Balance Volume 2 – Issue 1 – Spring 2010
The health magazine for Body, Mind & Motivation Published quarterly by the Lewiston Tribune and the Moscow-Pullman Daily News
COVER STORY
SCRATCH
THAT ITCH
From pollen to the family cat, allergy sufferers have different triggers
HEALTHY
CANCER
FAST-FOOD?
SCREENINGS
More restaurants provide dietary information for the calorie-conscious
ALSO INSIDE
No simple answer for testing time line
Food
Dentistry
Lasik FallSpring 2009 2010 ###*p 1
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Spring 2010
3
Contents
COVER STORY
Balance – volume 2, issue 1 – Spring 2010
8
SCRATCHING THE ITCH OF ALLERGIES Sufferers have different triggers
NUTRITION
GLUTEN-FREE DIET
Experts recommend well-planned approach to replace lost nutrients
HEALTH
11
HONEY: A TASTY WAY TO GOOD HEALTH Studies show many benefits
14
HEALTH
21
TO TEST OR NOT TO TEST
No easy answer when it comes to cancer screenings
ALSO | LETTER FROM THE EDITOR 6 | LASIK 18 | BRACES VS. INVISALIGN 26 4
Balance
Spring 2010
LOCAL CONTRIBUTORS
YESENIA AMARO
Daily News staff writer
Yesenia has worked at the Daily News for eight months covering K-12 education in Washington and Washington State University. She enjoys exercise whenever she has the time.
Letter from the
SARAH BARRETT
Daily News staff writer
Sarah recently married and moved to Moscow from Charleston, S.C., where she contributed to several regional publications. Sarah holds a master’s degree in alternative medicine. She loves fly fishing, swimming in salt water, horses and painting. She believes laughter is the best medicine.
HOLLY BOWEN
Daily News staff writer
Editor
Ahhhh, spring!
Holly has worked at the Daily News for more than a year, most recently as the paper’s Idaho education reporter, covering the University of Idaho and Latah County schools. She has been a vegetarian for five years and doesn’t miss meat at all.
Flowering trees are blooming and tulips are pushing their way through the warming soil. Robins flit between budding trees and the evening breeze will soon carry the sweet scent of lilacs.
BRAD W. GARY
And noses will run, red eyes tear up and loud sneezes echo from the hills. With spring comes allergy season and misery for those who suffer from pollen and other irritants.
Lewiston Tribune staff writer
Brad has covered police and courts at the Tribune for about three years. A new recipe junkie and constant watcher of calories, he enjoys a nightly walk with the dog and routine runs or hikes in the wilds of the Lewiston-Clarkston Valley.
AMANDA LARSEN
But there are ways to combat allergies as our cover story will tell you in this, our spring issue of Balance, which also features articles about a gluten-free diet and recipes featuring a sweet health food — honey.
Lewiston Tribune staff writer
Not an allergy sufferer? Not a problem. Our story lineup for this issue also includes tips on how to choose a bicycle if you’ve decided to ride your way to fitness. We give you a look at Lasik surgery and what it can do for your eyes and a story about what you should know about braces if you or a family member need orthodontic care.
CHRISTINA LORDS
Those are only some of the highlights of our anniversary issue of Balance, a quarterly magazine we launched one year ago with a goal of focusing on bringing you local information about healthy lifestyles, activities and health care options. Balance is a joint production of the news and advertising staffs of the Moscow-Pullman Daily News and the Lewiston Tribune.
Amanda has worked at the Tribune for a couple months covering news on the Palouse. She enjoys tennis, family walks and water sports and suggests eating a well-balanced diet and getting some kind of exercise daily.
Daily News staff writer
Christina serves as the Moscow/Latah County reporter for the Daily News. The only healthy activity she has been able to regularly commit to are her sweet dance moves. She attempts healthy eating, but the likes of bacon and Dr. Pepper are too hard to resist.
BRANDON MACZ
Daily News staff writer
Brandon Macz is the Slice editor for the Moscow-Pullman Daily News. He believes good nutrition is just as important as exercise and healthy snacks can help avoid binging on meals.
If you have any questions or comments about Balance, don’t hesitate to contact me via e-mail at pemerson@lmtribune.com or telephone at (208) 848-2269. Have a great spring.
SARAH MASON
Daily News staff writer
Sarah covers the city of Pullman and Whitman County. When she has time, Sarah enjoys skiing, hiking, running, backpacking and most other outdoor activities.
Paul Emerson Managing Editor Lewiston Tribune
KERRI SANDAINE
Lewiston Tribune staff writer
Kerri has worked at the Tribune for 10 years covering schools, social services and Asotin County. She’s a mother of three who enjoys running, hiking, and walking her dog. She loves to be in the bleachers whenever her kids play ball.
ELAINE WILLIAMS
Lewiston Tribune staff writer
Elaine started reporting at the Tribune in 1991 and has covered the business beat since 2000. She perfects recipes, some healthy, for her family, and enjoys bicycling, inline skating, Zumba, and cross-country skiing.
JESSE HUGHES Graphic designer
Jesse has worked for the Daily News and Lewiston Tribune for a year in the advertising department. He tries to eat a healthy, well-balanced diet and stays active by walking, hiking, and chasing around his 2-year-old son.
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Balance
Balance is published quarterly by the Lewiston Tribune and Moscow-Pullman Daily News and printed at the Tribune Publishing Co. Inc.’s printing facility at 505 Capital St. in Lewiston. To advertise in Balance, contact the Lewiston Tribune advertising department at (208)848.2216 or Advertising Director Bob Reitz at breitz@lmtribune.com, or the Moscow-Pullman Daily News advertising department at (208)882.5561 or Advertising Manager Craig Staszkow at cstaszkow@dnews.com. Editorial suggestions and ideas can be sent to Tribune City Editor Craig Clohessy at cclohessy@lmtribune.com or Daily News City Editor Murf Raquet at murf@dnews.com.
ADVERTISER INDEX
A Full Life Agency.......................................... 20 Alm, Dr. Ronald............................................. 15 Bishop Place..................................................... 7 Blue Mountain Family Health........................ 12 Bluesky Dentistry........................................... 19 Clarkston Denturist Clinic............................. 28 Clearview Eye Clinic...................................... 18 Clearwater Vein Care Center.......................... 35 Elm View Chiropractic................................... 19 Garges, Lawrence M., M.D............................. 35 Gritman Medical Center................................ 36 Guardian Angel Homes.................................. 24 Haas, Dr. Galen K.......................................... 26 Institue of Physical Therapy........................... 13 La Bella Vita Medical Spa................................ 5
Lewis Clark Gastroenterology/Endoscopy....... 21 Life Care Center............................................. 22 Maplewood Dental......................................... 23 Moscow Family Medicine............................... 29 Moscow Food Co-op....................................... 15 Pathologists’ Regional Laboratory.................. 23 Pullman Regional Hospital.............................. 5 Puretone Hearing Aid Services....................... 31 Rosauers........................................................ 12 Royal Plaza Retirement Center...................... 13 Seubert’s Quality Home Care........................... 3 St. Joseph’s Regional Medical Center............... 25 Tri-State Memorial Hospital............................ 2 Wedgewood Terrace Retirement INNS............ 10 Whitman Senior Living.................................. 27
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SCRATCHING THE ITCH OF ALLERGIES
From pollen to cat dander, sufferers have different triggers BY BRANDON MACZ
A
llergists may have a better understanding of allergies today, but the method of study and treatment remains much like it was during the early 1900s. People often associate allergies with pollen this time of year, but numerous allergens exist and stem from a person’s genetic predisposition and the proper environment to set off a reaction, said Lawrence Garges, an allergies and asthma specialist at Tri-State Memorial Hospital in Clarkston. There may not be an exact cure, he said, but there are ways to minimize the effect of allergens. Allergic reactions stem from antibodies called immunoglobulin that evolve differently and overreact to certain substances. This leads to the release of histamine to fight whatever that substance might be, whether it’s pollen, nuts, bees, or the family cat. “We don’t know why that immunoglobulin evolved,” Garges said. “There are particular reasons for the evolution for those types of antibodies.” see ALLERGIES – PAGE 9
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Balance
KYLE MILLS/LEWISTON TRIBUNE
Allergy shots go back to 1911, but the method of study and treatment remains mostly the same.
