Live
Well
February 2012 Medical Directory
2 • Live Well Montana | February 2012 | Medical Directory
MONTANA ORTHOPEDICS MontanaOrthopedics.com (406) 496 - 3400
Outdoorsman
|
Trauma Surgeon
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BLAVATSKY BUEHLER DIGIOVINE GALLAGHER RUSSO BU-20250402
Montana | February 2012 | Medical Directory • 3
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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 and 2011. • 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 118 East Seventh, Anaconda MT 59711 • 563-7023 ANACONDA INTERNAL MEDICINE 1102 East Commercial, Anaconda MT 59711 • 563-8600 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 | February 2012 | Medical Directory
that was easy...
Live
Well Contact the February 2012 Medical Directory
contents Butte Silver Bow Health Department 406-497-5044
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
Unscrambling the Myths Behind Eggs & Cholesterol.................................................... 6 Egg & Cheese Breakfast Burrito [recipe]........................ 7 Put a Healthier Spin on Favorite Comfort Foods............. 8 Bake Delicious Soda Bread [recipe]............................... 9 It’s Not Too Late for Flu Shot....................................... 10 Sleep Apnea Affects 20+ Million Americans................ 12 Diabetes & Oral Health............................................... 14 Early Dental Intervention............................................ 15 11 Tips for Winter Beauty Therapy............................... 16 Living with Fibromyalgia............................................. 18 What You Need to Know Before Undergoing a Cosmetic Medical Procedure................................. 21 Advertister Index........................................................ 22
Live Well Montana is published four times a year by the Montana Standard 25 West Granite Street | Butte, MT 59701 | 406-496-5500
Montana | February 2012 | Medical Directory • 5
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BU-20299782
6 • Live Well Montana | February 2012 | Medical Directory
Unscrambling the myths behind eggs and cholesterol Enjoying an egg a day can be part of a healthy diet (ARA) - When it comes to eggs, dietary cholesterol and heart health, what you think you know may be a bit scrambled. Concerns over dietary cholesterol and its impact on heart disease keeps many people from eating eggs, despite their nutritional benefits. However, more than 40 years of research shows healthy adults can enjoy an egg every day without significantly impacting their risk of heart disease.
Cracking the cholesterol myth
Enjoying an egg a day as part of a healthy diet balanced with fruits and vegetables, whole grains and low-fat dairy, falls well within current cholesterol guidelines. In fact, according to USDA data, one large egg is 14 percent lower in cholesterol than previously recorded, down from 212 mg to 185 mg, and is also 64 percent higher in vitamin D, with 41 IU per large egg. Moreover, one large egg contains six grams of highquality protein and 13 essential nutrients for 70 calories. “Research shows that saturated fat may be more likely to raise a person’s blood cholesterol than dietary cholesterol,” says Neva Cochran, registered dietitian, nutrition writer and researcher for Woman’s World Magazine. “Eating a balanced breakfast with high-quality protein foods like eggs, along with other nutrient-rich foods like fruit and whole grains, is the best way to start the day. Unlike sugary foods, eggs have no simple sugars and contain no carbs, providing steady and sustained energy.” Additionally, the 2010 Dietary Guidelines for Americans recognize eggs as a nutrient dense food and state that the consumption of one egg per day is not associated with risk of coronary heart disease or stroke in healthy adults. And, eggs provide high-quality protein that helps build muscles and increases satiety for all-day
energy, which can help maintain a healthy weight, an important factor in promoting overall health.
Incredible egg benefits
Cochran also points out that at an average of 15 cents a piece, eggs are an affordable, versatile, nutrient powerhouse that contribute to a healthy diet in many ways: boosters: Research shows that eating * Breakfast high-quality protein foods for breakfast, like eggs, can help increase satiety, maintain long-lasting energy and improve cognitive skills like memory recall time. supplement: Eggs are one of the few * Sunshine foods that are a naturally good source of vitamin D, meaning that one egg provides at least 10 percent of the recommended daily allowance. Vitamin D plays an important role in calcium absorption, helping to form and maintain strong bones. companion: Research shows that eating * Weight-loss eggs for breakfast can help overweight dieters lose more weight, lower their body mass index and shrink their waist more than eating a bagel of equal calories for breakfast.
