Siouxland Life - November 2016

How do you avoid a food coma?

Transitioning from fall to winter

Make a dinner that earns raves

A GUIDE FOR LIVING IN SIOUXLAND

ON TRACK FOR THANKSGIVING HOW TO AVOID DISASTER DURING THE HOLIDAY

GETTING A SHOPPING PLAN

NOVEMBER 2016

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

HemorrHoids

if you notice blood in stools, blood in toilet paper, anal pain, swelling, discharge, you might have hemorrhoids. see Colorectal surgeon dr Gokul subhas for diagnosis, workup and discussion about painless treatment options. dr Gokul subhas is the only Board Certified Colorectal surgeon in siouxland.

Hemorrhoids are a normal part of the anatomy. We are born with them. We have two sets; internal (inside the anal canal) and external (outside the anal canal).

Symptomatic Hemorrhoids are swollen (enlarged, dilated) veins inside and outside the anus. Hemorrhoids are usually caused by increased pressure; such as straining when constipated or pressure during pregnancy. Hemorrhoids may cause pain, bleeding, blood clots, and itching.

iNTerNAL HemorrHoids

Based on the size and nature of the hemorrhoids it is graded into 4 classes.

Classes 1-2 are the early (small) and classes 3-4 are the advanced (large) classes.

Conservative management for smaller Hemorrhoids 1. Changing bowel habits: Avoid straining during defecation, Drink 64 oz of water,

2

NOVEMBER 2016

Fiber supplements (e.g. Metamucil, Benefiber), Stool softeners/laxatives (Colace, Miralax), and Avoid spending long time on the toilet 2. Shrink the Hemorrhoids: Over the counter Hemorrhoidal preparations: Zinc/Cortisone cream/suppository

Intervention for large hemorrhoids Office based procedures • Rubber band ligation - A small rubber band is placed over the hemorrhoid, cutting off its blood supply.

Procedure s om e t i m e s produces m i l d discomfort a n d bleeding.

•Injection sclerotherapy - Done in the non sensitive part of the anal canal and causes the hemorrhoids to shrink

Operating room procedures • Hemorrhoidopexy and Dearterialization - Sutures are placed through the enlarged hemorrhoids with an aim of cutting its blood supply and at the same

SIOUXLAND LIFE

time fixing it to the anal canal.

• Hemorrhoidectomy - The advantages include long term relief from pain, bleeding, itching, and soilage. The most common problem is intense pain as you heal.

THromBosed eXTerNAL HemorrHoids

Engorgement of an external hemorrhoidal vessel with acute swelling may allow blood to pool and, subsequently, clot; this leads to the acutely thrombosed external hemorrhoid, a bluish-purplish discoloration often accompanied by severe incapacitating pain.

Acute pain and thrombosis of an external hemorrhoid within 48-72 hours of onset is an indication for excision. This is performed in the office under local anesthesia. Most patients tolerate this procedure well and notice instant relief from the excruciating pain.

Colorectal surgeons treat majority of the hemorrhoids with conservative treatment and office based procedures thus saving the patient from a painful hemorrhoids excisional surgery. Discuss with your colorectal surgeon Dr Gokul Subhas for painless treatment options for hemorrhoids.

CONTENTS November

2016

We’re headed into the holiday season and that means celebrations, family gatherings and fun. It also means a lot of work, a lot of headaches and a lot of personalities that need to be tamed. How do you do it all?

This month, we give you a guide to Thanksgiving – from prepping your home to planning dinner to staking out those Black Friday sales. By the time it rolls around, you might be thankful we had the season covered.

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KIDS’ VIEWS OF THE HOLIDAY What’s Thanksgiving all about? We talked to some youthful experts.

18 ON THE COVER

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Suzanne Stanek knows how to give a home that perfect holiday look. Discover some of her secrets. (Photo by Justin Wan)

FEATURES 4 HOME: tour of homes 14 THANKSGIVING: cooking 16 THANKSGIVING: gabby gobblers 18 THANKSGIVING: decorations 20 THANKSGIVING: home prep 23 THANKSGIVING: path less traveled 26 THANKSGIVING: shopping

28 30 32 35 40 42 47

SNOW FOOLIN’ When snow interrupted their holiday, students did what you’d expect they would.

THANKSGIVING: thankful for ends THANKSGIVING: food coma THANKSGIVING: turkey and snow THANKSGIVING: restaurants ADVICE: medical answers HEALTH: conflicts PARTING SHOT

PUBLISHER Steve Griffith EDITOR Bruce Miller EDITORIAL Dolly A. Butz, Tim Gallagher, Earl Horlyk, Hillary Rosencrants, Jackie Foster, Lindsey Nelson PHOTOGRAPHY Tim Hynds, Jim Lee, Justin Wan DESIGN Jill McCarter ADVERTISING SALES Nancy Todd ADVERTISING DESIGN Kayla Fleming ©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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HOLIDAY HASSLES How do you deal with those inevitable fights at Thanksgiving? We’ve got some answers.

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NOVEMBER 2016

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HOME tour

4

of homes

NOVEMBER 2016

SIOUXLAND LIFE

Roz and Rob Koob designed their custom home from the ground up, with an emphasis on family and social gatherings.

SIOUX CITY HOME REFLECTS

LOVE OF FAMILY AND FRIENDS Text by Hillary Rosenkrants | Photographs by Justin Wan

SIOUXLAND LIFE

NOVEMBER 2016

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TOUR OF HOMES Big Brothers Big Sisters of Siouxland invites the community to explore five beautiful homes during its annual Tour of Homes Nov. 17-19.

Featured homes decorated for this year’s tour include: • 6801 Cypress Point, Tyler and Kristi Meeka • 6440 Mickelson St., Todd and Rhonda Moss • 6700 Celtic Manor, Mike and Connie Schmidt • 6420 Mickelson St., Roz and Rob Koob • 2510 Nicklaus Blvd., Dustin and Gretchen Cooper Tickets can be purchased online at bigbrothersbigsisters.com or by calling 712-239-9890.

All proceeds from the event go to Big Brothers Big Sisters of Siouxland.

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The basement is a haven for the Koob family and comes complete with a fully functional bar area and six flat-screen televisions.

ROZ KOOB DID NOT want to build a home, because in her line of work, construction usually means trouble.

“I’m an attorney, and I do a lot of construction work,” Roz explained. “And you don’t go to an attorney when things go well, you go when things go badly. But it all turned out really well.”

With a little coaxing, Roz and her husband Rob began designing their custom home from the ground up. Their main emphasis was on family and social gatherings.

“We’ve had friends over quite a bit, we’ve had family over just for Hawkeye games,” said Rob. “And we host all of Roz’s family gatherings – Thanksgiving her family will be in town, on Christmas her side will be here – we have everything here.”

With that in mind, the Koobs began creating their kitchen.

“We wanted something that was functional with a lot of room for people to kind of come and go,” Rob said.

Their kitchen, which boasts sparkling Cambria quartz countertops and a large island with an electric cooktop, sits just to the left of their large living area. The living room’s focal points are a yawning, oyster-white mantel and a cool-toned

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The Koob family’s home is perfect for rooting on their favorite team – obvious from the variety of Hawkeyethemed items on display. Top: The Koobs’ kitchen is light and airy – a perfect gathering place for family and friends.

reclining sectional sofa.

“We wanted a big sectional, and I wanted a recliner back, but I wanted to find something lighter and more neutral to go in this space,” Roz said. “And the rest of the living room was really inspired by our friends’ house.”

High, coffered ceilings accompany these features, making the living room feel particularly unique.

The basement is a haven for the Koob family – another plush sectional, a fully functional bar area and six flat-screen televisions. The TVs are stacked side by

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The kitchen, which boasts sparkling Cambria quartz countertops and a large island with an electric cooktop, sits just to the left of their large living area, which features an oyster-white mantel and a cool-toned reclining sectional sofa. Below: Roz and Rob Koob’s kitchen is functional with a lot of room for people to come and go as they entertain their guests.

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The patio features a section sofa, perfect for outdoor entertaining.

side, so the Koobs and their guests can keep up with multiple college football games at once.

