Montana Health Journal spring 2016

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Montana

Health Journal SPRING 2016

T H E M AG A Z I N E O F C O M M U N IT Y W E L L N E S S

Healthy Wheat G r ow i n g h e a l t h y, a n c i e n t g r ain s in M on t an a

FIT LIKE SPARTAN Training for high-impact endurance races LIFE AFTER 80 One woman’s outlook on life after 8 decades BALANCED WAYS The benefits of Qigong SAVING LIVES SOONER Suicide prevention in Montana M O N TA NA L I V I N G. C O M


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Spring 2016

CONTENTS FEATURES A BALANCED LIFE 13 How the art of qigong helped one woman find balance GROWING BETTER WHEAT 16 A Montana farmer raises ancient grain wheat FIT FOR RACING 24 How to train for endurance races

DEPARTMENTS HEALTHCARE PROFILE 11 The partnership of physical therapy in surgery recovery

24 PERSONAL JOURNAL 18 A woman looks back on eight decades of life MERCANTILE 23 A health foods store in Hot Springs gets back to basics ALTERNATIVE HEALTH 29 Dr. Chip Halverson’s theory of naturopathy CAMPUS LIFE 30 Fighting suicide in Montana HEALTH TRENDS Benefits of green tea

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Montana

Health Journal Montana Health Journal is published by NewWest Communications LLC 52 Buffalo Hill Drive, Kalispell MT 59901 EDITOR David M. Reese editor@montanaliving.com

ADVERTISING MANAGER Therese Wood theresewood@montanaliving.com

ONLINE: montanaliving.com All contents © 2016 ON THE COVER: Bob Quinn, owner of Kamut International, stands on his wheat farm in Big Sandy, Mont., that raises an ancient form of wheat.

EDITORIAL POLICY: The contents of Montana Health Journal are for informational purposes only. The content of Montana Health Journal is not intended to be a substitute for professional medical advice, diagnosis or treatment. Montana Health Journal does not recommend or endorse any specific tests, physicians, healthcare providers, products, procedures, opinions, or other information that may be mentioned in this magazine or on its website, montanaliving.com. Relying on any information provided by Montana Health Journal is solely at your own risk. Always seek the advice of a physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you may have read in Montana Health Journal. M O N TA N A L I V I N G . C O M

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Health Matters News for a healthy Montana

Aging in the country Study finds rural areas underserved by medical professionals MONTANA HEALTH JOURNAL

AS BABY boomers age, who is going to take care of them? In rural areas, that question becomes even more relevant, and Montana State University is studying the changes on the rural healthcare landscape. It’s finding that rural areas are underserved in healthcare professionals. Married physicians with highly educated spouses are less likely to practice in rural underserved areas, according to a study

published in the Journal of the American Medical Association. The study examined 1 percent of all employed physicians ages 25 to 70 years working in the United States. The study found that the proportion of married physicians who are married to highly educated spouses increased from 8.8 percent in 1960 to 54.1 percent in 2010. Compared with other married physicians, those with highly educated spouses were significantly less likely

Choice Ma Matters. tters. New W West est Medicar Medicaree offers offers plans thatt kkeep tha eep Montanans in mind.

WEST MEDICARE, MEDICARE, WE ARE MONT ATT NEW WEST A MONTANANS, ANANS, JUS JUSTT LIKE YOU. YOU. And we know you value the the frfreedom of choice. So when it is time to to start startlooking lookingatatMedicar Medicare coverage, remember, you have the right to choose a company and

newwestmedicare.com Find us on New West Health Services is a PPO Plan with a Medicare Medicare Contr ontract. act. Enr Enrollment ollment in New West Medicare depends on contract renewal. renewal. You must continue to pay your Medicare Part B pr premium. emium. Limita tions, co-payments and restrictions may apply. Limitations, The benefit information provided is a brief summary summary,, not a complete description of benefits. For more information contact New West Medicare. Medicar For accommodations of persons with special needs at a sales meeting call 1-888-873-8044, TTY 711. 8 a.m. to 8 pp.m. daily. daily Benefits may change on January 1 of each year ar.. H2701_NW#2015_605_6-2015 Accepted 8 MONTANA HEALTH JOURNAL SPRING 2016

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to work in a rural “Health Professional Shortage Area.” MSU professor Peter Buerhaus said the results illustrate a growing challenge to induce physicians to practice in rural areas. He said policies are necessary to help counter the shortage of physicians serving in rural areas. “Other studies show that nurse practitioners are more likely than physicians to practice in rural areas,” Buerhaus said. “Policy makers need to broaden their approach ... to provide

health care to these populations.” A recent study found that patients with a nurse practitioner as a primary care provider are less costly to Medicare than patients with a physician primary care provider. Using nurse practitioners, physician assistants and exposing physicians and nurses to rural health early in their education will help overcome the problem of inadequate access to primary care, Buerhaus said.


COMMUNITY

Kids’ Fair shows children the lighter side of healthcare THE WORLD of doctors and nurses became real to a group of 2and 3-year-olds through kindergartners at Kalispell Regional Medical Center. For two hours in March, 107 youngsters and students from Stillwater Christian School visited KRMC’s first-ever Kids Fair, where they were shown what the medical world is about. What began as one Kid Kare teacher’s request for hospitalist Anna Robbins, MD, to show a class of 3-year-olds what she does in her job eventually ended with 12 teachers and daycare providers leading their 107 young charges to eight stations at KRMC’s Buffalo Hill Conference Center on Good Friday morning. Children began their visit by reviewing proper hand-washing technique with Shari Courser, RN, and examining the results under black lights, learning that proper hand-washing is a real art. They met a life-size teddy bear that helped Cody Bartholomew show what it takes to go through immunizations and visit the doctor. Dr. Tate Woodward handed out stethoscopes for the children to take home. He taught them to listen to their own and their friends’ heartbeats, disassembled a life-size replica and talked about the body’s inner workings, and shared radiology images of frogs and snakes. Radiology tech Ashley Perlberg answered questions about getting an X-ray. “Perhaps the kids will remember the fair and maybe a seed was planted,” nursing leader Johnnie Logan said. “If any of these little fair participants are ever hospitalized or if they’re just going to the doctor for a well check and immunizations, or if they need to call 911, hopefully fear of the unknown will be less. And who knows? Perhaps on March 25 a healthcare provider was born.” •

A young girl embraces a teddy bear at Kalispell Regional Medical Center’s Kids Fair in March. Photo by Lindsay Goudreau.

Sonora

Marsha Greene

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allowsonora@gmail.com Bigfork, MT

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emotionalwisdom4@gmail.com Columbia Falls, MT |

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Talking Points FAMILIES

e same survey from the state shows 1 in 3 students between 8th and 12th grade continue to drink at levels and well above the national average. Parents must also combat the negative influence media campaigns meant to glorify underage drinking, marijuana use, and using e-cigarettes. Substances and the teen brain – the parts of the adolescent brain that develop first — are those that control physical coordination, emotion and motivation. However, the part of the brain that controls reasoning and impulses – the prefrontal cortex – does not fully mature until the age of 25, according to the Montana department of health. For more information on how to talk to young people about making smart choices and difficult subjects such as alcohol, marijuana and drug use, visit www.parentpower.mt.gov.

