MARCH 2020 | VOL. 13 — ISSUE 3
BOY’S BEST FRIEND Autism assistance dogs change lives Gum disease impact on heart/brain
Learn to love
Brussels sprouts Hope for
hoarding disorders
OregonHealthyLiving.com
MARCH 2020 | OREGON HEALTHY LIVING
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OREGON HEALTHY LIVING | MARCH 2020
2 tablespoons freshly squeezed lime juice (1 to 2 limes) 2 tablespoons olive oil 2 cloves garlic, grated 1 bunch scallions, thinly sliced 6 ounces fresh mushrooms, sliced 1/4 pound snow peas or green beans 1 12-ounce can baby corn, drained 1 red bell pepper, thinly sliced (optional)
the liquid in the pan to reduce until thickened, about 4 minutes. Add the garlic and scallions and cook 1 minute more. Add the mushrooms and cook for 2 to 3 minutes more. Add the snow peas, baby corn and bell pepper and continue cooking until all the vegetables are crisp-tender, about 2 minutes. Return the beef to the skillet and toss to combine. Recipe courtesy of Food Network
VOL. 13 — ISSUE 3
MARCH 2020
pets
Friends in Deed:
health
8
Autism assistance dogs
fitness
5 Oral Health = Overall Health
food
16 Relay Race
Siskiyou Challenge
Effects of gum disease
natural
22 Comeback Vegetable of the Decade?
27 When Stuff Takes Over: Learning to let go
Brussels sprouts
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from the EDITOR
EDITOR Cheryl P. Rose
If you know anyone on the austim spectrum (and it's likely you do since diagnosis is soaring), you know it can require families to rearrange their lives to support the individual. Autism spectrum disorder (ASD) affects communication, behavior and social interaction. How wonderful is it that a nonprofit organization in our community is offering a new way to support children with ASD through service dogs? April is World Autism Month, FYI. Our April issue will focus on outdoor activities—a rich resource in this region!
CEO & PUBLISHER Steven Saslow
crose@rosebudmedia.com
ASSOCIATE PUBLISHER & VP OF SALES Gail Whiting SALES SUPERVISOR Laura Perkins GRAPHIC DESIGN & PRODUCTION Paul Bunch John Sullivan CONTRIBUTING WRITERS Aaron Cooper Micah Leigh Sarah Lemon Rebecca Scott Cindy Quick Wilson CONTRIBUTING PHOTOGRAPHER Denise Baratta
Oregon Healthy Living Magazine is published by the Rosebud Media Advertising Department, 111 N. Fir St., Medford, OR 97501. General information: 541.776.4422 Submissions and feedback: crose@rosebudmedia.com
on the COVER Photographer Denise Baratta noticed the bond between boy and dog. "The love Julian has for Vanilla was very evident, and he had a huge smile whenever he was with her." Photo by Denise Baratta
Join the List... Sherm's Food 4 Less...........................pg Medford Foot & Ankle Clinic, P.C. .....pg Rogue Community Health ..................pg Mercy Flights......................................pg Mid Rogue Imaging Center.................pg Oregon Retina Center ........................pg Addictions Recovery Center ................pg Re-Joyce Healthcare at Home .............pg Weatherly Inn ....................................pg Gastroenterology Consultants..............pg
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OREGON HEALTHY LIVING | MARCH 2020
HAP�Y
TEETH HEALTHY
BODY STORY BY REBECCA SCOTT
Discovering the links between periodontal disease and other health issues continued on page 6
MARCH 2020 | OREGON HEALTHY LIVING
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Welcome NEW PROVIDERS Rogue Community Health welcomes Dr. Michael Kordus to White City and Dr. Paul Matz to Medford. Dr. Kordus worked as an emergency room physician for 15 years before moving to Oregon in 2015. He enjoys helping his patients stay healthy and active. Michael Kordus, MD White City
Dr. Matz has over 41 years of diverse medical experience treating all types of medical concerns. He says he is a country doctor at heart. Both providers are accepting new patients!
