Siouxland Life - May 2017

Lunch tables worth noting

‘Shrek’ makes festival debut

Children learn town’s heritage

A GUIDE FOR LIVING IN SIOUXLAND

A WINNING EVENT KARLI LANG REIGNS OVER TULIP FESTIVAL

A CRAFTSMAN LANDMARK IN ORANGE CITY, IOWA

MAY 2017

SIOUXLAND LIFE IS ON THE WEB! VISIT WWW.SIOUXCITYJOURNAL.COM/SIOUXLANDLIFE SIOUXLAND LIFE APRIL 2017

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SIOUXLAND LIFE

CONTENTS May

2017

4 AN IOWA CLASSIC

Look inside a Craftsman-style home and discover what makes the look so appealing, even now, decades after it was built.

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ON THE COVER Karli Lang will reign over the 2017 Orange City Tulip Festival. She’ll be present – along with her court – at various events during the May celebration. Meet her on page 18.

Photograph by Justin Wan

FEATURES 4 HOME Iowa classic 12 TULIP TIME economy boost 14 TULIP TIME those questions 18 TULIP TIME festival queen 20 TULIP TIME growth industry 24 TULIP TIME being green 26 TULIP TIME last march 28 TULIP TIME dance, dance, dance

30 34 36 38 40 45 47

TULIP TIME learning young TULIP TIME festival food TULIP TIME storied tables HEALTH bed wetting HEALTH marathons HEALTH medical answers PARTING SHOT

PUBLISHER Steve Griffith EDITOR Bruce Miller EDITORIAL Dolly A. Butz, Tim Gallagher, Earl Horlyk, Lindsey Nelson PHOTOGRAPHY Tim Hynds, Jim Lee, Justin Wan ADVERTISING SALES Nancy Todd ADVERTISING DESIGN Kayla Fleming PAGE DESIGN Lacey Hoopengardner

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©2016 The Sioux City Journal. Siouxland Life is published monthly by The Sioux City Journal.

For advertising information, please call (712) 224-6281. For editorial information, please call (712) 293-4218.

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THOSE QUESTIONS What kinds of things do visitors to Orange City want to know? Officials say some questions keep cropping up – just like tulips.

DUTCH DANCING It’s a tradition for teenagers in Orange City – learn how to dance, Dutch style. The Dutch Dozen afford a spotlight, too.

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MAY 2017

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HOME an

iowa classic

A HOUSE WITH

HISTORY

Orange City’s Arts & Crafts treasure blooms over 103-year history

o

Text by Tim Gallagher Photographs by Justin Wan

ORANGE CITY, IOWA | Ken and Joanne Gamble toured a home across the street from the Sioux County Courthouse in August 2014. It took them scant minutes to make an offer, paying full price for a 100-year-old residence.

“It was an impulsive, passionate decision,” Joanne Gamble said. “We loved the home! Who doesn’t love all the rocks, the leaded glass windows, and the antiques that have been a part of that home for 100 years?”

It is likely the historic home in Orange City, a beloved residence often called “The Stone House” or “The Short Home” by locals who share their history with a home built in 1914 by Wells Short, president of Northwestern State Bank, and his wife, Johanna De Jong Short.

According to an owner history on display with a scrapbook detailing histories of all of the home’s five owners, “The Shorts had their home designed after a home they saw while visiting California. The stones that make up the pillars, foundation and chimney were once in the Kern River in California where they first saw them. They were shipped by rail car to Alton, Iowa, and then loaded on wagons pulled by teams of horses, and transported to the building side.”

The home consists of 1,100 prism glass planes, solid oak colonades, a

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SIOUXLAND LIFE

Ken Gamble stands next to a 7-foot Steinway Parlor B Grand piano at his home.

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MAY 2017

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SIOUXLAND LIFE

1912 Steinway Parlor B Grand piano, a Waltham grandfather clock and an 11-piece African mahogany dining set, all of which are still displayed in a living space consisting of three bedrooms upstairs (one of which has a porch), two bedrooms on the main floor and one bedroom in the basement.

Ken Gamble marveled at the piano and the nine pianists who played in shifts, thrilling hundreds of visitors last November as the Gambles participated in Orange City’s annual Tour of Homes.

Ken and Joanne, he noted, are currently taking piano lessons as they aim to fully enjoy the Steinway that’s a focal point in the living room. The crate that the piano was shipped in, he noted, can still be seen, in parts, at least, in the rafters of the garage out back.

Steve Cleveringa, of Orange City, was recently doing work in the home for the Gambles when he revealed the fact that the living room ceiling was once covered with hand-painted linen showing all sorts of flowing decorations and flowers. Cleveringa contacted the Gambles immediately and preserved as much of the linen as he could. There are rolls of it now in a basement den or man-room. Ken Gamble unrolled one of the pieces, smiling as each passing inch showed more intricate detail.

“This is incredible,” he exclaimed.

That den, located just off a gameroom in the basement, features two walls of stones with a corresponding key that details where on the globe each stone was found.

The Shorts were obviously influenced by the Arts & Crafts, or

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This porch in the home of Ken and Joanne Gamble, of Orange City, Iowa, is adjacent to a second-story bedroom.

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A guest bedroom in the home of Ken and Joanne Gamble.

Craftsman, style of architecture in the design of this home, which features around 5,000 feet of living space on three floors. Architect brothers Charles Sumner Greene and Henry Mather Greene, who worked together in Pasadena in the very early 1900s, likely have their figurative fingerprints covering this Arts & Crafts home.

“The furniture, the pottery, the architecture, some of the metal, and the rugs and tapestries all have an Arts and Crafts influence,” Ken Gamble said.

“There was a period of time from about 1898 to the 1910s where the Arts and Crafts movement was huge,” Joanne Gamble added. “The industrial movement made things en masse, and this was an attempt to get to a one-ofa-kind. Our living room has antique furniture that lasted. And the beautiful quartersawn oak and built-in bookcases and sets, that’s all about making the

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Sunday, October 8, 2017 at the Stoney Creek Hotel & Conference Center in downtown Sioux City SIOUXLAND LIFE

MAY 2017

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SIOUXLAND LIFE

Ken Gamble demonstrates the functions of a Waltham grandfather clock.

house itself artistic.”

The Shorts evidently went to Pasadena, the hub of the Arts & Crafts movement. Johanna Short discovered a home there, obtained the building plans and had their home constructed in Orange City. Joanne Gamble is on a quest to see if that home in Pasadena still stands.

The last step extending west from the front porch is higher than that of the other steps. The reason: That last step matched the bottom portion of a horse-drawn carriage, which headed south on the driveway, allowing residents and guests to depart from the home onto Second Street Southwest.

The Gambles came to Orange City as Ken Gamble founded Quatro Composites with Doug Roberts. The company expanded in Orange City before Ken Gamble sold the firm 12 years ago. A engineer, Ken has remained with the company, dividing his time between the Orange City plant and one in California. In mid-May, the Gambles will relocate to this home, for at least the next two to three years as Ken devotes much of his professional time to the plant in Orange City.

The Gambles do offer the home as a place for rent, choosing AirBNB.com as their mode. Recently, a group of performers from Nova Scotia rented the home while staying in town and doing some performances. The Orange City Arts Council will have musicians stay there, for example. A writer detailing the 2017 RAGBRAI experience will also stay here as the ride moves through the Sioux County seat.

Ken Gamble said two couples recently rented the home as both couples traveled to Orange City to be with their children as they celebrated the birth of a child. Ken Gamble paused as he described walking up to the back door and seeing four new grandparents holding a newborn baby. “I get choked up talking about it,” he said.