MONTANA HEALTH JOURNAL

Montana parents are talking even more to their kids about the dangers of using alcohol and drugs. e Montana Department of Health and Human Services says the frequency of binge drinking, illicit drug use, and cigarette smoking is lower among youth 12 to 17 whose parents engage in monitoring behaviors, such as helping with homework, compared to youth whose parents seldom or never engage in such behaviors. However, parental influence can work the wrong way as well. Research has found that even the slightest parental favorable attitude toward allowing underage drinking, even under parental supervision, increases the risk of the young person not only using alcohol, but using marijuana as well. As perception of harm decreases, use increases, the state health department says. Montana’s underage drinking rates are declining. Yet, other challenges remain.

Respite care program helps Montana caregivers BY KERRIE REIDELBACH

benefits. To help provide family caregivers with the support they need, an effort is underway to connect Montana families with respite services. e coalition has created a website to assist in finding available local and statewide resources throughout Montana. Funds are available on a sliding fee scale to make respite care affordable for all Montanans who need this service. More information is at respite.mt.gov and MontanaADRC.com.

Nathan was born with significant disabilities. But despite the obstacles he has faced in his 34 years of life, he has always been able to live at home surrounded by his Montana family.

S E N I O R H E A LT H However, Nathan’s mom says this wouldn’t be possible without the respite care their family has received. e Montana Department of Public Health and Human Services’ Lifespan Respite Program provides relief to the primary caregiver of people like Nathan. ere are 134,000 Montanans who provide care in the home for family members with

disabilities and Montana’s respite care program gives relief to these hard workers. Caregivers provide a variety of services including everyday tasks such as cooking, feeding, bathing, transferring from a chair to a bed, and

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transportation to doctor appointments. ey help with administration of complex medications and other health care needs. Many family caregivers find their role as a caregiver provides spiritual, emotional and even physical

— Kerrie Reidelbach is Lifespan Respite Program manager for the Department of Public Health and Human Services.

DaviD Reese photo

How talking to your children shapes healthy behavior


HEALTHCARE PROFILE

Partner in therapy Ralph Simpson sees physical therapy as a two-way street

BY JEANNE TALLMAN

Whitefish physical therapist Ralph Simpson is constantly learning new ways to help people recover from surgery or injury. He enjoys being associated with many young surgeons who have been trained in innovative and tested modern technologies. Physical therapy, like all

Physical therapist Ralph Simpson is a former PGA therapist who wrote a book about staying in shape for golf.

Physical therapist Ralph Simpson, right, at his clinic in Whitefish.

other facets of medicine, is an evolving and ever changing science. Simpson stresses that if there is good surgery and good therapy, the patient will have a good outcome. It is a collaborative process. Physical therapists assist people but don’t do things to people. e patient, Simpson says, “is the partner in recovery.” Whether it is hips, backs, shoulders, necks or knees, Simpson says, figuring out the different ways to help a person return to optimal function after injury or surgery is the goal of a good physical therapist. “ose are the broad strokes in any

physical therapy work,” he says. “If you have a total knee replacement, I like to be involved early on,” says Simpson. “First is to control the swelling with compression and elevation. Ice controls the pain. Our goal is to reduce pain medications as soon as possible. I will keep you off the leg the first 10 to 14 days.” An injured shoulder’s biggest problem is usually rotator cuff repair, according to Simpson. Rehabilitation protocol is influenced by the size of the repair and the health of the repaired tissue. Simpson says physical therapy focuses on return to full function while protecting the repair.

He says communication with the surgeon is always paramount in the recovery process. When Simpson first started in physical therapy, he began in a large, crowded nonstop clinic 30 years ago. His frustration with that model pushed him to work oneon-one with professional athletes where outcomes and quality of care came first. He spent several years traveling on the P.G.A. circuit. Young Tiger Woods was one of his patients. As part of his work with professional golfers, Simpson also coauthored a book about physical conditioning for golf.•

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Judith Thurman, at right, practices qijong along the Swan River in Bigfork. 12 MONTANA HEALTH JOURNAL SPRING 2016

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the balanced

WAY THE HEALING ART OF QIGONG

BY THERESE WOOD

W

hen Judith urman was diagnosed with breast cancer, her world was turned upside

down. She was recommended to go through a mastectomy, chemotherapy, radiation and a mountain of medications. She sought truth by going inward, and there she found the answer that sent her on a journey to find what would eventually be her saving grace. She knew she had to find the root of the problem. urman elected to have the cancerous tumor removed and limited radiation treatments. She then began studying one alternative health therapy after another through the Internet, wellness practitioners, wellness coaches and books. As her mission to find the truth about what was happening in her body unfolded, she came to understand that well-being is based on balance in the body, the mind, and our natural world. urman discovered where she was out of balance, and found a practice that addressed that issue perfectly for her. e practice of qigong, a series of flowing body movements that balances the body’s energy, struck a deep chord with urman. She knew that learning and

practicing qigong would send her on a path to healing. Qigong master Debra Lin Allen, from e School of Qigong Studies in Denver, became urman’s teacher. As she diligently practiced qigong, urman was having such positive results with the remission of her cancer that she became completely focused on learning all she could about this 5,000-year-old Chinese practice. In the end, urman would not only become cancer free during her years practicing and studying qigong, but would go on to become a full five year student and achieve a high certification in the practice. urman explains that through the study of humans and our deep connection with nature, Chinese scholars and scientists realized we may be able to refine our “Qi” (pronounced Chee), which is our vital life force energy, and possibly prevent or correct the imbalances that trigger illness. Qigong, which is derived from the flowing energies of the natural world, focuses on balancing the emotions that are directly related to each of the organs, so that participants can live in a state of more balanced energy, urman said. Qigong, she says, is also about helping people find that state of flow to fulfill their purpose

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and evolve into the person they were meant to become. “A Qigong approach has helped me to balance and reconnect with higher forms of healing energies,” she said. “is connection enables me to feel the peace, harmony and joy that are available to all of us.” She believes that continued Qigong practice, along with practices related to the life energy in foods and how they digest, and her awareness of emotions while eating, are preventing the cancer from returning. “My belief is that we all have a beautiful purpose,” urman says, “No one can do that work for us. Qigong is about empowering each individual to fulfill their purpose and evolve into the person they were meant to become.” urman moved from Great Falls to Bigfork in 2013. At the time she was not teaching Qigong, but using the practice herself. She started going to

Sliters Park in Bigfork, and doing the practice near the river’s edge. Not long after she started this routine, individuals began coming up to her and asking what she was doing. When she explained, they asked if they could join her, and soon a regular group started meeting her at the park to practice. As time went on, individuals began asking Judith if she would come to their homes for private lessons, and this eventually developed into classes at the Summit Health Club. e positive results that her students were getting eventually led to urman opening a practice in Bigfork. After years of teaching in private homes, classes in Kalispell and at her practice in Bigfork, her husband’s work called them to Colorado in the summer of 2015. To close her time in Montana ceremoniously, urman decided to have three final group Qigong sessions in June 2015, at Sliters Park. As she flowed through the series of Qigong movements, with a soft breeze, the rushing of spring water in the river, and a golden sun shining down through the trees, urman smiled a peaceful joy from completing a fulfilling and beautiful cycle with her time in Montana. •

Qigong helped Judith Thurman to balance her life.

