Live Well

Live Well Live WeLL Montana noveMber MedicaL directory 2012 • 1

November Medical Directory 2012

2 • Live WeLL Montana noveMber MedicaL directory 2012

MONTANA ORTHOPEDICS MontanaOrthopedics.com (406) 496 - 3400

Father

|

Spine Surgeon

Dr. Anthony RussoÕs background, education, and experience make him a nationally recognized expert in spine surgery. Innovative solutions new to Montana that ensure you're taken care of like a member of the family.

This is Montana Orthopedics.

The region’s most unique, talented, and passionate group of orthopedic physicians.

Live WeLL Montana noveMber MedicaL directory 2012 • 3

Excellence Health Care Our Community. in

in

•

• • • • • • • • • • • • •

Recipient of the Quality Achievement Award from the Mountain Pacific Quality Health Foundation in 2005, 2006, 2007, 2008, 2009, 2010, 2011 and 2012.

Recipient of the 2006, 2007 and 2008 Innovation in Health Care Award.

24-Hour Emergency Department Convenient Care Hours Daily Accredited Radiology Department MRI • CT Scan • Ultrasound • Mammography Physical & Occupational Therapy Obstetrics General Surgery Neurosurgery Orthopedic Surgery Respiratory Therapy Medical Laboratory Hospice Services Home Health

• • •

•

Own

ADA Recognized Diabetes Self-Management Education Program Montana’s Only Baby Friendly Designated Hospital Medical Outreach Clinics • Cardiology • Orthopedics • Opthamology • General Surgery • Urology • Neurology Eden Designated Long-term Care Facility

COMMUNITY NURSING HOME OF ANACONDA 615 Main St., Anaconda, MT 59711 • 563-8417

PINTLER HOME OPTIONS 108 Oak St, Anaconda MT 59711 • 563-7023 PINTLER FAMILY MEDICINE 305 West Pennsylvania, Anaconda MT 59711 • 563-8686 ANACONDA PEDIATRICS 200 Main St., Anaconda, MT 59711 • 563-7337 PINTLER SURGICAL SPECIALISTS 305 West Pennsylvania, Anaconda MT 59711 • 563-8571

401 West Pennsylvania, Anaconda, MT 59711 | 406.563.8500 | www.CommunityHospitalOfAnaconda.org

4 • Live WeLL Montana noveMber MedicaL directory 2012

How to recognize if your child has a vision problem Parents want their kids to be as healthy as possible. Whether tailoring kids’ diets to include healthier foods or encouraging their youngsters to be physically active, parents often go the extra mile with regards to the health of their children.

But as hard as parents may try, some health-related issues are difficult to avoid or prevent. For example, even the most conscientious parents might have little influence over their children’s vision. Many children have a form of myopia, commonly known as nearsightedness, which progressively worsens as kids get older but eventually stabilizes when their eyes have stopped growing, typically in a young adult’s early 20s.

Myopia is common and treatable, but parents should still educate themselves about it so they can better respond should they suspect their child is suffering from nearsightedness.

WHAT CAUSES MYOPIA? When a person has myopia, light entering his or her eye is focused incorrectly. Nearsighted people usually have an eyeball that is slightly longer than normal from front to back, and the light rays that make up the images a nearsighted person sees focus in front of the retina instead of directly on it. The result is that objects that are far away appear blurry.

ARE THERE INDICATORS THAT A CHILD IS NEARSIGHTED? Kids likely won’t tell their parents that they are struggling to see distant objects clearly, so it’s important for parents to look for indicators that a child might be struggling with myopia. Kids who are nearsighted might squint to see objects that are far away, including the television.

One of the telltale indicators is how a child behaves in the classroom.

Children who tell their teacher they need to move closer to the chalkboard should be taken to the eye doctor. Parents who suspect their child might be nearsighted can talk to their child’s teacher and ask if the teacher feels the child might be struggling with his or her vision. Such struggles can affect how a child performs in school.

Children who get frequent headaches might also be suffering from nearsightedness.

Doctors recommend that kids have their eyes examined at six months, three years of age and prior to entering the first grade. But even if kids

have passed previous eye examinations at each of those benchmarks, it’s best to take them for another exam the moment a vision problem is suspected.

IS MYOPIA PREVENTABLE? Since it is often inherited, myopia is not preventable. However, treatment can significantly minimize its effects. Children who appear to be struggling to see distant objects clearly should be taken for an eye exam. That exam may include an eye pressure measurement; a refraction test, which is used to determine a correct prescription for eyeglasses; a retinal examination and a visual acuity test, which measures sharpness of vision at close and far distances.

When a child is diagnosed as being nearsighted, the doctor will likely prescribe eyeglasses or contact lenses. LASIK surgery can correct vision, but many surgeons are reticent to recommend such surgery until a patient’s eye has fully developed, which does not occur until after childhood.

ARE THERE OTHER SYMPTOMS OF CHILDHOOD VISION PROBLEMS? There are additional symptoms of childhood vision problems that might not indicate nearsightedness, but might indicate another problem that should result in a trip to the eye doctor. For example, a child might close one eye when watching television or reading. This could be indicative that vision in one eye is poorer than the other.

Young children who struggle to color within the lines might have an issue with their hand-eye coordination. Poor hand-eye coordination could be the result of a vision impairment.