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OREGON HEALTHY LIVING | MARCH 2020
ental professionals consider periodontal disease — an inflammatory condition of the gum and bones surrounding the teeth — a dangerous health problem. According to the Centers for Disease Control and Prevention, half of Americans aged 30 or older (about 64.7 million people) have periodontitis, the advanced form of periodontal disease. However, the medical community suspects the dangers of periodontal disease stretch beyond the mouth, as they have discovered strong connections between periodontal disease and other health issues. Body’s response to bacteria
While periodontal disease is an inflammatory disease initiated by bacteria, the immune response of the patient also plays a vital role, according to Dr. John Ferrin, a periodontist and owner of Ferrin Periodontics in Medford. “Some patients who brush once a day and don’t see a dentist for 10 years may have decay, but the bone looks good. That patient’s body recognizes the bacteria and toxins in the mouth and has no inflammation,” he says. However, he explains another person could floss and brush every day, get their teeth cleaned regularly, and still have bone loss around the teeth because their body has a harmful inflammatory response that destroys the bone. “Basically, periodontal disease is bone loss around the teeth that’s started by bacteria and finished by the body’s response to that bacteria.”
Bacteria linked to heart disease, Alzheimer’s
In addition to destroying the bone around your teeth, research has found a strong link between periodontal disease and systemic health, according to Ferrin. During a recent Alzheimer's disease study, he says researchers took samples from the brains and spinal cords of living and deceased Alzheimer's patients. They found over 90% had the remnants of gum bacteria in the brain and spinal cord. “These bacteria are only associated with gum disease, so now we know that the bacteria in periodontal disease does not stay in the gums; it travels throughout the body,” Ferrin says. Also, he explains that scientists believe inflammation caused by periodontal disease may be connected to other health problems, such as heart disease and diabetes. Research is linking oral bacteria to places in the body where it was never supposed to be, and it’s manipulating inflammation, says Tommie Kell, an expanded practice dental hygienist and owner of Compassionate Dental Wellness in Jacksonville. “The bacteria take advantage of the deep pockets that are starved of oxygen. They begin to multiply and make their way into
the bloodstream,” she adds, noting it’s similar to microorganisms which live in the deepest parts of the ocean without oxygen. “The bacteria found at the bottom of periodontal pockets are tough bugs too. And now they’re floating in your bloodstream to your vital organs.”
Oral hygiene critical
Kell and Ferrin agree that prevention is key. “You must brush and floss regularly and visit your hygienist routinely. Not only can a hygienist measure and watch for any inflammation, but they can customize a home care routine to fit your needs,” says Kell. For Ferrin, optimal home care is an absolute must. He says to think of your dentist or hygienist as a teammate. “You can’t go to the hygienist and have them clean your teeth, and then you only floss once a week. You must brush and floss regularly at home.” However, there are other treatment options available. Kell explains a hygienist can perform scaling and root planing to remove bacteria and toxins from the infected pocket in an effort to rid the area of inflammation and promote healing. There are also lasers and antibiotics that help with bacterial
“The bacteria found at the bottom of periodontal pockets are tough bugs too. And now they’re floating in your bloodstream to your vital organs.” Tommie Kell Compassionate Dental Wellness, Jacksonville
reduction, she adds. “In the advanced stages, a periodontist can perform gum surgery, laser therapy, complete a bone graft or grow bone in the affected area.”
A silent killer
Ferrin and Kell believe periodontal disease is the silent killer of teeth. “Periodontal disease isn’t painful, so it could be happening right now, and you may not feel it. If you’ve been told you have deep pockets in your mouth, are over 50 years old or have a dental implant, you should see a periodontist,” says Ferrin. ■
What is periodontal disease? Periodontal disease is an inflammatory response to bacteria and toxins in the mouth that destroy the gums and bones around the teeth, explains Tommie Kell of Compassionate Dental Wellness in Jacksonville. Periodontal disease starts as gingivitis, a gum infection. Symptoms include puffy or red gums that may bleed when brushing or flossing. If left untreated, gingivitis can advance to periodontitis, where the gum pulls away from the tooth. “As the gums separate from the teeth, a pocket forms,” she says. “And the deeper the pocket, the harder it is to maintain on your own.” These pockets collect corrosive bacteria that destroy bone.
