2015 Northeast Oregon Health & Wellness Guide

2015

Northeast Oregon

Health & Wellness Your reference guide to the resources and activities available for healthy living in Northeast Oregon.

Health & Wellness

Contents

Inside this Health and Wellness Guide you will find information about the hospitals in Northeast Oregon — Baker, Union and Wallowa counties — as well as listings of physicians, specialists and other providers of health-related services.

Local hospitals

28

4

Physician listings

Diabetes prevention

34 12 26

Resources for veterans

Cancer care

The Eastern Oregon Health and Wellness Guide is published by the Baker City Herald and The Observer.

www.bakercityherald.com

• www.lagrandeobserver.com 1

Health & Wellness Advertiser Index Hospital Grande Ronde Hospital..............inside front cover Obsidian Urgent Care......................................7 Winding Waters Clinic.....................................39 St. Alphonsus.....................................back covers Doctors Stacey Clarke..................................................41 Eagle Cap Clinic............................................ 17 Michael Rushton..............................................11 St. Luke's Clinic.................................................3 Sinus Center....................................................47 Dental Dr. James McMahan.......................................45 Dr. Joseph Martinez........................................39 Dr. Stephen Koza............................................27 Elkhorn Denture..............................................13 ODS.............................................................37 Seabrite Dental..............................................29 The Denture Lady...........................................45 Sleep Specialist Oregon Sleep Specialists...................................5 Ear, Nose, Thoat Allergy Clinic....................................................5 Dr. Petrusek....................................................23 Psychology Blue Mountain Associates................................19 Rehab Anita Swartz...................................................41 Evergreen Health.............................................11 Integrative Physical Therapy............................19 Massage Therapist Combe's Wellness Center.................................13 Gold Heart Massage......................................25 Dermatology Snake River Dermatology..................................9 Senior Living Alpine House.................................................27 Community Connections...................................15 Settler's Park...................................................31 Wildflower Lodge............................................47 Midwife No Place Like Home........................................29 Traveling Stork................................................25 Home Health Care Heart & Home.................................................29 Pharmacy Baker City Pharmacy.........................................7 2

Vision Baker Vision....................................................21 Eagle Optical..................................................35 Insurance Clarke & Clarke Insurance................................37 Abuse Prevention/Support MayDay...................................................... 19 Shelter From The Storm..........................27 & 41 Substance Abuse Treatment Grande Ronde Recovery..................................9 New Directions Northwest.................................23 Exercise Baker YMCA.....................................................7 Barefoot Wellness............................................19 Curves..........................................................41 Grande Ronde Fitness....................................43 Mt. Valley Fitness............................................11 Yoga Dawn Studio.........................................43 Family Support Baker County Health Department.....................35 Baker County Vets...........................................29 CASA...........................................................37 Center for Human Development......................17 Rachel Pregnancy Center................................25 Personal Care Courtesy Home Furnishings...........................35 Juicy's Exotic Tanning........................................7 Serenity Salon.................................................25 nutrition Baker Co-op.....................................................9 Baker County Extension Office........................27 Nature's Pantry................................................31 Pets Mollie Atwater...............................................25 Spirituality Agape Healing Center....................................33 Baker City Christian Church............................33 Calvary Baptist Church...................................33 Elkhorn Baptist Church.................................. 33 First Lutheran Church.................................... 33 First Presbyterian Church............................... 33 Seventh Day Adventist Church.........................33 St. Alphonsus Hospital Chapel........................ 33 St. Francis De Sales Cathedral....................... 33 St. Stephen's Episcopal Church....................... 33 United Methodist Church.................................33 Vacation Park Place.......................................................25

3

Health & Wellness

Saint Alphonsus

S. John Collins/Baker City Herald file photo

L

ocated in Baker City, Saint Alphonsus Medical Center - Baker City is a healthcare organization that provides services to Baker County and surrounding areas.

As a part of Trinity Health and the Saint Alphonsus Health System, Saint Alphonsus-Baker City is able to benefit from its relationship with one of the largest Catholic healthcare providers in the United States.

However, because all administrative control is based locally, the hospital is also able to respond to the needs of the community in a timely manner.

The hospital has a dedicated board of directors and a dedicated foundation board of directors.

Misson

We , Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities

core Values

Reverence: We honor the sacredness and dignity of every person.

Commitment to those who are poor: We stand with and serve those

3325 Pocahontas Road, Baker City 541-523-6461 www.saintalphonsus.org/bakercity Billie Ruth Bootsma Clinic The Billie Ruth Bootsma Clinic opened in September 2011 in a remodeled section of St. Alphonsus Medical Center-Baker City to provide infusion services, including: chemotherapy, pain managment, IV hydration, blood transfusions, allergy injections, wound care, treatment for chronic illnesses, central line catheter care.

On Fridays, Dr. Maynard Bronstein, an oncologist and hematologist who lives in La Grande, travels to Baker City to see patients, saving them a trip out of town. For more information about the clinic, call 541-523-8112.

who are poor, especially those most vulnerable.

Justice: We foster right relationships to promote the common good, including sustainability of Earth.

Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.

Integrity: We are faithful to who 4

we say we are.

Vision

As a mission-driven, innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. We will be the most trusted health partner for life

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5

Health & Wellness Grande Ronde Hospital

Cherise Kaechele/Observer photo

G

rande Ronde Hospital is a not-for-profit, 25-bed Critical Access Hospital (CAH). In addition to the hospital and its range of diagnostic, surgical and therapeutic outpatient services, the main facility also houses the Regional Hematology and Oncology Clinic, the Family Birthing Center, the Rehabilitation Therapy Department and Gym, and the Home Care Services Department which includes Home Health Services and Hospice Care.

Grande Ronde Hospital is the only hospital in Union County. It is one of the top employers in northeast Oregon, with more than 500 employees.

Mission

We will ensure access to high quality, cost-effective health care in a safe, customer-friendly environment for all those in need of our services.

Vision

We will be recognized as a premier small and rural health system based on the quality of our clinical services and effective outcomes, the competency and compassion of our staff, our application of technologies, our financial stability and value of services, our creative and skillful leadership, and our emphasis on community need, health promotion, patient education and disease prevention.

6

900 Sunset Drive La Grande 541-963-8421 www.grh.org

For a listing of Union County's medical providers, please see page 16.

Your Urgent Care Clinic providing Primary Care Services + From newborns to grandparents + Family Practice (Acute, Chronic & Preventative Care)

+ Walk In Clinic/Urgent Care + Same Day Health Care Hours: Monday - Thursday 8 am to 6 pm Friday 8 am to Noon No Appointment Necessary

Available by phone 24 hours a day

Obsidian Urgent Care Daniel J. Leone, NP-C

401 Adams Ave. • La Grande 541-962-7407

Baker City Pharmacy

Juicy's Exotic Tanning

LLC

1920 Resort • Baker City • 541-523-5231 bakercitypharmacy@hotmail.com

Buy 10 Tans, Get 1 FREE! Appointments or Walk-Ins Welcome Monday - Saturday 9AM-8PM 1927 Court Avenue, Baker City 541-523-6799

• Drive Up Window • Insurance Billing

• Great Service • Good Location

Your local, independent, family pharmacy.

Because to us, you are family.

7

Health & Wellness

St. Luke's EOMA

3950 17th St. Baker City 541-523-1001 Hours • 7 a.m. - 7 p.m. Monday through Thursday • 7 a.m. - 5 p.m. Friday • 8 a.m. - noon Saturday

E

astern Oregon Medical Associates (EOMA) was founded in 2003 with the goal of providing comprehensive patient care in a rural area. Since its founding, the clinic has grown considerably and now includes 12 providers and more than 50 employees. In 2010, EOMA began a formal association with the St. Luke's Health System in Boise.

In 2006, EOMA was named as the Outstanding Rural Health Practice in the State of Oregon. Since 2013, EOMA has been recognized by the State of Oregon as a Tier 3 Patient-Centered Primary Care Home (PCPCH), which is the highest PCPCH level in the state. In 2013, EOMA was recognized as one of the 30 model primary care practices across the country by the Robert Wood Johnson Foundation. EOMA is involved in evidence-based research programs through Oregon Health and Sciences University. EOMA is a leader in medical student and physician assistant education in a rural area.

EOMA providers

Some of the serviced provided by EOMA providers include: • Comprehensive adult, pediatric and obstetrical care • Same-day access for acute illness

Photo by Lisa Britton

Ryan Zimmerly prepares chemotherapy drugs in a special room at St. Luke's Clinic in Baker City.The specialty clinic is associated with Mountain StatesTumor Institute (MSTI).

• Surgical care including vasectomy, skin procedures, orthopedic injections and outpatient gynecological procedures • Nurse care management and coordination for additional patient support • On-site Psychiatric Nurse Practitioner, Behavioral Health Counselor, Certified Diabetic Educator, Certified Lactation Educator and Clinical Dietician • Collaborative program with the Baker County Health Department for childhood vaccinations • Collaborative program with New Directions Behavioral Health and Wellness to provide on-site mental health counseling services 8

St. Luke's Eoma specialty clinic services

Additional services provided at the St. Luke's EOMA Specialty Clinic include: • Visiting specialty services in cardiology, hematology/oncology, nephrology, otolaryngology (ear, nose and throat) and urology • Anti-coagulation clinic for management of Coumadin • On-site chemotherapy • On-site laboratory and x-ray services and visiting echocardiography service • Mobile mammography • Transportation to Mountain States Tumor Institute in Fruitland, Idaho, for on-going cancer care

No one chooses ADDICTION, but you can choose RECOVERY. Specializing in confidential addiction treatment for individuals and families.

