Live Well Sept. Medical Directory 2011
Women’s Heart Health
Ask The Patient PLUS:
Essure Don’t get caught with a vertical ACL graft Laser hair removal Feeling Dizzy A Woman’s Fear Foods may trigger migraines .... and more
2 • Live Well Montana Sept. Medical Directory 2011
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Live Well Montana Sept. Medical Directory 2011 • 3
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Recipient of the Quality Achievement Award from the Mountain Pacific Quality Health Foundation in 2005, 2006, 2007, 2008, 2009 and 2010. 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
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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 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
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WOMEN’S HEART HEALTH IN BUTTE
A new program has been started in Butte through Dr. Sharon Hecker’s office. Called the Women’s Heart Health Program, it is a risk assessment, diagnosis and treatment program to help women identify risks for heart disease, to reduce those risks, to obtain diagnostic information and to receive treatment if necessary. Since it began in July, it has been a huge success! Dr. Hecker, together with Britt Ballinger, NP-C, have been filling up appointments for women who are concerned about their heart health. They guide the Women’s Heart Health Program, offering their care and expertise to patients in the program. After all, cardiovascular disease is the leading cause of death for women. Many of us are surprised to learn that one in three women will die from cardiovascular disease. Heart disease and stroke kill more women than all cancers combined, including breast cancer. It is a fact that more women than men die of cardiovascular disease every year. Heart disease may be especially difficult to diagnose in women as they may have different symptoms than men.
Components of the program
• An initial nurse assessment/education (one hour) • An appointment with a medical provider to discuss the assessment results and to make a plan for risk reduction (one hour). Total initial appointment time - 2 hours • A diagnostic 12-lead EKG • A fasting blood sugar and cholesterol panel • Recommendations as needed for further diagnostic tests or treatment • Access to cardiology RN/LPN via phone for support, education or questions • At six months, a follow-up appointment with medical provider to discuss progress (30 minutes) • Invitations to educational, inspirational and fun events • At one year, a final meeting with a medical provider, with a Certificate of Participation and Women’s Heart Health Program gift The cost for the program is $50, with additional fees for more testing or referrals. The Women’s Heart Health Program appointments are at Dr. Hecker’s office at Rocky Mountain Cardiology, 435 S. Crystal, Ste. 300 in Butte. For more information, or to make an appointment with Dr. Hecker and Britt, please call The International Heart Institute of Montana at 406-329-5615 or 877-444-5615. The Women’s Heart Program is part of the International Heart Institute of Montana (IHI), which brings together a recognized team of cardiologists, cardiovascular surgeons, mid levels, nurses and researchers to perform the most advanced cardiac procedures and to search for new and improved ways to treat heart disease. by: Dr. Hecker
Live Well Montana Sept. Medical Directory 2011 • 5
Dr. Eugen Dolan
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ASK THE PATIENT NEW HOPE FOR PATIENTS WITH SPINAL FRACTURES Elizabeth Pottinger was gardening in her backyard when one stroke of a tool to hard soil sent a sharp pain through her back and rendered her nearly immobile. Osteoporosis had caused her bones to become so weak and brittle that everyday activities, such as gardening, became more difficult than usual. Elizabeth’s pain, she later discovered, was caused by a fracture in her spine, also known as a vertebral compression fracture (VCF). “The pain was so bad, I couldn’t do anything,” Elizabeth said. “I couldn’t get out of bed. It was awful.” Increased risks for VCFs Elizabeth isn’t the only one at risk for spinal fractures. A recent report issued by the Surgeon General noted that by 2020, one in two Americans over age 50 will be at risk for fractures from osteoporosis and low bone mass. The National Osteoporosis Foundation estimates that 700,000 vertebral compression fractures - more fractures than in the hip and wrist combined - occur annually due to osteoporosis in the U.S. Alarmingly, an estimated two-thirds of all spinal fractures go undiagnosed or untreated due to the absence of symptoms or difficulty determining the cause of symptoms, leading some to call osteoporosis a “silent disease.” Traditional treatments for patients with spinal fractures include bed rest, medication and back bracing. While these therapies may help to decrease a patient’s pain over time, they do not treat the deformity related to osteoporotic fractures. If left untreated, one fracture can lead to others, which may create a curvature of the spine called “kyphosis,” sometimes referred to as a “dowager’s hump.” Over time, this curvature becomes more pronounced, painful and debilitating. There’s hope Once diagnosed with a spinal fracture, Elizabeth asked her physician about a procedure called Balloon Kyphoplasty that she learned about from a presentation at her senior center. Balloon Kyphoplasty is a minimally invasive proce-
dure designed to treat spinal fractures. It can be performed under local or general anesthesia and typically takes about one hour to treat each fracture. In some cases, it may require an overnight hospital stay. To date, over 500,000 patients and 675,000 spinal fractures have been treated worldwide with Balloon Kyphoplasty. Balloon Kyphoplasty can restore vertebral body height, significantly reduce back pain, and increase mobility--often shortly after the procedure. In addition to reducing pain, patients experience an increased ability to return to simple, everyday activities such as walking, reaching, bending and lifting. Patients also report improved and sustained mental health, vitality, social function and emotional health. “My pain was relieved almost immediately after the procedure,” said Elizabeth. “After 45 minutes, I could stand up straight and walk out of the hospital pain-free.” Elizabeth’s doctor realized how important this treatment option was for her. “Elizabeth’s osteoporosis caused small fractures in her spine, making her a prime candidate for Balloon Kyphoplasty,” said Dr. Michael Russell, an orthopedic surgeon in Tyler, Texas. “With proper diagnosis and treatment, spinal fracture sufferers can significantly improve their ability to perform normal activities of daily living and enjoy an overall improvement in their quality of life.” “I feel absolutely wonderful,” Elizabeth said. It is important to determine the underlying cause of back pain. Whereas there are many causes of back pain, a complete physical exam, x-rays, and MRI will help determine whether or not a spinal fracture is present. Be sure to consult a doctor for a discussion of the risks. For more information about Balloon Kyphoplasty or to locate a physician near you, please visit www.kyphon.com. by: Dr. Brian Schulz
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that was easy...
