How-to Guide 2010

2010 Consumer

How To Guide

your guide on how to

make the right

buying decisions

How To Choose A Hearing Aid Facility ........................... Page 2 How To Choose Vinyl Windows ........................................ Page 4 How To Choose An Air Duct Cleaning Company ......... Page 6 How To Choose A Picture Framer ................................... Page 8 How To Choose A Real Estate Agent ........................... Page 10 How To Choose A Surgery Center ................................. Page 12 How To Choose A Medical Spa .................................... Page 14 How To Choose A Funeral Home & Crematory ........... Page 16 How To Choose A Physical Therapist ............................ Page 18 How To Choose An Assisted Living Facility ................... Page 20 How To Choose A Fireplace .......................................... Page 22 How To Choose A Credit Union ..................................... Page 24 How To Choose A Hospital ............................................. Page 26 How To Choose A Home Health Care Provider ........... Page 28 How To Choose A Chiropractor .................................... Page 30 How To Maximize Your Internet Presence ..................... Page 32

An Advertising Supplement to the Lewiston Tribune

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How to...

The decision to purchase hearing instrument is an important step in a person’s life. It is just as important to choose the

Hearing Professional who will serve your needs best.

A hearing instrument connects you to the work around, allowing you to interact with confidence and enjoyment. Your Hearing Professional is the link that connects you and your hearing instrument. Your Hearing Professional is pivotal to your ability to use the hearing instruments and to utilize all the features that today’s technology has crammed into them.

Hearing instruments of today are technological marvels.

A machine smaller than the end of a normal little finger can digitally amplify normal speech, filter out unwanted background noise, choose the direction the sound is received from, adapt to telephone use, and allow you the choice of hearing one person near you or on a stage at a theater or your church. It also tells you when its battery needs replacing. It won’t help you sing on key, but you will know if someone else is singing on key.

Just like your car of today with so much stuff in the engine compartment that a factory-trained mechanic is the only one who knows where the spark plugs are, today’s hearing instruments require a hearing a hearing specialist with a current-up-to-the-minute factory training to get them to function for you. All of the capabilities are computer adjusted. Your hearing specialist has to be very computer literate and adept.

An outstanding Hearing Specialist will be trained thoroughly by the manufacturers of the brands of hearing instruments available to meet the varied requirements of individual customers. That specialist will also routinely update knowledge and skills to provide the newest instruments an personal abilities for customers.

An outstanding Hearing Specialist will have equipment that is current and capable of utilizing and programming all the features of many brands of hearing instruments.

An outstanding Hearing Specialist will provide a comprehensive free hearing test to evaluate a person’s need for a hearing instrument. No choice of hearing instrument feature, brand and style can be considered before knowing the degree and nature of hearing loss.

An outstanding Hearing Specialist will offer a variety of reputable BRANDS from manufacturers of hearing instruments with a wide variety of features. That specialist will have the ability to competently program and adjust those instruments to assist a customer toward the best hearing possible.

An outstanding Hearing Specialist will be trained in the process of teaching a customer how to use his particular hearing instrument. That process will continue throughout the useful life of the hearing instrument.

An outstanding Hearing Specialist will offer hearing instruments BRANDS that the manufacturer warranties against

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choose a hearing aid facility loss, damage, malfunction, etc. for at least a year and sometimes longer. That specialist will have learned skills that allow many modifications and repairs in the office.

An outstanding Hearing Specialist will be dedicated to providing complete service before and after a customer chooses a hearing instrument to facilitate complete benefit for each person.

An outstanding Hearing Specialist will be committed to providing service to customers and the local community. To the extent possible a specialist will assist their customers with utilizing the benefits they earned during their employment (Labor and Industries) and private insurers.

The specialist will be invested in the local community through service and social organizations that benefit local citizens.

Above all an outstanding Hearing Specialist will be focused on helping customers reconnect with life through better hearing.

Above all an outstanding Hearing Specialist will be focused on helping customers reconnect with life through Better Hearing.

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l e w i s t o n t r i b un e

Summer is a Bummer when my Papa can’t hear!

274727GY-10

FREE SERVICES:

• 30 Day Trial Period • Audiometric Evaluation • Cleaning & Adjustment of All Hearing Aids • FREE Batteries for Life • 0% Interest Financing

FREE

Wind noise.

Car noise.

Solution?

Problem.

Background noise.

• Washington State Labor and Industries Provider • We Bill Insurance (where hearing aid benefits are available)

• Hearing Tests • Batteries and Service for Lifetime with Purchase

A solution for hearing in noise is here.

Introducing

High performance features are intended to:

• Reduce listening effort and mental fatique in noisy environments* • Virtually eliminate whistling or buzzing • Let you talk easily on the phone • Provide a comfortable fit, designed for your car • Suit your lifestyle and budget with a variety of styles and technology levels

Guaranteed lowest prices in the Quad-Cities

Hours: Monday - Friday 9-Close

Evenings & Saturdays by Appointment

1850 Idaho Street, Lewiston • 208-746-6068 800-248-5049

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How to...

RENOVATE RIGHT: (NEW EPA guidelines for lead base paint on homes built before 1978) Federal law requires that individuals receive certain information before renovating six square feet or more of painted surfaces in a room for interior projects or more than twenty square feet of painted surfaces for exterior projects in housing, child care facilities and schools built before 1978.

Homeowners and tenants: renovators must give you the, Renovate Right Pamphlet, before starting work.

Child care facilities, including preschools & kindergarten classrooms, and the families of children under the age of six that attend those facilities: renovators must provide a copy of the Renovate Right Pamphlet to child-care facilities and general renovation information to families whose children attend those facilities.

Also, beginning April 2010, federal law will require contractors that disturb leadbased paint in homes, child care facilities and schools, built before 1978 to be certified and follow specific work practices to prevent lead contamination. Therefore beginning in April 2010, ask to see your contractor’s certification.

WHY VINYL IS THE KING OF WINDOW MATERIALS Vinyl has replaced wood as the number one material used in the windows of new homes and is already the leader in replacement of old or outdated windows.

All major window manufactures now offer a vinyl window because of its many advantages. It is warm to the touch; vinyl windows can be made in almost any shape.

Unlike wood, however, vinyl windows require no painting or reglazing. Most importantly, today’s vinyl windows are four times more energy-efficient than the state-of-the-art windows installed in new homes just a few years ago.

HOW CAN I COMPARE ENERGY PERFORMANCE? There are many grades of vinyl windows, but it is easy to separate the good from the average. Companies producing the highest-quality windows are part of the ENERGY STAR® program, operated by the U.S. Department of Energy and the Environmental Protection Agency. These

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choose vinyl windows & renovate correctly

windows are commonly 40 percent more energy=-efficient than building codes require and their performance is certified by the National Fenestration Rating Council (NFRC). Reading the NFRC label allows you to compare the performance between brands of windows because it rates the efficiency of the entire window unit.

ARE ALL VINYL WINDOWS THE SAME? Advancements in vinyl extrusions allow the best manufacturers to offer structural rigidity without the need for any additional reinforcements. Windows made of lower quality vinyl are reinforced with steel or wood in a attempt to provide strength. The wood is often too thin to provide real rigidity or is exposed to the elements, absorbing moisture and rotting over time. While steel offers strength, it can reduce the energy efficiency of the window by conducting heat and cold. If you have any question about the architectural Manufacturers Association (AAMA) label on the product. A gold label means that the product passed strict tests for load strength and air or water infiltration.

THE GLASS The energy-efficiency rating of the window is referred to by its U-factor and 80 percent of the U-factor rating comes from the performance of the glass. The lower the Ufactor, the more energy-efficient the glass and the more comfortable you will be in your home. Dual-pane glass filled with argon gas and coated with multiple microscopic layers of metals and non-metals (a Low-E coating) perform the best. Some brands of Low-E glass reflect infrared heat waves back to their source. This means that in winter, heat from your home reflects back inside, and during the summer, outside heat is reflected away from your home. Even basic Low-E glass

lowers your heating and cooling costs by 30 percent compared to plain dual-pane glass.