DUII Education & Rehabilitation Services !LCOHOL s $RUGS s /PIATE $ETOX 3ERVICES s 'AMBLING

Brock A. Andersen, MD Board Certified Dermatologist

Skin Cancer • Skin Diseases Surgery of the Skin

Joel Rice, M.D. - ASAM Board Certified in Addiction Medicine Mary Goldstein - LCSW, CADC III Sherry Forsythe - CADC II Doug Whipple - CADC I Julie Bean Michelle Frizzell

Chelsea Olson PA-C • Christina Heninger PA-C Medicare/Medicaid Participant Blue Cross/Blue Shield Participant

Grande Ronde Recovery, LLC

Serving Baker County and Treasure Valley for over 25 years

1501 6th Street, Ste C La Grande, OR 9750 541-962-0162

1118 Northwest 16th Street Suite A Fruitland, Idaho 83619 • 208-452-5999

Supplying wholesome natural foods to Northeast Oregon 2008 Broadway • 541-523-6281 • www.bakerfoodcoop.org

Serving Northeast Oregon Since 1976 • Mon - Fri 10-6 • Sat 10-4

• Supporting • Fresh Spices • Gluten Free Local • Bulk Foods Products • Vitamins & Supplements

• Organic Produce • Healthy Skin Products • Special Dietary Items • Natural Cleaning Products

Photos Supplied by Dave Densley • Downtown Historic Baker City

9

Health & Wellness

Wallowa County

Wallowa Memorial Hospital — since 1918 Wallowa Memorial Hospital is a 25-bed Critical Access Hospital which serves all of Wallowa County and surrounding areas.

The hospital in Enterprise was founded about 1918 as a private institution, operating out of the converted County High School building. In 1947 the Wallowa County Court took over operation of the Enterprise Hospital.

Recognized for its excellence and beauty, Wallowa Memorial Hospital offers a large range of inpatient and outpatient services, working in concert with physicians and clinics to provide premier health care.

hospital statement

The trained and highly qualified staff provide compassionate, quality care focusing on the unique needs of patients and their families. We value and respect every patient interaction/encounter. We appreciate the support from our community and strive to be good stewards to the community in return. At Wallowa Memorial Hospital we treat you like family.

Wallowa Memorial Hospital

601 Medical Parkway, Enterprise Telephone: 541-426-3111 www.wchcd.org ■■ Kenneth Rose, MD, Surgeon 541-426-5450 ■■ S. Maynard Bronstein, MD, Oncology 541-426-5436 ■■ Dr. Giebel, MD (Ophthalmology), 509-540-3937

Wallowa Memorial Hospital - Home Health 601 Medical Parkway, Enterprise 541-426-5427 ■■ Nora Stangel, RN, Director ■■ Margaret Rystrom, RN, Clinical

601 Medical Parkway, Enterprise 541-426-3111 Fax: 541-426-4095 www.wchcd.org

Nurse ■■ Lucie Lattin, RN

Wallowa County Health Department 758 NW First St., Enterprise Telephone: 541-426-4848

Community Connection 702 NW First St., Enterprise 541-426-0221

DOCTORS & PHYSICIANS Olive Branch Family Health 306 W. North St., Enterprise Telephone: 541-426-7171 ■■ Theresa Russell, FNP 10

Alder Springs Family Medicine 109 E. Main St., Enterprise ■■ Rusty Woods, MD 541-426-6070 Wallowa Mountain Medical PO Box 1038/100 N East St., Joseph Telephone: 541-432-7777 Family Medicine/Obstetrics ■■ R. Devee Boyd, MD ■■ Emily Sheahan, MD ■■ Kirsten Caine, MD ■■ Aaron Long, PA ■■ Traci Frye, FNP See Wallowa Providers/Page 22

La Grande Post-Acute Rehabilitation

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Experience the full joy of living

~ Group Fitness Classes ~ Outdoor Facilities ~ Warm Water Activity Pool ~ Personal Training Services ~ Protein Snacks and Supplements

$PWF "WF -B (SBOEF

FREE 7 Day Pass

(New Members Only)

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www.mvtfitnessandhealth.com

Providing innovative and leading resources for our community's healthy and fit lifestyle. ~ Pre/Post Orthopedic Surgery Rehabilitation ~ Onsite Aquatic Therapy ~ Posture and Scoliosis Screenings ~ Back/Neck Pain FREE ~ Neurologic Diseases 15 Min ~ Running Injuries . ~ CranioSacral Therapy Consu lt ~ Women's Health ~ Lymph Drainage Therapy ~Athletic Training

11

Northeast Oregon's Premier Physical & Occupational Therapy Clinic

$PWF "WF -B (SBOEF www.mountainvalleytherapy.biz

Health & Wellness Saint Alphonsus

Emergency Room 3325 Pocahontas Road 541-523-6461 ■■ Steven Delashmutt, MD ■■ Nancy Hutnak, DO ■■ David Richards, MD ■■ Michael McQueen, MD ■■ Neal Jacobsen, DO Saint Alphonsus Medical Group - Baker Clinic 3175 Pocahontas Road 541-523-4415 ■■ Melissa Knutson, DO ■■ Zachary Allen, PA-C ■■ Kara Willimason NP-C Saint Alphonsus Express Care 1120 Campbell St. 541-523-2100 ■■ Elizabeth Chattin, PA-C Saint Alphonsus-Baker City Valley Medical Clinic 3820 17th St. 541-523-4465 ■■ Charles E. Hofmann, MD ■■ Bryan Braun, PA-C ■■ Kate Grace, PA-C Saint Alphonsus-Baker City General Surgery 3325 Pocahontas Road 541-523-1797 ■■ Barbara Tylka, MD ■■ Zachary Bastain, MD

Providers - Baker

Saint Alphonsus-Baker City Orthopedics & Rheumatology 3325 Pocahontas Road 541-523-1797 ■■ Eric Sandefur, DO ■■ Autumn Swiger- Harrell, PA-C ■■ Leslie Jackson, MD Saint Alphonsus-Baker City Radiology Gem State Radiology 541-523-8137

St. Luke's Eastern Oregon Medical Associates 3950 17th St., Baker City 541-523-1001 ■■ Jonathan D. Schott, MD (Family Practice) ■■ J. Daniel Smithson, MD (Family Practice) ■■ Eric R. Lamb, MD (Family Practice) ■■ William P. Irvine, MD (Family Practice/Obstetrics) ■■ Trisha Eckman, MD (Family Practice/Obstetrics) ■■ Neil Carroll, MD (Family practic/ Obstetrics) ■■ Deb Vencill, FNP ■■ Monte Anderson, PA-C ■■ Devin Bowman, PA-C ■■ Micah Thayn, PA-C ■■ Lily Wittich, MD (Family Practice/ Obstetrics) will be joining in fall of 2015

Eagle Cap Clinic 3705 Midway Drive, Baker City 541-523-4497 ■■ Randy Alanko, MD

12

Ophthalmology 3705 Midway Drive, Baker City 541-523-4497 ■■ James Davis, MD

Baker Vision Clinic 2150 Third St., Baker City 541-523-5858 ■■ Sheryl Blankenship, OD ■■ Leslie Elms, OD ■■ Logan Mitchell, OD

Physical Therapy Saint Alphonsus-Baker City Rehabilitation Services 3325 Pocahontas Road, Baker City 541-523-4654 Baker Valley Physical Therapy 3950 17th St., Baker City 541-523-8888 Integrative Physical Therapy 1207 Dewey Ave., Baker City 541-523-9664

Podiatry 2830 10th St. Baker City 541-523-0122 ■■ Michael Rushton, DPM

Chiropractors Baker City Chiropractic 2618 10th St., Baker City 541-523-6561 Family Wellness Center 2899 10th St., Baker City 541-523-6565 Elkhorn Chiropractic 2805 10th St., Baker City 541-523-2495

John Combe LMT, NCTMB Lic #7492

1002 4th Street La Grande (541) 993-9355

Specializing in Medical Sports - Auto Injury - Soft Tissue Care in Oregon for over 15 years

+ Certified Medical Massage Practitioner + Certified Kinesio Taping PractitionerTM + Certified Flexibility Coach + 2005 Oregon LMT of the Year + 2010 Oregon Meritorious Award Recipient + 2008 & 2012 Summer Olympic Trials Medical Team

13

Health & Wellness

Providers - Baker

Baker County Health Department 3330 Pocahontas Road, Baker City 541-523-8211

Dentists Baker Dental GrouP 2800 Main St., Baker City 541-523-6012 ■■ Tod Chandler, DMD ■■ Justin Bingham, DMD ■■ John Barinaga, DMD (orthodontist) ■■ J. Andrew Kooning (oral surgeon) Hills Family dentistry 2889 D St., Baker City 541-523-3870 ■■ Stuart Hills, DDS ■■ Meggan Hills, DDS Photo by Lisa Britton

Mountain Valley Dental 3980 Midway Dr., Baker City 541-523-6311 ■■ Dan Hayden, DDS Eastern Oregon Dental Group 1831 First St., Baker City 541-523-2144 ■■ Sean Benson, DDS ■■ Curtis Peters, DMD ■■ Warren Whitnah, DMD Halfway, 541-742-6012

Massage therapy

A Therapeutic Massage, LLC 1668 Resort Suite D, Baker City (Entrance on Auburn Avenue) Phone: 541-524-1501 Cell: 541-519-0146 www.atherapeutic-massage.com ■■ Renee Estes, LMT

Acupuncture is a traditional Chinese medicine that has been used for thousands of years.

Danielle's Massage Therapy LLC 1705 Main St. Suite 503 (Baker Tower), Baker City 541-519-4704 (by appointment) ■■ Danielle Collard, LMT (20360) Serene Massage 2618 10th St., Baker City 541-805-8022 ■■ Jenn Boehm, LMT Gold Heart Massage 2419 Seventh St., Baker City 541-523-4578 ■■ Scarlett Mary, LMT A well kneaded massage 2505 Third St., Baker City 541-519-7827 ■■ Kimberly Jonas, LMT 14

Bodyworks and Wellness center 2019 Washington Ave., Baker City 541-519-4116 ■■ Michelle Fouts, LMT The Last Resort Salon 2170 First St., Baker City 541-523-0530 ■■ Melissa Fulfer, LMT

Acupuncture Pin and Tonics acupuncture and herbs 1668 Resort St Suite D Baker City, Oregon 541-523-5740 www.pinandtonics.squarespace. com/ ■■ Leah Michel, LAc

Community Connection of Northeast Oregon, Inc. www.ccno.org

Administrative Office: 2802 Adams Ave, La Grande, OR 97850 • 541-963-3186 Margaret Davidson, Executive Director

Serving Baker, Union & Wallowa Counties Baker City 2810 Cedar 541-523-6591

La Grande 1504 Albany 541-963-7532

Enterprise 702 NW 1st 541-426-3840

Caring for our Senior Citizens in their homes and at our Senior Centers IN-HOME CARE: • A few hours a week to keep Senior Citizens living independently in their homes.