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YOUR MONTANA FARMER

Bob Quinn at his wheat farm in BIg Sandy, Montana.

growing

healthy wheat A MONTANA FARMER RAISES A HEALTHY ANCIENT GRAIN WHEAT

BY DAVID REESE MONTANA HEALTH JOURNAL

History may be repeating itself in the wheat fields of Montana. On thousands of acres in the Golden Triangle, the center of wheat production in Montana near Great Falls, an ancient form of wheat that is said to have been King Tut’s wheat is being studied for its health benefits. e Kamut brand of ancient wheat 16 MONTANA HEALTH JOURNAL SPRING 2016

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(commonly known as khorasan wheat) is finally hitting its stride, some 30 years after the Big Sandy, Mont., father and son team first registered the wheat’s trademark. In February, a study in Italy reinforced the health benefits that Kamut wheat offers. e European Journal of Nutrition published a study showing that Kamut khorasan wheat raised in Montana may have a positive impact on blood insulin and glucose levels for patients with diabetes.


e report, “A Khorasan Wheat-Based Replacement Diet Improves Risk Profile of Patients with Type 2 Diabetes Mellitus: A Randomized Crossover Trial,” showed that consumption of products made from Kamut wheat significantly improved several key markers in the blood such as total cholesterol, LDL-cholesterol, glucose and insulin. For Bob Quinn, PhD., that’s the kind of news he’s been telling markets for three decades. irty years ago Quinn’s father, Mack, took a jar of Kamut grain to a natural products tradeshow in Anaheim, Calif., where Bob had a booth under the name of his Montana Flour & Grain company. eir goal was to showcase Montana stone ground flour and organically grown grain. Hundreds of people came by their booth, and finally one person showed interest. But this one inquiry in 1986 kept Quinn going. He knew that this form of ancient wheat would one day gain traction. To his surprise, he’s found that traction in Europe, where about 75 percent of his market now is. uinn had first encountered the Kamut wheat at county fair in 1964 when a “guy passing it around was calling it King Tut’s wheat,” Quinn said. e wheat was three times the size of normal wheat. “It was a novelty,” Quinn said. “But nobody had any commercial ideas for it and the novelty wore off.” at was until about 1977, when Quinn had an idea to send the Corn Nuts company a small sample to see if they might be interested in it. “ey loved it and asked if we could sell them 10,000 pounds of the wheat. We only had half a pound,” Quinn said, “from half a jar of it my father had received from a friend. We increased the seed up to about 50 pounds by 1980 but by then the Corn Nuts Co. had lost interest in it.” After the Expo in 1986, the family started growing the wheat again, slowly but surely, increasing the acreage year by year. e first year they planted half an acre, then 20 acres, then 80. ey are up to 85,000 organic acres now mostly in Montana, Alberta and Saskatchewan. e Italians were quick to become enamored with the Kamut wheat. ere are about 2,000 products made from the wheat, from pasta, bread, crackers hot and cold cereal and couscous, to ice cream, beer, cheese and grain syrup. “About anything you can imagine being done with wheat, they are doing it,” Quinn said.

Q

Khorasan wheat raised in BIg Sandy, Montana, is reported to be healthier in study released in February.

With only about 8 percent of his wheat being sold in America, Quinn is out to convince the American public — and farmers — that Kamut is simply better than modern wheat. When the first person told him they couldn’t eat modern wheat but they could eat Kamut, “that’s when we got serious about how we grew it, marketed it and protected it,” he said. “e appeal is great taste and versatility,” Quinn said. “Most people who can’t eat modern wheat can eat this.” Montana farmers, who were initially slow to respond to the advantages of organic farming, are excited about transitioning to organic farming with Kamut wheat, Quinn said. “I’ve gotten more calls in the last six months than I’ve gotten in 30 years,” he said. He’s now spending more time helping Montana farmers “who can’t make money any more using chemicals learn about organic farming and how to do it without having a wreck,” he said. Canada is way ahead of Montana in organic wheat farming. While Saskatchewan has about 1,000 organic farms, Montana has 200, according to Quinn. In order for Montana to catch up to the market demand which is out pacing supply of organic grains, the Legislature needs to address the issue with increased support for research and extension which support organic research and information distribution, Quinn said. “at’s where we need the help,” he said, “but we’re not waiting on them to make up their minds.”

Kamut International of Big Sandy, Mont., also produces snacks from its large-grain wheat raised in Montana.

e recent study released on Kamut wheat is the third in a series of human studies on non-infectious chronic diseases comparing the effects of diets based on ancient Kamut wheat compared to modern wheat. In a previous study about cardiovascular disease, it was shown that a Kamut wheat based-diet was able to reduce cholesterol, blood glucose, markers of inflammation and increase antioxidant activity. Given that diabetics have increased cardiovascular risk, the aim of the most recent Kamut study, Quinn said,

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PERSONAL JOURNAL

Eighty is weighty Gaining perspective on the later years in life

BY INA ALBERT

E

ighty is weighty. Not weighty depressing. Weighty because time is short and it’s a big job is to deal with the bottom line issues of our lives. My 70s were about accomplishing goals that I had not completed and identifying essential qualities as guideposts to live by in the coming years. First on my list was becoming bat mitzvah. Usually this Jewish religious ceremony is performed at the age of 13, marking the entrance of the young person into the adult community of Judaism. However, when I was 13, girls were not permitted that privilege. e challenge of reading Hebrew almost defeated me, but I did it. roughout the years, leading an active spiritual practice continued. I’m most proud of working with my husband, Rabbi Allen, to found the first Jewish Renewal Congregation in Chicago. Now here I am at 80, still active and healthy. What now? I’m finding that I’m more of a listener than a participant these days. In previous years, I gave my opinion even if it wasn’t invited. Now, I wait and listen, observe body language, facial expressions and check the quality of the vibes — the energy between people. By that time, the conversation is over and there is no need for my contribution. It’s humbling, but I learn more about people from distancing myself than I ever did from mixing it up with my opinions. I call it listening louder. Understanding the process of listening is an obsession. My first book, Write Your Self Well…Journal Your Self to Health, is about learning to listen to the internal fears and trauma of our lives. Clinical trials verify that expressive writing — journaling about emotional issues — relieves stress and speeds the healing process. It was a preface to my next book. Yes. I’m the author of the intergenerational picture book, Granny Greeny Says…Listen Louder. Granny is the result of years of coaching interpersonal 18 MONTANA HEALTH JOURNAL SPRING 2016