The home featuring Milgard vinyl windows and SunCoat Low-E glass showed a 27% savings in summer cooling costs compared to the home with ordinary clear glass. The average summer afternoon demand for air conditioning in the SunCoat house was 30% lower due to reduced solar heat gain.

SunCoat also produced significant savings on winter heating bills.

WARRANTY REFLECTS THE CONFIDENCE OF THE SELLER Warranties are only as good as the product covered and the company that stands behind them. Window warranties should not be prorated and should cover seal failure, parts, labor and installation for as long as you own your home. Replacement windows are a job you should only have to do once.

KNOW THE COMPANY YOU KEEP Over 20 percent of window companies in this year’s Yellow Pages will be gone or will change their name in the next year’s book.

The most important decision you will make might not be the windows you buy but the company from whom you buy them. The company should be able to provide you with proof of licensing, EPA lead certification, proof liability insurance and be in business for over 10 years. (Companies in business more than 10 years are usually the ones that last.)

HOW-TO TIPS Look for a company that custom manufactures, installs and guarantees their product. This way you get the best fitting window and you only have one number to call for any needs with the product.

Look for 3rd party certifications/endorsements on windows such as ENERGY STAR®, NARI®, AAMA, Good Housekeeping, etc. Their support means the window means the window has net or exceeded their high standards.

A quality company with a quality product will offer a lifetime guarantee on their window. Don’t settle for anything less.

A quality vinyl window will be made from nonrecycled vinyl, have welded corners for strength The glass used in the window should be coated, double-pane, insulated glass enhanced with an inert gas for additional insulated and noise reduction.

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When you’re looking for replacement windows it’s important to have a durable window and dependable dealer you can trust. A Milgard® Certified Dealer gives you both. From the moment you walk into the showroom a Milgard window expert helps you. Installation is taken care of by trained installation specialists. And you can count on Milgard for a lifetime of reliable service.

Windows, Doors and More... Store “Where Our Doors Always Open” Your Specialty Building Supply Headquarters.

523½ Thain Road, Lewiston (208) 746-9000 website: wdmsstore.com Email: Infor@wdmsstore.com

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How to...

CONSUMERS

BEWARE Of air duct cleaning companies that only clean a portion of your HVAC system and ductwork. To properly clean a system to standards set by the National Air Duct Cleaners Association (NADCA), every part of your ductwork (especially the main trunk line (s) and your furnace must be cleaned.

D

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choose a Air Duct Cleaning Company

on’t waste your money only having part of your system cleaned.

Many companies out there only clean a portion of your ductwork and don’t even touch your main trunk line(s), where a majority of the debris is. You may think you are getting a good deal on the price but without all of the parts of your HVAC system cleaned once you turn your sys-tem back on you will re-contaminate your entire system.

The cleaning will have been for nothing.

You Get what You Pay for

Here are some helpful hints when looking for an HVAC system cleaner: Ask themhints to come your home look at your system.

Here are some helpful whentolooking for an to HVAC Everyone’s system is different and unless someone looks at system cleaner: it the price quoted to you over a phone can change.

Make sure they clean both the return and the supply sides of your air ducts, including the boots and registers to NADCA standards.

Make sure they clean out the main trunk line (s) to NADCA standard Do they clean (not just wipe off) your heat exchanger, evaporator coil, condensate drain pan, plenum, furnace housing, blower housing, motor & wheel to NADCA standards?

Do they have a camera to give you a before and after view?

Check their licensing. How long have they been in business?

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WE CLEAN • Central HVAC systems • Heat reclaim

PREVENTATIVE MAINTENENCE BENEFITS OF

B&F Power Vac’s Source Removal Cleaning • Improves air quality by removing dust and airborne irritants • Improves air flow on HVAC systems • Reduces risk of dryer fires

step 1

Timely arrival of trained technicians

Our technicians arrive on-time, uniformed and ready to work.

systems

step 2

The cleaning system

• Boilers • Dryer vents Various chimneys WE REMOVE • Most blown-in insulation • Production debris

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Our equipment is among the best and most powerful available. our MONSTER truck-vac system incorporates a 50 CFM/250PSI air compressor and a powerful vacuum with 12,500 CFM of suction.

step 3

Careful set-up

Our technicians wear shoe covers inside the house and protect all working areas, including corners, with drop cloths.

step 4

Vacuum hook-up

A 10-inch vacuum hose is hooked up to both supply and return sides of the duct system. From these points the debris is transferred to the dirt collection box in the truck, ensuring that no contaminants are released inside your home.

step 5 Sealing each register

Each register is sealed with light-tack plastic to maximize suction and ensure that no debris is released into your living space.

step 6

Scrubbing each supply line

Using a rigid high-pressure line, air-operated brushes and air nozzles are used to ensure that debris is scrubbed loose and taken in the vacuum stream back to the truck.

step 7

Hand cleaning

each register cover and duct boot is hand-cleaned by our technicians.

step 8

Cold air returns

When finished with the supply lines, we proceed to the air return registers and lines and use the same procedures used to clean the supply lines.

step 9

Supply & Return truck lines

Once the ducts are completed, we move to the main trunk lines, where all the debris has been pushed. We use special air-operated whips to clean the lines.

step 10

Furnace cleaning

We clean the inside of the furnace by ”air-washing” the blower blades, motor, coil and filter.

step 11

Sealing access points

We seal all access points with special 1” plastic plugs where necessary and galvanized access panels where larger openings are needed.

step 12

Clean-up

Our work areas are thoroughly cleaned, including vacuuming the floors.

• Knowledgeable staff over 62 years combined experience • BBB Long standing member • Local Chamer of commerce • NADCA Certified

LEWISTON 208.746.1461 OR MOSCOW 208.882-7575

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How to...

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choose a Picture Framer

balanced framing presentation that enhances the work of art without overpowering it.

protect and beautify work of art, regardless of their known value. Many hold professional degrees of Certified Picture Good design based on commonly accepted framing Framer or CPF. This can only be given by PPFA (Professional principles is one of the Picture Framers Association) many reasons to custom an organization that sets the frame. standards and offers training Professional picture framers for frame shops. This notation have the training and skills CPF can only be used with to use these materials to one’s name after a rigorous, beautifully present your standardized test has been treasured items in a way that passed. CPF is to framing as will not only enhance their Dr. is to medicine. appearance, but protect them for your enjoyment for years to Ask your local framing shop what trainings they come. have attended, if they have If you are planning to build documentation to support their a new home for your family, claims. Take the time to visit, would you ask the person build a long-term relationship working in the lumber with a framer, one you can trust With all these options department of your home and you will be rewarded with available, why are you looking improvement store to draw value, expert advice, quality for a custom picture frame up the plans? If you were sick workmanship. A piece of art shop? would you ask the check-out work that will be long lasting Although a good artistic eye person at your drug store and a piece you can enjoy is something that can’t be to diagnose and treat your to be handed down to future taught, there are certain rules symptoms? Probably not. generations. Think of custom of custom framing which The same applies to your framing as furniture for your lead to good design that decision to use a custom wall and the cost is priceless can enhance artwork. When framer’s services. A followed, these guidelines, well professional picture framer is a when you consider the joy it known to your custom framer, person who has been educated gives over the years.

Picture the Possibilities!!! produce a beautiful, wellto know how to preserve, hen you have a piece of artwork, photograph or an item that you want framed, you have several options as to how to go about getting it done. With a photo, you can easily buy a ready-made photo frame at almost any store. For a poster or print, many retail stores offer standard poster frames that are available in a variety of colors and sizes to fit your decor. Some areas of the country offer an alternative, you could visit one of the many “do-it-yourself” framing centers where, with the help of employees, you can cut your own mat and build your own frame.