• Bathing, dressing, meal preparation, grocery shopping, light housekeeping.

RESPITE CARE • Let us care for your loved one and give you a break HEALTH SERVICES: • Blood Pressure Testing • Foot Care Clinics • Medical Equipment Loans • Educational Workshops: Living Well with Chronic Conditions, Diabetes Prevention Program, and Powerful Tools for Caregivers.

NUTRITION:

Daily Mon - Fri in Baker & La Grande • Mon, Wed, Fri in Enterprise & Wallowa

• A nutritious hot lunch at the dining center • Meals on Wheels delivered to the home. Also available in outlying communities GENERAL PUBLIC TRANSIT • Call for information on commuter services and services to outlying communities • See routes and times at www.neotransit.org FUN ACTIVITIES • Senior Socials • Chair Aerobics • Tai Chi • Dancing • Cards • Bingo in Baker City Mon. at 6:30pm, Tues. & Thurs. at 1pm • Bingo in La Grande Tues. at 6:30 pm • Call your Senior Center for complete activity list The mission of Community Connection of Northeast Oregon, Inc. is to advocate for and assist senior citizens, children, low-income persons and persons with disabilities in attaining basic human needs and in becoming more self-sufficient.

15

Health & Wellness Grande Ronde Hospital Surgical Anesthesia 900 Sunset Drive, La Grande ■■ Sheridan Klinger, CRNA ■■ Aaron Spracklen, MD 541-963-8421 ■■ Tim Schoenfelder, MD 541-962-0830

GRH Dentistry ■■ Sean Benson, DDS 1831 First St., Baker City 541-523-2144 (he travels to GRH)

GRH Emergency Medicine 900 Sunset Drive, La Grande 541-963-8421 ■■ Lewis Baynes, MD ■■ John Page, MD ■■ Gary Zeigler, MD ■■ Stephen McIlmoil, DO ■■ Kaare Tingelstad, DO ■■ Shayne Yocum, FNP ■■ Karen Phelps, FNP ■■ Vicki Hill Brown, FNP

Union Co. Providers

Winters Naturopathic Clinic 1606 Sixth St., La Grande 541-963-7289 ■■ John Winters, ND

South County Health District

Elgin Family Health Clinic 1400 Division St., Elgin 541-437-6321 ■■ Kim Montee, MD ■■ Jamie Jo Haddock, FNP Union Family Health Center 142 E. Dearborn St., Union 541-562-6180 ■■ Kim Montee, MD ■■ Jamie Jo Haddock, FNP ■■ Bonnie Hayslett, PAC ELGIN HEALTH CENTER 720 Albany St., Elgin 541-437-0239 ■■ Tempe Bartell, FNP

Family Medicine

General Surgery

GRH Regional Medical Clinic 506 Fourth St., La Grande 541-663-3138 ■■ Mary Deighton-Porter, DO ■■ Debra A. Studo, DO ■■ Mary Porter, DO ■■ Shayne Yocum, FNP ■■ Cosette Turnbow, FNP

GRH REgional Medical Clinic 506 Fourth St., La Grande 541-663-3138 ■■ Andrew Pearson, DO ■■ Christopher Woodworth, MD

La Grande Family Practice 2011 Fourth St., La Grande 541-963-4139 ■■ Bryan Conklin, MD ■■ Susan Jensen, MD ■■ John Schaefer, MD ■■ Ellen Schoenfelder, MD

■■ Richard Holecek, MD 700 Sunset Dr. Suite C, La Grande 541-962-0759

Hematology and Oncology

GRH Regional Hematology and Oncology clinic 900 Sunset Drive, La Grande, 541963-2828 16

■■ S. Maynard Bronstein, MD, PhD

Hospitalist Grande Ronde Hospital 900 Sunset Drive, La Grande 541-963-8421 ■■ Steven Hunsaker, MD ■■ Ronald Reynoso, MD ■■ Nitesh Sharma, MD ■■ Madhavi Tangirala, MD

Immediate Care GRH Regional Walk-In Clinic 506 Fourth St., La Grande 541-663-3138 ■■ Khuelien Dretke, FNP ■■ Thor Hauff, FNP ■■ Ken Chasteen, MD OBSIDIAN URGENT CARE PC 401 Adams Ave. La Grande 541-962-7407 ■■ Daniel Leone, NPC VILLAGE HEALTH CENTER 541-624-2040 tele-medicine only villagehealthcenter@yahoo.com ■■ Renee Edwards, FNP

Internal Medicine

GRH Regional Medical Clinic 506 Fourth St., La Grande, 541-6633138 ■■ Heidi Abreu, MD ■■ Stephen Bump, MD ■■ Keith Graham, MD ■■ Jose Gutierrez, MD ■■ Betsy Neeley, MD ■■ Susan Rice, MD See Union Couny/Page 18

Family Practice

Infant to Elderly

Eagle Cap Clinic, PC Randy Alanko, MD Physician and Surgeon Serving Baker County Since 1986 Traveling to a foreign country?

Reduce the risk that illness will spoil your trip.

Schedule an International Travel Consultation Certificate in Travel Health ™

541-523-4497

3705 Midway Drive • PO Box 69 • Baker City, OR 17

Health & Wellness Continued from Page 16

Neurology GRH Regional Medical Clinic 506 Fourth St., La Grande, 541-6633138 ■■ Rodrigo Lim, MD

Obstetrics and Gynecology GRH Women’s Clinic 610 Sunset Drive, La Grande 541-663-3175 ■■ Dawn Knight, MD ■■ Dale Robinson, MD ■■ Stacy Whitaker, DO ■■ Jill Parsons, RN, MN, WHCNP

Union Co. Providers

Otorhinolaryngology (Ear, Nose, Throat) 710 Sunset Dr. Suite D, La Grande 541-963-8643 ■■ Joe Petrusek, MD

Pathology Blue Mountain Pathology 700 Sunset Drive Suite A, La Grande 541-963-8911 ■■ George Wettach, MD ■■ Nicole Turner, MD

Pediatrics

Ophthalmology

GRH Children’s Clinic 612 Sunset Drive, La Grande, 541663-3150 ■■ Kevin Grayson, MD ■■ Michael Hetrick, MD ■■ Melindres Lim, MD ■■ Sarah Rollin, MD

1404 Gekeler Lane, La Grande, 541963-3119 ■■ William Pettit III, MD

Podiatry

Orthopedics GRH Regional Orthopedic Clinic 710 Sunset Drive, Suite F, La Grande 541-663-3100 ■■ Ben Olson, DO ■■ Clay Hill, FNP, DC ■■ Donald Warren, MD

Otolaryngology GRH REGIONAL OTOLARYNGOLOGY — HEAD and NECK SURGERY CLINIC 710 Sunset Dr., Suite F, La Grande 541-663-3190 ■■ Gerry F. Funk, MD, FACS

1408 N Hall St., La Grande 541-963-0265 ■■ Stacey J Clarke, DPM

Rushton Podiatry 1002 Spring Ave. Suite 1, La Grande 541-963-3431 ■■ Michael Rushton, DPM

Radiology Blue Mountain Pathology ■■ Matthew Allen, MD ■■ Daniel A. Kirkham, MD ■■ Randy Siltanen, MD

Urology ■■ Patrick McCarthy, MD 700 Sunset Drive Suite A, La Grande 541-963-6985 18

Dental care ■■ Mark Harris, DMD 1809Third St., La Grande 541-963-0924 Koza Family Dental Care PC 2502 Cove Ave., Ste. D, La Grande 541-963-4962 ■■ Stephen Koza, DMD Kruse and Kilpatrick Dental Office LLP 1502 N. Pine, Ste. 2, La Grande 541-963-6445 ■■ Russell Kilpatrick, DMD ■■ Brian Kruse, DMD ■■ Joseph Martinez, DMD, Orthodontist 904 Sixth St., La Grande 541-963-3525 ■■ James McMahan, DMD, FAGD 504 Fourth St., La Grande 541-963-5632 Eli B. Mayes LLC 1604 Fifth St., La Grande 541-963-9167 ■■ Patrick Nearing, DMD ■■ Eli Mayes, DDS ODS College of Dental Sciences 909 Adams Ave., La Grande 541-663-2721 ■■ Lynn Harris, DMD ■■ Wesley Rampton, DMD 1902 Fourth St., La Grande 541-963-4111 Sea Brite Dental 10609 S. Walton Road, La Grande 541-963-2741 ■■ Cynthia Morris, DMD See Page 20

Help when life has lost its joy or problems seem too big.

Caring. Confidential. Comprehensive.

Providing mental health evaluations and treatment for individuals & families

Domestic Violence, Sexual Assault, Elder Abuse Prevention & Victim Assistance 24 Hour Crisis Line 541-523-4134 or 888-213-4134

Joel D. Rice, MD, ASAM, Board Certified in Psychiatry Mary Goldstein, LCSW, Licensed Clinical Social Worker Susan Mangnall-Harris, PMHNP, Psychiatric Nurse Practitioner Susan Hughes, LCSW, Licensed Clinical Social Worker

Office: 541-523-9472 •1834 Main, Baker City www.maydayinc.net

All contact is confidential.

Trained advocates are here to help you.

• Counseling • Restraining Orders • Stalking Orders • Accompany you at court, hospital, etc.

• Shelter & Food Pantry • Clothing

Steve Eder, MA, Psychological Associate Jeff Harman, LPC, Licensed Professional Counselor

Support MayDay

BLUE MOUNTAIN ASSOCIATES, LLC

Your donations are tax deductable.