Eggs are easy
Adding eggs to your breakfast routine can be easy, even on busy weekday mornings. Whether you’re craving scrambled eggs, an omelet or an egg sandwich, microwaves can be an incredible time-saving tool, so you can start every day with a nutritious breakfast. Try this quick and easy recipe next time you’re in a rush.
Montana | February 2012 | Medical Directory • 7
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Community Hospital of Anaconda’s Premier Surgical Team
Egg and Cheese Breakfast Burrito Ingredients: 1 flour tortilla (6-inch) 1 egg 1 tablespoon shredded Mexican cheese blend 1 tablespoon salsa Directions:
1
Line 2-cup microwave-safe cereal bowl with microwave-safe paper towel. Press tortilla into bowl. Break egg into center of tortilla. Beat egg gently with a fork until blended, being careful not to tear tortilla.
Neurosurgery Dr. Peter Sorini
2
Non-Invasive Spine Care
3
Orthopedic Surgery
Microwave on high 30 seconds; stir. Microwave until egg is almost set, 15 to 30 seconds longer.
Dr. Steven Martini
Remove tortilla with paper towel liner from bowl to flat surface. Top egg with cheese and salsa. Fold bottom of tortilla over egg, then fold in sides.
Dr. Jonathan Pine Dr. Peter Wendt
Thoracic & General Surgery
For more information on the nutrition benefits of eggs or recipe ideas, visit www.eggnutritioncenter. org or www.IncredibleEgg.org, “Like” the Incredible Edible Egg on Facebook or follow &#64IncredibleEggs on Twitter.
Dr. Thomas McMahon
Gastroenterology Dr. Christoph Woerlein Dr. Casey Kolendich 305 West Pennsylvania, Anaconda, MT 59711 | 406.563.8571 BU-20250524
8 • Live Well Montana | February 2012 | Medical Directory
Put a healthier spin on
favorite comfort foods (ARA) - As the cool temperatures of fall and winter arrive, many people find themselves gravitating toward warming, rich foods. Many of those dishes are fondly remembered childhood favorites or even part of a longstanding family tradition. While those cozy comfort foods warm you, body and soul, it's no secret that many of them aren't the healthiest foods you could eat. But with a bit of creative cooking, you can put a more nutritious spin on beloved dishes - and still enjoy the comfort they bring. Whether you're planning a small dinner party with friends or making a dish for the big family holiday gathering, you want to serve a dish that everyone will love. You might think that changing a recipe to make it more nutritious would produce something that's a pale imitation of the original, but that's not so - you can easily make a healthier version without sacrificing flavor. Consider these tips for making more nutrient-rich versions of your favorite comfort foods:
Mac and cheese. It’s a childhood staple that every
adult continues to love, no matter how many years pass. Rich, gooey cheese and bite-sized elbow pasta are good on their own, but together, they’re culinary magic. To bring more nutritional value to elbows-and-cheese,
consider switching your pasta from standard semolina to nutrient-packed, sprouted grain pastas like Ezekiel 4:9. The pasta is certified organic, and because it’s made from sprouted grains, it is high in fiber, rich with extra nutrients and is a diabetic-friendly food. Plus, sprouted grain pasta has faster cooking times, so it makes meal time preparation even easier. Top your cheesy elbows with seasoned bread crumbs and bake it to perfection.
Soups and stews. On a chilly day, few things can
make you feel quite as good as a steaming bowl of soup. The infinite variety of recipes attests to just how much people love soup – and just how creative you can get with it. Making a nutritious soup takes only a few adjustments. To make it more heart-healthy, look for low- or no-sodium broth instead of the regular versions, which are often packed with salt. Even if you're making a classic recipe, like chicken noodle, add “superfood” ingredients like chickpeas (high in fiber and complex carbohydrates), dark leafy greens (such as chard, kale or collards) or vegetables from the allium family (like leeks, shallots or garlic), which add unmatchable flavor.
Grilled cheese. Another childhood favorite that never
fades in popularity, grilled cheese sandwiches are about as simple as great food can be. Bread, cheese and a hot skillet are all you need - but you can improve on the classic with a health-conscious touch. Instead of regular loaves, opt for sprouted grain bread rich in protein, vitamins, minerals, natural fiber and - perhaps most importantly - flavor. For a more sophisticated taste, try grilling Ezekiel 4:9 Cinnamon Raisin bread with white cheddar - and add a tart apple slice with the cheese. It's a sweet-savory combination that might just become your new favorite. With a bit of smart ingredient selection and tweaks in preparation you can make comfort food classics that are pleasing to the tastebuds as well as the body. For more information about healthy ingredients, visit www. foodforlife.com.