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CUSTOM FRAMING • Largest selection of frames available • Large selection of conservation mats • Conservation glass • Award winning designs

FRAMING

BOOKS

• Local history books • Children’s books • Teen section • Cook books • Special order books

CANDY • Caramel corn made fresh daily • Cheese popcorn • Buttered popcorn • Chocolates and licorice

ART SUPPLIES

• Art supplies • Oil, acrylic and water color paints • Canvases and brushes • So much more

Step 1: Acquire an Image Layout artwork along with moulding, mat board and fillet samples.

Take a picture with the digital camera.

Great tool for the visual thinker!

Step 2: Make Selections Crop the artwork, select the moulding, and pick the mat colors.

Step 3: See It Framed With the click of a button see how your piece will look matted and framed!

704 Main Street, Lewiston (208)

746-8379

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Hours: Tuesday – Friday 9:00-5:30 | Saturday 10:00-4:00 Closed Sunday and Monday

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How to...

12 Questions to Ask When Choosing Your REALTOR® Make sure you choose a REALTOR® who will provide top-notch service and meet your unique needs.

1. How long have you been in residential real estate sales? Is it your full-time job? While experience is no guarantee of skill, real estate — like many other professions — is mostly learned on the job.

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choose a realtor Why You Should Work With a REALTOR® Not all real estate practitioners are REALTORS®. The term REALTOR® is a registered trademark that identifies a real estate professional who is a member of the NATIONAL ASSOCIATION of REALTORS® and subscribes to its strict Code of Ethics. Here are five reasons why it pays to work with a REALTOR®.

1. You’ll have an expert to guide you through the process. Buying or selling a home usually requires disclosure forms, inspection reports, mortgage documents, insurance policies, deeds, and multi-page settlement statements.

A knowledgeable expert will help you prepare the best deal, and avoid delays or costly mistakes.

2. What designations do you hold? Designations such as GRI and CRS®, which require that agents take additional, specialized real estate training, are held only by about one-quarter of real estate practitioners.

3. How many homes did you and your real estate brokerage sell last year? By asking this question, you’ll get a good idea of how much experience the practitioner has.

2. Get objective information and opinions. REALTORS® can provide local community information on utilities, zoning, schools, and more. They’ll also be able to provide objective information about each property. A professional will be able to help you answer these two important questions: Will the property provide the environment I want for a home or investment? Second, will the property have resale value when I am ready to sell?

4. How many days did it take you to sell the average home? How did that compare to the overall market?

The REALTOR® you interview should have these facts on hand, and be able to present market statistics from the local MLS to provide a comparison.

5. How close to the initial asking prices of the homes you sold were the final sale prices? This is one indication of how skilled the REALTOR® is at pricing homes and marketing to suitable buyers. Of course, other factors also may be at play, including an exceptionally hot or cool real estate market.

The Realtors at CENTURY 21 Price Right are here to help you make the important decisions needed to purchase or sell your home or property.

6. What types of specific marketing systems and approaches will you use to sell my home? You don’t want someone who’s going to put a For Sale sign in the yard and hope for the best. Look for someone who has aggressive and innovative approaches, and knows how to market your property competitively on the Internet.

Buyers today want information fast, so it’s important that your REALTOR® is responsive.

7. Will you represent me exclusively, or will you represent both the buyer and the seller in the transaction? While it’s usually legal to represent both parties in a transaction, it’s important to understand where the practitioner’s obligations lie. Your REALTOR® should explain his or her agency relationship to you and describe the rights of each party.

8. Can you recommend service providers who can help me obtain a mortgage, make home repairs, and help with other things I need done? Because REALTORS® are immersed in the industry, they’re wonderful resources as you seek lenders, home improvement companies, and other home service providers. Practitioners should generally recommend more than one provider and let you know if they have any special relationship with or receive compensation from any of the providers.

9. What type of support and supervision does your brokerage office provide to you? Having resources such as in-house support staff, access to a real estate attorney, and assistance with technology can help an agent sell your home.

10. What’s your business philosophy? While there’s no right answer to this question, the response will help you assess what’s important to the agent and determine how closely the agent’s goals and business emphasis mesh with your own.

11. How will you keep me informed about the progress of my transaction? How frequently?

Again, this is not a question with a correct answer, but how you judge the response will reflect your own desires. Do you want updates twice a week or do you prefer not to be bothered unless there’s a hot prospect? Do you prefer phone, e-mail, or a personal visit?

12. Could you please give me the names and phone numbers of your three most recent clients?

Ask recent clients if they would work with this REALTOR® again. Find out whether they were pleased with the communication style, follow-up, and work ethic of the REALTOR®.

3. Find the best property out there.

Sometimes the property you are seeking is available but not actively advertised in the market, and it will take some investigation by your REALTOR® to find all available properties.

4. Benefit from their negotiating experience. There are many negotiating factors, including but not limited to price, financing, terms, date of possession, and inclusion or exclusion of repairs, furnishings, or equipment. In addition, the purchase agreement should provide a period of time for you to complete appropriate inspections and investigations of the property before you are bound to complete the purchase. Your agent can advise you as to which investigations and inspections are recommended or required.

5. Property marketing power. Real estate doesn’t sell due to advertising alone. In fact, a large share of real estate sales comes as the result of a practitioner’s contacts through previous clients, referrals, friends, and family. When a property is marketed with the help of a REALTOR®, you do not have to allow strangers into your home. Your REALTOR® will generally prescreen and accompany qualified prospects through your property.

6. Real estate has its own language. If you don’t know a CMA from a PUD, you can understand why it’s important to work with a professional who is immersed in the industry and knows the real estate language.

7. REALTORS® have done it before. Most people buy and sell only a few homes in a lifetime, usually with quite a few years in between each purchase. And even if you’ve done it before, laws and regulations change. REALTORS®, on the other hand, handle hundreds of real estate transactions over the course of their career. Having an expert on your side is critical.

8. Buying and selling is emotional. A home often symbolizes family, rest, and security — it’s not just four walls and a roof. Because of this, home buying and selling can be an emotional undertaking. And for most people, a home is the biggest purchase they’ll ever make. Having a concerned, but objective, third party helps you stay focused on both the emotional and financial issues most important to you.

9. Ethical treatment. Every member of the NATIONAL ASSOCIATION of REALTORS® makes a commitment to adhere to a strict Code of Ethics, which is based on professionalism and protection of the public. As a customer of a REALTOR®, you can expect honest and ethical treatment in all transaction-related matters. It is mandatory for REALTORS® to take the Code of Ethics orientation and they are also required to complete a refresher course every four years.

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The

Standard in Real Estate

Gary Asker 208-750-5913

Debbie Asplund 208-791-3339

Beverly Ausman 509-751-6256

Steve Donovan 208-413-0494

Marilyn Flatt 509-751-7711

Anna Hines 208-305-3094

Joyce Keefer 208-305-7401

Ronda Laybourn 208-413-0197

Tami Meyers 509-552-9492

Lori Miesen 509-254-1218

Rob Miesen 509-254-1393

Shelly Miles 208-816-1477

Ken Miller 208-791-6101

Rolly Phillips 208-305-6365

Laurie Fitzgerald 208-791-8404

Wendy Price Lacey Port Loris Profitt Theresa Reynold Mary Lou Riddle Shelley Rudolph Randy Thurmond 509-552-1211 208-305-2030 509-751-7274 208-413-1111 208-798-9039 208-791-7590 509-366-4449 264612DK-10

Each Office Independently Owned and Operated

920 Main St. Lewiston, ID (208) 799-2100 21Priceright.com

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How to...

