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Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
focus on health Spring 2018
St. Charles Family Care At St. Charles Family Care, we are passionate about providing patients with comprehensive medical care close to home. At our Sisters clinic, we provide a team approach to your care. Our clinic is staffed with primary care physicians, highly trained medical assistants and a nurse care coordinator. Also available are X-ray services and an outpatient laboratory. By using our team-based care approach, we hope to ensure you receive the treatment you need based on your unique health circumstances. This care team will partner with you as you pursue your healthcare goals both inside and outside of our clinic. Because the Sisters clinic is part of St. Charles Health System, our patients benefit from ready access to specialized services, including
onsite visiting cardiology and orthopedics. We believe active engagement between you and our clinic team is an important part of achieving your healthcare goals. Call 541-549-1318 for an appointment.
Metabolic Maintenance Metabolic Maintenance has been producing pure, high-quality, preservative-free nutritional supplements, with no added excipients, fillers or binders for over 30 years. We are the oldest familyowned company in our industry and the foundation of who we are is not only evident in the products we produce, but the environment in which we work. Based out of the High Cascades in Sisters, we are fortunate to live and manufacture in a community that is beaming with health and wellness professionals, extreme world-class athletes and families that strive for optimal health and longevity of life. Metabolic Maintenance knows it’s a privilege to
serve and support our wonderful community and is proud to be the second-largest private employer in the city of Sisters. We love supporting you through your health journey. Proud Sponsor of Cork Cellars Music, Sisters Folk Fest, Happy Girls Half Marathon and the Hoodoo Challenge.
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Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Detect skin cancer early As part of a campaign to encourage early detection and prevention of skin cancer, St. Charles Cancer Center, the OHSU Knight Cancer Institute, Central Oregon Dermatology and Deschutes Dermatology Center are offering education and free screenings Saturday, May 5, from 9 a.m. to noon. More than 3 million skin cancers including melanoma, basal cell carcinoma and squamous cell carcinoma are diagnosed annually in the United States. Contributing factors can include elevation, abundant sunshine, outdoor recreation and tanning. But while skin cancer is the most common form of cancer in the United States, it’s also the most preventable. Everyone should follow sun safe practices, which include wearing clothing that protects your skin from the sun, avoiding the sun from 10 a.m. to 2 p.m. when the sun is strongest, using at least SFP 15 sunscreen and applying it every two hours. Some people are at higher risk for skin cancer. They are those with light hair, skin and eye color, a history of severe sunburns, 50+ moles or a history of skin cancer. Others may have genetic factors that
increase risk. These individuals should get total body skin exams at least annually and possibly more frequently. “Our ‘War on Melanoma™’ event is focused on helping individuals understand whether they have risk factors for melanoma and if that might necessitate earlier and more frequent screening,” said Dr. Linyee Chang, a radiation oncologist and medical director of St. Charles Cancer Center. “Through our partnership with the OHSU Knight Cancer Institute, Central Oregonians will also have the opportunity to register for the Melanoma Community Registry, a research project where those enrolled can join studies, hear about educational events and other community activities. The overall goal is to reduce mortality in the state by 50 percent.” Local healthcare providers will also have an opportunity to learn how to use MoleMapper, a free cellphone app available that allows users to photograph and map moles to zones on the body and monitor changes over time. Users can also share their de-identified data with researchers to better understand the development and
identification of melanoma. “We are thrilled to have our partners in Bend joining the War on Melanoma™,” said Dr. Sancy Leachman, director of the OHSU Knight Cancer Institute’s Melanoma Research Program and chair of the Department of Dermatology in the OHSU School of Medicine. “In order to make an impact on skin cancer rates in Oregon, we need people across the state to join us in our education and prevention efforts.” The War on Melanoma™, including the free skin cancer screenings, will be held at the St. Charles Cancer Center at 2500 NE Neff Road in Bend. Appointments can be made at http://bit.ly/StCharlesCancer ScreeningTix. The event is free and open to both insured and uninsured residents of Central Oregon. “This event wouldn’t be possible without the leadership and collaboration of not only OHSU, but also our local dermatology providers,” Chang said. “Drs. Leslie Carter and Mark Hall have been instrumental in this effort, and we thank them for giving their time to provide skin cancer screenings to our community.”
Fifth annual run set to ‘Crush Cancer’ Central Oregon businesses and the community are invited to join the 5th Annual Crush Cancer 5k, 10k, and half marathon hosted by Faith, Hope and Charity Vineyards in Terrebonne. The race, held on June 10, will raise funds and awareness toward the efforts researchers are making at the Fred Hutchinson Cancer Research Center to put an end to cancer. This year’s race hits close to home for Faith, Hope and Charity owners Roger and Cindy Grossmann, who were personally affected by the loss of their daughter-inlaw, Summer Grossmann, in 2016. Summer, who was diagnosed with Stage 4 cancer at the age of 32, was given only six months to live, but made it six more years. The money this race raises will contribute to the work of the Fred Hutchinson Research team at the Seattle Cancer Alliance so that other families may benefit. “I believe we are getting so close to a livable
treatment and extension of life,” said Cindy Grossman, who commended the Fred Hutchinson Cancer Center. “The Hutch is doing great work to beat cancer once and for all while benefiting people worldwide. Their non-stop efforts allowed us to spend extra time with Summer, who was able to spend more time watching her boys grow, and for that we are truly grateful.” The Crush Cancer Run, previously held each September, has been moved to June. The decision was made after officials had to cancel the 2017 run due to poor air quality from area wildfires. “We feel trail conditions will be better and the chance of fires will be nearly zero,” said Grossman, who describes the course as “the run with a view.” Participants can choose from a 5k, 10k, and a half marathon—a trail that is completely off-road carving
The Center The Center’s diverse team of doctors provides Central Oregonians with expert care and treatment options designed to get you back to what you love doing. Since 2012, Dr. Timothy Bollom has been seeing patients in Sisters at St. Charles Family Care. He treats patients of all ages and backgrounds, with a focus on comprehensive care of knee and shoulder injuries and conditions. From conservative measures to sophisticated, minimally invasive surgical techniques, he utilizes a sports medicine philosophy of returning patients to normal activity as quickly as possible. The Center is home to some of the region’s most highly skilled physicians with specialized training in orthopedics, neurosurgery, physical medicine and rehabilitation, sports medicine, and occupational medicine. Our dedicated doctors and staff work together to offer the care you need for the best possible outcome. To learn more or make an appointment, go to www.thecenteroregon.com.