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HOME an

iowa classic

The exterior of the home of Ken and Joanne Gamble.

Orange City families have gathered here and stayed here during graduation receptions, family reunions, weddings and funerals.

“If it helps Orange City in some way, that’s great,” Joanne Gamble said. “We feel the house really belongs to Orange City.”

The home can be a focal point of sorts during the Orange City Tulip Festival as mobile food vendors who set up on the courthouse square park their carts in the home’s garage. The singing bicyclists also use the Gamble’s back yard to conduct their practice sessions, as Ken serves water and lemonade, a scene highlighted with the emergence of 800 tulips on the property.

“We are blessed,” Joanne Gamble concluded, noting that two of their three grown sons will join them this year for the Orange City Tulip Festival.

“It’s beautiful. We really feel honored to be a part of this town and the celebration of its heritage.”

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Bathroom decorations illustrate the community’s Dutch heritage and its spring-time staple, the tulip.

SIOUXLAND LIFE

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Desserts

• Banana Bread Pudding • Assorted Easter Candies Top: Ken Gamble talks about the hand-painted linen that decorated the ceiling of the living room.

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Left: A second-story bedroom.

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TULIP TIME economy

boost

Mike Hofman displays a wooden shoe he cut from a block of basswood in the new Stadscentrum building in Orange City, Iowa, in May 2015. Dutch for “city center,” the building, on the corner of Central Avenue and Second Street, was created to house the city’s street organ and wooden shoe-making equipment.

AS VISITORS FLOCK TO TULIP FESTIVAL,

LOCAL BUSINESSES BENEFIT

o

Text by Dolly A. Butz Photographs by Sioux City Journal Staff

ORANGE CITY, Iowa | Year after year, people from all over the world – the Netherlands, Southeast Asia, Mexico – flock to the small Northwest Iowa community of Orange City, which was founded by Dutch settlers, to take in the beautiful sight of blooming tulip beds that are scattered around the city.

The Orange City Tulip Festival, a celebration of Dutch Heritage, draws upwards of 100,000 people over threeand-a-half days who marvel at dancing

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children and adults in the streets, indulge in Dutch treats and visit a dozen replica windmills.

The festival, which began as a small celebration in 1936, will mark its 77th consecutive year May 18-20. The festival, which took a break during World War II, is always held the third weekend in May. Mike Hofman, executive director of the Orange City Chamber of Commerce, said the economic impact that the annual festival has on local businesses is difficult to quantify. There is no admission fee or official gates that visitors must pass through to enter.

The marketing benefits the Tulip

SIOUXLAND LIFE

Festival provides, however, are significant for business owners in the city of 6,100 people, which serves as the county seat of Sioux County.

Based on receipts from vendors and the carnival, as well as looking at crowd size and availability of parking each day, Hofman said the festival definitely has grown over the years. Last year, for the first time, the festival kicked off Wednesday night with a car show.

“That was a huge success. We had beautiful weather,” Hofman said. “We’re looking forward to another great year.”

Throughout the weekend of the Tulip Festival, Hofman said restaurants

and hotels in and outside the city are full. He said local businesses from hardware stores to gas stations see an uptick in foot traffic.

“They all see an influx of people because the vendors that are here for three and a half days have stuff break down and they need to go to the hardware store,” he said. “People leaving town – they need to get gas so they can get back home. People have family in town, so they’re going out to eat.”

Preparation for the festival begins in June the year before. The Chamber of Commerce’s main duty is preparing the community to be in the spotlight.

Hofman said festival organizers try to change up the event a little each year to keep it lively. Over the years, a second parade, food vendors and carnival rides have all been added.

To spur interest, Hofman said the Tulip Queen and her court have been making the media rounds. He said his office is busy mailing brochures, selling parade and night show tickets and fielding phone calls about the festival.

“The weather has turned a bit more positive the last couple days. People are starting to think spring,” he said in early April. “When people think spring, they think the Orange City Tulip Festival.”

Visit octulipfestival.com for information on restaurants, lodging, events, attractions and group tours.

Above: Tulips show their color in Windmill Park.

Top: People young and old dressed up in Dutch garb scrub the street during the 2016 Orange City Tulip Festival.

Left: Red and yellow tulips line both sides of Central Avenue SW, just north of the Northwestern College campus.

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MAY 2017

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TULIP TIME those

questions

Orange City Chamber of Commerce’s Taylor Reynolds is frequently the go-to guy for Tulip Festival newcomers.

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SIOUXLAND LIFE

o YOU EVERYTHING

WANTED TO KNOW ABOUT THE TULIP FESTIVAL (BUT WERE AFRAID TO ASK)

Text by Earl Horlyk | Photograph by Justin Wan

ORANGE CITY, Iowa | When he moved with his family from Albuquerque, New Mexico, to Orange City, Iowa, Taylor Reynolds thought he had officially entered “a bizarro world.”

“I was 12 years old and had become accustomed to living in a much larger community,” he remembered. “It took time adjusting to a slower paced life in Northwest Iowa.”

First, it meant transferring to a school where everyone knew one another. Secondly, Reynolds had to change his diet from the chiles native to New Mexico to the much milder cuisine associated with the Netherlands.

“I discovered it was actually fun knowing everybody in town,” he explained. “In addition, I discovered bratwurst was really delicious.”

As office manager for the Orange City Chamber of Commerce, Reynolds will often field phone calls from tourists wanting to know more about the community’s annual Tulip Festival.

“Since the Tulip Festival brings in more than 100,000 people, it generates a lot of interest,” he said. “Some of the questions are common while others are just funny.”

So it shouldn’t come as much of a surprise that people always pepper Reynolds with questions about tulips.

Will the Tulip Festival be cancelled if the tulips aren’t in bloom?

“That’s a question I hear every year,” Reynolds said.

“The Tulip Festival is held on the third weekend of May and, no, it won’t be cancelled due to the condition of the tulips.”

A variety of early, mid and later-blooming tulips are planted in Orange City and organizers do their best to have the colorful flowers – a symbol of prosperity in the Netherlands – during the three-day festival.

“The majority of the tulips should be blooming in mid-May but weather plays a big role,” Reynolds said.

“No matter the condition of the flower, this year’s Tulip Festival will be taking place May 18 - 20.”

Is Orange City the cleanest place in the world?

“The annual street scrubbing seems to be a visual image people have about the Tulip Festival,” Reynolds said. “Carrying on a Dutch tradition, our street inspectors check the streets for cleanliness in anticipation of the Tulip Queen’s arrival. Boys and men throw buckets of water while girls and ladies follow with brooms, ensuring that everything is spotless for our Queen and her Royal Court.”

“I don’t know if Orange City qualifies as the cleanest community in the world,” he admitted. “I do know that our city crews and trucks do a great job keeping things looking good, year-round.”

OK, what’s the deal with wooden shoes?

“Yeah, they don’t look very comfortable, do they?”

Reynolds said. “But in the lowlands of Holland, they’re incredibly functional. Due to their design, wooden shoes would keep the feet of farmers dry in soggy soil.

Traditional leather shoes or boots just wouldn’t withstand the muddy fields of the Netherlands.”

Want to buy Orange City’s own design of wooden shoes? They are available at the Straat Winkle stand during the Tulip Festival and at the Tulip Festival office at 509 Eighth St. SE throughout the year.