“On Saturday, there’s generally a bunch of games and we’ll pick our three favorites – obviously the Hawkeyes go in the middle,” said Rob. “You can watch a game and you kind 12

NOVEMBER 2016

of know where the action is on the other ones.”

Rob said he drew inspiration for the basement den from a few of his favorite hangouts in Sioux City.

“I wanted a nice space to watch games, so that was a big part of it,” he said. “I love hanging out at

SIOUXLAND LIFE

Townhouse or Buffalo Wild Wings, and I like how they have TVs over the bar so that’s kind of where we got the idea.”

The basement also boasts another sports bar-like feature: a urinal.

“When we started out, there were a couple requirements,” Roz said. “I

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wanted the double door entrance, Rob wanted the walkout ranch. My nonnegotiable was the double doors, but Rob’s non negotiable was the urinal.”

Another of the couple’s favorite features is the deck, which presents a sprawling view of the Whispering Creek Golf Course and its clubhouse.

Roz wanted her money’s worth on the view – so she opted for transparent railings.

“If you look at everybody else’s deck, they all have railings,” Roz said, “And we looked for something that when you’re sitting down, you don’t have any obstructed view.”

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THANKSGIVING cooking

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NOVEMBER 2016

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PLAN AHEAD TO AVOID THANKSGIVING DINNER

PITFALLS

d

DEBRA VAN PEURSEM COOKED her first Thanksgiving turkey in a microwave.

In 1977, the family and consumer science teacher had recently gotten married and she was living in an apartment on Iowa State University’s campus that didn’t have a stove.

Van Peursem threw some apple slices inside the 12-pound bird to keep it moist as she cooked it in a bag in the microwave for an hour. She rotated the turkey every 20 minutes.

“My mom said, ‘Is it going to be OK?’” she recalled. “Well, yeah. You put a thermometer in it and you check the temperature.”

Van Peursem said the turkey turned out great. Her guests loved it.

Each year around Thanksgiving time, Van Peursem’s students at East High School cook four turkeys and all the fixings – mashed potatoes, green bean casserole and homemade buns. They use the leftover meat and bones to make a Hawaiian sundae and stock for soup.

Van Peursem urges first-time Thanksgiving dinner hosts to “keep it simple.”

You can only have one thing in the oven and that’s the bird, unless you have a double oven. She makes sides, such as hash brown casserole or stuffing, in a slow cooker. She also boils food on the stove and asks her guests to bring a dish, preferably salads and desserts to save on refrigerator space.

“Whenever you have a Thanksgiving get-together, you don’t make the whole meal, you need to have them bring part of it because your oven is being taken up with the turkey,” she said.

Hosts need to plan ahead when it comes to the turkey. Van Peursem said a frozen turkey takes three days to thaw in a refrigerator. If it’s not completely thawed, she said you can place the bird in lukewarm water and check it every hour.

“The mistakes that most people make are not checking the cavities. There’s always two cavities to check,” she explained. “They’ll get inside the legs and get the neck out of the stomach area, but then there’s another area back behind that you have to check. They forget that

one.”

Van Peursem doesn’t have a special sauce for her turkey; she just takes salt and pepper and rubs in into the inside of the cavity to flavor it. She doesn’t baste her turkeys either; she just places them in a bag to bake for 10 to 15 minutes per pound, but never above 325 degrees.

Sometimes, Van Peursem will stuff a bird at home but she won’t let her students do it, because “stuffing is so dangerous.”

Because of the potential for food poisoning, Van Peursem said you can’t stuff a bird the night before and then get up early the next morning and throw it in the oven. She said hot stuffing has to go directly from the stove to the inside of the turkey and then the turkey needs to go immediately into the oven.

“The reason why is because the stuffing does not reach the internal temperature that it needs. Because it was cold in the refrigerator it never actually gets properly hot in the oven and it doesn’t heat up to that temperature,” she said.

If the meat thermometer reads 165 degrees in the thickest portion of the turkey’s breast, Van Peursem said the meat is safely cooked. Since it takes a 12- to 14-pound bird about three hours to cook, she recommends making the turkey the day before.

“Slice it, have it ready to go and all you’re doing is putting the pan in the oven to heat it up,” she said. “If you’re busy and have to carve a turkey and everybody’s bringing things and asking questions and you’re setting the table, you don’t have time to do it.”

Homemade bread, Van Peursem said, can be made a week ahead of time.

Freeze it and then thaw it.

When making mashed potatoes, she cautions to mash the potatoes before adding milk. Top the potatoes with storebought gravy, or, she said you can easily make it with chicken broth, cornstarch, water and pan drippings.

Above all, don’t stress. Van Peursem said her students don’t.

“People just need to relax. I have not had any of my kids not enjoy making the turkey,” she said.

Text by Dolly A. Butz Photographs by Tim Hynds

FRESH APPLE BUNDT CAKE 4 cups apples (diced) 1 cup nuts (optional) 3 cups flour 1/2 teaspoon salt 1 teaspoon vanilla 2 teaspoons baking soda 1 cup oil Raisins (optional) Cinnamon (optional) 2 eggs (beaten) Mix apples and sugar and let stand 1 hour to make its own juice. Add dry ingredients to apples.

Add oil, vanilla and eggs (do not use mixer). Pour batter into wellgreased and floured Bundt pan.

Bake at 325 degrees for 1 hour and 15 minutes.

Making a fresh apple Bundt cake is one suggestion from Debra Van Peursem, a family and consumer science teacher at East High School, for first-timers who want to cook a successful Thanksgiving dinner.

Left: Van Peursem cuts a piece of her fresh apple Bundt cake.

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THANKSGIVING gabby

gobblers

GABBY GOBBLERS

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Kids reveal what they like most – and least – about Thanksgiving Text by Earl Horlyk Photographs by Justin Wan

CERON BRIDGES, 6, HAS definite opinions on what he likes about Thanksgiving.

The Holy Cross School – St. Michael Center kindergartner is fond of pumpkin pie but can’t stand the avalanche of televised football games that interfere with his Turkey Day. “Nope, don’t like football at all,” Ceron said with disdain.

Those may be considered fighting words to Ceron’s classmate Parker Robinson.

“I like football on Thanksgiving Day,” Parker, 5, said. “I may even play football if the weather’s nice.”

Is there already controversy afoot inside an elementary school classroom?

Hopefully not. But there’s a lot these kindergarten through second-grade kids have to be thankful for.

It’s an easy question for Fabiola Lemos, 7, to answer.

“I’m thankful for my family and my friends,” said Fabiola.

Is she thankful for anything else? Absolutely.

“I’m thankful for the food we eat on Thanksgiving,” Fabiola said.

That got the attention of Shannon Fravel, 7, who listed off such food faves as turkey, green beans and mashed potatoes and gravy.

“There’s so many good things to eat,” said Shannon with a smile.

While Francie Fairchild, 6, doesn’t help her mom with the cooking, she said her older sister Marygrace does.

“Some day I’ll help out too,” said Francie somewhat cryptically. “But not now.”

Like his classmate Francie, John Fey, 7, is more of a Thanksgiving gourmet than a gourmand. However, the Holy Cross – St. Michael Center first grader is very open-minded when it comes to Turkey Day grub.

Do you need to eat just Thanksgiving foods on Thanksgiving or can you mix things up with a pizza on occasion?

“Pizza’s fine on Thanksgiving,” John replied. “You can have whatever you like.”

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What does Ceron Bridges, 6, like least about Thanksgiving? There’s too much football! How about classmate Victoria Tornell, 5? She loves the parades on TV.

Kindergartner Parker Robinson, 5, is a football star in the making.

Phew, that’s a relief. But can you do anything you want to do? Shannon Fravel thinks so.

“I like playing tag and hide-and-seek with my family,” she said.

Is Shannon good at it?

“I think I am,” she said.

SIOUXLAND LIFE

Second grader Cole Frese said he’ll spend quality time with his family but might also sneak away for a movie.

“I wanna see ‘Trolls,’” Cole, 8, said.

“That looks like it’ll be a fun movie.”

However, Victoria Tornell, 5, is all about another Thanksgiving tradition.

“I love watching parades on TV,” she said, adding she’s particularly enamored by the big balloon floats during the Macy Thanksgiving Day Parade.