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Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Oregon’s struggles tracking pot reflect industry-wide problem By Andrew Selsky Associated Press
SALEM (AP) — To the beat of electronic dance music, men and women inside a slate-gray building harvested marijuana plants festooned with radio-frequency identification tags. In another room, an employee entered the tag numbers into a government database. The cannabis tracking system used by Avitas, a marijuana company with a production facility in Salem, is the backbone of Oregon’s regulatory system to ensure businesses with marijuana licenses obey the rules and don’t divert their product into the black market. A huge amount of data is entered into the system by Oregon’s 1,800 licensees every day, a reality that means the state has a tremendous amount of information at its fingertips. But the reality also is the state doesn’t have the manpower to monitor all that data. The marijuana regulatory agency — the Oregon Liquor Control Commission — has only one marijuana
data analyst, and not enough inspectors to randomly inspect grow sites and processing facilities to ensure the accuracy of the data they are providing. A recent state audit concluded the lack of trained inspectors and “reliability issues” with self-reported data hurt the commission’s monitoring of Oregon’s adult-use marijuana program. “I think this is a fundamentally sound system,” the commission’s executive director, Steve Marks, told The Associated Press. But he conceded: “It’s not being used to its capabilities. We don’t have the workforce there.” Oregon’s experience is reflective of one of the significant challenges in the expanding legal U.S. marijuana industry: the ability of governments to keep track of their own markets. Washington, which with Colorado became the first state to broadly legalize marijuana in 2012, recently switched tracking contractors after it outgrew the first system, and quickly ran into major technical problems. Colorado has reported no
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significant technical issues but has only five people on the data analysis staff to help with investigations and look for potential violators. Last year, Nevada switched tracking companies after its first system crashed. California became the world’s largest legal marijuana market on Jan. 1 without the promised vast computer system for tracking. It won’t be available for months. The Oregon tracking system was created by Franwell, a Florida-based technology company that has contracts in a handful of states, including California. Licensees log entries into the system as seeds sprout into plants, the plants are harvested, processed, sent to stores and then sold. The flood of data is checked by the single fulltime marijuana data analyst, with occasional help. Five more will be hired soon, but they’ll have their hands full as an estimated 2,000 medical marijuana growers start entering the tracking system on July 1. According to the Oregon Liquor Control Commission, a recent inventory of adult-use
marijuana in the state stood at more than 1 million pounds (0.45 million kilograms). That’s roughly 4 ounces (113 grams) for each of the state’s 4.1 million residents. Avitas general manager Joe Bergen said the pot businesses are inputting a “ridiculous” amount of information to the tracking system. He said 10 percent of Avitas’ staff at the Salem facility is dedicated to rules compliance: tagging plants and finished products, tracking the inventory and filling out official shipping manifests. “It’s important to do it, but it’s burdensome for a small business,” Bergen said. The data has been useful in confirming wrongdoing in roughly 50 investigations, though less than half of them were triggered by the data, commission spokesman Mark Pettinger said. On a recent morning, Cecilia Espinoza sat at a table inside Avitas’ production facility, staring at a desktop computer. A small wheel spun on the screen for a couple of minutes as she waited for the web application to open so she could update information
about the hundreds of plants growing in the 12,000-squarefoot (1,115-square-meter) building. “We call it the ‘spinning wheel of death,”” Espinoza said with a laugh. “It’s tedious.” Across the room, Bergen placed marijuana products into a bin for delivery to Mr. Nice Guy, a marijuana shop in Salem. He then walked back the history of one of the cartridges of marijuana oil. The powerful oil was produced from Strawberry Fields, a marijuana strain that the pot review site Leafly says is “tranquilizing.” Bergen clicked on a column and added filters until he found a date — Nov. 14, 2016. That was when one of the plants whose THC was a component of the oil was cloned, when an Avitas grower snipped a sprig from a mother plant and stuck it into spongy material soaked in nutrients. “It’s the first batch we ever produced here,” Bergen exclaimed, grinning and pointing at the screen. “That’s the beginning; that’s the origin See TRACKING on page 24
Sisters Nails & Spa Sisters Nails & Spa is Central Oregon’s premier full-service nail salon for ladies and gentlemen. They are conveniently located in the Three Wind Shopping Center next to Bi-Mart. Owner Kevin Nguyen has been in Oregon for 17 years, and after a year in Sisters, Sisters Nail & Spa has become a favorite destination for locals and visitors alike. Our special services include relaxing spa pedicures in our state-of-the-art spa chairs, spa manicures, half-hour and one-hour foot massages, artificial nails, paraffin wax treatments, and full waxing. Regular pedicures not only help keep feet looking good, they are great for your health. They keep nails trimmed, calluses controlled, and skin
moisturized. In addition, a foot massage helps to relieve tension and stimulate circulation. Come join our down-to-earth staff and indulge your senses with classical guitar music and any of our soothing spa treatments. The spa is clean, fresh and the staff is very friendly.
Partners in Care For nearly 40 years, Sisters residents have received hospice care in their homes from professional caregivers such as specially trained nurses and aides. As the needs of a growing population increased, other services became available including home healthcare, outpatient therapies, nonmedical transitions, and community-based palliative care consultations. In 2017, nearly 100 patients from the Sisters area were admitted to Partners In Care, representing 4,856 days of care by the leading provider of these services in Central Oregon. “Partners In Care is proud to serve the residents of Sisters as Central Oregon’s only independent, non-hospital-based, nonprofit home health and hospice organization,” said Eric Alexander, chief
executive officer. “Our staff of over 150 cover a 10,000-square-mile region, yet the care provided is highly individualized and personal.” Hospice care is provided by a clinical team in the patient’s home or care facility and at Hospice House located in Bend—the only hospice inpatient facility in Oregon east of the Cascades.
Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Fall prevention critical for elderly Falls are the leading cause for emergency medical response for patients age 60 and older in the Sisters-Camp Sherman Fire Department’s ambulance service area, the fire department reports Nationally, one in four people age 65 and older fall each year. Every 20 minutes an older adult dies from a fall, and one out of five falls causes a serious injury such as a head trauma or fracture. The Senior Safety Committee of Sisters feels they can significantly reduce falls in the senior population by partnering with local providers to identify and address a person’s risk of falling before an incident occurs. (The Senior Safety Committee includes representatives from SistersCamp Sherman Fire District, Sisters Park & Recreation District and Council on Aging.) The Centers for Disease Control (CDC) has developed a program called STEADI (Stopping Elderly Accidents, Deaths and Injuries), which provides tools for healthcare providers to identify a patient’s risk level for falls,
identify modifiable risk factors for falling, and offer effective interventions. The STEADI program focuses on three areas: exercise, home safety and health screening. The Senior Safety Committee of Sisters has partnered with Sisters Park and Recreation District to promote exercise programs to the senior population, and is working towards the implementation of a home safety evaluation program through the Fire District to identify fall hazards in the home. The committee feels if local healthcare providers adopt the STEADI program and screen patients for falls, or the potential for falling by evaluating balance, vision,
University, along with Jamie Caulley, a balance clinical advancement program lead and physical therapist for the Providence Oregon service area, will present the STEADI program to targeted healthcare providers in Sisters Country and Central Oregon. Dr. Eckstrom leads the geriatric practice within OHSU, champion’s geriatric best-practices, and her research focuses on promoting a healthy lifestyle in older adults. Jaimie Caulley serves as clinical liaison with the Providence Senior Health Program, where her work focuses on fall prevention across the continuum of care. Currently over 40 providers, including a representative from each of the publichealth departments in the Tri-County area of Central Oregon, have signed up to attend the presentation. If you are concerned about falling, contact your healthcare provider. For more information on the session, contact the Sisters-Camp Sherman Fire District at 541-549-0771.
Every 20 minutes an older adult dies from a fall... and medications, we can work to reduce the number of injuries and deaths related to falls in the Sisters area. On Friday, May 11, Dr. Elizabeth Eckstrom a professor and chief of geriatrics at Oregon Health Sciences
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COCC to host health career program sessions Central Oregon Community College (COCC) is holding a nursing program overview from 5 to 6 p.m. on Wednesday, May 9, at the Bend campus, Boyle Education Center, Room 155. Nursing orientations are information sessions designed for students interested in COCC’s associate’s degree in nursing. Sessions cover minimum requirements to apply to the program, how applicants are selected, deadlines and more. The formal presentation usually runs 45 minutes with plenty of time for questions during and after. Prospective nursing students are strongly encouraged. Reservations are not required. The COCC Bend campus is also hosting an information session on its Allied Health programs from 5:30 to 6:30 p.m. on Tuesday, May 8, in the Health Careers Center, Room 140. The health programs covered will include
dental assistance, massage therapy, medical assistance, pharmacy technician and veterinary technician fields. The session will include a description of each occupation, the typical clinical and administrative duties, as well as the certification or licensing required. There will also be a review of the structure, length and cost of each of the programs. It is not necessary to be enrolled at COCC to attend this session. Reservations are not required. For information, call 541-383-7420.
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Your Care Your Care has been proudly serving our Sisters community since 2013. During that time, their services have expanded to meet the ever-changing and expanding medical needs of our neighbors. Your Care continues to offer same-day, walk-in medical care. Along with their urgent-care services, Your Care is now serving local businesses throughout Central Oregon. The goal is simple: Keep our community healthy and working. We hope your employees do not sustain an injury while working, but if they do, Your Care will work with your employee from injury to full release to work. Need to meet OSHA requirements and find navigating the occupational health maze dizzying? Your Care’s occupational medicine team will meet with you and customize services to best suit the needs of your business. They can manage everything from employment physicals, to Hep B testing and vaccinations, and OSHA respirator questionnaires. They’ve got you covered.
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Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Detox your home environment By Jim Cornelius Editor in Chief
A clean home is a healthy home — but how you get clean matters just as much as the goal itself. Using harsh chemicals, bleaches and anti-bacterial cleaning products can be tough on people with allergies and other sensitivities — and it may be a bad idea in the long run. “Weʼre making superbugs,” says Elizabeth Buchanan, founder and proprietor of Cleaner Living NW. “Those (products) canʼt change or adapt.” Buchanan has created proprietary plant-based, ecofriendly products that do an excellent job of cleaning, while also protecting the environment and the health of those living in the home. “The manner of cleaning is as important as the products used,” Buchanan asserts. Her cleaning method involves spraying surfaces and then damp-wiping them with hospital-grade microfiber cloths. “Itʼs trapping everything into that micro-fiber instead
of just wiping it around,” she says. Surfaces are then buffed dry. Synthetic fragrances are often associated with asthma and autoimmune problems. Buchan notes that “thereʼs zero fragrances in our base product.” She also offers a floor cleaner that it safe for pets. Buchanan believes so strongly in the importance of safe and effective cleaning that she offers Cleaner Living NWʼs services to the national nonprofit Cleaning For A Reason, which offers free cleaning services for people undergoing treatment for cancer. (See http://cleaningforareason.org.) “Generally, itʼs women undergoing chemo,” Buchanan says. “Theyʼre sick and they canʼt clean their house.” And the method of cleaning is critical, because “they already have a compromised immune system,” so a clean living space is crucial. Carpet is another area to pay close attention to in the home. The carpet is a filter
I’ve used clove oil, which smells great. Some people don’t realize that there’s anything they can spray in their gravel but Roundup. — Kalin Emrich, The Garden Angel safe, yet effective, cleaning agents that are anti-allergen and leave the carpet pet- and child-safe. At this time of year, folks in Sisters are working on getting their landscape looking good and their lawns green. More and more of them are trying to minimize the use
By Jodi Schneider McNamee Correspondent
ISTOCKPHOTO.COM/TOMERTU
How you get your home clean matters as much as the goal itself. of chemical fertilizers and weed-killers — for the health of the environment and for the health of children and pets. Kalin Emrich of The Garden Angel grew up in the business, and he is part of seeing it change to more healthful means of getting the desired effect. Thatʼs something he takes personally. He recalls suiting up in Tyvek protective gear to apply chemicals to a landscape. Despite proper gear and following all instructions, he developed a skin condition. “For me, that was the turning point,” he says. “Do I want to spend a career
breathing this stuff? Is it even worth the risk?” By amending the soil to reintroduce good bacteria, you can reduce or eliminate the need for chemical fertilizers. And there are even alternatives to minimize the need for chemical weed-killers. “They exist and they are effective,” Emrich says. “Iʼve used clove oil, which smells great. Some people donʼt realize that thereʼs anything they can spray in their gravel but Roundup.” As far as heʼs concerned, natural means create a healthier, more resilient landscape — and “itʼs better for us and for our animals and for our kids.”