Children who tilt their head to one side to improve vision might be suffering from a vision problem that makes it difficult for them to look directly down.

Vision problems can negatively affect how a child performs in school as well as in social situations. Though such vision problems are not always preventable, parents who can identify them can greatly minimize their effects.

Live WeLL Montana noveMber MedicaL directory 2012 • 5

To Advertise or provide articles for the next issue of

Live Well

• Respiratory Therapy • • NEB Compressors • Ultrasonic NEBS • Respiratory Therapist • Home Assessments • 02 Concentrators • Light Weight Portables • Conserving Devices • Billi Blanket

•Sleep Therapy• • CPAP/BIPAP Equipment and Supplies We Bill Medicare, Medicaid, & Private Insurance

Contact Patti Arntson at

406-496-5539

LOCALLY OWNED AND OPERATED

35 S. Main • Butte • 406-782-6708

CONTINENTAL DIVIDE OBSTETRICS & GYNECOLOGY

We appreciate the opportunity to provide you with health care. Our staff is made up of well-qualified professionals who work together as a team to bring you the highest quality treatment in a warm, caring setting.

Our goal is to provide you with the best medical care in the area of women’s health.

Rindo Sironi, MD Mianne Jenrich, NP

406.723.3000 305 W. Porphyry Butte Montana

We Are Your ONE-STOP PHARMACY We are open to the public and accept the majority of insurances including Medicaid, Medicare, and Worker’s Compensation. Set in a facility that offers medical services, a lab, and x-ray services, we provide one stop convenience.

We also offer immunizations, professional consultations and delivery. See us for all your pharmacy needs.

435 S. Crystal, Suite 230 Butte, Montana 59701 Ph: 406.723.2441 • Fax: 406.723.2799 Hours: Monday – Friday • 8 AM – 6:30 PM

6 • Live WeLL Montana noveMber MedicaL directory 2012

How to floss more effectively

• To begin flossing correctly, start with a piece of floss about 18 inches in length. Wind the excess floss around your middle fingers and keep about 2 inches handy between thumb and index finger for use between the teeth.

Dentists frequently advise patents to floss more often. Flossing is the key to preventing tartar buildup at the gum line and to reduce bleeding between teeth from enflamed gum tissue. Still, many overlook the benefits of flossing or simply do not know how to floss effectively.

The purpose of flossing is to remove food particles that become lodged in places a toothbrush cannot reach, such as under the gum line and between the teeth. Flossing should not take the place of brushing.

Instead, use flossing in conjunction with brushing.

To floss more effectively, find a floss product that is easy to use and comfortable. Floss comes in nylon or multifilament varieties, as well as PFTE or monofilament floss. There also are floss brushes and singleuse floss sticks that can facilitate flossing and cleaning teeth. Floss that’s comfortable makes flossing more enjoyable. Otherwise, you may put off flossing if it is cumbersome or difficult.

To make the most of flossing, employ the proper technique. If you have teeth that have tight contact points, you probably will want to use a monofilament floss that will not shred or break apart. Others may be able to work with a nylon floss. Floss also may come in waxed varieties for easier gliding between the teeth. Still other floss have fluoride already on them to help prevent cavities.

• Use a gentle sawing motion between the teeth to work the floss along the natural curve of the teeth and also where each tooth meets the gum line.

• Do not snap the floss against the gums. Doing so can cause trauma to the tissue.

• Angle the floss so it forms a “C” shape and hugs the tooth. Slide the floss up and down each tooth and make sure it gently goes a little below the gum line. Repeat on the opposite side of each tooth as well.

• As you floss each tooth, release clean floss from your fingers so you have a fresh area for cleaning the next tooth.

• Follow up flossing with brushing to remove any errant bits of food and plaque. Then rinse your mouth with water or mouthwash.

It is adviseable to floss twice a day before brushing. However, once a day will be sufficient and should be reserved for before bed.

If using flossing aides, follow the same general techniques, but use a new aide when the one you’re using becomes soiled or damaged.

Live WeLL Montana noveMber MedicaL directory 2012 • 7

Barrett Hospital is Now Open

24 Hour Provider Staffed Emergency Care Greg Moore, MD, FACEP, FAWM Ramona Potter, MD Michael Clarke, MD Anna Loge, MD, Hospitalist Greg Bourdon, PA-C Barrett Hospital & HealthCare Clinic Burke Hansen, MD Family Practice/OB Mick Lifson, MD, FACOG Gynecology Ron Loge, MD, MACP Internal Medicine & Geriatrics

John Madany, MD Family Practice Danielle K. Maxfield, FNP-C Jana Barnes, PA-C Sandra McIntyre, MD, FACP Internal Medicine Camille Ristroph, MD Family Practice/OB Karen Weed, MD Internal Medicine, Hospice & Palliative Medicine Judy Wilson, MD Internal Medicine

600 MT Highway 91 South · Dillon, MT 59725

683-3000 · www.barretthospital.org

Quality starts with personalized care.

Our spine and orthopedic team is with you every step of way.

We get to know you and your individual needs and work with you throughout you recovery until you are back to enjoying what matters most.