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communication in hospitals and healthcare facilities. I recognized that patients responded positively to staff members who communicated with patients and demonstrated caring behaviors. Research later confirmed that blood pressure, stress and recovery time are reduced, the immune system is strengthened and relationships improve when patients feel safe and secure with the people treating them. It came down to positive energy created by healthy communication between the staff and the patients. “It’s the vibes, Stupid!” Eighty is the age for harvesting the past. What have I Ina Albert is author of Granny Greeny. accomplished? What haven’t I done that I still want to do? What do I basic belief. consider a life well-lived? Am I walking my As a result, I’ve slowed down, don’t talk? Am I listening louder? I know when I rush from place to place, and stopped do I am a better wife, mother, Life cutting people short. And, I ask a lot more Transitions Coach, a more attentive questions. grandmother and a better friend. It helps Not much is written about what to me let go of judgments and softened my expect in our 80s and 90s except that they take-charge approach. have been called e Wisdom Years. I What about listening to my spiritual assume that means that we share the self ? at’s harder. For the past several accumulated knowledge and experience years, I’ve been spending time in prayer we’ve amassed. Some researchers say that and meditation. I listen louder to my heart a part of our brain is growing larger to and I try to quiet the voice of my internal accommodate the additional knowledge critic. It’s a frustrating and difficult acquired in our 30-plus additional years of process, but it teaches me about the living. Some also feel that elders in the quality of my own energy and connects me later decades are more in touch spiritually. to the world around me. e phrase, WE On that score I agree. ARE ONE, the result of a Creative Spirit I don’t have a bucket list, but there are beyond our understanding, has become a relationships I’d like to strengthen in the

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‘ey are a weighty process of examining my life through beginner’s eyes that bring a fresh perspective to personal history.’ remaining years. I’d like more time with my granddaughters, my family, and much more time with my closest friends. Intimacy is increasingly important. Our social life is busy and my husband and I are involved in community organizations. I’m writing a monthly column for Montana Woman and working on a book of essays about aging. My husband hosts a public radio show called “You Must Remember is,” songs of the 1940s and 50s. In short, life is good. I’d like not to have to worry about money. I’d like my husband and I to stay healthy until the very end of our lives. Suffering is something I’m not good at! And I’d like to leave my writing to those who come after me in some tangible form— more books, stories, and poetry. Cleaning up the relationships that have gone sour became a necessity, and I feel cleaner for having said my I’m sorry’s and thank you’s. I’m learning to accept physical limitations. I’m not capable of living the same way I did 10 years ago. My body is clumsy at times. My breath is short. My body certainly doesn’t look like it did at 50. Wrinkles keep multiplying and skin keeps sagging. Even with these changes, I don’t feel old. I am blessed with genes that preserve my body longer than most, so I have yet to experience the feeling of falling apart. ough I still do housework, I can no longer hike up Big Mountain or downhill ski. I’m exercising (not enough), still eating too much and drinking vodka martinis more than occasionally. Restrictions are annoying. e greatest difficulty is losing words. Because my mother suffered from Alzheimer’s Disease, I’m frightened when I have to grasp for the proper way to express an idea. at’s more frustrating than anything else. e word comes to me too late to make my point, and that’s not soon enough. What are the 80s about for me? ey are a weighty process of examining my life through beginner’s eyes that bring a fresh perspective to personal history. Judging others for being responsible for my disappointments, mistakes and screw-ups is fading away and I’m left standing alone with my life choices and consequences. It’s like watching a movie from an emotional distance. Last, being closer to the end of life certainly encourages me to think more about process of death, the reality of dying and what I want to accomplish in the short time left. In the end, I want to die with dignity, in charge of my life decisions, with a mind that is cogent, and a loving support system to send me on my way. Let’s not forget joy. Celebrating our 80s began just before my husband’s birthday, six months before mine. We created a plan to honor our lives and each other all year long with parties, traveling and enjoying our time together, our children, grandchildren and our friends. Let the party continue and the music play on! — Ina Albert is an author and Life Transitions coach in Whitefish.

YOUR LIFE

Battling on the soft-drink front Coca-Cola and PepsiCo are borrowing a page from the tobacco industry playbook and investing in lowand middle-income countries. A new report, Carbonating the World, documents how Coca Cola, Pepsi, and other beverage companies are expanding their reach around the world. In the United States, per-capita consumption of carbonated sugar-sweetened drinks declined by 25 percent between 1998 and 2014, according to the Center for Science in the Public Interest, and sales are projected to decline further in North America and in Western Europe. Soda sales in Latin America, Asia Pacific, and Middle Eastern and African countries are all projected to increase between now and 2018, the report said. In Mexico, per-capita consumption of carbonated soft drinks is among the highest in the world, at 135 liters in 2013. Mexico also ranks near the top in the world in adult obesity, first in type 2 diabetes, and fourth in childhood obesity. Between 1999 and 2006, the consumption of calories from soft drinks doubled in some age groups and tripled in others, the report said. In China, sales of carbonated drinks are expected to grow to $16.2 billion by 2018, which would be an increase of 30 percent since 2013. “It’s our thirdlargest global market, growing at double digits,” CocaCola CEO Muhtar Kent said in 2011. The center’s report recommends that governments around the world make improved nutrition a priority, and take such actions as restricting the sugar content of beverages and levying excise taxes on sugar drinks, with the revenues used to sponsor health and nutrition programs. Mexico has taken the lead on soda taxes, with a tax first levied in 2014 that reduced sales of soda by at least six percent. Carbonating the World: The Marketing and Health Impact of Sugar Drinks in Low- and Middle-income Countries was written by Allyn L. Taylor, an expert in global health law at the University of Washington School of Law.

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WHEAT/FROM PAGE 18

was to investigate whether a replacement diet with products made from ancient Kamut wheat could help fight diabetes and reduce the onset of secondary complications due to diabetes. ccording to the International Diabetes Federation, diabetes is one of the largest global health emergencies of the 21st century. About 415 million adults, or one in 11 people, have diabetes, and this number is estimated to increase up to 642 million adults by 2040. In the Italian study, two kinds of food products were supplied to volunteers with type 2 diabetes – products made from ancient Kamut wheat and products made from modern wheat. Both the ancient wheat and modern wheat were grown organically. According to the study, consumption of products made from Kamut wheat produced improvement in several key markers in the blood, such as total cholesterol (-3.7%), LDL-cholesterol (-3.4%), glucose (-9.1%) and insulin (-16.3%). (e full study can be found online at http://bit.ly/1SG03yw.) Kamut’s market has been growing over 20% annually for many years,” Quinn said. “I never could have imagined it could have exploded like this.”