MARCH 2020 | OREGON HEALTHY LIVING
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A Bett STORY BY CINDY QUICK WILSON PHOTOS BY DENISE BARATTA
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ASSISTANCE DOG VANILLA JOINED THE FAMILY OF ROSA OCHOA OF MEDFORD IN 2019 AS A HELPER AND COMPANION FOR JULIAN. OREGON HEALTHY LIVING | MARCH 2020
Better Life for
A
utism. It’s never a word you want your child’s doctor to use. It’s a diagnosis that causes gut-wrenching fear, confusion and a flood of questions.
JULIÁN Twelve years ago, Rosa Ochoa and her family moved to Medford from Mexico City. At that time, her English was extremely limited, so she didn’t understand the terminology the doctor used when he talked to her about her year-old son, Julián. But she knew in her heart that something was terribly wrong. “We have two older kids, so we knew what is the next step, but with Julián there was something different. When he was 1 year old, he still doesn’t walk, so we worry about him. He starts talking, but then he stops. The doctor said no worry, he’s OK, some kids are slower, but I still felt something is wrong. As a mother, you just know.” Julián was almost 2 years old when the doctor decided to run some tests. “He was
pretty sure Julián has autism,” says Ochoa. “I don’t understand what this means. I think maybe he die or maybe he just needs to have a shot and he will be OK. We have many questions and the doctor say he will explain everything. I was scared.” Autism is a developmental disorder that can include difficulties with social interaction and communication, sensitivity to sensory stimulation, and restricted and repetitive behaviors. The signs usually appear during the first three years of a child’s life. According to the U.S. Department of Education statistics, autism is growing at a rate of 10%-17% percent a year, and as of 2016, it was estimated that 1 child out of every 68 is living with some form of autism spectrum disorder. continued on page 10
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ENGLISH IS A SECOND LANGUAGE FOR ROSA OCHOA. SHE HOPES HER FAMILY'S EXAMPLE WILL ENCOURAGE OTHER FAMILIES WITH LANGUAGE BARRIERS THAT IS IT POSSIBLE TO ACCESS SERVICES FOR THEIR CHILDREN. continued from page 9
Dogs for Better Lives responds to growing need When Julián was 7, friends told Ochoa about autism assistance dogs through Dogs for Better Lives (formerly Dogs for the Deaf) in Central Point. “I thought it could be a great opportunity,” she says. “We applied and waited a year. I was scared because I still don’t speak good English, but they came to our house and answered all our questions. Everyone was really nice with us.” The program is fairly new, explains Laura Encinas, certified trainer with Dogs for Better Lives (DBL). DBL is an award-winning nonprofit facility that has trained assistance dogs for those with hearing, vision, developmental
and psychological disabilities since 1977. “In the past couple of years, we have placed eight or nine autism assistance dogs in the Southern Oregon area. We wanted to keep the families close, so we could monitor the progress and be available for any needs the teams might have.” The foundational training for any assistance dog includes obedience, extensive socialization and public exposure. Each dog receives additional training specific to assisting an individual with hearing, vision or psychological impairments. The tasks that an autism assistance dog performs are all about calming, explains Encinas. “When the child becomes agitated, the dogs will put their heads in the child’s lap, or they
will put their legs and chest against the child to provide pressure. The dog will also lay down, prone on the floor, and the child will lay on the dog for comfort, which helps them calm down. There’s another technique we call smoosh or squish where the dog lays its whole body on the child. I’ve seen this one used the most because it provides a physical pressure and, in a few minutes, it takes the child from total meltdown temper tantrum, out of control to being calm.”
VANILLA LAYS ON JULIAN'S BACK IN A "SMOOSH" OR "SQUISH" TECHNIQUE DESIGNED TO CALM HIM IN TIMES OF STRESS.
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Autism often means challenges with social and communication abilities as well as intensified sensory reactions to sounds, lights, touch, tastes, smells and other stimuli. Autistic children can sometimes panic and run away when confronted by situations they find upsetting. “Because the child is tethered to the dog by the wrist, they provide an anchor for the child,” Encinas says. “If the dog receives pressure on the leash it will automatically sit and keep the child from running into dangerous situations, so the parent has time to regain control.”