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Bake delicious
soda bread Soda bread has become a staple of St. Patrick's Day celebrations. But the tradition of Irish soda bread is a relatively recent one, especially when considering the extensive history of Irish culture. In the 1800s, yeast breads were practically unheard of in rural Ireland. Yeast bread took a while to make and the results were not consistent to make it a worthwhile venture for many households. Instead, people began experimenting with baking soda as a leavening agent. Not only was it a quick way to produce the aeration necessary for bread, the results also were more consistent than using yeast. The first soda breads featured only a few basic ingredients in addition to the baking soda, including salt, buttermilk and flour. The bread was served often with fresh, churned butter. It is a recent change to the recipe to include other flavoring agents, like sugar, currants, caraway seeds, and raisins. Although soda bread can be easily purchased at a bakery or supermarket, it's more traditional to try to bake it at home. Here is a recipe for “Irish Soda Bread With Raisins,” courtesy of Epicurious.com.
Irish Soda Bread With Raisins (Makes 1 loaf)
Nonstick vegetable oil spray 2 cups all purpose flour 5 tablespoons sugar, divided 1 1/2 teaspoons baking powder 1 teaspoon salt 3/4 teaspoon baking soda 3 tablespoons butter, chilled, cut into cubes 1 cup buttermilk 2/3 cup raisins Preheat the oven to 375 F. Spray an 8-inch-diameter cake pan with nonstick spray. Whisk flour, 4 tablespoons sugar, baking powder, salt, and baking soda in a large bowl to blend. Add butter. Using your fingertips, rub in until coarse meal forms. Make a well in the center of the flour mixture. Add the buttermilk, gradually stirring dry ingredients into the milk to blend. Mix in the raisins. Using floured hands, shape dough into a ball. Transfer to the prepared pan and flatten slightly (dough will not come to the edges of the pan). Sprinkle dough with remaining 1 tablespoon sugar. Bake bread until brown and when the tester inserted into the center comes out clean, about 40 minutes. Cool the bread in the pan for 10 minutes. Transfer to a rack. Serve warm or at room temperature.
10 • Live Well Montana | February 2012 | Medical Directory
It’s not too late for a flu shot What you may want to know (ARA) - Pharmacies, doctors' offices and walk-in clinics - you have more opportunities than ever before to get that all-important annual flu shot. But if you'll be getting yours somewhere other than the doctor's office, you might wonder just who is giving you that shot and what that person's qualifications are. As an experienced registered nurse and dean of University of Phoenix College of Nursing, Dr. Pam Fuller has the inside scoop on who might be administering your flu shot. “The Centers for Disease Control and Prevention recommend that everyone 6 months and older receive a flu vaccine every year," Fuller says. "The good news is that with so many different providers offering the flu shot, it's easier than ever to protect your family against seasonal flu.” If you’re thinking about getting a flu shot at the local pharmacy or another nontraditional provider, here are some common questions you may have – and the answers:
Q. Who is allowed to give a flu shot? A. Each state has different standards. Additionally,
within each state, the criteria may vary depending upon clinic or facility governance. Generally, your doctor's office will be able to give you a flu shot. Your state may also allow pharmacists and urgent-care clinics to administer the vaccination.
Q. If I go to a pharmacy or retail outlet, who is likely to be giving me my shot? A. The professional giving your shot may be a pharmacist, nurse, nurse practitioner or medical assistant.
Q. What are the advantages or disadvantages of getting my shot at a pharmacy, rather than in the doctor's office?
A. You may not need an appointment at a pharmacy,
although many doctor's offices take walk-ins as well. Check with your health care provider to see if they accept walk-ins or offer flu clinic days. One advantage of getting vaccinated at your doctor's office is that your primary care provider will likely be more aware of your overall medical history and needs, including any allergies.
Q. Are flu shots from these alternate sources as effective and safe as those given by a doctor? A. The flu shot is the same shot regardless of where you receive it.