Venturing further, Victoria said that while Thanksgiving is best known for the food and the parades, she also likes the day off from school.

But the real reason she likes the holiday is because it allows her to spend time with her family and friends.

“That’s the important part,” Victoria said.

Listening to his classmate, Ceron Bridges couldn’t help but agree. Still, his pigskin aversion remained just as strong.

“I like Thanksgiving too,” he concluded. “Just as long as it doesn’t involve football.”

Firstgrader Francie Fairchild, 6, said she’s most thankful for her family, friends and classmates.

First-grader John Fey, 7, is a traditionalist when it comes to Thanksgiving food, but sees nothing wrong with shaking things up a bit when it comes to culinary creations.

Fabiola Lemos, 7, is a fan of Thanksgiving food, especially turkey.

Second-grader Cole Frese, 8, likes food and fun in his Turkey Day planning.

Secondgrader Shannon Fravel, 7, enjoys a good game of tag following a big Thanksgiving Day feast.

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THANKSGIVING decorating

GOING GREEN Text by Earl Horlyk | Photographs by Justin Wan

(AND BROWN AND RED)

w

Designer gives new life to inexpensive finds WHEN SUZANNE STANEK SEES an antique cheese grater, it becomes transformed into a one-of-a-kind flower pot or candle holder.

Likewise, a wheel from a 10-speed bike becomes a piece of impromptu sculpture when it’s given reflector “eyes” and a bike seat “nose.”

“You don’t have to be artsy if you’re crafty,” said Stanek, an amateur decorator. “And you don’t have to spend any money on material if you know where to look.”

Most of her art-making material has been discovered at garage sales or thrift store “free boxes.”

“I’m always on the prowl for unusual things,” Stanek said. “Sometimes I’ll pick something up without an expressed use but I’m confident that inspiration will hit.”

For instance, she’ll come up with an impromptu kitchen tableau with found objects like used Bundt cake pans, old thermometers and empty bottles.

“I love the fall and tend to lean towards the reds, browns and oranges a lot,” Stanek said. “The fall always reminds me of sweater weather, football games and beautiful foliage.”

Autumn also reminds Stanek – a wife, mother of four and grandmother of four

Designer Suzanne Stanek said fall is her favorite time of year. She enjoys working with autumnal red, brown and orange colors in many of her pieces.

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NOVEMBER 2016

SIOUXLAND LIFE

Suzanne Stanek is inspired by items she finds at thrift stores. Below: Random items can add big impact when it comes to art pieces. Stanek frequently picks up ideas from TV shows and magazine as well as social sharing sites like Pinterest.

Antique cheese graters and Bundt pans get a second life as art pieces, according to Sioux City designer Suzanne Stanek. Stanek frequently finds such items at garage sales and second-hand stores. Left: Rustic items can be seen at the back deck of Suzanne Stanek’s Northside home.

– of family.

“Halloween occurs right before Thanksgiving which occurs right before Christmas,” she said. “It’s fun when there’s one holiday after another.”

Stanek said she frequently gets decorating ideas from magazines, TV shows and social sharing sites like Pinterest.

“Pinterest really opened up the flood gates when it comes to homemade art,” she said.

Still, there are certain items that always get Stanek’s attention.

“I’m a sucker when it comes to doors and ladders,” she said. “If I see an unusual ladder, it immediately becomes a sculpture where I can drape different kids of stuff.”

The same goes for the countless number of suitcases and boxes that fill Stanek’s Northside home.

“I think I’ve trained my friends well,”

she said, laughing. “If anyone comes across a nice, vintage suitcase, they’ll immediately say ‘let’s give this to Sue!’” The same is true for the colorful cigar box and metal tool box that are both sitting on top of Stanek’s bedroom dresser.

“The old tool chest, especially, will make for an unusual jewelry box,” she said.

A self-taught designer, Stanek said Martha Stewart is too frou-frou for her taste.

“I like things that are fun, creative and truly one-of-a-kind,” she said. “You don’t have to spend a lot of money to make some really nice pieces.”

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THANKSGIVING home

prep

TRANSITION YOUR HVAC FOR COLDER WEATHER

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Text by Lindsey Nelson

DURING THOSE FIRST WEEKS of fall, throwing on your favorite pair of cozy socks or curling up with a hot mug of coffee makes the transition from summer to fall weather easy. Closing your windows or sleeping with an extra blanket is just right. But just as you’d wash your sweater before you put it on, you should check the state of your furnace before cranking up the heat.

“It’s really just a peace-of-mind knowing your system is good to go for the whole winter,” says Ben Koeppe, owner of C&K Comfort Systems.

And it turns out, prepping your HVAC system for winter can be just as simple as digging out your scarf and gloves, especially when you know your equipment. Koeppe’s advice for any HVAC owner is to be familiar with the history of their HVAC. An HVAC maintenance call will generally last about an hour.

“We’re going to turn on your furnace and check that your electronics are working correctly,” Koeppe says.

The technician will also check your thermostat and pressure.

“We’re also probably going to change your filter,” says Koeppe. This can depend on how old it is, he says.

“I advise a change of filter every 60

20

October 2016

It’s wise to get your HVAC checked out as soon as the weather turns cooler at night, according to experts.

(Provided photo)

days, cheaper filters more often. That’s the air you’re breathing, you want it to be clean. You’ll keep yourself healthier and you’ll have more energy,” he says.

Carbon monoxide levels are also going to be tested during a start-up call.

Koeppe advises his customers to use a hardwired detector that connects directly to a home’s power supply for the best performance and dependability.

SIOUXLAND LIFE

But what if your furnace is making a noise? “Leave that to me,” advises Koeppe. “It’s never a good idea to go poking around.”

So, when would be a good time to take care of this fall maintenance?

“When it starts to get cool at night and people are thinking of turning on their systems,” Koeppe says. “That’s when it’s time to get it checked out.”

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november 2016

Siouxland Life

THANKSGIVING a

path less traveled

Jeron Jache awaits for his punt-team unit to head onto the field during Northwestern’s 6416 victory at Dordt College in October.

Jache is a 34-yearold senior for the Red Raiders.

RED RAIDER THANKFUL FOR

n

A PATH LESS TRAVELED Text and photographs by Tim Gallagher

NO. 49 FLIES DOWN the field for the Northwestern Red Raiders on a kickoff.

He bangs into a Dordt Defender then bounces off and throws his body in the path of the kick returner.

Jeron Jache makes the tackle as his teammates, nearly 100 of them, erupt on the sideline.

Listen closely and you might hear, “The Silver Fox!” among the exclamations.

“That’s what they call me,” says Jache, a 34-year-old senior at Northwestern College and the only Red Raider sporting gray hair.

That appears to be the only evidence of a man nearly double the age of some

of the competitors in the Great Plains Athletic Conference contest. Jache, a special teams player and backup linebacker, stands 5 feet, 10 inches. He weighs about what he did when he graduated from high school: 210 pounds.

“There is a difference,” he says with a laugh, explaining what the years have meant to his play-making ability. “I’m not as quick as I used to be. And, the recovery time takes a little longer after a game. I’m on bed rest a little longer.”

Jache is all smiles on a day during fall break at Northwestern College. He has completed mid-term examinations, his last of that kind during an odyssey of a collegiate career. His team has also won

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Jeron Jache, No. 49, blocks to protect the Northwestern punter in a Red Raider victory at Dordt College in October. Jache is a 34-year-old senior from San Diego, California.

three in a row after having started the season with three straight setbacks.

“We’re hoping we can win some more games and maybe sneak into the playoff picture,” Jache says.

Doing so would lengthen a football playing career that has already stretched far beyond normal. The bulk of NWC grid stars, after all, hang up their helmets in their early 20s.

Jache took a path less-traveled. The San Diego, California, native remains thankful for the experience.

“I graduated from high school in 2000 and went to the University of San Diego for one year,” he says. “But I was too close to home. I didn’t have the courage to get out of my comfort zone.”

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NOVEMBER 2016

Jache left the university after one year. He enrolled in junior college, but found that wasn’t for him, either. He left the world of textbooks and term papers, intending on working for a year before heading back to class. One year turned into two, two turned into four and so on.