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increased interest in sustainable home features from home owners,” said Todd Hagaman, president of the Home Builders Association of Greater Siouxland. “Remodeling your home can not only fulfill your family’s dream of a more comfortable and stylish home, but depending on the upgrades you choose, you can realize savings on utility costs, improve air quality for better health and strengthen the long-term value of your home.”

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SIOUXLAND LIFE

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TULIP TIME the

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QUEEN

REFLECTS ON VARIETY OF TULIP FESTIVAL ROLES

o

Text by Tim Gallagher | Photograph provided

ORANGE CITY, Iowa | Karli Lang’s “royal” experience with the Orange City Tulip Festival has come full circle. Lang, the daughter of Chris and Sherry Lange, of Orange City, serves as queen for the 2017 festival.

More than one decade ago, Lang

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served as a page for the queen’s court.

“As a first-grader, I was a page on the court,” said Lang. “The queen gets to choose a first-grader from each Orange City Elementary and Orange City Christian School and they get to ride on the float and be in pictures.”

That shoe, though not wooden, is on the other foot this year, so to speak, one of several duties the queen must perform.

SIOUXLAND LIFE

Lang has enjoyed a number of Tulip Festival duties in the past, starting with her participation as a child street-scrubber, preparing the city streets for the popular Volksparade.

“When I was younger, I did street scrubbing, I rode in floats and did the Dutch Dancing in elementary school,” said Lang, a senior at MOC-FV High School in Orange City. “Then, I was in

Members of the 2017 Orange City Tulip Festival court include, from left: Noelle Sampson, Sydnee Olson, Queen Karli Lang, Emma De Jong and Olivia Duesenberg.

marching band as a middle school student.”

As a high school student, Lang marched in wooden shows, playing flute with the famous Pride of the Dutchmen marching band for a couple of parades each day. She transitioned into more comfortable footwear as she became a member of the color guard during her sophomore year.

During the queen’s pageant in November, Lang recalled some anxiety while awaiting the impromptu questions she was given in front of the audience.

One question: What color best describes her?

“I said yellow as I’m a pretty cheerful person,” Lang said. “Yellow can be really bright or more neutral. I can be energetic or calm.”

Toward the end of the pageant, Lang, who was wearing a prom dress, was asked what kind of random act had an influence on her. She remembered receiving a “sweet, encouraging note” that

was left in her locker.

“School can get to be the ‘same thing every day,’” Lang said, noting how this note brightened her day. “I just appreciated it. It was anonymous and I still don’t know who left it.”

When Lang was announced as queen late that night, she stood frozen for a second, a cross between feelings of awe and ones of shock.

“Mayor Deb DeHaan put the crown on me and I had to walk all the way around the auditorium while a song was being sung,” she said. “I was thinking, ‘Did this just happen?’”

Just one month or so earlier, Lang had been a member of the homecoming court at MOC-FV High School. She wasn’t selected as homecoming queen, though.

Her older sister, Kelsey Lang, was also a member of the queen’s court for the 2016 Orange City Tulip Festival. Kelsey, though, didn’t win the title of queen, as Ava Grossmann earned that honor.

“It’s kind of crazy because I wasn’t

sure I’d go out for the court,” Karli Lang said. “I never really expected this.”

While Lang has always appreciated the close-knit bonds shared by residents in Orange City, she has grown even closer to people as preparations have accelerated for a festival that draws up to an estimated 100,000 visitors to the Sioux County seat.

“All the girls on the court, we love each other so much,” Lang said. “We get along so well. We’ve had fun times already. We’ve spent several weeks putting together our road show, which is a skit that has information about Tulip Festival and encourages people to come.”

Lang also participated with the queen’s court in an extravaganza to reveal the 2017 costumes, dresses that come from the town of Hoorn, located in the province of North Holland.

“They’re really comfortable and there aren’t too many parts. They’re easy to put on,” the new queen announced. “We totally lucked out.”

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TULIP TIME growth

industry

YOUR OWN T LIP FESTIVAL

Bring the colors of Holland to your backyard

o

Text by Lindsey Nelson Photograph by Justin Wan

ORANGE CITY, Iowa | Going into their 11th year as the owners of Tulip Town Bulb Company, tulip experts Brett and Nora Mulder are excited to reap the rewards of the hard work they put in this past fall.

“This is the fun time of year. We get to see what we planted where, which ones grew tall, which didn’t grow as tall as we’d thought. The hard work comes in September and October,” says Nora Mulder.

The Mulders plant between 2,5003,500 tulip bulbs on the Tulip Town property each October. “We aim for the third week in October. Bulbs should be planted when the ground is about 55 degrees,” says Nora Mulder.

Brett and Nora tell customers to plant bulbs six-to eight-inches deep, but recommend digging down about 10 inches to get that light soil.

“Bulbs root better with soft soil,” adds Brett Mulder. He says, go the extra mile by putting a bulb-boosting fertilizer over the tulips to absorb over the winter. “It gives it extra food for next season’s bloom.”

If all goes according to plan, festivalgoers will be able to see how each tulip looks in bloom and order the ones they’d like to plant for the next season. Brett, Nora and Don Vander Wel, former owner of Vander Wel Tulip Test Gardens, will be at the festival all three days taking bulb orders and answering questions.

Toward the beginning of September when boxes carrying bulbs from Holland begin to fill Brett and Nora’s garage. “Most of the orders come from our website. The majority of the people

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Nora Mulder and Brett Mulder of the Tulip Town Bulb Company inform Tulip Festival visitors about the many varieties they can plant.

SIOUXLAND LIFE

Multicolored tulips Right: Tulip Town Bulb Co. garden PROVIDED PHOTOS

who order online have either been to the festival or have a connection to Orange City,” says Brett Mulder.

Bulbs should be stored in a cool, dry area until they are planted in Autumn. “Tulip bulbs have to go through eight to 10 weeks of a dormant, chilling period for them to bloom,” Brett Mulder says. “If people forget about them over the winter, put them in a refrigerator and plant them in a pot. They will do fine.”

To give your tulips a more dynamic effect, “plant in groups, not in a line.” “I’m one who likes contrast,” says Brett Mulder, “so I like putting light and dark colors together. Nora is one to say it all looks good together and she’s right. They all end up looking great.”

Tulip Town offers 40-45 different varieties of tulips and offers custom Tulip Town mixes with two to three varieties of bulbs.

“To get the impact of a mix, they all have to bloom at the same time,” says Brett Mulder.

This year, “Big Easy,” a mix of yellows, purples and pinks, is the center piece at Windmill Park. “People have been favoring unique colors, but they’re never as strong as the classics,” says Nora Mulder. A traditional Darwin Hybrid, single-late variety is still the most popular selection.

Tulip Town works with a distributor who gets the bulbs from various growers in Holland.

“He helps find us what the customers want. Most (tulip) growers have three or four varieties.

There are hundreds of tulip variations, but the growers specialize in a few,” says Brett Mulder.

Years ago, the Mulders wanted to add the Jackpot, an early blooming purple tulip with white tips. Their distributor found a Jackpot grower who, coincidentally, shares the surname Mulder. Tulip Town has carried the Jackpot since.

“The end of May is the last growing season, so most of the tulips planted in Orange City are single late varieties, like Lily Flowered tulips or Parrot tulips,” says Nora Mulder.

Brett and Nora replace their bulbs every year, though most bulbs should last for three years.

“If you want them to last, plant them in a good dry, sunny spot,” Brett Mulder recommends. “You’ll know it’s time to plant new bulbs when you’re getting more leaves than bloom,” adds Nora Mulder.

