Gallatin Valley Whole Health 2014

ISSUE 3 • 2014 • A Rey Ad Publication

INSIDE Bozeman Deaconess Health Services & More

Bozeman Clinic Serving Gallatin Valley Since 1930

Bridger Orthopedic Fellowship Trained

Advanced Eyecare Associates Advanced Eye Health

The Ridge Athletic Club A Healthy Lifestyle

Dr. Kinney Laser Dentistry

Price Rite Medical Equipment Helping Our Patients with Healthcare

By Vanessa Harris

With the changes happening in healthcare in the New Year, Price Rite Medical Equipment has been proactive with their efforts to ensure that there is light at the end of the tunnel.

We understand that all the new changes might seem a little frightening, but at Price Rite Medical Equipment, we’re here to help. Our billing staff takes pride in keeping up-to-date on all the current Medicare guidelines. Price Rite Medical Equipment is fully accredited and can bill Medicare, Medicaid, BCBS MT, and most all other major insurance carriers as an ‘In-Network’ provider. Understanding the new healthcare laws and regulations is one of the ways we strive to help families and patients to the fullest extent when it comes to their medical equipment needs.

YES, We’ve Expanded!

For over a year, our technicians have gone to Butte weekly, and we’ve been able to spread out our service area to Helena. We offer full service repairs, fittings, and delivery of all the medical equipment we carry. You can see Price Rite Medical Equipment at the May Fair at the Butte Civic Center, May 9-11, 2014.

To schedule a free consultation today please call or visit our website and we’d be more than happy to see you the next time we are in Butte and Helena.

What we can do for YOU… In dealing with power wheelchairs and custom manual wheelchairs, Price Rite Medical Equipment, a Rehabilitative Technology Supplier, takes a team approach with complex rehabilitation patients by working with their Physical Therapist and Physician. For custom seating and ultra-lightweight wheelchairs we employ a RESNA-certified Assistive Technology Professional (ATP), Randy Harrington, who has direct, in-person involvement in the wheelchair selection for the patient. With the ability to collaborate with all the treating physicians and clinicians we ensure that the patient receives equipment that allows them freedom in their mobility and safety needs. Please call or visit our website to schedule a free consultation today.

We have everything you need for medical equipment: walkers, wheelchairs, canes, garb bars, and a wide range of adaptive equipment for the home. Our vast understanding of and access to assistive technology helps our staff guide patients and caregivers through the process of preventive care and all the equipment that can help lower the risk for those in need and wanting to gain independence and mobility safely.

HISTORY of Price Rite Medical Equipment Price Drug and Price Rite Medical Equipment has been a local family-owned business since 1972. In 2002 Randy Harrington branched out to the medical equipment side as he saw an increasing need in the community for a home medical equipment provider. Price Rite Medical Equipment has the professional and knowledgeable staff that cares about Bozeman community and the surrounding areas. We’re here to help you with all your medical equipment and mobility needs. Please call or visit our website to schedule your free consultation today, we would love to hear from you!

For more information, visit 910 N 7th Ave., call 406-587-0608, or visit our website priceritedrug.com.

Contents 7 8 12 14 16 18 20 22 23 24 26 28 30 32 34 36 38 40 42 44 46 50 52 54 56 58 63 4 - Gallatin Valley Whole Health • 2014

3D Imaging The Bozeman Clinic ZoeCare Fitness at Home Workplace Fitness What Does “Fellowship Trained” Mean?

Commitment to Healthy Babies Natural Pediatrics Patient’s Bill of Rights A Strong Immune System Laser Dentistry Pelvic Care Plastic Surgery Checklist Providing a Safe Haven Ski Season Injury Prevention The Ridge Changing Lives Navigating Mental Health Crises How Fresh is Your Pet’s Food?

Bridgercare Advanced Eye Health Advanced Eyewear Gallatin Veterinary Hospital The HeartMath System Montana Vein Clinic Directory Leading Edge Cancer Screenings

ISSUE 3 • 2014

Publisher Mike Rey Editor Dave Reuss Marketing Manager Chris Rey Design Jared Byerly Contributors Josh Allen Erica Aytes Coyle Jessica Bayramian Byerly Gabor Benda Jan Brooks Amy Cline Paloma Defuentes Clint Erb Patti Gehman Martin Gelbke Alison Grey Germain Jill Kinney Scott Malloy Stephanie McDowell William R. Mealer Jackie Rainford Corcoran Jon F. Robinson Megan Selheim Morgan Woods Published By Rey Advertising 3220 Hillcrest Drive Bozeman, MT 59715 406-539-1010 reyadvertising@q.com On the Net gallatinvalleywholehealth.com On the Cover & Inset images by Bob Allen BobAllenImages.com

Gallatin Valley Whole Health • 2014 • 5

Three-Dimensional Imaging Now Available in Montana Advanced Medical Imaging is the first in the state to offer Tomosynthesis screening for breast cancer. Technological breakthroughs change the way we deal with disease, and the latest is helping detect breast cancer earlier, increasing a woman’s chances of survival. Advanced Medical Imaging in Bozeman is now the first breast imaging center in Montana, and in a four state region, to offer tomosynthesis, or 3D imaging, for breast cancer screening.

“We believe breast tomosynthesis will benefit all mammography patients, and is especially valuable for women with dense breast tissue,” said Advanced Medical Imaging breast care specialist, Cindy Carter PA-C, CBPN-IC. This revolutionary technology allows radiologists to identify and characterize individual breast structures without the confusion of overlapping tissue. During a tomosynthesis exam, multiple breast images are taken in just seconds to produce a 3D image. The radiologist looks through the tissue one millimeter at a time, seeing detail inside the breast in a way never before possible. “Being able to clearly see through the breast tissue may reduce the number of patients called back for additional imaging,” Carter added.

The Selenia® Dimensions® breast tomosynthesis system is made

by Hologic, a world leader in digital mammography. Breast cancer screening with tomosynthesis when combined with a conventional 2D mammogram has a higher cancer detection rate than conventional 2D mammography alone.

The current digital mammography units will be upgraded to allow for the new tomosynthesis technology. According to Courtney Funk, director of Advanced Medical Imaging, “This technological leap is only possible due to the efforts and contributions of those who made digital mammography first available in our community in 2008. At Advanced Medical Imaging, we’re committed to the fight against breast cancer, by offering breast tomosynthesis digital mammography, Advanced Medical Imaging is providing the latest in imaging quality.”

With this new technology, Advanced Medical Imaging hopes to increase the number of women who will be routinely screened.

Statistics indicate that one in eight women will develop breast cancer at some point in her lifetime.

For further information visit www.amibozeman.com.

LUNG CANCER.

No one likes to see those words; no one likes to hear them. But the truth is, there are many new screenings available to detect cancer at its earliest stages—where it’s much more treatable and outcomes are often significantly better.

AMI now offers a Low Dose Screening Chest CT that can detect lung cancer at its earliest stages or even rule it out. If you’re 55 or better and currently smoke or have a history of smoking, you may qualify. Ask your doctor if you would benefit from this screening and for a referral to AMI. It could save your life.

amibozeman.com | 406-414-5201 | Bozeman, MT

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Bozeman Clinic An Introduction to the

by Dr. Gabor Benda

We at the Bozeman Clinic would like to introduce you to our practice. We are 7 Family Physicians, all board certified in Family Medicine. Our goal is to provide our patients with compassionate, comprehensive health care through every stage of life. We are an independent practice, and therefore we are able to focus on caring for our patients, unencumbered by any corporate restrictions or requirements. We think you will find that our clinic is small enough to provide you with a personable and friendly environment.

Since we are a primary care practice, we are prepared to meet nearly all of your health care needs, from health maintenance to diagnosing and treating a broad scope of conditions.

If a situation arises that requires specialty care or consultation, we will be your advocate, and arrange the consultation with the best person or institute for you, and then continually be available to coordinate your care. We are eager to provide this care for all stages of life, beginning with newborns, children, expectant mothers, and for adults. Please refer to a partial list of the services we provide: • Obstetrical care • Pediatric care • Adult preventative care • Urgent care for acute illnesses and injuries, lacerations, with X-Ray available in the office • Workman’s Compensations claims and injuries • Screening Colonoscopies • Upper Endoscopies • Vasectomies • FAA Flight Physicals • D.O.T. Physicals • Proctology • Dermatological evaluation and skin lesion removal when necessary We are one of only a few primary care practices who will continue to care for our patients in the hospital. This means that even during the challenges of an acute illness, you will have your primary physician help you through it, and to be able to coordinate whatever specialty expertise may be required.

In summary, we are eager to have you consider one of our physicians at the Bozeman Clinic to be your primary physician, where we can be your home base for all your health care needs. Our clinic is the oldest established clinic in Bozeman, and our desire is to serve you in a caring and compassionate way for many years to come.

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The Bozeman Clinic S e r v i n g Pat i e n t s i n t h e G a l l at i n Va l l e y S i n c e 1 9 3 0

Some of the most important people in a town are its physicians, and doctors have been calling Montana home since its earliest days. From working at military outposts to running modern hospitals, medical professionals touch every part of the region’s history. One of the longest, continually operated medical providers is the Bozeman Clinic, which has called Bozeman home since the beginning of the 1930s.

Dr. Bernard Heetderks started the Heetderks Clinic in Bozeman in 1930, after taking over Dr. Clem Seerley’s local practice. Dr. Heetderks trained in medicine in Chicago before heading off to serve his country in France during World War I. Following the war, he worked for the Northern Pacific Railroad hospital, treating the workers laying the tracks to connect the country.

In 1936 Dr. Roland G Scherer joined his brotherin-law at the Heetderks Clinic following his work for the Mayo Clinic. The two doctors practiced together for two decades until Dr. Scherer departed in 1955.

By then, Dr. Heetderks’ son, John, had finished medical school and was ready to join his father at the clinic. Dr. John had previously served in the Navy before studying at Montana State University and the University of Minnesota where he earned his Doctor of Medicine degree in 1954. Following his education, Dr. John decided to join his father back in Bozeman.

Though it remained a family business, they renamed the clinic to The Bozeman Clinic, cementing its connection with the town.

Soon after, in 1957, another son, Dr. Albert De Heetderks, known as Dr. De, united with his family at the clinic. Dr. De also studied at Montana State and the University of Minnesota.

He went on to earn his Bachelor of Science and M.D. from Stanford University in 1954.

The father and two sons continued to practice together, often dressing in a suit and tie to make house calls or deliver babies in the middle of the night. In fact, Dr. Heetderks mixed many of his own medicines for patients using meticulous notes he kept in a small notebook. Such was a doctor’s life on the frontier.

The family continued to practice together until 1969 when the eldest Dr. Heetderks passed away at age 74. His sons continued to grow and modernize the practice through the years, offering a broad range of medical care and surgical procedures.

Writing about the Clinic in the 1980s, the doctors noted that The Bozeman Clinic “offered quality diagnostic and treatment facilities including a clinical laboratory, with registered laboratory personnel; a radiology department with hospital grade diagnostic x-ray equipment including [an] image intensifier under the direction of registered x-ray technicians.”

Dr. De retired in 1987 and left the clinic in the hands of his brother. Dr. John continued the practice until 1995, by which time the number of physicians had grown and were ready to take the reins. Dr. Gabor Benda joined the clinic in 1989 and was soon joined by Drs. David McLaughlin and Larry Sonnenberg before Dr. John retired.

Today, the clinic has expanded to seven physicians specializing in the full spectrum of medical care for the whole family. The clinic has added Drs. Leonard Ramsey, Heather Wheeler, Steven Roberts, and Christine Mitchell to provide a unique breadth of individualized care under the banner of a single practice.

The Bozeman Clinic offers everything from pregnancy care to minor surgical procedures, continuing the clinic’s long tradition of offering compassionate care to the Bozeman community.

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Bozeman Clinic Physicians Gabor Benda, M.D. Diplomat of American Board of Family Practice Dr. Benda graduated from Rutgers College with a degree in biochemistry before attending Medical School at Rutgers Medical School, (now called Robert Wood Johnson School of Medicine.) He received his medical degree in 1983. Dr. Benda did his postgraduate work in Family Medicine at Hunterdon Medical Center in New Jersey, where he also served as Chief Resident. Prior to joining the Bozeman Clinic in 1989, Dr. Benda worked in variety of practice settings, including private practice in New Jersey and Indian Health Service at Crow Agency, Montana. At Crow Agency he was the medical director at Lodge Grass Clinic, and the head of the Diabetes Program. He has been involved with Rocky Mountain Ministries on a nearly annual basis in providing missionary work and health care in rural villages to both Honduras and Mexico since 2000. Dr. Benda provides a full spectrum of medical care to his patients. His special interests include pregnancy care, health maintenance to help achieve a high level of physical fitness and ideal body weight. He also performs upper endoscopy. He and his wife Susan are kept busy at home raising their four children. Dr. Benda is an avid outdoorsman and enjoys cycling (with occasional road racing), skiing, hiking, photography and restoring old cars.

David McLaughlin, M.D. Diplomat of American Board of Family Practice Dr. McLaughlin is a graduate of the University of Colorado School of Medicine, receiving his undergraduate degree in 1977 and his M.D. degree in 1983. He finished his Family Medicine residency at the Wyoming Family Practice Residency Program in Casper, Wyoming where he served as Chief Resident in 1986.

Dr. McLaughlin came to the Bozeman Clinic in 1991, after working several years at the Red Lodge Clinic. Like many of the physicians at the Bozeman Clinic, Dr. McLaughlin has a passion for serving as both a missionary and a doctor, with his chief focus in East Africa. He and his wife Deb have raised three children and are active in the life of their granddaughter.

Leonard Ramsey, M.D. Diplomat of American Board of Family Practice Dr. Ramsey is a Montana Native. He was born in St. Ignatius and grew up in Missoula.

It is here that he attended undergraduate and graduate school, obtaining degrees in chemistry and biochemistry. His medical school training was completed at the University of New Mexico in Albuquerque. Dr. Ramsey did a residency in Family Medicine where he served as Chief Resident at the University of Utah in Salt Lake City. Since that time, he has practiced medicine in the Bozeman area. However, he has also spent a great deal of time serving as a missionary physician in Africa. He has a passion for serving people in developing nations through medicine and missions. His other great passion is his family; he and his wife Cindy have three grown children and two grandchildren. In addition to his family, other joys in his life include elk hunting, piloting helicopters (for use in his work in Africa), fast cars, and home construction.

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Larry Sonnenberg, M.D. Diplomat of American Board of Family Practice Dr. Sonnenberg is a native of North Dakota where he attended undergraduate school at the University of North Dakota. He received his Doctor of Medicine in 1984 at the University of North Dakota. He performed his Family Medicine residency at the Wyoming Family Practice Program in Casper, Wyoming. Dr. Sonnenberg worked in both emergency room and family practice settings in Wyoming, South Dakota, and Montana before coming to the Bozeman Clinic. He has a great passion for the outdoors, enjoying hunting, fishing, horseback riding and camping. Dr. Sonnenberg and his wife Wendy also love spending time with their two kids, Katie and Ben. They are involved with their church, leading several mission trips to Mexico.

Heather Wheeler, M.D. Diplomat of American Board of Family Practice Dr. Heather Wheeler studied at Pacific Lutheran University earning an undergraduate degree in biology. She then attended medical school at the University of Washington through the WWAMI program. This program allows Montana natives, such as Dr. Wheeler, the opportunity to attend their first year of medical school at Montana State University, before joining their classmates in Seattle for the remainder of their studies. Following medical school graduation, Dr. Wheeler completed her Family Medicine residency training in Spokane Washington. She has practiced at The Bozeman Clinic since 2002. She enjoys the full spectrum of being a family doctor, including women’s health, delivering babies and providing hospital care. Dr. Wheeler and her husband Dave are busy parents to four children, and in her spare time she also enjoys performing music in her church.

Steven Roberts, D.O. Diplomat of American Board of Family Practice Dr. Roberts is an Idaho native, and received his undergraduate degree in biochemistry from Idaho State University in 1992. He attended Western University of Health Sciences in Pomona, California for his medical degree, and graduated in 1997. He performed his internship at Presbyterian/St. Lukes Hospital in Denver, Colorado and his residency in family practice in Greeley, Colorado.

Upon finishing his residency, Dr. Roberts practiced rural medicine in Shelby, Montana for four years before moving to Bozeman in August of 2005 to join the Bozeman Clinic. Dr. Roberts is blessed with four children. He enjoys running, biking, and cooking with his family. Dr. Roberts provides full spectrum medical care for his patients.

Christine Mitchell, M.D. Diplomat of American Board of Family Practice Dr. Mitchell attended the University of Montana for her undergraduate degree in molecular biology. She completed medical school at the University of Washington as part of the WWAMI program, graduating in 1998. Her Family Medicine residency training was in Spokane Washington, followed by a fellowship in obstetrics. Prior to working for the Bozeman Clinic, Dr. Mitchell worked as a family physician in Spokane, Washington. Dr. Mitchell and her husband Will are both originally from Dillon, Montana, and they are thrilled to be able to live and work in Montana again.They enjoy spending time with their three children, Clara, William, and Gabe.