Jache worked in construction, building homes in San Diego. He headed north and worked one summer on a commercial fishing crew, landing salmon off the coast of Alaska, near Valdeez. He came back to San Diego and went to work for a brewery, toiling as a bartender.

Just after he turned 30, Jache took stock. “I thought about the big picture and heading back to school,” he says. “My dad mentioned that I would have some

SIOUXLAND LIFE

football eligibility left. We pinpointed Northwestern.”

Orange City, mind you, is approximately 1,000 miles from San Diego.

Didn’t matter, as the family had a connection in Dietrich Jache, Jeron’s brother.

Dietrich earned a business degree at Northwestern in 2005. He played baseball for the Red Raiders.

Jeron Jache spent a year doing his background work, contacting college officials and the football coaches, who invited him to try out for the team. He arrived in 2014, leaving his girlfriend, Vanessa Estrella, back home in San Diego, where she works as an analyst for a bank.

Jache took his redshirt season in the fall of 2014 and immersed himself in his

Jeron Jache takes a drink of water after seeing action for the Northwestern Red Raiders in a GPAC football game at Dordt College in October. Jache, a 34-year-old senior linebacker, registered four solo tackles during the game.

studies, conditioning and learning the complexities of the Red Raiders defensive scheme.

“The practice field looked huge and felt huge that first year,” he said with a laugh. “I had to use that year to shake the rust off.”

Northwestern’s housing officials awarded Jache an individual room in the dormitory. He noted that while most of his “peers” are playing video games, he’s likely studying or sleeping.

“But I have really been embraced by the kids here,” he says. “It’s been such a blessing to be on this campus. The kids have accepted me. This experience has transformed me, allowing me to step out of my comfort zone. I’ve grown

academically in my time here. I’ve grown physically on the field, I think. And, I’ve grown spiritually in a place that’s a lot quieter than back home.”

Back home, things changed too.

Jache wed Vanessa after his first year at Northwestern. The couple now have a daughter, Sofia, and another child due this March.

“Vanessa is the one who deserves the credit,” he says. “She kept everything together at home while I was 1,000 miles away at school.”

Jache earned a spot on the special teams units last fall at Northwestern. He recovered a fumble that ultimately resulted in a field goal that helped the Red Raiders defeat Concordia College, 17-14.

He also played some back-up tight end when injuries took a toll at that position.

Jache has several tackles this fall, again from his spots on the kick-andpunt teams for Coach Matt McCarty’s club.

He didn’t transition into the starting lineup and didn’t deserve to, he says.

“There are freshmen who have bumped ahead of me and that’s fair,” he says. “I agree with the coaches’ decisions. We have 100-plus guys on the team; the coaches put the best 11 out there.”

Jache made four tackles on a recent Saturday, helping to spoil the Dordt College homecoming in a 64-16 victory by the visitors. He spent the following Monday completing a workout and a film session.

“I haven’t missed a workout or a practice this year,” Jache said, noting how he’s savoring his last go-around on the field.

“I’ll be back in the real world shortly. In a couple of months, no one will want to interview me about going to work.”

“He approaches practice each day, like he’s thankful for this opportunity to play football,” says Coach McCarty. “A lot of the guys take that for granted. Jeron brings great energy and it rubs off on our guys.”

McCarty has nothing but praise for the “Silver Fox,” who is older than nine of the 14 coaches. “He’s a tough kid who is one of our best special teams guys,” he says. “It’s kind of a cool situation.”

Jache relishes his last season and the friends made in Orange City, including host parents Carol and Brian Kleinhesselink, whose son, Kelly Kleinhesselink, played baseball at NWC with Dietrich Jache nearly a decade ago. Jeron Jache has spent the past two Thanksgiving holidays with the Kleinhesselinks, opting to stay in Orange City before flying home at Christmas.

Kelly Kleinhesselink now lives and works in the San Diego area. So, the families will likely get together on the West Coast in the future.

It’s a future that’s got much promise for the 34-year-old football player. When he hangs up the spikes, he’ll head west to reunite with his family, ready to embark on a career, diploma in hand.

SIOUXLAND LIFE

NOVEMBER 2016

25

THANKSGIVING shopping

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SIOUXLAND LIFE

BLACK FRIDAY SHOPPING HAS earned a nasty reputation over the last few years. Synonymous with ruthless shoppers and hours of waiting in lines, there aren’t many people eager to jump on the band wagon if they can help. But when the deals are just too good to pass up, how can a Black Friday newbie shop like a pro?

Veteran Black Friday shopper Melissa Grubb of Kingsley, Iowa, shared her tips and tricks for a successful and less stressful Black Friday experience.

First things first: Do your research.

Make a list of all the items you’ll be looking to purchase and how much you’re willing to spend on them. “Get the ads as soon as humanly possible,” says Grubb.

Papers often hit the stands – and doorsteps – earlier before shopping begins.

Figure out whether braving the cold is actually worth it. Stores like Bomgaars embrace Black Friday. “Black Friday is our Super Bowl, it’s when we offer the best prices of the year,” says Joe Boyle, store manager of Bomgaars Supply Inc. on Hamilton. “We’re pretty fortunate. Our customers are good, respectful people and our employees work as a team to make it a great time. Everyone has fun.”

Prioritize your list! Know which items are expendable and which ones are your top priorities.

Once you figure out where the best deals will be, you can plan accordingly: know which stores you’ll be going to and when they open. Pay attention to the details of your coupons. Bomgaars gives every customer that shows up before 10 a.m. an early bird coupon which can be used anytime that day. “Customers can come grab an early bird coupon, leave and come back before the end of the day,” says Boyle.

If you’re hitting a store you don’t know well, check it out before Friday.

Even though the store will probably rearrange its popular merchandise before doors open, knowing the location of each

Joe Boyle, manager of Bomgaars’ Hamilton Boulevard location, checks out a clothing display at the store.

Boyle says tools and clothing are popular Black Friday sales items at his store.

department will give you an advantage.

If you can, form a group ahead of time. “The more people in your group, the more places you can cover,” says Grubb.

If all of your shopping is in the same store, use the picker-runner-cart system.

Have one person take the cart. This person will keep tabs on everything that’s been collected and monitor the check-out lines. The picker maneuvers (politely) through the crowds of fellow shoppers to grab the items on the list and hand off to the runner. The runner then takes each item to the cart and continues this process until the list is complete.

Depending on the size of the checkout line and the number of items on your list, the cart person can hold a spot in line while the picker and runner are doing their thing. Just don’t be that person who holds up the check-out line waiting for that last item.

If you’re planning on going to more

BLACK FRIDAY FAUX PAS

1.

Being rude to store employees

2.

Cutting lines

3.

Forgetting to shower

than one store, split up and cover more ground. Decide on a meet-up location to exchange money and swap merchandise once all the shopping is complete.

Having cash may be helpful, depending on your personal and group preference. Cash is more efficient than cards and easier to stick within your budget. If you’re set on using debit or credit, settle the uneven funds before you exchange the merchandise. Have blank checks on hand or money-splitting apps on your

PRO TIPS • Always arrive an hour before you think you should be there, even if you’re planning to arrive hours before the store opens.

The early bird gets the iPad. • Be as organized as possible.

• Have your coupons, money and merchandise ready when it’s your turn to check-out.

smart phone, such as Venmo or Google Wallet.

On the day of, remember to dress in layers and wear comfortable shoes.

“Sometimes letting your fingers do the walking rocks,” say Grubb. Have your phones fully charged and bring a battery pack, just in case.

Most important, “have fun,” says Grubb. “The list is not life and death.

Share a smile, a laugh and help your fellow shopper where you can.”

SIOUXLAND LIFE

NOVEMBER 2016

27

THANKSGIVING thankful

for ends

LE MARS COUPLE THANKFUL

2016 IS FADING

l

Text and photographers by Tim Gallagher

LINDA GROETKEN WALKED INTO UnityPoint Health – St. Luke’s in Sioux City on Feb. 19. She remembers a person at the front door asking if she needed a wheelchair.

Her next memory? It came about 10 days later.

“I was put in a medically-induced coma on Feb. 20 and stayed in it for nine to 10 days,” she said.