TIPS AND TRICKS Q: How do I control rabbits that eat planted bulbs or tulip leaves?

A: We suggest using a liquid fence spray you can buy at any gardening store.

Spray once a week to make sure they stay away.

Q: How do I keep squirrels and moles from eating bulbs?

A: I make an envelope of chicken wire and put the bulbs in there.

Q: What side of the bulb goes up at planting?

A: Use the pyramid example or the Hershey Kiss example- the flat side down and pointed side facing up.

Q: How often show I water my tulips?

A: One time per month before bloom and one time per week after bloom is recommended.

Q: Can tulip bulbs be transplanted?

A: Tulip bulbs can be replanted once they’ve begun sprouting. Replant the sprouting tulip bulb six to eight inches deep, fertilize with organic fertilizer and water well.

Q: How do I prune my tulips?

A: Once they bloom, cut most of the stem and the bloom out so the tulip leaves can die naturally. This puts the energy back into the bulbs for next year.

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Avoid injury to feet this summer Many people find their appearances benefit from warm weather & time spent outdoors, provided they are wearing sunscreen and taking precautions against skin damage. But a few parts of the body may pay the price for time spent enjoying the sand, surf & other elements of summer.

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• Microorganisms: Warm, damp conditions can create a veritable breeding ground for the microorganisms that lead to plantar warts, athlete’s foot, ringworm, and other infections. Closed-in shoes will provide protection against these organisms.

• Sunburn: People often overlook their feet when applying sunscreen. Spending long hours in the sun can expose the feet to the same harmful rays that are baking other areas of your body. According to the American College of Foot and Ankle Surgeons, people often do not apply sunscreen to their feet when they apply sunscreen to the rest of their bodies.

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• Support: Some summer shoes tend to be flimsy and lack support. Wearing this type of footwear can lead to ankle, leg and back pain. Supportive summer footwear may be more expensive than dollar-store flip-flops, but always look for shoes that provide good sole and ankle support.

• Burns: Hot pavement, sand and other surfaces can easily burn the bottoms of your feet. Test the temperature before walking barefoot. Better yet, wear a water shoe or a sandal to protect your feet from hot temperatures and any broken shells or debris that may cut the soles of your feet.

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SIOUXLAND LIFE

MAY 2017

23

TULIP TIME being

green

The cast rehearses a scene from “Shrek: The Musical,” which will be presented as the Night Show for the 77th Tulip Festival May 17-20.

IT’S NOT EASY BEING

GREEN ‘Shrek’ comes to life at the 77th Tulip Festival

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MAY 2017

SIOUXLAND LIFE

o

Text by Earl Horlyk

| Photographs provided

ORANGE CITY, Iowa | What does a love-struck ogre and a talking donkey have to do with tulips?

Plenty, since “Shrek: The Musical” is being presented as the Night Show musical for the 77th Tulip Festival.

The show – based upon William Steig’s 1990 book, the 2001 animated film as well as the 2008 Broadway musical – will be performed at 8 p.m. May 17 - 20 at the Unity Christian Knight Center, 216 Michigan Ave. S.W. A part of the festival since 1950, the Night Show has become one of the most cherished annual events.

However, choosing a relatively recent show over something seminal was a risk, according to co-director Todd McDonald.

“I’ve directed ‘Finian’s Rainbow’ and ‘Joseph and the Amazing Technicolor Dreamcoat’ as past Night Shows,” the MOC-Floyd Valley speech and theater teacher said. “But when my family saw ‘Shrek’ on Broadway, we knew it would make for a great Night Show.”

McDonald’s co-director Gail Marincovich agreed.

“First of all, everybody loved the movie,” Marincovich, herself a retired MOC-Floyd Valley teacher, noted. “But once we got into the script, we realized the music is much more complex than we thought.”

Plus there were all of the elaborate costumes that “Shrek’ demanded.

“Some were purchased, some were borrowed from other productions of ‘Shrek’ and others were sewn especially for this production,” Marincovich said.

And when special effects and special costuming needs weren’t available, McDonald said the production had to simply do without.

“There will be times when the audience will have to use their imagination,” he admitted.

Which is actually OK, according to Marincovich, since Night Show audiences tend to be forgiving.

“Our cast and crew is made up of volunteers,” she said. “Our youngest actor is in the fifth grade while our oldest actors are probably in their 60s.”

“It’s a labor of love for many of us,” Marincovich continued, “and I think that comes to through to our audience.”

As the production date nears, McDonald said the cast is beginning to jell.

“Everyone wants to do a good job,” he said. “It’s important to them.”

Working with the school-aged cast members is especially fulfilling for Marincovich, who had previously

Above: Utilizing an all-volunteer cast and crew, the Orange City Tulip Festival’s Night show production of “Shrek: The Musical” will be presented at 8 p.m. May 17 - 20 at the Unity Christian Knight Center.

Left: Portraying a young Shrek, actor Cargon Miller is flanked by Don King and Breeana Pierce, who play his parents in the Night Show version of “Shrek: The Musical.”

IF YOU GO WHAT: “Shrek: The Musical” WHEN: 8 p.m. May 17 - 20 WHERE: Unity Christian Knight Center, 216 Michigan Ave., S.W., Orange City, Iowa ADMISSION: $20, all seats reserved director high school musicals.

“Audiences think acting in musicals is going to be broad,” she said. “My actors, on the other hand, are being taught to look to the subtlety of the scene.”

This was the approach Marincovich took when she made her own debut as a fifth grader in the community theater

production of “The Music Man.” And that’s the approach she takes while directing actors in “Shrek’s” pivotal “Freak Flag” production number.

“The cast totally nailed that song,” Marincovich said, the day after a rehearsal. “No matter who we are, we still have a little freak in us. The cast caught the subtlety right away.”

Like his co-director, McDonald is also keen on keeping “Shrek’s” subtler moments.

“We know this isn’t going to be a Broadway-level production of ‘Shrek’ but it doesn’t have to be,” he said. “We want to make this ‘Shrek’ uniquely our own.”

SIOUXLAND LIFE

MAY 2017

25

TULIP TIME last

march

o biz THAT’S SHOE

Legendary Dutchmen band director pumped about Tulip Festival swan song Text by Tim Gallagher | Photography by Dawn J. Sagert

ORANGE CITY, Iowa | The Pride of the Dutchmen Marching Band helps lead the Volksparade twice per day during the Orange City Tulip Festival.

This year, Steve Connell directs that award-winning marching band for the last time. Connell announced his retirement from MOC-FV High School on March 2, drawing to a close a remarkable 42-year career.

And yet, he’s looking forward to his “swan song” through the streets of Orange City, and not only for “his” band, but the Alumni Band that helps bring up the rear

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MAY 2017

SIOUXLAND LIFE

Above: MOC-FV Director of Bands Steve Connell’s wooden shoes. The black pair was worn by Connell in the Tournament of Roses Parade in Pasadena, Calif., and the white pair are what the students wore. Left: MOC-FV Director of Bands Steve Connell wore the black wooden shoes in the Tournament of Roses Parade in Pasadena, California, a few years ago.

MOC-FV High School Director of Bands Steve Connell is shown with his band’s trademark wooden shoes, a sartorial nod to the “Old Country.” Connell, who directed the band for 42 years, estimates he’s marched 200 miles in wooden shoes. On March 2, he announced his plan to retire from MOC-FV. The 2017 Tulip Festival parades will be his last as director at the high school.

in this special parade.