P R I VAT E LY O W N E D A N D S E RV I N G PAT I E N T S S I N C E 1 9 3 0

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ZoeCare

pregnancy & std testing clinic

serving the greater gallatin valley community since 1978 ZoeCare is the new name of Bozeman’s community pregnancy and STD testing clinic.

Formerly Zoe Women’s Services, ZoeCare encompasses the expansion of our services. We now offer limited STD/STI (sexually transmitted disease/infection) testing and treatment for both women and men—in addition to the services we have offered for many years, including pregnancy tests, ultrasounds, options counseling, consultation, and education regarding sexual health. All our services are provided FREE of charge to our patients regardless of race, religion, or gender.

Our mission is to provide men and women with education regarding unplanned pregnancies, STDs, sexual integrity, and sexual health.

If you’re facing an unplanned pregnancy or have concerns about the sexual history of your partner, you’ll find confidential, compassionate care and support at ZoeCare. You probably have a lot of questions, and ZoeCare is your source for answers. We recognize you want to be fully informed about all of your options.

Our services include medical-quality pregnancy tests, ultrasounds, sexually transmitted disease and infection (STD/STI) testing and treatment, as well as education information, caring patient advocates, licensed medical professionals, registered nurses, nurse (medical) consultations, community referrals, discussion of all your options, adoption referrals, and programs to help you make knowledgeable and informed decisions.

Did You Know?

A positive pregnancy test is not a confirmation of a viable pregnancy. It is estimated that 15 -25% of pregnancies are not initially viable and will end in miscarriage. When your home pregnancy test is positive and you’re trying to make significant decisions about your future, it’s important to know if your pregnancy is viable. We can help!

Our nurses are specially trained in early OB ultrasound to confirm viability.

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You might be surprised to know that half of unplanned pregnancies occur while using contraception. There is a lot of misinformation about various types of contraception and subsequent confusion regarding contraceptive use. We can help you sift through what’s true and what’s not.

If you are sexually active and have more than one partner, or your partner has had other partners, you are at risk for STIs. STIs are becoming very common among sexually active people with more than one partner. Additionally, STIs/STDs are often asymptomatic; therefore, the majority of people who have an STI don’t even know they’re infected.

If left untreated, these infections can lead to serious health concerns, including infertility, PID, (Pelvic

Inflammatory Disease), and though rare, even cancer.

If you have questions, we encourage you to set up an appointment or speak with a ZoeCare nurse.

We believe our patients deserve accurate information and high-quality, professional care. We care about you and are here to help. All of our services are provided FREE of charge and your information is private and secure. ZoeCare is open 9-5 Monday through Thursday. We take same-day and advance appointments as well as walk-ins. We also have an after-hours call line. For more information, call us at (406) 586-9444, or visit our website at gotozoe.org.

ZoeCare is a 501(c)3 nonprofit, faith-based charitable organization.

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Home

Fitness at

a Guide to Building A Home Gym and A Healthier Life

by Clint Erb

We’re all busy. There never seems to be enough time in the day to complete the “to do” lists, never mind stay fit or shed a few pounds. We’re bombarded with media images of before and after shots on the road to slenderness and fad diets that promise to shed fat quickly. But the reality is that hard work is required to get in shape. Where do you go for a challenging workout when there are so many demands on your time?

Like Dorothy says, HOME. Put on your ruby slippers (or sneakers) and get in shape at home.

Whether your dream home gym includes a selection of cardiovascular and strength equipment or a single exercise ball and some resistance tubing, your success will be defined by decisions you make early on.

Here are some design tips from Better Body Fitness of Montana: Choosing A Location To ensure success, choose an inviting space that is well ventilated and provides sufficient light. For those who like to keep up with the latest news or favorite sitcom, a spacious room with a television is ideal.

Equipping your Home Gym Define your goals and budget first, then consider the type of exercise machines that can help you achieve them. There are thousands of products on the market and

the task of sorting through them can be overwhelming. The internet, though a great research tool, is loaded with web-savvy businesses that market cheap products unworthy of the most basic gym.

Consult A Specialty Fitness Retailer Specialty Fitness Retailers are experts at helping customers select equipment that matches their personal training goals and gym design. Most have showrooms with a variety of equipment from entry level to club quality products that customers can try before making a purchase.

Who We Are Better Body Fitness of Montana, Inc. is the Rocky Mountain region’s leading source for high quality fitness equipment.

Operating in Montana for over 15 years, our knowledgeable team helps clients with purchasing decisions, installation, and repair of top quality equipment. Our consultation services include personal training solutions, computerized space planners, and budget calculators. We showcase leading brands such as Precor, Cybex, Octane, Hoist, Torque, Vision, FreeMotion, Paramount, Spirit, and True. For more information about Better Body Fitness of Montana visit our website at www.betterbodymontana. com or stop by one of our showrooms at the following locations: 1400 Euclid in Helena or 1310 24th Street West in Billings.

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Workplace Fitness

What Businesses are Saying and Doing about

Adapted from an article by Jill Kinney, Founder/Director of Business Development, Club One Inc.

Companies around the globe, in different industries and with different philosophies, are investing in employee fitness.

For Accenture, a company with a highly distributed workforce, providing its employees with fitness facilities and programs was a natural extension of their longstanding commitment to the health and wellbeing of their staff. That commitment is grounded in the philosophy that healthy, happy employees that feel valued form the most productive, innovative and loyal workforce possible.

With Dow Chemical, a manufacturing company with large numbers of shift employees, the conclusion was arrived at in a more methodical fashion – irrefutable data shows that health and wellness impact the bottom line. After seeing success with their early programs aimed at obesity, physical activity and tobacco cessation, Dow led a study among its employee base focused on the ROI (Return on Investment) of reducing its top 10 health risks, all of which could be helped through diet and exercise.

They found that by simply reducing each of those risk factors by one percent per year, they would save approximately $50 million over a ten-year period – a three-to-one ROI. And that estimate, “assumes the only benefit is changes in direct dollar expenditures for health care,” says Catherine Baase, M.D., Dow Global Director of Health Services. Dow also estimated that more than six million dollars in “lost days” would be saved due to reductions in absenteeism.

Fitness: How Convenient

But for all those “studies” and “philosophies,” how do you get employees to exercise and get fit?

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Quite simply, you make fitness facilities easy and convenient for employees. One of the most cited reasons why adults do not exercise is that they do not have the time. So companies that are serious about helping employees improve their health (while helping improve the bottom line) invest in workplace fitness centers. This idea is substantiated by Richard Cotton, PhD, exercise physiologist and spokesperson for the American Council on Exercise. According to Cotton, “To get someone to exercise, we’ve got to help them carve out the time. Having a gym at your fingertips does just that.”

Marty Shaver, a supply manager at Motorola in Palmer, Texas, would also agree. Before Motorola installed an on-site gym, Shaver was 30 pounds overweight with high cholesterol and no time between work and the long commute home to his family for a stop off at the local gym. Since the gym installation, however, Shaver has shed 20 pounds and his cholesterol is back in the healthy range. According to Shaver, he owes his healthy ways to the on-site fitness center at Motorola. “It’s a huge convenience,” says Shaver.

“Instead of going down the stairs and straight out the door at the end of the day, I simply take a right at the bottom of those stairs and hit the gym for an hour.”

All of this adds up to a strong argument to invest in workplace fitness facilities. As companies perform cost-benefit analyses to determine the ROI of such fitness centers, they should consider the tangibles as well as the intangibles, including: • Healthcare costs • Absenteeism • Productivity • Morale • Turnover

The outcome may be much like those of the companies included in this article – from immeasurable benefits to the organization brought on by a healthy, motivated, loyal workforce to three-to-one returns from cost avoidance associated with health benefits payouts and absenteeism.

Although there will always be large health clubs, workplace wellness facilities deserve serious consideration by organizations looking to stay on the cutting edge of employee benefits.

Workplace Fitness: Not Just for Big Business

The benefits of on-site fitness are not limited to big business. According to Clint Erb, Co-founder and President of Better Body Fitness of Montana, Inc., his Helena-based fitness equipment supply company has helped open more workplace wellness centers in the last three years than at any time since beginning operations in 1998. “What’s even more fascinating than this sector’s rapid growth, is the diverse cross-section of businesses jumping on board,” Erb states. In the last year alone, Better Body Fitness has helped design and equip employee wellness centers across Montana in businesses ranging from pharmaceutical labs, brokerage firms and major power companies to small banks, insurance agencies, hospitals and school districts. “It’s surprisingly affordable,” says Erb, “especially when considering the ROI in terms of employee sick days, insurance premiums, productivity and morale.”

3-D Rendering of Workplace Gym

Better Body Fitness of Montana, Inc.

Fitness Equipment Sales & Service

1-866-348-3434 • 406-449-4672 • www.betterbodymontana.com

Sales • Consultation • Room Design • Flooring • Installation • Service Gallatin Valley Whole Health • 2014 • 17

What Does “Fellowship Trained” Mean?

Over the past few decades, medicine has become more and more sub-specialized. To some degree, this is frustrating to patients because they have to see more and more doctors to address their various health problems. On the other hand, specialists should be better equipped than generalists to handle tough issues. Orthopedic surgery is no exception. Over 50% of orthopedic residents go on to become specialists in a particular area of orthopedic surgery; they become “fellowship trained” in their area of interest.

The road to becoming an orthopedic surgeon is a long one. A “general” orthopedic surgeon completes 13 years of school/training after graduating from high school: four years of college, four years of medical school and five years of residency. In college, one must take a premedical curriculum, which focuses on the basic sciences.

Due to the number of applicants to medical school, the application process is extremely competitive. Many college students spend extra time outside of their required course schedule to do basic science or clinical research and/or volunteer at a hospital to bolster their resume and set themselves apart from other applicants. Others will even take extra time to volunteer in areas like the Peace Corps.

Once in medical school, the pressure only intensifies. Grades, board examination scores and class rank are very important because they “keep doors open” for pursuing competitive fields in medicine. In medical school, students are exposed to all areas of medicine. They select their area of interest during their fourth year and then apply to a “residency” in that area. For example, if a medical student wants to become an anesthesiologist, they apply for a slot in an anesthesia residency. There are no guarantees that a student will be able to pursue the path they wish, as competition is fierce. Some specialties are more competitive than others. Orthopedic surgery is one of the most competitive and highly sought after fields in medicine. The length of residency training varies from one area in medicine to another. A residency in orthopedic surgery lasts five years. During these five years, residents are exposed to all areas of orthopedics, usually rotating through two- to three-month blocks in each area, multiple times. As the resident advances in years, his or her responsibilities increase and they are allowed to participate in surgery more and more.

Once an orthopedic resident completes residency training they can then go into practice as a “general” orthopedic surgeon.

Many residents choose to sub-specialize and pursue an additional year of training called a “fellowship.” Fellowships constitute a unique intellectual apprenticeship. They provide a close working relationship with a senior mentor(s) who will, inevitably, become a detailed model (to follow or to avoid) that will shape trainees’ thoughts and actions for the rest of their careers. Again, this is a competitive process, as there are only so many slots to be filled in each fellowship. In orthopedics, there are several different fellowships: Hand Surgery – This specialty focuses on the investigation and treatment of diseases, injuries or abnormalities affecting the upper extremities. It includes the performance of microvascular surgery, which is necessary for reattachment of amputated fingers or limbs.

Sports Medicine – This specialty addresses the various concerns of a person who is involved in athletics, including conditioning, equipment and injuries to the musculoskeletal system.

Pediatric Orthopedics – Specialists in pediatric orthopedics address their practice to children with orthopedic problems, including scoliosis, cerebral palsy, congenital dislocation of the hips, clubfoot and a wide variety of other conditions specifically seen in children, including trauma.

Spine Surgery – Fellowship trained spine surgeons offer expertise in treating complex problems that arise in the spinal column, spinal cord and other spinal nerves due to disease, degeneration or trauma.

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by: Martin Gelbke, MD

Foot and Ankle Orthopedics – This specialty is concerned with problems predominantly involving the foot and ankle that are amenable to treatment by both surgical and nonsurgical techniques.

Adult Reconstruction (Hip and Knee Replacement) – Specialties in joint replacement take care of damaged or worn-out joints, usually by surgically replacing the joint with an artificial device. The majority of these cases involve the hip or knee. These specialists are also trained in revision surgery, where worn-out, damaged or infected joint replacements need to be redone.

Trauma Surgery – Because of the complex nature of injuries seen today, a special area of orthopedics is now related to the management of persons with critical or multiple injuries to the musculoskeletal system. This specialty is largely surgical in nature and involves close cooperative efforts with many other specialties in surgery.

Oncology – The orthopedic tumor surgeon specializes in the management of benign and malignant tumors affecting the musculoskeletal system. Options for treatment have expanded greatly in the past few years with the advent of chemotherapy and radiotherapy, coupled with the excision of the tumor and replacement with preserved bone or joint specimens.

After completing a fellowship, it is finally time to step into the “real world” and begin practicing orthopedics. After all, by this time, most young doctors are in their 30s and carry a debt of over $150,000. Many fellowship-trained orthopedists will practice almost exclusively within their area of expertise, but others will still have a “general” orthopedic practice. This depends a lot upon location. Obviously, in very rural areas where providers are sparse, a generalist practice is desirable. In more developed areas, providers will tend to stick to their specialty.

So…what does this mean to you?

Today’s patients are undoubtedly more informed, as information is readily available over the Internet. Patients frequently present to their doctors armed with information about specific techniques, procedures, implants, etc. Overall, this is a good thing, but it can certainly lead to confusion, as information found over the Internet can be misleading and easily misinterpreted. I have been surprised, however, to find that many patients do not know how to find the right doctor to care for their medical problem. I have had many friends and family members call me for advice on where to go and who to see about a medical problem they may have. Where it seems simple and obvious to me, I have come to realize that most people are lost in the world of subspecialty medicine and subspecialty orthopedics. Therefore, I felt that this article might be useful.

One question patients should ask themselves before they allow a surgeon to perform an elective operation is not only whether the surgeon is qualified to perform the operation, but also if he/she is capable and willing to deal with potential complications related to the surgery. It is nice to know that your surgeon is in it for the long haul with you when things don’t go according to plan.

In Bozeman, patients are lucky to have a group of orthopedists that are all fellowship trained. Bridger Orthopedic and Sports Medicine covers nearly all areas of orthopedics. From foot and ankle disorders to severe spinal deformities, our surgeons have the training to meet our patients’ needs. We work in concert with one another to make sure that the most qualified providers care for each patient. We treat complex fractures in both the adult and pediatric populations. Our goal is to provide the best comprehensive orthopedic care.

For more information about our providers, please visit our website at www.bridgerorthopedic.com

WWW.BRIDGERORTHOPEDIC.COM TEL: 406.587.0122 1450 Ellis Street, Ste. 201, Bozeman, MT 59715

We help you lead a healthier and more active life.

Daniel M. Gannon, M.D. Fellowship Trained in Joint Replacement

Steven R. Speth, M.D.

Fellowship Trained in Spinal Surgery

Robert B. Blake, M.D.

Fellowship Trained in Hand Surgery, Upper Extremity Care

Jon F. Robinson, M.D.

Fellowship Trained in Foot & Ankle Surgery

Richard N. Vinglas M.D.

Fellowship Trained in Hand Surgery, Upper Extremity Care

Alexander B. LeGrand, M.D.

Fellowship Trained in Sports Medicine, US Ski Team Physician

Martin K. Gelbke, M.D.

Fellowship Trained in Orthopaedic Traumatology, and Adult Reconstruction Hip and Knee Surgery

Gene A. Slocum, M.D.

Fellowship Trained in Pain Medicine, Non-operative Spine Care

Royce G. Pyette, M.D.

Non-operative Musculoskeletal Care, US Ski Team Physician

No finer care anywhere.

Freestone Rehabilitation

BOZEMAN 1532 Ellis Street, Ste. 103 TEL: 406.586.5694 BELGRADE 403 Gallatin Farms Ave TEL: 406.388.7229 LIVINGSTON 118 N. B Street, Suite C TEL: 406.222.4440

Gallatin Valley Whole Health • 2014 • 19

Babies

Commitment to healthy

There is an abundance of information available about pregnancy, whether it’s online, on book shelves, or in magazines. Let’s get back to the basics.

Most babies are born healthy, especially thanks to advances in prenatal care over the last several years. Teamwork with a health care provider and a commitment by mom to make healthy choices can help put parents at ease about their little one’s development.

For most women, having a healthy pregnancy means simply living the fundamentals of a healthy lifestyle. Samuel Sillitti, MD, obstetrician and gynecologist at Bozeman OB/GYN Billings Clinic said, “First, work closely with your healthcare provider and don’t be afraid to ask questions. Second, eat a well-balanced diet and stay active. Overall, active women have less pregnancy complications. Third, enjoy this amazing, unique, and memorable time in your life.”

Shelby Haugan, MD, obstetrician and gynecologist at Bozeman OB/ GYN Billings Clinic says regular prenatal exams are a top priority during pregnancy. They are important for monitoring both the mother and growing baby’s health. “During each trimester of pregnancy new issues can arise, and both the mother and baby are better off if we can address concerns in a timely fashion,” Dr. Haugan explained. “We can prevent many problems from ever happening by providing quality prenatal care.” Most pregnant women begin with monthly visits to their doctor. After 28 weeks, the visits become more frequent.