from Allergies – page 8
Allergies are not always black and white, Garges said, recalling a case where a woman was found to only have an allergic reaction to a combination of chocolate and oranges, but not the items separately. Allergic reactions typically affect the eyes, nose, lungs and skin — or all of the above, Garges said. And what a person is allergic to is usually discovered by pricking the skin with concentrated solutions of different allergens, but the prick test sometimes needs to be done more than once. The prick test might also be inconclusive if the person is on psychotropic medications or taking antihistamines they can’t stop taking. “A negative (result) doesn’t necessarily mean that it’s a true negative,” said Pam Spickler, an allergies specialist who works for Garges. There are multiple devices that can be used to administer different allergens at the same time, Garges said. “You can get (up to) 10 tests done at the minimize the effect. Medications exist in same time,” he said, and if you’re allergic the form of steroids, decongestants and to one of the allergens, “you get a welt antihistamines that will tone down, but very much like a mosquito bite.” not cure allergies. Since there is a lot of cost involved in “It doesn’t make you nonallergic, but it getting the Food and Drug Administradoes help you along,” Garges said. tion to approve food allergens for testing, Chemicals can be used to modify a many pharmaceutical companies focus on person’s biochemistry, which is called manufacturing more common allergens, immunotherapy, Garges said, and come in though a person the form of shots. “You can get (up to) 10 tests could be allergic to A weak solution done at the same time, and if you’re of the allergen is only a certain nut, allergic to one of the allergens, you injected under meat or part of an get a welt very much like a mosquito the skin and is egg. bite.” “We came up increased over a Lawrence Garges, with something period of time. allergies and asthma specialist at called the prick, “The body Tri-State Memorial Hospital in Clarkston prick test,” Garges gradually adjusts,” said. “You poke the food that you’re think- Garges said, adding some may not have ing of. That uses full concentration.” symptoms afterward, but may still show Blood tests can also be conducted, positive on a skin test. Garges said, but they are more expensive Injections are recommended for people and not always good about determining who find their allergies are impairing their the level of sensitivity a person has to alability to function, Spickler said. “They’re lergens. willing to make the commitment because For people likely to suffer from alit’s a long-term commitment.” lergies their entire lives, there are sevGarges said about 60 percent of people eral treatments that have been found to who receive shots will maintain the
Dr. Lawrence Garges talks about the methods used to determine whether a patient suffers from allergies or not, which haven’t changed much since the early 1900s.
Kyle Mills Lewiston Tribune
progress they gain from allergen desensitization over a five-year period of injections, while 40 percent will regress. Out of millions of shots administered every year only about two to three people die from bad reactions to shots, he said. “The only safe shot is the one you didn’t get,” he added. Allergy specialists do not share a lot of peer consensus, Garges said, because — like the story about chocolate and oranges — a lot of trial and error goes into every diagnosis. Different allergens can have more serious symptoms, such as bee stings, penicillin and peanuts. An anaphylactic reaction is possible and could be fatal. People at risk of an anaphylactic reaction should keep an EpiPen handy, Garges said. An EpiPen injects epinephrine (adrenaline) into a person’s body and can counteract an allergic reaction. The EpiPen comes in different doses for both adults and children, and Garges recommends keeping one at home and another at school or work. For those who are allergic to pets see Allergies – page 10
Spring 2010
from Allergies – page 9
like dogs and cats, but still want to have one, Garges said different allergists will recommend different solutions, but “not everything is true.” Some doctors will recommend getting rid of the pet while receiving allergy shots to desensitize the body to the allergen. Exposure coupled with shots can sometimes be more dangerous, Garges said, adding he has seen cases where this didn’t hold true. Hypoallergenic pets are being marketed, but Garges said he wasn’t sure whether these animals live up to the hype. He agrees, however, that hairless animals are preferable for people allergic to pet dander, followed by short-haired animals with long-haired animals being the worst.
Allergy Web sites Kyle Mills/lewiston tribune
The prick test is the most common used test to determine an allergic reaction.
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• The Food Allergy and Anaphylaxis Network works to promote public awareness about food allergies, conducts research and works with the government on related issues, such as proper food labeling, school and airline meals and emergency medical services. For more information about FAAN and how to become a member, visit www.foodallergy.org. • If the fear of pollen keeps you inside, pollen.com offers local and national allergy forecasts. By clicking your state on the U.S. map, a list of cities can be selected to find out what weather conditions will do for your allergies. Sign up for My Pollen to access allergy data and keep a diary of your experiences. • Uncertain whether you’re experiencing allergies for the first time? The American Academy of Allergy, Asthma and Immunology Web site offers extensive information and a virtual allergist, which may be an encouraging first step before seeing a living, breathing allergist. Visit www.aaaai.org and click on the Virtual Allergist link to access an interactive symptom checker. • For access to the latest research findings in the field of allergies and advancements in treatments, visit the National Institute of Allergy and Infectious Diseases Web site at www3.niaid.nih.gov.
HONEY: A TASTY WAY TO GOOD HEALTH Studies show many benefits, including help for asthma, allergy sufferers
“If you consume from a source within 25 miles of where you live, it will help your asthma,” Webb said. “... The pollen is coming from the flowers. It kind of immunizes you.” BY ELAINE WILLIAMS It’s not just people with allergies or asthma who can be helped by honey. It has at Webb boils down the health antioxidants and qualities that assist with benefits of honey to this: digestion, Caruso said. “It tastes good and it’s good for Antioxidants are important because you,” said Webb, an owner of Webb Honey they repair damage done by free radicals, that’s been in business since 1955 in the byproducts produced when human bodies Grangeville area. use oxygen, according to HealthCastle. How much honey helps individuals com, a Web site run by registered dietidepends on the kind they purchase, said cians. Webb and Carey Caruso, an owner of Two antioxidants — pinocembrin and Caruso’s Snake River Valley Honey Com- pinobanksin — are unique to bee products pany in the Pomeroy area. such as honey, said Nicki Engeseth, a pro-
P
fessor of food science at the University of Illinois in Urbana. “Whether they provide any special benefits, I don’t know.” The amounts of antioxidants in honey equal that in fruits and vegetables, Engeseth said, which makes it a great replacement for sugar or other sweeteners. Her studies have also uncovered the possibility that honey could replace high fructose corn syrup and a chemical that commonly is used in commercial salad dressing because it does the same jobs. The high fructose corn syrup provides flavor while the chemical prevents spoilage. The nutritional value of honey varies depending on the variety, Caruso said. Buckwheat honey has the highest consee HONEY – PAGE 12
Spring 2010
11
from honey – page 11
12 Balance
Photo courtesy of Caruso’s Snake River Valley Honey Company
Dean Caruso, with Caruso’s Snake River Valley Honey Company checks bees.
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centration of antioxidants, but it has a drawback, she said. “A lot of people don’t necessarily like it because it is so strong. It has a coffee or molasses-like taste.” Buckwheat honey was the kind used in a study done by Penn State College of Medicine that found a small dose did better at reducing nighttime coughing in children than a placebo or a commonly used cough suppressant. The children and their parents also got better rest when they used the honey remedy, according to a news release about the study. The only limitation with the treatment is it’s not recommended for children who are less than 1 year old. “Honey has well-established antioxidant and antimicrobial effects, which could explain its contributions to wound healing,” according to the news release. “Honey also soothes on contact, which may help explain its effect on cough.” Some, like Caruso, believe honey loses part of its nutritional value when it’s strained and heated to more than 120 degrees, but that’s a matter of debate. The heating is done by large-scale honey producers to delay sugaring. One study found the antioxidant capacity of buckwheat honey dropped by 33 percent when it was processed, but clover honey wasn’t significantly affected, according to a summary of an article from the Journal of Food Science on honey. com. The antioxidant capacity of all honey fell after six months of storage, according to the study. Engeseth said her research echoes those results in that she has found processing honey changes its benefits some, “but it’s not a huge impact.” Those findings, Caruso believes, don’t tell the full story. The filtration removes the bee pollen that helps people with allergies and the heating kills honey’s enzymes, she said. Her company sells raw and whipped honey. Whipping prevents crystallization without changing its nutritional composition, Caruso said. “It turns it into a spread.”