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HEALTHY SHOPPING

Locally sourced Hot Springs store gives locals a way to shop fresh

BY THERESE WOOD

N

ot many health food store owners grow the food they sell, but David Ronniger is an exception. His passion for growing organic vegetables has landed him accolades in many national publications over his more than 40 years as an organic farmer. After operating Salt Lake City’s first health food store for six years, Ronniger moved to northern Idaho in the 1970s and established an organic farm that evolved into a seed potatoes business that offered more varieties of seed potatoes than any other company in North America. Articles in magazines like National Gardener, Sunset magazine, Time and even the New Yorker have touted the unique and pioneer spirit that embodied the farm and its simple black and white catalog Ronniger created to sell his more than Shopping at Camas Organic Market in Hot Springs, Montana 200 varieties of seed potatoes. A basket of spices and cleaning products. A cafe and bakery in the back is the Ronniger’s small gourmet potatoes looks like fall cornucopia of added attraction that keeps the locals and Hot Springs guests purples, reds, oranges, yellows and blues. His varieties have names coming through daily. like German Butterball, Purple Peruvian, Yukon Gold, Russian Ronniger’s commitment to preserving nature’s gifts through Bananas and French fingerlings. By the 1990s Ronniger’s potatoes seeds led him to establish the Native Seed Foundation, which were being shipped nationwide to New York, Florida, Denver, Los collects and processes over 30 species of seeds of wild trees, Angeles and San Francisco. shrubs and grasses from the Northwest that may be on the verge In 2011 Ronniger moved to Hot Springs, Montana, and passed of endangerment. along the Idaho farm to his son. e lure of some of the world’s His philosophy of living in harmony with the natural world and most restorative geothermal waters brought him to Hot Springs, enjoying the vital energies it offers daily is one that is coming full but he is not one to sit back in retirement. So, he opened the circle. “We need to examine what is shaping our fast-moving food Camas Organic Market on Main Street in downtown Hot Springs culture and the future of health and wellness,” Ronniger said. with his partner Linny Gibson and now they run the store, in “It is all of us, the consumers, who can change the course and addition to growing vegetables to supply it. move toward the quality of food we deserve. Consumers are He continues in his passion for holistic living, herbal coming to appreciate that there is wisdom in smallness as we treatments, fresh organically grown food and community service. savor that less is more. Buying locally offers the quality taste and Although the store is of a modest size, it features an nutrients of fresh picked fruits and vegetables.” • impressive variety and quality of everything from bulk foods, to M O N TA N A L I V I N G . C O M

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FIT to RACE Tips on preparing safely for endurance races

A contestant in the Montana Spartan Race in Bigfork lifts a large tire. David Reese photo.

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EXTREME FITNESS

STORY AND PHOTOS BY DAVID REESE M O N TA N A L I V I N G . C O M

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BY DAVID REESE MONTANA HEALTH JOURNAL

E

very year for the last three years, thousands of people have flocked to Bigfork, Montana, for the annual Reebok Spartan Race. Held on steep, mountainous terrain overlooking Flathead Lake, the race leads participants on a grueling endurance test of physical fitness. e races have surged in popularity over the last six years, with endurance races like the Spartan, Tough Mudder, and others drawing thousands of participants, Many of the participants form teams and begin their training for the race months before the starting gun sounds. But for others, whose physical fitness levels may not be as high, are endurance races safe? “e races get people out and get them physically active,” Brad Roy, Phd., said. “ey’re fun, if you train appropriately.” What concerns Roy, the director of the Summit Fitness Center in Kalispell, is the weekend warrior who says “I’m going to do this next week,” and set out to “get in shape.” Endurance races like the Spartan Race can demand physical activities that are not found normally in physical fitness training. Activities like rolling on your stomach under barbed wire, carrying 50pound bags of sand up steep hills, or shinnying up a rope should all be practiced or emulated in some way before attempting an endurance race, Roy says. “You have to have things in your training program that mimic that. If you haven’t, your risk of injury is higher,” he said. “You have to ask yourself ‘have I really trained my body to do that?’ You want to plan well in advance of the race.” Finding a fitness regimen is one thing; doing the right fitness is another. Roy said doing too much too soon can risk hurting you. “You have to have a progressive program,” he said. Training too hard for too many days “just tears your body down,” he said. “You need to really understand your body or have someone who can help you.” Group fitness programs aren’t always the answer to endurance race training. While the social aspect of group fitness is fun, “One size does not fit all,” Roy said. Along with the right kind of training is the right way to train. Proper technique is crucial in learning how to do an activity. “If you don’t do it with the right technique, you risk injury and you may not get the benefit you’re seeking,” Roy, who is also the 26 MONTANA HEALTH JOURNAL SPRING 2016

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Competitors in the Spartan Race in Bigfork climb a hill in the 2014 competition.

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DaviD Reese


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editor of the magazine of the American College of Sports Medicine, said. Nutrition must be considered in preparing for an endurance race, Roy said. He recommends a whole food approach to diet whenever possible, and staying away from sports drinks and meal replacements. “It all comes down to balance,” Roy said.

E

ndurance races of today might be a bit like the marathon craze that swept the nation in the 1970s and 80s. e races enticed people to become active, “but you had people doing them who shouldn’t have been doing them,” Roy said. “ere’s that same tendency.” But, he added, endurance races are

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popular. “ese things are taking off for a good reason,” Roy said. “ey’re fun.” e Competitive Edge program at the Summit Health and Fitness Center helps people achieve fitness goals, whether they are for weight loss or endurance training. e Competitive Edge program takes a high tech approach to fitness, and can analyze oxygen use under physical stress, as well do video gait analysis for runners. Grey Ruegamer, a former National Football League athlete, directs the Summit’s Competitive Edge Program. Ruegamer agrees with Roy’s assessment that the races are fun for a reason: he himself wouldn’t want to run a 13-mile race, but he’d be excited about doing an M O N TA N A L I V I N G . C O M

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A woman congratulates a teammate at the Spartan Race in Bigfork, Mont. David Reese photo

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endurance challenge with dozens of unique obstacles. “Our bodies are built for endurance, but not everyone trains for endurance,” Ruegamer said. Ruegamer helps people define their fitness goals and devise a program that fits with them. Ruegamer first breaks the process down into how people move, and works to build ways of helping them move more efficiently. Ruegamer said he encourages people to develop a fitness regimen specific to training for their athletic goal: whether it’s elk hunting or endurance racing.You have to have a fitness strategy and a way to measure the results, he said. “People often mistake activity for fitness,” he said. “at’s not necessarily going to get you to a goal.” Nor is the approach that “going as hard and as fast as you can and you’ll be good,” he said. Derek Ochiai, M.D., an orthopedic surgeon at Nirschl Orthopaedic Center, said prospective race participants should have a good assessment of what their fitness level actually is. He recommends first doing some similar races, but that are less intense. Also, he said, observing the race for the first year and not actually doing it can give participants a more realistic assessment of how far away you would be from being able to safely participate. “If you are an average couch potato, this activity would not be recommended,” he said. ere are two main types of risk involved in an endurance race — overuse injury and acute injury, Ochiai said. Overuse injuries stem mainly from doing an activity that is more strenuous than you are used to. ese would include shoulder tendinitis, shin splints and stress fractures. Acute injury may involve injuries such as broken ankles, shoulder dislocations or wrist sprains from falling or getting caught in equipment, Ochiai said. “is type of race is not something you do when you lead a sedentary lifestyle,” he said. erefore, Ochiai said, the training itself may be perhaps the greatest health benefit derived from participating in an endurance race. “I am a big believer in the cardiovascular benefits of exercise, and if doing this race is a goal, then get in shape to do it, which will give you the health benefits,” he said. “And I would hope that these races can motivate other people to make exercise a part of their lives. “e team aspect can help inspire and motivate. It can also lead people to overpush themselves and lead to injury.” •