Her problems, or the family’s problems, didn’t end there. Husband Neil Groetken was standing at Linda’s bedside on Feb. 22 when he began to sweat.

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NOVEMBER 2016

“My mom had been in the hospital for 66 days in 1989. It got to me. I felt like I was falling off a cliff,” Neil said.

“The feeling lasted for two minutes and I could not stop it. I told my son Ryan that I thought I’d faint.”

Neil went down. Thankfully, he collapsed in a hospital, within quick reach of medical staffers who conducted CPR for a very brief time.

“The kids were worried they were going to lose both of us,” Neil said.

Neil awakened quickly, feeling a sharp pain in his right side, the result

SIOUXLAND LIFE

of broken ribs due to chest compressions, not that uncommon in this emergency situation.

“My heart had stopped, but I didn’t have a heart attack,” Neil said. “There was no damage to my heart.”

As Linda lay comatose, doctors worked to address her upper respiratory failure and Type A flu. Meantime, Neil had to get fluids and nourishment. He’d become severely dehydrated and weak since his wife’s hospitalization, suffering from Type A flu and acute kidney failure.

The Groetkens endured a lot of health challenges in 2016 and are looking forward to 2017. Left: Linda and Neil Groetken.

Neil was discharged on Feb. 24, ending a short two-day stay. He immediately visited his wife on another floor.

Linda wasn’t discharged until March 23. She suffered a slight stroke three weeks later. She also had surgery one month later to remove her gall bladder. She was diagnosed with Stage IV C.O.P.D. and asthma.

But she’s still up and about, though moving at a different pace than customary. She admitted that she “laid low” all summer.

“They told her that for each day she was in a medically-induced coma, it might take one month for her muscle mass to come back,” Neil said.

“I tire out a lot more easily and my immune system has been weakened,”

she said. “But I love going to the games our grandchildren play in.”

She hit the Little League baseball games during the early summer, and transitioned as a fan to football this fall. She resumed her church-going activity, but tries to be careful about exposure to others.

She got a flu shot already this fall.

“I can’t wait for this year to be over,” she said with a laugh. “It’s been a tough year for us, but we’re still here.”

Neil recalled a text he sent during Linda’s trip to the hospital. The Albuterol and Zithromax ( Z-Pak,) which had worked in the past, weren’t working their magic. He called on a higher power while texting a family member.

“When she went in to the ICU, I texted out seven words: ‘Jesus is the awesome God we serve.’”

The Groetkens will celebrate Thanksgiving a couple of times this month, as will many sets of grandparents. They’ll celebrate with children and grandchildren one week and then repeat the process.

Neil looked at Linda and glanced at the calendar, trying to pinpoint precisely which days they were both hospitalized, separated by one or two floors for a couple of days.

“We’ve got so much to be thankful for, we’ll celebrate twice,” he said.

Come August, the Groetkens will celebrate their 50th wedding anniversary.

SIOUXLAND LIFE

NOVEMBER 2016

29

THANKSGIVING food

coma

DIETITIAN: FOOD COMA ISN’T BAD FOR YOU, BUT YOU CAN AVOID IT

f

Text by Dolly A. Butz

FEEL DROWSY AND SLUGGISH after pillaging on turkey, pies and mashed potatoes?

The turkey tends to bare the brunt of the blame for food coma, a term coined for the sleepy feeling you get after eating a big meal.

Allison Rossow, a registered dietitian at UnityPoint Health-St. Luke’s, said tryptophan, an amino acid found in turkey that plays a part in the production of serotonin, isn’t responsible for the feelings associated with food coma.

Because of the breakdown and transport with the tryptophan, there’s not really a large amount that reaches the brain. It’s not enough that would produce that feeling,” she said. “Other foods like chicken have similar amounts of tryptophan in and we don’t feel sleepy after eating chicken.”

So what really does cause a food coma?

Rossow said studies show that having a full belly from overindulging in not just turkey, but other popular holiday foods, makes people feel sleepy. Alcohol and stress also contribute to the mysterious phenomenon

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NOVEMBER 2016

EVERYTHING IN MODERATION Rossow offered the following suggestions to cut down on fat and sugar when you sit down for a holiday meal.

• Make your own stuffing and bulk up the vegetables by adding more celery and onions.

• Reduce added sugar by making your own cranberry sauce instead of opening a can.

• Drink lots of water during the day.

Be aware of liquid calories that are contained in various holiday drinks, including alcohol. of food coma, according to Rossow. ”Cooking and shopping and all of those things – that’s more likely the combined things that are causing our food comas,” she said.

Rossow said experiencing a food coma isn’t harmful to the body. Indulging on your favorite foods one day a year, she said is OK. She recommends not trying to fight the sleepy feelings that come with food coma.

“Take that nap if you need it,” she said.

If you’re looking to avoid a food coma this Thanksgiving or Christmas, there are

SIOUXLAND LIFE

some steps you can take.

Take a brisk walk after you finish cooking or after the meal, which Rossow said will help stave off food coma.

She also suggests avoiding snacking Rossow throughout the day and utilizing My Plate, a strategy of thinking about what goes on your plate before you eat. My Plate focuses on making healthy food and beverage choices from all five food groups including fruits, vegetables, grains, protein foods and dairy to get the nutrients you need. Select a low-fat dairy option and limit yourself to a small piece of dessert.

Rossow advises choosing foods that you normally wouldn’t eat on the other days of the year. Instead of wasting your grain allotment on a dinner roll, she said you should have your grandma’s hash brown casserole that you love so much, for example.

“Partake and enjoy and have your favorite foods, but you can still do it in a moderate way and not overindulge,” she said. “All of those Thanksgiving foods can fit into My Plate.”

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October 2016

31

THANKSGIVING turkey

and snow

i

YOU CAN SERVE TURKEY WITH...

SNOW Sioux City had 11 inches of snow last November Text by Tim Gallagher | Photographs by Tim Hynds 32

NOVEMBER 2016

SIOUXLAND LIFE

IOWA STATE CLIMATOLOGIST HARRY Hillaker often gets asked about the chance of November snow.

The type of snow that can throw a wrench – or a drift, in this case – into the best-made Thanksgiving plans.

Nov. 28, according to Hillaker, is the average date for the first inch of snow in Iowa. Thanksgiving Day falls on Nov. 24 this year.

“So, yes, Thanksgiving weekend is roughly about where our first winter weather occurs,” Hillaker said.

Sioux City received 5 inches of snow on Nov. 20, 2015. An additional 6 inches fell on Nov. 30, 2015. The Thanksgiving holiday occurred near the middle of that 10-day stretch, on Nov. 26, 2015.

Snow piled higher around Sioux City in that first winter brush one year ago, as Spencer, Iowa, was blanketed with 10.5

Sam Villapando, a statistician for the Biola University volleyball team, catches snowflakes on her tongue in the courtyard of the Stoney Creek Hotel in downtown Sioux City on Nov. 30, 2015. Left: Biola University volleyball player Karly Dantuma, left, heaves a snowball at head coach Aaron Seitzer in the courtyard of the Stoney Creek Hotel in downtown Sioux City.

RECORD SNOWS Here is a listing by date and amount of the heaviest snowfalls in Sioux City history 1. 20 inches on April 10, 1913 2. 18.4 inches on March 15, 2004 3. 17.4 inches on Jan. 22, 1982 4. 16 inches on March 28, 1890 5. 15.2 inches on Feb. 21, 1993 6. 14.1 inches on March 24, 2016 7. 13 inches on Feb.5, 1911 8. 12.4 inches on Feb. 2, 2016, March 26, 1983 and Nov. 28, 1983 inches; Le Mars, Iowa, nearly 12 inches; and Hawarden, Iowa, 14.5 inches.

The storm, which was forecast to drop up to 18 inches of snow on the region, resulted in early school dismissals and, for the first time, a postponement of the 15th annual Candlelight Christmas celebration at Hartington, Nebraska.

The Iowa High School Athletic Association also postponed for three days championship football games at the UNIDome in Cedar Falls, Iowa.