HONEY RECIPES TO SWEETEN THE DEAL Honey of a Dressing
Makes 12 servings
Makes 3/4 cup
3 cups whole-wheat flour 3 teaspoons baking powder 1 teaspoon ground cinnamon 1/2 teaspoon salt 1/4 teaspoon ground nutmeg 1-1/4 cups 2 percent low-fat milk 1 cup honey 1 egg, slightly beaten 2 tablespoons vegetable oil 1 cup chopped dried apricots 1/2 cup sunflower seeds, chopped walnuts or chopped almonds 1/2 cup raisins Combine dry ingredients in large bowl. Combine milk, honey, egg and oil in separate large bowl. Pour milk mixture over dry ingredients and stir until just moistened. Gently fold in apricots, sunflower seeds and raisins. Pour into greased 9 x 5 x 13-inch loaf pan. Bake at 350 degrees for 55 to 60 minutes or until wooden pick inserted near center comes out clean. Nutrition: 302 Calories l 61 g Carbohydrates l 20 mg Cholesterol l 6 g Fat Total l 154 mg Sodium l 7 g Protein l 5 g Dietary Fiber l 15 percent calories from fat l
Green Honey Glow Mask Makes 2 treatments 4 cups fresh spinach 1 cup fresh mint 3 tbsp. honey 1 piece (1-inch) ginger 1 ripe banana 2 egg whites Rinse spinach thoroughly in colander. Cut and peel ginger, set aside. In food processor or blender combine spinach, mint and ginger. Blend on low setting. Add honey and banana and blend until liquid consistency. Add egg whites, blend until all ingredients are mixed thoroughly. Transfer to porcelain bowl or glass dish. On clean skin apply a small amount of Green Honey Glow to entire face and neck. Apply using a fan brush or finger tips. Allow to remain on skin for 15-20 minutes. Rinse and apply appropriate moisturizer. Store covered in refrigerator for up to one week.
1/3 cup red wine vinegar 1/3 cup honey 1/2 teaspoon dried oregano, crushed 1/2 teaspoon salt 1/4 teaspoon ground pepper 1/8 teaspoon cayenne pepper Combine vinegar and honey; mix well. Stir in remaining ingredients. Serving Size: 1 tablespoon Nutrition: 30 Calories l 8 g Carbohydrates l 0 mg Cholesterol l 0 g Fat Total l 89 mg Sodium l 0 g Protein l <1 g Dietary Fiber l 0 percent calories from fat l
Source: honey.com
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Apricot Honey Bread
ARE YOU A GOLFER
IN NEED OF IMPROVING YOUR PHYSICAL FITNESS LEVEL?
13
GLUTEN-FREE DIET RECOMMENDED FOR
CELIAC DISEASE SUFFERERS
TRIBUNE/BARRY KOUGH
Gluten-free cupcakes and gluten-free bread are available at various locations, including the Moscow Food Co-op.
Experts recommend well-planned approach to replace lost nutrients BY AMANDA LARSEN
W
heat is a way of life in this region, but the gluten it contains is a health concern for a growing number of Americans. A gluten-free diet is the recommended course for people with celiac disease, an im-
14
Balance
mune disorder detected through a blood test and intestinal biopsy. Symptoms range from bloating to rashes. According to the Center for Celiac Research at the University of Maryland, the disease was originally thought to be extremely rare in the United States. In 2003, there were 40,000 diagnosed cases — today it’s 110,000 and researchers predict that if everyone with the disease were diagnosed, it would be more than 3 million cases. The recommended diet for celiac sufferers requires that all foods containing gluten be
eliminated and replaced with grains like rice and corn. But Angela Bunce, a registered dietitian at Tri-State Memorial Hospital in Clarkston, warned a gluten-free diet must be approached very carefully. The balance of nutrients becomes more difficult, Bunce said, when you are cutting out the largest of the food groups and trying to replace the fiber, vitamin B, folic acid and other nutrients wheat and other gluten-rich foods contain. see CELIAC – PAGE 15
Gluten-free menu Breakfasts:
Cream of rice cereal with fresh fruit or nuts Cottage cheese or yogurt with fresh fruit Scrambled eggs, bacon and fresh fruit Egg, cheese, and vegetable omelet with potatoes and fresh fruit
Lunches and dinners:
• Baked potato with cheese and vegetables • Corn tortillas with stir-fried meat and vegetables • Stir-fried meat and vegetables with rice and wheat-free tamari • Bean-and-cheese burritos made with corn tortillas • Grilled meat or fish, baked potato and vegetables
Snacks:
• Plain rice cakes with cheese or peanut butter • Nachos made with plain corn chips, cheese and salsa • Celery sticks with cream cheese or peanut butter • String cheese • Plain popcorn with oil and salt • Fresh or canned fruit with yogurt or ice cream
Gluten-free substitutes:
Corn, potatoes, rice, tapioca, amaranth, arrowroot, millet, montina, lupin, quinoa, sorghum, sweet potato, taro, teff, chia seed, yam, various types of bean, soybean, nut flours, buckwheat, gram flour (derived from chickpeas)
“If all you do is give up gluten and not look flour gets into the recipe at all.” at your whole diet, it’s not healthy,” Bunce Other reasons for considering a gluten-free said. “It can be healthy if it’s well planned out. diet, Bunce said, include a possible link to It takes a lot of time and money, and you have treating autism and schizophrenia, although to make sure you get enough nutrients.” she added a gluten-free diet hasn’t been scienBunce said the risks of eating gluten-free tifically proven to help. for a non-celiac patient are similar to any othBunce said cooking and shopping become er type of diet where a lot more difficult “Once someone goes on the a whole food group with a gluten-free diet, they can’t get diagnosed with is eliminated. There diet. Fresh meats, celiac’s because they won’t have are several malnutrivegetables and fruits the symptoms. You need to make tion concerns when are key, and preparsomeone decides to go sure you get an accurate diagnosis, ing from scratch is because this gluten-free diet is the gluten-free. the only way to be cure.” And, Bunce sure. Angela Bunce warned, a celiac “Some people registered dietitian at disease diagnosis is choose to follow Tri-State Memorial Hospital in Clarkston nearly impossible once the gluten-free diet someone starts a gluten-free diet. because wheat might not be digested as well,” “Once someone goes on the diet, they can’t Bunce said. “I talk with people about what get diagnosed with celiac’s because they won’t they eat everyday. All of us have unique diets.” have the symptoms,” Bunce said. “You need Bunce will offer a class on gluten-free cooking from to make sure you get an accurate diagnosis, 5:30-7 p.m. April 7 at the Moscow Food Co-op. because this gluten-free diet is the cure.” In Moscow, many people interested in a gluten-free diet go to the Moscow Food Co-op for their varied selection of glutenfree flours and pre-made baked goods. Lead pastry chef Idgi Levine said she’s seen several people become more interested in gluten-free products and the variety of products the coop offers has increased in the five years she’s worked there. “I’ve heard of people putting their kids on a gluten-free diet for behavioral things,” Levine said. “When we make the gluten-free things here, we don’t multi-task. We clean everything really well and make sure no wheat
Visit our deli: its fresh foods, fresh breads and organic latte’s. Yum.
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WINE, BEER AND
CHOCOLATE!
Oh my! Antioxidant in red wine, dark beer and dark chocolate has health benefits BY SARAH MASON
W
ine and beer drinkers can raise their glass to good health — and eat their chocolate too, according to the American Dietetic Asso-
ciation. Dark chocolate, red wine and dark beer have been found to be high in flavonoids, an antioxidant which serves to reduce blood pressure. “Flavanoids do a number of things,” said Courtney Goff, outpatient dietician at St. Joseph Regional Medical Center in Lewiston. “(For example), they help your blood platelets to be less sticky.” While red wine and some beer may help to reduce blood pressure, Goff said the American Heart Association doesn’t recommend wine or beer to high-blood pressure patients. Flavanoids may be found in many other food items such as apples, any type of berry, legumes, nuts and purple grapes, Goff said. The key is not to overload on alcohol or chocolate, Goff said. In the health world there are no magic bullets, just moderation, healthy eating habits and exercise. “So with dark chocolate they’re recommending anywhere from an ounce a day to three ounces a week,” Goff said. “The American Heart Association’s current recommendation is if you drink alcohol, do it in moderation. … They spell that out as two drinks per day for a man, one drink for a woman.” see WINE – PAGE 19
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Dining on a diet
Growing number of restaurants offer calorie and nutrition information
the healthiest items on a fast-food menu. People think, for example, that Subway is always healthy. But Goff said healthBy BRAD W. GARY conscious diners should stick with lighter subs ven as calorie counts become more instead of sandwiches prolific on restaurant menus and filled with mayo and drive-through reader boards, some marinara. say it’s still too early to tell if diners will And she warns that take a closer look. the belief Caesar “It’s kind of new,” noted Courtsalads are healthy ney Goff, an outpatient dietitian at isn’t always the St. Joseph Regional Medical Center right assumption in Lewiston, of restaurant and to make in a resmenu labels that list calorie and fat taurant setting. content. “The average Others, like Lewis-Clark State American eats College’s Clay Robinson, an exercise Courtney Goff out four times a science professor who also teaches week,” Goff said. nutrition, believe opening up menus to “If they’re always overnutritional information will only make eating (at) all of those a difference if a diner wants to make a meals, for sure they’ll put healthy choice. on weight.” New York City began mandating menus With the typical show calorie and fat information in 2007, value meal weighing in at Barry Kough/Lewiston Tribune and legislation has been debated in a num- 1,000 calories, Robinson Getting the information about what you’re eating in calories and fat might just be ber of other major cities since. But Goff said said he isn’t sure whether right in front of you. Subway prints the information right on its napkins. the jury is still out on what overall effect the putting the information in change will have on the nation’s eaters. the public view will get patrons eating the Tips when eating out: “We’re in the infant stages right now,” healthier choice. she said. “It is exciting.” “When people go to eat at fast-food • Stay away from the fryer (fried chicken, If the menu in front of them doesn’t restaurants, I don’t think they really care,” french fries, etc.). Choose a side salad or have caloric counts, Goff is already able to Robinson said. baked potato as a side dish. • Go grilled. provide her patients with nutritional inforHe believes diners can find healthy • The less legs the better. Chickens and mation through a variety of books, charts choices anywhere they eat, but it’s up to the turkeys have two legs while pigs and and lists. In addition to counting calories, individual to determine whether to choose cows have four. Animals with less legs Goff encourages patients who are diabetic a healthy meal. More and more restaurants tend to have leaner meats. Grilled to look at carbohydrates, and those who are offering lighter fare, and publicizing it chicken is a healthier option than a have heart disease to look at fat and sodium on their menus. burger. content. Such changes won’t win everyone over, • Remove the skin. If there is skin on your She suggests Web sites like calorieking. Robinson said. Diners who want to eat fatty chicken or turkey, take it off. com and her own tip sheet that includes foods won’t search for a light meal simply • Hold the mayo. • Say “no thanks” to soda — have water. recommendations to request wheat instead because a restaurant discloses the calorie of white and to hold the mayo when order- count of its hamburger. Information courtesy of Courtney Goff, ing at a sandwich shop. “It has to come (down) to if we value it, St. Joseph Regional Medical Center It’s an attempt to steer patients toward we’re making the change,” he said.