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The right stuff Because autism dogs need to be a calming presence in the lives of these children, says Encinas, Labradors are well suited since they are laid-back, friendly and affectionate. They require little grooming or special care, bond well with their child and interact well with other family members. The dog also has to be over 55 pounds to provide that anchoring ability. “We assess each dog for the right temperament and personality to be an autism dog,” says Encinas. “They have to deal well with a lot of handling and not be overly sensitive to loud noises.” In addition to learning the calming techniques, training involves recreating real life situations like dealing with crowds and busy public places, Encinas explains. “A lot of the dogs that we use are bred by us and fostered in our puppy program, so they have a background of obedience and socialization skills already in place. The dogs are then certified to be in public with the handler and the child. That takes about six months.” The application process for getting a dog is intentionally rigorous, Encinas says, and not all families are selected. In addition to making the right match, the safety of the family, the child and the assistance dogs are important considerations. Once the family is approved, they are placed on a waitlist, which can take as long as two to three years. continued on page 12
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continued from page 11
A new best friend for Julián Vanilla came to live with Julián, then 9, in June 2019. Though having a dog was a new experience for the family, the friendly yellow Lab has brought much happiness and many positive changes for her son, Ochoa says. “He is very engaged with Vanilla. Before, he doesn’t speak a lot, but now he is learning the commands for Vanilla to lay down or sit, or I hear him say, ‘Vanilla come,’ or ‘follow me,’ so he’s talking more. She is like a friend he can play with. She sleeps in his room. It gives him somebody to love.” Ochoa used to worry that Julián spent too much time indoors in front of the TV, but says, “Now he gets more exercise taking Vanilla for walks. He has to feed her and clean up after her. And before, I always had to convince him to go to the store. But now with Vanilla, we say, ‘Oh, Vanilla likes to go to the store,’ and he says, ‘Oh, let’s go!’ Holding Vanilla’s leash keeps him from running away. It makes him more in control of his impulses, to have the responsibility of the dog. When he has a meltdown, when he’s really stressed and angry, Vanilla presses on his back and calms him down. It has really changed his life.” It’s very moving, Encinas admits. “All the parents of these autistic children are such an inspiration to me. I consider them to be saints. I know they must have their moments, but I see such dedication, patience and understanding in their eyes, so I’m happy we can help them. It makes me feel quite emotional.” ■
VANILLA IS A GRADUATE OF DOGS FOR BETTER LIVES IN CENTRAL POINT.
April is National Autism Awareness Month “Autism is the fastest growing developmental disability in Oregon – and the world.” —The Autism Society of Oregon According to the Oregon Department of Education, the number of children receiving services for autism in Oregon schools increases every year. One in nine children in Oregon special education classes has autism spectrum disorder. More than 9,000 Oregon children (ages 3-21) are receiving services for autism in public schools. Dogs for Better Lives in Central Point, formerly known as Dogs for the Deaf, is an award-winning nonprofit facility that has trained assistance dogs for those with hearing, vision, developmental and emotional disabilities since 1977. Their Autism Assistance Dogs are professionally trained to act as an anchor to reduce or slow a child’s ability to bolt, apply deep pressure and to provide companionship dedicated solely to the child. They are now accepting applications for children throughout the states of Oregon, California and Washington who are between the ages of 4-11. Dogs for Better Lives 10175 Wheeler Road, Central Point 541.826.9220 dogsforbetterlives.org
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OREGON HEALTHY LIVING | MARCH 2020
MARCH 2020 | OREGON HEALTHY LIVING MF-00122849
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March toe th Markets Seasonal know-how
M
arch is national nutrition month, and a great way to improve your health is to eat more fruits and vegetables. Southern Oregon’s hospitable climate allows for variety in locally grown produce. You can boost your nutrient intake by looking for seasonal fruits and vegetables in your local grocery, visiting a growers market or even picking your own.