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With a little planning, you can maintain healthy eating habits on the road.
Eating healthy on the road
— everything that comes into your house from the outside, including dirt, pet hair and dander, and bacteria, wind up in your carpet. Again, how you clean is important. Peter Herman of Circuit Rider Carpet Cleaning in Sisters notes that he is chemicalsensitive himself, so he uses
No one in the industry goes further to ensure a high-quality cleaning than Cleaner Living NW. And no one is more committed to helping you keep your home or business a healthy environment. “It is very scary how many toxins people unknowingly bring into their home with the cleaning products they buy,” says company founder, Elizabeth Buchanan. “The products we use and sell are absolutely 100 percent naturally derived and are safe around kids, pets, and people with compromised immune systems or allergies.” One phone call will provide for all your cleaning needs — residential, vacation rental and commercial. They use a highly effective all-natural, odorneutralizing cleaning solution developed by
family to drive up directly to the farm for food and purchase the fruits and veggies. Visit a pickyour-own farm. Just look for farms in the area and call ahead about your visit. Fast food chains are the same wherever you go, but farms and farmers markets showcase their local and freshest produce in the area. U-pick or pick-yourown (PYO) farm operations are a type of direct marketing (farm-to-table) strategy where the emphasis is on customers doing the harvesting themselves. When you stop for gas and restroom breaks, look for a local grocery store. Youʼll find healthier foods, and theyʼll probably be less expensive than what youʼll find at a gas station. Try making accommodations ahead of time and search for hotels that offer a mini-fridge in the room so that when you get to your
PHOTO BY JODI SCHNEIDER MCNAMEE
destination, you can stock up on lots of nutritious options for meals. At night you can refreeze your ice packs for the next dayʼs journey. Here are a few more tips on healthy options for your road trip: Pack sandwiches made with whole-grain bread and peanut butter or lean meats. Hard-boiled eggs can last up to one week in a cooler. Pouches of tuna can be eaten as is or used to dress up salads or bread. Hummus is a Mediterranean spread made by combining chickpeas, olive oil, lemon, garlic and a sesame paste called tahini and is an excellent nutritious choice to bring. Look for single-serve
p a c k e t s . Homemade soup with veggies is a great way to grab some energy on a long drive. Avocado sliced in half is easy to eat right out of the skin and is a healthy fat that is packed with heart-healthy monounsaturated fat, fiber, and potassium. Try singleserving packs of olives, another healthy fat. Try single-serve packets of chia seeds or ground flaxseed. Theyʼre an easy way to add fiber and texture to yogurt. And what kid wouldnʼt like popcorn? Aside from being lower in calories than a lot of other snack items, popcorn is a whole grain and provides filling fiber. Go online to scope out restaurants, rest stops, farmers markets and grocery stores along your route to get an idea of what your options are for your next road trip.
Please welcome our new provider to ty! our Sisters community!
David Kirkpatrick, PA-C
New patients of all ages welcome! me! Buchanan. If quality cleaning and a healthful environment are important to you, Cleaner Living NW is your company of choice.
Environmental Center Forty percent of our food never gets eaten. And it’s estimated that a quarter of what goes into Deschutes County’s landfill is wasted food. We’re better than that. It’s time to rethink food waste, and we want to help you do it. We are looking for households in Deschutes County to take part in our Rethink Food Waste Challenge. For four weeks beginning May 14th, you will collect your weekly wasted food and enter its weight on our website at the end of each week. The first week do as you normally do. The next 3 weeks we’ll give you tips, ideas and resources to help you prevent wasting food. We have free scales for the first 100 households to sign up. Each week you participate, you’ll be entered to win $1,600 worth of prizes — grocery
Eating a healthy diet when youʼre traveling isnʼt easy — especially if youʼre going for a long car ride. Typical roadtrip meals and snacks include fast food, microwave-ready service station foods, bags of chips and lots of sodas However, it is possible to avoid junk food and maintain your healthy diet. You donʼt have to give up on your healthy eating while traveling. Planning ahead is the best way to choose more nutritious foods and beverages when youʼre on the road. Leslie Bonci, R.D., director of sports nutrition at the University of Pittsburgh Medical Center said, “Thereʼs something about being in a car that makes you want to eat lots of snacks.” American highways offer an endless line-up of fastfood chains and convenience stores, but you donʼt have to spend your time stocking up with junk food. Instead, invest in a large cooler, stock it with plenty of ice packs and bring along a snack supply of salads, cut-up raw veggies, fruit,
whole-grain wraps, raw nut butter, unsalted nuts and seed. And donʼt forget individually wrapped cheeses, low-fat yogurt, hummus, whole-grain crackers, and dried fruit. With a good plan, you can eat almost as healthy on the road as you do at home. Plus, this can be a lot more relaxing, especially if you are traveling with young children, because you do not have to worry about finding a restaurant everyone agrees on and foods that everyone likes, and itʼs cost-efficient. Donʼt forget the water. It will keep you hydrated and help you stay on track. Since convenience stores are full of temptation that can lead to buying junk food, bring water in your cooler before you leave. Most folks nowadays have the technology to locate healthy road-food while traveling, so find review sites like Yelp or Trip Advisor to search the area youʼre visiting. If you are going to be on the road for several days, you can stop at local farmers markets or grocery stores along the way to restock your cooler. Itʼs fun for the whole
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Appointments, 541-549-9609
High Lakes Health Care
354 W. Adams Ave. | HighLakesHealthCare.com
What are you searching for? Support for Muscles and Joints? Cellular Health & Detoxification? Emotional Balance? How to Manage Stress?
Don’t miss these two FREE classes!
SUN., MAY 6 • SISTERS LIBRARY
1-2 p.m. “Essential Oils for Your Health” Angela Bobst, doTERRA Leader/ Essential Oil Educator, Sisters
2-3 p.m. “The Perfect Storm – Detox Done Right” store gift cards, nice kitchen supplies, plus a grand prize of farmers market harvest bucks! Sign up online at www.RethinkWasteProject. org/FoodWaste.