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IN PLAIN SIGHT
Doctor says Lasik can be a ‘life-changing procedure’ BY CHRISTINA LORDS
A
stuffed fish or teddy bear isn’t exactly a tool that is synonymous with a surgeon’s table. But it’s one Dr. David Leach allows his patients to hold on to often. Leach, surgeon and founder of the Clear View Eye Clinics in Lewiston and Moscow, performs Lasik eye surgery on the Palouse. “It’s a life-changing procedure to the patient,” he said. “We’re routinely asked if it can change your life, and it can.” Leach said many different types of people are good candidates for the surgery, but there are a few eliminating
factors. “People can think they’re a good candidate, but it’s important to get a diagnostic screening test with a review of their medical history,” he said. People with a history of certain kinds of eye infections, rheumatoid arthritis and lupus are examples of some of the conditions that would make a person ineliLYNZI COO/SPECIAL TO THE TRIBUNE gible for Lasik, Leach said. There are risks in Lasik surgery, but the reward for 20/20 vision is worth the Melissa Bell, an optorisk for many people opting for the out-patient procedure. metric physician at Pacific Cataract and Laser Institute in Lewiston, need to be at least 18 to have the procesaid the better the candidate for the surdure, if not slightly older. gery, the better the outcome. Bell said it is important to have a Bell and Leach agreed that patients “stable refraction,” or a prescription that hasn’t changed much over the course of a year or more. “I think the best thing you can do to get a great outcome is stability,” she said. “A lot of people are misinformed that Lasik is a cure-all, but patient selection is important.” Leach said he has seen patients as old as their 60s, as long as they don’t have cataracts.
“People can think they’re a good candidate, but it’s important to get a diagnostic screening test with a review of their medical history.” Dr. David Leach
surgeon and founder of the Clear View Eye Clinics in Lewiston and Moscow
At the Clear View Eye Clinics, Leach said he gives a dose of oral sedative to calm the patient, and anesthetic drops are used to numb the eyes so they do not feel pain. The patient is still awake during the procedure, but an instrument is used to hold the eyelids safely apart. see LASIK – PAGE 19
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Balance
from wine – page 16
One drink means 12 ounces of beer, four ounces of wine and 1.5 ounces of 80-proof liquor, Goff said. The customers of Moscow-based chocolate company Cowgirl Chocolates have taken note of the health benefits of chocolate, manager Carise Skinner said. “There certainly is an awareness of the healthier aspects of darker chocolate,” Skinner said. The recently revealed health aspects of dark chocolate haven’t skewed sales, however. Skinner said Cowgirl Chocolate
“So with dark chocolate they’re recommending anywhere from an ounce a day to three ounces a week. The American Heart Association’s current recommendation is if you drink alcohol, do it in moderation. … They spell that out as two drinks per day for a man, one drink for a woman.” Courtney Goff
from lasik – page 18
The laser creates a thin flap in the cornea of the eye, which is lifted with a micro instrument. The laser then uses corrective measurements obtained prior to the surgery to change the shape of the cornea. The flap is then put back into place and sealed. The procedure lasts anywhere from 10 to 20 minutes, and most people are fully recovered a day or two after the surgery, Bell said. She recommends patients take it easy the day of the surgery, and that they stay away from activities like swimming or water sports up to a week after the
A look at Lasik Lasik eye surgery can help with the following conditions: • Myopia, or nearsightedness • Hyperopia, or farsightedness
outpatient dietitian at St. Joseph Regional Medical Center
still carries about half of its products in dark chocolate and half in milk chocolate. Rick Wasem, winemaker and owner of Basalt Cellars in Clarkston, said the winery has been filled with customers discussing the healthy aspects of red wine. “Red wine certainly improves your outlook on life, in moderation,” Wasem said. Red wine drinkers only see health benefits if they consume alcohol in moderation and live a healthy, active life, Wasem said. For anyone who is struggling with health issues such as heart disease or high blood pressure, Goff said dieticians may be the best person to turn to, rather than a bottle of wine or a bar of chocolate. “Healthy is a skill,” she said. “It can be very, very overwhelming and that’s where I help them to develop a skill, to develop a healthy relationship with food.”
surgery. Most complications associated with Lasik occur in relation to the flap, Leach said. “The risk with Lasik in general are almost always associated with flap,” he said. “Right after it’s made … it can wrinkle or be folded.” Most flap-related incidents are treated by making a new flap, he said. Costs for the procedure can vary, Leach said, especially because most insurance companies consider the surgery to be cosmetic. He said the average cost for the surgery is usually around $2,300 per eye.