Community Hospital of Anaconda’s Premier Surgical Team
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Butte Silver Bow Health Department
406-497-5044
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Live Well Montana Sept. Medical Directory 2011 • 9
401 S. Alabama, Ste. 7, Butte, MT 782-2997 - Fax 782-1254
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• Friendly, Professional Staff • Superior Technology & Image Quality • All Imaging Prescriptions and Referrals Accepted • We’ll take care of the pre-authorization for you! • Locally Owned and Operated
JESSE A. COLE, M.D. American Board of Radiology American Board of Radiology, CAQ Vascular Interventional American Board of Radiology, CAQ Neuroradiology
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ESSURE
THE “IN-OFFICE” PERMANENT BIRTH CONTROL PROCEDURE
The Essure procedure is a relatively new procedure which doesn’t require any incisions and can be done in the doctor’s office with minimal anesthesia. A soft, flexible micro-insert is delivered through the cervix and uterus and placed into each fallopian tube. The springlike micro-insert expands during placement to fit the tube. Scar tissue grows into the micro-insert and forms a barrier so the sperm cannot reach the egg. The Essure product was approved in the U.S. in 2002. The follow-up clinical data spans 5 years. The Essure procedure is 99.80% effective at preventing pregnancy. On average, it takes 15 minutes to place the Essure micro-inserts. Most often women are able to leave the office 15 minutes after the procedure. Most women return to normal activities the next day.
your abdomen, have been used for over 50 years. The Essure micro-inserts do not contain or release any hormones. As with all procedures, there are risks associated with this procedure. To be sure this procedure is right for you, call your doctor and have the discussion about permanent birth control. The practice of medicine is always changing. New ideas, new procedures, new medications, it keeps getting better and better. And for a lot of things, it gets easier. For more information on this and other “inoffice” procedures, call your physician and get details on what might help with whatever situations you and your family might have. by: Dr. Glenn McLaughlin
Other sterilization procedures for women, such as tubal ligation, which requires anesthesia and incisions on
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Live Well Montana Sept. Medical Directory 2011 • 11
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:
Welker Chiropractic Michael R. Welker, DC 406-723-3200 Walk-Ins Welcome Same Day Appointments
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• Sports Injuries • Neck & Back Pain • Headaches • Lower Back Pain • Auto/Work Injuries • Sciatica • Carpel Tunnel Syndrome
Serena Brewer, DO Harold Bruce, FNP Erin Estep, DMD Amanda Hill, MD Lisa Howell, RDH Dayna Leavens, PNP
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
• 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
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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
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401 S. Alabama Street, Suite 9, Butte, MT
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Live Well Montana Sept. Medical Directory 2011 • 13
DON’T GET CAUGHT
WITH A VERTICAL ACL GRAFT
Anterior cruciate ligament (ACL) injuries of the knee are common in athletes and active people. 175,000 ACL reconstructions are performed yearly in the United States alone. While this surgical procedure has been performed successfully for the last 25 years, modifications and improvements of the surgical technique are being made as new research provide surgeons with a better understanding of the anatomy and function of the ACL. In addition, research that points out flaws in the previous surgical techniques have prompted many of these surgical modifications. The anterior cruciate ligament is an important stabilizing ligament of the knee that resides in a compact space in the center of the knee known as the intercondylar notch. The ACL arises from the far back recess in this notch on the femur and travels down and to the front to insert on the tibia. The ACL is arranged in two dense, tough bundles of collagen tissue. Together these two bundles function to prevent the tibia from sliding forward on the femur and prevent the tibia from rotating excessively on the femur.