Growers markets Growers markets around Southern Oregon are opening this month, offering an array of locally grown and produced food options. You can visit weekly growers markets in Ashland, Central Point, Grants Pass, Jacksonville, Medford and Talent through the fall. Here’s a few tips for making the most of an outing at a farmers market: • Get there early. Growers only come to market with so much and when it’s gone, it’s gone. • Know what’s in season. • Shop around. Do one full round of the market first to check out the selection of goods and prices, then do a second trip to buy what you want. • Try new things. Be curious and
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OREGON HEALTHY LIVING | MARCH 2020
STORY BY CHERYL ROSE
daring, and don’t get into a rut. • If in doubt, ask. Ask the vendor or farmer for recipes and tips for using their produce. • Bring a bag or bags. • Don’t bring your pet. • Dress in layers, so you can shed clothes as temperatures rise. Wear sunscreen! • Bring cash and small bills. U-pick farms You can find pick-your-own farms for apples, blueberries, pears, peaches, raspberries and strawberries in the Rogue Valley. Peak harvesting seasons vary greatly, so calling ahead is helpful. Here are few tips for picking your own fruit: • Bring containers. Most farms provide baskets for picking but prefer that you bring your own containers for transporting your bounty home. If you're picking delicate berries, be sure the containers are shallow, so the weight of the top berries doesn't crush the ones underneath. • Respect the farm. Remember that when you visit a farm, you are a visitor. Often, it is both the family's home and business.
Respect their property and dispose of trash in the proper receptacles. Do not damage plants or trees or wander into restricted areas, and do not bring pets. Follow the rules for where and how to pick. • Ask for advice. If you’re not sure if the fruit or vegetable you’re picking is ripe. Pears can be picked a little on the green side, but peaches do not ripen well once picked. ■
DID YOU KNOW? Some markets have programs to encourage people to eat fresh produce, such as Seniors Farmers Market Nutrition Program for low-income seniors, WIC Farmers Market Nutrition Program and Oregon Trail (Supplemental Nutrition Assistance Program) card.
What to Buy When JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
Asparagus Basil Beets Blueberries Broccoli Carrots & cabbage Corn Cucumbers Kale Lettuces Peppers Summer squash Tomatoes Watermelon Winter Squash
MARCH 2020 | OREGON HEALTHY LIVING
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M O R F E C A R RELAY
Pedal To
Paddle
Siskiyou Challenge offers team adventure STORY BY AARON COOPER PHOTOS PROVIDED BY ROGUE VALLEY FARM TO SCHOOL
O
ne of the hottest trends to emerge in the running world over the past decade has been “adventure racing.” National franchises like the Tough Mudder have joined Bend’s Pole Pedal Paddle multisport relay and the everpopular Hood-to-Coast Relay to give adventure racers no shortage of options in Oregon.
Athletes of all abilities who are looking for a fun, challenging and unique race to jump-start their fitness regimen this spring should look no further than the Siskiyou Challenge. The annual event is a 46-mile relay that combines road running, cycling, mountain biking and kayaking, all to benefit Rogue Valley Farm to School in Ashland. continued on page 18
16 OREGON HEALTHY LIVING | MARCH 2020
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Not sure you can handle a 46-mile course? Not to worry. Race entrants compete on teams of up to six participants, each taking one or more of the race’s six legs. “Anybody who runs before work in the morning can do one of the race’s 6K runs,” says Dr. Justin Adams, the director of Family Medicine at LaClinica Wellness Center in Medford, who has competed in the race several times. “And, anybody who spends time on a bike could do one of the bike legs.” The six parts of the race include two cycling legs, one mountain bike climb, one kayak loop around Emigrant Lake, one pavement run and one trail run through forest. Adams emphasizes that the race is tailored to athletes of all abilities. He has competed a number of times as a duo with his wife, as well as solo, handling all six legs himself. He also emphasizes that the race is designed to be fun. The race finishes at ScienceWorks Hands-on Museum, where a post-race health and wellness
The kayak leg is a beautiful 3K paddle across Emigrant Lake and back. Rogue Rowing Club provides safety and logistics support on the lake, with athletes ranging from 12 -70+ clocking some remarkably fast times in their race across the lake.
expo features a farm-fresh meal for each competitor. “It’s such a blast to do,” he says. “It’s a fun course, and Rogue Valley Farm to School is a great organization; they make the race fun. Of all the local races I enter, the Siskiyou Challenge is really a local event, a local party.”