ALTERNATIVE HEALTH

Deeper healing Dr. Chip Halverson finds healing in naturopathy BY THERESE WOOD

O

ne of the six principles of Naturopathic medicine is “doctor as teacher.” Dr. Chip Halverson is the embodiment of this principle. Early in his career, he was a high school history and science teacher. Growing up in Glasgow, Mont., Halverson always wanted to be a teacher and went on to get a teaching degree from Concordia College. After graduation he traveled for one year with the group Up With People before teaching high school for 14 years before he made a decision to pursue a career in medicine. Halverson admits he was a workaholic during his early teaching years; teaching all day, coaching sports after school, and then returning to his classroom to do paperwork at the end of the day along with the requirements to obtain a masters degree. Little did he know that the classroom he was spending so much time in day after day, for years, was infected with mold and a faulty ventilation system. During his fourth year of teaching, he began suffering from a myriad of symptoms that became debilitating and were a mystery to one doctor after another. He became sensitive to anything in the environment, and once, while on an overnight trip with his family, his body had such an adverse reaction to the hotel air fragrance that he had to sleep in the car. He lost his voice and had extreme drainage in his throat. Doctors tried treatments of antibiotics and other medications that didn’t help but instead had bad side effects, and eventually a throat surgery led to further complications. A few years before his illness, while preparing for a trip to Russia with a group of students, he went to a naturopathic physician and became intrigued with this kind of medicine. Halverson went on to invest in eight years of additional education, including a premed program and medical school for his second career as a naturopathic physician. “If you optimize the body’s organs of elimination, it will support the body’s natural ability to heal itself,” he said.

Naturophathic physician Dr. Chip Halverson specializes in acute and chronic health conditions and uses many naturopathic modalities.

He specializes in acute and chronic health conditions and uses many naturopathic modalities with an emphasis on a European form of medicine called biotherapeutic drainage, a treatment that detoxifies the organs of elimination by optimizing your body’s physiology. ese organs include the kidney, liver, lungs, digestive tract, skin — and also the emotions.

“If a patient is having pain,” says Dr. Halverson, “it means there is inflammation, and the body is not getting rid of toxins properly, usually the organs of elimination have been neglected,” he said. “at often leads to medical interventions that further congest the extra-cellular

M O N TA N A L I V I N G . C O M

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creating

safer campuses Montana colleges and universities now average eight suicides a semester. About 80 percent of those are male. About onethird involve alcohol and two-thirds involve firearms.

BY CAROL SCHMIDT

national advocate for the prevention of suicide. “We all did the best we could have knowing what we knew is senior spring semester was a really tough one for Sam three years ago,” Lombard said. She made several trips from Lombard, a bright, creative Montana State University Spokane to Bozeman that spring, walking alongside her son in his architecture major from Spokane. path but not realizing the steps she might have taken to prevent But, the week before finals was a good one, and things seemed it. to be on the upswing. “I worked at a university and I didn’t want to be a helicopter He’d made progress on his final project. He was making plans parent,” Lombard said. She said she recalls walking across campus to attend a summer class in Denmark. He worked on a welding when Sam was still alive thinking that maybe she should find a project – a lovely garden bench – that he enjoyed. He seemed to be good, independent psychologist that could help them both. But, moving beyond the devastating depression that had recurred she didn't, ultimately trusting her son to do the right thing to during the previous months. solve his illness. “We all know better now,” Lombard said. “We can Yet, when an opportunity came – his in the form of a all do better now.” Lombard also called for mental health and roommate who left town to attend a wedding – emotional education for all, beginning in grade Lombard saw an opportunity to carry out the school. She points out that a suicidal student is more suicide he’d planned for months. And he took it. likely to turn to a friend rather than a professor or In his garage, with his beloved truck, he ended his even a stranger who is a mental health professional, life at the age of 22. and it would be helpful for young people to know “What I know now, and didn’t realize then, was what to do and whom to call. this was a classic pattern,” said Sam’s mother, Karl Royston is the suicide prevention coordinator Help is available Marny, about Sam’s suicide in April 2013. “He was for the Montana Department of Health and Human at the national feeling better. He stopped taking his meds and Services. Suicide Prevention then committed suicide.” Rosston said that Montana has the worst suicide Lifeline, 1-800Since the death of her only child, Lombard, has rate per capita of any state in the country. Montana’s 273-TALK (8255). quit her job at Gonzaga University and become a rate of 24.5 suicides per 100,000 people is nearly

H

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GROUP AIMS TO FIGHT STUDENT SUICIDE RATES


twice the national average of 13.4. In fact, Rosston said that Montana has been among the worst states for suicide for more than a century. ere are several reasons why Montana has high suicide rates. One is its location. e entire Rocky Mountain states, and in fact nearly every state in the West, are at the top for suicide. Rosston said all of the Rocky Mountain states share social isolation. In addition, Montanans have easy access to firearms. ere is a high rate of alcohol consumption in the state. Rosston said statistics from the last year indicates 48 percent of all suicides in Montana involved alcohol. A high suicide rate among Native Americans also is a contributing factor. Geographical reasons for Montana’s high suicide rate include absence of sunlight in winter, resulting in a vitamin D deficiency that can result in depression. Also, altitude seems to be a factor. ere is an inordinate number of suicides above 2,500 feet in altitude. e rugged individual mentality and stigma against mental illness in this state are also key, Rosston said. He said this is particularly significant in men age 65 or older who don’t want to be a burden and feel that they are holding their loved ones back. “It is dierent on the East Coast where it is cool to have a therapist, where one in five people has a therapist,â€? Rosston said. “at isn’t what happens here.â€? Rosston said Montana colleges and universities now average eight suicides a semester. About 80 percent of those are male. About one-third involve alcohol and two-thirds involve firearms, he said. Rosston said that while the statistics are grim, there is good news, and that is that depression is treatable. He has four recommendations that he thinks could help reduce Montana student suicide rates: mandatory training for all residential hall advisers, a university screening for depression at student health centers, mandatory suicide prevention for all incoming freshmen, and a review of campus-wide firearm policies. He said that most of those that committed suicide with a firearm kept the gun they used in their car or truck. Rosston and Lombard urge that teachers, sta and friends to connect with someone they feel may be considering suicide, and to reach out to mental health professionals. “is is an issue we can stop,â€? Rosston said.

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HEALTH TRENDS

Green to go Green tea vs. green tea extracts: which are best?

BY BENITA LEE FOR MONTANA HEALTH JOURNAL

G

reen tea is one of those rare herbal products growing in consumer popularity. In fact, in today’s dietary supplement market is veering towards prevention, self-care, and holistic approaches to wellness backed by credible claims. And with green tea linked in research to benefits like preventing diabetes, cancer and other chronic diseases, along with no notable evidence of severe adverse risks even at fairly high dosages, the impetus for consuming green tea is strong. As far as industry trends go, green tea supplements are gaining traction more quickly than traditional tea leaves, but the tea leaf industry still dominates in terms of market value. According to market analysis reports, the global market value for extracts of tea polyphenols, the active components of green tea concentrated in supplement capsules, was about $209.3 million in 2012 with a growth 32 MONTANA HEALTH JOURNAL SPRING 2016

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rate of 7.4%. North America accounted for 27% of this total market volume. e real answer to our question about which form of green tea is better lies in how each diers in its process of extracting green tea’s beneficial components. Green tea extract can contain the following compounds: • Polyphenols: catechins, phenolic acids, tannins, and flavonols (kaempferol, quercetin, myricitin, and rutin) • Xanthines: caeine and caeine-related stimulants (theobromine and theophylline) • vitamin C and B vitamins • Amino acids: L-theanine • Microelements: aluminum, fluorides, manganese • Essential oils