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choose a surgery center

All About Joint Pain & Joint Replacement Surgery With more than 200 joints in our body, it is no surprise that at some point something may go awry. From an arthritic hip to a throbbing knee, or aching shoulder, any place where two or more bones meet can be a painful problem.

Fortunately there are some methods available to ease your pain. Of course, your doctor is the best source of specific advice about your pain.

What causes joint pain?

Arthritis is one of the major causes of hip and knee pain.

Sports-related injuries, such as stress fractures are common, as well.

How does arthritis affect your hip?

Arthritis of the hip is a disease that wears away the cartilage between the ball and socket of the hip joint. This causes those two bones to rub against each other and make the joint become uneven and worn. The result for you is hip pain, stiffness and instability. In some cases, your leg motion may even be greatly restricted.

How does arthritis affect your knee?

Arthritis is one of the most prevalent factors in hindering the way the knee is supposed to function. Often times arthritis is a result of degeneration of the cartilage in the knee. It happens slowly, over time and the pain associated with it develops just as gradually. Normally, the knee joint will become swollen, sore and stiff and over time can lose its full range of motion.

What are stress fractures?

Stress fractures are actually hairline cracks in the bone that can grow larger over time if they are not treated properly.

Usually, bones can adapt to repetitive stress; however, extreme stress that is repeated too often can overwhelm the bone’s ability to adapt. This is especially true with repetitive, strenuous exercise, such as running.

How can you control joint pain?

Physical therapy or low-impact activities that include gentle, regular exercise such as bicycling or swimming can help ease the pain of mild arthritis, as can pain relievers such as acetaminophen or ibuprofen. If you carry extra pounds, weight loss can make a positive difference as well.

Who is a candidate for total knee or hip replacement?

If pain is preventing you from walking or performing daily activities and conservative measures have failed to give you adequate relief, it may be time to discuss total joint replacement surgery with your orthopaedic surgeon.

A team approach to surgery

The average hospital stay after knee replacement and other joint replacement surgeries is three to five days. At Gritman Medical Center we utilize a team approach for joint replacement surgery.

Working together with orthopedic surgeons, nursing, physical therapists, registered dietitians, lab, radiology, pharmacy, and social services experts we can help you regain your mobility.

Preparing for joint replacement surgery

Our occupational therapists can survey your home and recommend ways to prepare it for your safety, comfort and convenience following surgery. Our dietitians can suggest meal plans before and after surgery. Together we help you reach optimum health and wellness.

Typically patients who undergo joint replacement surgery experience dramatic improvement in their lifestyle within a short period of time.

To learn more about knee replacement and other joint surgeries, talk to your doctor or call Gritman Medical Center at 208-882-4511 or visit www.gritman.org.

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A Team Approach To

Joint Replacement Surgery I

f your physician recommends joint replacement surgery, Gritman Medical Center can help.

With our Total Joint Replacement Team, you'll receive comprehensive and personal care through your entire surgical process, from pre-operation preparations to postoperative recovery, and as you continue your rehabilitation at home.

Call us today to learn more

(208) 882-4511

GRITMAN MEDICAL CENTER

Surgery Center

Leading the Way to Wellness 700 S. Main Street, Moscow, ID

www.gritman.org

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How to...

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choose a medical spa

Dr. John Morrison and his wife Ann have recently opened a comprehensive medical spa, La Bella Vita Medical Spa with offices in Clarkston and Moscow.

The Morrisons and their medical professionals want you to smile, shine and enjoy the Bella you by benefiting from their treatments which smooth wrinkles, plump lips and cheeks, re-contour and sculpt facial areas. They also have technology for skin rejuvenation on the face and upper body, laser hair reduction, and spider vein treatment. Some of the products and services at La Bella Vita Medical Spa include:

Botox injections which relax the facial muscles and greatly reduce the look of facial wrinkles.

Latisse which is the only FDA approved prescription that is proven to make eye lashes fuller, longer, and thicker.

Laser Hair Reduction of facial hair, under arm hair or unwanted hair on any part of the body.

Dermal Fillers which can contour the face, smooth wrinkles, and plump areas of the face creating a more pleasing appearance.

IPL – Intense Pulsed Light Treatment (Photo Facial Rejuvenation) which is a safe and non-invasive procedure. It lessens sun damage without disrupting the skin’s surface and simultaneously treats a wide range of facial problems including acne to improve

the texture and complexion of your skin. It is extremely effective in treating brown spots, sun spots, pigmented lesions, fine lines, wrinkles, rosacea and melasma. Intense Pulsed Light is a low risk treatment with no downtime and leaves skin smoother, even-toned, and more youthful.

Chemical Peels which exfoliate the outer layer of skin leaving a smoother and more youthful glow.

Spider Vein Reduction with Sclerotherapy a procedure which improves appearance of annoying spider veins from any part of the body.

Skin Medica professional skincare products which offer a variety of ways to treat, protect, moisturize and preserve your skin.

La Bella Vita Medical Spa is located in Clarkston in Suite 6 in the Tri-State Medical Office Complex at 1119 Highland Avenue. The Moscow location is in Suite A at 2301 West A Street which is just up the hill behind Walmart. Both locations can be reached toll free at 1-866-882-0331. For more information on La Bella Vita Medical Spa go to BellaYou.net.

Appointments can be scheduled by calling the office.

All patients receive an initial consultation that is free of charge. Both locations have a professional medical staff who are fully licensed and credentialed to perform all of the treatments and provide all of the products.

We invite you to visit us at La Bella Vita Medical Spa and Shine, Smile and Enjoy the Bella You!

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Free Consultations & Monthly Specials • Botox

• Latisse • Lip

Enhancement • Laser Hair Removal • Dermal Fillers • IPL for Facial Rejuvenation • Chemical Peels • Facial Sculpting & Recontouring • Sclerotherapy for Spider Veins • SkinMedica Products

BellaYou.net • 1.866.882.0331 1119 Highland Avenue, Suite 6 Clarkston, WA 99403 • 2301 West A Street, Suite A Moscow, ID 83843

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lewiston tribune

How to...

I

n the past, most people chose a funeral home for the following reasons: they had a relationship with the funeral home before, the perceived ethnicity of a funeral home, the location of the funeral home or upon the recommendation of a friend.

Most local, independent funeral homes rely upon their reputation for success.

They have been operated by the same family from generation to generation and have been successful because they have built a business based on trust. With various mergers and acquisitions occurring in our industry, it is important that you choose a family owned funeral home where the family cares about your needs.

Every funeral home should be capable of addressing each family’s religious needs and provide a service that is meaningful to each family. Some funeral homes are better than others in going the extra mile to provide a personalized tribute to a life that was lived.

Some people choose a funeral home based on their location, however the most convenient location may not be the best suited for your needs or a good value. You should make your decision based on whether their facilities are up to date, whether they offer a variety of options based upon your budget and whether they are willing to offer a personalized tribute to the life of the person.

There should be plenty of parking and the building should be handicapped accessible. You can often get a feel for a particular funeral home by accessing their website. The website should provide a description of the funeral home as well information about the variety of services they offer. Many of your questions will be answered directly on the website

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choose a Funeral Home & Crematory

or you can contact the funeral home by email for more specific requests.

You should not choose a funeral home based on price alone. All funeral homes are mandated by law to give you a General Price List before you begin to talk about any type of arrangements you will make. Therefore you can select the services that are right for your family and your budget. A good funeral home will take into consideration your family and circumstances and offer recommendations. Choosing a funeral home on price alone may shortchange you on the personalized care and service you need to receive.

The Funeral Staff While a funeral home can be truly beautiful, it is the willingness of the funeral staff to insure that the funeral of your loved one be meaningful to you. The funeral staff should be attentive and provide compassion and support since you will be with them for a few intense days. You should always get the feeling that they will take care of your loved one just as you took care of them in life.