) !VENUE s ,A 'RANDE /2 s

1705 Main Street Baker City 541-910-4114

• Myofacial Release • Craniosacral Therapy • Pelvic Floor Rehabilitation • Lymphedema Therapy

Therapeutic Full Spectrum

1207 Dewey, Baker City 541-523-9664 www.integrativephysicaltherapy.net

w w w. b a r e f o o t w e l l n e s s . n e t 19

Health & Wellness Continued from Page 18 Walla Walla Orthodontics (Satellite Office) 2502 Cove Ave., Ste. B, La Grande, 541-624-5225 ■■ Thomas W. Utt, DDS ■■ Aaron B. Christopher, DMD, MSD

Union Co. Providers

Chiropractors All American Chiropractic 1411 Washington, La Grande 541-962-7618 ■■ Lance C. Shoemaker, DC

Union Family Health Center 142 E. Dearborn St., Union 541-562-6180 ■■ Larry Wogman, DDS

Alpine Chiropractic 77 N. Eighth Ave, Ste. E, Elgin, 541437-0341 ■■ John Suto, DC ■■ Billie Kaska-Suto, DC

SOUTH COUNTY HEALTH DISTRICT Elgin Family Dental Clinic 1400 Division St., Elgin 541-437-6321 ■■ Eli Mayes, DDS ■■ Kali Gray, DMD

Bond Total Health Care PC 1002 Spring Ave., Ste. 1, La Grande 541-963-5466 ■■ William C. Bond, DC

Eye Providers Apple Eye Care 10709 S. Walton Road, La Grande 541-663-4100 ■■ Daniel R. Beckner, OD ■■ Spencer K. Luke, OD La Grande Family Eye Care LLC 1502 N. Pine, Ste. 3, La Grande 541-963-3788 ■■ Samuel H. Kimball, OD ■■ David Glabe, OD ■■ William Pettit, MD, Ophthalmologist 1404 Gekeler Lane, La Grande 541-963-3119 Wal-Mart Vision Center 11619 Island Ave., Island City 541-663-9720 ■■ Jamal Masalmeh, OD

Grande Ronde Chiropractic Clinic 1108 J Ave., La Grande, 541-963-0339 ■■ Casey A. McKeown, DC Miller Chiropractic Therapeutic and Medical MAssage 1502 N. Pine, Ste. 1, La Grande 541-663-4849 ■■ Thomas D. Miller, DC ■■ Melinda Cator-Mead, DC 181 S. Main, Union, 541-562-5876 Crossroads Health and Nutrition 1704 Adams Ave., La Grande 541-963-9355 ■■ Willard Bertrand, DC ■■ Paulette Hugulet, DC Kehr Chiropractic 2008 Third St., Ste. B, La Grande, 541-963-9632 ■■ Daniel E. Kehr, DC ■■ Jason M. Kehr, DC

20

Acupuncturists

Bodywork Massage and Skin Studio 207 Fir St., La Grande 541-624-2000 ■■ Brett Halderman, LAC Blue Mountain Acupuncture 2519 Cove Ave., La Grande 541-962-0830 ■■ Kevin March, LAC ■■ Tim Schoenfelder, LAC ■■ Jennifer A. Moore, LAC, Herbal Cert.

1617 Fourth St., La Grande 541-910-2046 www.jam5e.com Turning Point Acupuncture 2519 Cove Ave., La Grande 541-962-0830 ■■ Glenda M. O’Connor, LAC

Massage Therapists Bodywork Massage and Skin Studio 207 Fir St., La Grande 541-624-2000 ■■ Patricia Zennie, LMT (14695), Facialist Combe's Wellness Center 1002 Fourth St., La Grande ■■ John Combe, LMT, NCTMB Me Daza Salon 1802 Fourth St., Ste. C, La Grande 541-663-6290 ■■ Heather Preciado, LMT (16086) See Page 24

21

Health & Wellness Wallowa Co. providers Continued from Page 10

DOCTORS & PHYSICIANS ■■ Kenneth Rose, MD, surgeon 603 Medical Parkway, Enterprise 541-426-5450 Winding Waters Clinic / Walk ins 603 Medical Parkway, Enterprise 541-426-4502 7 a.m.-7 p.m. Monday-Friday 9 a.m.-1 p.m. Saturday ■■ Elizabeth Powers, MD, OB, Family Med ■■ Reneé Grandi, MD, OB, Family Med ■■ Kathy Siebe, Pediatric Nurse Practitioner ■■ Keith DeYoung, MD, OB, Family Med ■■ Shannon Wiedeman, ANP ■■ Laurel Witt, MD ■■ Susanne Crane, PA ■■ Randi Movich, NCM ■■ Joseph L. Petrusek MD, ENT, 541-963-8643, 541-963-8643 ■■ Patrict McCarthy, MD 541-963-6985 ■■ Angelo Ferraro, MD 509-838-7711

OPTOMETRISTS Wallowa Valley Eye Care ■■ Troy Bailey, OD 519 W North St., Enterprise 541-426-3413 ■■ Dr. Giebel, Ophthalmology 509-540-3937 (he travels from Walla Walla periodically)

DENTISTS

ACUPUNCTURISTS

Chief Joseph Dental Clinic ■■ Steve Zollman, DMD PO Box 786/401 Suite B Main St., Joseph, 541-432-6555

Wallowa Mountain Acupuncture ■■ Amy Zahm, L Ac. ■■ 103 Highway 82, Ste 5, Enterprise ■■ Telephone: 541-398-1270 ■■ www. wallowamountainacupuncture. com

General Dentistry ■■ Jason Follett, DMD 204 Residence St., Enterprise 541-426-3531 ■■ Tyler Schaffeld, DMD 120 S River St., Enterprise 541-426-3783 Emergency: 541-426-3650

PHYSICAL THERAPY

New Heights Physical Therapy LLC ■■ Jerry Ivy, PT, and Sylvanna Ivy, PTA 103 Highway 82, Ste. 4 PO Box 355, Enterprise 541-426-4870 Fax: 541-426-4872 Wallowa Memorial Physical Therapy 603 Medical Parkway, Enterprise 541-426-5314, Fax 541-426-1911 ■■ Jean Schultz, PT ■■ Franz Horvath, DPT ■■ Ann Foley, PT, MS ■■ Tyler Stucki, DPT ■■ Aaron Gray, DPT ■■ Zach Brown, DPT

CHIROPRACTORS

Alpine Chiropractic Clinic ■■ John & Billie Suto, DC 610 W North St., Enterprise Telephone: 541-426-3107

Windspirit Oriental Medicine & Wellness Retreat ■■ Laurel Sander, L. Ac. NCCAOM, D.O.M. 541-432-WIND (9463) http://windspiritmedicine.com heal@windspiritmedicine.com

MASSAGE THERAPY

■■ Nancy Greene - LMT 103 W Greenwood, Enterprise Telephone: 541-398-0211

Radiant Massage ■■ Cindy Parks, Licensed Massage Therapist 103 Highway 82, Ste. #4, Enterprise Telephone: 541-398-1116 Email: cindymae8@hotmail.com

ADULT CARE

Alpine House Assisted Living Residence 204 N Park St., Joseph Telephone: 541-432-7402 Email: alpinehs@eoni.com Pioneer Guest Home ■■ Adult Residential Treatment Facility 101 E Main St., Enterprise Telephone: 541-426-4222 See Page 24

22

New Directions Northwest, Inc. is a not-for-profit organization that has been providing alcohol and drug treatment services since 1968.

We employ over one hundred people in Baker City.

Our mission is to provide high quality, innovative and comprehensive education and treatment by an integrated multidisciplinary team to those affected by developmental disabilities, substance abuse and mental illness in a caring, empathetic and professional manner.

New Directions is dedicated to empowering individuals and their families to lead healthy, successful, productive, and self-fulfilling lives.

2100 Main Street, Baker City • 523-7400

We provide the following programs in Baker City: • Baker House - Adult Residential Treatment for those who have been unable to obtain sobriety on an outpatient basis. Accepts statewide referrals.

• Recovery Village - Provides treatment to women who live with their children in a residential setting for up to six months. Accepts statewide referrals.

• Elkhorn Adolescent Treatment Center - Residential treatment center for youth with serious alcohol and drug problems. Accepts statewide referrals.

• New Directions Behavioral Health and Wellness - Outpatient mental health, alcohol and drug treatment programs serving Baker County, providing traditional outpatient services, intensive outpatient services, gambling, developmental disabilities, DUII services, adolescent outpatient, preventive services and a job seekers program.

23

• Powder River Alternative Incarceration Program - this nationally recognized treatment program is located inside of the Powder River Correctional Facility. This program is acknowledged as on of the best “in prison” programs in the country.

Health & Wellness

Wallowa Continued from Page 22 Wallowa Valley Senior Living 605 Medical Parkway., Enterprise 541-426-5311, business@wvseniorliving.com Weaver Adult Foster Home 64819 Hurricane Creek Rd., Enterprise, 541-426-9091

Union Continued from Page 20 ■■ Angie Miller, LMT (7709) 1406 N. Cherry St., La Grande, 541963-0700 Miller Chiropractic Therapeutic and Medical Massage 1502 N. Pine, Ste. 1, La Grande, 541663-4849 ■■ Amy Gulzow, LMT ■■ Kristy Wright, LMT A Touch of Joy Massage 115 Elm St., Ste. 10, La Grande, 541620-2752 ■■ Joy Mentgen, LMT (14268)

Other services/clinics Eastern Oregon Audiology 1613 Fifth St., La Grande, 541-6634412 ■■ Robin Maxon, Au.D.

Mental Health

Wallowa Valley Center for Wellness PO Box 268/207 SW First St., Enterprise, Telephone: 541-426-4524 FAX: 4263035 Coaching For Life ■■ Judy Allen, Certified Life Coach PO Box 385, Joseph 541-432-0254

Providers ■■ Jeffrey Harman, MA., LPC 603 Medical Parkway, Enterprise 541-426-3067

Respiratory Therapy NORCO 83365 Joseph Hwy., Joseph, 541432-0100 ■■ Chris Holmes, RRT

Heart 'N Home (Hospice) 2104 Cove Ave. Suite A, La Grande, 541-624-5800

■■ Susan Hughes, LCSW ■■ Steve Eder, MA ■■ Jeffrey Harman, LPC

La Grande Post-Acute Rehabilitation 91 Aries Lane, La Grande, 541-9638678

CENTER FOR HUMAN DEVELOPMENT 2301 Cove Ave., La Grande 541-962-8800

Allergists

■■ Mark Pruitt, MSN, FNP 541-632-4050

Respiratory Therapy NORCO 3102 Island Ave., La Grande, 541-9638494 ■■ Chris Holmes, RRT

Mental Health

Blue Mountain Associates and Recovery 1101 I Ave., La Grande, 541-962-0162 ■■ Joel D. Rice, MD, ASAM ■■ Susan Mangnall-Harris, PsyD, PMHNP ■■ Mary Goldstein, LCSW 24

Physical Therapy MOUNTAIN VALLEY THERAPY 2519 Cove Ave., La Grande 541-962-0830 ■■ Ron Babcock, RPT ■■ Corrine Dutto, MPT, OCS ■■ David Ebel, RPT ■■ James Gorham, MPT, CEO ■■ Shantay Mayes, DPT ■■ Spencer Despain, DPT ■■ Tracey Adkins, LPTA ■■ Amanda Winkle, LPTA, LMT ■■ Karen Deusch, LPT, LLCC ■■ Craig Volez, LPTA ■■ Brook Jorgensen, MS, ATC ■■ Brittany Myren, PTA ■■ Susan Van Horne

Health & Wellness

Directory

Gold Heart Massage Scarlett Mary LMT 541-523-4578 Member AMTA - OR 4341 • Certified Medical Massage USA

Your Health. Your Wellness. Your massage therapy.