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Dr. Haugan offers a few specific tips for what moms should avoid during pregnancy: • Because there is no known safe amount, women should not drink alcohol.

• We also recommend tobacco and smoking cessation.

• Women should avoid any unsafe situations where they could get hurt, such as by not wearing a seatbelt.

• We recommend preventing dehydration by drinking adequate water throughout the day.

There are some medical conditions and health problems that can complicate pregnancy. “Any chronic medical condition can affect both baby and mom and needs to be carefully managed with the patient’s care provider,” said Dr. Sillitti. “Some of the more common conditions we

see that alter management include high blood pressure, thyroid disorders, and diabetes. Don’t forget to inform your provider of your entire medical history, even the details you may think are trivial.” The mother’s age can also be a factor in how smoothly a pregnancy will go.

Bozeman OB/GYN Billings Clinic offers care for normal and high-risk pregnancy, a pregnancy diabetes clinic with a registered dietician, and maternal fetal medicine consults and monthly outreach clinics.

Although pregnancy can cause some anxiety, especially for first-timers, parents should try to relax as much as possible and enjoy this special time. There are a lot of amazing changes ahead. “Pregnancy should be a happy time and not a fearful time,” Dr. Haugan emphasized, “Most patients just want a healthy pregnancy and the best outcome for the pregnancy. Knowing what to do and having a plan helps many patients feel comfortable.”

Gallatin Valley Whole Health • 2014 • 21

Natural Pediatrics

by Paloma Defuentes

in bozeman

Who am I? My name is Dr. Paloma Defuentes.

I’m a Naturopathic Pediatrician with extensive medical training. I am a licensed Medical Doctor, Naturopathic Doctor, and Osteopathic Doctor, and have trained in the medical arts for 40 years. In addition to my medical training, I attended Montessori teacher training and this has helped deepen my understanding of children and how to fulfill their needs. I have always loved children and find that their health is different than adult health.

How is Naturopathy different? The approach of a Naturopathic Doctor is a “holistic approach”.

We look at the whole person: the physical body, the emotions, the state of the mind, and the spirit. We are fully trained physicians with prescription rights, and we spend much more time with patients, in order to assess their conditions. We believe the body heals. For this to happen, conditions have to be changed. Food, sleep, and stress have to be addressed. Working with a Naturopathic Doctor is different than a regular MD. Naturopathic doctors have additional and specialized training in natural methods of healing. My aim is to help people to find balance, so they can live a full life.

Why are children’s bodies different? Children, from newborn to 14, have new bodies. They are born with their parents’ genetic makeup, but the conditions of the environment - namely food, stress, emotional ups-and-downs (parents’ divorces, brothers or sisters getting sick, new siblings) - greatly affect their health. From a naturopathic way of looking at things, the regular diseases of childhood, namely measles, chicken pox, etc. are but a natural way the body has of getting rid of toxins that have accumulated. Ear infections and upper respiratory infections are often the result of excess mucus due to faulty diet, plus any extra factors that are challenging a specific child, such as emotional and mental stresses.

a little better, they think the child is healed. However, it is important to continue treatment as instructed by the doctor until the child’s vital force (energy of life that animates the human body) is strong enough. Otherwise, the conditions of disease will come back, sooner or later, in the same form or a different form of disease.

Why do you need a family physician? It takes time to trust a physician, yet if you don’t, where can you go when you’re in trouble? To the emergency room, where no one knows your child, where there are no records? I am not against emergency rooms. They save lives, yet they also cost a lot of money and their treatments are usually intrusive. Then, once you leave the emergency room, you are told to go to your family physician. There is no substitute for having a good family doctor. So, look around, interview several of us, and choose one that works for you. Once you find your family doctor, give them loyalty like you would give to a friend. Allow for the process of discovery. Speak up if you don’t understand, or have a different idea. If you establish trust, you will have a physician and friend for life: A physician who will know your child’s history, who will be able to help your kids as teenagers…such as giving them information on drugs and sexually transmitted diseases, helping your daughter make choices about her body, birth control, etc.…and then hopefully be invited to their weddings!

My office: My office offers you a place of health and searching, looking for causes and roots of causes that brought disease to your child. Through this process of discovery, we will meet your goal of helping your child to be healthy. My methods work when you make a commitment to treatment with an open mind, accepting that you are making an investment in your child’s health that will serve him/her in living a full life.

Please feel free to come to my office to meet me. I’d be happy to answer any questions you may have. I offer free 15-minute initial consultations. Please call 556-1209 or visit me on facebook: tinyurl.com/palomadefuentesnd

Areas of Emphasis

Pediatrics & Childhood Disorders, Biological German Medicine, Homeopathy, General Family Practice, Heart Disease, Diabetes, Gynecology, Infectious Diseases, Allergy/Asthma, Chronic Fatigue/ Autoimmune Disorders, Digestive Disorders/Irritable Bowel Syndrome, Men’s Health & Aging, Adrenal Fatigue/Endocrinology, and Nutrition

Put in an ideal condition - imagine your children in a crystal box - you would find that the resilience and resonance of their bodies has a very high energetic frequency. Therefore, their bodies respond to energetic remedies, like homeopathy and herbs, much faster than adult human bodies.

Working with a Naturopathic Doctor: Naturopathy is very effective. My understanding of the human body is that it’s a marvelous machine that works without ceasing, from birth to death. It has a wonderful capacity to heal.

Because working with a Naturopathic Doctor is different than working with a regular MD, it is good to know the types of circumstances that can come up for families as they begin their child’s treatment plan. I often find, in working with children, that it may not be easy for parents to recognize and agree to the treatment plan. This is understandable. New information can be overwhelming. Parents often become confused going from one office to another, getting different advice about treatment. Even the names of diseases or conditions can be different from one office to another. Often my treatment plans require a change in diet and this can create a disruption in the family.

Another issue can be if one parent is not present at the office consultation, and therefore misses all the explanations, he/she sometimes resists the treatment process. As your doctor, I would help you meet these challenges.

If the family does start following the plan and the child begins getting better, sometimes the parents decide to not continue the treatment: since the child is 22 - Gallatin Valley Whole Health • 2014

Services

Office Hours

9am – 5pm • Monday – Friday

Phone

406-556-1209

Facebook

tinyurl.com/palomadefuentesnd

Well-child check-ups, Food Allergy Testing & Treatment, Vitamin Injections, Pap Smears, Blood Pressure Control, Weight Loss, Massage, Jin Shin Yutsu (Ancient Oriental Healing Method), Raindrop Therapy, Cooking Classes, Customized Tinctures and Oils, Bach Flower Remedies, California Flower Essences, and Walk-in Urgent Care

The Patient’s Bill of Rights

What is the Patient’s Bill of Rights?

Many patient do not know what these are.

1. Assures that the health care system is fair and it works to meet patient needs.

2. Gives the patient a way to address any problems they may have.

3. Encourages patients to take an active role in staying or getting healthy.

There is several areas of the Patient’s Bill of Rights, the most important right is choice.

You have the right to choose health care providers who can give you high-quality health care when you need it. (With Obama Care you still have the right to choose, however, if your provider does not accept this insurance you will have to pay for all services, or you will have to choose a physician that takes Obama Care insurance.)

You have a right to know or choose your treatment options.

You have a right to considerate and respectful care from your doctor, or other health professionals.

You have a right to confidently, and to have your information protected. You also have the right to review your medical file and obtain a copy for yourself. If the information is not correct you have the right to request a correction from that physician.

You have the right to a fair, fast and objective review of any complaint you have against your health care providers. This includes waiting times, hours of operation, actions and adequacy of the facility.

You have a right to choose that allows you to choose which facility draws your blood.

All facilities are required to forward those test results on your behalf to the provider that ordered your blood work.

The clinical laboratory must meet rigorous performance standards to ensure the quality of its procedures and results. Reference labs are independent labs that tests samples from others labs to ensure patient ranges are within the normal

by Amy Cline

reference ranges. That means if you have your blood draw at your local hospital or private lab or even in a different state. The reference ranges should be within the normal and accepted ranges for that test.

provide you with a receipt that you can submit to your insurance, however, this is not a guarantee that your insurance will reimburse you. We are not affiliated with any insurance company including Medicare/Medicaid.

Some labs may use different analyzers to process your blood, so it may be important if your doctor is following the history of your disease, then you would want to have your blood processed by the same lab, especially if you are having blood drawn often.

We can do routine testing without an order form your physician. The reason Tri*Med we can do this is Dr. James Larsen is the physician on our account and he gives us the ability to do testing for patients that is routine without a physician written order.

These are your rights as a patient!

If you want to learn more visit us at our web page www.trimedservices.com.

Tri*Med Services has been in business since 1998. We are independently owned. I am a native of Bozeman and have owned Tri*Med Services for the past 7 years. We offer a wide range of services to the public.

We provide Life Insurance physicals, DOT and NonDOT drug and alcohol testing and private drug and alcohol testing.

We work with several Naturopaths and Chiropractors here in the Bozeman area providing them with routine and specialized blood tests.

The most important blood we do is our Wednesday Weekly Health Fair. We have several tests we offer (Chemistries, CBC, Thyroid, T3 Free, T4 Free, Testosterone, Vitamin D and B, Estradiol, Progesterone, Homocycsteine, Lipid, PSA and A1C). We have discounted rates on Wednesdays that allows us to offer lower prices than regular patient fees.

Walk-ins welcome!! Every Wednesday 8am to 12pm.

Pay at time of service. We will Gallatin Valley Whole Health • 2014 • 23

System a strong immune

stay well at the co-op

by Alison Grey Germain

Stay healthy inside and out at the Co-op West Main Wellness Department. With over 1,300 supplement and vitamin products lining our shelves, this is your one-stop natural health shop. Here are our top seven natural supplements to help keep you healthy.

Echinacea This purple coneflower is one of the best known and researched herbs for stimulating the immune system. Try Echinacea in our bulk tinctures.

Probiotics Probiotics have been linked to digestive and overall immune health by promoting healthy probiotic growth in your intestinal tract.

Try Natural Factors Double Strength and Nutrition Now PB8.

Elderberry Elderberry is commonly known for its immune boosting powers during cold and flu season. Try Source Naturals Elderberry Extract or New Chapter Immunity Take Care. You can also find elderberry in our Bulk Tinctures.

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Olive Leaf Olive leaves are said to contain powerful antioxidants and are widely used around the world as a health tonic and all-purpose powerful antioxidant to promote general health and help combat colds, flu, or infection. Try Barlean’s Olive Leaf.

Vitamin D3 Sunlight is the source of life on earth. It maintains healthy calcium and phosphorus levels in the body for strong bones and plays an active role in a healthy immune system. Try Source Natural Vitamin D3.

Oil of Oregano Oil of Oregano is an excellent early defense mechanism when you feel a cold or sore throat coming on. Try Nature’s Way Oregano Oil Caps and Source Natural’s Wellness Formula or Oil of Oregano.

In addition to these tips, our knowledgeable staff is on hand to help answer questions you may have and pinpoint the products you are looking for. Co-op West Main is located at 908 West Main Street in Bozeman. For more info, visit bozo.coop or call 587-4039.

Disclaimer: The Co-op and its staff cannot diagnose or give medical recommendations to our individual customers and this list should not be considered medical advice. For specific healthrelated inquiries, we encourage you to visit your licensed health care provider.

Gallatin Valley Whole Health • 2014 • 25

Laser Dentistry

the future is here today

It has been nearly 25 years since lasers were first introduced to dentistry, and lasers are now routinely used in nearly every area of healthcare including dermatology, ophthalmology (LASIK), general surgery, and plastic surgery. Over the past several years, our integrative family practice has seen an increasing number of patients looking for a more comfortable, convenient, and less stressful alternative to the traditional needle and drill. Now, our patients can benefit from the most advanced laser technology as well with the revolutionary duo of dental lasers from Biolase Technology: the WaterLase iPlus hard and soft tissue laser, and Epic 10 Diode soft tissue laser.

We have chosen to invest in Biolase Dentistry to expand our continuing commitment to integrating the most advanced technologies and progressive, biological-based dental procedures in the most patient-friendly ways possible. The WaterLase iPlus and Epic 10 Diode soft tissue laser systems are uniquely designed to perform a broad range of dental procedures, including cosmetic gum lifts and reshaping, simple restorative dental procedures, such as cavities and teeth whitening, and complex surgical applications, including laser-assisted periodontal treatment with Dual Wavelength Deep Pocket Therapy.

The WaterLase and Epic 10 were developed by BIOLASE Technology, the leader in dental lasers. Over 20 years of clinical research has documented the effectiveness and benefits of lasers in the treatment of periodontal disease. Since 1998, the WaterLase has received numerous approvals from the FDA for a wide range of procedures on teeth, bone and gum tissue. WaterLase dental lasers have been used to treat millions of patients and it is 100% safe for all ages—even children. Research shows that 97% of patients who were treated with WaterLase would recommend it to their family and friends.

EPIC 10 – Versatility Redefined EPIC is the only diode laser in the USA that is FDA cleared for three unique therapy modes: Soft Tissue Surgery, Teeth Whitening, and Pain Therapy. The EPIC 10 can provide relief of lesions canker sores (aphthous ulcers and oral herpetic lesions) as well as perform laser-assisted periodontal pocket therapy using single-use disposable tips that reduces the risk for cross contamination and improves patient safety.

EPIC and the Biolase LaserWhite20 is also an ideal teeth-whitening solution. Studies have shown that EPIC can perform a full-mouth, in-office whitening procedure with an average of 4-6 shades whiter in only 20 minutes of treatment time, faster than any other in-office whitening system.

26 - Gallatin Valley Whole Health • 2014

EPIC is cleared by the FDA for Pain Therapy, a North America exclusive for dental diode lasers. The deluxe, Deep Tissue Handpiece (DTHP) provides for temporary relief of minor pain, headaches, muscle discomfort, and TMJ-related orofacial pain.

WaterLase iPlus – Practically Painless Biological Dentistry Are you scared of going to the dentist because you’ll hear the dreaded drill screeching in your ear? Or maybe you are terrified of the needle—it’s one of the main reasons many people are afraid of going to the dentist. They simply don’t know how comfortable modern dentistry can actually be. With WaterLase Dentistry dental treatment is faster, more convenient, and virtually painless*.

WaterLase Dentistry uses a patented technology combining concentrated laser light energy and a water-cooling in a process called HydroPhotonics and sends it through an optical fiber to its handpiece that can aim the laser energy at precisely the areas to be treated safely and comfortably. The WaterLase system’s laser handpiece never touches the tooth as it removes dental decay. Most patients can finally say goodbye to the nerve-wracking whine and vibration of the dental drill and have many different types of dental procedures done in one appointment with fewer shots, less need for anesthesia, less use of the drill, and fewer numb lips!

Accuracy, Precision, and Comfort with Fewer Visits The Waterlase iPlus is the quintessential technology for providing the new standard of care: minimally invasive dentistry. And because it is so precise, most patients will rarely need anesthetic! We can now perform a large variety of soft and hard tissue procedures with little or no bleeding and less post-op swelling and pain. Since you often don’t need shots or anesthesia, cavities in multiple areas of the mouth can be completed in just one visit. This technology also gives us the ability to perform many additional surgical procedures that would previously have required a referral to a specialist.

If you’ve been avoiding the dentist for fear of the needle and drill, or just want a dental solution that is more comfortable and faster, call to schedule an appointment or free consultation today. For more information on WaterLase Dentistry visit waterlase.com. *Discomfort is based on individual sensitivity to pain, and other factors. Not all patients can be treated painlessly without anesthetic. However, dentists using WaterLase to perform typical cavity preparations report not using anesthetic in the majority of cases

Are you ready for a healthy change?

Experience the difference of integrative dentistry today.

Over 18 years experience in General Dentistry Holistic Dental Care Dental Implants TMJ, Headaches & Jaw Pain Orthodontics & Clear Aligners Complex Reconstructive & Bioesthetic Dentistry

Laser Dentistry & Fillings Mercury Free Dentistry Veneers and Crowns Sleep Apnea & Snoring Oral Sedation Laser Perio Therapy

TODD A. KINNEY, DDS AMY C. MADDEN KINNEY, DDS center for integrative dental medicine

406.582.8500 • 3502 Laramie Drive • Bozeman • www.drskinney.com Gallatin Valley Whole Health • 2014 • 27

Care

pelvic

for health & wellness

by Patti Gehman, P.T.

What does it mean to take care of your pelvis? To develop a relationship with your pelvic bowl and its contents? To live from your bowl? In what ways have you been taught to view your body, care for and use your body as you developed and continue to progress through your life cycles?

There are a number of issues that women face today that would be categorized as women’s health care: organ prolapse, incontinence, pelvic pain, pain with intercourse, and postpartum care. Men also have pelvic health issues due to prostate cancer, scarring from vasectomy and associated post-treatment conditions, as well as pelvic pain/pudendal nerve pain. With some of these conditions, treatment has been more of “damage control” and after-the-fact care, with little awareness along the way of how things could be supported or helped to be different.

Pelvic congestion is a primary factor in long-term pelvic bowl health, which is whole body health. For both men and women, cellular, vascular, and lymphatic flow in the pelvic region is influenced by our movement patterns and lack of movement.

Prolonged sitting is now described as the “new smoking,” inferring that it has significant negative effects on our health.