The stability provided by the ACL allows an athlete to plant their foot while running and change direction or jump. This motion is seen frequently in competitive athletics; for instance, a running back avoiding a tackle or a basketball player stopping suddenly for a quick jump shot. Without an ACL, an athlete is unable to make these quick changes in direction and momentum. In addition, individuals who are not athletes may find it difficult to perform activities of daily living or perform their job without an intact ACL. Research has also shown that those individuals who go too long without a functioning ACL may damage other important structures in the knee including
the meniscal cartilages and the articular cartilage. Significant damage to these structures may eventually lead to early arthritis in the knee. To reconstruct an ACL, the surgeon must first harvest a source of tissue that replicates the anatomy and strength of the original ligament. When the patient’s own tissue is being used, the patellar tendon or the hamstring tendons are the grafts of choice. Historically, surgeons have inserted the graft into the knee via a tunnel drilled through the tibia. The tunnel in the femur is then drilled through the tibial tunnel. Research on knees reconstructed with this technique have shown that the placement of the ACL graft in many cases created a ligament that was too vertical in its position. These “vertical grafts” have been shown to leave a knee less than optimally stable. While “vertical grafts” may give good stability in preventing the tibia from sliding forward on the femur, they provide poor rotational stability to the knee. In addition, these “vertical grafts” are more likely to pinch on the ceiling of the intracondylar notch leading to a higher rate of graft failure and need for revision surgery. More recent improvements in techniques and tools have allowed surgeons to drill the femoral tunnel from a poke hole in the skin known as the anteromedial portal or drill the tunnel from outside-in with a special reverse drill cutting. These techniques allow a more anatomic placement of the femoral tunnel and lead to better overall orientation of the ACL graft. This improved ACL graft position mimics normal knee biomechanics and will hopefully lead to better results. by: Dr. DiGiovine
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READY YOUR HOME FOR THE MONTHS AHEAD As the seasons change once again, homeowners across the country are preparing their homes for the days that lie ahead. Though spring cleaning gets the glory, homeowners must now make a similar effort when the warm weather draws to a close. With indoor seasons on the horizon, a clean and healthy home is essential to making it through the coming months safe and sound. The following cleaning tips can help homeowners get their homes ready for the cooler weather and days spent indoors away from the elements. Bring It All In Before the colder weather arrives, homeowners must move all those remnants from the summer into the house or garage. Lawn and garden equipment, patio furniture and, of course, the grill can’t withstand harsh winter weather. Before storing such items for the winter, be sure to clean them thoroughly. Spray Nine(R) Brand Grez-Off(R) Heavy-Duty Degreaser is ideal for removing the grease and dirt that typically builds up on patio furniture and lawn and garden equipment over the course of summer. Powerful and biodegradable, GrezOff Degreaser uses water-soluble grease cutting agents to create a fast acting and environmentally safe degreaser that’s devoid of harmful fumes. Homeowners can use it to
clean stainless steel and chrome surfaces, including those on the grill and the grill grates, before ultimately packing items away for the winter. Clean Indoors, Too Spring cleaning is all about opening the windows and letting fresh air in after a season spent locked indoors. But come the fall, when it’s time to button up for the winter, it’s best to first give the home a thorough cleaning. Airborne allergens can stick to ducts, vents and filters, leaving a home’s residents susceptible to allergy attacks even after the warm weather has become a distant memory. Clean ducts, vents and filters in the fall to make the home healthier throughout the winter. Say ‘Au Revoir’ to Odor Readying a home for the indoor seasons also entails ridding its interior of odor. Spray Nine Brand Odor Eliminator neutralizes offensive odors on contact by “caging” their molecules so they are no longer detectable to the nose. Homeowners can eliminate odors in their kitchens, carpets and even their musty basements, ensuring the home is odor-free for the long winter months ahead. In lieu of smoke and pet odors, Odor Eliminator provides a fresh floral scent and can even be added to compatible cleaning solutions to freshen the home as you clean.
Live Well Montana Sept. Medical Directory 2011 • 15
Keep a Tight Ship When the colder weather arrives, homeowners often use the garage or a utility closet inside the home to store paints, oils, solvents, and other potentially toxic supplies. When doing so, be sure to tighten the lids on any such items before storing them away. If not closed tightly, the lids might leak potentially harmful chemicals into the air, a dangerous prospect made even more dangerous in the colder months when the windows are closed and there’s little or no fresh air circulating throughout the home.
when it was out of commission. Then employ Fireview(R) Fireplace and Wood Stove Cleaner from Spray Nine to remove any smoke residue, ash, soot, dust, creosote build-up, and burned on carbon deposits left over from last season. It should only take a few minutes to clean inside, outside and fixtures, as Fireview cleans on contact without the need for tedious scrubbing or harmful fumes. More information is available online at www.spraynine.com and www.facebook.com/SprayNine.
Go On the Defensive Part of readying a home for the winter includes protecting the home and its inhabitants from viruses and bacteria. So it’s a good idea to use a disinfectant that pulls double duty, simultaneously cleaning the home while protecting its residents as well. Spray Nine Cleaner/Disinfectant kills viruses and bacteria in addition to removing dirt, grease, grime, and stains. It can be used on countertops, stoves, refrigerators, sinks, and many other surfaces around the home. Spray Nine also kills fungus and helps control the mold and mildew that also like to move indoors during the winter. Fix Up the Fireplace Few areas of the home are as popular as the fireplace come the colder months. A gathering spot for family and friends when the weather outside is frightful, the fireplace will need some attention before the colder weather arrives. Remove any papers, magazines or other items that might have accumulated around the fireplace during the summer
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.
• Respiratory Therapy •
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We Bill Medicare, Medicaid, & Private Insurance
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LASER HAIR REMOVAL LightSheer Diode Laser ®
(the world’s most advanced treatment for effective removal of unwanted hair) Understanding Hair Removal In the past, the usual remedies to unwanted hair included shaving, waxing or chemical depilatories. Some are painful, some are messy and all are only temporary.
sician to treat even the most sensitive skin. It protects and cools the upper layer of the skin before, during and after each laser pulse while directing the laser energy to the hair root.