Park Place

Rachel Pregnancy Center

A Scenic Escape Plenty to see and do at your own pace.

Near City Park and Museum • Accommodates up to 6 Fully Furnished Vacation Rental

Treat Yourself in Historic Baker City

Services Provided: • Tests • Referrals • Counseling • Brochures • Classes • Bible Study • Clothing • Post-abortion Counseling

Remember us for your memorial donations.

Donations are tax deductible.

2192 Court, Baker City • 541-523-5357

Details and reservations at: vrbo.com/663266 or airbnb.com/rooms/4969343 • 541-499-7848

Open Wed, Thurs, Fri 9-5 • Closed for lunch

Janet Alanko, cpm, lm

Home: 541-523-9383 Cell: 541-805-8356

Mollie Atwater and Friends Spay / Neuter Fund Helps decrease unwanted cats & dogs in Baker County and North Powder by assisting with spay/neuter surgery costs.

Need help with costs?

Submit a request to:

Home births and well woman care 25

PO Box 402, Baker City OR 97814

BC8245 kk

Traveling Stork Midwifery

Health & Wellness

Veterans Hospital

Resources for veterans

T

he Jonathan M. Wainwright Memorial VA Medical Center, located in Walla Walla, Wash., is an outpatient primary care facility with a focus on personal, pro-active, Veteran driven care to optimize the Veteran’s health and well-being. The Walla Walla VA also operates four community-based outpatient clinics and one contract VA Clinic for area veterans, including one outpatient clinic located at 202 12th St. in La Grande.

The La Grande VA Clinic provides veterans with primary health care and behavioral health care as well as various group therapy programs. Specialty care that cannot be provided at the Walla Walla VA in Walla Walla is provided by referral to VA medical centers or through community providers in the local area.

The La Grande VA Clinic’s primary service area includes Morrow, Umatilla, Union and Wallowa counties, with approximately 1,250 veterans from this area currently receiving care at the clinic. Hours are 8 a.m. to 4:30 p.m. weekdays (excluding federal holidays).

For more information, call the clinic at 541-963-0627.

The Walla Walla VA has also opened two telehealth primary care clinics in Oregon, one in Enterprise, called Wallowa County VA Telehealth Clinic, made possible through rural health funds.

The Walla Walla VA is leasing space in the old Wallowa Memorial Hospital structure from Wallowa Resources, and the four-room suite has been remodeled to suit the needs of providing appropriate care to area veterans.

The telehealth clinic is staffed full-time by a registered nurse on-site, and the provider is located at the La Grande Clinic who provides primary care services to area veterans via telehealth communications on select days each week. Telehealth clinic hours are also 8 a.m. to 4:30 p.m. weekdays (excluding federal holidays).

For information about eligibility for care, please call 888-687-8863, and ask for the Eligibility Department. For more information about the Enterprise telehealth clinic, contact Sarah Gregg, the nurse manager of the La Grande VA Clinic, at 541-963-0627 or Linda Wondra, public affairs, at 888-687-8863, Ext. 26520.

26

Baker County: Veterans Office 1995 Third St., Baker City 541-523-8223 Union County: 2301 Cove Ave., La Grande 541-962-8802, 541-963-5272 Wallowa County: 104 Litch St., Enterprise 541-426-3155 Ext. 241 Walla Walla VA Medical Center 77 Wainwright Drive, Walla Walla, Wash.

509-525-5200 • 888-687-8863 www.wallawalla.va.gov Boise VA Medical Center 500 Fort St., Boise, Idaho 208-422-1000 • 866-437-5093 www.boise.va.gov.

U.S. Department of veterans affairs www.va.gov Click on "Locations" for hospitals, vet centers and more

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Free, confidential, 24 hour assistance is available for victims of sexual violence.

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Call Shelter From the Storm Hotline at:

541-963-9261

2502 Cove Ave. La Grande www.KozaFamilyDentalCare.com

Like us on Facebook

“We Are in Your Community�

Call for nutrition, wellness, agricultural, horticultural, forestry and 4-H youth development programs in your area.

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www.extension.oregonstate.edu Baker County 2600 East Street, Baker City, OR 97814 541-523-6418 Union County 10507 N McAlister Rd, Rm 9, La Grande, OR 97850 541-963-1010 Wallowa County 668 NW 1st, Enterprise, OR 97828 541-426-3143

27

Health & Wellness

Diabetes

Know your risks and prevent type 2 diabetes

By Trish Yerges

WesCom News Service

I

f an ounce of prevention is worth a pound of cure, then Kathy Hayden, diabetes prevention program regional coordinator with Community Connection in La Grande, is on the front lines of the battle field.

She is a Lifestyle Coach for the National Diabetes Prevention Program, a year-long lifestyle change program in which participants meet in a group with a trained Lifestyle Coach. There are 16 classes held once a week for one hour followed by classes held once a month for eight months.

“Participants learn how to include healthy eating and regular physical activity in their lives in order to achieve a modest weight loss and help prevent developing type-2 diabetes,” said Hayden.

If this can be achieved, it reduces developing type-2 diabetes by 58 percent for people under age 60 and by 71 percent for people over age 60.

“The classes will teach participants to become fat detectives,” said Hayden. “They will track how many grams of fat they eat daily. The daily allowable grams of fat depend on your height and weight.”

Physical activity forms are routinely completed and handed in at each class in order to raise awareness to this essential element of diabetes prevention.

“The goal is to achieve a 5 to 7 percent weight loss and increase activity by 150 minutes per week,” Hayden said.

Photo by TrishYerges

Elgin Social Club's cook Shirley Kirk will cater to diabetic diners and modify their plates at the noon lunch held eachThursday at the Elgin Community Center.

"Participants learn how to include healthy eating and regular physical activity in their lives in order to achieve a modest weight loss and help prevent developing type-2 diabetes."

— Kathy Hayden, diabetes prevention program regional

See Diabetes/Page 30

coordinator, La Grande

28

You were there for us.

Now we're here for you.

Baker County Veteran Services 1995 3rd Street, Baker County Courthouse 541-523-8223 Rick Gloria, Veteran Services Coordinator The Baker County Veteran Services Office provides access to the wide range of benefits and services offered to veterans and their dependents.

Health Care, Education, Compensation & Pension, Burial Benefits & much more

Sherry Dress, LDM CPM Licensed Certified Midwife Specializing in Home Birth

There’s No Place Like Home

Preferred providers for Aetna Met Life Pacific Source Cigna Advantage Dental Blue Cross/Blue Shield of Oregon ODS All dental insurances billed including AFLAC All facets of dentistry including sedation for our anxious patients

• Complete Gynecological Exams • Infertility Problems • Homeopathic/Nutrition Consultations • Iridology Evaluations • Biofeedback Therapy

SERVING ALL OF OREGON

There’s No Place Like Home 541-620-1372 • www.sherrydress.com

Dr. Cynthia A. Morris

M-Thurs 7 am - 3 pm 10609 S. Walton Road, Island City r MBHSBOEFEFOUJTU DPN

25198 Hwy 395 S • Canyon City

email: Motheroftheworld@hotmail.com www.sherrydressmidwife.com

29

Health & Wellness

Diabetes

Diabetes Risk factors for type-2 diabetes include:

Continued from Page 28

“On a local level, we have been very successful at helping people meet their 5 to 7 percent weight loss. It’s a really easy program with average people in attendance, but the results all depend on the buy-in or commitment of the participant.”

Lifestyle Coaches like Hayden will facilitate a group discussion at these classes, helping participants to become more aware of healthy eating, physical activity, controlling their environment, managing eating out circumstances and social cues as well as managing stress, staying motivated and not sliding backward.

Lifestyle change programs like the one Hayden facilitates are the first line of defense against developing type-2 diabetes, especially since nearly 80 million people are currently prediabetic and don’t know it.

Unless lifestyle changes are made to prevent diabetes, the Center for Disease Control estimates that by 2050, 1 in 3 people will develop type-2 diabetes.

Knowing if you are in a high-risk category for type-2 diabetes is the first step of self-awareness. For example, diabetes appears to be more prevalent in certain ethnic groups.

“Forty-five percent of African-Americans, Asian-Americans, Hispanic/Latinos, Native Americans and PacificIslanders have prediabetes,” she said.

Other risk factors include: if you’ve ever had gestational diabetes, had a sibling or parent who has diabetes, are under age 65 and sedentary, are overweight or have a body mass index of 25 or greater.

To learn if you are prediabetic, ask

• if you've ever had gestational diabetes • had a sibling or parent who has diabetes • are under age 65 and sedentary • are overweight or have a body mass index of 25 or greater

Diabetes prevention program classes start: your primary care provider to order one of the following glucose tests: a fasting glucose test, a glucose tolerance test or a Hemoglobin A1c test.

The diabetes prevention program is funded by the state and by a MODA grant for the 12 eastern counties in Oregon.

Classes in Northeast Oregon are scheduled as follows: in Union County starting Jan. 20 at 5:30 p.m. at the Union County Senior Center; in Wallowa County starting Feb. 5 at 10:30 a.m. at Wallowa County Senior Center; and in Baker County on Feb. 11 at 5:30 p.m. at the Baker County Senior Center.

For registration information, visit www.ccno.org or email kathy@ccno. org.