Structurally, the pelvic bowl is composed of the sacrum, ilium, ischium, and pubic bones with multiple muscular attachments, ligamentous connections, and it is a container for the organs.

The psoas (pronounced so-as) muscle is key in this area.

Isolated control and length will enhance the balance of the pelvis and how the forces are transmitted around and through this structure.

The psoas muscle originates from the anterior surface of the lumbar (lower back) vertebrae. When the psoas contracts, it pulls us in to a fetal position, so it is easy to see how this muscle is part of our nervous system’s response to fear and trauma.

We are wired for fight or flight via the sympathetic nervous system which when activated, facilitates increased heart rate and respiration, pupil dilatation, clammy or pale skin, and decreased digestion which affects the pelvic bowl.

Fear/increased sympathetic nervous system activity also increases tension in the pelvis, contributing to altered movement patterns and pelvic congestion. Emotional and chemical toxins influence the environment of the pelvic bowl as well: foods we eat, the products we use, materials we wear, and the thoughts or belief patterns we hold. Releasing tensions, cultivating body awareness, improving core strength with length, and restoring flow in the pelvic region will contribute to healing and wellness.

As a Physical Therapist at Health in Motion Physical Therapy, I utilize multiple treatment modalities to develop an individual care plan to improve pelvic bowl health as part of restoring 28 - Gallatin Valley Whole Health • 2014

posture, isolated neuromotor control, body awareness, and core strength. These include Svaroopa yoga: a gentle and precise style of yoga for releasing deep spinal tensions and cultivating body awareness; “Beyond Kegels” exercises developed by Janet Hulme, P.T. out of Missoula; breath work; and for women, internal vaginal massage / myofascial release as taught by Tami Kent, P.T. The “Beyond Kegels” exercises utilize a wedge for positioning, bringing the hips higher than the upper torso while in a supine position. This allows the pelvic floor and abdominal muscles to be activated in a way that supports and strengthens from the bottom up versus abdominal contractions that push down into the pelvic floor while also compressing the thoracic spine (rib cage) and pelvic organs.

In addition, “Beyond Kegels” is engaging sphincter muscles and hip rotator muscles synergistically to provide a more effective result. The Kegel exercise that most people are aware of (isolated contraction of the sphincter muscles only) should only be used once pelvic congestion has been cleared. Kegels should not be performed while urinating, as this will cause neurological confusion.

For additional support, lymph-drainage therapy is a gentle manual technique used to decongest the pelvis. Visceral manipulation releases the connective tissues around the internal organs that may not be moving well due to trauma or scarring. Health in Motion also combines these techniques with acupuncture. Jean-Louis Gillet of Yellowstone Acupuncture can co-treat with physical therapy to provide quicker results with pelvic flow and mobility.

Developing a sustainable self-care practice is one of our treatment goals—sustainable being that which can be done with joy. To describe care for the pelvic bowl is one thing— experiencing it is another. Let Health in Motion Physical Therapy and Yellowstone Acupuncture be an integrative resource for your health and wellness.

Lori and Jean-Louis are the owners of Health In Motion Physical Therapy and Yellowstone Acupuncture & Oriental Medicine and have been locally owned health partners since 1999, treating patients from infants to older adults. From those with chronic headaches, neck and back pain, to patients who have suffered multiple traumas or sports injuries, these professionals take a whole-body approach to treatment, producing deep and sustainable results. Physical therapists at Health In Motion specialize in manual therapies including craniosacral, cold laser, visceral manipulation, functional movement assessment, myofascial release, therapeutic yoga, exercise, dry needling, and evolving women’s health. For more information, contact Health In Motion Physical Therapy at (406) 585-4642.

Health in Motion_Whole Health.indd 1

9/16/11 10:43 AM

Southwestern Montana Financial Center, Inc.

Gallatin Valley Whole Health • 2014 • 29

Checklist

your plastic surgery

Courtesy of SW MT Plastic Surgery, William R. Mealer, MD

The popularity of plastic surgery is soaring – and more and more doctors are trying to meet the demand. Any licensed physician can call himself or herself a “cosmetic” or even plastic surgeon, so the importance finding a properly trained and certified provider is paramount. We have prepared this checklist to help guide you through your plastic surgery procedure – from choosing a plastic surgeon to managing your recovery.

CHECK OFF EACH ITEM TO PREPARE FOR YOUR PROCEDURE: 1. Researching YOUR PROCEDURE. From skin treatments to surgery, plastic surgeons provide a wide array of procedures. Research will help you narrow down the best options for meeting your goals.

• Visit www.plasticsurgery.org for full descriptions of plastic surgery procedures and the results you can expect from each.

• Consider other online resources such as BeautyforLife.com and the Partnership for Patient Safety at www.p4ps.org. If you are interested in breast implants, also consider breastimplantsafety.org.

2. Choosing your plastic surgeon.

There are many ways to find a surgeon, including seeking recommendations from your primary care physician, friends and family. But when you’re ready to make a choice, be sure your plastic surgeon meets the highest standards of education, experience and ethics.

• Make sure each candidate is certified by the American Board of Plastic Surgery.

• If you are considering a surgical procedure, make sure your surgeon has operating privileges at an accredited medical facility*.

• Ask your candidate about their most recent continuing medical education.

• When you choose an AMERICAN SOCIETY OF PLASTIC SURGEONS member surgeon, you can rest assured that your doctor has all of these qualifications, which are the conditions of membership.

3. Consulting with your plastic surgeon.

Well before your procedure, you’ll meet with your plastic surgeon for a consultation to discuss your goals and determine the best plan to achieve your desired results. The consultation is your opportunity to ask your surgeon tough questions. You should feel confident asking about your doctor’s credentials, experience, outcomes and safety record in the type of procedure that interests you.

• Confirm that you are a good candidate for your chosen procedure.

• Identify any alternative procedures for achieving your desired results and understand the pros and cons of each.

• Review before and after photos that illustrate the procedure and results that you can reasonably expect.

• Ask friends, family and doctors for referrals.

• Determine what will be expected of you to achieve the best results.

• Compile a list of plastic surgeons.

• Discuss the risks associated with your procedure and how your doctor handles them.

• Make sure each candidate has at least six years of surgical training and experience, with a minimum of three years specifically in plastic surgery*.

30 - Gallatin Valley Whole Health • 2014

• Tell your plastic surgeon about medical conditions, allergies and previous medical treatments. On the day of the consultation, it’s helpful to bring

a list of your medical conditions and any medications, vitamins or herbal supplements you are taking.

• Find out who will perform your procedure and where.

• Determine the length of the recovery period and the kind of recovery help you will need. Plan for the appropriate level of support you will needs from family and friends – such as a ride from the facility, help with changing dressings or assistance in bathing.

• Share old pictures of yourself with your surgeon to show how your appearance has changed.

• Discuss the cost of the procedure.

4. Planning for your surgery. Safe and successful plastic surgery depends not only on your doctor, it’s your responsibility, too. These steps will help make sure you’re ready for plastic surgery – both before and after your procedure.

BEFORE • Be sure you are physically healthy, eating right and not smoking.

• Establish realistic expectations for the results of your procedure.

• Read, understand and sign informed consent documents for your procedure.

• Understand the procedure’s after-effects and recovery time.

• Have your plastic surgeon thoroughly address all of your questions about your recovery.

AFTER • Each procedure requires a specific postoperative protocol. Follow your doctor’s orders for a safe recovery.

Enhance your Natural Beauty William R.Mealer, M.D. Bozeman Deaconess Hospitals ONLY Board-Certified Plastic Surgeon.

406-585-2700 www.swmontanaplasticsurgery.com www.montanabreast.com Nose Surgery • Laser Therapies • Facelifts • Eye Lid Repair Tummy Tuck • Liposuction • Breast Augmentation • Breast Lift • Botox® Injections Juvederm® Injections • Laser Vein Therapy • Facial Peels

Gallatin Valley Whole Health • 2014 • 31

Providing a Safe HAVEN

by Erica Aytes Coyle & Megan Selheim

One in four women and one in ten men will be a victim of domestic abuse at some point in their lifetime. These numbers hold true for Montana, where in 2010, 14 domestic violence victims were killed by an intimate partner. Thousands of victims across Montana seek services every year to remove themselves from these dangerous situations. To rebuild a life free of abuse, victims need the support of their community; in Gallatin County, HAVEN is the convergence of that community support.

Founded in 1979 as the Battered Women’s Bozeman Area Network, HAVEN works to serve the Gallatin Valley by providing a 15-bed emergency shelter, a 24-hour crisis line (406.586.4111), legal advocacy for victims, counseling, support groups and community education. In the 2011-2012 Fiscal Year, HAVEN served 904 unduplicated clients, demonstrating how widespread the epidemic of domestic abuse is in southwestern Montana. As the Gallatin Valley grows, so does the serious epidemic of domestic abuse.

However, there is hope that together we can end the cycle of abuse. HAVEN’s mission is to reduce the incidence, and minimize the impact, of domestic abuse on families and communities. The community aspect of this mission is vital. The effects domestic abuse has on our community go far beyond the physical and emotional injuries inflicted by abusers. Domestic violence negatively impacts victims’ ability to move forward in their careers and education and it affects those children exposed to violence in the home. Children who experience domestic abuse are one hundred times more likely to become abusers themselves. Therefore, the staff and volunteers of HAVEN need the help of our community to put an end to domestic violence in the Gallatin Valley and beyond.

One way for community members to help end abuse is to educate themselves on what domestic abuse looks like. Every abusive relationship is ultimately about power and control.

The abuser fights to gain and maintain power and control over his or her partner, whether it is through emotional putdowns, threats of violence or physical assault. It is important to recognize that not all domestic abuse is physical. In fact, many HAVEN clients report that it was the emotional abuse that was the most painful to endure.

Abuse often follows a cycle of violence that can effectively give victims hope that the relationship will change for the better.

Abusive relationships typically begin in the honeymoon phase, with abusers often described by their partners as “knights in shining armor.” Soon, however, the relationship enters into the tension-building phase, when victims describe feeling as if they are “walking on eggshells.” During this phase, the abuser keeps the victim on edge through verbal put-downs, argumentative behavior and accusations. The tension-building phase eventually escalates to the acute crisis phase, when the most severe abuse occurs. After the crisis is over, the 32 - Gallatin Valley Whole Health • 2014

relationship returns to the honeymoon phase. The abuser minimizes the abuse and justifies his or her behavior, makes promises that it will never happen again and may even try to make up for his or her actions by buying the victim gifts.

This cycle manipulates victims into hoping that the abuser has really changed for good and that their relationship can and will improve, trapping them in the relationship.

Ways You Can Help For far too long, domestic abuse has been considered a private issue, one that must be worked out in the home. Thankfully, this mindset is changing. At HAVEN, we often receive crisis line calls from friends and family members of victims, wanting to know what they can do to support their loved ones. Here, we have outlined several simple steps everyone can take to end violence in the Gallatin Valley.

• If you hear the neighbors fighting, call the police. Law enforcement is trained to respond to dangerous situations and can intervene.

• If you are worried a friend or family member is in an abusive relationship, invite them out for a cup of coffee. By letting them know you are there to talk with them and support them, you could open the door to further communication. Not sure how to start the conversation? Give HAVEN a call for ideas.

• Recognize that there are many barriers to leaving an abusive relationship, including lack of financial resources, custody of children and fear for immediate safety.

• Discourage bullying. Let your children and their friends know that they should treat one another with respect.

• Invite HAVEN staff to give a presentation on domestic violence to your workplace or service organization.

• Expect abusers to be held accountable by the justice system.

• Write letters to the editor speaking out against domestic violence. If you need help getting started, let HAVEN know and we can provide you with resources.

• Make a gift to HAVEN or volunteer your time. Call the office line at 406.586.7689 to learn how to donate or volunteer.

If we, as a community, work to become well educated on the signs of domestic abuse, each individual can have a major impact on saving the life of a victim. Leaving an abusive relationship is a difficult and dangerous thing to do, but if victims know our community will support their decision, we may be able to help all victims find their safe haven.

To learn more about domestic violence and HAVEN’s services, visit www.havenmt.org.

Red Flags of Abusive Relationships

Do you…

Feel afraid of your partner most of the time?

Feel that you can’t do anything right?

Get embarrassed by your partner’s behavior toward you?

Believe that you deserve to be hurt or mistreated?

Avoid topics or situations out of fear of angering your partner?

Does your partner…

Humiliate, criticize or yell at you?

Blame you for his/her behavior?

Threaten to hurt you?

Threaten to take your kids away?

Threaten to harm your kids or pets?

Force you to have sex?

Act jealous and possessive?

Keep you from seeing friends and family?

Limit your access to money or necessities?

Keep you from getting a job or going to school?

Constantly check up on you?

Threaten to kill himself/herself or hurt himself/herself if you leave?

Does your friend or loved one…

Have frequent injuries resulting from “accidents”?

Frequently and suddenly miss work, school or cancel plans?

Receive frequent calls from a partner?

Fear their partner or refer to a partner’s rages or behavior?

Lack assertiveness or have submissive behavior?

Isolate from friends and family?

Have insufficient resources to live (money, credit cards, car)?

Gallatin Valley Whole Health • 2014 • 33

Prevention ski season injury

by Jon F. Robinson, M.D.

As the weather turns crisp and the days shorten, for many in Bozeman, our focus shifts from our mountain bikes and stand up paddleboards to Big Sky and Bridger Bowl for the new season of skiing or snowboarding. We all have a sense that skiing and snowboarding are inherently dangerous, but the good new is that ski injuries have gone down significantly (>50%) in the last 40 years. Even though injury rates for skiers are going down, we still want to do all that we can to avoid an early end to our season with a ride down the mountain in the ski patroller’s sled.

The injury rates among skiers and snowboarders vary from season to season, but snowboarders consistently have the most. Not surprisingly, 21.8% of snowboard injuries occur in the terrain park compared with 6.5% of ski injuries.

According to the American Journal of Sports Medicine, wrist, shoulder, and ankle injuries are more common among snowboarders, while ligament injuries of the knee are more common among skiers. Curiously, the persons on the ski hill with the highest risk of injury were young, inexperienced female snowboarders, while the British Journal of Sports Medicine (BJSM) found that skiers who are injured are typically male and have a “high readiness for risk.” In other words, the injured skiers were eager to try jumps, moguls, and skiing at high speed.

34 - Gallatin Valley Whole Health • 2014

So what can we do to avoid injuries this season? Well, according to the American Academy of Orthopedic Surgeons (AAOS), there are many things that we can do to prevent ski and snowboarding injuries.

Before you ski or board: 1. Get in shape! Make sure that prior to the season you spend some time getting into good physical condition. The fatigued skier may lack the strength to prevent an injury—especially to the knee. Fatigue also explains why so many injuries happen at the end of the day. If you’re not quite in shape, consider sticking to the easier runs and taking more breaks.

Remember to stop when you are feeling tired or in pain.

2. Take time to warm up! According to the AAOS, research studies have demonstrated that cold muscles are more prone to injury. And lets face it: here in Montana, it’s cold!

Warm up with some jumping, running, or walking in place.

Windmill your arms around as well. Also, it’s a good idea to take a couple of cruiser runs at the beginning of your day to get your heart rate up and your muscles moving.

3. Hydrate! Studies have shown that dehydration can affect physical ability and endurance so make sure you’re drinking plenty of fluids.

photo by Bob Allen • BobAllenImages.com

Equipment: 1. Check your equipment prior to hitting the slopes.

Over the summer, boards, skis or bindings may get damaged. I always have my equipment tuned up at a ski or board shop that follows the American Society of Testing and Materials standard job practices. The tune up should include maintenance and adjusting the bindings, sharpening of edges and a waxing. It is vitally important that your bindings are properly adjusted to your height, weight and skiing ability to avoid injury.

2. It is also a good idea to check your binding each and every time you are on the mountain to check for damage. If your bindings don’t release during a fall, the risk of knee injury, especially to your anterior cruciate ligament (ACL) is dramatically increased.

3. Make sure your (and your kids’) equipment fits! Be especially careful if you are borrowing equipment. It may save money, but poorly fitting equipment can lead to injury. If equipment is too big, for example, the feet will slide around in the boot resulting in less control.

On the Hill: 1. Layer your clothing. It is a good idea to wear several layers of light water and wind resistant clothing to protect against cold and wind. Wicking garments may also help to keep you dry and allow sweat to evaporate.

2. Helmets! Although it has taken some time, the skiing and boarding community has embraced the use of helmets. The Canadian Medial Association Journal published a study in 2010 that demonstrated that helmet use reduced the risk of head injury among skiers and snowboarders with no evidence of an increased risk of neck injury. Helmets are sport-specific, so make sure you don’t use a bike or motocross helmet.

3. Playing music through earphones on the hill adds to the mountain experience, but whether or not you listen to music while you ride, remember that you still need to be aware of other skiers and the conditions around you.

Keep the volume low so you can still hear warnings from others.

Remember: risk-taking behavior is the biggest single factor involved in on-hill injuries. It’s associated with younger age, higher skiing ability, being male, lower body mass and higher speeds according to the BJSM. At times most of us take some risks on the hill, so try to incorporate these recommendations into your routine to minimize your risk of injury.

So get out there and safely enjoy all that Montana has to offer this winter!