For long-term removal, electrolysis is popular and effective, but it is a time-consuming procedure, which can be painful and is useful only in removing hair in small areas. During electrolysis, an electric current passes through a needle to destroy each individual hair root. It typically takes months and numerous regular visits to clear even small areas, like the upper lip.
What can you expect? The length of a laser treatment may last anywhere from a few minutes to an hour or more, depending on the size of the area being treated. It is important to know that the hairs in an active growth phase (referred to as anagen) are most affected by the laser. As all hairs are not in this phase at the same time, more than one treatment will be necessary to achieve the best result.
Laser hair removal is a more effective solution. The LightSheer® diode laser is a state-of-the-art system specially designed to remove unwanted hair faster, with less discomfort and more reliability than other methods. About LightSheer® Laser Treatment A laser produces a beam of highly concentrated light. The light emitted by LightSheer® diode laser is well absorbed by the pigment located in the hair follicles. During the procedure, the laser pulses for a fraction of a second, long enough to heat up the hair and significantly impede the follicle’s ability to re-grow. This process also treats numerous hair follicles simultaneously. Therefore, LightSheer® is appropriate for treating even the largest areas of the body, both quickly and effectively. An important part of the procedure is the cooling of the skin. A special contact-cooling handpiece allows your phy-
The laser treatment itself may cause some discomfort. Most patients tolerate the procedure well, but because some areas of the body are more sensitive than others, topical anesthesia can be an option. The appearance of the treated area immediately following treatment will vary from patient to patient depending on the extent of the procedure and skin type. Side effects, if any, are minor. They may include redness and swelling around the hair follicle, which are, in fact, desired clinical results and indicate that the follicle has responded to the treatment. Most people return to normal activity right away. We will be happy to tell you more about your treatment, possible side effects and what results you can expect during your consultation. by: William R. Mealer, M.D.
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Live Well Montana Sept. Medical Directory 2011 • 19
LASER HAIR REMOVAL LightSheer ® Diode Laser The world's most advanced treatment for effective removal of unwanted hair. Laser hair removal is the most effective solution to permanent hair reduction. The LightSheer ® diode laser is a state-of-the-art system specially designed to remove unwanted hair faster, with less discomfort and more reliability than other methods.
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Cosmetic Nose Surgery • Laser Face Resurfacing • Face Lifts • Eye Lid Repair Tummy Tucks • Liposuction • Breast Augmentation • Breast Lifts • Permanent Make-Up Botox®, Restylane, Radiesse & Juvederm Injections • Laser Vein Therapy • Chemical Peels
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SIGNS AND SYMPTOMS THAT MIGHT INDICATE CANCER
Cancer is a disease so complex that even the most veteran of cancer researchers cannot fully explain the disease. Progress toward the diagnosis and treatment of cancer continues to be made, but there’s still no telling if an individual will or won’t get this potentially deadly disease. One of the many things the medical community can say with certainty regarding cancer is that treatment is most effective when the cancer is found early. Melanoma skin cancer, for instance, can be easily removed if it’s detected early and has not grown into the skin. In fact, the five-year survival rate, which indicates the percentage of people who live at least five years after diagnosis, for those whose melanoma skin cancer is detected early enough to remove the melanoma is nearly 100 percent. However, if that melanoma has already spread to other parts of the body by the time it’s detected, the five-year survival rate is below 20 percent. While the disparity between survival rates is not as severe for all cancers as it is for melanoma skin cancers, early detection is still imperative when it comes to beating cancer. Part of the reason cancer is not always detected early is that it doesn’t always make its presence felt until it has already reached an advanced stage. Pancreatic cancer, for instance, does not usually cause any noticeable symptoms in its early stages. Instead, the first noticeable signs of pancreatic cancer can be back or belly pain. At this point, the cells in the pancreas have grown and begun to press on nearby nerves and organs. While these might be the first signs of pancreatic cancer, by this point the cancer is typically at an advanced stage. Still, knowing the signs and symptoms of cancer is a great way for men and women to catch the disease early when it’s most treatable. Though the following signs and symptoms are not always indicative of cancer, their presence should be enough for adults to consult their physicians. • Fatigue: Extreme tiredness that does not improve even with ample rest could be a sign that cancer is growing. In certain cancers, including leukemia, this happens in the early stages. In addition, some colon or stomach cancers cause blood loss, which can result in fatigue. • Pain: Early on, bone cancers or testicular cancer often manifest themselves through pain. Back pain can be a symptom of ovarian cancer or cancer of the colon or rectum. Unfortunately, when pain is a result of cancer, the cancer has already begun to metastasize. • Unexplained weight loss: One of the first signs of cancer might be the unexplained loss of 10 pounds or more. This is most common with cancers of the pancreas, stomach, esophagus, or lung. • Skin changes: Cancers of the skin and other cancers can cause certain changes in the skin. Jaundice, when the skin and eyes turn a yellowish color, is one such change. The skin can also redden, itch or darken, a condition known as hyperpigmentation. Excessive hair growth on the skin is another skin change that might indicate the presence of cancer. • Fever: A common side effect of cancer, fever most often happens after the cancer has metastasized. Cancers that effect the immune system often cause fever as the body finds it more difficult to fight infection. In certain blood cancers, including leukemia or lymphoma, fever is an early sign of cancer. Should any of the aforementioned signs or symptoms appear, men and women should consult their physicians immediately.