Q. Will my insurance cover a flu shot at the pharmacy? A. Many insurers will cover a flu shot, no matter
where it's given, in order to help keep their members healthy. It's more cost-effective to pay for a flu shot than a hospitalization. Check with your insurance company and ask if they will cover a flu shot no matter where it's given.
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Q. What should I do to prepare for getting a flu shot? A. Most people tolerate the flu shot just fine, and
it's a great way to prevent catching the flu. Those with severe egg allergies or a severe cold should talk to their doctors before getting vaccinated, and those people should get their shot from their doctor.
Q. Are there side effects and what are they? A. Some people might experience a local reaction
and have some discomfort at the site of the injection. A general reaction can be mild fever, muscle aches or fatigue. You cannot get the flu from the flu shot - that is a myth. As your body builds its natural defenses against the flu antigen, you may experience these mild reactions, especially if you've never had a flu shot before.
Q. Is there anyone who should not get a flu shot? A. Certain people should not get a flu shot without
consulting their health care provider. They include people who have severe allergies to chicken eggs or who have had a severe reaction to flu shots in the past. Other precautions may apply. If you have any questions about whether or not you should get a flu shot, consult your health care provider. “Each year, qualified professionals such as nurses, medical assistants and nurse practitioners help protect thousands of Americans by administering the flu vaccination,” says Dr. Kimberly Horton, system chief nurse executive for the Alameda County Medical Center. Horton, who holds a doctorate in health administration from University of Phoenix, oversees a team of 1,200 nurses. “With more venues for getting the flu shot than ever before, Americans are better equipped to protect themselves and their loved ones from seasonal flu.” To learn more about University of Phoenix College of Nursing visit www.phoenix.edu/nursing.
New Hospital Opening June, 2012
24 Hour Provider Staffed Emergency Care Greg Moore, MD, FACEP, FAWM Ramona Potter, MD Anna Loge, MD, Hospitalist Barrett Hospital & HealthCare Clinic Burke Hansen, MD Family Practice/OB
Danielle K. Maxfield, FNP-C Sandra McIntyre, MD Internal Medicine Camille Ristroph, MD Family Practice/OB
Mick Lifson, MD, FACOG Gynecology
Maria Wade, MD Family Practice/OB
Ron Loge, MD, MACP Internal Medicine & Geriatrics
Karen Weed, MD Internal Medicine, Hospice & Palliative Medicine
John Madany, MD Family amily Practice
Braces for children and adults
Jana Barnes, MS, PA-C
Judy Wilson, MD Internal Medicine
Member of American Association of Orthodontics
NEW PATIENTS ALWAYS WELCOME NO REFERRALS REQUIRED
Timothy C. Ballweber, D.D.S., M.S. 90 Highway 91 South · Dillon, MT 59725 683-3000 · www.barretthospital.org
2400 Massachesetts Ave. •Butte
723-2144
www.drtimballweber.com
12 • Live Well Montana | February 2012 | Medical Directory
Sleep apnea affects 20+ million Americans By Paul F. Schmook, RPSGT Rocky Mountain Sleep Disorders Center in Butte Public awareness regarding sleep disorders has grown significantly over the last fifteen years. Perhaps the mostly commonly known sleep disorder treated by specialists is Obstructive Sleep Apnea (OSA). The term apnea is a Greek word which means “want of breath”. OSA is caused by a blockage of the airway, usually when the soft tissues of the throat collapse during sleep. According to the National Sleep Foundation, sleep apnea affects more than twenty million Americans. Symptoms of OSA include daytime drowsiness, fatigue, hypertension, night sweats, morning headaches, mood changes and forgetfulness. OSA can affect people of all ages including children. Current statistics vary, but it’s assumed that 14 percent of males and 7 percent of women between the ages of 30 to 60 have OSA. These percentages increase sharply for those over the age of 60. OSA if left untreated may cause or contribute to medical complications such as stroke, congestive heart failure, pulmonary hypertension and has been linked to diabetes. If you suspect that you or a loved one may have OSA, now is the time to take action. The gold standard treatment for OSA is Continuous Positive Airway Pressure or CPAP in which a mask is placed over a patient’s nose and/or mouth. The mask is connected to tubing which is fed to a compressor that generates constant air pressure. The compressor itself is small enough to sit on a nightstand and is very light in weight and portable. This medical device provides a positive flow of air into the nasal passages in order to maintain
an open airway. During a sleep study, pressures are adjusted until an optimal setting is found to eliminate sleep apnea. Although this is the leading therapy for OSA, a few patients have a difficult time tolerating the mask and pressure. Other treatment options include dental appliances for mild OSA cases. These devices can be made to prevent the tongue from occluding the throat. Surgical treatments, also for mild cases, include somnoplasty that uses radiofrequency energy to reduce the soft palate. Uvulopalatopharyngoplasty or UPPP is a procedure that removes soft tissue on the back of the throat and palate, increasing the width of the airway at the throat opening. Finally, mandibular maxillar advancement surgery is a correction of certain facial abnormalities or throat obstructions that contribute to sleep apnea. Montana is fortunate to have thirteen sleep disorders centers around Montana which are accredited by the American Academy of Sleep Medicine (AASM). Although most insurance plans will cover sleep studies and treatment, it’s always a good idea to check your coverage. Some insurance companies require sleep studies to be performed in AASM facilities overseen by board certified sleep medicine specialists. In any case, help from a truly qualified sleep medicine clinic is a phone call away. Sleep well and be healthy!