ABOUT THE
10TH ANNUAL SISKIYOU CHALLENGE Here’s an overview of what the Siskiyou Challenge’s six leg, 46-mile course has in store for race participants on Saturday, April 25, 2020: • Leg 1 begins with a 13-kilometer (8 mile) cycle from ScienceWorks Museum in Ashland out to Emigrant Lake. • Leg 2 is a 3K (1.9 mile) kayak loop across Emigrant lake and back. • Leg 3 is a 30K (18.6 mile) cycle ride through farmland, downtown Ashland and up to Granite Street swimming reservoir. • Leg 4 is an easy 6K (3.7 mile) trail run through forest. • Leg 5 is a more challenging 13K (8 mile) mountain bike ride through steep terrain. • Leg 6 is another easy 6K (3.7) run back to ScienceWorks. The race’s website, www.siskiyouchallenge.org, offers detailed descriptions of each leg, including directions and competitor safety information. All racers should consult the website before competing, and all must attend the pre-race meeting held at ScienceWorks at 7:30 a.m. on race day.
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OREGON HEALTHY LIVING | MARCH 2020
The race starts with a 13K cycle to Emigrant Lake. Dr. Justin Adams (center) is a board member of Rogue Valley Farm to School and has raced almost every year.
continued on page 20
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The second cycle leg is a 30K through the farmlands surrounding Ashland and up to the reservoir above Lithia Park. continued from page 19
Building fitness and camaraderie Sheila Foster, executive director of Rogue Valley Farm to School, helped launch the Siskiyou Challenge not long after joining the organization. “It’s been our largest annual fundraiser for 10 years, raising money for our procurement program that brings healthier food into our local schools.” Race participation is open to everyone, and Foster says the event has drawn a wide range of competitors. “We’ve had racers from ages 11 to 70,” she says. “Most of the students we serve are in elementary school, so many participants are their parents.” She adds that racers have come from all over the West Coast as well as the more
than 50 local businesses and community partners who sponsor or are involved in various aspects of the race. “The business sponsors initially entered because they love the work that Rogue Valley Farm to School does,” says Foster. “But they keep coming back because of the good things it does for their employees. The time spent training really builds camaraderie.” Adams, a lifelong runner and former Ironman triathlete, reflects back on earlier editions of the Siskiyou Challenge, noting how the level of competition has improved over the years. “The first time I did it solo, I finished second,” he says. “And the next time, I finished with a faster time but came in fifth or sixth.” ■
HANDS-ON EDUCATION IN FOOD SYSTEMS AND SOURCES Sheila Foster, executive director of Rogue Valley Farm to School, says research that shows that if you can provide a minimum of eight positive experiences with fruits and vegetables at a young age, it will increase children’s chances of eating those foods on a regular basis. Rogue Valley Farm to School educates students about the food system and increases local foods in schools. The nonprofit acts as hub for school food procurement, serving 12 schools in the Ashland, Central Point and Phoenix-Talent school districts. Rogue Valley Farm to School also offers age-appropriate, on-farm education programs that integrate math, science, art and writing, along with practical life skills, such as cooking, gardening, problem-solving and working together.
20 OREGON HEALTHY LIVING | MARCH 2020
The Siskiyou Challenge is Rogue Valley Farm to School's largest fundraiser. Participating athletes and businesses help Rogue Valley Farm to School serve more than 6,000 students via their programs.
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Spr uts Enjoy mini cabbages raw or simply cooked — not overcooked
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A
nyone who’s puzzled over the popularity of Brussels sprouts can blame bacon.