T

he main active ingredients in green tea include caeine and caeine-related stimulants, specific flavonols, which act as antioxidants, and the highly researched class of green tea catechins. Some of green tea’s elements also come with risks. For example, the Food and Drug Administration cites 400 mg as the safe threshold for daily caeine consumption. Above 400 mg, health risks include gastrointestinal upset, muscle tremors and palpitations. Tea leaves also tend to accumulate aluminum from soil, and chronic high aluminum exposure (more than 20 mg per day for a 150-pound person) has been found to cause Alzheimer’s disease. ough that’s a fair warning, research suggests that one cup of brewed black tea has a little less than one milligram of aluminum and most of it is not absorbed by our bodies because it remains bound to L-theanine, another component found in tea. Making green tea by brewing tea leaves is not a consistent activity for obvious reasons. Water temperature, time of steeping, amount of tea leaves, and brand of tea leaves all aect the tea’s final flavor and quantities of compounds present in the tea itself. In one study, brewed tea contained 87 to 106 mg of polyphenols per gram of green tea dry matter, of which 52 to 84 mg were catechins. Green tea supplements are often made with concentrated polyphenol or catechin extracts. Green tea leaves are pulverized and then subjected to organic solvents to isolate green tea polyphenols from the leaves. Labdoor’s Green Tea Rankings show that not all supplements are made equal. Many come unstandardized, in proprietary undetailed blends, or as simply as ground tea leaves that have been placed in a capsule. e inaccuracy of supplement labels themselves presents a serious disadvantage when choosing a supplement. In Labdoor’s analysis of 25 green tea supplements, measured caeine content was anywhere from only 42.6 percent of the caeine claimed on a label to 131.5 percent more than what the label stated, and almost all of the products with labeled primary catechin amounts measured less catechin content than claimed. Nevertheless, primary green tea catechin content ranged from 27.9 - 484.9 mg per serving, perhaps comparable to the quantity you could obtain from a day's worth of green tea. And at least one research study found that green tea polyphenols were more readily absorbed and resulted in higher antioxidant activity if they came in purified capsule form compared to a drink.

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School of Thought University of Montana doubles down on healthcare education

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MISSOULA – e University of Montana provides more health career programs than any other campus in the state, and now the University has launched a new UM Health & Medicine initiative to promote this fact and foster new advances in health education and research. University President Royce Engstrom announced the creation of the initiative during his mid-year address Feb. 3. e new organization will recruit students into health professions and create new degree programs to meet employment demands and strengthen relationships with partners committed to regional graduate medical education. More information is online at www.umt.edu/umhm/. Montana will need 40 percent more health care workers in the next decade, according to UM’s Bureau of Business and Economic Research. is translates to an additional 7,000 workers by 2025 to care for Montana’s growing and aging population.

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Easier Gardens

Tips for making your backyard oasis more productive and easier BY MELINDA MYERS

Want to raise your garden to new heights for easier access and greater productivity? Raised beds allow you to overcome poor soil by creating the ideal growing mix, plus make gardening time more comfortable thanks to less bending and kneeling. Whether you purchase a kit or build your own, there are a few things to consider when creating a raised bed garden. Select a long-lasting material such as interlocking block, fieldstone, plastic lumber or naturally long lasting wood like cedar. e material selected will influence the shape and size of your garden. Some materials allow for curved beds while others are limited to squares, rectangles and other angular shapes. Design your raised bed to fit your space

Gardening expert Melinda Myers offers advice on how to grow raised-bed gardens and straw bale gardens.

SEE PAGE 41

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FROM PAGE 39

and your needs. A three- or four-feet width makes it easy to reach all parts of the garden for planting, weeding and harvesting. Raising your planting bed at least 8 to 12 inches improves drainage and provides an adequate space for most plants to root and grow. Fill the bed with a quality growing mix that is well drained but also able to retain moisture and nutrients. is may be a mixture of quality topsoil and compost, a high quality potting mix, or a planting mix designed specifically for raised bed gardens. Grow any plants that you normally would grow in ground. Just make sure the plants are suited to the growing conditions (such as sunlight, heat and wind) in your area. Since the soil mix and drainage is ideal in a raised garden, you will be able to grow more plants per square foot. Just be sure to leave sufficient room for plants to reach their mature size. Keep your plants healthy and productive with proper watering. is is critical for growing any garden, but even more crucial in a fast-draining raised bed. e simple act of raising the garden height increases drainage, and a raised bed filled with planting mix means more frequent watering. STRAW BALE GARDENING Add productive garden space and raise your planting bed with straw bale gardening. is technique allows gardeners to create raised bed gardens on a patio, lawn or any area with poor compacted soil. Straw bale gardening has been around for centuries, but thanks to Joel Karsten’s book “Straw Bale Gardens” it has gained new popularity. All that is needed are a few straw bales, fertilizer, a bit of compost and time to condition, plant and water the garden. Be sure to purchase straw bales made from alfalfa, wheat, oats, rye or other cereal grain that have less weed seeds than hay. Start a few weeks before the designated planting date. Place the bales in their permanent location with the cut sides up and twine parallel to the ground. Once you start the condition process, the bales will be very heavy and hard to move. When the bales are in place you are ready to start the conditioning process. is is done to start the inside of the straw bales composting, so they’ll support plant growth. On day one, spread fertilizer over the top of the bale. Use a ½ cup of a complete

garden fertilizer or three cups of an organic fertilizer like Milorganite. en completely moisten the bale. oroughly soak the bale everyday. On days three and five you will add more fertilizer at the same rate used on day one. Bales treated with a complete fertilizer should be ready to plant. You may need to wait a few more days when using an organic fertilizer. e inside of the bale should be the temperature of warm bath water or cooler for planting. If it is hotter than this, wait for the bale to cool a bit before you plant. Use a trowel to pry open

a hole in the bale. Place the plant in the hole and cover the roots with potting mix or compost. Create a planting bed for seeds by covering the bale with a one- to two-inch thick layer of planting mix. Follow the planting directions on the back of the seed packet. Give your straw bale garden a nutrient boost about once a month or as needed throughout the growing season. • Gardening expert Melinda Myers is a columnist and contributing editor for Birds & Blooms magazine.