(406) 563-8571 Dr. Peter Sorini American Board of Neurological Surgeons

Dr. Peter Wendt American Board of Orthopaedic Surgery

Dr. Jonathan Pine American Orthopaedic Association American Osteopathic Academy of Orthopedics

Dr. Steven Marthini Non-Invasive Spine Care

Care for a Lifetime 401 W. Pennsylvania Street Anaconda (406) 563-8500 www.communityhospitalofanaconda.org

8 • Live WeLL Montana noveMber MedicaL directory 2012

FIGHTING the growing problem of childhood hunger in America

Live WeLL Montana noveMber MedicaL directory 2012 • 9

When thinking about childhood hunger, many people envision poverty-stricken regions on another continent, far from home. However, millions of children right here in the United States don’t know where their next meal will come from. It’s called “food insecurity,” and it’s a big problem in communities across the country.

Nearly 50 million Americans, including more than 16 million children and teens younger than 18, live with food insecurity, according to the U.S. Department of Agriculture (USDA).

High poverty rates, significant unemployment and rising gas prices are all contributing to the difficulty many families have in putting food on the table.

There is no single solution to address the issue of hunger, but working together can have the greatest impact. Here are three simple things anyone can do to alleviate child hunger in their own communities:

1

PUT EXCESS TO GOOD USE

Having extra can help feed those with less. On the next few visits to the grocery store, if possible, buy one or two extra non-perishable canned food items. Items like pastas, canned tuna and dried beans can be donated to those in need. At the end of the month, gather those canned goods and donate them to the nearest food bank, homeless shelter or church outreach program.

Families can likely find even more opportunity to donate by cleaning out their pantries seasonally.

2 3

MAKE IT A GROUP EFFORT

There is strength in numbers - and the power to make a difference. Join others who share a cause for fighting hunger by volunteering at a soup kitchen (unpacking boxes, cooking or serving food), participating in a community food drive for a food bank, or working with a church’s community outreach.

Assemble a team of co-workers, neighbors or friends to join the effort.

BECOME AN ADVOCATE Spreading the word about a program or organization that truly makes a difference can help expand its reach. Further support the efforts of organizations like the Y by reaching out to those in need and letting them know the programs exist.

To help address child hunger, one national nonprofit is stepping up efforts to feed children during out-of-school time.

Although children from low-income families are eligible to receive free or reduced-cost meals at school, when the school day ends these children are at risk of going hungry. To ensure children receive proper nutrition during out-of-school time, and to provide relief to struggling families, beginning this fall, YMCA of the USA (Y-USA) is strengthening its commitment to healthy living and youth development in communities across the country. With support from the Walmart Foundation, the Y will increase the number of its afterschool programs that provide healthy meals and snacks, along with learning enrichment activities, through the USDA’s Child and Adult Care Food Program’s (CACFP) Afterschool Meal Program. CACFP feeds school-aged children during the week, on weekends and during school vacations, and participation by community organizations like the Y help extend the program’s reach.

“At the Y, we nurture the potential of every child. We are deepening our commitment to address hunger so that more of our most vulnerable children will be well-nourished, active and energized year-round,” says Neil Nicoll, president and CEO of Y-USA. In partnership with the Walmart Foundation, more than 300 Ys served 5 million nutritious meals and snacks to 100,000 children in summer food programs across the country in summer 2012. By the end of the school year, the Y estimates it will provide an additional 3 million meals and snacks, for a total of 8 million meals and snacks throughout the year.

While it might not always be on the front page of the newspaper or the subject of television commercials, child hunger in the United States is real, and families are silently suffering every single day. Food programs like those offered by the Y help fight the problem so that every child, regardless of their personal circumstances, can get the healthy food they need. To learn more, visit ymca.net.

10 • Live WeLL Montana noveMber MedicaL directory 2012

Manage diabetes and its expense Managing diabetes often comes at a great financial cost. Just ask the nearly 26 million people living with the disease, many of whom pay out of pocket for treatment and self care. Whether you pay out of pocket or through your insurance co-pay system, you’re not alone if you feel you’re paying too much to gain control of your condition.

related questions.

The American Diabetes Association recommends insulin-dependent diabetes patients test their blood sugar three times a day, which can set a patient back $1,000 a year in average costs of glucose strips alone. It’s a costly scenario, but medical doctors such as John Agwunobi, president of Walmart U.S. Health and Wellness, agree it should be considered a health priority.

• Join a local diabetes community group to stay motivated and find a support system.

“In recent years, diabetes has been ranked the fifth leading cause of death in the U.S. and is now the fastest growing disease in the country,” says Agwunobi. “It is imperative that we help the millions of Americans who are struggling to manage their diabetes alleviate some of the financial burden.”

The American Diabetes Association offers these tips for people with diabetes to manage the disease and lower risk for complications and expenses: • Schedule regular visits with your doctor and dentist to stay on top of the disease; your local pharmacist also can be a great resource for diabetes-

• Eat a healthy diet that limits carbohydrates and calories.

• Exercise with 30 minutes of moderate physical activity five days per week.

To help people ease mounting expenses associated with diabetes management, Walmart has lowered prices on a wide selection of high-quality ReliOn brand treatment products, which could end up saving you or a loved one up to $800 a year on glucose strips alone. This commitment includes low prices on many essential diabetes treatment products including blood glucose monitoring meters and strips, insulin and 15 different diabetes prescriptions for only $4 each for a 30-day supply.