A WOMAN’S FEAR
BREAST CANCER - Two words that terrify women and rightfully so. Breast cancer is the most common cancer in women. However, we are 5 times more likely to develop heart disease than breast cancer, so why are we so much more frightened by breast cancer? Breast cancer seems to strike anyone so it leaves us feeling very vulnerable. Also heart disease usually affects older women. But when we see a young mother with small children battling breast cancer, it tugs at our heart and frightens us. What causes breast cancer? There are factors that can increase or decrease a woman’s chances of developing breast cancer. However, most breast cancers occur in women who do not have a family history of breast cancer and many don’t have the ‘typical’ risk factors either. So what does that tell us? We don’t really understand what causes breast cancer. Let’s look at what can increase a woman’s breast cancer risk. Getting older is the number one risk factor. Two thirds of breast cancers occur in women over age 55 years. Weight gain, especially during mid-life, increases the risk. Having a BMI of 30-34.9 increases the risk by 23% and a BMI of 40 or higher is associated with a 62% increase risk of breast cancer. Other risks include a family history of breast cancer, having dense breasts ( determined by mammogram), having chest radiation before age 30 years ,having a breast biopsy that shows ‘atypical cells’, starting your period before age 12 , not reaching menopause until 55 or older, having your first full term pregnancy after age 30 years, not breastfeeding, taking hormone therapy for a long time, smoking cigarettes and drinking alcohol. Even one alcoholic drink per day increases a woman’s risk of breast cancer slightly and if a woman consumes 2-5 alcoholic drinks per day, this increases her risk of breast cancer by 50%. Other factors that have been looked at and appear to increase the risk include low Vitamin D levels, being exposed to chemicals in our environment, especially those associated with vehicle exhaust and air pollution, eating charred grilled meats and even being exposed to light at night which decreases melatonin. It is important to know that birth control pills do NOT increase the risk of breast cancer. How can a woman decrease her risk? The most optimal risk reduction for breast cancer is controlling your weight with diet and exercise. Exercise 45-60 minutes per day on 5
ACADIA – our 24 bed expansion is nearing completion!!! Now with 92 beds we have greater flexibility in serving Montana children in need of treatment for behavioral, emotional and psychiatric issues. Our staff of 130 employees will also expand as resident admissions increase: additional Mental Health Associates, Nurses, Teachers and Therapists will be added. Acadia Montana offers three residential programs: • Children’s Program (Ages 5-12) • Boy’s Program (Ages 12-18) • Girl’s Program (Ages 12-18) Programs include: • A Therapeutic Living Environment • A Fully Accredited School • Individualized Treatment Plans
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Dedicated Treatment Team Comprehensive Discharge Planning
Acadia Montana is licensed by the State of Montana, Department of Public Health and Human Services and is Accredited by the Joint Commission on Accreditation of Healthcare Organizations and the Northwest Accreditation Commission.
55 Basin Creek Road, Butte, MT 59701 • Call 800.477.1067 or 406.494.4183 • Fax: 406.494.5869
Live Well Montana Sept. Medical Directory 2011 • 21
or more days per week. Eat a healthy diet with lots of fruits and vegetables and limit saturated fat intake. Maintain a healthy weight. Do not drink more than 5 alcoholic beverages per week. Breastfeed your children. The maximal benefit was seen in women who breast fed for more than a year. Quit smoking or better yet, don’t ever start. Take a Vitamin D3 supplement daily. For very high risk women, there are medications that can reduce the chance of developing breast cancer. Taking tamoxifen or raloxifene for 5 years can reduce the chance of developing breast cancer by 50%. You can talk to your doctor to determine if you are high risk and if you would benefit from this. The women at highest risk of breast cancer are those who have inherited a genetic mutation (BRCA1 or BRCA2) from either their mother or father. If you are positive for BRCA1 or BRCA2, you have a 56-87% chance of getting breast cancer and a 27-44% risk of ovarian cancer. Ten percent of all breast cancers are due to this gene. Although we do not know how to PREVENT breast cancer, we do know that EARLY DETECTION is key! Screening mammograms reduce the chance of dying of breast cancer by 30-50%. Thermograms are NOT a substitute for mammograms but should only be used IN ADDITION to mammograms. When breast cancer is detected by mammogram, the 5 year survival rate is 96%. However once breast cancer is detected by a lump in the breast, the 5 year survival is 71%. The earlier breast cancer is detected, the better! So live a healthy lifestyle and get regular screening. by: Dr. Debra Hill-Busselle
Dr. Debra Hill-Busselle, MD Board Certified OBGYN, FACOG
Gynecologist and Women’s Healthcare Specialist Providing personalized excellence in healthcare for women of all ages Expertise in diagnosing and treating migraines in women, including menstrual migraines and menopause management Expertise in screening and diagnosing Hereditary Breast and Ovarian Cancer Accepting Blue Cross/Blue Shield, New West, and Allegiance insurance
2075 CHARLOTTE SUITE, #3 BOZEMAN, MT
406-556-0800
22 • Live Well Montana Sept. Medical Directory 2011
FEELING DIZZY? As many as 45% of people with dizziness have problems with the vestibular system in the inner ear. Dizziness can also be caused by cardiovascular, neurologic, metabolic, or psychological disorders.