Obstructive Sleep Apnea (OSA) can affect people of all ages including children.
Mr. Schmook is board registered sleep technologist and serves as the Chief Executive Officer of the Rocky Mountain Sleep Disorders Center in Butte.
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HOW WELL ARE YOU SLEEPING? A
s the only American Academy of Sleep Medicine accredited center in Butte,
we provide 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! 401 South Alabama, Suite 3A Butte, Montana 59701
782-7570 • Fax 782-7575
Participating or Preferred provider with most insurance companies including: Blue Cross & Blue Shield, Allegiance, New West, Medicare & Medicaid.
14 • Live Well Montana | February 2012 | Medical Directory
What 26 million Americans should know about
Diabetes & Oral Health
(ARA) - People living with diabetes need to take care of and monitor their health very closely. While monitoring their blood glucose is usually top of mind, the 26 million Americans living with diabetes may be surprised to learn that 95 percent have a form of gum disease. This is compared to only 50 percent of the general population. Additionally, the Centers for Disease Control and Prevention (CDC) reports that people with diabetes are twice as likely to develop serious gum disease as people without diabetes. “People living with diabetes are at an increased risk for developing periodontal disease because they are generally more susceptible to bacterial infection, and • Respiratory Therapy •
2210 Harrison Ave., Butte
• • • • • • • •
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
723-3200
Insurance Billing Available
Welker Chiropractic Michael R. Welker, DC 406-723-3200 Walk-Ins Welcome Same Day Appointments
CREDIT CARDS ARE ACCEPTED
• Sports Injuries • Neck & Back Pain • Headaches • Lower Back Pain • Auto/Work Injuries • Sciatica • Carpel Tunnel Syndrome
LOCALLY OWNED AND OPERATED
35 S. Main • Butte • 406-782-6708
have a decreased ability to fight bacteria that invade the gums,” says Dr. Maria Emanuel Ryan, professor of oral biology and pathology, Stony Brook University, Stony Brook, N.Y. A big misconception is that patients always experience pain if they have gum disease; this is not the case and it is especially important for diabetes patients to know and watch for the following signs and symptoms: n Bleeding gums when you brush or floss. n Red, swollen, puffy or sore gums. n Gums that have pulled away from your teeth. n Changes in the way your teeth fit together when you bite. n Pus that appears between your teeth and gums. n Constant bad breath or a bad taste in your mouth. In light of these complications, Colgate Total has aligned with the American Diabetes Association to help educate and increase awareness of the critical link between oral health and diabetes. Colgate is donating $100,000 to the American Diabetes Association to Stop Diabetes to help end the devastating toll that diabetes takes on the lives
continued >>
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EARLY DENTAL Intervention By Dr. Erin Estep Butte Community Health Center Dental Clinic Good dental habits lead to good oral health and it is important that parents begin those habits at an early age. Baby teeth are as important as permanent teeth. They help children to learn to speak and chew food and also hold space for permanent teeth. The American Dental Association recommends that babies be examined by a dentist no later than one year old. As soon as teeth appear in a baby’s mouth, tooth decay can happen. One of the most effective things a parent can do is ensure that infants do not go to bed with a bottle, which provides fertile ground for tooth decay. The Butte CHC Dental Clinic provides education, hygiene instruction and treatment for all with special screenings called the ABCD program for infants and young children. The second Friday of every month is FREE KIDS DAY which provides dental screening and care for children who do not have dental insurance. Serena Brewer, DO
We are here for you!