Gallatin Valley Whole Health • 2014 • 35

The Ridge

by Jackie Rainford Corcoran

At the Ridge, our mission is to help you launch and maintain a healthy lifestyle. Whether you’re a serious athlete, staying in shape or rehabilitating from an injury, we’ve got the facilities, experts, classes, and positive atmosphere to help you succeed. In 2013 we introduced an essential component to our programs: nutrition and lifestyle counseling through health coaching.

On staff, we have two professional, inspirational health coaches: Jackie Rainford Corcoran and Turi Hetherington, who have studied over 100 dietary theories through the Institute for Integrative Nutrition (IIN.) They understand that great health and nutrition is personal to you. They respect that complete wellness covers all aspects of life, from food intake to stress management. Their style of coaching is goal-oriented and client-centered. They empower you to explore new possibilities and develop goals that are small, important, specific and realistic. They coach through asking openended questions, offering positive feedback, listening without judgment and fostering self-reliance.

Health coaches and dietitians share a common goal: to support their clients in applying the principals of good nutrition to daily life. However, dietitians have knowledge about disease, special diets and medications, and they prescribe specific instructions to patients and caregivers.

Health coaches do not diagnose or treat disease, but they do assist clients in developing a deeper understanding of their food and lifestyle choices that help or harm them.

They allow the client to be in the driver’s seat and guide them to listen to their own inner wisdom and solutions.

As such, health coaches do not compete with dietitians; rather, they complement their work.

Testimonial: After five months of working with Jackie, I now enjoy my time in the kitchen. I’ve learned what triggers my cravings and emotional eating and have tools to counter those triggers. I am starting to lose weight and regularly go to yoga and swimming. I have energy again. I would recommend Jackie to anyone that wants to make longterm changes without drama or fad diets.

36 - Gallatin Valley Whole Health • 2014

Gallatin Valley Whole Health • 2014 • 37

Changing Lives

by Dr. Morgan Woods

Growing up in southeastern Minnesota, I always knew I wanted to be a doctor.

In fact, I wanted to be a pediatrician. I worked at summer camp, lifeguarded, taught swimming lessons, and ultimately took a path in which I could work with as many people and kiddos as possible.

Becoming a Chiropractor had never even entered my thoughts, until I lost my hearing.

Losing something so vital to interaction with the world will throw you for a bit. However, I did not let it stop me. I sought out options and opinions. The only avenue the brought relief, and eventually the return of some of my hearing was Chiropractic. In changing my path from becoming a medical doctor, to becoming a chiropractor I learned a lot about myself, and how I can help people live the life they imagine.

In my practice I have strived to provide a healing and open environment. I work to provide the highest level of education for my patients, and the highest caliber of care. This means that I spend a lot of time learning myself, but also remaining innovative in treatment techniques, accompanying therapies, and research.

My belief in the power of the body to heal has led me to become certified by the National Institutes of Health (NIH) to perform in office research. I have also been certified by the International Chiropractic Pediatric Association (ICPA) to work with pregnancy and pediatrics. I am continuing to work with them to receive my diplomate. By challenging myself and seeking out other areas of care, I have had the opportunity to work with people from all different walks of life, including newborns minitues after their first breath of air, and the elderly that are breathing their last breaths.

38 - Gallatin Valley Whole Health • 2014

These experiences have taught me about my passions. I am incredibly passionate about working with children with challenges. In particular, sensory processing disorders, which are on the rise at an astronomical rate. It is estimated that 1 in 6 people currently experience a neurological integration disorder. Working with these children has been rewarding, challenging and educational. It has also lead me to work with other brain disorders, such as traumatic brain injuries (concussions, strokes, TIAs, etc), with postitive and encouraging results.

I also really love working with women that struggle with infertility. According to the Center for Disease Control (CDC), 6% of women aged 15-44 are clinically infertile. Another 11% experience difficulty becoming pregnant or carrying a pregnancy to term. Though infertility is not strictly a woman’s issue, by relieving nerve dysfunction in the areas that carry information to and from the reproductive organs, fertility has been increased in both women and men.

Often dietary changes and challenges are also present. Once, I am able to help a woman or man, or family achieve their goal of becoming pregnant, I work with them throughout to reduce nausea, sciatica symptoms, breech presentation, and promote proper pelvic alignment for labor and delivery. When the baby is born it is very common for a mother to bring the child in to be checked immediately after birth to get them on the right path of development.

I recently found out that I was expecting my first child with my husband. We are thrilled, however, it has given me another unique insight into women and the physical changes and challenges that are associated with pregnancy. I have found that it has increased patients’ trust

in my judgement and recommendations.

It has also opened my eyes to all the valley has to support women’s health and pediatric health. Overall, I believe the experience of being a pregnant pediatric chiropractor has created a space for me to better understand my pregnant patients, and a deeper drive to assist those that desire having their own children.

I am continually hearing from patients that have had chiropractic care in the past, that I provide a different and effective style of Chiropractic. It has a quality to it that is lacking in other practices. All I can attribute this to, and perhaps it is silly of me, but I treat others as I like to be treated. I believe everyone knows their body better than I do, though I can figure out quite a bit about theirs through tests and such. However, it is ultimately their innate that I look to when creating care plans and making recommendations.

All of these things said, I have every intention of remaining in the valley to serve those who are looking for an honest and ethical family doctor. I want to help your child find relief from colic, acid reflux, and ear infections naturally. Or if your child has been diagnosed with autism spectrum, or neurodevelopmental disorders, or if you have a family member that has suffered a head trauma, stroke or other debilitating disorder, I want to give you another option. I am always looking for ways to improve your interactions with the community, myself, and my practice.

Let me show you how different Chirorpactic care can be, and how it can help to change your life for the better.

Just as it has changed mine.

Gallatin Valley Whole Health • 2014 • 39

Navigating Mental Health Crises Coordinated Efforts Provide an Integrated System in the Greater Gallatin Community

by Scott Malloy, GMHC Director It can be very scary and confusing to experience, or witness a loved one experience, depression, suicidal thoughts, despair, mania, psychosis, utter helplessness or hopelessness. Unless you work in the mental health field or have had previous experience, odds are that you’re unaware of the options that are available to you or a loved one in the greater Gallatin Community. I always like to say that you don’t need to know about mental health crisis services until you need to know! A stable, high quality, efficient crisis system is part of any healthy and vibrant community.

Bozeman has such a system and it has evolved dramatically over the past four years, becoming a shining star in our community.

Simply put, four to five years ago the mental health system here was imploding. There were no coordinated efforts and limited local crisis and emergency options; everyone funneled through the emergency room to get psychiatric help. Individuals had to leave the community for help and crisis evaluations and emergency detentions were reaching unsustainable levels. There was a general sense of apathy and frustration with the mental health system and what could be done to transform it to better reflect the wonderful community in which we all live and work. Gallatin County is now a model throughout the state for comprehensive and integrated crisis care.

Four years ago, Gallatin Mental Health Center (GMHC) started employing some very simple concepts to transform the system.

• Establish and maintain strong RELATIONSHIPS within the community (criminal justice, local governments, hospitals, consumer groups, advocacy groups, professional organizations, crisis line, social service organizations and law enforcement).

• Provide high quality and competent ACCESS for individuals experiencing mental health symptoms in emergency room and detention center settings.

• Provide QUALITY outpatient services outside of the crisis system to promote early intervention and assistance before symptoms become severe.

Approximately four years later, the greater Gallatin community now has a coordinated system consisting of: • Local emergency detention and an inpatient facility (Hope House); • A jail diversion program with on-site mental health staff at Gallatin County Detention Center (GCDC); 40 - Gallatin Valley Whole Health • 2014

• A formal Crisis Intervention Team (CIT), which provides 40 hours of evidence-based training to first responders in mental health crisis situations; • GMHC Open Access, which provides same-day intakes and evaluations, allowing for immediate treatment and crisis prevention; • The Open Arms Drop-In Center, which promotes peer supported recovery; and • A crisis system that creates access to care outside of emergency rooms and GCDC, providing access, evaluation and treatment directly at the local inpatient facility (Hope House).

Thanks to the implementation of a coordinated crisis system: • Emergency detentions (court-ordered mental health holds) decreased 46% from FY2011 to FY2012, with no emergency detentions to Montana State Hospital (MSH).

• Crisis evaluations, by the crisis response team (CRT), decreased 34% from FY2011 to FY2012.

• CRT evaluations at GCDC decreased 36% from FY2011 to FY2012 • CRT evaluations at Bozeman Deaconess Hospital decreased 38% from FY2009 to FY2012.

• CRT evaluations at GMHC increased 72% from FY2009 to FY2012.

• The majority of CRT evaluations now occur at GMHC, not Bozeman Deaconess Hospital.

• Police dropped off 53 people directly at Hope House, a 14% increase from FY2011 to FY2012.

Although it’s important to appreciate the profound progress we’ve already made in overhauling the crisis system, we can only pause briefly, as we have much work left to do in the community.

Remember, if you or a loved one is in crisis, call the Help Center; professional staff will work with you to walk you through the crisis and provide help. For more information, please visit www. gallatinmentalhealth.org.

Gallatin Valley Whole Health • 2014 • 41

How

“fresh” is your pet’s food?

by Josh Allen

Nutrition is the foundation of good health for our animal companions. The best diet for your dog or cat is not unlike the best diet for you – it consists of a variety of whole foods enhanced with vitamins and minerals, enzymes and supplements (when necessary) to promote optimal health and prevent disease.

Ancestrally, our animal companions are hunters and carnivores. The dog at your feet (or, on your sofa) has evolved from the wolf, and his digestive system is virtually the same despite thousands of years of domestication. Dogs have very short intestinal tracts geared to the consumption and digestion of raw foods.

The cat on your lap is a true or “obligate” carnivore (meat only diet) and is specially designed by nature to hunt small rodents and birds. Her digestive tract, as well, is intended to assimilate raw food.

Unfortunately, commercially prepared kibble has become the standard diet for most pets in our culture. Conscious pet owners (and, many proactive knowledgeable veterinarians) are becoming increasingly aware of the true nutritional needs of companion animals. Resultantly, they are placing more importance on getting the highest quality ingredients and carefully controlled preparation than on cost and convenience.

When determining the best diet for your furry companions please remember “the fresher, the better”.

Fresh food is full of life, literally. It contains natural enzymes, probiotics, antioxidants, vitamins and minerals in their most natural state, making them more digestible and more easily assimilated. Heat is the number one enemy of nutrients in food. The fresher the food, the more “bioavailable” the nutrients in that food will be. The antioxidants in fruits and vegetables are more likely to be intact and digestible in raw food than in dry

kibble or canned food, which are processed at high temperatures. This is also true for natural enzymes, probiotics, amino acids and vitamins and minerals in your pet’s food.

The less heat-processed the food is, the more likely that the nutrients will be preserved in their natural state by the time you feed it to your pet … and, the more digestible those nutrients will be. So even if dry kibble is a part of your pet’s diet, adding fresher foods like fresh or frozen raw food & bones, freeze-dried, or dehydrated foods can enhance the quality of his or her overall diet.

We’ve heard it said, “Your pet’s nutrition can be one of two things, either the best long-term proactive preventative medicine OR the worst slow-acting poison that your pet will encounter.” That’s an interesting thought to consider as we think about how to take the best care of the pets in our lives.

Josh & Holly Allen own & operate Dee-O-Gee in Bozeman. They have been helping us “Bozeman-ites” take great care of our furry family members since 2008. Learn more at Dee-O-Gee.com

42 - Gallatin Valley Whole Health • 2014

LOCALLY OWNED & OPERATED

*MONTANA’SBEST Montana's best source for all-natural pet foods, grooming, supplements and unique dog gear.

TWO BOZEMAN LOCATIONS! DOWNTOWN AND 8TH & MAIN

DEE-O-GEE.COM Gallatin Valley Whole Health • 2014 • 43

Bridgercare

Bozeman’s Non-Profit Family Planning Clinic Since 1972

by Stephanie McDowell Since 1972, Bridgercare has been providing Montana with excellent, affordable reproductive and sexual healthcare and education, in a safe, supportive atmosphere. We are a non-profit, family planning clinic that provides services to men and women regardless of ability to pay. Most of our patients pay according to their income on our sliding fee scale. We also assist women sign up for a Medicaid program called PlanFirst, which covers family planning services for women trying to avoid pregnancy or facing reproductive healthcare complications. Contact Bridgercare to find out more about the patient sliding fee scale or Montana Medicaid’s PlanFirst.

Why Access to Affordable Birth Control is Important for Montana Women

Our services include birth control, emergency contraception, STI testing and treatment, pregnancy testing, breast exams, pap tests, testicular exams, physical exams, rapid HIV testing, menopause care, mental health, a walk-in teen clinic, and much more. Our community educational services include teen education, puberty workshops for youth and parents, parenting workshops, menopausal workshops, and more. Bridgercare offers next-day scheduling, advance scheduling, and online scheduling. For more info about services or to make an appointment, contact us.

Family planning is a community trifecta: it reduces the prevalence of abortion, it saves tax dollars, and it improves the lives of children and families.

Bridgercare has been committed to serving Bozeman and surrounding communities since 1972 and will continue to support patients and communities. We seek to improve the lives and future prospects of children and families. Our strategy is to prevent unplanned pregnancy and promote preventative health. If we’re successful, child and family well being will improve.

Phone: 587-0681 Text: 570-3047 Web: bridgercare.org Schedule appointments and order birth control refills online!

For more information about services and education offered, visit us at bridgercare.org, call 406-587-0681, or text 406-570-3047.

Bridgercare is the third largest Title X family planning center in Montana and the only family planning clinic in south-central Montana providing care regardless of ability to pay. Access to affordable family planning is important to women, men and families of Montana. Family planning allows pregnancies to be planned when couples are best able to care for new children. Helping families plan their pregnancies improves pregnancy outcomes by reducing low birth weight babies, infant mortality and maternal health problems.

Bridgercare is a member of Montana Shares and the Montana Nonprofit Association.

birth control (options on the opposite page) condoms free pregnancy tests emergency contraception pap tests & breast exams health exams for men & women STD testing & treatment rapid HIV testing mental health counselling menopause consultation & treatment BRIDGERCARE: Mon-Fri 9-5:30, Sat 9-2 TEEN CLINIC: Mon 3-6:30 CALL: 587-0681 TEXT: 570-3047 WEB: bridgercare.org (schedule online!)

No insurance or Medicaid required.

300 N Willson Ave, 2nd floor, Bozeman, MT 59715 44 - Gallatin Valley Whole Health • 2014

BIRTH CONTROL: FIND A METHOD THAT FITS YOU. Effectiveness

Lo ok t hrough t h e g u i de.

M ak e an ap p oi nt me nt .

G et what you n e e d.

Available at Bridgercare?

What is it?

Pill, Patch, & Ring

92% - 99%

Pills taken daily, a skin patch changed weekly, or a vaginal ring changed monthly. All three release hormones into your body.

YES

PlanB Pill (ECP)

depends on usage

Emergency Contraceptive Pill (ECP) is a hormone pill. It works up to 5 days (=120 hrs) after unprotected sex. Use it sooner rather than later to increase effectiveness.

YES

Condoms

85% - 98%

Latex or non-latex condoms slip over an erect penis to prevent sperm from entering the vagina. Plus, they protect from STIs.

YES

Depo-Provera (shot)

97% - 99%

A shot of hormones given by a health care provider every 3 months.

YES

NexPlanon

>99%

Intrauterine Device

>99%

The implant is a tiny rod inserted by a healthcare provider under the skin of your upper arm.

The implant releases hormones and can be used for up to three years.

IUD is a t-shaped plastic device inserted into your uterus. There are 2 types: Mirena = hormones, up to 7 years ParaGard = hormone-free, up to 12 years.

A small silicone cup that fits inside the vagina, over the cervix to keep sperm out. It is used with spermicide. Diaphragms must be fitted by a healthcare provider.

YES

YES

YES

Diaphragm

84% - 94%

Spermicide

71% - 82%

Spermicide describes different creams, films, foams, gels, and suppositories that contain chemicals that kill or disable sperm.

YES

Withdrawal

73% - 96%

Withdrawal is when a man removes his penis from the vagina before he ejaculates. Also known as “pulling out”.

YES

Fertility Awareness

75% - 97%

Fertility awareness (natural family planning) is tracking your menstrual cycle to determine the days that you can get pregnant.

YES

Sterilization

>99%

Abstinence

100%

Sterilization is a surgical procedure that closes or blocks fallopian tubes in women or blocks the tubes that carry sperm in a man.

It is permanent.

Abstinence means “no vaginal sex.” If you use it 100% of the time, you won't get pregnant.

Plus, you’ll avoid STIs.

NO

Free to all

C A LL: 587- 0681 T E X T: 57 0- 3047 WE B : b r i dgerc a re.o rg

Gallatin Valley Whole Health • 2014 • 45

e y e h e a lt h Yo u r Q u est i on s A n sw er ed

by Jessica Bayramian Byerly

46 - Gallatin Valley Whole Health • 2014

“The eyes are the

windows of the soul.”

– English Proverb

Perhaps more important than their status as “windows of the soul,” the eyes are, in fact, windows to the body.