Dr. Andrew Torchio, Pangea Chiropractic, Bend
It’s time to take charge of your life!
High Lakes Health Care in Sisters welcomes Certified Physician Assistant David Kirkpatrick, BA, MA, MMSc, PA-C, who has joined the clinic in Sisters. Dave grew up in Seattle and received his undergraduate degree in psychology from the University of Puget Sound in Tacoma in 1998. After working in Seattle for four years, he returned to graduate school to earn a master’s degree in clinical psychology from George Fox University and later his physician assistant degree from Emory University in Atlanta. Before joining High Lakes, for nine years Dave delivered both inpatient and outpatient care at a general medicine clinic in Longview, Washington, seeing both acute and chronic-care patients. Prior to becoming a PA, Dave spent two years touring the Northwest as a Christian singer-songwriter and speaker while working for a medical insurance brokerage. In his spare time, he still enjoys playing music, skiing, tennis, basketball, golf and spending time with family and his church.
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Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Detox your home environment By Jim Cornelius Editor in Chief
A clean home is a healthy home — but how you get clean matters just as much as the goal itself. Using harsh chemicals, bleaches and anti-bacterial cleaning products can be tough on people with allergies and other sensitivities — and it may be a bad idea in the long run. “Weʼre making superbugs,” says Elizabeth Buchanan, founder and proprietor of Cleaner Living NW. “Those (products) canʼt change or adapt.” Buchanan has created proprietary plant-based, ecofriendly products that do an excellent job of cleaning, while also protecting the environment and the health of those living in the home. “The manner of cleaning is as important as the products used,” Buchanan asserts. Her cleaning method involves spraying surfaces and then damp-wiping them with hospital-grade microfiber cloths. “Itʼs trapping everything into that micro-fiber instead
of just wiping it around,” she says. Surfaces are then buffed dry. Synthetic fragrances are often associated with asthma and autoimmune problems. Buchan notes that “thereʼs zero fragrances in our base product.” She also offers a floor cleaner that it safe for pets. Buchanan believes so strongly in the importance of safe and effective cleaning that she offers Cleaner Living NWʼs services to the national nonprofit Cleaning For A Reason, which offers free cleaning services for people undergoing treatment for cancer. (See http://cleaningforareason.org.) “Generally, itʼs women undergoing chemo,” Buchanan says. “Theyʼre sick and they canʼt clean their house.” And the method of cleaning is critical, because “they already have a compromised immune system,” so a clean living space is crucial. Carpet is another area to pay close attention to in the home. The carpet is a filter
I’ve used clove oil, which smells great. Some people don’t realize that there’s anything they can spray in their gravel but Roundup. — Kalin Emrich, The Garden Angel safe, yet effective, cleaning agents that are anti-allergen and leave the carpet pet- and child-safe. At this time of year, folks in Sisters are working on getting their landscape looking good and their lawns green. More and more of them are trying to minimize the use
By Jodi Schneider McNamee Correspondent
ISTOCKPHOTO.COM/TOMERTU
How you get your home clean matters as much as the goal itself. of chemical fertilizers and weed-killers — for the health of the environment and for the health of children and pets. Kalin Emrich of The Garden Angel grew up in the business, and he is part of seeing it change to more healthful means of getting the desired effect. Thatʼs something he takes personally. He recalls suiting up in Tyvek protective gear to apply chemicals to a landscape. Despite proper gear and following all instructions, he developed a skin condition. “For me, that was the turning point,” he says. “Do I want to spend a career
breathing this stuff? Is it even worth the risk?” By amending the soil to reintroduce good bacteria, you can reduce or eliminate the need for chemical fertilizers. And there are even alternatives to minimize the need for chemical weed-killers. “They exist and they are effective,” Emrich says. “Iʼve used clove oil, which smells great. Some people donʼt realize that thereʼs anything they can spray in their gravel but Roundup.” As far as heʼs concerned, natural means create a healthier, more resilient landscape — and “itʼs better for us and for our animals and for our kids.”
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With a little planning, you can maintain healthy eating habits on the road.
Eating healthy on the road
— everything that comes into your house from the outside, including dirt, pet hair and dander, and bacteria, wind up in your carpet. Again, how you clean is important. Peter Herman of Circuit Rider Carpet Cleaning in Sisters notes that he is chemicalsensitive himself, so he uses
No one in the industry goes further to ensure a high-quality cleaning than Cleaner Living NW. And no one is more committed to helping you keep your home or business a healthy environment. “It is very scary how many toxins people unknowingly bring into their home with the cleaning products they buy,” says company founder, Elizabeth Buchanan. “The products we use and sell are absolutely 100 percent naturally derived and are safe around kids, pets, and people with compromised immune systems or allergies.” One phone call will provide for all your cleaning needs — residential, vacation rental and commercial. They use a highly effective all-natural, odorneutralizing cleaning solution developed by
family to drive up directly to the farm for food and purchase the fruits and veggies. Visit a pickyour-own farm. Just look for farms in the area and call ahead about your visit. Fast food chains are the same wherever you go, but farms and farmers markets showcase their local and freshest produce in the area. U-pick or pick-yourown (PYO) farm operations are a type of direct marketing (farm-to-table) strategy where the emphasis is on customers doing the harvesting themselves. When you stop for gas and restroom breaks, look for a local grocery store. Youʼll find healthier foods, and theyʼll probably be less expensive than what youʼll find at a gas station. Try making accommodations ahead of time and search for hotels that offer a mini-fridge in the room so that when you get to your
PHOTO BY JODI SCHNEIDER MCNAMEE
destination, you can stock up on lots of nutritious options for meals. At night you can refreeze your ice packs for the next dayʼs journey. Here are a few more tips on healthy options for your road trip: Pack sandwiches made with whole-grain bread and peanut butter or lean meats. Hard-boiled eggs can last up to one week in a cooler. Pouches of tuna can be eaten as is or used to dress up salads or bread. Hummus is a Mediterranean spread made by combining chickpeas, olive oil, lemon, garlic and a sesame paste called tahini and is an excellent nutritious choice to bring. Look for single-serve
p a c k e t s . Homemade soup with veggies is a great way to grab some energy on a long drive. Avocado sliced in half is easy to eat right out of the skin and is a healthy fat that is packed with heart-healthy monounsaturated fat, fiber, and potassium. Try singleserving packs of olives, another healthy fat. Try single-serve packets of chia seeds or ground flaxseed. Theyʼre an easy way to add fiber and texture to yogurt. And what kid wouldnʼt like popcorn? Aside from being lower in calories than a lot of other snack items, popcorn is a whole grain and provides filling fiber. Go online to scope out restaurants, rest stops, farmers markets and grocery stores along your route to get an idea of what your options are for your next road trip.