“We’ve worked closely with our suppliers and found a way to significantly reduce the cost of diabetes products for all of our customers, but this is just one example of a larger commitment to provide affordable healthcare solutions to Americans,” adds Agwunobi. “We want to make sure Americans can afford to stay healthy - whether managing their diabetes or treating the common cold.”

Live WeLL Montana noveMber MedicaL directory 2012 • 11

that was easy...

Braces for children and adults

Member of American Association of Orthodontics

Contact the

NEW PATIENTS ALWAYS WELCOME NO REFERRALS REQUIRED

Timothy C. Ballweber, D.D.S., M.S. 2400 Massachesetts Ave. •Butte

Butte Silver Bow Health Department 406-497-5044

723-2144

www.drtimballweber.com

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POWER RECLINER

STEELE'S ADJUSTABLE BED WITH MATTRESS

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Butte – 800 S. Wyoming • 782-4231 Deer Lodge – 417 Main • 846-3311 OR CALL TOLL-FREE 1-800-281-9829 www.steelesfurniture.com

12 • Live WeLL Montana noveMber MedicaL directory 2012

ILLNESS HAS IMPACT ON JOB PERFORMANCE People who want to be more productive at work may be able to skip learning seminars or extra school courses and simply focus on personal health, including taking mental health concerns seriously.

Personal illnesses are not only bad for employees but also bad for business. A survey by CCH, a leading provider of human resources and employment law information, has found absenteeism can mean billions of lost revenue for U.S. businesses. The nation’s largest employers estimate that unscheduled absenteeism costs their businesses more than $760,000 per year in direct payroll costs, and even more when lower productivity, lost revenue and the effects of poor morale are considered.

One of the primary reasons employees miss work is poor health stemming from stress and depression. About 14.8 million American adults suffer from depression, according to the National Institute of

Mental Health. Depression is the leading cause of disability among young adults in the United States.

Canadian studies looking at lifetime incidences of major depression found that roughly 8 percent of adults over 18 years of age met the criteria for a diagnosis of major depression at some time in their lives.

Depression is not just passing feelings of sadness. It is a persistent feeling of worthlessness or helplessness that is often accompanied by loss of interest in pleasurable activities. Depression may cause sleep disturbances, decreased energy and an inability to concentrate.

Stress, anxiety and depression are often linked.

Stress may trigger anxious episodes, which in turn can lead to depression. Anxiety and depression progress together because obsessive worrying keeps a person in an increased state of arousal that results in depression at its most severe, say mental health experts.

Many people fail to take their health concerns seriously or fear the ramifications if they admit a “weakness.” Some continue to try to plow through at work, which is neither productive for the employee nor his or her employer. Lack of concentration may

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DIAGNOSTIC MEDICAL ULTRASOUND OB • Thyroid • Breast • Vascular • Gynecology • Abdomen

Live WeLL Montana noveMber MedicaL directory 2012 • 13

lead to mistakes made on the job.

It is in everyone’s best interest to make good health a priority. To do so, individuals can follow these guidelines.

• Don’t overlook symptoms that may be indicative of depression or anxiety. Visit a doctor and talk about how you have been feeling. According to a recent large-scale study published by the Rand Corporation, depression results in more days in bed than many other ailments (such as ulcers, diabetes, high blood pressure, and arthritis). Staying in bed for extended periods of time could be indicative of mental illness.

• Sit down with your employer and explain what is going on. You do not want him or her to simply think you are goofing off on the job. If your employer values your work, then that employer will help you out during a period of illness. You also may be entitled to extended time off through the Family Medical Leave Act. • Put yourself first. You cannot help others without first helping yourself.

• Consider talking with others in similar situations.

There are many support groups that take place both online and in person.

• Recognize that stress can manifest itself in a variety of ways. It may compound blood pressure issues and tax the cardiovascular system.

• Depression and anxiety are more common than you might think. At any given time, one employee in 20 is battling depression.

• Employers can be on the lookout for signs of problems and confidentially approach employees to determine the source of poor performances on the job. Some employers offer counseling as part of employee benefits.

30 Years of Compassionate Care!

Dr. Glenn McLaughlin is Board Certified in Obstetrics and Gynecology and Fellow of the American College of Ob/Gyn with 30 years in Ob/Gyn Practice. Dr. McLaughlin is also a retired flight surgeon-Ob/Gyn from United States Air Force.

DR. MCLAUGHLIN SPECIALIZES IN:

• Primary care for Women • Infertility • Care of normal and high risk pregnancy (both Vaginal & Cesarean) • In office U/S, Amnio • In office ESSURE procedure for permanent contraception • In office ablation procedures • All female surgery including: Bladder & pelvic floor prolapse

• • • • • • • •

Pap Smears & Pessary Care Annual Well Women Visits Colposcopy & Leep Procedure IUD - Insert and Removal Implanon - Insert and Removal Hysteroscopy Birth Control Counseling Treatment for Endometriosis

ACCEPTING NEW PATIENTS AND ALL INSURANCES Medicare • Medicaid • Tricare

Employees should not take their health lightly, especially when illnesses like depression and anxiety can impair their abilities to do their jobs. Mental and physical health can have a trickle-down effect on job performance. Employees and employers can work together to come up with solutions.