Providing the only place where the vascular (circulatory) system can be viewed without surgical means, the eyes offer a snapshot of physical health that far exceeds mere sight, which is arguably of critical import in our everyday lives.

A lack of knowledge about our eyes could mean the difference between being able to see and spending the rest of our lives in near or complete blindness. Eye health education is absolutely essential to helping people seek diagnosis and treatment for eye conditions.

Why is eye health important?

Once your vision is gone, it’s gone forever. Yet, eye health is often seen as an extra; a national survey on eye care reported that Americans see doctors and dentists far more regularly than they visit eye doctors. Remarkably, the World Health Organization estimates that up to 80% of blindness and serious vision loss around the world is avoidable through prevention or treatment. Good vision contributes to improved physical health, motor skills, learning and comprehension, which all provide for a better quality of life. And, since 80% of the brain is somehow associated with vision, healthy eyes also mean healthy brain function.

At what age do you recommend an initial eye exam?

About 80% of what we learn is through our eyes, so we recommend that children be screened at six months of age and receive an eye exam by age three in order to support their development. We recommend an additional exam before children enter first grade, at five or six years of age, to ensure their success as they begin their formal education.

Can I “cure” a vision problem if I catch it early enough?

Early detection and timely treatment are the best ways to prevent vision loss. Eye examinations are recommended every two years, more often if you are over 60 or at high risk for eye disease. Certain vision problems, such as strabismus (crossed eyes), can indeed be cured with prompt, effective treatment, which is why we advocate preventative care and regular exams.

What are the most common vision concerns?

The most common vision problems, which are further defined below, include presbyopia, myopia, hyperopia, astigmatism, amblyopia, strabismus, color definciency, nyctalopia and photophobia.

Presbyopia is an age-related condition that causes a decrease in the eye’s ability to sharply focus on nearby objects due to the hardening of the eye’s lens.

Myopia (nearsightedness) results in seeing nearby objects clearly and faraway objects poorly.

Hyperopia (farsightedness) results in seeing faraway objects clearly and nearby objects poorly.

Astigmatism is the result of an irregular curvature in the eye; instead of being shaped like a basketball, the eye is shaped more like a football. Astigmatism affects the way the eye processes light and results in varying degrees of blurred vision.

Amblyopia (lazy eye) surfaces at an early age and involves favoring one eye over the other. When this occurs, the neglected eye rarely develops like it should, appearing “lazy” next to the properly functioning eye.

Strabismus (crossed eyes) occurs when the muscles that surround the eye don’t work well together. As a result, each eye can simultaneously look in different

directions, sending two different images to the brain.

Color Deficiency (colorblindness) is the inability to discern certain colors; confusing red and green is the most common type of colorblindness.

Nyctalopia (night blindness) is the inability to see well in poorly lit areas or situations, like driving at night.

Nyctalopia is a symptom of other eye disorders, such as cataracts or nearsightedness.

Photophobia (light sensitivity) is not a disease, but rather a symptom of an underlying condition, such as inflammation. Symptoms include headaches and eye strain when exposed to direct or bright light.

Are there any new technologies that aid in diagnosis and treatment?

We are proud to offer the newest technology available for examining eye health, thereby facilitating early detection and treatment options for macular degeneration, glaucoma, cataracts and certain systemic conditions, like diabetes.

Both the Belgrade and Bozeman offices offer analysis via the optical coherence tomographer (OCT), which provides real-time cross-sectional images and quantitative analysis of retinal features to diagnose and monitor macular degeneration, glaucoma and other serious diseases of the retina. This instrument allows better visualization of tissue layers deep in the eye.

Both offices also offer the Optomap, a retinal imagining scanner that provides a detailed digital map of your retina that confirms a healthy eye or detects the presence of disease. This tool allows you to view your retina with your doctor during examination discussions. The image provided by the Optomap also becomes a permanent record for your medical file, enabling your doctor to make important comparisons if potential Gallatin Valley Whole Health • 2014 • 47

problems show themselves at a future examination.

The Icare tonometer is a new, hand-held device that measures the fluid pressure in your eyes as part of a glaucoma screening.

Replacing the “eye-puff ” screening that many patients find uncomfortable, this new instrument allows for a measurement that is barely noticed. The new instrument does not take the place of other glaucoma diagnostic tests, but is used very successfully as a screening instrument – our patients give it a “10”!

How do optometrists, ophthalmologists and opticians differ?

Optometrists and ophthalmologists are both professionally trained and licensed to examine the eyes for visual defects, diagnose problems or impairments and prescribe corrective lenses, medication or other types of treatment. Ophthalmologists are doctors that work exclusively with parts of the body related to the visual passageways – they eyes, the brain and the areas around the eye, such as eyelids. They will inspect the eye for disease and, unlike optometrists, may perform surgery on the eyes if necessary.

Opticians analyze and interpret prescriptions written by ophthalmologists or optometrists to determine which eyeglasses are best suited to a patient’s lifestyle and visual needs.

What should I consider when deciding between contact lenses and glasses to correct my vision? Are certain conditions better managed with one or the other? Is it true that my eyes will become “weak” if I wear my glasses/contacts all the time?

The first thing to consider when deciding between contact lenses and glasses is how you will be using your eyes. If your primary expectation is improved reading, glasses will generally work more efficiently. Glasses more readily allow for switching between tasks requiring different focal ranges (i.e., distance, intermediate (computer work) and near). A secondary consideration will be dictated by your environment. If wind, dust, sand or very dry conditions are prevalent, contact lenses may not be the best option for full-time wear.

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Both glasses and contact lenses will correct the visual conditions of nearsightedness, farsightedness, astigmatism and presbyopia, but certain eye conditions, such as keratoconus, may need to be corrected with contact lenses. Conversely, glasses may be the better corrective option for clear comfortable vision if you have severe allergies or dry eye syndrome.

And, no, your eyes will not become weak if you wear your glasses or contacts regularly.

You may find that you want to wear your corrective lenses often because they improve your vision, as they should. Although it may feel as if you are becoming dependent on your eyeglasses, you are actually just getting used to seeing clearly.

When and for whom would you recommend LASIK vision correction?

Refractive procedures such as laser-assisted in situ keratomileusis, or LASIK, manipulate the eye to improve vision. Though there are several types of refractive procedures, LASIK is the most popular and involves reshaping the cornea using incisions and lasers. After an incision creates a flap that is folded back, lasers are used to reshape the middle layer of the cornea and correct the vision. The flap is folded back and allowed to heal, resulting in much clearer vision.

Not everyone should consider a LASIK procedure. Candidates should be over 18 years of age. If you are pregnant, nursing, or suffering from a number of diseases, you probably are not eligible for LASIK. You are also not eligible if your prescription has changed a great deal over the past year. Talk to your eye doctor about LASIK. They will be able to assess your eligibility, determine the risks you may encounter and recommend how (and whether) to move forward.

Can vision changes be indicators of other health concerns? If so, can those health concerns be diagnosed through an eye exam?

Absolutely! The eyes are the only place in the body where the blood vessels can be viewed without surgical procedure. Through this visual inspection of your vascular

system, optometrists can identify brain/ retinal tumors, high cholesterol, high blood pressure, diabetes, liver disease, macular degeneration, glaucoma, cataracts and various blood diseases. Once diagnosed, these conditions can then be treated with the help of related specialists that your optometrist can recommend.

Other than routine eye exams, is there anything else that I can do to support the health of my eyes and the longevity of my vision?

Proper diet and exercise can be crucial to eye health. According to Vision Service Plan’s GetFit program, studies reveal that regular physical activity can decrease eye pressure and reduce your risk of cardiovascular disease and diabetes, which can also affect your eye health. A healthy diet, including adequate fruits and vegetables that are high in antioxidants, is also important for good eye health and has been linked to lower rates of macular degeneration and other eye conditions.

Advanced EyeCare Associates provides its patients with comprehensive eye care that includes the most up-to-date medical and surgical treatments for eye disease. Utilizing state-of-the-art instrumentation, technology, contact lens and eyewear products, coupled with unparalleled patient care, Doctors Cynthia Johnson, Doug Kimball, Kyle McMurray, Jody Fink and Jenny Harper provide thorough eye health examinations and personal attention, clearly explaining their findings and educating patients on all the latest available treatment options and preventative care. The professionals at Advanced EyeCare diagnose, treat and monitor the complete range of eye health and vision related concerns, including cataracts, macular degeneration, diabetic eye disease, glaucoma, infections, allergies, lid lesions and dry eyes, in an atmosphere of compassion and respect. Advanced EyeCare has locations in both Bozeman – 4265 Fallon St. Suite #1 – and Belgrade – 91 West Madison Suite B – to better serve the greater Gallatin Valley community. For more information or to schedule an appointment, call the Bozeman office at 587-0668, the Belgrade office at 3881988 or visit www.advancedeyecare.info.

Gallatin Valley Whole Health • 2014 • 49

Advanced Eyewear Where Fashion Meets Function

Not all eyewear is created equal, and neither are its purveyors. Advanced EyeCare Associates is not only committed to guaranteeing your satisfaction, but to providing the newest and best vision care creations available to do so.

Offering premium products meeting the highest industry standards, Advanced EyeCare’s experienced opticians will courteously recommend eyewear and contact lenses, available on site or via special/ custom order, that fit your lifestyle and budget. With competitive pricing and affordable eyewear packages, finding fashionable and functional eyewear has never been easier or more economical.

For the fashion-minded, Advanced EyeCare has something for every taste and price range. In addition to popular lines like Paul Smith, Juicy Couture, Oakley and Ray-Ban, Advanced EyeCare features frames by: • Judith Leiber, a premier luxury brand with elegant handcrafted designs; • Maui Jim, with patented Polarized Plus® two lens technology; • Oliver Peoples, whose handmade Italian designs hold adjustments particularly well; • Eco, the first optical and sunglass collection entirely made of recycled materials; and • Lindberg, whose frames epitomize utilitarian chic. Weighing in at only 1.8 grams, Lindberg frames provide unparalleled comfort and craftsmanship.

Whether you’re looking for strong lines and structure or organic shapes and smooth contours, Advanced EyeCare frames and their frame and lens warranty (if your frame breaks under normal wearing conditions, they’ll replace it for a full year!) are sure to please.

Once you’ve selected a frame, you’ll want to consider lens styles, such as 50 - Gallatin Valley Whole Health • 2014

bifocal, trifocal and progressive options, and specializations, like scratch resistant coating or Computer Vision Syndrome (CVS) tint. Not all lens styles, tints and materials are right for everyone or every prescription. In addition to the aforementioned, Advanced EyeCare offers several tinting/coating options and a range of stateof-the-art lens styles.

• Anti-Reflective Coating, which increases light transmission through the lenses to 99.5%, making it easier to see, particularly when viewing computer screens and driving at night.

• Photochromic Lenses darken when exposed to UV rays. There are a variety of customizable photochromic options. Some lenses darken only in direct sunlight, while others darken in little or no direct light. Some are designed to darken while you’re in the car to reduce road glare while you’re driving. You can even choose the color of the tint.

• Polarized Lenses eliminate almost all glare, reduce eyestrain and increase visibility; they are the most effective way to reduce glare, providing a night and day difference.

• Specialty Lenses provide those “different strokes for different folks.”

No matter what your particular need, there’s probably a specialty lens designed for you.

• High Index (HI) Lenses are so named because the materials from which they are made have a higher index of light refraction. Much thinner and lighter, HI lenses can do the same job that glass or CR-39 does

without the “soda bottle” look. Strong and light, polycarbonate is the most popular HI plastic. Numbers classifies other HI materials: the higher the number, the thinner and lighter the lens. The lower numbers (such as 1.54, 1.56 and 1.57), classified as mid-index lenses, are thinner than glass and nearly as strong as CR-39. HI lenses (such as 1.66, 1.74 and 1.9) are much thinner than regular glass or plastic.

• High-Definition (HD) Lenses correct higher-order (due to the optical characteristics of your eyes or the optical limitations of conventional eyeglass lenses) aberrations to provide sharper vision and reduce nighttime glare.

Customizable and individualized as lenses have never been before, HD lenses quite literally reflect the minutiae of contours and characteristics for each pair of eyes and each patient’s needs.

Many brands of HD lenses are available, including high-index and progressive versions. HD lenses are manufactured through free-form or wavefront technology.

Free-form, or digital, HD lenses are the most popular type. The term “free-form” refers to an advanced manufacturing process that reduces

higher-order aberrations with fabrication optimized by computercontrolled surfacing equipment that is much more precise than conventional tools. The free-form lens fabrication process can also account for how the lenses are positioned in front of the wearer’s yes when in the eyeglass frame, the angle between the eye and the back surface of the lens in different gaze positions, the frame size, and the position of the wearer’s pupil within the frame outline.

Even more customized than the freeform variety, wavefront HD lenses are created utilizing the same optics measurement technology employed in wavefront-guided LASIK eye surgery.

These measurements then drive a computer-controlled process that creates perfectly customized lenses.

Both free-form and wavefront HD lenses provide sharper image quality, better peripheral vision, improved contrast sensitivity and decreased glare at night.

Advanced EyeCare Associates offers lifetime frame maintenance, adjustments, nose pad replacement, ultrasonic cleanings and a one-year warranty on most frames and spectacle lenses. No matter which frame or lens you choose, the opticians at Advanced EyeCare will ensure the perfect fit for your face, your lifestyle and, most importantly, your vision. For more information on Advanced EyeCare and their offerings, visit www.advancedeyecare.info or call 5870668 in Bozeman or 388-1988 in Belgrade.

Advanced Education The Truth About Your Vision

Advanced Contacts In recent years, the eyecare industry has seen exponential expansion and technological advancement in contact lens materials and designs. Due to this industry growth, we can now fit a much more diverse population of prescription contact lens wearers with a high degree of visual comfort.

A few of the newest advancements include: • Expanded availability of daily disposable lenses – lenses that are discarded every night and replaced with new ones in the morning.

Since no cleaning is required, neither are costly cleaning products. And disposable lenses can be a healthier alternative, as there is no day-to-day lens deposit accumulation.

• Toric (astigmatism correcting) contact lenses that now provide for considerably better comfort and vision due to improved stability and oxygen permeability.

• Multifocal and bifocal contact lens designs that now provide clear, comfortable vision at all distances for a majority of prescriptions.

• ClearKone lenses, which combine the benefits of rigid gas permeable (RGP) lenses and soft contact lenses without any of their disadvantages. This hybrid design has made a world of difference for those with keratoconus and other corneal diseases.

Myth: As long as you can see well, you don’t need a vision exam.

Fact: During a comprehensive vision exam, your doctor will check your overall eye health, which can sometimes show signs of other serious health conditions like diabetes, high blood pressure and high cholesterol. Eye exams are an important part of managing our overall health.

Myth: Reading in dim light is harmful to your eyes.

Fact: Although reading in dim light can make your eyes feel tired, it is not harmful.

Myth: It is not harmful to watch a welder or look at the sun if you squint, or look through narrowed eyelids.

Fact: Even if you squint, ultra-violet light still gets to your eyes, damaging the cornea, lens and retina. Never watch welding without wearing the proper protection. Never look directly at an eclipse.

Myth: Darker sunglasses provide more protection for the eyes than sunglasses that are less tinted.

Fact: The UV protection provided by a pair of sunglasses is not determined by the tint. Instead, look for glasses that provide 100% UV protection (sometimes labeled as UV400).

Myth: Kids don’t need sunglasses. I didn’t wear them as a child and my eyes are fine.

Fact: Healthcare professionals were not as aware of the long-term dangers of UV exposure many years ago. Experts now feel that childhood is indeed the critical time to protect the eyes from UV exposure, as kids generally spend more time outdoors than adults and their pupils are larger as a percentage than those of adults. It is estimated that 50% of one’s lifetime exposure to UV light occurs by age 18.

Myth: Using a computer, or video display terminal (VDT), is harmful to the eyes.

Fact: Although using a VDT is associated with eyestrain or fatigue, it is not harmful to the eyes.

Myth: Wearing the wrong eyeglasses damages your eyes.

Fact: Although correct eyeglasses help you to see clearly, wearing a pair with the wrong lenses or not wearing glasses at all will not physically damage your eyes.

Myth: Wearing poorly fit contacts does not harm your eyes.

Fact: Poorly fit contact lenses can be harmful

to your cornea (the window at the front of your eye). Make certain your eyes are checked regularly by your ophthalmologist or optometrist if you wear contacts.

Myth: It’s okay to swim while wearing soft contact lenses.

Fact: Potentially blinding eye infections can result from swimming or opening your eyes under water in a hot tub while wearing contact lenses.

Myth: Children outgrow crossed eyes.

Fact: Children do not outgrow truly crossed eyes. A child whose eyes are misaligned has strabismus and can develop poor vision in one eye (a condition known as amblyopia) because the brain turns off the misaligned or “lazy” eye. The sooner crossed or misaligned eyes are treated, the less likely the child will have permanently impaired vision.

Myth: Sitting close to the television can damage children’s eyes.

Fact: Children can focus at close distance without eyestrain better than adults. They often develop the habit of holding reading materials close to their eyes or sitting right in front of the television. There is no evidence that this damages their eyes and the habit usually diminishes as children grow older.

Myth: Eating carrots improves your vision.