“We always have the Alumni Band march, and, this year, the Alumni Band is marching for both the afternoon and evening parades,” Connell said. “Normally we have 120 to 130 in the Alumni Band. I’m sure that this year it will be two to three to four to five times that size.”

Connell predicts that the 2017 version of the Alumni Band will stretch past two blocks.

The popularity of this group, fed

by Connell’s work and his popularity, may create some logistical challenges.

One reason the Pride of the Dutchmen

Marching Band goes first and the Alumni Band goes last involves instruments.

“We generally have people in the two bands sharing instruments for the same parade,” he said.

This year, with Alumni Band numbers expected to hit an all-time high, Connell has put out a plea of sorts in local schools. “We’ll borrow instruments from other schools before the parade to make sure we’re covered,” he said. “And we’ll find every flag we can to make sure we’ve got the flags covered, too.”

Connell, a native of Luverne, Minnesota, graduated from Luther College in Decorah, Iowa, in May 1975. He remembered watching the Tulip Festival Volksparade in 1968 and probably talked about it during his interview in Orange City, the only high school-only band position he’d found at that time.

“I don’t remember the interview, but I remember asking about the condition of the marching band’s uniforms,” he

recalled. “They opened this cabinet and showed me all the wooden shoes.”

Since then, Connell has directed the Pride of the Dutchmen Marching Band members in their wooden shoes as they played twice in the Pasadena Tournament of Roses Parade as well as the Hollywood Christmas Parade, the Fiesta Bowl Parade, the Orange Bowl Parade, the Portland Rose Festival, the Waikiki New Year’s Eve Parade, nationally televised NFL Monday Night Football games and more.

He and his band even marched in those Dutch wooden shoes to the White House.

“I’m sure this Tulip Festival will be emotional for me,” he said.

Connell, however, isn’t going to be fully retired. Northwestern College announced in April that it would launch an athletic band program to play at Red Raider events on campus. The leader of the band? Steve Connell.

“I am looking forward to having a lot of fun over there at Northwestern,” he said.

“I’ll be working with more adult students.”

Adult students, he noted, that often make up a portion of the Pride of the Dutchmen Alumni Band.

“The Alumni Band for many people is a highlight of Tulip Festival,” Connell said. “Someone who is 65 years old and can play a trumpet while marching for six blocks can relive a high school experience. You can’t play the state title basketball game again at age 65.”

Even those beyond 65 have played in the Alumni Band. Connell recalled watching and listening to a musician in her 70s as she marched past.

“She was part of the very first MOC band that wore wooden shoes,” the legendary director said. “It is special. I don’t think it happens anywhere else in the world.”

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MAY 2017

27

TULIP TIME dance,

dance, dance

DUTCH DOZEN PERFORMANCES REMAIN STEEPED

o

IN OLD WORLD TRADITIONS

It’s likely a favorite of many festivalgoers, too. The performances were so ORANGE CITY, Iowa | When she was well attended last year, Pals said they ran in high school, Brande Pals was a memout of chairs. ber of the Dutch Dozen, a highlight of The Dutch Dozen perform at City Hall, the Orange City Tulip Festival.

125 Central Avenue S.E., at 10:30 and Pals now co-directs the singing and 11:30 a.m. and 4 p.m. all three days of the dancing production, which is composed festival. The group also leads the senior of 12 young women and 12 young men, Dutch Dancers during the Straat Feest or along with elementary school music street festival, which takes place daily on teacher Sharon Foughty, who taught Brande Pals Central Avenue. most of the high school students Dutch Straat Feest features dance and song songs when they were younger. performances by locals in Dutch cos“I love it ,” said Pals, who graduated from MOCtumes. During this event, council members inspect Floyd Valley High School in 2007. “Dutch Dozen the streets before street scrubbing. It’s Dutch tradiwas my favorite part of the festival when I was in tion that the streets be spotless. high school.”

“We’ve had some really big crowds,” Pals said Text by Dolly A. Butz

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MAY 2017

| Photos by Justin Wan

SIOUXLAND LIFE

Above and left: Members of the Dutch Dozen from left, Allison Haverdink, Jadeyn Veltkamp, Brenna Bomgaars, Lindsay Kuiper and Vanessa Stokes practice for this year’s performance.

of the Dutch Dozen’s shows. “Between our first and second performance we had the guys hauling chairs out to set up more.”

Young women from MCO-Floyd Valley High School and Unity Christian High School audition in late January for 12 spots. Two alternates are also chosen. The young women who are selected then pick their partners for the performance.

“We’ve had really good tryouts the last couple of years. We’ve turned away more girls than we’ve taken,” Pals said. “Usually about five or six girls is what we replace every year, depending on how many graduate or if any of the girls make the Tulip Court, then they wouldn’t be in Dutch Dozen.”

During the festival, the ladies wear traditional Volendam costumes, which include a striped apron, embroidered top, black jacket, black skirt and pointy white hat. The look of Old Holland is further accented with signature orange wooden shoes.

“They sing six songs in Dutch. Some are traditional, like kids songs,” Pals said of the songs which pay homage to the act of sweeping, windmills and tulips.

Pals said the Dutch Dozen’s performance doesn’t change much from year to year, if at all.

For at least 10 years, Pals said there were no deviations in the group’s repertoire until her sister, Samara Cramer, wrote a song for the 75th Tulip Festival.

“Daar bij die Molen” (“There by the Windmill”) is a classic song that dates back to the very first Orange City Tulip Festival and is a favorite year after year. The Dutch Dozen perform the song on a darkened stage. Black lights shine on the ladies’ orange wooden shoes and their sleeves, which mimic the shape of windmill blades as they rotate their arms.

“It’s a lot of fun. The kids really love it,” Pals said.

“People really enjoy it because the kids have such a great time doing it.”

SIOUXLAND LIFE

MAY 2017

29

TULIP TIME learning

young

MUSIC TEACHER EMBRACES ORANGE CITY’S

HERITAGE

o

Text by Lindsey Nelson Photographs by Justin Wan

ORANGE CITY, Iowa | If you were to ask Sharon Foughty whether participating in the Tulip Festival was optional, she’d probably laugh. “When you live in this community, you participate where you can. For the most part it’s a full-time thing,” she says. And she’s not kidding.

As a music teacher at Orange City Elementary School, she says embracing the pride of the Dutchman extends to her classroom, too.

“Culture is a part of music. We’re missing a lot if we’re not teaching children about music from other cultures.

“Starting with the second grade, we have kids of every age who perform in some way at the festival. There are so many opportunities for students to participate in the Tulip Festival.”

In the spring, Foughty’s second- and third-grade students start working on three Dutch tunes they get to perform, clad in traditional Dutch fashions, at the annual event.

“I prepare each song and each dance move with another game from a different culture, so when we start getting ready for the festival, the students know a lot of the movement.The real trick is getting them to remember and say the Dutch words,” she says.

“Zo gaat de Molen” or “So Goes the Windmill,” is a song about a Windmill.

“The kids do movements that mimic the slow and fast speeds of a windmill and the slow and fast tempos in the song.”

The second and favorite song the students perform is “a traditional song in many cultures.” The Dutch version of “Seven Jumps” features seven different movements. “They say that I cannot dance,” the students sing as they stand in a circle, “But I can dance like a nobleman,” Foughty says.

“Rosa, Rosa” is a song that pays tribute to the Queen. “Rosa, Rosa, we must bow,” the first verse goes, followed by “Rosa, we must dance.”