30

• Union County: 10:30 a.m. Feb. 5 at Union County Senior Center • Wallowa County: 10:30 a.m. Feb. 5 at Wallowa County Senior Center • Baker County: 5:30 p.m. Feb. 11 at Baker County Senior Center

Register: www.ccno.org or email kathy@ccno.org

Healthy Living Starts Here s 6ITAMINS (ERBS AND (OMEOPATHICS s 'LUTEN FREE FOODS s &RESH ORGANIC PRODUCE s (EALTHY BODY CARE PRODUCTS s %ARTH FRIENDLY HOUSEHOLD SUPPLIES s %XTENSIVE "ULK &OOD 3ELECTION s (EALTH &ITNESS "OOKS s #ERTIFIED .ATURAL .UTRITIONIST ON HAND /PEN -ONDAY &RIDAY 3UNDAY

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natural foods, supplements, juice & smoothie bar

Care that's always there at Settler's Park The Original Assisted Living of Baker City

Settler's Park

At Settler's Park, a Senior Lifestyle Community, you can lead a more independent lifestyle. Our memory care staff are well trained in dementia care programming and dedicated to taking care of your needs.

A Senior Lifestyle Community

Assisted Living & Memory Care • 2895 17th Street, Baker City OR 97814 • 541-523-0200 • www.seniorlifestyle.com

31

Health & Wellness

Therapy

Photo courtesy Wallowa Memorial Hospital

Aquatic therapy benefits patients

By Trish Yerges

WesCom News Service

Wallowa county patients are benefitting from a new aquatic program, funded by memorial contributions made to the Wallowa Valley Health Care Foundation in honor of the late Jack McClaran.

McClaran was on the original committee that established the foundation and “this investment in healthcare fits well with his life goals,” said foundation president Dave Smyth.

Through a special partnership between Wallowa Memorial Hospital’s physical therapy department and the Eagle’s View Inn & Suites, which houses the pool, the aquatic therapy program is in full swing.

To equip physical therapists within the program, the foundation used memorial contributions to purchase flotation belts, aquatic dumbbells, kick boards, sports training fins, therapy bars and other water equipment needed by the patients. Patients have noted the health benefits of the

aquatic program.

Sylvia Peinado of Enterprise, who had back surgery and was preparing for a neck surgery, found the aquatic program to be just what she needed to build strength and mobility.

“I couldn’t do anything before because it was just too painful,” she said, “but this has turned my life around.”

Lynn Winterton of Wallowa also joined the aquatic program following a back surgery.

“I live for coming here,” she said.

“Water is a miracle worker. This therapy has allowed me to do things I haven’t been able to do in years like plant a flower garden.”

The success of aquatic therapy lies in the physical properties of water.

“Buoyancy assists in supporting the weight of the patient, viscosity provides gentle resistance and hydrostatic pressure decreases swelling and improves joint position,” said physical therapist Ann Foley.

The benefits include an increase 32

in joint flexibility, muscle strength, improved balance and a decrease in pain, abnormal tone, spasticity and rigidity.

Patients with muscle weakness, orthopedic and rheumatological conditions like arthritis or those recovering from all phases of injury and illness can experience healing benefits from aquatic therapy. Those who have undergone surgeries like joint replacement or reconstruction of a bone fracture find they can rebuild their muscle strength.

Steve Zollman appreciated the aquatic therapy program after surgery on his back. “The water takes the pressure off my joints,” he said.

The aquatic therapy program has been something the community has wanted for a long time, said Foley.

Patients may inquire about aquatic therapy by calling the physical therapy department at Wallowa Memorial Hospital or by consulting a primary care provider.

C H U R C H D I R E C T O RY ELKHORN BAPTIST CHURCH

Pastor Tim Fisher Sunday School...................9:30 am Morning Worship............10:45 am Evening Worship................6:00 pm Bible Study &Prayer -Wed. 6:30pm Wed. Discovery Kids......... 6:30 pm

For your spiritual health, we

The will of God will never take you to where the Grace of God will not protect you.

3520 Birch • Church 523-4332

you to join us.

1734 Third Street, Baker City

5411 523 541-523-4201

523-3922 • bakerluth@my180.net

Sunday Worship

First Service..............................9:00 am 2nd Service & Sunday School..10:45 am Small Groups: Kids Connection Pre-5th Grade Wednesday..............6:30 pm High School Youth - Tues........ 7:00 pm Jr. High Youth - Mon............... 6:30 pm

Jesse Whitford, Pastor Luke Burton, Youth Pastor Jase Madsen, Children's Pastor 675 Hwy 7 • 541-523-5425

St. Stephen’s Episcopal 2177 First Street • Baker City Corner Church & First Streets

Services at 9 AM 1st & 3rd Sundays Holy Eucharist 2nd & 4th Sundays Morning Prayer 5th Sunday of any month Morning Prayer Vicar The Rev. Aletha Bonebrake 523-6025

Church Office: In North Wing of Church Entrance on 1st St. • 523-4812

Est. 1864

Sunday Service 11 am June-August Service 10 am

Open Hearts Open Minds Open Doors

HEALING ROOMS FREE PRAYER

Thursday 5-7 p.m.

514-523-6586 Agape Christian Center

Sunday Services 10 a.m. & 6:30 p.m.

Pastor Garth Johnson South Hwy 7

FIRST LUTHERAN CHURCH

Baker United Methodist Church 1919 2nd Street, Baker City

AGAPE

SEVENTH-DAY ADVENTIST CHURCH 17th & Pocahontas, Baker City 523-4913 Pastor Tony Brandon

The People of the United Methodist Church Putting Faith and Love Into Action Sunday Worship Casual Service: 8:30 AM Adult Bible Study: 10 AM Traditional Service: 11 AM Bible Study•Small•Groups Community Service•Crafts Game Nights•Potluck Dinners Home of the Annual Autumn Bazaar Pastor Elke Sharma Contact us at bakerrumc@thegeo.net Learn about Methodism: www.umc.org

St. Francis De Sales Cathedral

Established 1904

Midway Drive P.O. Box 1046 Baker City, Oregon 97814

Baker City Saturday Mass............................6:00 pm Sunday Mass .............................9:30 am Spanish Mass..................................Noon St. Therese, Halfway.........2 pm Saturday Weekday Masses At The Cathedral Times Vary Check at office for exact time.

Father Robert Greiner, Pastor Knights meet 3rd Thursday at 7 pm FIRST PRESBYTERIAN CHURCH

1995 Fourth Street • Baker City 523-5201

Open to all patients, family and friends for reflection and prayer.

10:30 am Sunday Worship Service 9:30 am Sunday School (Sept. - May) Child Care Provided

33

Church at Study...............9:30 am Worship........................ 11:00 am

Baker Valley Adventist School Grades 1-8 • 523-4165

541-523-4521 • Corner of First & Church St.

SAINT ALPHONSUS HOSPITAL CHAPEL

Services Saturdays

Sunday Worship

10 AM Worship Service Children's Church & Nursery 6 PM Youth Group (7-12 Grade)

Wednesdays

6:15 PM Awana (age 3-6th Grade) (September - April)

Home Studies

Meet Monday through Friday Pastor Dave Deputy www.bakercalvarybaptist.com Third & Broadway 541-523-3891

Baker County Living

Cancer Care

S. John Collins/Baker City

Dr. Maynard Bronstein visits with patient MarianTaylor before her chemotherapy treatment.

Cancer treatment close to home

By Lisa Britton

WesCom News Service

Traveling isn’t fun when you feel crummy, and cancer patients undergoing chemotherapy must deal with all sorts of unpleasant side effects.

But in Northeastern Oregon there are options to keep patients at home.

Dr. S. Maynard Bronstein, an oncologist and hematologist, is based at Grande Ronde Hospital in La Grande, but he also sees patients in Baker

City and Enterprise.

Chemotherapy is available in all three clinics.

“Any FDA-approved chemotherapy we can do locally,” he said.

Bronstein joined the medical staff at Grande Ronde Hospital in September 2011.

Prior to moving, Dr. Bronstein discovered the need for oncology services when he saw patients at a weekly outreach clinic in La Grande and 34

through telemedicine consults.

Now he provides oncology and hematology services for patients within Union, Wallowa and Baker counties.

Hematology is about blood disorders, such as anemia, high or low blood counts and blood clotting — generally benign conditions, Bronstein said.

See Cancer/Page 36

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Health & Wellness

Cancer Care

Cancer Continued from Page 34

H

e’s been working in the fields of oncology and hematology since 2000, when he finished his fellowship. He discovered his interest in the areas during rotations at medical school.

“I really liked oncology,” he said.

Cancer, he said, is the leading cause of death in the United States. It took the number one position from heart disease around 2003.

Cancer, he said, is a chronic illness in some cases.

“There are lots we can’t cure, but we can manage,” he said.

Plus, new treatments given in the form of pills are providing another option for treating the disease.

A

s for cancer prevention, he says screenings are the best tools — mammograms, Pap smears, colonoscopy and the HPV vaccination.

And the number one preventive measure? Don’t smoke.

“If we could do one thing to cut down on cancer deaths it’s to stop smoking,” he said.

Lung cancer is one of the most common, followed by breast, colon and prostate.

Other cancer prevention advice he gives is to get exercise and have a healthy diet.

“The important thing is to eat your veggies,” he said.

He said antioxidants are not scientifically proven to prevent cancer.

More information about Bronstein's practice is available by calling 541963-2828 or visit the website www. grh.org.

S. John Collins/Baker City Herald

Maureen Joseph, RN, tends to patient Barbara Johnson.

"If we could do one thing to cut down on cancer deaths it's to stop smoking."

— Dr. Maynard Bronstein, oncology and hematology

36

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Health & Wellness

Lifestyle

10 things you can do right now to live longer

By Leslie Barker

The Dallas Morning News

(TNS) —If you want to have the longest, healthiest life possible, you should never have lit that first cigarette. Never tasted that first cheese fry. Never turned up your nose at vegetables or let yourself get those nasty sunburns.

If you did, take heart. There's still plenty you can do to add years to your life.

1. Floss Flossing removes plaque, the bacterial film that forms along your gum line. Get rid of bacteria, and you lessen your chances of heart disease, stroke, diabetes, Alzheimer's disease and some forms of cancer, says Dr. Larry Korenman of Loveable Smiles in Richardson.