The next snow storm swept into Sioux City as the Thanksgiving weekend wrapped up, coinciding with the arrival of teams and fans attending the NAIA National Volleyball Championship at the Tyson Events Center. As the players from Biola University in La Miranda, California, made snow angels, Corey Westra, the tournament director, juggled staffing

Wind blows snow along Fourth Street in Sioux City on Nov. 11, 1940. Temperatures fell as much as 30 degrees in two hours that day. (Provided photo)

assignments, uncertain if each worker or volunteer could reach Sioux City in the icy, slushy, snowy conditions.

There is good news for holiday travelers: While November snows do hapHillaker pen, they’re not that common. The final week of November, Hillaker said, isn’t really that snowy in Iowa.

If the Thanksgiving holiday took place just one week later, he reported, chances of snowfall would spike dramatically.

The odds for snow in the first week of December in Iowa are the same odds for the rest of the winter. In other words, you have just as good a chance of getting snow on Dec. 2 as you might on March 10, and every day in between.

That doesn’t mean heavy snowfall won’t arrive with a serving of pumpkin pie this Nov. 24.

It was during that week in 1983, for example, that Sioux City recorded its eighth largest snowfall, a Nov. 28 blast that measured 12.4 inches and contributed to all sorts of interruptions. That particular storm is often referred to as the “Thanksgiving blizzard” in Colorado, as it struck that state two days before descending on Iowa. Thousands of holiday travelers waited out the storm at Denver’s Stapleton Airport, which closed for 24 hours as Denver residents dug out from 21 inches of snow in 37 hours.

Two of Iowa’s largest winter storms took place prior to Thanksgiving, showing that virtually anything is possible with Mother Nature. The famed

Armistice Day Blizzard on Nov. 11, 1940, saw temperatures in Iowa drop as much as 30 degrees in two hours. Primghar, Iowa, paced the state with 17 inches of snow on that day. Up to 200,000 turkeys died in the storm and a plane crashed at Spirit Lake, Iowa, killing four men.

That storm, it’s been said, effectively ruined Iowa’s apple industry for decades.

“That had been a very mild fall and much of the state didn’t get a killing freeze until Nov. 6, 1940,” Hillaker said.

“That cold snap ended Iowa’s apple industry, killing almost all the apple trees in Iowa.”

In Keokuk, Iowa, on that day, the temperature went from 79 degrees to 11 degrees in 18 hours.

Iowa’s worst ice storm came on Oct. 30, 1991, leaving 80,000 homes without power after 2 inches of ice covered wires across the state. The ice caused an estimated $5 million in crop damage as the harvest wasn’t completed.

High school and collegiate playoff games in football were moved to the DakotaDome on the campus of the University of South Dakota, an indoor venue that hosted 17 games in six days at that time.

Take heart, Siouxland residents. While you may need a heaping helping of stuffing to ward off snow and cold, there’s also a chance you can eat your ham out on the deck. That, too, has happened.

Hartington’s first Candelight Christmas unfolded in sunshine and 60 degrees. Shoppers in shirt sleeves paraded up and down picturesque Broadway Avenue, nary a shovel in sight.

SIOUXLAND LIFE

NOVEMBER 2016

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4921 Sergeant Road., Sioux City Across from Red Lobster

THANKSGIVING restaurant

option Pete Utthachoo, chef/owner of Diamond Thai Cuisine, shows off a plate of lemongrass roasted chicken with fried rice and mixed vegetables and a plate of Thai beef salad at the Sioux City restaurant.

TIME FOR FOOD, FUN AND FAMILY HOW RESTAURANT CHEFS CELEBRATE TURKEY DAY SIOUXLAND LIFE

NOVEMBER 2016

35

A plate of lemongrass roasted chicken with fried rice and mixed vegetables makes for a unique Thanksgiving meal, according to Pete Utthachoo, chef/owner of Sioux City’s Diamond Thai Cuisine. Right: Utthachoo cooks a pan of mixed vegetables at his Sioux City restaurant The dish is one that he makes for his friends and family for Thanksgiving, the only holiday during which the restaurant is closed.

t

Text by Earl Horlyk | Photographs by Tim Hynds

THIS YEAR WILL BE the first time Pete Utthachoo has ever taken an entire week off for a Thanksgiving break.

“Thanksgiving is the only holiday when we close but normally we close for one day,” said Utthachoo, owner of Diamond Thai Cuisine. “This year, I’ll be out of town so we’ll be closed a bit longer.”

Utthachoo figured he’s earned the vacation. He considers being Diamond Thai’s owner a 24-hour-a-day, seven-daya-week job.

“Even when I’m at home, my mind is still on the restaurant,” he said.

It’s a seven-day-a-week job Christina Bautista can identify with Utthachoo’s predicament.

The owner of La Juanita, Bautista handles her multiple roles of hostess, cashier and expediter with aplomb.

“I’m at the restaurant more than I am at home,” she said. “It gets tiring a times.”

That’s especially true when you realize this has been Bautista’s life for years.

Born into a restaurant family, Bautista began working in a lunch truck restaurant in California back in the ’70s. Moving to Sioux City in 1997, Bautista kept her sister’s name as well as her concept of a mobile restaurant.

“Our first year in Sioux City, we’d set up shop at parking lots around the city, feeding workers during their lunch break,” she said. “Business became so good that we decided to open our own restaurant in 1998.”

Over the past two decades, La Juanita has earned raves from Esquire Magazine, the New York Times as well as visiting politicians who make their way to Sioux

36

NOVEMBER 2016

City during the Iowa Caucuses.

But most of the restaurant’s fan base is homegrown.

“We’re so busy around the holidays,” Batista noted. “People who used to live in Sioux City come back home. And when they’re home, they get their burritos from us.

“Hey, everybody needs their La Wah, I guess,” Bautista said, smiling.

This also means La Juanita will be open during the day on Nov. 24.

“In order to give ourselves some time off, we close early on Thanksgiving,” she said.

A chef’s day off So, what does Bautista do on Thanksgiving? To be honest, she’ll be doing plenty of cooking.

“Thanksgiving is time for family,” the Jalisco, Mexico, native said. “My mother usually prepares the turkey and my sister and I alternate between making the ham.”

That’s sounds pretty traditional. Does Bautista do anything unusual on Turkey Day? Well, she does make sure to bring two to three burritos from her restaurant.

“We have out-of-town relatives who insist on having our burritos, even on Thanksgiving,” Bautista said. “But to be honest, I eat our burritos every day as well. If I don’t have one, I feel deprived.”

Just like La Juanita’s Bautista, Diamond Thai’s Utthachoo cooks for extended family and friends on Thanksgiving.

Only don’t expect him to be roasting the traditional bird.

“People seldom eat turkey in

SIOUXLAND LIFE

SIOUXLAND LIFE

NOVEMBER 2016

37

Diners wait for orders at La Juanita in Sioux City. The popular Sioux City restaurant will be open on Thanksgiving Day, but will close early to give employees a chance to be with their families.

Thailand,” Utthachoo said. “We eat chicken and pretend it’s like a miniature turkey.”

Think Utthachoo is kidding? Well, he’s not.

The Thai native masterfully debones a Thanksgiving chicken, filling it with a stuffing that reflects his homeland.

“I never use bread in my stuffing, only rice,” Utthachoo said. “Rice is more Asian.”

Fried rice is also used for a lemongrass-roasted chicken that is served with mixed veggies.

“That’s a nice day-after meal,” Utthachoo said.

Still, his favorite Thanksgiving dish

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has no poultry whatsoever.

“I like my Thai beef salad with grilled vegetables and cilantro,” Utthachoo said.

“It’s delicious.”

Giving thanks to their adopted community It’s been nearly 10 years since Utthachoo opened Diamond Thai at 515 W. Seventh St. “Things are good now but that hasn’t always been the case,” he said. “I keep on smiling because I don’t want anyone to see me cry.”

What has kept Utthachoo going through the lean years is his appreciative customer base.

“They first came in as customers,” he said. “Then, they leave as friends.”

Across town, La Juanita’s Bautista feels the same way.

“We’ve catered graduations, wedding receptions, even funerals,” she said.

“That’s how you know you’ve made an impression in somebody’s life. They crave your food in good times and in bad times.”

This is exactly what Bautista wanted.

“La Juanita is all about family,” she said. “Today, our family is the people we’re related to. But they’re also the people who walk through our door, day after day, year after year.”