Call 723-4075 for more information.
Future Free Kids Days
Harold Bruce, FNP Erin Estep, DMD Amanda Hill, MD Lisa Howell, RDH Dayna Leavens, PNP
March 9 April 13 May 11 June 8
Jessie Salisbury, MD Ruth Lee, PA-C Michael Seaton, MD Chris McGuire, FNP Katie Sims, DDS George Mulcaire-Jones, MD Shawna Yates, DO Chris Munro, NP VISITING PHYSICIANS Erin (Kahler) Reis, MD Charles Bell, MD Kathleen Russell, FNP We accept all forms of payment: Sliding fee, Medicaid, Medicare and commercial insurance.
445 Centennial, Butte • 723-4075 BU-20250410
Monday - Friday 8-7 • Saturday 8-5
>> diabetes & oral health CONTINUED of millions of Americans. Visit stopdiabetes.com to become part of the movement and learn more about how you can share, act, learn and give in raising awareness about diabetes. Larry Hausner, MBA, CEO, American Diabetes Association says: “Too often people don’t realize all of the effects of living with diabetes. It’s this type of awareness that helps more people to be educated patients, learn something new and take immediate action.” People living with diabetes and those who may be at risk should take an active role in their condition management to combat the risk of gum disease and
other health problems by flossing, visiting the dentist regularly and brushing twice daily with antibacterial toothpaste specifically formulated for gum health, like Colgate Total. It is the only FDA-approved toothpaste to prevent gingivitis and the No. 1 recommended most by dentists for gum care. Colgate Total® toothpaste reduces 90 percent of plaque germs that cause gingivitis, the most common form of gum disease, for 12 hours. If you do suffer from diabetes and have any of the signs and symptoms of gum disease, it’s important you visit your dentist to determine if there is any oral care procedures you can follow to give you better oral health.
16 • Live Well Montana | February 2012 | Medical Directory
11 tips for winter beauty therapy
By MetroCreative Connection
Winter brings with it many things, including snowy days, chilly nights and the propensity for irritating beauty issues. Cold dry air outside and warm dry air inside can result in moisture loss from both the hair and skin. Not only can this be uncomfortable, but it can be unsightly as well. There are also other beauty issues that come up, like which products to use this time of year. The primary beauty concern for most each winter is dryness. Winter is the season for dry skin and chapped lips because lower temperatures and lower humidity result in drier air, both indoors and outside. Forced-air heating sources also contribute to the problem, especially if they are not equipped with some sort of humidity adding device. Dry skin becomes itchy and turns into a nuisance. Dry air can also contribute to dry hair. Dry hair tends to be flyaway and prone to static. Your entire body actually may be susceptible to staticrelated shocks as you traverse carpeting or pull on charged clothing. The low humidity adds to the separation of electrons and protons in the materials surrounding a person, which contributes to extra static electricity. The imbalance of these microscopic particles becomes evident when you touch something metal and a shock occurs. Revamping a health and beauty regimen for winter comfort takes just a little effort. Here are 11 tips that will benefit you and your appearance all season long.
1
Adding moisture to your environment is one of the single best ways to combat winter skin and hair issues. This means purchasing a humidifier that will put moisture to the air. Even boiling some water on the stove and allowing the steam to seep into the air can alleviate a dry home.
2
Dry skin can feel tight and itchy. It may or may not flake off as well. Dry skin that is consistently scratched could become irritated or even infected if bacteria gets into the skin. Moisturizers applied all over the body can help the skin retain moisture and alleviate the itchiness. Creams with menthol could provide a cooling effect that also tames itchiness. But watch out for products that also contain alcohol. The alcohol might seem cooling at first, but the alcohol could eventually dry out the skin when it evaporates.
3
Experiment with your home’s thermostat to find an indoor temperature that is more comfortable for your dry skin conditions.
Montana | February 2012 | Medical Directory • 17
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4
Very hot showers may chase away the chill from outdoors, but they can strip the skin and hair of moisture as well. Try showering in lukewarm water instead, and slather on a moisturizing body lotion right afterward.