You should also be able to relate to the funeral director who will handle the arrangements and be able to speak frankly about what you want. No request by you should go unfulfilled. You should also ask whether the funeral home offers concierge services, i.e. assisting with ordering flowers, arranging accommodations for out of state relatives, reserving a restaurant or catering facility for a family reception, or helping with any other need that may arise.

Support Services While most funeral homes can provide any type of funeral service, the good funeral homes are concerned about what

happens after the funeral is over when the family member finds himself/herself all alone. The funeral home should be able to provide support information so that a grieving family member can begin the grieving process. In addition, the funeral home should be able to recommend specific support organizations where people can go to learn about coping with their loss whether it is with a private therapist who specializes in grief issues or with a support group.

Preplanning When someone dies there are over 97 decisions that need to be made about planning a funeral. Oftentimes, you need to address these important issues in a very short period of time. You can avoid many of these hasty decisions by preplanning the funeral services.

Preplanning allows you to complete the vital statistic portion of a funeral; you can talk about the type of services; the people you might like to have involved; begin to write an obituary; and organize your legal and financial documents. So many things can be done ahead of time to make it easier for families at the time of need.

In conclusion, after you have met with a funeral director to ascertain what you think might be important to you, then you can determine whether that funeral home would be able to deliver on your requests.

A funeral home should be a center where you receive help and support to make sure that the funeral experience is soft, soothing and a tribute to the person that you just lost from the time of their death to your road to recovery. There is a difference in funeral homes. Make sure that you compare.

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Vassar-Rawls Funeral Home & Crematory Vassar-Rawls Funeral Home & Crematory is a family owned and operated facility that has been serving the Lewis-Clark valley and surrounding communities since 1898.

Our goal is to honor a family’s loved one by providing the best possible services at an affordable price.

We believe that a properly planned ceremony or ritual can help facilitate the natural grief process from losing a loved one. Vassar-Rawls Funeral Home’s licensed staff will assist in creating a meaningful and dignified funeral or memorial service.

Our family, serving yours, for over a century.

Fully Licensed Staff: Jeff Seipert, Jason Harwick, Dennis Hastings

vassar-rawls.com 920 21st Ave • Lewiston ID, 83501 743-6541 • 800-584-8812 274813GY-10

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lewiston tribune

How to...

It is important that we take care of ourselves. This includes all aspects of our health and welfare including our ability to move in our environment with safety and assurance. During World War I physical therapy began as a branch of nursing whose purpose was to assist in the restoration of more mobility to injured war veterans especially those who were paralyzed or who had lost limbs. Over time physical therapy has progressed to a profession that encompasses a wide variety of interventions all with the focus of restoring mobility, activity, and health to individuals with movement or musculoskeletal disorders. In order to practice physical therapy clinicians must graduate from an accredited university with either a Masters or Doctorate degree in physical therapy than pass a state licensing exam. In addition therapists are required to attend continuing education classes to remain up to date in their profession.

What is Physical Therapy?

Physical therapy is the application of procedures and/or modalities such as heat, cold, electric stimulation in order to restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities related to disease or injury.

When Should I Go? In general the sooner the better.

If you have a question related to mobility impairments and your ability to move safely and comfortably in your environment a physical therapy consultation may be of help.

Physical therapy evaluations should be performed only by a licensed and trained physical therapist. They have the education and training required

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Choose a Physical Therapist

for a thorough evaluation and appropriate recommendations for a wide variety of mobility problems.

Most insurance companies require a referral to a physical therapist. Which type of clinician can refer is dictated by the insurance company. Check your insurance policy or insurance provider for a list of qualified referral clinicians. If insurance is of no issue, Washington state allows you to present directly to a physical therapist, which is called DIRECT ACCESS. In the case of direct access some insurance companies do not reimburse for physical therapy care.

Where Should I Go? Many insurance companies have a limited number of physical therapy providers that they work with. Please check your insurance company for that list. Physical therapists can be found at most hospitals and home health agencies. In addition many physical therapists practice in independent private practices that serve a wide variety of diagnoses and mobility problems.

Who Should I See? Physical therapy specialists are available in a variety of practice types. The American Physical Therapy Specialty Board recognizes orthopedics and sports, neurology, geriatrics, pediatrics with advance board certification tests. In the absence of board certification call the provider you intend to visit before your first appointment.

Ask them questions about their experience, their length of practice, and schedule availability. Ask people in the community and your physician regarding recommendation about which practitioner or clinic would

best serve your needs. Be aware of referral for profit situations where the physical therapy office owned by the referral source. These arrangements are perfectly legal and should be disclosed to each patient. It is important to see a therapist you feel comfortable with and that you can trust. A person should not be afraid to speak up and ask questions if after a series of visits they do not notice a meaningful improvement in comfort or mobility.

Physical therapists are trained to treat mobility deficits ranging from difficulty rising from a chair to returning elite level athletes to full competitive sport.

If you have any questions about whether or not physical therapy is right for you inquire at an office near you and take your first step on the he path to maximum recover.

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Twin Rivers Physical Th erapy Twin Rivers Offers an indoor aquatic therapy program, rehab PHYSICAL THERAPY

specialists for any neck, back, or extremity injury.

Brent “Chip” Wahlberg, Jr., PT

Sheri Schoenberg, PT

27 Years Experience Specializing in Sports & Industrial Rehab as well as Pediatric Care

20 Years Experience Specializing in Acquatic Therapy, Neurological Rehab including Balance and retraining for Parkinsons patients

Greg Jose

Melody Acey

More than 17 years with TRPT. LCSC Grad in Kinesiology.

Works as Exercise Specialist and Administrates TRPT Performance Enhancement Program.

Twin Rivers Physical Therapy has served the valley for 24 years. We are committed to helping all our clients achieve the maximum level of function possible.

Optimal results are achieved when the client follows therapist’s programs at home & in the clinic.

Twin Rivers Physical Therapy believes in fair practice. You, the consumer, have the legal and ethical choice of your medical provider. Our strength is the ability to thoroughly evaluate each individual and treat all patients with equal respect and dignity.

God blessed me with long term staff committed to care and to make rehab fun. So, whether you

More than 14 years at TRPT working as Licensed Massage Therapist, P.T. Tech and Administrative Assistant for the company.

have injuries from sports, Weekend Warrior Syndrome, car accidents or on the job, we will work hard to get you back on track. If you are having balance problems, we have specific programs including aquatic therapy to smooth out your motion. We treat degenerative aches and pains as well as progressive neurological conditions with the latest of care techniques and state of the art equipment.

We are loyal to physicians referral recommendations and know how important it is to work as a team to enable patients to get better in a timely fashion.

I hope you will request Twin Rivers Physical Therapy to care for you. It is your choice!

725 6th Street, Suite 101, Clarkston • (509) 758-8510 • Mon-Fri 7am-6pm 273831GY_10

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lewiston tribune

How to...

A

ssisted living is an excellent option for seniors seeking an independent and vibrant lifestyle, while also receiving the help they need with daily activities. Assisted living is the option that combines housing, support services, and health care, as needed.

Choosing the right assisted living community can be a challenging task.

Whether you are searching for yourself, a family member or a friend, make sure that the assisted living community is able to meet the physical and safety needs of your loved ones.

There are many ways to select an assisted living community that is right for you. Besides researching state inspection reports, getting word of mouth recommendations and looking at promotional literature. Nothing is more valuable than the insight you gain from making personal visits.

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Choose an Assisted Living Community

• Learn about the community. Is it licensed? Can you view past license surveys?

• Examine the facility’s physical features: Does it look and smell clean? Does the community offer a variety of apartment styles? Where do residents eat? Where do they interact?

• Observe the staff: Is there a licensed nurse on staff? Do staff members greet residents? Are they attentive? Do they treat residents well? Are they well groomed?

• Look at the residents: Are they well cared for? Are they active? Do they seem happy?

• Find out about activities and involvement. Is there a bus for transportation? Is there an active resident council?