Dizziness and balance problems from inner ear disorders can frequently be improved with vestibular rehabilitation therapy. VRT uses specific exercises and procedures to coordinate eye and head movements, reposition crystals in the inner ear, desensitize the vestibular system, and teach compensations. Occupational and physical therapists are specially trained to assess and treat individuals with dizziness and imbalance. Physical therapists who pass advanced training are competency certified by the American Physical Therapy Association. They work with physicians to best identify the cause of a person’s symptoms and to develop an appropriate treatment program.
Does vestibular rehabilitation therapy succeed? There is a growing and consistent body of evidence that supports the use of VRT for people with dizziness and functional loss from specific inner ear disorders. The average number of treatments needed to reduce or resolve symptoms is six to eight though some types of dizziness can resolve in one to two treatments. Early treatment of dizziness improves success. Chronic dizziness may respond quickly also or it may take more treatments to see improvement.
A person seeking treatment for dizziness and imbalance should talk with their primary care or specialist provider and ask for a vestibular rehabilitation evaluation. If their provider is unfamiliar with VRT this article will provide and overview of vestibular rehabilitation. Dr. Mike Hamblock
Experienced, quality care in the comfort of your home. Personal Home Care
Highlands Hospice
Choose from a full range of in-home personal care services, as well as self-directed care, for individuals who may be homebound due to an illness or injury.
Highlands Hospice offices in Butte and Deer Lodge offer excellent medical and nursing care, along with psychological, social and spiritual support for the terminally ill and their families.
Private Duty Nursing Professional in-home medical care that offers a less restrictive and cost effective alternative to institutional care.
As a non-profit provider, our first concern is always you.
Call Easter Seals-Goodwill at 406-533-0020 Tamarack Square 3703 Harrison Ave. Butte, MT 59701 302 Missouri Ave. in Deer Lodge, MT 59722
Your hometown health care provider since 1980.
Live Well Montana Sept. Medical Directory 2011 • 23
Silver Bow Physical Therapy Orthopedic & Sports Rehabilitation Dizziness and Balance Disorders Women’s Health • Therapeutic Massage Performance Training • Work Injuries
Moving You Forward Since 1990
Taking Pride In My Profession To Help You And Your Loved Ones To Hear Better
• Comprehensive Audiological Testing
Pat Ingalls, Au.D., Doctor of Audiology
• Hart To Fit Specialist • Experts In Digital & Computerized Hearing Aid Technology
Kathy Walter,
Experience You Can Trust With Over 30 Years In Audiology And Customized Hearing Aid Fittings
Hearing Aid Dispenser
Highland Hearing Center PLLC 1369 Harrison Ave • Butte, MT 59701 (1 block S. of Albertson’s)
723-6600
• Mike Hamblock, PT • Beth Salusso, DPT • Karla Canavan, LMT • Jill Hotalen, PTA • Meghen Flaig, DPT • Kristi O’Connor-Nyquist, PT • J.D. Jordan, DPT
Serving Ages 6 and Older Credit Cards Accepted Locally Owned Insurance Claims Processed Located Off East Lake St. In The Big Sky Senior Living Complex 3718 East Lake St. • Butte, MT 59701 494-7050 • Fax: 406-494-1424
24 • Live Well Montana Sept. Medical Directory 2011
FOODS MAY TRIGGER Many factors, including food, can contribute to the onset of migraine headaches. However, migraine headaches remain a mystery to migraine sufferers and medical professionals alike. Researchers have studied the effect of foods on the genesis of a migraine, and some foods have proven to be repeat offenders when it comes to triggering the headaches.
Additives Chemical additives may be used in foods to preserve freshness or modify flavor. Some people report headaches from monosodium glutamate (MSG), but there is no definitive research linking MSG to headaches. However, heavily processed foods may affect people who suffer from migraines in different ways.
Chemical components of certain foods may play a role in why they cause headaches to occur. Also, the effect certain foods have on the body may also be instrumental. For example, alcohol tends to thin the blood, which can increase blood flow to the brain. Furthermore, alcohol is a diuretic and can dehydrate the body, another headache trigger. Although everyone reacts differently to alcohol, whiskey, red wine, champagne, and beer are the most common alcoholic migraine triggers.
Cured and processed meats, such as hot dogs and sausage, will contain additives. Additives are present in many convenience foods, such as frozen and packaged dinners, as well. Processed cheese may have additives as well as high levels of tyramine, making them a double threat. Whenever possible, migraine sufferers should limit processed foods and choose fresh foods to minimize exposure to chemical additives.