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Guide to Senior Living

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Specialized Me Memory Care Ho Home for Seniors with Alzheimer’s or other Dementias

A family that is searching ffo or a loving, secured environment ffo or their loved ones with Alzheimer’s or one of the related dementias will be greatly encouraged after visiting Hidden Meadow Memory Care. Hidden Meadow Memory Care is locally owned and operaated by Patricia Zinke, RN. Our high staff to resident raatio ensures great care. Staff on duty include licensed nurses and assistants specialized in the care of residents with memory loss. Third party services such and Physicians, Physical Theraapists, and Hospice are also aava vailable if needed. No two residents with Alzheimer’s experience their journey the same waaayy. Thereffore, aatt Hidden Meadow every resident is cared ffo or in a manner tailored just ffo or them. Liffe aatt Hidden Meadow is truly a gift to those you love. Being pampered and loved is just a normal waay of liffee. (IDDEN -EADOW ,ANE s #OLUMBIA &ALLS -4 s OR

Tucked in a country valley on five acres surrounded by majestic mountains, Rising Mountains Assisted Living is a premiere faciliity with 30 high-end, one bedroom apartment homes. Common areas include two large sitting rooms, a community room, and a beautifful dining room that looks out onto spectacular mountain scenery. Residents are can ffeeel pampered with services at the in-house salon, the spa room with a walk-in tub, access to two spacious laundry rooms, an outdoor patio, a dog park, walking trails, and ample parking ffo or residents and guests. or with three delicious meals daily, laundry and housekeepResidents are cared ffo ing services, support with aap ppointments, scheduled transportation, and assistance as needed with bathing, dressing, and around the clock caregiving. Rising Mountains is close to cultural activities and healthcare facilities in the


Guide to Senior Living

AM Mor orre Complete We Wellness

The S Spir pirit of of W Weelcov

Wellness is so much more than a set of physical indicators. You aren’t just a body. You’re a complex bundle of ideas, emotions, and hopes. You are hard-wired not only to physically survive, but to do it in style and an with a purpose, by tapping into your intellect, developing relationships, and living out your your dreams. That’s why it’s important to broaden your pursuit of wellness to include mental and spiritual dimensions in addition to your physical well-being. Achieving physsical wellness ffo or seniors often requires assistance with nutritious fo food choices, healthy activvities, pristine surroundings, and professional health care assistance such as medication management and health monitoring. But physical wellness is just the beginning. It’s important for senior living communities to haave the services, stafff and environment that enhance all aspects of wellness. The professionals at The Springs at Whitefish help residentss fe feel comffortable in their surroundings, and provide opportunities fo for social interaction and introductions to new friends. Employeees are specially trained to help support residents through grief and a loss, and to identify changes in activity and socialization. If yo ou or a loved one is considering senior retirement livving – whether it’s assisted living or memory care -spend time thinking about total wellness. Ask questions that help you determine ne iff the th living environment will address all dimensions of wellness.

With hospital staayys getting shorter and a growing number of patients requiring complex medical care, finding the right place to recover is more important than ever. Heritage Place and Lake View Healthcare Communities in the Flathead Valley are ffo ocused on short-term care and haavve transitioned close to 150 patients home in the last year. “For our patients, we know the primary destination is home. We haavve the professionals and specialized services to assist in achieving that goal,”” says Brent Smith, administrator at Heritage Place Healthcare Community. Both Heritage and Lake View haavve wings dedicated to transitional care with private rooms and private bathrooms. “This can be a real comffort to patients during this difficult time and you just won’t find these kind of amenities at a lot of other places in the area,” saayys Emily Hutchins, RN, T Trransition Coordinator. Therapy is crucial in accelerating the recovery process for many complex conditions and physical, sical occupational and speech therapy is aavvailable seven days a week at both communities. In addition to skilled therapists, the th clinical transitional care team includes nurse practitioners, RN transition coordinators, licensed nurses, certified nursing assistants, dieticians and case managers. The teams are led by Medical Directors and other physicians who make rounds and manage the needs of pat pa ients on a daily basis. Besides quality medical care, the associates strive to exceed customer expectations. “We call it ‘The Spirit of Welcov’ and it’s our commitment to making a difffeerence every day,” saays Lake View administrator Tyna Tyna Smith. “During your your staayy we want you to ffeeel comffortable, supported and confident in your care.”

For morrree inffor ormation contact

The Sp Springgs at W Whit hittefish (406) 862-6322.

Lake View Healthcare Community 1050 Grand Drive Bigfork 59911 406.837.5041

Heritage Place Healthcare Community 171 Heritage W Waay Kalispell 59901 406.755.0800


HALVERSON/FROM PAGE 29

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matrix at the cellular level which in turn often leads to further suppression of the illness and other health consequences.â€? e naturopathic approach is to start treating a person before the disease or illness gets worse. Using tests like blood labs and heart rate variability, a patient’s profile reveals where their body is stressed, and what therapies can detoxify and stabilize their systems. “e goal of naturopathic medicine is not to be palliative,â€? Halverson said. “It is to get to the root of the problem. We don’t want to force physiology too fast. “A gentle approach is more appropriate for those with chronic problems otherwise our bodies will speak to us in uncomfortable ways if we force physiology.â€? He looks at balancing diet with the temperament of the patient. “Each person’s best diet is individual,â€? he said. “Our medicine is very personalized. Naturopaths are specialists in chronic illness. We have so many things in our toolbox to oer patients based on our training, though much of the credit we get is really a reflection of what patients do to overcome health obstacles. “I often tell patients its not what I’m going to do but what you are going to do that makes the dierence on your journey to wellness.â€? Halverson maintains a part-time practice in Polson, and travels from his main practice in Portland, Oregon, about every six weeks to see patients. He has recently opened availability to see local and traveling patients at a clinic in Kalispell. As the president of the Healthy Schools Network in New York, Halverson volunteers on causes like changing laws promoting healthy indoor environmental quality in schools, including how pesticides and chemical applications can be used and applied in schools. e Healthy Schools Network has won awards for its work in improving the safety of indoor school environments, including the Green Seal Outstanding Partner award in 2014. “It is a big issue, being addressed at high levels of government,â€? Halverson says. “ere is still a lot of work to be done and I really enjoy giving back in this way.â€? Dr. Halverson can be reached at info@selahnaturalmedicine.com and the healthy schools network is at healthyschools.org


Montana teens using more e-cigarettes MONTANA HEALTH JOURNAL

Montana health oďŹƒcials are raising concerns over the increased use of electronic cigarettes by Montanans, in particular the rise in usage among high school students. Latest statistics show that 50 percent of Montana high school students report having tried an electronic vapor product and 30 percent report currently using them. Health oďŹƒcials also add that poison control center calls in the U.S. related to ecigarettes have increased significantly; from 460 calls in 2012 to over 3,000 in 2015. î€‚e majority of these calls involve children under the age of five. e public should be aware of the rapid increase use of e-cigarettes by youth,â€? Montana Department of Health and Human Services Director Richard Opper said. “And, it’s very important to know that this is a product currently unregulated and contains nicotine, which we all know is a very addictive substance.â€? Retailers are prohibited from selling or distributing alternative nicotine products, or vapor products to individuals under the age of 18 years.

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PICTURE OF HEALTH

A woman and her dog enjoy a summer hike on Big Mountain in Whitefish. David Reese photo 46 MONTANA HEALTH JOURNAL SPRING 2016

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Satturday May Saturday y7 10 1 0 am am - 5 pm pm Red R ed L Lion ion Hotel Hotel,, K Kalispell Kalispell

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Monte Dolack, Placid Lake Sunset - Dog is My Co-pilot, 2012

Painting s, Prints, Fine Art Po ste rs Visit the Monte Dolack Gallery at dolack.com to view the artwork of Monte Dolack and Mary Beth Percival P.O. Box 8927 • Missoula, Montana, 59807 • 80 0 . 8 2 5 . 7 6 1 3


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