Please welcome our new provider to ty! our Sisters community!
David Kirkpatrick, PA-C
New patients of all ages welcome! me! Buchanan. If quality cleaning and a healthful environment are important to you, Cleaner Living NW is your company of choice.
Environmental Center Forty percent of our food never gets eaten. And it’s estimated that a quarter of what goes into Deschutes County’s landfill is wasted food. We’re better than that. It’s time to rethink food waste, and we want to help you do it. We are looking for households in Deschutes County to take part in our Rethink Food Waste Challenge. For four weeks beginning May 14th, you will collect your weekly wasted food and enter its weight on our website at the end of each week. The first week do as you normally do. The next 3 weeks we’ll give you tips, ideas and resources to help you prevent wasting food. We have free scales for the first 100 households to sign up. Each week you participate, you’ll be entered to win $1,600 worth of prizes — grocery
Eating a healthy diet when youʼre traveling isnʼt easy — especially if youʼre going for a long car ride. Typical roadtrip meals and snacks include fast food, microwave-ready service station foods, bags of chips and lots of sodas However, it is possible to avoid junk food and maintain your healthy diet. You donʼt have to give up on your healthy eating while traveling. Planning ahead is the best way to choose more nutritious foods and beverages when youʼre on the road. Leslie Bonci, R.D., director of sports nutrition at the University of Pittsburgh Medical Center said, “Thereʼs something about being in a car that makes you want to eat lots of snacks.” American highways offer an endless line-up of fastfood chains and convenience stores, but you donʼt have to spend your time stocking up with junk food. Instead, invest in a large cooler, stock it with plenty of ice packs and bring along a snack supply of salads, cut-up raw veggies, fruit,
whole-grain wraps, raw nut butter, unsalted nuts and seed. And donʼt forget individually wrapped cheeses, low-fat yogurt, hummus, whole-grain crackers, and dried fruit. With a good plan, you can eat almost as healthy on the road as you do at home. Plus, this can be a lot more relaxing, especially if you are traveling with young children, because you do not have to worry about finding a restaurant everyone agrees on and foods that everyone likes, and itʼs cost-efficient. Donʼt forget the water. It will keep you hydrated and help you stay on track. Since convenience stores are full of temptation that can lead to buying junk food, bring water in your cooler before you leave. Most folks nowadays have the technology to locate healthy road-food while traveling, so find review sites like Yelp or Trip Advisor to search the area youʼre visiting. If you are going to be on the road for several days, you can stop at local farmers markets or grocery stores along the way to restock your cooler. Itʼs fun for the whole
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Appointments, 541-549-9609
High Lakes Health Care
354 W. Adams Ave. | HighLakesHealthCare.com
What are you searching for? Support for Muscles and Joints? Cellular Health & Detoxification? Emotional Balance? How to Manage Stress?
Don’t miss these two FREE classes!
SUN., MAY 6 • SISTERS LIBRARY
1-2 p.m. “Essential Oils for Your Health” Angela Bobst, doTERRA Leader/ Essential Oil Educator, Sisters
2-3 p.m. “The Perfect Storm – Detox Done Right” store gift cards, nice kitchen supplies, plus a grand prize of farmers market harvest bucks! Sign up online at www.RethinkWasteProject. org/FoodWaste.
Dr. Andrew Torchio, Pangea Chiropractic, Bend
It’s time to take charge of your life!
High Lakes Health Care in Sisters welcomes Certified Physician Assistant David Kirkpatrick, BA, MA, MMSc, PA-C, who has joined the clinic in Sisters. Dave grew up in Seattle and received his undergraduate degree in psychology from the University of Puget Sound in Tacoma in 1998. After working in Seattle for four years, he returned to graduate school to earn a master’s degree in clinical psychology from George Fox University and later his physician assistant degree from Emory University in Atlanta. Before joining High Lakes, for nine years Dave delivered both inpatient and outpatient care at a general medicine clinic in Longview, Washington, seeing both acute and chronic-care patients. Prior to becoming a PA, Dave spent two years touring the Northwest as a Christian singer-songwriter and speaker while working for a medical insurance brokerage. In his spare time, he still enjoys playing music, skiing, tennis, basketball, golf and spending time with family and his church.
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Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Your Story MATTERS
Audry Van Houweling, PMHNP Columnist
Thyroid dysfunction and your mood In my office at She Soars Psychiatry, I practice functional medicine. Functional medicine aims to identify root causes of health concerns and in doing so, supports treatment solutions that are long-lasting and sustainable. Given my specialty in mental health, the intersection between your hormones and emotions is a “root” that cannot be dismissed. Your hormones are intimately connected with your mood in a bidirectional, dynamic
relationship and one of the major players in this relationship is your thyroid. Your thyroid is a butterfly shaped gland that sits in the lower part of your neck. It has many important roles including growth & development, metabolism, temperature regulation, and neurotransmitter production among others. Thyroid dysfunction is on the rise these days. This may be due to the thyroid being particularly susceptible to potentially damaging effects of synthetic, hormone-disrupting chemicals that have increased exponentially the past 40-50 years finding their way into the air, water, and food supply. It is estimated that worldwide up to 25 percent of the population has some degree of thyroid dysfunction. Therefore, when I evaluate someone for depression, anxiety, poor motivation, and poor focus among other symptoms, it is imperative that thyroid function be assessed. Thyroid imbalances can trend in two directions. Most commonly, thyroid function and hormones associated with the thyroid create a state of hypothyroidism.