401 S. Alabama Street, Suite 9, Butte, MT

14 • Live WeLL Montana noveMber MedicaL directory 2012

Live WeLL Montana noveMber MedicaL directory 2012 • 15

HOW WELL ARE YOU SLEEPING? W

e provide sleep patients with the highest standards of care, assessment and treatment by our highly qualified medical staff.

DO YOU HAVE THESE SYMPTOMS? Snoring • Hypertension • Daytime Sleepiness Morning Headaches • Overweight • Nighttime Sweats Frequent Awakenings • Apnea witnessed by partner• Marked Insomnia • Limb Movements

Our board certified sleep medicine specialists are available for consultations, screenings and follow-ups and are accepting new patients at our Butte clinic.

We’re an independent clinic dedicated to providing you comprehensive sleep services in a non-clinical atmosphere.

We’re Butte’s Sleep Disorders Specialists!

WE HAVE MOVED!

Now Located at: 700 W. Gold St. Suite C 782-7570 Fax 782-7575 Participating or Preferred provider with most insurance companies including: Blue Cross & Blue Shield, Allegiance, New West, Medicare & Medicaid.

16 • Live WeLL Montana noveMber MedicaL directory 2012

29 Years of Surgical Experience John Cochran, M.D.

Adult and Pediatric Urology St. James Urology Group

Full spectrum of urologic care: stones, infections, bladder control, infertility, and urologic cancers and injuries with a special interest in minimally invasive surgery.

Board Certified:

American Board of Urology Fellow - American College of Surgeons Diplomat – National Board of Medical Examiners Clinical Assistant Professor – Texas A&M College of Medicine

ACCEPTING NEW PATIENTS

(406) 723-2951

435 South Crystal Street • Butte, MT 59701

Live Well Live WeLL Montana noveMber MedicaL directory 2012 • 1

November Medical Directory 2012

2 • Live Well Montana November Medical Directory 2012

MONTANA ORTHOPEDICS MontanaOrthopedics.com (406) 496 - 3400

Father

|

Spine Surgeon

Dr. Anthony RussoÕs background, education, and experience make him a nationally recognized expert in spine surgery. Innovative solutions new to Montana that ensure you're taken care of like a member of the family.

This is Montana Orthopedics.

The region’s most unique, talented, and passionate group of orthopedic physicians.

Live Well Montana November Medical Directory 2012 • 3

Excellence Health Care Our Community. in

in

•

• • • • • • • • • • • • •

Recipient of the Quality Achievement Award from the Mountain Pacific Quality Health Foundation in 2005, 2006, 2007, 2008, 2009, 2010, 2011 and 2012.

Recipient of the 2006, 2007 and 2008 Innovation in Health Care Award.

24-Hour Emergency Department Convenient Care Hours Daily Accredited Radiology Department MRI • CT Scan • Ultrasound • Mammography Physical & Occupational Therapy Obstetrics General Surgery Neurosurgery Orthopedic Surgery Respiratory Therapy Medical Laboratory Hospice Services Home Health

• • •

•

Own

ADA Recognized Diabetes Self-Management Education Program Montana’s Only Baby Friendly Designated Hospital Medical Outreach Clinics • Cardiology • Orthopedics • Opthamology • General Surgery • Urology • Neurology Eden Designated Long-term Care Facility

COMMUNITY NURSING HOME OF ANACONDA 615 Main St., Anaconda, MT 59711 • 563-8417

PINTLER HOME OPTIONS 108 Oak St, Anaconda MT 59711 • 563-7023 PINTLER FAMILY MEDICINE 305 West Pennsylvania, Anaconda MT 59711 • 563-8686 ANACONDA PEDIATRICS 200 Main St., Anaconda, MT 59711 • 563-7337 PINTLER SURGICAL SPECIALISTS 305 West Pennsylvania, Anaconda MT 59711 • 563-8571

401 West Pennsylvania, Anaconda, MT 59711 | 406.563.8500 | www.CommunityHospitalOfAnaconda.org

4 • Live WeLL Montana noveMber MedicaL directory 2012

How to recognize if your child has a vision problem Parents want their kids to be as healthy as possible. Whether tailoring kids’ diets to include healthier foods or encouraging their youngsters to be physically active, parents often go the extra mile with regards to the health of their children.

But as hard as parents may try, some health-related issues are difficult to avoid or prevent. For example, even the most conscientious parents might have little influence over their children’s vision. Many children have a form of myopia, commonly known as nearsightedness, which progressively worsens as kids get older but eventually stabilizes when their eyes have stopped growing, typically in a young adult’s early 20s.

Myopia is common and treatable, but parents should still educate themselves about it so they can better respond should they suspect their child is suffering from nearsightedness.

WHAT CAUSES MYOPIA? When a person has myopia, light entering his or her eye is focused incorrectly. Nearsighted people usually have an eyeball that is slightly longer than normal from front to back, and the light rays that make up the images a nearsighted person sees focus in front of the retina instead of directly on it. The result is that objects that are far away appear blurry.

ARE THERE INDICATORS THAT A CHILD IS NEARSIGHTED? Kids likely won’t tell their parents that they are struggling to see distant objects clearly, so it’s important for parents to look for indicators that a child might be struggling with myopia. Kids who are nearsighted might squint to see objects that are far away, including the television.

One of the telltale indicators is how a child behaves in the classroom.