• Astigmatism, or when vision is blurred because of the eye’s inability to focus an object into a focused image
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Spring 2010
19
Hypnotherapy climbing out of the shadows Practice being used as an effective treatment for everything from quitting smoking to pain management
said it has taken many years and many positive her experience using hypnotherapy for natural results for hypnotherapy to overcome this childbirth as a huge success. Also known as unfavorable stereotype. hypnobirthing, Mills was coached in visualizaMoscow hypnotherapist Glenda Hawley ex- tion and deep breathing techniques to manage plained that hypnosis and significantly “Hypnosis and hypnotherapy and hypnotherapy utireduce the pain of By Sarah Barrett lize similar techniques utilize similar techniques in delivery. With a bringing an individual to a hypnotic mental map of muscle ypnotherapy is emerging as an effecin bringing an indistate, but unlike its counterpart, tive technique for behavioral therapies vidual to a hypnotic anatomy and visualizhypnotherapy specifically assists after a long legacy plagued by miscon- state, but unlike its ing a positive, natural individuals in making significant ception and cynicism. counterpart, hypnodelivery, Mills delivlife changes.” Although it’s akin to hypnosis, Moscow therapy specifically ered both her children Glenda Hawley pracitioner April Rubino said hypnotherapy is assists individuals in without the aid of Moscow hypnotherapist a different animal altogether. making significant life modern intervention. Where hypnosis is often described by changes. Used to break habits such as smoking From breaking bad habits to childbirth, practitioners as a method to illicit novelty or overeating, hypnotherapy is also used for hypnotherapy is being recognized for enabling effects, Rubino said hypnotherapy has clinical pain management, the alleviation of anxiety individuals to tap their greatest resource, the objectives and is distinctly more credible than disorders and phobias or to enhance performind — and, as Rubino said, go the distance. its stage cousin. mance levels, from athletic to academic. Many think of hypnosis as a bizarre and Using guided imagery and a host of relaxA variety of applications obscure method that lulls participants into a ation techniques, hypnotherapists bring an trance, reducing them to zombie-like circus individual to a wakeful state of focused attenHypnotherapy can be used as a means acts in front of a curious audience. Rubino tion. Hawley said this present, but relaxed, state to control or modify behavioral issues of mind allows an individual to receive verbal including: suggestions that reinforce their subconscious desire to overcome a compromising condition, • Anger management habit or pattern of behavior. • Anxiety • Smoking cessation According to the American Society of Clini• Alcoholism cal Hypnosis, neither hypnosis nor hypnother• Allergies apy are unconscious acts. Rubino, of Integrative • Headaches Mindworks, said hypnotherapy “gives courage • Bed-wetting and support to an individual by providing Quality Care for Your Loved One • Dental treatments suggestive reinforcement in a state of nonresis• Irritable Bowel Syndrome tance. It helps a person go the distance.” • Childbirth She and Hawley agreed that it is imperative • Extreme nervousness for the individual to want the transformation • Insomnia/sleep disorder • Sexual problems they claim to seek. Hypnotherapy cannot force • Sports performance an individual to change or do anything. Rather, • Pain management it acts as a conduit for someone to be success• Phobias or morbid fears ful in actualizing their intentions when other • Self-confidence • In-Home Supportive Services options have failed. • Increased assertiveness • Quality Assurance Rubino and Hawley have a broad client base • Increased enthusiasm • Quality Staffing ranging from children to the elderly and on • Elimination of habits (nail biting, etc.) • Meal Preparation average, an equal number of male and female • Extreme guilt You can depend on Addus Healthcare clients. Depending on the condition being ad• Depression to deliver your services dependably • Weight loss dressed, an individual may have one or several and completely • Stammering/stuttering hypnotherapy sessions, each lasting about an hour. Hypnotherapy generally costs about $75 Phone: 208-746-8881 Source: Creighton University School of per session. Medicine Toll Free: 877-566-8300 Moscow resident Donna Mills describes
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TO TEST OR NOT TO TEST No easy answer when it comes to cancer screenings BY KERRI SANDAINE
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ontroversial new federal guidelines on cancer screenings may have some people scratching their heads. Bottom line: There’s no simple answer when it comes to how often a person should be tested, say medical experts. Everyone is different, based on their personal history and individual risk factors. Guidelines released in November by the U.S. Preventive Services Task Force suggest delaying an average-risk woman’s first mammogram by 10 years, reducing future screenings from annual to every other year, and ending them after age 74. Older breast-cancer screening guidelines call for annual mammograms starting at age 40. The American Cancer Society follows the
earlier guidelines. “We encourage early detection and prevention,” said Cynthia Rozyla, district quality of life manager for the American Cancer Society. Women between the ages of 21 and 29 should do self breast exams and report any changes to their physicians, said Rozyla, who works in northern Idaho and eastern Washington. Women in this age group are advised to get breast exams by a doctor or nurse every three years, have a pap smear no later than age 21 and again every one to two years. In the 30-39 age group, women who have three normal pap smears should ask their doctor or nurse about having it every two to three years, instead of every one to two see TEST – PAGE 22
PHOTO COURTESY OF THINKSTOCKPHOTOS.COM
Due to personal history and individual risk factors, there is no simple answer to how often a person should be tested.
LIVE LONG!! – LIVE HEALTHY!!
1) Do an exercise almost everyday that increases your heart rate for at least ten minutes. 45 minutes to an hour six days a week is ideal. Consider using a heart rate monitor. Talk to your doctor about what exercise program would be right for you but everyone should do some exercise at least six days per week. 2) Eat a well balanced calorie restricted diet emphasizing whole grains, green leafy vegetables and fruit. Eat the fruit instead of drinking the juice. Eat 2 fish meals per week. 3) Always use your seat belt. Don’t drive tired. Avoid distractions like cell phones while driving. 4) Vaccines are safe and have saved millions of lives. Get influenza, pneumonia, zoster and other vaccines as recommended by your doctor. Wash your hands or use hand sanitizer after contact with other people such as shaking hands. Wash uncooked fruits and vegetables. Make sure ground meats are well cooked throughout. 5) If meat, bread, pills and the like ever stick or stop after you swallow consult your doctor. If you have heartburn or indigestion more then once per week or use medication ever day to control your heartburn, talk to your doctor about checking for risk of esophageal cancer. If you suddenly develop “indigestion” or chest pressure it may be your heart: CALL 911! 6) Get a colonoscopy at the age of fifty or earlier if there is history of colon cancer or colon polyps in your family. Colon cancer is a completely preventable cancer that causes tens of thousands of deaths every year. A colonoscopy totally eliminates the risk of colon cancer, with rare exceptions. 7) Red blood with bowel movements often is bleeding from a tumor of the colon! Talk with your doctor about any blood associated with bowel movements, urination or coughing. 8) Work with your doctor to strictly control any elevation in blood pressure, blood sugar, LDL cholesterol, triglycerides and body weight. 9) Work with your doctor to detect cancers early. Get a mammogram or a prostate check at the recommended times. Avoid exposure to the sun; wear a hat and use at least 30 sunblock if you must be in the sun. Never use tanning booths. Have any mole or sore on the skin that has changed or does not go away checked by your doctor. 10) If you smoke or use tobacco products, STOP!! Talk to your primary care doctor about help in stopping smoking now! 11) If you drink alcohol, do so in moderation. Don’t drink every day and never average more then 2 drinks per day. Perhaps red wine is the healthiest of alcoholic beverages. 12) If you take medications always either know what your medications are and why you take them or carry a list with you. Make sure all your doctors and pharmacist know what you take and check for interaction; this includes supplements and over the counter medications. Take your medication as prescribed. Discuss any change you want to make with your doctor. Ad sponsored by Lewis Clark Gastroenterology, PLLC
261776C1-10
Spring 2010
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from TEST – PAGE 22
years, she said. sociation with Syringa Hospital and Clinics at Additional information on cancer screenWomen in the 40-49 age category should 202 N. A St. ings is available online at www.cancer.org, get their first mammogram, according to Tammy Smith, clinical director of Lewis www.cancer.gov and www.cdc.gov. the American Cancer Society. A breast exam Clark Endoscopy in Lewiston, said screening should be performed every year during a for colorectal cancer should begin at age 50. woman’s annual physical and any changes or Screening is recommended at a younger age if lumps should be immediately checked by a a person has a strong family history of colon physician, Rozyla said. Pap smears are recom- cancer or is experiencing symptoms, such as mended every one to three years for this age rectal bleeding, blood in the stool, changes in You can reduce your risk of cancer with group. bowel movements, the following lifestyle choices: “If you need a screening and don’t unexplained weight In the 50 and older • Stay away from tobacco. age group, the recom- have the resources, there are often loss, diarrhea, constilocal resources available to help. ” • Stay at a healthy weight. mendations are the pation and vomiting. • Get moving with regular physical Cynthia Rozyla same, with the addiIf a patient has activity. district quality of life manager for tion of a colonscopy. precancerous polyps • Eat healthy with plenty of fruits and the American Cancer Society “I really encourage removed during the vegetables. people to visit the cancer resource center at St. colonoscopy, he or she will be scheduled in • Limit how much alcohol you drink (if Joseph Regional Medical Center (in Lewisthree to five years for recheck. If the polyps are you drink at all). ton),” Rozyla said. “If you need a screening not precancerous, the next colonoscopy will • Protect your skin. and don’t have the resources, there are often be scheduled in five to seven years, she said. • Know yourself, your family history, and your risks. local resources available to help.” If no polyps are found, the next colonos• Have regular checkups and cancer The center is open from 10 a.m. to 2 p.m. copy will take place in 10 years, unless the screening tests. Monday through Thursday. Similar resource patient has rectal bleeding or symptoms that centers are available at Gritman Medical would cause them to come in earlier, Smith Source: American Cancer Society Center in Moscow and at Grangeville in assaid.