5
Relying on an electric hair dryer to dry your hair after washing can compound dry, frizzy or unruly hair. It may be unwise to step outdoors on a cold day with wet hair, so leave ample time in your schedule to shower and allow hair to air dry whenever possible.
6
Licking dry lips just exacerbates the situation. Instead, use a moisturizing lip balm sparingly. Even rubbing a little olive oil over the lips can help moisturize and prevent cracking.
7
Choose nonfoaming cleansers for the face and body when washing up. This way the soapy layer doesn’t strip away essential moisture from the lipid barrier of the skin.
8
Be sure to continue to apply an SPFproduct every day before heading outdoors. Ultraviolet rays are still present during the winter, albeit in less concentration.
More than
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
9
Avoid frosty eye shadows in the winter because they tend to make most people look washed out, especially when the glow of summer skin has waned. Similarly, avoid overdoing bronzer during the winter months, which can seem out of place and make the skin look artificially orange.
10
Revamp hair color to bring out golden hues during the winter months and keep you looking vivacious. Avoid highlights that are white or ashy. Don’t go for more than two shades lighter or darker in any direction for a whole-head coloring.
11
Hat head is almost as dreaded as a bad hair day brought on by dry winter air. Hat head occurs when damp hair has been allowed to dry under a hat, which then causes flattening and denting. Allow hair to dry completely before donning a hat. And consider parting your hair the opposite way before putting on the hat, so it will have volume when the hat is removed and hair falls naturally back in place.
401 S. Alabama Street, Suite 9, Butte, MT
BU-20299791
18 • Live Well Montana | February 2012 | Medical Directory
The National Institute of Arthritis and Musculoskeletal and Skin Disease says that stressful or traumatic events, such as car accidents, illness, certain diseases, and repetitive injuries, could be linked to the onset of fibromyalgia.
Living with
fibromyalgia By MetroCreative Connection
Few look forward to getting older, and that is largely because of the toll the aging process can take on the human body. While certain conditions may be largely associated with the senior population, middle age women are paying more and more attention to fibromyalgia, a condition that affects roughly 4 percent of the American population and 1 percent of those living in England. Statistics Canada indicates that 390,000 Canadians have been diagnosed with fibromyalgia. While those figures are considerable, there may be even more people living with fibromyalgia. That’s because fibromyalgia, despite its prevalence, remains somewhat mysterious. What is known is that the illness primarily affects women and is characterized by widespread pain throughout the body. Those with fibromyalgia experience pain in response to stimuli that for other people would not be perceived as painful. Experts surmise that elevated levels of a particular nerve chemical signal, called substance P, could be to blame for those who are affected. There is also evidence that more nerve growth factor in spinal fluid, as well as a decreased amount of the brain chemical serotonin, could be other influences.
The pain of fibromyalgia may be widespread, and often affects the neck, shoulders, arms, upper back, chest, and buttocks. There may be tender points that elicit more pain than other areas, clues that the condition is in fact fibromyalgia. Other symptoms include fatigue, not enough non-REM sleep, anxiety, forgetfulness, and irritable bowel syndrome. To receive a proper diagnosis, it is important for individuals to discuss all of their symptoms with a physician. Each patient is unique, and the symptoms may come and go. The Mayo Clinic identifies certain risk factors that increase the liklihood a person will experience fibromyalgia.
Gender
Females are diagnosed more than men. It is believed that female reproductive hormones may play a role in pain perception.
Rheumatic disease
A history of arthritis or lupus could increase the risk of fibromyalgia.
Montana | February 2012 | Medical Directory • 19
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Family history
Members of the family who have fibromyalgia may pass the condition on through genetics. Getting diagnosed may require a series of tests and questions. The American College of Rheumatology developed certain criteria for a diagnosis. These include widespread pain that lasts at least 3 months, in addition to 11 tender points on the body out of a possible 18. Some doctors will diagnose it with less stringent criteria. Treatment is a customized approach depending on symptoms and may include analgesics that reduce pain, antidepressants that help with fatigue and sleeplessness and anti-seizure drugs that may also reduce pain can be prescribed. Physical and mental therapy can also alleviate stress, which seems to exacerbate symptoms. Some people find success with the use of alternative therapies, such as yoga, massage and acupuncture, to alleviate pain. Although there is no cure for fibromyalgia, getting an accurate diagnosis and a treatment plan in place can help alleviate the multitude of symptoms that seem to accompany the illness.