Years added? More than six if you floss daily (which only 5 percent to 10 percent of Americans do).

2. Get a colonoscopy "It's a great test," says Radhika Vayani, an internal medicine doctor of osteopathy at the University of North Texas Health Science Center in Fort Worth. "If they see a polyp, they get rid of it right then and there. That could save you from having colon cancer in five years."

Years added? Lots. Nine out of 10 people whose colon cancer is discovered early will still be alive in 10 years, according to the American Cancer Society. Many will live a normal lifespan.

3. Stop eating before you're full Most Americans eat and eat "till we're so full we're about to be sick," says Vayani. "But it takes the body 15 to 20 minutes to say, 'You're full.'"

Years added? Being 100 pounds overweight can subtract a decade

1. Floss 2. Get a colonoscopy 3. Stop eating before you're full 4. Use sunscreen 5. Stop smoking 6. Sleep 7. Move 8. Eat produce 9. Cultivate healthy relationships 10. Be grateful

from your life, according to an Oxford University study.

4. Use sunscreen In a Centers for Disease Control study, only 32 percent of adults reported usually applying sunscreen.

Yet this year in the U.S., 3.5 million people will get skin cancer and 76,000 more will develop melanoma, says the American Cancer Society. Every hour, someone will die from that deadliest form.

Years added? Possibly 20.

5. Stop smoking Yes, despite years and years of evidence proving all the nasty stuff it causes, "tons of people smoke," Vayani says.

Years added? "If you quit at age 30, you can increase your life by 10 years," she says. Quit at 40? Add nine years. 50? Six years. 60? Three.

6. Sleep Not getting enough has been linked to memory problems, hearing problems, anger, high blood pressure, stroke, depression, vehicle accidents and obesity.

Years added? Hard to say, but if someone died in a car accident caused 38

by sleep deprivation, for instance, that's probably several decades.

7. Move "Exercise has been demonstrated over and over to be useful," Johnson says. "Truth is, any level is of value."

Walking, he says "gets you outside, and some outside is good as long as you don't overdo it. The best way to get Vitamin D is sunshine."

Years added? At least three.

8. Eat produce Benefits abound. Among them: Eating five or more servings per day — instead of a piddly three or fewer — reduces your risk of stroke by 26 percent, according to a study reported in Men's Health.

Years added? Webmd.com reports that Seventh-day Adventists, who typically follow a vegetarian diet, outlive those who don't by three to seven years.

9. Cultivate healthy relationships Spending time with family and friends is "psychologically helpful," Johnson says, adding that it "isn't a cure-all; it won't counteract a McDonald's cheeseburger."

Years added? Nothing specific, but "studies have shown that people with more friends and people in healthy relationships live longer," she says.

10. Be grateful "We experience great things all day long that we fail to acknowledge," Johnson says. "I don't want to sound new wave-y, but our health is more than just physical health. I see dozens of people who have illnesses that would lay you or me low, but they seem totally happy. How in the Sam Hill can that be? They've chosen to look at the good instead of the challenges."

Support for moms

Health & Wellness

WIC focuses on nutrition and breastfeeding support

By Lisa Britton

LATCH

WesCom News Service

The federal WIC program has been helping women and families since its inception in 1974.

WIC stands for â&#x20AC;&#x153;Women, Infants and Children.â&#x20AC;?

The program focuses on nutrition education, healthy foods, breastfeeding support and referrals for healthcare and social services.

In Eastern Oregon, WIC offices are located at the health departments in Baker, Union and Wallowa counties.

To qualify for WIC, applicants must meet four criteria: â&#x20AC;˘ Live in Oregon â&#x20AC;˘ Be a pregnant, postpartum or

Offers support for breastfeeding moms. Meets the second and fourth Thursdays at St. Luke's EOMA, 3950 17th St., Baker City.

breastfeeding woman, or a child under 5 years old â&#x20AC;˘ Have a household income less than 185 percent of poverty guidelines â&#x20AC;˘ Have a nutritional need or risk A complete chart is available online at http://public.health.oregon.gov/ HealthyPeopleFamilies/wic/Pages/

income.aspx.

WIC also promotes breastfeeding â&#x20AC;&#x153;as the optimal infant feeding choice and supports moms along the way.â&#x20AC;?

In Baker County, WIC has helped establish LATCH, a breastfeeding support group that is a collaboration with St. Lukeâ&#x20AC;&#x2122;s EOMA and St. Alphonsus Medical Center-Baker City.

LATCH meets on the second and fourth Thursdays of each month at St. Lukeâ&#x20AC;&#x2122;s, 3950 17th St. in Baker City.

Pregnant women and nursing moms are encouraged to attend â&#x20AC;&#x201D; professionals are available to answer questions and other moms offer support. Nursing babies are welcome, but childcare is not provided.

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Health & Wellness

Health Research

Squeeze play: Hugs may figure into health

By Jill Daly

Pittsburgh Post-Gazette

(TNS) — You'll get no argument from most people — especially on a cold winter's night — that hugs make you feel warm inside.

But can that good feeling protect your health?

Over the past decade or so, researchers have sought to explain the positive effects credited to the nonverbal gesture of human connection. It comes alongside research that says chronic stress is linked to shorter lifespans, higher rates of heart disease and diabetes, depression and less effective immune systems.

The science takes two points of view: Hugs as a method of social support, buffering the body from stress, and hugs as a physiological experience that lowers blood pressure and levels of the stress hormone, cortisol.

Hugs as flu fighter

Noted psychologist Sheldon Cohen of Carnegie Mellon University has led new research that reports people who experience high levels of social support and frequent hugs were protected from a higher risk of getting sick when under stress. Published recently Psychological Science, the 404 subjects in the study — healthy people who were exposed to flu and cold viruses — were monitored for 14 days for times of stress with other people, number of hugs and amount of viral antibodies in their blood (a sign of virus infection), and any mild or severe symptoms of illness.

Since the mid-1980s, research by Cohen and others reported on the ways a social network can help a per-

"In times of stress and conflict, that's when support from people in your life is important."

— Sheldon Cohen, Carnegie Mellon University

son cope with life's stressful events, including interpersonal conflicts. By 1999, research found that people who had stress from conflict with other people and were exposed to the common cold virus had a higher risk of being infected. The first part of the latest CMU study was begun in 2000.

"Our interest has been historically in social support," said Cohen. "Our lab and others have developed a lot of evidence that in people who have strong social support networks, their network will buffer them from the effects of stress. Less known is how that happens; how social support is conferred to people."

Generally, the CMU psychologist explained, the amount of social support for a person has been measured by asking people what support they have, not in what people do to show this support.

"In times of stress and conflict, that's when support from people in your life is important," Cohen said.

"It may make less difference in other times in your life."

"Overall, other studies about nonsexual touch (have found) it can buffer acute physiological markers of stress," he said. "We wondered if it would work in the real world."

The journal article says participants with low levels of social support 40

and more frequent interpersonal tension and conflict were found to have a greater likelihood of being infected after exposure to a virus. Both social support and hugs seemed to offset the negative effect of tension and conflict in being susceptible to getting sick.

"If you have high levels of conflict, you're more likely to get infected," Cohen said, "but you're protected from that if you have either high levels of social support or high levels of hugs."

Massage helps, too

In the camp pursuing the study of the body's physiological responses to touch is Tiffany Field, director of the Touch Research Institute at the University of Miami School of Medicine.

She said there is already well-known published research showing that massage can improve the body's immune responses.

"We know that massage alters immune function," she said. "There is data showing an increase in natural killer cells (that destroy) bacterial, viral and cancer cells."

"And the literature shows that hugging between couples alleviates stress," she said, naming 2005 research, also cited in the CMU study, that showed that after hugging before a stressful event, such as a test, cortisol levels in a person are lowered.

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Health & Wellness

Nutrition

Dinner at home is main ingredient for healthy living

By Meredith Cohn The Baltimore Sun

(TNS) — People who eschew takeout for home cooking eat healthier foods, whether they aim to or not, according to new research from the Johns Hopkins University.

“When people cook most of their meals at home, they consume fewer carbohydrates, less sugar and less fat than those who cook less or not at all — even if they are not trying to lose weight,” said Julia A. Wolfson, the lead author of the study and a fellow at the Center for a Livable Future at Hopkins’ Bloomberg School of Public Health.

The findings may be obvious to some, or at least reassuring to others, but they could have implications for the obesity epidemic facing adults and children in the United States if enough people are persuaded to cook their own meals.

Wolfson, a trained chef, said some people don’t think they know how to cook or don’t think they have the time.

Others may not have ready access to healthy ingredients, such as fresh produce. Many people are just out of the habit.

She said cooking at home doesn’t have to be fancy or expensive, and most people just need a kick-start, like a cooking class, menu advice or tips to navigate grocery aisles.

For the study, published in the journal Public Health Nutrition, Wolfson and others analyzed data from a

Kenneth K. Lam/Baltimore Sun/TNS

Cooking students, from left, Andrea Hogarth, Kathy Brooks, and others learn to cook a low fat and low sodium meal for four during Simple Cooking with Heart class offered by the American Heart Association Mid-Atlantic in Baltimore, Md.The low-cost class ($5) is the only one of its kind offered in the nation.

national survey of 9,000 adults about what they ate.

The 8 percent who cooked only once a week or less consumed an average of 2,301 calories, 84 grams of fat and 135 grams of sugar a day.

42

The 48 percent who cooked dinner six or seven nights a week consumed 2,164 calories, 81 grams of fat and 119 grams of sugar a day.

See Cooking/Page 43

Health & Wellness

Cooking

Cooking at home is about developing a habit and "not letting Pinterest or Martha Stewart intimidate you."

Continued from Page 42

Those who cooked at home tended to rely less on frozen food and were less likely to eat fast food when they dined out. People in African-American households cooked less often than those in white households, and people who worked full time away from home cooked less often.

These results were no surprise to Susanna DeRocco, who helps individuals, families, schools and others get on track in the kitchen with advice and recipes through workshops and her website, HealthyBodiesHappyMinds. org. She said meals can be made even healthier with some thought.

Pick a day, like Sunday, find one

Nutrition

â&#x20AC;&#x201D; Susanna DeRocco

or two easy recipes online, and go to the store. After getting comfortable making a few meals, consider making a double batch and freezing half, or at least figuring out a second use for the leftovers.