Tyramine Foods that contain tyramine may also trigger migraines. Tyramine is a naturally-occurring compound often present in many plants and animals. It can also form from tyrosine -- an amino acid found in a variety of foods -- when those foods are fermented, or start to decay. Tyramine can have effects on the adrenal gland, which triggers the “fight or flight� reaction in the body. This elevates the heart rate, increases blood pressure and increases the amount of adrenaline and other substances in the blood. All of these factors may trigger a migraine. Aged cheese, preserved meats and other items that have been fermented are prime sources of tyramine. They can be reduced or avoided if it seems these foods play a role in migraines.
Other Triggers There are other foods beyond those with tyramine or additives that may trigger headaches as well. Dairy products are often a cause of allergic reactions in people. Dairy may contribute to the overproduction of mucous in the sinuses, which can create pressure and lead to migraines. Published surveys have found that after cheese, chocolate, alcohol, bananas, and citrus fruit are the most common triggers of migraines. These foods may influence the release of serotonin, causing constriction and dilation of blood vessels, or directly stimulate areas of the brain such as the trigeminal ganglia, brainstem and neuronal pathways. The result is a propensity for migraines. Caffeine products are triggers for some people, while others find caffeine helps them find relief. That is why caffeine is sometimes paired with a pain-relief medication for faster efficacy.
Live Well Montana Sept. Medical Directory 2011 • 25
MIGRAINES The World Health Organization estimates that there are more than 20 million migraine attacks occurring worldwide every day. Women are three times as likely to suffer migraines than men. Individuals who experience migraines should keep a food diary to determine if foods are playing a role in attacks. A migraine can come on 20 to 25 minutes after a certain food or beverage is consumed. Learning which foods frequently trigger migraines might help sufferers who avoid these foods reduce the frequency of migraines.
26 • Live Well Montana Sept. Medical Directory 2011
90 MT Hwy 91 South •Dillon, MT 59725 (406) 683-3000 • www.barretthospital.org
Q
UICKSILVER PRACTICE MANAGEMENT is proud to present Mercury Street Medical and Focused MedCare as a continued presence in the medical community. And to make your life easier, we have two convenient locations, offering urgent care and walk-in services at Focused MedCare.
SERVICES INCLUDES:
Gynecology Infectious Disease Clinical Research Internal Medicine Dexa Scans On-site Laboratory & X-ray DOT/Insurance/Sports Physicals Stress Testing & Echocardiography Gastroenterology Studies 300 West Mercury 723-1300 Mon - Fri: 8:00am - 5:00pm Accepting new patients.
Dr. John Pullman, MD Dr. Paul Siddoway, MD Dr. Florian Cortese, MD Dr. David Chamberlain, MD
Eva Curry, FNP-C Jeanne Mehrens, PA-C Erin Williams-Leber, PA-C Dr. Kipp Webb, MD
Office-based Surgery Urgent Care Walk-ins Women’s Health
3703 Harrison Ave. 494-3768 Mon - Sat: 8:00am - 6:00pm Sun: 9:00am - 4:00pm No appointments necessary. Walk-ins welcome.
Ben Nagel, PA-C Todd Mohr, PA-C Christine McGuire, FNP-C Don Sullivan, PA-C
Timothy C. Ballweber, DDS MS
Live Well Montana Sept. Medical Directory 2011 • 27
2400 Massachusetts Ave. • Butte Phone: (406) 723-2144 www.drtimballweber.com
Is the Best Place to Be. We offer quality In-Home Care including:
• Choose cool braces - clear, regular & Wild Smile braces • Orthodontics for children & adults •
• Skilled Nursing • Occupational Therapy • Speech Therapy • Physical Therapy • Social Services Medicare, Medicaid & Insurance may cover Licensed & Certified
• Accepting new patients • Member of American Association of Orthodontics
Creating Smiles
For more information call
Deb Boyle, RN 494-0039
Beta Factor Nursing
for over 25 Years
Main Office Location: 2510 Continental Drive Butte, MT 59701 Office: 406.782.4778 Fax: 406.782.1318
Visit us on the web for more information: www.compassprofessionalservices.com
3212 Busch Ave. • Butte
Satellite Office Locations: Compass Whitehall 13 North Main Street Whitehall, MT 59759 Office: 406.287.9967 Compass at the North American Indian Alliance 55 E. Galena Butte, MT 59701 Office: 406.782.0461
Compass Philipsburg 701 W. Broadway, Ste. D Philipsburg, MT 59858 Office: 406.560.4292 Compass Townsend 415 Broadway, Ste. 2 Townsend, MT 59644 Office: 406.266.8211
All Ages Treated: Children, Adolescents, & Adults • • • •
Individual, Group, Couples, & Family Therapy Addiction Services & Treatment Evaluations & Assessments Family Law Issues, Guardian ad Litem Services, & Court Appearances
Navigating Life’s Obstacles... Choose Compass With a comfortable and supportive atmosphere, we aim to help clients achieve the personal growth they’re striving for. Our Staff specializations include, but are not limited to: Couples, Relationships & Divorce Depression & Mood Disorders Abuse Survivors & Sexual Abuse Anger Management & Violence Trauma & Domestic Violence Anxiety & Stress Management Substance Abuse & Other Addictions Parenting, Attachment & Adoption Issues Women’s Issues & Life Transitions Childhood Disorders; Oppositional Defiance Grief/Loss Family Issues, Blended Family Conflicts Most EAP’s & Insurances Accepted
28 • Live Well Montana Sept. Medical Directory 2011
DISPELLING MYTHS SURROUNDING ADHD There is still much that doctors, parents and caregivers can learn about Attention Deficit Hyperactivity Disorder. While answers are constantly being investigated, it should come as no surprise that certain myths abound about ADHD.