REDUCE YOUR RISK
Your LOCAL Stroke Recovery Specialists
Stefanie Elliott, OTR/L Rehabilitation Service Manager Occupational Therapist
Steve Fuller, PT Physical Therapist
Suzan Rheault, PT Physical Therapist
Henry Jaquez, OTR/L Occupational Therapist
Kerry Douge, PT Physical Therapist
Danalyn Workentin,
Angie Caverhill, COTA/L Occupational Therapy Assistant
Lisa Meyer, PT
Jody Hasenoehrl, PTA
OTR/L Occupational Therapist
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For more information on our stroke recovery programs, inpatient/outpatient therapy programs please call or visit Life Care Center of Lewiston
208.798.8500
Cynthia Tomlinson, MS, CCC-SLP Speech Therapist
Jackie St. Marie, MA, CCC-SLP Speech Therapist
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261313C1-10
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Balance
Something to talk about
Professors say cell phones are safe to use
Cell phones do emit radio frequency energy, or radio waves, which can be harmful in large amounts, Young said. By Christina Lords But because the cell phone ell phones have permeated everydoes not emit a large enough day life for hundreds of millions of amount of the radio waves, they Americans. are not harmful to the cell phone The majority of people conduct personal user, he said. and business calls via cell phone everyday. “Cell phones do not put out But can those calls be harmful? enough power,” Young said. “It’s Jeffrey Young, a University of Idaho profes- a very small, fractural amount, sor of electrical and computer engineering, so small you won’t even perceive doesn’t think so. it. It won’t do anything harmful Geoff Crimmins/Moscow-Pullman Daily News Young, who researches electromagnetism, to the biological material within A student talks on a cellular telephone at the University of Idaho in Moscow. said many people who think using a cell your head.” phone can be harmful have been exposed to The waves work much like misinformation. microwaves that are used to cook food. When Robert Olsen, a professor in the Washing“There’s been a lot of bad press about the the microwaves hit the food, the temperature ton State University College of Engineering dangers of cell phones,” he said. “My belief and of the food rises. If a radio wave was strong and Architecture, said the radiofrequency exthe belief of many in this field think it’s been enough, it could warm a person’s head, he posure levels a cell phone puts out is regulated see phone – page 25 blown out of perspective.” said.
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Visit our office building on the corner of 16th Avenue & 17th Street, Lewiston 208-743-0141 Spring 2010 23
Moscow chiropractor specializes
in sports-related injuries
By Christina Lords
T
he Reno Renegades, a former professional minor league hockey team, used to have a special name for Joel Jaureguito. They dubbed him the “bone crusher.” And he’s in the business of doing just that. As a chiropractor in Moscow, Jaureguito said his main goal is restoring motion to his patients’ joints. “Our bodies were meant to move,” he said. “Today, people live a lifestyle where people sit at desk jobs, and it kills us, literally.” Jaureguito has been a chiropractor for 18 years and said he specializes in sports chiropractic. Serving as the Renegades’ chiropractor helped Jaureguito learn the ins and outs of sports-related injuries, but he applies the
same mindset to all of his patients, includJaureguito said even an extra five or 10 ing his own children. pounds of body weight can cause ailments “I apply the sports treatment to everysuch as lower back pain. one,” he said. “I want them to get them He recommends people couple core back out there, whether they’re on a field and physical strength training with their or not.” routine chiropractor visits. What patients do outside Jaureguito’s Jaureguito said he knows certain stigoffice is as impormas can be attached “Our bodies were meant to move. to chiropractic tant as what he does inside of it, he said. Today, people live a lifestyle where work. He doesn’t people sit at desk jobs, and it kills Educating pafeel the need to contients about leading us, literally.” vince people that Joel Jaureguito a healthy lifestyle chiropractics can chiropractor in Moscow by eating right and help some people. doing healthy activities are ways to reduce “If it’s a chiropractic problem, chiropain in their joints and backs, he said. practics will work,” he said. “I want to give these people the tools to If the injury hasn’t gotten better within have good quality of life,” he said. “I want three visits to his office, Jaureguito said them to be able to enjoy their hobbies and he’ll recommend a patient to a medical their jobs and their children.” doctor. The average rate per chiropractor visit varies between $30 and $100, depending on the chiropractor, he said. Each visit usually takes 20 to 30 minutes. Jaureguito said many chiropractors accept patients who have insurance plans that The Cottage see back – page 25
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• Maintain a healthy diet and weight • Remain active under the supervision of your doctor of chiropractic • Warm up or stretch before exercising or other physical activities, such as gardening • Maintain proper posture • Wear comfortable, low-heeled shoes. • Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues • Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct Source: American Chiropractic Association
from PHONE – PAGE 23
by the Federal Communications Commission. “What they try to regulate is the strength of the emissions of a cell phone,” he said. “They also recognize, in normal use, that the cell phone is held close to the head.” Olsen and Young agreed that even over a long period of time, the radio waves are still not strong enough to cause harm to cell phone users. Olsen said there are reputable scientists that disagree, but the “vast majority of the preponderance of evidence” suggests the waves are not harmful. According to the FCC, all wireless phones in the United States meet government requirements that limit radiofrequency energy to safe levels. It requires wireless phones to have specific absorption rate levels no greater than 1.6 watts per kilogram. The FCC’s Web site states there are steps a person can take to reduce exposure to radiofrequency energy through a cell phone, such as using a headset and carrying the wireless phone away from the body.
Moscow chiropractic physician Joel Jaureguito also offers personal training at Jaureguito Sports Chiropractic in Moscow.
GEOFF CRIMMINS MOSCOW-PULLMAN DAILY NEWS from BACK – PAGE 24
cover chiropractic work, but he does not. He prefers to not work with insurance companies because he thinks they can “dictate the treatment a patient receives,” he said. Kim Boettger, a customer service representative for Rick Woods Insurance in
Lewiston, said chiropractic work, depending on the plan, is a part of most insurance companies’ programs. “It’s all dependent on the product you select,” she said. Some programs require a person to have already met their deductible to qualify for chiropractic work, she said.
Living the Mission Announcing another first for our region! St. Joe’s is the only hospital in northern Idaho and eastern Washington to be designated a Blue Distinction Center for Spine Surgery by the Blue Cross Blue Shield Association. Blue Distinction for Spine Surgery recognizes: Surgical expertise and processes of care, Surgical checklists, tracking and clinical outcomes, and the quality of the acute care inpatient facility This designation comes thanks to the leadership of our surgeons (Doctors William Hill, Donald Soloniuk and Gregory Dietrich), our anesthesiologists and our professional staff which truly is living St. Joe’s mission and philosophy every day. It is further proof that living the mission brings its rewards - not just for us, but more importantly - for you. People committed to life.
Note: Designation as Blue Distinction Centers means these facilities’ overall experience and aggregate data met objective criteria established in collaboration with expert clinicians’ and leading professional organizations’ recommendations. Individual outcomes may vary. To find out which services are covered under your policy at any facilities, please call your local Blue Cross and/or Blue Shield Plan.
TH STREET s lewiston, idaho
www.sjrmc.org
208 -743 -2511 Spring 2010
25
no need to grin and bear it
Options abound for those who seek, need orthodontic care By Yesenia Amaro
I
t’s never too late to have the smile you always dreamed about — without some of the drawbacks commonly associated with traditional braces. Technological advances have made it possible for some adults to straighten their teeth without having to use metal braces at all. About 1 million Americans and Canadians over the age of 18 are getting braces to improve their dental health, according to WorlDental. org. Moscow dentist Dr. Kevin C. Henry said most people who are in their 20s, 30s, and 40s are opting for clear, custom-made teeth aligners called Invisalign. “It’s a neat option,” he said. “You don’t have to walk around with the braces that we usually associate with teenagers.”
Kyle Mills/Lewiston Tribune
Braces seems like most every kid needs them these days but how much do they cost and are there payment plans?