“This is a very nice feeling,” Bautista said.

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39

ADVICE Medical

Answers

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

What causes warts? What’s the best way to get rid of them?

Common warts, also known as Verruca vulgaris, are a benign skin lesion. They are caused by a virus called the Human Papillomavirus, or HPV. The virus is contracted through direct or indirect contact of the virus. This makes children most at risk for developing warts due to the fact that school age children are often in close contact with each other and sharing school supplies, toys, etc. throughout the school day. Young adults are also at greater risk due to the college habitat and being in close contact with many other people. Lastly, people with chronic illnesses whose immune systems are not up to par are also at greater risk for contracting the virus than the general population.

Common warts do not necessarily need to be treated. Many will resolve on their own if left alone. However if a wart becomes uncomfortable or painful to a person, or if they do not like the cosmetic appearance of the wart, there are several different forms of treatment. There are over-the-counter treatments that will freeze the wart and often require multiple treatments. One could also try applying duct tape over the wart for one week, removing the duct tape for one night and scrubbing at the wart, then reapplying the duct tape for an additional week.

If home remedies and over the counter treatments do not resolve a wart, you may need to visit your PCP for a stronger cryotherapy, or “freezing,” or a topical salicylic acid. If the warts are refractory to treatment for three months, then your PCP may decide to refer you to a dermatologist for further treatment.

For clarification, the HPV virus has many different strains. The strains that cause commons warts are different from the strains that cause genital warts and cervical cancer. The HPV vaccine helps to protect against nine strains of HPV that can cause cervical cancer and genital warts. It will not protect you against the strains that cause common warts. If you have questions about the HPV vaccine, please visit with your PCP. 40

NOVEMBER 2016

Years ago, physicians ran blood tests on couples before they married. Why did they do that? Is it still done?

Premarital blood testing was a law that enacted in the United States in the mid-20th century to test couples for presence of sexually transmitted diseases, such as HIV or syphilis, genetic diseases, such as sickle-cell anemia, and infectious diseases, such as Rubella.

The reason for testing for the infectious and sexually transmitted diseases was that the patients could be treated prior to marriage and/or reproducing so as not to pass on the disease to a partner or future child. Diseases such as rubella and syphilis can cause irreversible birth defects in future children if a mother is infected with the disease.

The reason for testing for genetic diseases was to be able to counsel the couple on the risks of a future child inheriting the genetic disease should the couple decide to reproduce.

Although there are no longer laws that require premarital blood testing, three are now other ways that physicians screen for such diseases. It is common practice for a women who is newly pregnant or wishes to become pregnant soon to be screened for HIV, hepatitis B and C, syphilis and rubella by their physician. Similarly if there is family history of any kind of genetic disease, the couple has the option of preconception genetic testing and counseling.

There is also state law in Iowa that mandates the screening of all newborns for a battery of different metabolic and genetic diseases, such as cystic fibrosis and sickle cell disease.

How do you know when it’s time for knee surgery? I have friends—about 20 years apart—who are both going through knee replacements. I thought it was just from the joints wearing out. What’s the problem?

Knee replacements, also known at total knee arthroplasties, are often a recommendation for treatment of moderate to severe osteoarthritis of the knee.

Osteoarthritis is a condition that can

SIOUXLAND LIFE

MEET THE DOC Kelly Ryder is an Omaha, Nebraska, native who grew up in Omaha, attending Creighton University for her undergraduate and medical degrees. She then moved to Sioux City to complete her residency in Family Medicine at the Siouxland Medical Education Foundation.

She is currently in her third and final year of residency. She enjoys spending most of her free time with her fun and loving husband, Dylan, and two wild and wonderful children, Luke and Hallie. develop in the knee joint, or any other bony joint, over time due to normal use, overuse or even as a result of trauma.

It results due to the wearing down and eventual loss of the cartilage that is present in your knee joint to act as a cushion between the bones making up the knee.

Along with the loss of cartilage, comes the weakening of the bones themselves as well as the muscles that connect to the knee joint.

Just as no two fingerprints are the same, no two knee joints are the same.

There are many factors that contribute to how early or late in life osteoarthritis may develop. Some of these factors include weight, amount of exercise, tobacco use, nutrition and family history, as well as many others. As mentioned above, trauma to the knee can also cause earlier onset of osteoarthritis.

The time to decide to have a knee replacement is different for every person with osteoarthritis of the knee. There are several nonsurgical options for treatment that will likely be suggested by your PCP prior to suggesting surgical evaluation.

These options include pain management with NSAIDs, steroid injections into the joint and physical therapy. Many people can hold off surgery for years with these treatments. When the pain comes to a point where it is severely affecting a person’s ability to walk or quality of life, then it is time to explore a surgical treatment. Once a patient has decided the pain is no longer bearable, their PCP can refer them to an Orthopedic Surgeon for further evaluation and information regarding surgery.

If you have any questions concerning your own knee pain, do not hesitate to contact your primary care physician.

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.

ask a professional Q: Doctor, I always wake up in the morning & don’t feel rested. Why is that?

A: That’s a great question! While a lack of proper sleep, which is between 7-8 hours, is typically to blame, there’s another culprit that typically goes unchecked: your pillow.

When was the last time that you changed your pillow? It’s a common question that we ask our patients, because if your muscles can’t relax and allow you to count those sheep, you’ll be tossing and turning all night, keeping Dr. Joel your muscles, tendons, and ligaments tight – and tender.

Pistello, DC Waking up without that rested feeling? A great place to start is looking at your pillow.

When we recommend a pillow, it’s not as easy as simply saying, “This pillow is the best!” Indeed there are a lot of options, shapes, colors, thicknesses, and prices out there. We recommend setting the last option aside until you find something that you are comfortable with – and then remembering you can’t put a price on a good night’s sleep. What IS most important is that you get a pillow that will support how you sleep.

Do you primarily wake up on your back, side, or stomach? Let’s get the last position covered first: if you are a stomach sleeper, it’s time to turn over. Try to fall asleep on your back or side, as sleeping face down not only contorts your neck by twisting it, but keeps it in a potentially painful degree of extension every night.

The next best position is on your side. For this position, you want a higher pillow, about the thickness of your shoulder to your neck, so that the neck stays in perfect position, nice and straight all night. Keep a pillow in between your legs too, to ensure that your lower half doesn’t twist and turn too in the night, giving you that achy low back feeling in the morning.

By far the best position is to sleep on your back. While it may feel uncomfortable, it’s the best for your neck, keeping a good curve in it, allowing it to fall back and truly relax. Many cervical pillows have a weird curve shape that is higher on one end and lower on the other. These are going to be the best to get a good night’s sleep. They come in various thicknesses, so have someone size it up for you. Always feel free to stop by and let us take a look at your pillow, let us help you sleep a little easier!

Call 276-4325 today for an appointment 3930 Stadium Drive. (Between Wal-Mart & Explorer Stadium)

SIOUXLAND LIFE

NOVEMBER 2016

41

HEALTH conflicts

PLAN AHEAD TO CURB

HOLIDAY CONFLICT AND MANAGE STRESS

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Text by Dolly A. Butz | Photographs by Justin Wan

A FRESH PINE TREE is surrounded by a sea of neatly wrapped gifts that everybody on your list wanted.

A delicious turkey and all the fixings are spread across a beautifully decorated table that would rival Martha Stewart’s.

Family members and friends are sitting in the living room joyfully conversing about days gone by.

This idealistic holiday is unrealistic.

As families gather, conflicts are bound to arise because of high expectations and unresolved family problems.

“With family there’s a lot of history.

Maybe it’s a sibling we’re not comfortable with,” said therapist Kelli Pierce. “If there’s unresolved issues from previous encounters, that tends to create a lot of tension in families.”

Pierce, a therapist at Family Wellness Associates, 1115 Fifth St., said there are some things you can do ahead of time to avoid conflict and deescalate a hostile situation if one does develop.

Before shopping, decorating and attending holiday parties take over your schedule, she recommends making an appointment with your therapist to identify your limitations and to learn how to express them in a respectful manner. No matter how hard you try, she said you can’t please everyone.