• Talk to residents: How do they Find out as much as you can like the facility? What do they like or about each community. A good dislike about it? way to do that is to talk to: • What costs can you expect? Is the * The long-term care ombudsman. lease month-to-month? * Doctors, nurses, hospital social • Check out the food. Is it tasty and workers, clergy and other professionals appealing? who are familiar with assisted living • Find out how much input your loved communities. one will have in his or her daily life * Family members and friends of and care, and how much flexibility people who live in the community. there is in the schedule. * Residents of the community.

Each Assisted Living Community has its own unique culture as does Some tips for choosing an Long Term Care. Do some checking assisted living community: and price comparison. What does • Begin discussion and research early. the community “feel” like when you Don’t wait for an emergency to happen. walk in? Will they accommodate your needs? One thing to remember is • Determine the type of care needed. that as a paying consumer, you are What do you or your loved one need entitled to ongoing customer service help with? and satisfaction.

Does your loved one need help?

Warning signs ...

• Difficulty walking - unsteady when standing - recent fall(s) • Poor grooming / personal hygiene - soiled clothing • Loss of appetite - changes in eating / cooking habits •Spoiled / outdated food in fridge - little nutritious food in home • Diminished driving skills recent accidents - near misses • Loss of interest in activities once enjoyed • Reluctance to socialize • Difficulty concentrating - poor judgment • Memory loss - forgetfulness - confusion • Mishandled medications • Persistent fatigue - lack of energy • Personality changes - irritability - sudden mood changes • Unopened mail - past due bills - mishandled finances • Poor housekeeping / home maintenance - unsafe conditions

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Royal Plaza

Retirement & Care Center Vicki McKenna Administrator

Connie Borgen

Administrator in Training

MaryAnn Mack

Anna Olson

Resident Services Director

Director of Nursing

NeVonne Jennings

Chad Wolfe

Maintenance Director

Dana Dodge

Director of Environmental Services

We bring residents, families & healthcare professionals together in a comfortable caring environment. Stop by and take a look. We would love to have you stop by and join us for lunch.

Carrie Hoyt

Medical Records Director

Mark Newman

Erika Mee

Activities Director Certified

Gary Bales

Linda Cardwell

Director of Food Services

Admission & Marketing Director

Carly Akin

2870 Juniper Drive • Lewiston, ID 83501 (208) 746-2800 www.RoyalPlazaLewiston.com

2 7 5 0 7 5 GY- 1 0

Social Services Director

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lewiston tribune

How to...

FIRE. We sit around fires and have been doing so... forever.

If you have a room with a fireplace, then that fireplace is probably the focal point of the room. If it isn’t, it should be. Furniture and decor are placed in relation to the fireplace and a great-looking fireplace can “make” a great-looking room.

Take a look at your fireplace. Does it “fit” the room? Have you updated or remodeled the room or decor but did not know what to do about the fireplace? Does it look old and outdated? Ugly? Dark and moody? Would a future home buyer like it?

Sooner or later, that may be an important consideration. Buying a home is an emotional decision and fireplaces affect everyone, even if they never throw a log on the fire. A buyer “imagines” it being used, whether it is a mental image of an old Norman Rockwell painting, Christmas stockings hung on the mantel, or a romantic evening snuggled up to a loved one in front of a flickering or roaring fire.

Home buyers will focus on your fireplace. Your fireplace could affect whether they make an offer on your home. Or not make an offer. Or offer

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choose a fireplace or insert

less money. You might want to update your fireplace.

A fireplace adds beauty and elegance to any home. Furthermore, a fireplace definitely adds value to your home. Having a fireplace is one of the most in demand and consistently popular features in a home because it adds charm and comfort to any living space. It also adds a considerable value to your property.

An outdated home interior can turn off guests or prospective buyers. With newer options available, your home may not be sending the message you would like to convey. Adding a home fireplace is easier than you think. This is a great time to update or install a fireplace in your home in time for the winter months.

The benefits of adding a home fireplace: 1. A fireplace in your home creates a soothing and calming effect and gives more drama to a room. Always consider these factors when redesigning or upgrading a room in your house.

2. Fireplaces can brighten up a room due to its vivid yellow, red and orange colors that emit from the burning fire.

3. A fireplace can serve as the centerpiece in a room. A giant plasma TV in a room could never equal the fascination of a well-placed and beautifully designed fireplace.

4. A room that has a fireplace will look more flowing and alive due to the fire movement. You can indeed witness this when you compare an active and inactive fireplace. An active fireplace will send out lights in every direction

and creates a flowing sense of life, activity and movement.

5. Fireplaces that are made and designed by talented designers can be considered as works of art. When you add a fireplace to a room, consider the statement you want to create. An elegant and modern fireplace will do magic in bringing different elements of modern design. It can easily elevate other pieces inside a room.

Contemporary-styled modern gas fireplaces and fireplace inserts don’t use the traditional log look, and instead offer a bed of rocks or glass and reflective surrounds for a thoroughly updated look. Contemporary inserts can be added to existing fireplaces, or new gas fireplaces can be installed in almost any room.

For most people adding a fireplace is not a do-it-yourself prospect. Welenco Stove Store is a reputable fireplace store. Come in and talk to us about your fireplace needs. At Welenco Stove Store we have a genuine enthusiasm for our work and will offer ideas that you may not think of. We genuinely enjoy creating something that looks... like a masterpiece when we are done!

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The finest products deserve the finest installation •Welenco can install a fireplace almost anywhere - even Why work with Welenco Stove Store? if you do not have an existing chimney •Welenco Stove Store has been carefully selected and •With over 35 years combined experience in the hearth certified after being thoroughly trained on all aspects of business, we have the knowledge and skills to ensure the full line of Regency products. We can advise you on the best job possible for you appropriate product selection, performance details and •Already have a drafty fireplace? Upgrade with a local building code requirements Regency fireplace insert - Welenco Stove Store will •A Regency fireplace will cut your home heating costs by show you how zone heating your living areas efficiently YOUR COMPLETE HEATING SOLUTION!

WELENCO

275056GY_10

STOVE STORE

533 Thain Road, Lewiston, ID

208-743-5525

Warm up with Welenco ~ Your hometown Hearth & Grill Store

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LEWISTON TRIBUNE

How to...

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Choose a credit union

By Krystina Burns, Marketing Coordinator Potlatch No.1 Federal Credit union What is a credit union?

A credit union is a cooperative organization, created by and for people who share a common bond. In some cases, the shared bond is a place of employment, but it can be as simple as living in the same community. The “customers” at a credit union are not customers; they are shareholders, also called members of the credit union.

The members own and control the credit union through an elected board of directors.

Each member has one vote, regardless of how much money they have deposited at the credit union.

All credit unions are non-profit organizations, so any profits made are returned to the shareholders, and in the case of a credit union, the shareholders are the members all of the people who have funds deposited.

Profits are divided among the members in the form of lower interest rates on loans, dividends paid on deposited funds and nofee or low-cost services.

Since they began, credit unions’ guiding principles have remained the same: (1) credit union members should borrow there; (2) loans are made for “prudent and productive” purposes; (3) a person’s desire to repay (character) is considered as important as the ability (income) to repay.

All credit unions follow the guideline of operating not for profit, not for charity, but for service. Service means providing more than just a wide range of financial services, it means getting to know the members of your credit union and providing them with efficient, personalized assistance with their finances.

What kinds of services are offered by a credit union?

Credit unions offer many of the same services as banks, including mortgages, vehicle and debt consolidation loans; credit and debit cards; a network of ATMs; direct deposit; wire transfers; investment advice; and a wide range of savings options, from

share certificates to IRA Savings and Money Market accounts. A share draft account at a credit union is better than a checking account at a bank. Your share draft account at Potlatch No.1 Federal Credit Union (P1FCU) will earn dividends just like your savings account. There is no service charge and no minimum balance to maintain.