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102 E. Main Ave., Ste. 300A, Sisters
Symptoms associated with hypothyroidism may include fatigue, depression, brain fog, memory loss, cold intolerance, weight gain, muscle pain, and dry skin. A l t e r n a t i v e l y, hyperthyroidism can be associated with restlessness, anxiety, weight loss, insomnia, rapid heart rate, irritability, and heat intolerance. Thyroid dysfunction may be the consequence of an autoimmune disorder. Hashimoto’s disease is the autoimmune state more commonly associated with hypothyroidism, while Grave’s disease is more commonly associated with hyperthyroidism. Women have seen the highest increases in thyroid dysfunction especially during pregnancy, postpartum, and postmenopausal states. In fact, it is estimated that up to 80 percent of postpartum depression may be associated with thyroid dysfunction. It is important to recognize that somebody with undiagnosed thyroid dysfunction may present to a
mental-health clinician and meet criteria for a number of psychiatric diagnoses such as major depression, generalized anxiety, panic, or attention deficit disorder. Therefore, while your symptoms may qualify you for a psychiatric diagnosis, the foundation of these symptoms may be hormonal, which often demands treatment approaches beyond psychotropic medications. In my opinion, truly assessing thyroid function necessitates looking at multiple pieces of the puzzle. Too often many of these pieces are neglected, leaving an incomplete picture of what your thyroid is doing or not doing. At a minimum I recommend the following lab tests to assess thyroid function: TSH (Thyroid Stimulating Hormone, regulates secretion of T3 & T4) Free T3 (active form of thyroid hormone) Free T4 (inactive thyroid hormone, requires conversion to T3) Thyroid Antibody Test
Thyroid dysfunction is on the rise these days.
(this is important to rule out an autoimmune disease) Liver Function Test (your liver is very important for activating thyroid hormone) Ferritin (required for T3, your active thyroid hormone to work cellularly) Stress, diet, nutrient deficiency, lack of physical activity, oral contraceptives, heavy metals, pesticide exposure, chronic illness, and compromised liver or kidney function can all be contributors to thyroid dysfunction. Thus, treating thyroid dysfunction demands a personalized approach that considers these multiple factors. There is not a one-size-fits-all solution. The good news that with a combination of hormonal support, lifestyle changes, and close monitoring, significant improvement is possible. Ultimately, it is important that mental-health symptoms are not seen in a box and that we take a broad approach in investigating what their origins may be. Acknowledging the power of your thyroid and other possible root causes is paramount to finding sustainable solutions.
She Soars Psychiatry She Soars Psychiatry, LLC was born out of the belief that mental-health diagnoses are not always permanent conditions and that non-invasive methods such as nutrition, fitness, supplementation, spirituality, social connections, and stress management, may have as much — if not far more — impact than pharmaceuticals. Audry Van Houweling is focused on a functional, compassionate, personal approach that gets at root causes, not just symptoms. Functional medicine appreciates inter-connections and strives to tell the whole story of what a client is experiencing. Audry utilizes the functional medicine framework to address the foundations of emotional wellness with competence and precision. S h e S o a r s Ps y c h i a t r y o f f e r s a n
affordable concierge program to put her services well within reach of Sisters families who need them. Membership options include three months or six session; six months or 12 sessions; 12 months or 24 sessions. Sessions are transferrable to other family members. And unused sessions per month roll over and can be used later.
Hospice of Redmond Hospice of Redmond, a small, independent nonprofit, has been providing exceptional care to Central Oregon families since 1981. Their care model is designed to enhance and support all aspects of a patient’s life. Their experienced care team honors patients and their families, providing them with education, resources — and heartfelt support. Hospice of Redmond affirms life by focusing on its quality. Their commitment, along with the highest quality training of clinical staff and the volunteer group makes Hospice of Redmond the first choice for quality end-of-life care in the area. The Hospice team has made a difference in
the lives of patients and families facing a terminal illness by assisting them with their own unique physical, emotional and spiritual needs. The clinical staff uses various methods of symptom management and pain control creating a holistic approach, which allows the patient to remain as active and in control of their lives as possible.
Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
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Living with the scourge of polio By Jim Cornelius Editor in Chief
The fear came in the summertime. In the early part of the 20th century, repeated epidemics of polio struck the United States, often leaving previously healthy children and young adults with life-changing paralysis. Polio is caused by a virus, which, in the pandemics of the early 20th century, struck in the summer and early autumn. Parents lived in dread of
PHOTO PROVIDED
Polio struck Jan Secrest as a young woman in 1949.
polio season. Public swimming pools closed down to avoid spread of the contagion. Thousands of children and young adults were afflicted; some died. One of those struck down was a robust 39-yearold named Franklin Delano Roosevelt. Falling ill in 1921, he was left paralyzed from the waist down. In 1933, he would assume the presidency of the United States — standing for his inauguration with the aid of braces and canes. He would battle the Great Depression and fight World War II from a wheelchair. In 1949, polio struck a young woman who had gone on a cross-country trip with her husband, Hal Secrest, to celebrate his graduation from Stanford University. Her daughter Barbara, a longtime Sisters resident, believes that she contracted polio in Illinois. By the time she returned to California, she was gravely ill. Jan Secrest died at 91 earlier this year. Despite being felled by the scourge of polio as a young bride, she lived an exceptionally full life, full of gratitude. Barbara described her mother as having a “sunny
attitude about her disability.” Grateful that she did not end up in an “iron lung,” which kept sufferers of respiratory paralysis alive, she counted herself lucky to have undergone months of physical therapy to enable her to walk. “It was actually quite fun,” Jan told her children. “I had Frisky the squirrel to entertain me while I was confined to bed for months.” “She was incredibly stoic and not complaining,” Barbara said. Barbara was born in 1954. Her mother’s condition was a simple fact of life — and one that Jan went out of her way to downplay. “It was just a part of my life that Mom couldn’t do a lot of things that we could do,” Barbara reflected. Jan focused on what she could do. She taped her thumbs around her knitting needles and carried on. When she wanted to rearrange the furniture in the house, she got on the floor and scooted it around. “She never let her handicap get in the way of figuring out how to do stuff,” Barbara recalled.
Only once does Barbara recall that her mother showed the pain that she must have felt at the constraints the disease had placed upon her. Barbara’s sister Anne found her crying in the kitchen because she couldn’t take her children out to play in the snow. When she and Hal purchased a hardware store in Independence, Oregon, Jan worked six days a week, with Hal making sure the aisles of the store remained navigable for his wife. Just as Barbara came into the world in the middle of the 20th Century, the work of Jonas Salk on a polio vaccine was pushing polio out. The pall of terror that fell upon the country during polio season abated. “She was a great admirer of Salk,” Barbara recalled. “She did describe the immense sense of relief, not just for herself personally, but for the country where that (the vaccine) was developed and available.” Jan was struck by postpolio syndrome later in life — a not uncommon phenomenon that left her confined to a wheelchair. She never lost her
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Jan Secrest was one of the first to venture out in her wheelchair to take in the vista from the Whychus Overlook. positive outlook. As Barbara noted, “she created a life she could manage.” In fact, she saw benefits to having experienced such an affliction. “She said that it gave her more compassion and understanding for other people,” Barbara said. The dread associated with polio is a faded memory now. Yet, the threat still lurks. “That disease is still out there,” Barbara Secrest notes. “It’s not eradicated — it’s controlled. It’s still out in the world.”