Henry said there are several companies that develop a series of clear retainers. They typically slip onto the person’s teeth and gradually move the teeth that way. Henry said the Invisalign treatment costs a little more than $4,000. His practice, Blue Sky Dental, offers financing through the CareCredit
company. CareCredit was created 22 years ago and offered to doctors to help their patients pay for new dental implant technologies that often are not covered or fully covered by insurance, according to its Web site. Henry said CareCredit provides interest-
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free financing for up to 18 months as long as a braces can cost less. patient is making payments. He said based on national data from 2008, “That is one way to do it,” he said, adding the average cost for children’s orthodontic treatthat his practice also carries accounts for up to ment was $5,150. The average cost for adults three months so customers can pay for services. was $5,500. Although the Invisalign treatment is gaining Pickard said the vast majority of his patients popularity, Henry said make a 25-percent “Simplistically, our teeth are major dental problems downpayment and are “still better treated like any other mechanical system,” the rest of the balance he said. “When they fit and work with traditional is usually paid in properly, there’s going to be less braces.” equal monthly installwear and tear on teeth, the bone Dr. Michael ments. and gums around the teeth and the Pickard with Pick“We try to make jaw joint.” ard Orthodontics in it convenient to the Dr. Michael Pickard Pullman and Moscow patients and their Pickard Orthodontics in Pullman and Moscow agreed. financial situation,” The clear braces “are very attractive, but they he said. are limited in what they can do,” he said. “It Pickard said insurance companies will typiwon’t provide patients with the best results.” cally cover some of the costs for braces. Traditional braces can cost slightly more, “Insurance coverage in this area typically depending on the treatment. Pickard said based covers 50 percent of the cost, up to a maximum on national studies, the cost of full upper and insurance benefit of $1,000 to $2,500,” he said. lower braces could range from $3,000 to $5,500 Pickard said studies indicate that the nadepending on whether the problems are fairly tional average treatment time can range from simple or more complicated. He said partial see braces – page 29
“
BRACES BY THE NUMBERS • Average cost for Invisalign treatment is around $4,000 • Average cost for full upper and lower traditional braces could range from $3,000 to $5,500 depending on dental problems • In 2008, the national average cost for children’s orthodontic treatment was $5,150 and $5,500 for adults • Insurance companies typically cover 50 percent of the cost • Most orthodontists require an initial down payment of 25 percent and the remaining balance is made in equal monthly payments • The American Association of Orthodontics recommends that all children receive an orthodontic evaluation at age 7
”
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Spring 2010 27
PEDAL POWER
A good bike is worth the investment
bicycles begin at about $350. He also said mountain bikes have “It’s pretty tough to find a (quality) straight handlebars, while road-bike multi-speed for less than that,” he said. handlebars are positioned lower. Allen said entry-level cyclists should “The biggest reason for that is because BY HOLLY BOWEN expect to spend at least $350 to $450, on the road bike, you want to be in a spiring and current cyclists lookdepending on the more aerodynamic “If you take care of it, it can last ing to buy a new bicycle should be features they want stance,” he said, forever. We have bikes that come in “and on a mountain prepared to make an investment in a bike. from the ’70s and ’80s that we can of several hundred dollars. “On a road bike, bike, you kind of fix up and make brand-new again. want to be a little That’s the price to pay for quality, safety you’re looking at It’s just a matter of taking care of and longevity, a couple of local bike shop about $600 and up, more upright. It them.” employees said. and on a mountain gives you more Clay Allen “If you take care of it, it can last forbike, you’re looking control.” Follett’s Mountain Sports in Moscow ever,” said Clay Allen of Follett’s Mountain at about $400 and Ferguson said Sports’ Moscow store. “We have bikes that up,” he said. people looking for the best of both bicycle come in from the ’70s and ’80s that we can Allen said the biggest difference beworlds can buy a comfort hybrid bike. fix up and make brand-new again. It’s just tween road and mountain bikes is the type “The only difference between it and the a matter of taking care of them.” of wheels. Road bikes use skinny 700C mountain bike is the wheel size,” he said. Scott Ferguson, manager of Pedals ‘n’ wheels, while mountain bikes have thicker “The wheel’s a little taller and skinnier Spokes in Lewiston, said most quality 26- or 29-inch-diameter wheels. see BIKE – PAGE 29
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Cyclists should expect to pay several hundred dollars for a quality bike.
Bicycle buying options Road bikes
• Have thinner wheels and lower handlebars to increase aerodynamics • Can cost at least $600 for a quality bike • Best for people who expect to ride only on pavement
Mountain bikes
• Have thicker wheels with more traction to grip a variety of surfaces • Cheaper than road bikes but still at least $300 for quality • Best for people who are interested in off-road bicycling
Hybrid bikes
• Mix between a road and mountain bike for dual-use • Most popular type of bike, but still expect to pay hundreds for quality • Ranges in complexity from seven to 21 speeds
from bike – page 28
from braces – page 27
than a mountain bike to go faster on the street.” He said older adults should take a look at comfort mountain bikes. They start at seven speeds, but he said the most popular is the 21-speed. “They’ve got a bigger tire and a bigger seat,” Ferguson said. “You sit upright, so you’re more comfortable and more steady on the bike.” Allen said hybrid bicycles are designed to be comfortable and ridden just about anywhere. “There’s a ton of different styles of hybrids,” he said, adding they are probably the most common bicycle available. As far as bicycle accessories go, Allen said a quality helmet — about $40 for entry-level riders — is the most important for safety. “The more money you spend, the better the fit will be,” he said. He also recommended a bicycle lock and said gloves and lights are popular items as well.
28 to 29 months. He said he usually is able to complete most of his cases in less time. “I use some techniques which allow us to finish most of our cases in 20 to 24 months,” he said, adding simple cases can take less than a year. Although many people seek orthodontic treatment for aesthetic reasons, the fit and function of the teeth is an important purpose for orthodontic care. “Simplistically, our teeth are like any other mechanical system,” he said. “When they fit and work properly, there’s going to be less wear and tear on teeth, the bone and gums around the teeth and the jaw joint.” Pickard said if braces are postponed when needed, the chances of having problems increases. People considering braces for any reason should schedule a consultation with an orthodontist to make an informed decision. Both of his offices offer free consultations that include pictures and X-rays of the teeth as well as a clinical exam and follow-up discussion.
The Laser Center
Spring 2010 29
Art gives strength to group with mental illness making art brings a precious sense of control to those sufCHICAGO — A week into his hospitaliza- fering from schizophrenia and tion at the Elgin Mental Health Center, Jeffrey other mental disorders. When Eppard was given pencils and paper and inthe mind, body and emotions vited to draw anything he wanted. The subject unite in the act of creation, a he chose was his left arm. person can feel he has regained He outlined it in a blur of charcoal, then power over his life, Vick said filled in the details: the lines crisscrossing his The Awakenings Project palm; the bracelet spelling out “Angel”; and doesn’t offer formal therapy, the still-fresh scar that began at his wrist and but it follows similar prinslashed toward the crook of his elbow. ciples. It was founded in The wound was a remnant of the suicide 1996 to showcase the artistic attempt that had landed him in the hospital. abilities of people with mental He said evoking it with a sketch was, to his illness, allowing them to earn surprise, a comfort. self-respect. “It brings back some of the anxieties, but “Most people with a mental it’s not entirely bad,” said Eppard, 24, who suf- illness don’t work, so they don’t fers from bipolar disorder. “Just visually seeing have a work identity,” said it (on paper) tells me it’s OK. I’m sick, but it’s co-founder Robert Lundin. Photo courtesy of Thinkstockphotos.com going to be all right.” Exhibiting their art “gives them Psychologists long have believed that art provides a window into troubled minds, Though he used the language of recovery, a kind of identity in the combut what once was mainly a diagnostic tool has become an instrument of healing. it was no therapy session. It was a simple munity. They can legitimately afternoon of drawing put together by some call themselves an artist.” with points of light, its lid heavy with charcoal. who had battled their own demons that they In time, the group began to seek out and He shaded the corner over and over again believed could be quieted, at least for a mocultivate that talent. It rents a downtown Elgin, until it appeared to be weeping black tears. ment, with a swirl of graphite. Ill., studio, where its members produce oil Art teachers “always told me not to overThe organizers were from the Awakenings paintings, watercolors and collages. It spreads shadow,” he said. “I tend to like things dark. Project, a collective of people with mental the word at national mental health conferThat’s just me.” illnesses who have ences. For the last five John Miller, 30, worked in a lighter vein, “Most people with a mental found strength in art. years, it has reached reproducing simple likenesses of a rabbit and illness don’t work, so they don’t have They meet weekly in bird he had found in a book. Then he tried a a work identity. Exhibiting their art out to institutions a suburban studio where people with se- freehand portrait of his childhood home. It gives them a kind of identity in the to draw and paint, vere mental illnesses was a place of sad memories, he said, yet he community. They can legitimately and, on occasion, are treated. smiled as he drew its crooked stairs and windcall themselves an artist.” they travel to mental That is what led whipped flag. Robert Lundin health centers to O’Neill and four “I think art’s a good getaway,” he said. co-founder of the Awakenings Project share their materials fellow Awakenings “When we’re sitting here doing this, it takes and enthusiasm with those still emerging from volunteers to the Elgin Mental Health Center us away from our troubles. It’s like we’re kids crisis. one recent Saturday. They passed out pencils, again.” “My hope is to unleash the joy,” said Irene paper and a few art books to a dozen patients, Other sketches were difficult to grasp. They O’Neill, one of the group’s founders. “I just and after they made a few introductory rewere patchworks of runes, figures and phrases want people to get into it and have fun.” marks, the sketching began. that remained impenetrable, even after their Psychologists long have believed that art Francis Chereck, 29, had an elegant, polcreators tried to explain them. provides a window into troubled minds, but ished style. He had taken plenty of art classes One young man stricken by schizophrewhat once was mainly a diagnostic tool has when he was younger, he said, and even now, nia drew symbols in the chunky, 3-D style of become an instrument of healing—draw a tree despite the bipolar disorder shaking his life, a graffiti tagger. The man, who asked to be that represents your feelings. he liked to draw video game characters to give called “Pi,” said he was obsessed with numbers Randy Vick, a therapist who teaches at the away as gifts. and formulas. Reproducing them gave him a see art – page 32 School of the Art Institute of Chicago, said He drew a human eye, its pupil dabbled By John Keilman
30 Balance
Crossword CLUES ACROSS 1. Adult male swan 4. Expresses surprise 7. Founder of Babism 10. Oil cartel 12. Daminozide 14. Characterized by unity 15. E. Greek island 17. Valley 18. New Rochelle college 19. 1st Am. Sec. of State 22. Martes zibellinas 23. Sharp in taste 24. WorldÕs longest river 25. Photojournalist Jacob A. 26. Head bob 27. Tennessee 28. Tree cutting tools 29. Molten metal scum 31. Western State 32. Small crude shelter 33. Murre genus 35. The former ruler of Afghanistan 37. Sleeping noise 39. Sporting theater 41. 4th thursday in Nov. 45. Stitched borders 46. C____van: fine leather 47. Cut from a larger piece 48. Before 49. ____sade: fortification 50. The land around a house 51. Manuscripts (abbr.) 52. ___ student, learns healing 53. S.E. Asian country: ___s CLUES DOWN 1. The amount paid 2. Moonfish
3. Deplore 4. Islamic pilgrimages 5. Wings 6. One of two equal parts 7. Encouraging morale 8. Aggravates 9. Seedpod of a legume 11. Ways to put things together 13. Be____: lovelorn 16. Unhealthy looking 18. In an annoying way 20. They are planted or sown 21. Pinna 28. Last names
29. Flows into Lake Chad 30. Luminous flux units 33. Theater guides 34. Built by Noah 36. A type of tire 38. Employee stock ownership plan 39. Keep away from 40. Spinal bones 41. Not us 42. Metric weight unit 43. Inactive 44. Tokyo
Solution on page 32
Sudoku
Mental Fitness
HOW TO PLAY: Sudoku puzzles are formatted as a 9x9 grid, broken down into nine 3x3 boxes. To solve a sudoku, the numbers 1 through 9 must fill each row, column and box. Each number can appear only once in each row, column and box. You can figure out the order in which the numbers will appear by using the numeric clues already provided in the boxes. The more numbers you name, the easier it gets to solve the puzzle!