“When we try to say, ‘I’m going to do this. I’m going to get through this,’ we tend to just try to muffle our own thoughts and our own feelings with trying to just muddle through holidays because that’s what we’re expected to do,” she said.

Know your boundaries. Buying gifts

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NOVEMBER 2016

SIOUXLAND LIFE

for all of your nieces, nephews, uncles, aunts and cousins might make them happy, but it’s also likely to put a strain on your finances. Those charges on your credit card, Pierce said, will add additional stress in the new year.

“I think credit cards are a huge thing that create a lot of stress after the fact and it creates a lot of that post-holiday slump, where they’re realizing, ‘Oh my gosh, I spent more than I anticipated, maybe my budget is blown and I’m not really happy about things,’” she said.

Reining in your spending seems manageable, but what about those annoying,

Kelli Pierce, a therapist at Family Wellness Associates, talks about conflict resolution during the holidays.

unruly relatives who will be visiting your home? How can you possibly manage to keep everyone in line?

Pierce said it may be a good idea to call family members ahead of time and create some conversation ground rules.

She suggests simply saying, “This isn’t an area I’m comfortable discussing, so I’d appreciate it if we didn’t bring it up.”

Stay away from hot button issues such as politics and money, if you know those around you don’t have similar views. Conflicting views and beliefs, Pierce said, are likely to create tension and chaos and lead to hurt feelings.

“If you’re new to an in-law’s or significant other’s family, pay attention and ask beforehand, ‘Are there off limits subjects?’” she said. “Depending on the situation, what’s the comfort level for other people? Is religion an off topic? Are politics off topic?”

When emotions do rise, so do voices.

If one person can remain calm, acknowledge there is a difference of opinion and table the subject, Pierce said, the conflict should deescalate.

“If somebody just needs to leave the room for awhile, that’s OK,” she said.

“To not expect everything to be perfect,

I think, is a huge issue. We have these ideas of what we all would want our family gatherings to look like and they may be unrealistic.”

Pierce also recommends thinking about how your own holiday traditions stress you out. She said people need to take care of themselves during the holiday season by eating healthy, getting adequate amounts of sleep and taking a break from the hustle and bustle with a walk or a trip to the gym.

“Make sure that you’re taking care of yourself so you’re able to handle things,” she said.

SIOUXLAND LIFE

NOVEMBER 2016

43

Here Comes

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NOVEMBER 2016

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Entry-lEvEl HomEs making a ComEbaCk Waist size. College tuition. Kidney stones. Many things in life don’t get better as they grow bigger. Often times, the best things comes in small(er) packages.

In recent years, the tiny-home trend has taken that philosophy to the extreme. But it hasn’t quite caught on with mainstream America. The overwhelming majority of home buyers still prefer to own an abode with ample space in which to live, relax and entertain.

The median size of homes built in 2015 was bigger than ever, and the portion of those homes with four or more bedrooms grew to 47 percent. But so far in 2016, the median home size appears to have reached a plateau, leveling off after several years of gradual growth.

In fact, the first half of 2016 saw median square footage of single-family homes decline — ever so slightly — from 2,465 to 2,392. Some might assume that any decline is a negative sign. However, economists know that this is a positive

step in the post-recession cycle of economic recovery.

“History has shown us this pattern before when the country was recovering from previous recessions,” says NAHB Chief Economist Robert Dietz. “When the recession began, production of larger, high-end homes ramped up because the buyers of those homes typically had fewer credit constraints than the wouldbe buyers of more modest homes. But this recent decline in home size indicates that smaller homes are increasingly popping up as the economy strengthens and more entry-level buyers return to the market.”

offer — medium-density, “urban village” neighborhoods with conveniently located amenities — is very appealing to a large number of buyers from all age groups.

From large, custom homes to smaller, entry-level homes and everything in between, builders across the Siouxland area are creating dream homes for their clients each and every day. Visit www.siouxlandhba.com/members to find a contractor to make your dreams come true.

An expanding market of entry-level homes in many areas of the country typically includes increased production of townhomes, which range considerably in size and price but are often times Todd smaller and less expensive than single- Hagaman family homes. Townhomes make up a President relatively small share of the new homes Todd Hagaman being built, but what many of them Construction SIOUXLAND LIFE

712-255-3852 siouxlandhba.com NOVEMBER 2016

45

Dog Tired?

Snore at night?

Tired during the day?

If you are, it is possible that you are suffering from sleep apnea or another sleep disorder. Sleep apnea causes shallow breathing or pauses in breathing during sleep, resulting in poor quality sleep and daytime sleepiness.

If left untreated, sleep apnea can result in a number of health problems, including high blood pressure, stroke, heart attack, depression or headaches.

Give us a call today to see how we can help you.

Call the Mercy Sleep Lab. (712) 279-2191 46

NOVEMBER 2016

SIOUXLAND LIFE

PARTING SHOT By

Bruce Miller

10 TIPS FOR WRITING THAT

HOLIDAY LETTER

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WE ARE NOW ENTERING one of my favorite months of the year – the time when we craft that all-important holiday letter.

Oh, sure, some of you may pooh-pooh the practice but you just haven’t been properly trained.

A family letter can test your ability to spin just about anything. Think like a politician and it can positively glow.

How to rewrite history? Here’s our primer.

1. First, begin with the salutation. “Merry Christmas!” isn’t all-inclusive and “Happy holidays!” seems so generic. Use a foreign phrase and they’ll think you’re smarter than you really are. “Buon Natale!” could lead them to believe you went to Italy this year, instead of saving the placemat from Olive Garden.

2. Mention that you’re really busy and you don’t know if you’ll get to all the parties you’ve been invited to. (You haven’t been invited to any, but that doesn’t mean you could make them if you were.)

3. Talk about your children’s accomplishments. If Jimmy played dodgeball once, you can say, “James Jr. led his soccer team in assists,” even though he was eliminated in the first round and basically handed others bottles of water. If Debbie is in danger of flunking out of high school, you can say, “Deborah is considering the many educational options she has, including Harvard, Yale and Stanford.” If the baby still isn’t potty trained and he’s 9, you can say, “Doctors say they’ve never encountered such an exceptional child.”

4. Use phrases you’ve found on plaques in Hobby Lobby.

“Life’s too short!” could be a real good one to spin your husband’s firing. “James is finally getting a chance to pursue his dreams. Because his company hasn’t kept up with industry changes, he decided to take his proprietary information public, reasoning, ‘Life’s too short!’”

5. Turn a negative into a positive. “James has added ‘day trader’ to his long list of interests.” In truth, Jim is spending all

those days at home playing video games on the computer.

6. Give yourself some long-range accomplishment that can never be traced. “I’m putting the finishing touches on my first novel. So many publishers are vying for publication, I guess I’ll have to go with the one that gives the most to charity.” Yeah, right. You know you haven’t written more than a text in five years but you can always throw in “Russian hacking” if someone wants to see proof.

7. That “charity” line can go a long way, too. Even if you just flipped a kid a nickel after you brought back cans, you can count it. For good measure, talk about how you’re so involved in your children’s activities. If you got to go first at parentteacher conferences, that definitely spells “leadership.” If you opened the pack of Oreos for Jimmy and his friends, you were “feeding the hungry.”

8. Vacations always make holiday letters. A boat ride on the lake can be classified as a “cruise.” A visit to North Sioux, South Sioux and Sioux City in one day can count as a “whirlwind” trip. A week at home because you couldn’t afford to go anywhere is definitely a “spa vacation” at a “rustic getaway.” Yeah, that’s code for “the sinks are clogged.”

9. Weight gain is always a problem – particularly when friends say, “I barely recognized you, you’ve gained so much weight.” If you’re doing a photo, wear black and lean in. If you want to mask it, shake the cellphone when you take the picture. It’ll look dramatic. If you feel you must address it, you can always say you’re in a “pharmaceutical trial” that’s likely to produce some big, big news next year.

10. Finally, close with a wish for the new year: “I hope 2017 brings you everything you deserve.” Sometimes, you don’t even have to spin the message to get the point across.

So, until next year, joyeux Noel! I’d write more, but I’m weighing those book offers!

SIOUXLAND LIFE

NOVEMBER 2016

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FREEDOM CASH

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NOVEMBER 2016

SIOUXLAND LIFE