How do I choose the right credit union for me?

Membership -- Some credit unions accept as members only people employed in a particular profession and their immediate family members. However, P1FCU is communitychartered. You may become a member of P1FCU if you live, regularly work, attend school, worship, perform volunteer services, or participate in associations headquartered in one of the following Idaho or Washington Counties: Clearwater, Benewah, Bonner, Boundary, Idaho, Kootenai, Latah, Lewis, Nez Perce, Shoshone, Valley, Asotin or Whitman. Members’ immediate families and households are also eligible for membership.

Convenience -- Find out where the credit union is located and its hours of operation, as well as the number and location of its ATMs. P1FCU has 12 branch locations, with 4 in the Lewis-Clark Valley: 1015 N. Warner Ave. in the Lewiston Orchards; 654 Southway Ave. in Lewiston, 1301 Highland Ave. in Clarkston and inside the Clarkston Wal-Mart Supercenter. Additional P1FCU branches are in Orofino, Culdesac, Grangeville, Moscow, St. Maries, Ponderay, and two locations in Post Falls, with two new branches opening later this year in Hayden and Pullman Super Walmart. P1FCU also offers the convenience of night deposit drops and a network of ATMs. Your Visa debit card gives you access to your accounts 24 hours a day anywhere Visa is accepted.

Another convenience that most people look for is online banking. P1FCU has 24-hour online banking through the credit

union website: www.p1fcu.org. With online banking members can perform transfers between their accounts; sign up for no-fee bill pay service; monitor payment schedules for loans; and apply for new loans. P1FCU offers all the financial services you’ll need, and we have one more thing that even the latest technology can’t provide...a spirit of helpfulness and personal service.

Services -- Decide which types of accounts and financial services you need, and find a credit union that provides them. Many credit unions can provide not only checking and savings accounts, but debit/check cards, personal and corporate credit cards, mortgage and business-purpose loans, IRAs and share certificates -- without many of the “service fees” that most banks charge.

P1FCU offers some of the best rates you’ll find for your savings, including share certificates, IRA savings and money market accounts with excellent annual percentage yields. Our friendly mortgage lenders can help you at every step of the way as you build your dream home, purchase your first (or tenth!) home, or refinance your current home. Member service representatives are available to assist you with auto and recreational vehicle loans, and we offer a great rate on signature/unsecured loans.

P1FCU is your community credit union. We pride ourselves on providing service that’s community minded. Visit us online today at www.p1fcu.org, or call us at 800-843-7128 to find out if membership in P1FCU is right for you.

Statistics about U.S. Credit Unions: Number of U.S. Credit Unions: 7,636 Number of credit union members nationwide: 91.5 million Assets: $910 billion Loans: $575 billion Savings: $784 billion Source: U.S. Credit Union Profile, March 2010, Credit Union National Association, Inc.

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LEWISTON TRIBUNE

How to...

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choose a hospital

Visiting the hospital can be an overwhelming and frightening time for anyone.

Put you and your family at ease by asking a few questions before you find yourself in need of hospital care. Ask several questions of the local hospitals in your area to determine the best fit for you and your family.

Does the hospital meet national quality standards?

Physician privileges

The Joint Commission is the ultimate in healthcare accreditation. Accreditation means the facility meets a high level of quality standards regarding staff, equipment and success in treatment and curing. Reviews are completed regularly and are not scheduled in advance, ensuring that the hospital is prepared for review at all times. Visit www.jointcommission.org to see if your hospital is accredited and how it scores on quality checks.

Not all physicians are allowed to admit patients to a hospital. In general, you will go to the hospital where your doctor has “privileges”. This means he or she has met the requirements of that hospital and is permitted to practice there. Ask your doctor if he or she has privileges at the hospital you’re interested in. If not, you would need to be under the care of another doctor while at the hospital.

How does the hospital compare with others in my area?

Most hospitals should be more than willing to give you a tour of their facilities. Call the hospital’s community relations department to schedule a visit. This will give you an opportunity to see various departments, meet staff and view areas such as waiting rooms and patient rooms.

Another way to learn about hospital quality is to view “report cards” developed by various federal, state and consumer groups. These types of reports not only help consumers make informed choices, they also encourage hospitals to improve their quality of care. One example can be found at www.hospitalcompare.hhs.gov, which allows you to view information provided by hospitals that have agreed to submit quality information for public viewing.

Here you’ll find information on:

• how often a hospital gives recommended treatment for certain conditions or procedures

• results of care and treatment for certain conditions and treatments

• what hospital patients say about the care they received during a recent hospital stay

Has the hospital had success with my condition?

Research shows that hospitals that do many of the same types of procedures tend to have better success with them.

In other words, “practice makes perfect.” Ask your doctor or the hospital if there is information on:

• How often the procedure is done there.

• How often the doctor does the procedure.

• The patient outcomes (how well the patients do).

Also, some health departments and others publish reports on “outcomes studies” about certain procedures. These studies show, for example, how well patients do after having certain surgeries. Such studies can help you compare which hospitals and surgeons have had the most success with a procedure.

For information on Gritman Medical Center, please visit our website at www.gritman.org or call 208-882-4511.

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Excellent,

Compassionate Healthcare

24 / 7 / 365

NEW:

•24 hour Emergency / Trauma Center •Adult Day Health •Cancer Resource Center •Cardiac / Pulmonary Rehabilitation •Cardiopulmonary Department •Clinical Laboratory •Community Health Education •Critical Care Unit •Dialysis Clinic •Family Birth Center •Foundation •Imaging Services •Medical / Surgical Unit: Pediatric & Adult In-Patient Care •Occupational Health Services •Palouse Psychiatry •Rural Health Clinics •Same Day Center & Outpatient Clinics •Sleep Center •Specialty Clinics: Allergies & Asthma, Oncology, Pediatric & Adult Cardiology, Neurosurgery & Spine, Nephrology •Surgical Services •Therapy Solutions: Massage, Occupational, Physical and Speech Therapy •W •Wellness Programs: Diabetes Care, Clinical Nu Nutrition, Weight Management •Wo •Women's Imaging Center

Breast MRI & Pediatric Echocardiography CALL TODAY TO LEARN MORE.

GRITMAN MEDICAL CENTER 700 S. Main Street, Moscow, ID

Leading the Way to Wellness

(208) 882-4511

www.gritman.org

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lewiston tribune

How to...

Many acute medical care services are now available at home for people discharged from the hospital. Home health providers are helping the chronically ill, disabled regain and retain their independence. Although home care is associated with the elderly, it can be a major help to people of all ages, including children and families. In fact, one out of every four people currently receiving home care is under age 65.

WHAT SERVICES ARE AVAILABLE? Services can range from fairly sophisticated high tech care (similar to what a patient would get in a hospital) to help with the activities of daily living such as housecleaning and meal preparation. Each person’s care program must be tailored to match his or her needs. A variety of home care workers could be involved in an individual’s plan for home care services.

The two main types of home care are: 1. Rehabilitative home care is provided to people who are convalescing from an illness or rehabilitating after recently being discharged from a hospital. The rehabilitative health care team may include a physician, nurse, nutritionist, homemaker, home health aide and various types of therapists.

•Skilled Nursing is the most common rehabilitative home care service. Nurses change dressings, administer drugs and monitor patients for complications or serious changes in health. They also teach newly discharged hospital patients and their families how to perform skilled nursing procedures so they can eventually perform them themselves.

Nurses are divided into groups: registered nurses (RNs) and licensed practical nurses (LPNs). RNs, who hold a four-year degree or BSN (Bachelor of Science in Nursing), are trained to make independent judgements about a patient’s condition and care. LPNs undergo much shorter training that focuses on routine nursing tasks.

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Choose a Home Health Care Provider Important Points

• There are two types of home health care: Rehabilitative Home Care & Basic Home Care.