Solution on page 32
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from art – page 30
feeling of tranquility. His drawing was striking and skillful, but he dismissed it, telling a visitor to take it away. “It’s frivolous,” he said. “I’ll reproduce it another way, another time. I could burn this right now and it wouldn’t mean anything to me.” A moment later, though, he asked to look at an image of his sketch that had been captured by a Chicago Tribune photographer. “Oh, that’s beautiful,” he said. He went back to the visitor with two clean
sheets of paper, urging him to sandwich the drawing between them so the lines wouldn’t smudge. Such small moments of pride were evident throughout the three-hour session. But when it ended, it was hard to say whether it had produced any lasting effects. Most of the patients left their work behind when they headed back to their rooms. Packing up the materials, O’Neill said she was optimistic. Her bipolar disorder brought her plenty of misery after she was diagnosed in
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1976, when she was 20. She had been hospitalized against her will, clapped into straitjackets and shot up with debilitating medications. But she never lost her childhood love of art. And when she helped found the Awakenings Project, she said, she learned that her painting and collage-making — and most important, her relationships with other artists — could give her stability. She had a new identity, one in which her mental disorder was only a single shard in a larger mosaic. Maybe, she said, art could help a few more reach the same place. “Some of them will re-identify as artists,” she predicted. “Some will start to see themselves in a different light. People get back in touch with themselves and know that they are more than just their illness.”
On the level Your guide to area health professionals
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Balance Directory Local resources for mind, body and motivation To be a part, call (208) 848-2216 or (208) 882-5561
ALLERGY AND ASTHMA
Allergy and Asthma Tri-State Clinic 1207 Evergreen Court, Clarkston (509) 751-0600 www.drlgarges.mymedfusion.com
ASSISTED LIVING
Wedgewood Terrace 2114 Vineyard Avenue, Lewiston (208) 743-4545
EYE CLINIC-LASIK-CATARACT ClearView Eye Clinic Lewiston & Moscow Toll Free (866) 770-2020 www.CVeyes.com
FAMILY MEDICINE
Blue Mountain Family Health 1267 Belmont, Clarkston (509) 751-5500
Guardian Angel Homes 2421 Vineyard Avenue, Lewiston (208) 743-6500 www.guardianangelhomes.com
Moscow Family Medicine 623 S. Main, Moscow (208) 882-2011 moscowfamilymedicine.com
CHIROPRACTOR
HEALTH CARE
Elm View Chiropractice Clinic Dr. Terri J. Drury 1303 6th St., Clarkston (509) 758-0660
CHIROPRACTOR - SPORTS
Jaureguito Sports Chiropractic Dr. Joel Jaureguito 1352 Troy Rd • Moscow (208) 882-1100
DENTISTRY
BlueSky Dental Dr. Kevin Henry, DDS 2500 A St. Ste. 204 • Moscow (208) 882-9111 www.blueskydentistry.com Maplewood Dental Dr. Bill Perez Corner of 16th Ave. & 17th St. Lewiston Fairview Dental 1639 23rd Ave, Lewiston Idaho (208) 746-0431 Galen K. Haas,D.D.S., P.A. Cody K. Haas D.D.S.
DENTURIST
Clarkston Denturist Clinic 1346 12th Street, Clarkston Washington (509) 758-7805 Eldred D. Olson, L.D.
34 Balance
A Full Life Addus HealthCare 1034 Main Street, Lewiston Idaho (208) 746-8881 Toll Free 877-566-8300
HOME HEALTH CARE
Seubert’s Quality Home Care Lewiston, Moscow, Grangeville (208) 743-1818, (208) 883-1114, (208) 983-5275 www.seubertsquality homecare.com
HEARING AIDS
HOSPITAL / MEDICAL CENTER St. Joseph Regional Medical Center 415 6th Street, Lewiston (208) 743-2511 www.sjrmc.org
Tri-State Hospital 1221 Highland Ave., Clarkston (866) 814-3412 tristatehospital.org
INPATIENT/OUTPATIENT THERAPY Life Care Center of Lewiston 325 Warner Drive, Lewiston (208) 798-8500 www.LCCA.com
LABORATORY
Pathologists’ Regional Laboratory Pullman, Clarkston, Lewiston (800) 443-5180
MEDICAL
Charmaine Allen-Johnson Complimentary Integrated Health Care 327 Thain Rd Suite 3, Lewiston (208) 743-5913
Puretone Hearing Aid Service 1850 Idaho Street, Lewiston (208)746-6068, (208) 248-5049
L-C Gastroenterology/Endoscopy 1630 23rd Ave #701, Lewiston (208) 743-6200
HOSPITAL / MEDICAL CENTER
MEDICAL SPA
Clearwater Valley Hospital & Clinic Orofino (888) 743-2091
Gritman Medical Center 700 S Main, Moscow (208) 882-4511 www.gritman.org Pullman Regional Hospital 835 SE Bishop Blvd., Pullman (509) 332-2541 pullmanregional.org
LaBella Vita Medical Spa 2301 West A Street #A, Moscow 1119 Highland Ave #6, Clarkston (866) 882-0331; BellaYou.net
NATURAL MARKET
Huckleberry’s Inside Rosauers 322 Thain Road, Lewiston www.huckleberrys naturalmarket.com Moscow Food Co-op 121 E. Fifth St., Moscow (208) 882-8537 www.moscowfoodcoop.com
NURSING & RETIREMENT HOMES
Royal Plaza Retirement & Care Center 2870 Juniper Drive, Lewiston (208) 746-2800 www.royalplazalewiston.com
PHYSICAL THERAPY
Institute of Physical Therapy 678 Southway, Lewiston www.instituteofphysical therapy.com
PODIATRIC MEDICINE
Ronald W. Alm, D.P.M. Doctor of Podiatric Medicine Lewiston, Moscow, Orofino (208) 743-2091, (208) 882-3513, (888) 743-2091
RETIREMENT LIVING
Bishop Place 815 SE Klemgard, Pullman (509) 334-9488 lifestylesllc.com Whitman Senior Living 1285 SW Center St, Pullman (509) 332-2629 whitmanslc.com
VEIN CARE
Clearwater Vein Care Center Bryden Canyon Center 3316 1/2 4th Street, Ste B, Lewiston (208) 798-7600 www.clearwaterveincare.com
VOLUNTEER OPPORTUNITIES
Interlink Volunteers-Faith in Action 817 A 6th St, Clarkston (509) 751-9143 interlink@clearwire.net
Spring Allergies
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Spring 2010
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Wellness: A Balance of • Lifestyle • Exercise • Knowledge • Care
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Leading the Way to Wellness 36 Balance
www.gritman.org
700 S. Main St., Moscow, ID
(208) 882-4511