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Wednesday, May 2, 2018 The Nugget Newspaper, Sisters, Oregon
Fit For
Sisters Andrew Luscutoff Columnist
The Rocky Balboa fitness fallacy Everyone’s seen the movie montage: the hero and their epic training sequence. Sharp angles, switching vantage points, agony on the hero’s face, pumped up music. Cut between agony and inhuman feats of strength and stamina. These scenes show the hard work and dedication our hero is willing to endure to overcome. These images infiltrate into our sense of ourselves. Looking in the mirror, we spot an enemy — that soft midsection, that disappointing lack of girth around the upper arms. A movie script is quickly imagined; tomorrow is the day the journey begins.
We purchase the gym membership, and curate a motivational music playlist. A quick YouTube search finds some exercises that look like the ones we imagine superheros or professional athletes do. It’s go time: Our personal training montage takes center stage. The workout hurts, it’s hard — and maybe not even appropriate for a citizen action-star. We dig deeper and deeper and hear the conscious telling us to just work harder, punch through. No pain, no gain. Except the pain is real — and it debilitates. Fatigue from the workouts is overbearing. Resentment builds, the subconscious mind finds an excuse for every attempt to make it to the gym or to put on the running shoes. A forgotten chore; a stop by the coffee shop turns into 20 minutes of staring at the phone. The movie scene is darkening. Unlike in Hollywood, the hero has failed. “You just didn’t have what it takes!” growls the inner Coach and Drill Sergeant. “Weak,” “pathetic,” and other words creep into our self-talk. Ashamed, and defeated the hero looks toward the comforts of more movies and the snacks that never let us down. Does this sound familiar?
It is far too common. The belief that all workouts need to be epic is highly esteemed. It’s a fallacy that ought to be defeated like the villain in an action movie. Workouts do not need to leave you destroyed, dysfunctional, or distraught. They need to provide the body a stimulus to change. That stimulus requires effort, it requires consistency, and it requires diligence. An intelligent workout program leaves the carrot just out of reach, the exerciser keeps coming back for more and more. All the while the results creep up, the goals are progressively met. Fitness is a lasting endeavor. Try underachieving. Use the tried and true exercises that have always worked. Most of us are not action heros or elite athletes. Although it’s fun to pretend, what they’re doing isn’t for us. A brisk walk, some weight training, or some active mobility drills won’t win an Oscar for lead action role but what they will do is help you feel good. You’ll be able to sustain activity, and build over time. Burnout and fatigue can be avoided and you can enjoy an active lifestyle — without finding yourself laying on the floor after each workout, a destroyed warrior action hero.
RUN: Grossmans lost daughter-in-law to cancer
TRACKING: Short staffing restricts monitoring of sites
Continued from page 17
Continued from page 18
through the vineyard, into the canyon, and up the ridges. Early-bird rates are extended through May 6. The weekend kicks off with the Benefit Concert Series Friday, June 8, from 6 to 9 p.m. with live music by the Patty Davis Band (tickets are $10, kids 12 and under $5). Saturday evening features The Scott Helmer Band (cover charge of $20, kids 12 and under $5). The Crush Cancer run will be held Sunday, June 10, and begins at 9 a.m. The race day provides family fun with a silent auction, raffles, and live music, as well as prizes awarded to the race winners. FHC Crush Cancer will provide memory boards for participants to assemble to honor their loved ones, which will be displayed throughout the event. All proceeds from the weekend benefit the Fred Hutchinson Cancer Research Center. For more inform a t i o n v i s i t w w w. FaithHopeAndCharityEvents. com/CrushCancerRun.
story!” Cannabis producers and regulators compare the tracking system to filing income taxes: They operate to a large extent on good faith, but when an auditor or inspector comes there better be evidence to back the numbers. However, the chances of a “compliance inspector” showing up at a site is low. The Oregon commission only employs 19, with four more to be added soon. They don’t have time to randomly check grow sites and compare amounts of marijuana they see with the data. Instead, inspectors are largely tied up investigating complaints, for example on someone carrying out a function beyond the scope of a license, or harvesters lacking the required permit, commission officials said. Companies that have gone the legal route say regulators should focus on those who remain outside the legal system. They note the illegal producers are unfair competition, without the large overhead.
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with it, into a season of health and well-being. Now is the time to re-evaluate those persistent physical limitations or injuries that have been nagging at you all winter. You CAN get better — with help from Bigfoot Wellness. With a variety of modalities available in a ”onestop shop” of wellness, you can move past your limitations into full enjoyment of an active Sisters lifestyle. Massage, chiropractic and acupuncture can work individually — or , even better, in concert — to overcome even the most persistent hitches in your physical abilities. Bigfoot Wellness is very accessible. If you have a health-related question, just give them a call. They’re happy to offer you a free consultation.
Easy online booking makes it convenient to fit taking care of yourself into your busy schedule. Don’t surrender to the aches and pains — let Bigfoot Wellness help you blossom this spring.
Sisters Athletic Club The path to better health starts with a single step — call for your 2-week complimentary trial membership (new members only)
541-549-6878
www.sistersathleticclub.com
Sisters Athletic Club is the hub of a healthful way of life for hundreds in Sisters. Much more than a “gym,” SAC is a community resource that promotes wellness in body, mind, and spirit. For many, it is a center of their community of active friends. A full-service wellness center, SAC enhances the Sisters lifestyle with a variety of classes and programs based on real research and best-practices, designed to enhance well-being whether you’re an athlete in training for a challenging event or an older adult striving to stay mobile and active. SAC is truly dedicated to serving the needs of its members and the broader Sisters community and that commitment has been widely recognized.
The community created by a dedicated team at SAC is reflected in the prestigious IHRSA Outstanding Community Service Award for 2018.