• The first step in determining whether home care is appropriate for you is to discuss the issue with your physician.

• The agency tailors a home care plan to your needs and reviews it with you.

• Therapists make up another part of home health care providers.

2. Basic home care refers to the kinds of services provided to patients who otherwise might be unable to remain at home because of a disabling health condition. Continued health supervision with an emphasis on health promotion enables these patients to maintain both a stable state of health and relative independence. Homemaker and home health aide services are the least expensive home care services.

• Homemakers, (companions), are responsible for a wide variety of tasks that keep the home clean and safe, and they generally contribute to a person’s well being.

• Home Health Aides perform three general types of services: personal care, basic nursing and incidental homemaking. Aides cannot provide skilled nursing care.

IS HOME CARE RIGHT FOR YOU? The first step in determining whether home care is appropriate for you is to discuss the issue with your physician.

You can evaluate options with a hospital discharge planner, who will discuss local home care services with you.

Your home care agency will conduct an assessment, a detailed evaluation of your situation that confirms the need for services and identifies any other beneficial services. The assessment is usually made by an RN either in the hospital or at home. The agency tailors

a home care plan to your needs and reviews it with you; then the agency advises your doctor of its assessment and presents the plan for your doctor’s approval. The plan outlines treatment goals, the specific services and level of care that will be provided, and any medical equipment and supplies needed.

HOW WILL I PAY FOR HOME HEALTH CARE? Medicare, Medicaid and some private insurance companies will cover the cost of limited home care. Coverage varies from state to state. Other times, you will have to pay out of pocket for these services.

The cost of home care depends on what types of services are used. Non-medical workers like housekeepers are much less expensive than nurses or physical therapists.

WILL MEDICAID HELP PAY FOR HOME HEALTH CARE? To qualify for Medicaid, a person must have a low income and few other assets.

Medicaid coverage differs from state to state. In all states, Medicaid pays for basic home health care and medical equipment. In some cases, Medicaid will pay for a homemaker, personal care, and other services not covered by Medicare.

For more information on Medicaid coverage of home health care in your state, call your health care provider.

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ALTERNATIVE NURSING SERVICES “Professional In-Home Health Care”

With our Professional Home Care, many individuals can continue to live independently in the privacy and comfort of their own homes. Up to 24 hours a day, 7 days a week.

“Professional Care… At Home” Up to 24 Hour Care…

Counties Served: • Nez Perce • Latah • Lewis • Clearwater • Idaho • Asotin • Garfield • Whitman • Benton

Lewiston Office (208) 746-3050 or 1–800-930-3050

Kamiah Office (208) 935-2204 or 1-888-658-2204

Kennewick, WA Office (509) 735-3388 or 1-800-930-3050

Alternative Nursing Services, Inc. has been serving our communities with professionalism, quality & integrity since 1995. That’s over 13 years & looking forward to many more! The primary responsibility of Alternative Nursing Services, Inc. is to the client. We continually strive to provide quality of life for all people entrusted to our care. We endeavor to meet the total needs of those we care for! Call us Today to answer any of your questions…

• Personal Care Services • Skilled Nursing Services • Respite Care • Residential Habilitation • Developmental Therapy • Adult Day Care • Homemaker Services • Companionship Services

• • • • • •

SERVICES AVAILABLE: Daily Living Assistance Meal Preparation Housekeeping Medication Reminders Bathing Assistance Transportation

Payment Options

• Idaho Medicaid • Washington Medicaid • Idaho Workmen Compensation Insurance • Washington Labor & Industries Insurance • V. A. Medical Insurance & AAA - Homemaker • Long Term Insurance • Private Pay (with discount options available)

Locally owned since 1995…

You Choose the hours…

You Choose the days…

Lewiston/Clarkston ......(208) 746-3050 Moscow ................. (208) 882-0616 Kamiah .................. (208) 935-2204 Orofino ................... (208) 476-9129

Coeur d’ Alene ....... (208) 667-0467 Boise....................... (208) 570-2928 Kennewick ............. (509) 735-3388 Spokane ................ 1-800-930-3050

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PROGRAMS OFFERED:

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lewiston tribune

How to...

T

here are currently 16 accredited chiropractic colleges, and approximately 50,000 chiropractors across the United States, and several more thousand across the world.

Chiropractic is the largest form of alternative health care in the United States and third largest health care discipline after medicine and dentistry.

Many people associate “chiropractic” with low back problems. Although back problems do indeed constitute a large portion of a chiropractor’s practice, chiropractic is defined as a health care service that emphasizes the structural integrity of the body, and concern for those health disorders related to the spinal column and nervous system.

The main purpose of a chiropractic health care is to find the cause of the symptoms, and correct the problem by realigning the spine and other articulations of the body which may be causing discomfort.

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choose a Chiropractor

To properly correct the problem your chiropractic treatment consists of a chiropractic adjustment to realign the spine and restore spinal integrity. Physiotherapy like ultrasound treatment and therapeutic massage may also be recommended to complement and accelerate the healing process which the chiropractic adjustments will initiate.

An individually designed program of health care will be provided to fit your lifestyle.

Chiropractors believe that to help someone to be well, you work with the goal in mind to have a person become and stay healthy through purely natural methods.

What to Expect on Your First Visit – A RELAXED, BUT SINCERE ATMOSPHERE. After a brief discussion, you should have a complete chiropractic exam which will include

orthopedic, neurologic, postural and physical examinations.

If the doctor feels that chiropractic care cannot help you, he should refer you to the type of provider most likely to be of assistance.

For the adjustment, several different techniques may be utilized including DIVERSIFIED and/ or ACTIVATOR TECHNQUE. Generally an adjustment is a light force directed into the spine at a specific angle and pressure to relieve and eliminate spinal nerve stress.

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Quality Care with a Personal Touch Dr. Bailey spends several minutes with each patient to ensure they receive individualized attention.

Dr. Bailey is trained in several different Adjustive Techniques (Diversified, Activator Methods, SOT, Drop-table, Flexion/ Distraction etc.) These different techniques are utilized based on each individual’s need.

You will receive complete chiropractic healthcare to restore proper muscle, nerve & skeletal function, including massage and physiotherapy to help you relax before your adjustment.

If Dr. Bailey does not feel that he can help you, he will gladly refer you to a health practitioner who can.

• Gentle Manipulation • Activator Technique (Certified) • Physiotherapy before manipulation • Massage Therapy with treatment • Medical Referral when indicated • Pain Reduction • Auto Accidents • Work Injuries • Preventative Care

Minimizing Pain – Maximizing Function

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Lewiston Family Chiropractic

e are currently accepting new patients and our schedule is flexible so that if you need to be treated during your lunch hour you can come in on Tuesday.

After 5pm in such a popular time so we have two days to accommodate your schedule. Try Monday or Thursday if you need an evening appointment. � Monday:

8am - 6pm � Tuesday: 9am - 1pm � Wednesday: 8am - 5pm � Thursday: 2pm - 7pm � Friday: 8am - 5pm

Building Blocks to Better Health.

208-799-3333 3510 12th Street, Suite 200 Lewiston Orchards

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Make your goods and services available to your customers 24/7 For as little as $125 a month you can feature your business with its own customized Web page.

Here’s what our Gold Package includes: • • • • • • •

Search Engine Optimization (SEO) Contact Information Map Hours of Operation Business Profile Photo Gallery (unlimited photos) Showcase on The Lewiston Tribune’s and The Moscow-Pullman Daily News Directory Home Page • Premium placement in searches • Web Site links • Link to Directory Listings • Showcase Files and YouTube(tm) Video • Coupons and Specials • Testimonials • Unique URL

Ask about our Platinum Package and receive even greater value.

Talk to your account executive today about one of our Business Directory packages. Or call Dan White at 208-848-2225.

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