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MAY 2017

Above: From left, second-grade students Yahaira Castillo-Benitez and Camryn Brightwell participate in a Dutch dance practice at Orange City Elementary.

Right: Sharon Foughty, music teacher at Orange City Elementary, gets students ready for the annual Tulip Festival.

“The third verse ends with ‘Rosa, we must kneel’ and the students kneel down and pay tribute to the Queen,” Foughty says. “The movements are super easy. It’s the words that are tricky.”

The students are accompanied by a recording of an accordion that was performed by a local musician. The CD also features former Orange City students singing along “to make sure everyone in the area can hear.”

Parent volunteers help the children at the festival while Foughty juggles her other festival activities. Foughty has been the musical director of the Night Show, has ridden on floats in the parade, danced with her husband Tom, and is currently the director of the Dutch Dozen singing and dancing group.

The second- and third-graders of Orange City Elementary can be seen performing these songs during the Mode Show in the Straat Feest, or street festival, on Central Avenue.

SIOUXLAND LIFE

SIOUXLAND LIFE

MAY 2017

31

Here Comes

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MAY 2017

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SIOUXLAND LIFE

MAY 2017

33

TULIP TIME festival

food

NETHERLANDS

NOSHES

Poffertje, a Dutch street food.

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SIOUXLAND LIFE

EXPERIENCING A WORLD OF FOODS AT THE TULIP FESTIVAL

o

Text by Earl Horlyk | Photos provided

ORANGE CITY, Iowa | Clark Pennings said nothing hits the spot like a hot-offthe-grill poffertje at the Tulip Festival.

In case you didn’t know, poffertjes are slightly larger-than-a-silver-dollar-sized pancakes that are served hot off the grill and topped with plenty of melted rum butter and a dusting of powdered sugar.

“Poffertjes are great and so is bratwurst,” the Iowa State Bank vice president said, relaying some of his favorite Dutch treats. “They’re definitely my go-to festival foods.”

Pennings has been a volunteer with the Tulip Festival for more than 20 years.

This year, he’s head of the food vendor committee.

“I like working with the (more than 25) vendors because food is such an integral part of the festival,” he explained.

“People like the tulips and the sights but they also have to eat.”

So, what are folks eating a the Tulip Festival? Think haute cuisine straight out of Holland.

Meaty fare like Dutch Saucijsjses (Dutch pigs in a blanket) and flaky foods like the almond Dutch Letter cookies (tender, flaky cookies filled with almond paste that come in the shape of letters) will be available for folks wishing to nosh as if they were in the Netherlands.

“Those are always the thing people associate with Tulip Festival,” Pennings said. “Plenty of meaty brats along with a lot of sweet stuff.”

Also available will be meals that have very little in common with Holland.

For instance, burgers, hot dogs and, even, tacos, may be purchased during the 77th annual Tulip Festival, May 17-20.

“Making Dutch foods allow us to preserve the community’s heritage,” Pennings said. “But we also realize that the community is changing and evolving.”

In other words, Orange City isn’t quite as Dutch as it used to be.

Pennings said cultural (and food) diversity is definitely a positive.

“Any festival needs to reflect its community,” Pennings said. “By expanding

Above: Straight-from-the-grill poffertjes are a delicious Dutch treat for visitors attending Orange City’s Tulip Festival. Left: Classic festival food like funnel cakes will make Orange City’s Tulip Festival sweet, according to volunteer Clark Pennings.

the types of food available we’ll be keeping our festival relevant.”

Plus who doesn’t like street food, whether it is of Dutch, American or Mexican origin?

“We’ll have plenty of traditional festival food,” he said. “It may not be fancy or healthy but it doesn’t have to be.”

Indeed, Pennings has come up with a theory on why food tastes so good at the Tulip Festival.

“For a lot of people, the Tulip Festival is the first big outdoor festival of the year,” he said. “After being cooped up all winter long, we think being able to eat outdoors is a treat.”

Pennings said his idea of a perfect Tulip Festival is when the skies are sunny, the temps soar up to the low 70s and there’s a great variety of food around.

So, is he going to choose a taco or a burger or, maybe, something Dutch?

“I’ll probably try a brat and a few different kinds of Dutch sweets,” he said.

“I’ll pretend that they’re healthy and low in calories even though they aren’t.”

Pennings let out a laugh.

“Perhaps the Tulip Festival is the time where you don’t have to worry about calories or cholesterol or anything like that,” he said. “You can worry about that stuff later on.”

SIOUXLAND LIFE

MAY 2017

35

TULIP TIME storied

tables

Vogel Paint’s story is told through details on tables created by Sticks 19 years ago.

BREAK TABLES TELL

COLORFUL STORY

o

OF VOGEL PAINT, INC.

Text by Tim Gallagher Photograph by Justin Wan

ORANGE CITY, IOWA | The most unusual break tables in Siouxland are found in the corporate center serving Diamond Vogel, the 91-year-old paint company founded in Orange City.

They come from Sticks, Inc., the highend furniture and decor designer/manufacturer in Des Moines.

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MAY 2017

“The concept began with one of the owners and part of the third generation, Mark Vogel, who saw some of the work of Sticks, which planted the seed,” said David Vander Werff, director of human resources at Vogel Paints.

The Vogels invited a couple of Sticks representatives to Orange City to interview principals at the company while gathering a history of the organization and its impact in the Sioux County seat.

SIOUXLAND LIFE

Quotes line the edges of each table, words that help detail the history of this firm.

“They designed what I’d call kind of a folk art,” Vander Werff said. “Their wood engraving, inking and staining. We’ve used these tables every day for 19 years and we’ve never refinished the tops.

“It’s got to be a Vogel finish on the top,” he added.

Vander Werff’s favorite table illustrates the history of Diamond Vogel and

features a picture of founder Andrew Vogel, along with one of Andrew’s wellknown statements: “The secret is your relation to your fellow man. Keep that in balance. Use the gifts you have and that makes the business.”

Andrew Vogel started this business in his garage in 1926, putting to work two small grinders and his third-grade education.

Vogel’s original message rings true today, said Vander Werff, who attributes the company’s growth and success to relationships that have grown among customers and fellow employees.

“The intent was to help this building as a corporate support center to remind everybody who they’re serving each day as they’re working,” said Scott Heemstra,

director of manufacturing.

The thought: Even in idle time, as at lunch or during a coffee break, the pillars of success upon which the company has grown, can be reinforced.

One table shows the different divisions of the company; another features 14 different states in which Vogel Paints has an economic presence. Easy Liner, for example, is a subsidiary firm and it has a place on one of the break tables.

“This helps people remember who they’re serving from a corporate standpoint,” Heemstra said.

Another table shows the U.S. flag and the flag of Holland, an artful depiction of where the Vogels came from and where they’ve stood the past three or four generations.

“This (table) talks about Vogel Traffic Services, an international company offering traffic coatings through the world; with a world map, world flags and spraymarking equipment,” Vander Werff said.

VIDEO David Vander Werff describes the unique break tables at the corporate center serving Vogel Paint, Inc., of Orange City, Iowa, at siouxcityjournal.com Sticks, which traces its origins to founder Sarah Grant some 25 years ago, has received national acclaim for its distinctive line of furniture, accessories and object art. The company began by designing items such as ornaments and candlesticks, but grew to do larger pieces, such as dining sets, beds and armoires.

Each piece, like each break table found in a corporate center in Orange City, is hand-crafted.

“We eat on them every day,” Vander Werff said. “They’re in excellent shape.”