Maybe rice was part of a stir fry one night and covered in beans the next, she said. Or the pasta gets customized with slightly different toppings to please different tastes in the house.

And, DeRocco said, do some food

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preparation in advance of the workweek, like chopping vegetables, so everything is ready to go. â&#x20AC;&#x153;Most people I know struggle in the planning,â&#x20AC;? she said. â&#x20AC;&#x153;Theyâ&#x20AC;&#x2122;re coming home at 6 and opening the fridge or pantry and saying, â&#x20AC;&#x2DC;What am I going to do?â&#x20AC;&#x2122; Thatâ&#x20AC;&#x2122;s what you want to avoid.â&#x20AC;?

Cooking at home is mostly about developing a habit, DeRocco said, and â&#x20AC;&#x153;not letting Pinterest or Martha Stewart intimidate you.â&#x20AC;?

Health & Wellness

Health Study

Study: Tighter control of type 1 diabetes leads to greater life expectancy

■■Controlling condition for the first seven years after diagnosis resulted in a 33 percent reduction in deaths, study shows

By David Templeton Pittsburgh Post-Gazette

PITTSBURGH (TNS) — People with type 1 diabetes who intensively control their blood glucose soon after diagnosis are likely to live longer than those who do not, according to a study published online Tuesday in the Journal of the American Medical Association.

Over about three decades, the group whose diabetes was tightly controlled for the first seven years after diagnosis had a 33 percent reduction in deaths, as compared with those whose diabetes was not as well-controlled.

The study initially involved 1,441 people.

“We can now confidently tell doctors and patients that good, early control of blood glucose greatly reduces any risk for early mortality in people with type 1 diabetes, usually diagnosed in children and young adults,” said lead author Trevor Orchard, professor of epidemiology at the University of Pittsburgh Graduate School of Public Health.

The delicate balancing act for those with type 1 diabetes requires bloodglucose levels close to normal without going over the cliff of low blood sugar, which can lead to unconsciousness, coma and even death without emergency doses of carbohydrates or sugar.

So the longstanding debate in diabetes care is how close should one

"We can now confidently tell doctors and patients that good, early control of blood glucose greatly reduces any risk for early mortality."

— Trevor Orchard, University of Pittsburgh Graduate School of Public Health

get to the normal range with the daily risk of going over the cliff. Conventional strategy has favored elevated blood-sugar levels to avoid the more immediate emergencies of low blood sugar. But that strategy also increases the risk of long-term diabetes complications including heart disease, stroke, cancer, nerve damage, kidney disease and blindness, among others.

In the study, 43 deaths occurred among the group that followed the intensive-control strategy, as compared with 64 deaths in the conventional group. While the statistical significance reflected only a modest benefit for the intensive-control group, given the small numbers involved, Orchard said the 19 fewer deaths in the intensively controlled group were notable, especially given the fact that few deaths occurred from low blood sugar, known as hypoglycemia.

44

“There was concern that increased control might incur an increased risk of death,” Orchard said. “Now we are saying the risk is not being realized and intensive therapy overall leads to a reduction in mortality.”

The HgA1C blood test, known as A1C, determines blood sugar levels for periods of months, with the normal range generally considered to be 4 to 6 percent. In the study, the intensively controlled group maintained an A1C level of about 7, while the conventional therapy group was about 9.

“I think ‘6’ is a little too low, with 7 being a good level for most people, but it needs to be tailored to the individual,” Orchard said. “If you have a bad history of hypoglycemia, you have to be more cautious. But if you are fit and willing to test your blood sugar multiple times a day, you can go for a lower number.”

Health & Wellness

Technology

Fitness app helps keep dieters on track

By Eryn Brown Los Angeles Times

LOS ANGELES (TNS) â&#x20AC;&#x201D; Qiana Sago knew she had a problem.

Three years ago, at age 30, she weighed 269 pounds. She was taking pills for high blood pressure. Her triglycerides were â&#x20AC;&#x153;the highest you can have,â&#x20AC;? she said.

Working as an LAX airport custodian, she was surrounded by fast food, which became a daily staple. â&#x20AC;&#x153;You ate (it) when you got to work, you ate it again midday,â&#x20AC;? she said. â&#x20AC;&#x153;Then Iâ&#x20AC;&#x2122;d get off work and eat more.â&#x20AC;?

But, partly because she was provided access to unique fitness technol-

Many mobile health, or "m-health" programs are in their infancy, but researchers hope this tool will help patients with diabetes, heart disease and more. ogy, the Inglewood, Calif., resident has turned things around â&#x20AC;&#x201D; losing more than 40 pounds and working toward the day she can stop taking blood pressure medication.

Sago and 39 other young AfricanAmerican women at Faithful Central Bible Church recently participated

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45

in a UCBC-backed clinical trial that used a smartphone app to track their eating and activity and teach them healthful diet and exercise habits.

Many such mobile health, or â&#x20AC;&#x153;mhealth,â&#x20AC;? programs are in their infancy.

See App/Page 46

K in li

Health & Wellness

App

Technology

The Case for Mobile Health

Continued from Page 45

But researchers and advocates for underserved, hard-to-reach patient groups hope they soon will contribute to major advances in the treatment of diabetes, heart disease and other chronic conditions.

Cellphones provide unprecedented, low-cost access to patients, experts say, because the technology is so widely used and the socioeconomic digital divide is shrinking. The Pew Research Internet Project reported earlier this year that 84 percent of U.S. adults with incomes below $30,000 a year had cellphones; 47 percent had smartphones.

Increasingly, phones — not homebased broadband connections — are the gateway to the Internet for all Americans.

“Anything that you’re doing online, that you want to extend to a low-income population, the way they’re most likely to access it is through mobile,” said Margaret Laws of the California Health Care Foundation in Oakland.

Laws runs a program that hopes to use technology to help at-risk groups.

“Everyone has a phone, even if it’s a throwaway,” added UCLA psychologist and researcher Vickie Mays.

Mays, who leads a center that focuses on addressing health disparities, collaborates with the university’s Wireless Health Institute, which backed the Inglewood study. Mobile technology offers a powerful tool to assist people seeking to change bad eating and lifestyle habits, she said, because it can reinforce medical advice after a patient leaves the doctor’s office.

Sago and the other women selected

According to Pew Research Internet Project, 84 percent of U.S. adults with yearly incomes below $30,000 have cell phones; 47 percent have smartphones.

Phones — not home-based broadband connections — are the gateway to the Internet for all Americans.

for the study all were between 25 and 45 at the time and had at least two risk factors for heart disease. They knew that they needed to eat well and exercise. But many said they were too busy caring for their children and parents — and working long hours — to find time to care for themselves.

They also needed help understanding nutrition labels.

Education reinforced by technology

Eastwood taught the women about healthy-heart lifestyles and stress reduction in four diet-and-exercise classes before handing out customconfigured Android phones.

The devices were disabled for voice calls but could be used to text others in the study group. The phones were loaded with an app, developed at UCLA, that interacted with the women, sending daily and weekly questions — “Did you eat five to six servings of fruit today?” — and tracking how much exercise they got via built-in accelerometers.

Study participants were supposed 46

to wear the smartphones whenever they were awake. They also had to measure their blood pressure on Sunday nights, using Bluetooth-equipped blood-pressure cuffs that sent readings to the phones, which then streamed the data to the researchers.

It took time to make the system work as planned, said Nabil Alshurafa, a PhD candidate who spent many days at Faithful Central tweaking the phone app. One challenge was figuring out a comfortable way for the women to wear the phones during waking hours.

Eventually most of the women got used to lugging around the phones, which logged movement data several times a second.

When unusual patterns of data were spotted, a nurse would give the subject a call, which at wavering moments reinforced the idea that someone was watching and that the diet and exercise goals were important, Alshurafa said.

“They changed things that are very important for heart disease,” Eastwood said.

at

We welcome your visit to Wildflower…where the comforts of home and assistance offer you peace of mind.

Here at Wildflower Lodge, you or your loved one will receive the care and service suited to your personal lifestyle so that you can live your life the way you always intended.

FOR MORE INFORMATION CALL LOCALLY 541-663-1200

47

ASSISTED LIVING | MEMORY CARE 508 16TH STREET | LAGRANDE, OR 97850 W W W. S E N IOR L I F E S T Y L E .C OM

Health & Wellness

Immunizations

Had any immunizations lately?

I

mmunizations aren't just for children — adults also need to be aware of their vaccination history, and whether or not they need boosters or other vaccines.

Those vaccines include tetanus with pertussis, hepatitis A, hepatitis B, shingles (age 60 and older) and pneumonia (age 65 and older).

Other vaccines adults may need are HPV (women age 26 or younger; men age 22 to 26); meningococcal (ages 19 to 21 who are first-year college students); and varicella.

Also, a flu shot is recommended every year.

Your doctor can recommend which vaccines you may need.

School Year 2014-2015 Oregon law requires the following shots for school and child care attendance* A child 18 months or older entering

Preschool, Child Care, or Head Start needs*

A student entering

Kindergarten or Grades 1-6 needs*

Health departments: ■■ Baker County: 3330 Pocahontas Road, Baker City, 541-5238211 ■■ Union County: 2301 Cove Ave., La Grande, 541-962-8800 ■■ Wallowa County: 758 NW First St., Enterprise, 541-4264848

A student entering Grades 7-12 needs*

4 Diphtheria/Tetanus/Pertussis (DTaP) 3 Polio 1 Varicella (chickenpox) 1 Measles/Mumps/Rubella (MMR) 3 Hepatitis B 2 Hepatitis A 3 or 4 Hib

5 Diphtheria/Tetanus/Pertussis (DTaP) 4 Polio 1 Varicella (chickenpox) 2 Measles 1 Mumps 1 Rubella 3 Hepatitis B 2 Hepatitis A

5 Diphtheria/Tetanus/Pertussis (DTaP) 1 Tdap 4 Polio 1 Varicella (chickenpox) 2 Measles 1 Mumps 1 Rubella 3 Hepatitis B

* At all ages and grades, the number of doses required varies by a child’s age and how long ago they were vaccinated. Please check with your child’s school, childcare or healthcare provider for details.

48

12/2013