Children who tell their teacher they need to move closer to the chalkboard should be taken to the eye doctor. Parents who suspect their child might be nearsighted can talk to their child’s teacher and ask if the teacher feels the child might be struggling with his or her vision. Such struggles can affect how a child performs in school.

Children who get frequent headaches might also be suffering from nearsightedness.

Doctors recommend that kids have their eyes examined at six months, three years of age and prior to entering the first grade. But even if kids

have passed previous eye examinations at each of those benchmarks, it’s best to take them for another exam the moment a vision problem is suspected.

IS MYOPIA PREVENTABLE? Since it is often inherited, myopia is not preventable. However, treatment can significantly minimize its effects. Children who appear to be struggling to see distant objects clearly should be taken for an eye exam. That exam may include an eye pressure measurement; a refraction test, which is used to determine a correct prescription for eyeglasses; a retinal examination and a visual acuity test, which measures sharpness of vision at close and far distances.

When a child is diagnosed as being nearsighted, the doctor will likely prescribe eyeglasses or contact lenses. LASIK surgery can correct vision, but many surgeons are reticent to recommend such surgery until a patient’s eye has fully developed, which does not occur until after childhood.

ARE THERE OTHER SYMPTOMS OF CHILDHOOD VISION PROBLEMS? There are additional symptoms of childhood vision problems that might not indicate nearsightedness, but might indicate another problem that should result in a trip to the eye doctor. For example, a child might close one eye when watching television or reading. This could be indicative that vision in one eye is poorer than the other.

Young children who struggle to color within the lines might have an issue with their hand-eye coordination. Poor hand-eye coordination could be the result of a vision impairment.

Children who tilt their head to one side to improve vision might be suffering from a vision problem that makes it difficult for them to look directly down.

Vision problems can negatively affect how a child performs in school as well as in social situations. Though such vision problems are not always preventable, parents who can identify them can greatly minimize their effects.

Live WeLL Montana noveMber MedicaL directory 2012 • 5

To Advertise or provide articles for the next issue of

Live Well

• Respiratory Therapy • • NEB Compressors • Ultrasonic NEBS • Respiratory Therapist • Home Assessments • 02 Concentrators • Light Weight Portables • Conserving Devices • Billi Blanket

•Sleep Therapy• • CPAP/BIPAP Equipment and Supplies We Bill Medicare, Medicaid, & Private Insurance

Contact Patti Arntson at

406-496-5539

LOCALLY OWNED AND OPERATED

35 S. Main • Butte • 406-782-6708

CONTINENTAL DIVIDE OBSTETRICS & GYNECOLOGY

We appreciate the opportunity to provide you with health care. Our staff is made up of well-qualified professionals who work together as a team to bring you the highest quality treatment in a warm, caring setting.

Our goal is to provide you with the best medical care in the area of women’s health.

Rindo Sironi, MD Mianne Jenrich, NP

406.723.3000 305 W. Porphyry Butte Montana

We Are Your ONE-STOP PHARMACY We are open to the public and accept the majority of insurances including Medicaid, Medicare, and Worker’s Compensation. Set in a facility that offers medical services, a lab, and x-ray services, we provide one stop convenience.

We also offer immunizations, professional consultations and delivery. See us for all your pharmacy needs.

435 S. Crystal, Suite 230 Butte, Montana 59701 Ph: 406.723.2441 • Fax: 406.723.2799 Hours: Monday – Friday • 8 AM – 6:30 PM

6 • Live Well Montana November Medical Directory 2012

How to floss more effectively

• To begin flossing correctly, start with a piece of floss about 18 inches in length. Wind the excess floss around your middle fingers and keep about 2 inches handy between thumb and index finger for use between the teeth.

Dentists frequently advise patents to floss more often. Flossing is the key to preventing tartar buildup at the gum line and to reduce bleeding between teeth from enflamed gum tissue. Still, many overlook the benefits of flossing or simply do not know how to floss effectively.

The purpose of flossing is to remove food particles that become lodged in places a toothbrush cannot reach, such as under the gum line and between the teeth. Flossing should not take the place of brushing.

Instead, use flossing in conjunction with brushing.

To floss more effectively, find a floss product that is easy to use and comfortable. Floss comes in nylon or multifilament varieties, as well as PFTE or monofilament floss. There also are floss brushes and singleuse floss sticks that can facilitate flossing and cleaning teeth. Floss that’s comfortable makes flossing more enjoyable. Otherwise, you may put off flossing if it is cumbersome or difficult.

To make the most of flossing, employ the proper technique. If you have teeth that have tight contact points, you probably will want to use a monofilament floss that will not shred or break apart. Others may be able to work with a nylon floss. Floss also may come in waxed varieties for easier gliding between the teeth. Still other floss have fluoride already on them to help prevent cavities.

• Use a gentle sawing motion between the teeth to work the floss along the natural curve of the teeth and also where each tooth meets the gum line.

• Do not snap the floss against the gums. Doing so can cause trauma to the tissue.

• Angle the floss so it forms a “C” shape and hugs the tooth. Slide the floss up and down each tooth and make sure it gently goes a little below the gum line. Repeat on the opposite side of each tooth as well.

• As you floss each tooth, release clean floss from your fingers so you have a fresh area for cleaning the next tooth.

• Follow up flossing with brushing to remove any errant bits of food and plaque. Then rinse your mouth with water or mouthwash.