Fact: Carrots are rich in vitamin A, which is essential for sight, but many other foods also contain this vitamin. A well-balanced diet, with or without carrots, provides all the vitamin A necessary for good vision.

Myth: Wearing eyeglasses will cause you to become dependent on them.

Fact: Eyeglasses are used to correct blurry vision. Since clear vision with eyeglasses is preferable to uncorrected vision, you may find that you want to wear your eyeglasses more often. Although it may feel as if you are becoming dependent on your eyeglasses, you are actually just getting used to seeing clearly.

Myth: A cataract must be ripe before it can be removed.

Fact: With modern cataract surgery, a cataract does not have to ripen before it is removed.

When a cataract keeps you from doing the things you like or need to do, consider having it removed.

Myth: Eyes can be transplanted.

Fact: The eye cannot be transplanted. It is connected to the brain by the optic nerve, which cannot be reconnected once it has been severed. The cornea, which is the clear front part of the eye, can be transplanted. Surgeons often use plastic intraocular lens implants (IOLs) to replace natural lenses removed during cataract surgery.

Gallatin Valley Whole Health • 2014 • 51

Bozeman’s finest pet care facility with a great and caring staff

“Pets are members of your family and we treat them like they are members of ours.”

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We pursued certification to become the first AAHA certified hospital in Bozeman (of which only 12% of hospitals in America meet these standards.) We did this because we care about your pet and we continually strive to provide the highest level of care possible.

Services

Montana Veterinary Surgical Service MVSS is Montana’s most skilled and experienced small animal surgery referral service. Dr. Mark Albrecht is the only small animal residency trained surgeon in Montana. He is one of the first 50 surgeons in the world to be trained by Dr. Slocum to do Tibial Plateau Leveling Osteotomies (TPLO) and the first person in Montana to offer TPLO surgeries. We are a beta test site for the Canine Unicompartmental Elbow Procedure (CUE)- a revolutionary treatment for elbow dysplasia.

Gallatin Veterinary Hospital GHV provides complete general and advanced pet care, including extended and Saturday hours.

• Acupuncture - Dr. Sara Hann, DVM,CVA (one of our new team members) is using acupuncture to provide complimentary care to treat arthritis, lameness, postoperative pain, nerve injury, back and muscle pain, GI problems, lick granulomas, allergies and general wellness.

• Advanced anesthesia care based on recommendations and consultation with a Board Certified Veterinary Anesthesiologist.

• Every pet that undergoes anesthesia has a dedicated anesthetist whose sole job is to make sure anesthesia runs smoothly and your pet is safe.

• Uniquely designed anesthesia recovery area and warming kennels help provide a smoother, gentler recovery after anesthesia.

• Experienced oncology (cancer care) for pets from surgery to chemotherapy.

• Dental care from prophylactic cleanings to advanced care. Dr. Kari Swenson, DVM has completed further training in advanced extractions and restoratives with Dr. Tony Woodward of Montana Pet Dental, a Board Certified Veterinary Dentist. Dr. Woodward also provides service to Montana at Gallatin Veterinary Hospital every month.

• Rehabilitation services with Jen Hill, CCRP and Kali Randall, CVT including laser therapy, therapeutic ultrasound, e-stim and customized at-home exercises.

• Laparoscopic surgery including minimally invasive spays - the least painful way to spay your pet.

• On-site laboratory services for fast results for critical care patients and special pricing from Antech for outside services allowing for advanced testing with great pricing.

Community Involvement

In the last year, we have made monetary donations (in conjunction with our wonderful clients) through projects such as our Holiday Pet Pictures and the Bozeman Canine Classic K9-9K. In addition, we have also donated services to the following shelters: Heart of the Valley (Bozeman) Stafford Animal Shelter (Livingston) Lewis & Clark Humane Society (Helena) Chelsea Bailey Butte

Siverbow Animal Shelter (Butte) Albert’s Angel Fund (Butte) Bitterroot Humane Society (Hamilton) Bassett Rescue of Montana (Missoula) For more information on our humanitarian projects, please give us a call at 587-4458. Or visit us at 1635 Reeves Rd. E., or online at gallatinvethospital.com.

• Digital Radiography (X-rays) along with digital dental radiography. This technology and our level of expertise allow us to better diagnose and then treat your loved ones. Digital images facilitate fast, easy consults by Board Certified specialists.

• Diagnostic ultrasound, with monthly visits from Dr. Brit Culver - one of only two Board Certified Small Animal Internists practicing in Montana.

Gallatin Valley Whole Health • 2014 • 53

The HeartMath* System

by Jan Brooks, Licensed HeartMath 1:1 Provider

Everyday life brings challenges to our well being. This may include stress, anxietydepleted energy, restless sleep, and often results in a compromise of our nervous and hormonal system. With more than two decades of research, the HeartMath® system provides tools and technology to monitor and improve mental, emotional, and physical health.

In addition to its other functions, the human heart actually possesses the equivalent of its own brain—what is called the heartbrain or heart intelligence. This heart-brain communicates with the brain via a number of pathways, exchanging critical information that influences how the body functions affecting us at a physical, emotional, hormonal, biochemical, and physiological level.

What is HeartMath?

The HeartMath system outlines effective techniques for harnessing the power of the heart’s intelligence, including ways to manage your emotions and maintain optimal energy levels. HeartMath’s research shows that when one engages the heart/brain connection using the HeartMath tools, it can help balance the nervous and hormonal system and reduce the activity of the sympathetic nervous system. The sympathetic nervous system is activated by the fight-or-flight response: a physiological reaction to the way we perceive a threatening situation by speeding up heart rate, constricting blood vessels, and releasing stress hormones such as cortisol.

Started in 1991, the non-profit research and educational organization called The Institute of HeartMath has made inroads in the area of neuroscience, cardiology, physiology, and biochemistry. HeartMath tools and technology are used in educational and professional organizations along with athletes who want to improve their performance and individuals who want to create a balanced and coherent life, such as getting more sleep and 54 - Gallatin Valley Whole Health • 2014

experiencing less stress and more resilience and energy. Working with a HeartMathlicensed 1:1 provider can help you learn strategies in your day-to-day routine to help align the mind to the heart and manage stressors that affect your energy and health.

The best part is that HeartMath tools can be used anytime, anywhere. These techniques have shown again and again that with a minimal investment in time you can create positive, dramatic changes in your experience with stress and increase emotional, mental and physical ease.

How Can HeartMath Help Me?

HeartMath tools and technologies have shown through published studies that this is an effective method for positive behavior change and reducing emotional stress as well as increasing personal resilience, energy and performance.

Stress and Fatigue

We all experience stress to some degree.

According to the American Institute of Stress, up to 90% of health issues are related to some form of underlying stress. Often we experience stress as feeling overwhelmed, being unable to make decisions, or feeling anxious and depressed. Stress can manifest through feelings of irritation and anger when unexpected situations arise. Fortunately, there is something you can do to help manage stress. HeartMath’s scientifically validated, patented tools and technology have helped many people relieve their stress by bringing a more coherent and balanced physiological shift, improving health, energy and increasing mental focus.

Weight Loss

If it were as simple as following diet and exercise to lose weight and maintain it, most people would probably be at their desired weight. However, very few weight-loss programs look at the emotional component: why is it you eat a bag of potato chips or

anything convenient, all the while knowing the guilt is probably going to make you feel even more frustrated and unmotivated to lose weight? HeartMath’s system of tools and technology has helped people lose weight by managing the behaviors that drive emotional eating.

Meditation

If you’ve ever attempted meditation, you probably can relate to experiencing difficulty silencing the mind. Beginners or advanced meditators may find HeartMath’s system helpful with the ability to focus, reducing reoccurring random thoughts and enhancing the meditative experience.

HeartMath providers can work with you to create synchronization between your heart and mind, helping thoughts slow down and creating a sense of calm and focus, possibly reaching deeper levels of meditative and relaxation states. With regular practice using HeartMath tools, one can easily practice for just a few minutes to achieve that sense of calm and clarity.

Sleep

A hot bath… a glass of milk or cup of tea… if you’re dealing with sleeplessness, you know sometimes these home remedies are not always enough to remedy your sleep issues. The HeartMath’s holistic solution to sleeplessness trains you to reset your natural sleep cycle. Practiced regularly, HeartMath tools allow your natural hormone levels to stay balanced so that you can fall asleep more easily and wake more rested and energetic.

Learning the tools of HeartMath may result in significant improvement to your overall health and feeling your very best. It is time to introduce your mind to your heart!

Jan Brooks is a licensed HeartMath 1:1 provider, a certified Holistic Health Practitioner and a member of the American Holistic Heath Association. Jan can be reached at Northern Rockies Wellness, LLC, (406) 570-3848 and northernrockieswellness.com. HeartMath is a registered trademark of the Institute of HeartMath.

“Let the Mind Meet the Heart” Learn how to use scientifically validated HeartMath® tools and technology to use anytime, anywhere with Licensed HeartMath® 1:1 Provider ST RE SS RELIEF IN N E R EASE E N E RGY & RES ILENCE SLE E P P E R FO RMANCE ME N TA L CLARITY & F O C U S HeartMath is a registered trademark Institute of HeartMath

Northern Rockies Wellness, LLC www.northernrockieswellness.com 406-570-3848 Gallatin Valley Whole Health • 2014 • 55

Montana Vein Clinic Varicose veins are a common medical condition estimated to affect 25% of women and 15% of men. Most frequently found in the legs and feet, these poorly functioning veins can be blue, purple, or red and range in size from small ‘spider’ veins to large, bulky veins.

While many people with this condition are concerned about the appearance, there are medical issues with varicose veins as well, such as blood clots, skin inflammation, and skin ulcers that can occur with severe untreated varicose veins. Fortunately, there are highly effective treatment options available at Montana Vein Clinic in Bozeman to help alleviate symptoms, remove uncomfortable or unsightly veins, and to prevent complications of varicose veins.

Founded by Andrew Grace, MD, in 2007, Montana Vein Clinic was the first clinic in the area dedicated to the treatment of varicose veins. It features state-of-the-art vascular imaging, advanced ultrasound equipment, staff and physicians with more than seven decades of combined experience, and boardcertified and fellowship-trained surgeons and radiologists. It is affiliated with Bozeman Deaconess Hospital.

Dr. Grace performs all treatments at Montana Vein Clinic, and has performed thousands of minimally invasive varicose vein procedures. Board certified in surgery and a Fellow of the American College of Surgeons, Dr. Grace also is a diplomat of the American Board of Venous and Lymphatic Medicine. He is a member of the American College of Phlebology, the American Medical Association recognized group of physician specialists who focus on the treatment of varicose veins and venous insufficiency.

Varicose veins occur when the blood doesn’t efficiently exit the leg. In normal circumstances, one-way valves in veins prevent blood from flowing backward. If the valves don’t work well, blood leaks backward into the vein, venous pressure increases, and veins can swell. Risk factors for varicose veins include a strong family history of varicose veins, multiple pregnancies, and jobs or hobbies that involve prolonged standing.

Varicose veins can be completely asymptomatic, but often are

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accompanied by throbbing, aching, itching, burning, or swelling of the legs. Untreated varicose veins generally become larger, more uncomfortable, and more numerous over time.

At Montana Vein Clinic, ultrasound exams are performed by experienced sonographers and interpreted by board-certified radiologists. A referral is not necessary for an appointment at Montana Vein Clinic, where prospective patients can request an “Educational Visit” at no charge to learn more about varicose veins and treatments available: • Endovenous Vein Ablation: The new standard for treating poorly functioning veins is a minimally invasive approach to close veins using laser energy or radiofrequency energy.

• Microphlebectomy: Also called ambulatory phlebectomy, this is a method of removing superficial varicose veins through tiny incisions in the skin. Only local anesthesia is required and the incisions are so small (1-2 mm) that after healing they are nearly imperceptible.

• Sclerotherapy: This method uses very tiny needles and is the preferred approach for small vein treatment. Montana Vein Clinic offers a variety of sclerotherapy techniques, including visual (freehand), ultrasound-guided, or with visual enhancement tools which magnify reflected polarized light for improved treatment accuracy.

• Dermal Laser/Pulsed Light Treatments: A highly focused beam of light or laser energy is applied to the skin to treat small veins and spider veins.

Montana Vein Clinic’s partnership with Bozeman Deaconess Hospital makes it the only vein clinic in the region to offer advanced vascular imaging. 3-D MRI, CT angiography, and contrast venography are available for more in-depth evaluation of venous anatomy. Fellowship trained interventional radiologists are available to perform minimally invasive endovascular procedures for patients with complex or advanced deep venous disease, including prior blood clots in the leg.

Minimally Invasive | Outpatient | Fast Recovery

MOST INSURANCES ACCEPTED INCLUDING MEDICARE

Larger operations once commonplace in vascular surgery, such as vein stripping, have been rendered nearly obsolete with today’s minimally invasive procedures. Treatment results and patient satisfaction are also improved, and the recurrence of varicose veins is less common likely due to greater accuracy of diagnosis and treatments using newer ultrasound technology.

Most procedures at Montana Vein Clinic are performed in the office without need for general anesthesia. Discomfort is generally minimal during treatment and recovery.

Patients may resume normal activity immediately and, in fact, many go back to work the very same day.

Every treatment plan is individualized depending on the presentation of visible veins, ultrasound findings and patient expectations.

With the goal of making varicose vein treatment as easy as possible, usually just a few office visits are needed from start to finish.

Montana Vein Clinic accepts most insurances, including plans from out of state, can assist patients obtain pre-authorization for treatment and submits claims on their behalf.

Treatment of varicose veins can help legs feel and look better now, and help prevent problems with legs in the future. To learn more, visit montanaveinclinic.com or call 406-585-5037.

Excellence in Varicose Vein Care (406) 585-5037 Locally Owned & Operated since 2007 Andrew W. Grace, MD, FACS Diplomat of the American Board of Phlebology Diplomat of the American Board of Surgery

MontanaVeinClinic.com Gallatin Valley Whole Health • 2014 • 57

directory Allergy, Asthma, Immunology

Allergy & Asthma Consultants of Montana 2055 North 22nd Ave Ste. 1 Bozeman, MT 59715 406-582-1111 www.allergymontana.com Bridger Ear, Nose & Throat 1648 Ellis Street, Ste. 301 Bozeman, MT 59715 406-556-9798

Acupuncture

Health in Motion Physical Therapy 3985 Valley Commons Drive Bozeman, MT 59718 406-585-4642 Santosha Wellness Center 169 Snowy Mountain Circle Big Sky, MT 59716 406-993-2510

Assisted Living

Springmeadows 3175 Graf Street Bozeman, MT 59715 406-587-4570

Cancer Center

Cancer Support Community 102 S. 11th Ave Bozeman, MT 59715 406- 582-1600 Bozeman Deaconess Cancer Center 931 Highland Blvd. Ste. 3130 Bozeman, MT 59715 406-585-5070

Cardiovascular Services

Bozeman Deaconess Cardiology Consultants 905 Highland Blvd. Ste. 4330 Bozeman, MT 59715 406-522-3959 Bozeman OB/GYN Billings Clinic 925 Highland Blvd. Ste. 1210/1220 Bozeman, MT 59715 406-587-9202

Chiropractic

Abundant Health Family Chiropractic Dr. Kimberly Maxwell 642 Cottonwood Rd Ste. 1, Bozmeman, MT 59718 www.drkimberlymaxwell.com Ascend Wellness 300 North Willson, Ste. 300C Bozeman, MT 59715 406-585-2700 Medicine Hands Wellness Dr. Morgan Woods 1276 N 15th Ave Suite 104, Bozeman, MT 59715 406-587-6264 58 - Gallatin Valley Whole Health • 2014

Cosmetic Surgery

Southwest Montana Plastic Surgery 3508 Laramie Dr. Suite 3, Bozeman, MT 59718 406-587-6133 Bozeman Deaconess Big Sky Cosmetic Surgery 925 Highland Blvd. Ste. 1190 Bozeman, MT 59715 406-522-3770

Dentistry

Dr. Amy and Todd Kinney 3502 Laramie Dr Suite 2, Bozeman, MT 59718 406-582-8500

Dermatology

Synergy Medical Spa 905 Highland Blvd. Ste 4420 Bozeman, MT 59715 406-556-5140 The Ridge Spa 4181 Fallon Bozeman, MT 59718 406-586-1737 Southwest Montana Plastic Surgery 300 North Willson, Ste. 300C Bozeman, MT 59715 406-585-2700

Diabetes

Bozeman OB/GYN Billings Clinic 925 Highland Blvd., Ste. 1210/1220 Bozeman, MT 59715 406-587-9202 Bozeman Deaconess Diabetes Center 925 Highland Blvd., Ste. 1120 Bozeman, MT 59715 406-556-5331 Emergency & Trauma Center Bozeman Deaconess Hospital Emergency Services 915 Highland Blvd. Bozeman, MT 59715 406-585-1000 Absaroka Emergency Physicians 915 Highland Blvd. Bozeman, MT 59715 406-585-1000

Emergency Medicine

Belgrade Urgent Care 403 W. Main Street Belgrade, MT 59714 406-388-8708 Family Doctors’ Urgent Care 120 North 19th, Ste. A Bozeman, MT 59715 406-556-9740 Bozeman Urgent Care Center 1006 West Main Bozeman, MT 59715 406-586-8711

directory Bozeman Clinic 931 Highland Blvd., Ste. 3360 Bozeman, MT 59715 406-587-4242