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20 • Live Well Montana | February 2012 | Medical Directory
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Montana | February 2012 | Medical Directory • 21
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What you need to know before undergoing a
cosmetic medical procedure (ARA) - As the quest for the perfect body and flawless face continues, many consumers have turned to spas, salons and walk-in clinics for cosmetic medical procedures at bargain prices. With the number of these facilities increasing, more consumers are influenced to believe that certain cosmetic procedures are easy, inexpensive and riskfree. “In many instances, dermatologic surgeons, who are properly trained and experienced in performing cosmetic medical procedures, are sought to correct the mistakes of inexperienced and unqualified
physicians,” says Dr. Susan Weinkle, president-elect of the American Society for Dermatologic Surgery (ASDS). “Consumers should be aware that lower prices do not mean equal training and treatment, and should be cautious that these discounted prices could put their health at risk as a result of the provider's inadequate training and lack of expertise.” Dr. Weinkle and the ASDS urge consumers to recognize that all cosmetic procedures are medical procedures that should be performed by a qualified physician or under the close supervision of an appropriately trained physician. Serious side effects, such as burns, infections, scars and pigmentation disorders can occur when consumers visit non-physicians or physicians who do not specialize in dermatology and perform treatments like laser hair removal, deep chemical peels, acne therapy and other procedures, says Dr. Weinkle. Non-physicians do not have the necessary medical training, and physicians who are not board-certified in dermatology lack the qualifications to determine and optimally perform the best treatment for your concern, or to handle complications adequately, should they occur. “It’s critical that consumers take precautions and understand that dermatologic surgeons with the experience and knowledge of the health and function of the skin should perform cosmetic surgery procedures,” Dr. Weinkle says. The ASDS suggests consumers follow these tips before undergoing any cosmetic medical procedure: n Check credentials: Research the physician before undergoing the procedure to ensure that he or she is board-certified in dermatology. To find a board-certified dermatologic surgeon, visit www.ASDS.net. n Don’t rely on price: If a procedure's cost seems too good to be true, it probably is. Bargain-priced treatments may end up costing you in the long run if they cause harm, need correction or are ineffective. n Make sure a doctor is on-site to closely supervise: Most cosmetic surgery procedures should be performed by a physician. If the physician is supervising a procedure, make sure he or she is immediately available on-site to respond to any questions or problems that may occur while the procedure is being performed. n Ask questions: Always ask questions no matter how minor your questions may seem. Good questions include the following: Who will perform the procedure? Is this treatment right for me? What if something goes wrong? What
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22 • Live Well Montana | February 2012 | Medical Directory
Advertiser Index >> cosmetic medical procedures CONTINUED procedures are in place to deal with an emergency? What training does the staff have? Is this laser, device or technique appropriate for my skin type? How many of the procedures do you perform in a month? May I see before and after photographs? n Be sure your medical history is taken: Before undergoing any cosmetic surgery procedure, make sure the physician is aware of your medical history, including allergies to medications and previous surgeries. n Don’t be afraid to walk away: Trust your instincts. If it doesn’t feel right, find a more reputable location. For more information and to download a free precosmetic surgery questionnaire, visit www.ASDS.net.
Acadia Montana........................................................................ 19 Air Exchange O2xygen................................................................ 14 Barrett Hospital & Healthcare..................................................... 11 Big Sky Diagnostic Imaging........................................................ 20 Butte Silver Bow Health Department............................................. 4 Community Health Center.......................................................... 15 Community Hospital of Anaconda...........................................3 & 7 Continental Divide OBGYN......................................................... 19 Dr. Glenn McLaughlin, MD, FACOG............................................. 17 Independent Record Health & Wellness Fair................................ 20 Medical Arts Pharmacy................................................................. 4 Medtronic.................................................................................... 5 Montana Orthopedics................................................................... 2 Rocky Mountain Sleep Disorder.................................................. 13 Sound Health Imaging................................................................ 22 St. James Healthcare............................................................... back Steele’s Furniture/TV/Appliance................................................... 19 SW Montana Plastic Surgery....................................................... 23 Timothy C. Ballweber, DDS MS.................................................... 11 Welker Chiropractic.................................................................... 14
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