It is adviseable to floss twice a day before brushing. However, once a day will be sufficient and should be reserved for before bed.

If using flossing aides, follow the same general techniques, but use a new aide when the one you’re using becomes soiled or damaged.

Live Well Montana November Medical Directory 2012 • 7

Barrett Hospital is Now Open

24 Hour Provider Staffed Emergency Care Greg Moore, MD, FACEP, FAWM Ramona Potter, MD Michael Clarke, MD Anna Loge, MD, Hospitalist Greg Bourdon, PA-C Barrett Hospital & HealthCare Clinic Burke Hansen, MD Family Practice/OB Mick Lifson, MD, FACOG Gynecology Ron Loge, MD, MACP Internal Medicine & Geriatrics

John Madany, MD Family Practice Danielle K. Maxfield, FNP-C Jana Barnes, PA-C Sandra McIntyre, MD, FACP Internal Medicine Camille Ristroph, MD Family Practice/OB Karen Weed, MD Internal Medicine, Hospice & Palliative Medicine Judy Wilson, MD Internal Medicine

600 MT Highway 91 South · Dillon, MT 59725

683-3000 · www.barretthospital.org

Quality starts with personalized care.

Our spine and orthopedic team is with you every step of way.

We get to know you and your individual needs and work with you throughout you recovery until you are back to enjoying what matters most.

(406) 563-8571 Dr. Peter Sorini American Board of Neurological Surgeons

Dr. Peter Wendt American Board of Orthopaedic Surgery

Dr. Jonathan Pine American Orthopaedic Association American Osteopathic Academy of Orthopedics

Dr. Steven Marthini Non-Invasive Spine Care

Care for a Lifetime 401 W. Pennsylvania Street Anaconda (406) 563-8500 www.communityhospitalofanaconda.org

8 • Live Well Montana November Medical Directory 2012

FIGHTING the growing problem of childhood hunger in America

Live WeLL Montana noveMber MedicaL directory 2012 • 9

When thinking about childhood hunger, many people envision poverty-stricken regions on another continent, far from home. However, millions of children right here in the United States don’t know where their next meal will come from. It’s called “food insecurity,” and it’s a big problem in communities across the country.

Nearly 50 million Americans, including more than 16 million children and teens younger than 18, live with food insecurity, according to the U.S. Department of Agriculture (USDA).

High poverty rates, significant unemployment and rising gas prices are all contributing to the difficulty many families have in putting food on the table.

There is no single solution to address the issue of hunger, but working together can have the greatest impact. Here are three simple things anyone can do to alleviate child hunger in their own communities:

1

PUT EXCESS TO GOOD USE

Having extra can help feed those with less. On the next few visits to the grocery store, if possible, buy one or two extra non-perishable canned food items. Items like pastas, canned tuna and dried beans can be donated to those in need. At the end of the month, gather those canned goods and donate them to the nearest food bank, homeless shelter or church outreach program.

Families can likely find even more opportunity to donate by cleaning out their pantries seasonally.

2 3

MAKE IT A GROUP EFFORT

There is strength in numbers - and the power to make a difference. Join others who share a cause for fighting hunger by volunteering at a soup kitchen (unpacking boxes, cooking or serving food), participating in a community food drive for a food bank, or working with a church’s community outreach.

Assemble a team of co-workers, neighbors or friends to join the effort.

BECOME AN ADVOCATE Spreading the word about a program or organization that truly makes a difference can help expand its reach. Further support the efforts of organizations like the Y by reaching out to those in need and letting them know the programs exist.

To help address child hunger, one national nonprofit is stepping up efforts to feed children during out-of-school time.

Although children from low-income families are eligible to receive free or reduced-cost meals at school, when the school day ends these children are at risk of going hungry. To ensure children receive proper nutrition during out-of-school time, and to provide relief to struggling families, beginning this fall, YMCA of the USA (Y-USA) is strengthening its commitment to healthy living and youth development in communities across the country. With support from the Walmart Foundation, the Y will increase the number of its afterschool programs that provide healthy meals and snacks, along with learning enrichment activities, through the USDA’s Child and Adult Care Food Program’s (CACFP) Afterschool Meal Program. CACFP feeds school-aged children during the week, on weekends and during school vacations, and participation by community organizations like the Y help extend the program’s reach.

“At the Y, we nurture the potential of every child. We are deepening our commitment to address hunger so that more of our most vulnerable children will be well-nourished, active and energized year-round,” says Neil Nicoll, president and CEO of Y-USA. In partnership with the Walmart Foundation, more than 300 Ys served 5 million nutritious meals and snacks to 100,000 children in summer food programs across the country in summer 2012. By the end of the school year, the Y estimates it will provide an additional 3 million meals and snacks, for a total of 8 million meals and snacks throughout the year.

While it might not always be on the front page of the newspaper or the subject of television commercials, child hunger in the United States is real, and families are silently suffering every single day. Food programs like those offered by the Y help fight the problem so that every child, regardless of their personal circumstances, can get the healthy food they need. To learn more, visit ymca.net.

10 • Live Well Montana November Medical Directory 2012

Manage diabetes and its expense Managing diabetes often comes at a great financial cost. Just ask the nearly 26 million people living with the disease, many of whom pay out of pocket for treatment and self care. Whether you pay out of pocket or through your insurance co-pay system, you’re not alone if you feel you’re paying too much to gain control of your condition.

related questions.