Eye Care

Gastroenterology

Rocky Mountain Surgical Center 1450 Ellis Street Ste 101 Bozeman, MT 59715 406-556-9000

Advanced Eye Care Associates 4265 Fallon Street Ste. 1 Bozeman, MT 59718 406-587-0668

Bozeman Deaconess GI Clinic 931 Highland Blvd., Ste. 3350 Bozeman, MT 59715 406-556-5336

Advanced Eye Care Associates - Belgrade 91 West Madison Suite B Belgrade, MT 59714 406-388-1988

Shaneyfelt Gastroenterology 931 Highland Blvd., Ste. 3330 Bozeman, MT 59715 406-586-0103

Family Planning

Geriatric Medicine

Bridger Care 300 North Willson Ave Ste 2001 Bozeman, MT 59715 406-5587-0681 Bozeman Clinic 931 Highland Blvd. Ste. 3360 Bozeman, MT 59715 406-587-4242 Bozeman OB/GYN Billings Clinic 925 Highland Blvd. Ste. 1210/1220 Bozeman, MT 59715 406-587-9202

Family Medicine

Family Practice Associates 935 Highland Blvd., Ste. 2210 Bozeman, MT 59715 406-587-3133 Bozeman Clinic 931 Highland Blvd. Ste. 3360 Bozeman, MT 59715 406-587-4242 Bozeman OB/GYN Billings Clinic 925 Highland Blvd. Ste. 1210/1220 Bozeman, MT 59715 406-587-9202

Fitness

The Ridge Athletic Club 4181 Fallon Bozeman, MT 59718 406-586-1737 The Ridge Downtown 111 E. Mendenhall Bozeman, MT, 59715 406-586-0077 Santosha Wellness Center 169 Snowy Mountain Circle Big Sky, MT 59716 406-993-2510

Fitness Equipment Suppliers Better Body Fitness of Montana, Inc. 1400 Euclid Ave Helena, MT 59715 406-449-4672

Bozeman Deaconess Internal Medicine Associates 905 Highland Blvd, Ste. 4500 Bozeman, MT 59715 406-522-2400 Hand and Upper Extremity Orthopedics Bridger Orthopedic & Sports Medicine 1450 Ellis St., Ste. 201 Bozeman, MT 59715 406-587-0122

Heart Center

Bozeman Deaconess Heart Center 915 Highland Blvd. Bozeman, MT 59715 406-522-1644

HeartMath System

Northern Rockies Wellness, LLC Jan Brooks 406-570-3848

Holistic

Community Food Co-Op 44 E Main & 908 W. Main Bozeman, MT 59715 406-922-2667 & 406-587-4039

Home Oxygen & Medical Equipment PriceRite Medical Equipment 910 N. 7th Ave Bozeman, MT 59715 406-587-0608

Homeopathic Medicine

Sweetgrass Natural Medicine 438 East Mendenhall Street Bozeman, MT 59715 406-585-9113

Hospice

Rocky Mountain Hospice 301 Edelweiss Dr., Suites 5&6 Bozeman, MT 59718 406-556-0640

Hydration

Pure Water Technologies 7539 Pioneer Way, Bozeman, MT 59718 406-582-4411 Gallatin Valley Whole Health • 2014 • 59

directory Insurance

Natural Food Store

Internal Medicine

Naturopathic Medicine

Southwestern Montana Financial Services 14 Pollywog Lane Belgrade, MT 59714 406-388-7633 Bozeman Deaconess Bridger Internal Medicine 925 Highland Blvd. Ste. 1100 Bozeman, MT 59715 406-556-5506 Bozeman Deaconess Hathaway Internal Medicine 931 Highland Blvd. Ste. 4500 Bozeman, MT 59715 406-556-5533 Bozeman Deaconess Internal Medicine Associates 905 Highland Blvd. Ste. 4500 Bozeman, MT 59715 406-522-2400 Bozeman Deaconess Pulmonary Disease & Critical Care 905 Highland Blvd. Ste. 4500 Bozeman, MT 59715 406-522-2400 Bozeman Deaconess Hospital Medicine Program 915 Highland Blvd. Bozeman, MT 59715 406-585-5000

Interventional Radiology

Bozeman Deaconess Cardiology Consultants 905 Highland Blvd. Ste. 4330 Bozeman, MT 59715 406522-3959

Laboratory Services

Laboratory Services 915 Highland Blvd. Bozeman, MT 59715 406-585-1010 Tri-Med Services 2075 Charlotte St Suite 1, Bozeman, MT 59718 406-585-3301

Massage

Christina Skarka 438 East Mendenhall Bozeman, MT 59715 406-600-4041 Synergy Medical Spa 905 Highland Blvd. Ste 4420 Bozeman, MT 59715 406-556-5140 The Ridge Athletic Club 4181 Fallon Bozeman, MT 59718 406-586-1737 Santosha Wellness Center 169 Snowy Mountain Circle Big Sky, MT 59716 406-993-2510 60 - Gallatin Valley Whole Health • 2014

Community Food Co-Op 44 E Main & 908 W. Main Bozeman, MT 59715 406-922-2667 & 406-587-4039 Montana Naturopathic Clinic and Holistic Urgent Care Dr. Paloma Desfuentes 2050 Fairway Dr. #103, Bozeman, MT 59715 406-556-1209 Sweetgrass Natural Medicine 438 East Mendenhall Street Bozeman, MT 59715 406-585-9113

Nephrology (Kidneys)

Bozeman Deaconess Dialysis Center 931 Highland Blvd. Ste. 3105 Bozeman, MT 59715 406-585-5090 Bozeman Deaconess Nephrology 931 Highland Blvd. Ste. 3260 Bozeman, MT 59715 406-522-2410

Neurology/Neurosurgery

Bozeman Deaconess Neurology 931 Highland Blvd. Ste. 3260 Bozeman, MT 59715 406-522-2410

Nutrition Services

Nutrition Specialists Outpatient Services at North 19th near Main Bozeman, MT 59718 406-522-4600

Obstetrics, Gynecology (Labor & Delivery) Bozeman Clinic 931 Highland Blvd. Ste. 3360 Bozeman, MT 59715 406-587-4242

Bridger Care 300 North Willson Ave Ste 2001 Bozeman, MT 59715 406-5587-0681 Bozeman OB/GYN Billings Clinic 925 Highland Blvd. Ste. 1210/1220 Bozeman, MT 59715 406-587-9202 Bozeman Deaconess Family Medicine 935 Highland Blvd. Ste. 2200 Bozeman, MT 59715 406-587-5123 Bozeman Deaconess Women’s Specialists 905 Highland Blvd. Ste. 4440 Bozeman, MT 59715 406-556-5150

directory Bozeman Birth Center 601 W. Villard 59715 406-585-0752 bozemanbirthcenter.com

Orthopedics & Sports Medicine Bridger Orthopedic and Sports Medicine 1450 Ellis Street Ste. 201 Bozeman, MT 59715 406-587-0122

Orthopedic Surgery

Bridger Orthopedic and Sports Medicine 1450 Ellis Street Ste. 201 Bozeman, MT 59715 406-587-0122 Rocky Mountain Surgical Center 1450 Ellis Street Ste. 101 Bozeman, MT 59715 406-556-9000

Otolaryngology (Ear, Nose & Throat) Bozeman Deaconess Ear, Nose & Throat 925 Highland Blvd. Ste. 1160 Bozeman, MT 59715 406-587-5000 Bridger Ear, Nose and Throat 1648 Ellis St. Ste. 301 Bozeman, MT 59715 406-556-9798

Pain Management

Bozeman Deaconess Palliative Care Consultants 915 Highland Blvd. Bozeman, MT 59715 406-556-5546 Bridger Orthopedic & Sports Medicine 1450 Ellis St. Ste. 201 Bozeman, MT 59715 406-587-0122

Palliative Medicine

Palliative Care Consultants 915 Highland Blvd. Bozeman, MT 59715 406-556-5546

Pediatrics

Bozeman Clinic 931 Highland Blvd. Ste. 3360 Bozeman, MT 59715 406-587-4242 Family Practice Associates 935 Highland Blvd. Ste. 2210 Bozeman, MT 59715 406-587-3133 Bozeman Deaconess Pediatrics, Medical Associates 935 Highland Blvd. Ste. 2200 Bozeman, MT 59715 406-587-5123

Bozeman OB/GYN Billings Clinic 925 Highland Blvd. Ste. 1210/1220 Bozeman, MT 59715 406-587-9202

Pets are People Too

Dee-O-Gee 801 West Main Street Bozeman, MT 59715 406-551-2364 Gallatin Veterinary Hospital 1635 Reeves Road E. Bozeman, MT 59718 406-587-4458

Perioperative Services

Perioperative Services 905 Highland Blvd. Bozeman, MT 59715 406-585-5000

Pharmacies

Pharmacy at Highland Park 915 Highland Blvd. Bozeman, MT 59715 406-585-1030 Physical Medicine & Rehabilitation Health in Motion Physical Therapy 3985 Valley Commons Drive Bozeman, MT 59718 406-585-4642 Price Rite Drug 910 North 7th Avenue, Bozeman, MT 59715 406-587-0608 Bozeman Deaconess Rehabilitation Services 905 Highland Blvd. Ste. 4350 Bozeman, MT 59715 406-585-1002 Bridger Orthopedic & Sports Medicine 1450 Ellis St., Ste. 201 Bozeman, MT 59715 406-587-0122

Plastic Surgery

Southwest Montana Plastic Surgery 300 North Willson, Ste. 300C Bozeman, MT 59715 406-585-2700 Bozeman Deaconess Big Sky Cosmetic Surgery 925 Highland Blvd. Ste. 1190 Bozeman, MT 59715 406-522-3770

Psychology/ Mental Health Services Gallatin Mental Health Center 699 Farmhouse Lane Bozeman, MT 59715 406-556-6500 Psychology Services 935 Highland Blvd. Bozeman, MT 59715 406-586-7474 Gallatin Valley Whole Health • 2014 • 61

directory Rocky Mountain Neuropsychology 2078 Stadium Dr. Ste. 101 Bozeman, MT 59715 406-582-4466

Podiatry

Rocky Mountain Surgical Center 1450 Ellis Street Ste 101 Bozeman, MT 59715 406-556-9000 Bozeman Foot & Ankle Clinic 931 Highland Blvd. Ste. 3310 Bozeman, MT 59715 406-587-8478 Bozeman Podiatric Clinic 300 North Willson, Ste. 801H Bozeman, MT 59715 406-586-5318

Proctology

Bozeman Clinic 931 Highland Blvd. Ste. 3360 Bozeman, MT 59715 406-587-4242

Pulmonary

Bozeman Deaconess Pulmonary Disease & Critical Care 905 Highland Blvd. Ste. 4500 Bozeman, MT 59715 406-522-2400 Allergy & Asthma Consultants of Montana 2055 North 22nd Ave Ste. 1 Bozeman, MT 59715 406-582-1111 www.allergymontana.com

Radiology (Diagnostic Imaging) Advanced Medical Imaging 905 Highland Blvd. Ste 4100 Bozeman, MT 59715 406-556-5201 Diagnostic Imaging 915 Highland Blvd. Bozeman, MT 59715 406-585-1035 Intercity Radiology 925 Highland Blvd. Ste. 1180 Bozeman, MT 59715 406-587-8631

Respiratory Services

Respiratory Services 915 Highland Blvd. Bozeman, MT 59715 406-585-1019

Retirement Homes

Springmeadows 3175 Graf Street Bozeman, MT 59715 406-587-4570

62 - Gallatin Valley Whole Health • 2014

Rheumatology

Bozeman Deaconess Rheumatology 931 Highland Blvd. Ste. 3260 Bozeman, MT 59715 406-522-2410

Sleep Disorders

Bridger Ear, Nose & Throat 1648 Ellis Street, St.e 301 Bozeman, MT 59715 406-556-9798 Sleep Disorders Center 905 Highland Blvd. Bozeman, Montana 59715 406-585-5058

Urology Services

Bozeman Deaconess Urological Associates 935 Highland Blvd. Ste. 2160 Bozeman, MT 59715 406-556-5300

Vascular Surgery

Surgical Associates 925 Highland Blvd. Ste. 1200 Bozeman, MT 59715 406-587-0704

Vein Clinic

Synergy Medical Spa 905 Highland Blvd. Ste. 4420 Bozeman, MT 59715 406-556-5140 Montana Vein Clinic 925 Highland Blvd. Ste. 1200 Bozeman, MT 59715 406-585-5037

Women’s Health & Wellness Women’s Center 915 Highland Blvd. Bozeman, MT 59715 406-556-5500 Bozeman Birth Center 601 W. Villard 59715 406-585-0752 bozemanbirthcenter.com Bozeman OB/GYN Billings Clinic 925 Highland Blvd. Ste. 1210/1220 Bozeman, MT 59715 406-587-9202

Leading-edge Cancer screenings are designed to catch cancer in its earliest stages, when it is most treatable. Imaging and screening technologies are constantly evolving as better ways of detecting cancer are always being pursued. Advanced Medical Imaging (AMI), a partnership between Bozeman Deaconess Health Services and the providers of Intercity Radiology, offers two cutting-edge cancer screenings that are helping to detect lung and breast cancers at earlier stages.

Low Dose Chest CT Bozeman Deaconess Hospital and AMI are proud to be among the first in the state to jointly offer Low Dose Chest CT scans for lung cancer, a disease that most often has reached advanced stages by the time symptoms appear.

“This is cutting edge stuff based on the recently released National Lung Cancer Screening Trial (NLST) data,” said Kevin Duwe, MD, of Intercity Radiology and AMI. “It’s the start of a whole new protocol. The five-year survival rate for lung cancer has been only 15% since the 1970s, because it was found too late. The premise is with early detection it will be more treatable. The test is for people who feel well, even though they have a significant smoking history.”

Since smoking is thought to cause up to 90% of lung cancers, candidates for this screening must be a current or former smoker, between 55-74 years old, with a smoking history of at least 30 pack-years (one pack a day for 30 years, two packs a day for 15 years, etc.), and have no symptoms such as wheezing or coughing up blood. An order for the test is needed from their primary provider.

Low Dose Chest CT uses the lowest possible amount of radiation without contrast dye to produce diagnostic quality images of the chest. It is a lesser dose that a normal CT scan, approximately equivalent to the dose in a mammogram. “It’s literally a 10-second scan, 15 minutes from start to finish,” Dr. Duwe said.

While the $400 exam is not currently covered by insurance, Duwe said if cancer or other incidental findings are discovered, insurance should cover all follow-up treatment.

He expects the screening will be covered by insurance, just like mammograms, within this decade.

3D Mammography Three-dimensional (3D) digital mammography, or tomosynthesis, is the latest in breast imaging. It removes the impact of overlapping tissue, making a mammogram much clearer to read.

Cancer Screenings Available in Bozeman

Similar to traditional mammography, 3D digital mammography converts two-dimensional (2D) digital breast images into stacked, very thin slices, building a 3D mammogram. During the procedure, an x-ray arm sweeps in a slight arc over the breast, producing multiple breast images in just seconds. This allows radiologists to look through the tissue, one millimeter at a time, identifying and characterizing individual breast structures without overlapping tissue, to identify cancers not readily visible on a standard 2D image. This offers the potential to detect more breast cancers in their earliest stages, which should equate to better outcomes for patients.

The U.S. Food and Drug Administration reports that the combination of 2D plus 3D mammography is superior to 2D alone. In fact, some health facilities already using this new technology reported 30-40% reductions in their need to call patients back in for additional imaging.

Having a 3D exam does not feel any different than having a 2D digital mammogram. The machine looks similar, but it takes both the standard digital mammogram and the 3D sweep in one compression, allowing the radiologist to compare both results.

AMI was the first breast imaging center in Montana and surrounding states, including Wyoming, North Dakota and Idaho, to offer 3D imaging for breast cancer screening.

“We are excited to offer this breakthrough technology to patients in the Gallatin Valley and surrounding areas,” said AMI Breast Care Specialist, Cindy Carter, PA-C. “We believe 3D digital mammography will benefit all breast imaging patients, and is especially valuable for women with dense breast tissue. We are committed to the fight against breast cancer.”

Both screenings required a physician referral.

For more information or to schedule an exam, please call 406-414-5201 or visit www.amibozeman.com. Charitable contributions to help fund screening options at AMI can be made to Bozeman Deaconess Foundation at www.bozemandeaconessfoundation.org or by calling 406-414-1085.

Gallatin Valley Whole Health • 2014 • 63

Shining bright for our community.

bozemandeaconess.org In addition to being recognized as Montana’s only hospital to receive HealthGrade’s Outstanding Patient Experience Award, some of our other achievements from this past year include: • • • •

Recipient of the HealthGrades Pulmonary Care Excellence Award™ Ranked Among the Top 5% in the Nation for Overall Pulmonary Services Five-Star Recipient for Total Knee Replacement for 3 Years in a Row (20122014) Five-Star Recipient for Treatment of Chronic Obstructive Pulmonary Disease, Pneumonia and GI Bleed

Bozeman Deaconess Health Services. We’ll do our best to keep shining for our community well into the future.