’s called epigenetics.

“There is a real focus on you are trying to incorporate breast cancer and the new sci- something funky like adding ence of epigenetics. This has in turmeric. And I want the produced proven therapeutic sugar low, so I don’t want too interventions for breast can- much fruit. It can be tricky. cer patients,” she said. “Epi- When I did ‘365 Skinny Recigenetics is the science of gene pes,’ I probably did 2,000 test expression and how genes recipes.” that drive cancer and other diseases can be controlled or NPR, FAMILY Chace is no newcomer ‘expressed’ by their exposure to triggers, such as toxins, and to nutrition. She has been how genes can also be turned health-conscious for decades.

In fact, one of her first off by exposure to nutrients.” books was a gluten-free baking cookbook.

VITAMIN D DEFICIENCY “This is in 1993, when One thing Chace said women should do is be tested for there was nothing for me to

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