Chefs agree that bacon was behind any number of food trends over the past few years, when restaurants around the country clamored to add anything with pork fat to their menus. Inexpensive and visually impressive, Brussels sprouts provided the perfect backdrop. “Bacon makes Brussels sprouts better, and Brussels sprouts make bacon better; they’re good friends,” says Ashland restaurateur Tom Beam. But Brussels sprouts are indisputably a better mealtime option all on their own. High in vitamins C and K, the tiny cabbages also are packed with antioxidants and omega-3 fatty acids. Consuming fiber-rich Brussels sprouts helps to maintain healthy blood sugar levels, reduce inflammation and ward off cancer. Resistance to Brussels sprouts remains high in some circles, however, despite chefs’ best efforts. The key to delicious Brussels sprouts dishes, they say, is pairing them with proven flavor profiles and, above all, don’t overcook them. “Of course, no one wants an
overboiled, soggy Brussels sprout,” says Kristen Lyon, chef-owner of Jefferson Farm Kitchen in Jacksonville. “If they start to smell, you’re doing it wrong,” says Beam. For odorless preparation and presentation, chefs like Lyon incorporate raw Brussels sprouts into recipes. Either separate the leaves, or thinly slice them — julienne or chiffonade — for a salad. A more tender texture can be achieved by massaging the leaves with salt and lemon juice or vinegar, in the manner of handling raw kale or collard greens, recently popular in Caesar-style salads. “You could do a Cobb with Brussels sprouts leaves,” says Beam. “Put ranch (dressing) on Brussels sprouts; everyone loves ’em.” At Pie + Vine, Beam coaxes more flavor from individual Brussels sprouts leaves by roasting them, adding a bit of bacon, lemon zest and chili flakes, then finishing them with a squeeze of fresh lemon juice and a side of poached, fresh pear and ricotta salata cheese. Served warm, the salad is one of four on Pie + Vine’s seasonally rotating menu. “It’s unbelievable how many we sell,” says Beam, adding that when the salad gives way to summertime vegetables, he’ll get at least 20 complaints from customers who can’t do without it. Such enthusiasm over Brussels sprouts wasn’t always the case, says
Beam. It usually takes at least a few months for a new restaurant dish to gain a following. When he first put Brussels sprouts on his wintertime menus six years ago, they were a tough sell, although plant-based diets are more widespread among customers who live in Ashland. “Sometimes, we have to convince people,” says Lyon. “My generation missed out on Brussels sprouts,” adds Beam. “Kids are eating ’em now.” Younger and older diners alike gobble up the sprouts at Beam’s Sesame Asian Kitchen, which deep-fries them and dusts them with red miso powder, which the chef likens to the effect of nutritional yeast on popcorn. Next up, he says, is dehydrating Brussels sprouts leaves in the manner of kale for crispy “chips.” Other straightforward methods include pan-searing to caramelize the sprouts, then bathing them in a little broth, covering and braising, says Lyon. While pan-searing allows for a little more control over the cooking, roasting at high heat concentrates the flavors, says Lyon. She simmers Brussels sprouts in Indian-style curries and mingles them with root vegetables in shepherd’s pie. “You could go spicy,” she says. “You could go sweet and savory. They’re very versatile” continued on page 24
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Farro, Sweet Potato, and Collard Greens Salad
INGREDIENTS 1 large bunch of collard greens, deveined and finely sliced 2 large garnet sweet potatoes, cut into bitesized chunks, skin on 1 large white onion, thinly sliced 2 large garlic cloves, crushed 1 Tbls. vegetarian Worcestershire sauce 1 Tbls. maple syrup or date paste, optional 1 cup farro, prepared freshly ground black pepper and salt
DIRECTIONS Wash, dry, devein, destem, and slice collard greens. Set aside. Wash, dry, and dice sweet potatoes and set aside.
Farro
An ancient grain worth figuring out.
Farro is a food composed of the grains of certain wheat species, sold dried, and prepared by cooking in water until soft. It is eaten plain or is often used as an ingredient in salads, soups, and other dishes. When using the whole grain variety, try soaking overnight for the best result. Photo and food styling by Webstop Please note that some ingredients and brands may not be available in every store.
In a large dutch oven, over medium heat, add the sweet potatoes and 1/2 cup water. Cover the dutch oven with a lid and cook the sweet potatoes for 10-12 minutes. Stir in the onions and garlic to the sweet potatoes and continue to cook for an additional 5 minutes, covered. Lastly, stir in the greens, Worcestershire sauce and prepared farro. Cook for an additional 3-4 minutes or until the greens have just wilted. Season lightly with freshly cracked black pepper and salt.
Yield: 4 servings Preparation Time: 15 minutes Cook Time: 20 minutes
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1 3 1/2 1 3
pound fresh Brussels sprouts tablespoons olive oil, divided teaspoon kosher salt strips bacon, cut crosswise into thin strips 2 tablespoons red onion, chopped 1 1/2 tablespoons red wine vinegar
3/4 teaspoon sugar 1/4 teaspoon crushed red pepper flakes 1 small garlic clove, peeled and mashed with a bit of salt
D I R E C T I O N S Trim root ends of the sprouts. Halve sprouts through root ends. Heap sprouts onto a baking sheet. Drizzle with 2 tablespoons of oil. Toss with the salt. Scatter on the bacon. Spread out sprouts, cut sides down. Roast at 450 F in the oven, tossing once or twice, until dark and crisp (about 20 minutes). While sprouts are cooking, let the chopped onion mellow in the vinegar with the sugar. After about 20 minutes, whisk in remaining 1 1/2 tablespoons olive oil, the crushed red pepper flakes and garlic. Toss roasted sprouts with vinaigrette. Alternatively, simply sprinkle sprouts with a bit of red wine vinegar.