The American Diabetes Association recommends insulin-dependent diabetes patients test their blood sugar three times a day, which can set a patient back $1,000 a year in average costs of glucose strips alone. It’s a costly scenario, but medical doctors such as John Agwunobi, president of Walmart U.S. Health and Wellness, agree it should be considered a health priority.

• Join a local diabetes community group to stay motivated and find a support system.

“In recent years, diabetes has been ranked the fifth leading cause of death in the U.S. and is now the fastest growing disease in the country,” says Agwunobi. “It is imperative that we help the millions of Americans who are struggling to manage their diabetes alleviate some of the financial burden.”

The American Diabetes Association offers these tips for people with diabetes to manage the disease and lower risk for complications and expenses: • Schedule regular visits with your doctor and dentist to stay on top of the disease; your local pharmacist also can be a great resource for diabetes-

• Eat a healthy diet that limits carbohydrates and calories.

• Exercise with 30 minutes of moderate physical activity five days per week.

To help people ease mounting expenses associated with diabetes management, Walmart has lowered prices on a wide selection of high-quality ReliOn brand treatment products, which could end up saving you or a loved one up to $800 a year on glucose strips alone. This commitment includes low prices on many essential diabetes treatment products including blood glucose monitoring meters and strips, insulin and 15 different diabetes prescriptions for only $4 each for a 30-day supply.

“We’ve worked closely with our suppliers and found a way to significantly reduce the cost of diabetes products for all of our customers, but this is just one example of a larger commitment to provide affordable healthcare solutions to Americans,” adds Agwunobi. “We want to make sure Americans can afford to stay healthy - whether managing their diabetes or treating the common cold.”

Live Well Montana November Medical Directory 2012 • 11

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12 • Live Well Montana November Medical Directory 2012

ILLNESS HAS IMPACT ON JOB PERFORMANCE People who want to be more productive at work may be able to skip learning seminars or extra school courses and simply focus on personal health, including taking mental health concerns seriously.

Personal illnesses are not only bad for employees but also bad for business. A survey by CCH, a leading provider of human resources and employment law information, has found absenteeism can mean billions of lost revenue for U.S. businesses. The nation’s largest employers estimate that unscheduled absenteeism costs their businesses more than $760,000 per year in direct payroll costs, and even more when lower productivity, lost revenue and the effects of poor morale are considered.

One of the primary reasons employees miss work is poor health stemming from stress and depression. About 14.8 million American adults suffer from depression, according to the National Institute of

Mental Health. Depression is the leading cause of disability among young adults in the United States.

Canadian studies looking at lifetime incidences of major depression found that roughly 8 percent of adults over 18 years of age met the criteria for a diagnosis of major depression at some time in their lives.

Depression is not just passing feelings of sadness. It is a persistent feeling of worthlessness or helplessness that is often accompanied by loss of interest in pleasurable activities. Depression may cause sleep disturbances, decreased energy and an inability to concentrate.

Stress, anxiety and depression are often linked.

Stress may trigger anxious episodes, which in turn can lead to depression. Anxiety and depression progress together because obsessive worrying keeps a person in an increased state of arousal that results in depression at its most severe, say mental health experts.

Many people fail to take their health concerns seriously or fear the ramifications if they admit a “weakness.” Some continue to try to plow through at work, which is neither productive for the employee nor his or her employer. Lack of concentration may

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Live Well Montana November Medical Directory 2012 • 13

lead to mistakes made on the job.

It is in everyone’s best interest to make good health a priority. To do so, individuals can follow these guidelines.

• Don’t overlook symptoms that may be indicative of depression or anxiety. Visit a doctor and talk about how you have been feeling. According to a recent large-scale study published by the Rand Corporation, depression results in more days in bed than many other ailments (such as ulcers, diabetes, high blood pressure, and arthritis). Staying in bed for extended periods of time could be indicative of mental illness.

• Sit down with your employer and explain what is going on. You do not want him or her to simply think you are goofing off on the job. If your employer values your work, then that employer will help you out during a period of illness. You also may be entitled to extended time off through the Family Medical Leave Act. • Put yourself first. You cannot help others without first helping yourself.

• Consider talking with others in similar situations.

There are many support groups that take place both online and in person.

• Recognize that stress can manifest itself in a variety of ways. It may compound blood pressure issues and tax the cardiovascular system.

• Depression and anxiety are more common than you might think. At any given time, one employee in 20 is battling depression.

• Employers can be on the lookout for signs of problems and confidentially approach employees to determine the source of poor performances on the job. Some employers offer counseling as part of employee benefits.

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Employees should not take their health lightly, especially when illnesses like depression and anxiety can impair their abilities to do their jobs. Mental and physical health can have a trickle-down effect on job performance. Employees and employers can work together to come up with solutions.

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14 • Live Well Montana November Medical Directory 2012

Live Well Montana November Medical Directory 2012 • 15

HOW WELL ARE YOU SLEEPING? W

e provide sleep patients with the highest standards of care, assessment and treatment by our highly qualified medical staff.

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16 • Live Well Montana November Medical Directory 2012

29 Years of Surgical Experience John Cochran, M.D.

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435 South Crystal Street • Butte, MT 59701