MYTH: Ritalin is a cure for ADHD. This oft-prescribed medication is a psychostimulant and is very effective at mitigating symptoms of ADHD. But it is not a cure, and other therapies are often part of a successful treatment plan.
There are many scientific facts to dispel the myths out there; individuals need only look in the right spots for valid information.
MYTH: ADHD is just bad parenting. ADHD is not a byproduct of shoddy or indifferent parenting. It is a condition of improperly functioning brain chemicals, such as dopamine and norepinephrine. There also may be inherited factors that come into play.
MYTH: ADHD isn’t real. ADHDis very real, and researchers have known about it for decades. It is not a hoax perpetrated by the psychiatric community as a means to financial gains. Those with ADHDmay be inattentive, hyperactive or engage in impulsive behaviors. In general, medication and therapy is successful in reducing these inclinations. MYTH: ADHDcan be outgrown. Actually, if left unchecked, ADHDcan continue into adulthood. There are a number of adults struggling with ADHD because they were not properly diagnosed as children. By learning how to structure their environments and taking medication when needed, children with ADHD can, and often do, become successful adults. MYTH: Prescriptions to treat ADHD are gateway drugs. Individuals with ADHD are naturally prone to impulsive behaviors. As such, they may be at a higher risk for drug and alcohol addiction on their own. Those who take prescribed medications for the disorder are at a lower risk for developing addictions because they are making efforts to keep symptoms in check.
MYTH: Symptoms of ADHDare obvious. Many children are not diagnosed in a clinical setting. It may take several instances of observing a child in his or her natural setting before ADHDis accurately diagnosed. MYTH: There are herbal “miracle” cures for ADHD. There are no miracle cures for ADHD, even though infomercials may suggest otherwise. Vitamins and herbal supplements may prove ineffective. MYTH: ADHD is just a kid on a sugar rush. There is no evidence to link the onset of ADHD with sugar consumption. MYTH: Those with ADHD are not likely to have any other associated conditions. Individuals with ADHDare often diagnosed with other conditions that can play a role. These may include mood, anxiety and conduct disorders, and also learning disabilities.
Live Well Montana Sept. Medical Directory 2011 • 29
Expert cardiac care in the heart of Montana.
At The International Heart Institute of Montana in Butte, Dr. Sharon Hecker provides patients with quality care as a leader in the treatment of heart disease in the community where she lives and cares for patients everyday. Case in point: Janet Manchester calls Dr. Hecker “incredible,” and with good reason. Janet had been seeing Dr. Hecker ever since her heart surgery from a genetic defect 20 years before. Even though Janet was in perfect health, Dr. Hecker’s thorough testing and careful attention indicated a link to life-threatening aneurysms in her brain. Two aneurysms and brain surgery later, Janet is alive only because of Dr. Hecker’s incredible knowledge and dedication to her patients.
Dr. Hecker continues to practice in the Regional Medical Arts Pavilion 435 South Crystal, Suite 300. For an appointment, please call 406-496-3602.
Sharon Hecker, MD, Cardiologist
Janet Manchester, Heart patient
30 • Live Well Montana Sept. Medical Directory 2011
496-3600 435 SOUTH CRYSTAL, BUTTE, MT
FAMILY MEDICINE INCLUDING OBSTETRICS JESSIE KAUTZMAN, M.D.
DENNIS SALISBURY, M.D.
FAMILY MEDICINE
LISA SESSIONS, M.D.
INTERNAL MEDICINE JAKE TAVERNA, M.D. B. KIRWAN WEBB, M.D.
ADAM W. CHILDERS, D.O. DERRICK JOHNSON, M.D.
SPORTS MEDICINE DERRICK JOHNSON, M.D.
B. KIRWAN WEBB, M.D. BERNARD CONNOR, P.A.-C LORI LAGERQUIST, P.A.-C MARGARET BORTKO, NP • No Appointment Necessary Monday thru Friday 8:00 a.m. to 6:00 p.m. • Saturday 9 a.m. - 12 noon
Located at Rocky Mountain Clinic • 435 South Crystal
496-3670
KENNETH J. GRAHAM, M.D., F.A.A.P. ANGIE VALDEZ-OSTROWSKI, MD
BILLING & INSURANCE
496-3642
496-3671 Sharp Skills, Reliable Results
496-3610
Regional Medial Arts Pavilion 435 S. Crystal, Suite 210 Butte, MT 59701
Live Well Montana Sept. Medical Directory 2011 • 31
We are dedicated to
honoring our past with a
new future for
Butte families. • Voted #1 Skilled Nursing Facility in Butte • Shortest average length of stay for rehab. “Our residents are up and back to their full potential much faster.” • We have renovated and remodeled to give our home a new look
HEALTH & REHABILITATION CENTER 3251 Nettie Street • Butte • 406-723-3225
32 • Live Well Montana Sept. Medical Directory 2011