They’re also incredibly interesting, a collection among Siouxland’s most colorful.

“Anyone who comes and looks at it is surprised and intrigued by it,” Vander Werff said.

Jeff Powell, executive vice president at Vogel Paint, Inc., sits at a decorated table at the company’s break room that features a picture of founder Andrew Vogel, who started Vogel Paint, Inc., in his garage in 1926.

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37

HEALTH bed

38

wetting

MAY 2017

SIOUXLAND LIFE

BED-WETTING AMONG CHILDREN COMMON, BUT TOUGH PART OF GROWING UP

s

Text by Dolly A. Butz

SIOUX CITY | FOR MANY CHILDREN, bed-wetting, although uncomfortable and embarrassing, is a part of growing up.

About 15 percent of 5-year-olds will exhibit nocturnal enuresis or bed-wetting, according to Steven Joyce, an internist and pediatrician at Mercy Medical Center. By age 10, 95 percent of children are dry at night.

Frustrated parents approach their child’s pediatrician asking, “Why is my child still having nighttime wetting?”

“It’s not considered abnormal. There are several reasons for it,” Joyce said. “If they’ve achieved nighttime dryness of six months or so and then start wetting again, some times it’s stressors – the birth of a sibling, parent divorce.

Things like diabetes, bladder infections and those sorts of things can also cause some of those symptoms.”

Joyce said he asks parents about constipation and encopresis, soiling underwear by children beyond the age of toilet training. Most children express an interest in toilet training around 2 1/2 years old.

“Bowel and bladder are closely related, so those children will oftentimes have difficulties obtaining bladder control, so we’ll ask about stool patterns,” he said. “If you don’t have good stool patterns, you’re unlikely to become continent.”

Tests that might be ordered to rule out a physical health problem could include a urinalysis, a blood glucose test and a blood test to measure kidney function.

If there isn’t a physical health problem going on, Joyce said bed-wetting shouldn’t be too concerning. In fact, he said 1 percent of 15-year-olds still have episodes of nocturnal enuresis.

“It’s mostly a social stressor – parents get tired of washing the sheets all the time, the child is embarrassed and can’t do overnights and things like that. It’s a struggle,” he said.

As bladders increase in size and mature in

“If children could help it, they would.

They don’t do it on purpose.”

Steven Joyce

function, Joyce said the percentage of children who wet the bed gradually decreases with each year of age. He said a whole host of things have to happen in the body to attain complete bladder control, so parents should be patient and understanding.

“If children could help it, they would. They don’t do it on purpose,” he said.

While there’s no medication that can cure nocturnal enuresis, Joyce said DDAVP (desmopressin acetate) is sometimes prescribed to treat symptoms if the child wants to stay overnight at a friend’s house. The antidiuretic hormone, which comes in the form of a nasal spray, regulates how the body uses water. When the drug is stopped, nocturnal enuresis returns.

“Some people use a nighttime alarm that’s kind of hooked up in their pajamas,” he said.

“The first onset of the jammies feeling wet, it’ll trigger the alarm to go off and wake the child up. Some of these kids are in such a sound sleep that they don’t hear it.”

He said waking the child up every two to four hours gets mixed results as well and could cause additional problems if the child isn’t getting adequate amounts of sleep. Limiting fluid intake after 7 p.m. and avoiding caffeinated beverages could produce better results.

But if the bed-wetting persists, Joyce said parents shouldn’t make a big deal out of it.

“Talk to them and say, ‘It’s not your fault,’” he said.

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39

HEALTH marathons Runners make their way down Benjamin Franklin Parkway in Philadelphia during the Philadelphia Marathon.

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MAY 2017

SIOUXLAND LIFE

RUNNING

BEHIND

m

Marathons may delay medical care for others Text by Marilynn Marchione | AP Photo

MARATHONS CAN BE RISKY FOR HEARTS, but not necessarily those of the runners. It takes longer for nearby residents to get to a hospital for emergency heart care on the day of a race and they’re less likely to survive, a U.S. study finds.

Any event that draws a crowd and causes traffic detours — parades, ball games, concerts, fairs — may cause similar problems, researchers warn.

It’s more than inconvenience: For every 100 people suffering a heart attack or cardiac arrest, three to four more died within a month if they had sought care on a marathon day versus another time, the study found.

It was published Wednesday by the New England Journal of Medicine, just before Boston’s annual 26.2mile (42-kilometer) race, set for Monday.

The publication timing was by chance, but “hopefully it will raise some attention around the issue,” said the study leader, Dr. Anupam Jena of Harvard Medical School.

The study included marathons in Boston, Chicago, Honolulu, Houston, Los Angeles, Minneapolis, New York City, Orlando, Philadelphia, Seattle and Washington between 2002 and 2012. It did not include 2013, when bombs at the Boston Marathon might have caused unusual delays.

Jena conceived the study after his wife entered a race last year and he couldn’t get through traffic to watch her run.

“She made the offhand remark, ‘Gee, I wonder what happens to people who need to get to the hospital during one of

these large races,’” he said.

Researchers used records on Medicare patients, figuring they were likely to be area residents, not race participants. They looked at heart attacks or cardiac arrest, when the heart suddenly stops beating.

They compared death rates for patients hospitalized on the day of the race versus five weeks before or after it, or in surrounding zip codes less affected by closed roads.

The rate of death within 30 days was 28 percent for those stricken on a marathon day versus 25 percent for the others, even though about the same number of people sought care each time. Average ambulance times were more than four minutes longer on race days. Patients who came by car probably had delays, too, but researchers had no information on that.

“That’s not the time to drive yourself,” Jena said. If you think you might be having a heart attack, “you should call 911, particularly when it’s a marathon day or large public event.”

Dr. Howard Mell, a doctor in Rockford, Illinois, and a spokesman for the American College of Emergency Physicians, said the study shows that planners must think more broadly about medical needs for crowded events.

“If you’re going to have a big street fair, you don’t just need to plan for the people at the fair,” he said.

For the public, the message is “don’t avoid care” just because you dread “going out in that mess,” Mell said. Putting off seeking help just makes matters worse.

SIOUXLAND LIFE

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ADVICE Medical

Answers

‘DOC, I’VE GOT A QUESTION …’ answers to your medical questions

Is it OK to take antacids several times during the night? Is this the best way to deal with chronic heartburn?

If you truly have chronic heartburn, antacids are probably not the best way to treat this. Antacids do not prevent heartburn but rather are used for the intermittent treatment of mild symptoms (mild heartburn occurring less than once a week, in general). Antacids neutralize stomach acid. They provide relief in about five minutes, but the effects only last about 30-60 minutes; thus the need to continue to repeat the dosing of an antacid if you have chronic heartburn.

Chronic heartburn and gastroesophageal reflux disease (GERD) would more appropriately be treated with either a histamine-2 receptor antagonist, an example being ranitidine (Zantac), or a proton-pump inhibitor, an example being omeprazole (Prilosec). You should see your doctor if you do have chronic heartburn and antacids aren’t cutting it. It’s important to see you doctor if you have 44

MAY 2017

chronic heartburn because he/she can determine your risk factors for developing possible complications from chronic heartburn and may recommend other studies to look into your esophagus, stomach and upper small intestine with a scope.

What is fungal pneumonia? What does it involve?

Fungal pneumonia is a specific type of pneumonia that is caused by differing species of fungus. Fungal pneumonia is much less common compared to viral or bacterial pneumonia. Fungal pneumonia most often occurs in individuals who have a depressed immune system, including, but not limited to those with a lung transplant, HIV-infected patients, kidney transplant patients, those with blood cancers, those on chronic corticosteroid therapy, and those with diabetes.

SIOUXLAND LIFE

MEET THE DOCS Jesse Nieuwenhuis is a family medicine resident physician at the Siouxland Medical Education Foundation in Sioux City, Iowa. He grew up on a farm near Primghar, Iowa, and chose to attend the University of Iowa and Northwestern College in Orange City, Iowa, for his undergraduate college education, graduating from Northwestern with a degree in biology and a minor in chemistry in 2009.

He then chose to work at the Iowa Neonatal Newborn Screening Program in Ankeny, Iowa, as a microbiologist for a short time after graduating from college. He then attended medical school at the Chicago Medical School at Rosalind Franklin University of Medicine and Science in North Chicago, Illinois, graduating with an M.D. in 2014. Upon graduating from medical school, he chose to pursue his graduate medical education in Family Medicine at the Siouxland Medical Education Foundation in Sioux City.

In individuals with a normal immune system, the immune system usually does a good job keeping fungus at bay so that it doesn’t cause infection. In those with a depressed immune system, the fungus can grow out of control and develop into an infection that can lead to pneumonia and other types of infections.

Fungal pneumonias are sometimes difficult to diagnose but can be treated with antifungal medications. However, because fungal infections most often occur in those with a depressed immune system, these infections can be very serious and difficult to treat.

How often do children need their eyes checked? Annually? Every two years?

According to the American Academy of Pediatrics, an exam to determine the clarity of a child’s vision should be performed starting at age 3, and then continuing annually until age 6, and then every other year until age 12, and once again at age 15 in all children.

Risk assessment as to whether or not there may be a problem with the eyes or vision should also occur at every childhood wellness check beginning with the newborn exam. If there is a concern for a vision problem, checking the vision at any time is always appropriate. In addition, newborns and

infants should be assessed for having an equal red reflex when examining both eyes with a light to evaluate for possible cataracts or problems with the retina (the back of the eye, where receptors convert light into vision). Also, newborns and infants should be evaluated for eye misalignment, known as strabismus, which can cause vision loss if not detected early.

What’s more beneficial? Walking in the morning? Or walking at night?

According to the American Heart Association, there is no one right time of the day for walking. Do whatever works best for your schedule and daily rhythm! Some people are “morning people” and others are “night owls.”

The important thing with aerobic exercise such as walking is to stretch your muscles well before and after exercise. This can help prevent muscle cramping and injury. It’s also important to drink lots of water to stay well-hydrated. Walking qualifies as moderate-intensity aerobic exercise, and the American Heart Association recommends at least 30 minutes of moderate-intensity aerobic exercise at least five days per week for a total of 150 minutes every week.

Have there been changes in the rules regarding HPV vaccinations? What are the recommendations?

There, indeed, have been some changes to the scheduling of the HPV vaccinations. According to the Advisory Committee on Immunization Practices (ACIP) and the Centers for Disease Control and Prevention (CDC), now for persons starting the vaccination series for HPV between the ages of 9 and 15, only two doses are needed as compared to three doses in the past. However, for persons starting the vaccination series at age 15 or older, the recommendation is still to get three doses. And in immunocompromised persons, including those with HIV infection, a three-dose series is still recommended regardless of age. The general recommendation is to start the HPV vaccine series at 11 or 12 years of age. The vaccine is recommended for both boys and girls and can be given up to the age of 26 for both men and women.

WHAT KINDS OF HEALTH QUESTIONS DO YOU HAVE? Submit your questions and they may be used in this monthly feature. Write to Siouxland Life at 515 Pavonia St., Sioux City, Iowa 51102.

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SIOUXLAND LIFE

PARTING SHOT by

Bruce Miller

A VISIT TO THE UROLOGIST’S OFFICE

s

SEVEN WORDS ARE GUARANTEED to strike fear in any man: “You have an appointment with the urologist.”

For years we avoid talking about anything below our personal equators and, then, we hit “a certain age” and it’s something everyone wants to discuss.

A family practice physician broaches the subject, throws out things like PSAs, prostates and “weak streams” and, before you know it, you’re bent over a table realizing this is something you spent a lifetime avoiding.

Breathe a word of it to a friend and, quickly, you’re regaled with stories of their own close encounters of the gloved kind. If the doctor finds something wonky, you can be sure you’re headed for that place with plenty of plastic cups to pee in.

I got my marching orders after mentioning that I had seen blood in my urine one night. That set off the uro-alarm and led to pre-tests, ones that didn’t nip this in the bud, so to speak.

I got the appointment and, like a soldier marching off to battle, I made my way.

There, other equally weary candidates sat in chairs, looking just as shell-shocked.

Because I didn’t know what was going to happen, I didn’t go to the bathroom before I got there. “Where’s the rest room?” I asked the receptionist.

“Grab a cup and go in.”

“Grab a cup and go in?” I thought. What does that mean?

“Everybody leaves a sample,” she said.

Following orders, I nervously filled the cup, wrote my name on it and set it on a table for god knows who.

Had I been smart, I would have bought some urine on the black market that didn’t have traces of blood in it. Instead, mine showed a little problem, which led to more discussions.

To really check what was going on “down there,” the urologist would have to take a look – inside.

A flashlight, I assumed, was not good enough.

Instead, I was told, he would need to put an instrument where the sun also

doesn’t shine. And, as med schools train their young to say, “you might feel a little discomfort.”

To be honest, I nearly passed out at the thought of someone looking inside anything.

“We could numb the area or we could put you to sleep.”

Now, if you know me, no amount of numbing is going to seem remotely preferable to sleeping. So I opted for the latter, slated the ‘scoping and began googling every possible scenario. The worst, as Dolly Parton said in “9 to 5,” would turn me from a rooster to a hen.

When the day came, I was fairly stoic, but still freaked. Even after I was given a television remote, a heating pad and a recliner, I was skittish. The doctor told me what was going to happen, led me into the “operating” room and gave me a good look at more instruments than you’d ever think they could use in brain surgery. There were stirrups, too, but, thankfully, I never was awake for that portion of our show.

Instead, when it was done, I woke up, got dressed, got medication and was told that ol’ discomfort could appear every time I peed.

He had to do a biopsy, too, to make sure everything was fine. The results, he said, would be ready in a matter of days.

Meanwhile, I got some pills to help relieve that discomfort.

What he didn’t mention was that those pills turn your urine orange and when you’ve been to a bathroom, you’ve marked your turf. No dog has left this kind of trace in the snow.

(Women always complain about the poor aim men have. With that tracking device I can now say they’re right.)

Obviously, the days until I got the results were agony. I had mentally written a new will, planned a funeral and come to the conclusion I wouldn’t be able to donate my body to science.

When I did get the call, it came with good news – the kind that makes you want to jump up and down, if you weren’t afraid of wetting your pants.

Now, I view the urologist’s office in a different light. Perhaps I should have gone years before – just to be safe.

I won’t dread it anymore. But I will offer a piece of advice: If you have to pee before you go there, just wait. No matter what the problem, they’re probably going to hand you a cup anyway.

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SPRING KA-CHING GIVEAWAY Spring has sprung spr and we’re celebrating on Friday, May 19th by giving 13 lucky guests their share of $10,000 in cash. c Win your share by y getting into the drawing starting Monda onday, May 1 at 8:00am. Pick up one free entry daily at Player Services, plus earn additional entries playing slots and table games.

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SIOUXLAND LIFE