S E R V I N G S
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Maple-glazed
BRUSSELS SPROUTS I N G R E D I E N T S 4 tablespoons unsalted butter, divided 2 pounds Brussels sprouts, trimmed and halved 1/2 cup chicken or vegetable broth 2 tablespoons maple syrup, divided 1 teaspoon minced fresh thyme or 1/4 teaspoon dried 1/8 teaspoon cayenne pepper 4 teaspoons cider vinegar Salt and pepper
P
E
D I R E C T I O N S Melt 2 tablespoons of the butter in a 12-inch skillet over medium-high heat. Add the Brussels sprouts and cook, stirring occasionally for 6-8 minutes. Stir in the broth, 1 tablespoon of maple syrup, thyme and cayenne. Cover and reduce heat to medium-low, and cook until sprouts are nearly tender (6-8 minutes). Uncover, then increase heat to medium-high, and cook until liquid has nearly evaporated (about 5 minutes). Off heat, stir in remaining 2 tablespoons butter, remaining 1 tablespoon maple syrup and the vinegar until combined. Season with the salt and pepper to taste.
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the beautiful Twin Creeks neighborhood of Central Point. Pear Valley is part of a quiet, residential neighborhood designed to be a multigenerational community along Twin Creeks Park. Pear Valley Senior Living is the only assisted living and memory care community in the neighborhood, a place where elders are able to age in place with services and amenities that cater to them.
A Community Within A Community “We have monthly events that are open to the public, such as a sip and paint party or silent auction, says Jaimie Griffin, the Community Relations Director for Pear Valley. “This allows the public and our residents to participate in fun activities together.” Pear Valley Senior Living, which opened in 2019, has created a comforting, home-like environment, Griffin says. The interior has an airy, light-filled décor like a resort lodge, including a giant hearth in the entrance. Importantly and uniquely for the Rogue Valley, Pear Valley Senior Living offers a price lock, meaning the price you pay when you move in is the price for your entire stay with no rent increases, says Griffin. “If your care needs increase, the cost does not.” ithin the Pear Valley memory care community, Griffin says there are 24 apartments, a secure courtyard, several activity locations, multipurpose family rooms and restaurant-style dining. “All of our memory care apartments are private; there are no shared spaces or roommates,” she explains. For the residents in memory care, the Pear Valley staff follow the Eden Alternative. “It is a person-centered approach to caring for those with dementia. We customize everybody’s care plans and activity schedules,” Griffin says. In addition to 24-hour nursing care with two nurses available at all times, Pear Valley’s high quality amenities are outstanding among senior living communities, Griffin says. For example, Pear Valley is pet-friendly, allowing pets to stay in apartments with their owners. Additionally, Pear Valley has transportation services available Monday-Saturday, something most communities only do a few days a week, Griffin explains. “We also have a fitness center with on-site physical and massage therapy, a movie theater, a salon and barbershop, library, spa and activities rooms. Our restaurant-style dining room has a full menu and is open from 7 a.m.-7 p.m., with no set time for meals. Please visit us for lunch and a tour or join us for one of our activities.”
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26 OREGON HEALTHY LIVING | MARCH 2020
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BURIED IN
Finding help for hoarding behavior
STORY BY MICAH LEIGH
W
TREASURE
e all have that special junk drawer or maybe an entire room that we use for those things that we just don’t know how to let go. But for some people, clutter can become such a problem that it impacts their quality of life.
“Hoarding behavior affects approximately 5% of the United States population,” says Samantha Austin, a behavioral health specialist at Senior and Disability Services in Central Point. “Half of those people suffer from depression. These individuals are quite often very intelligent, caring, successful professionals who suffer from an inability to get rid of clutter. There is more coming in than going out. They sometimes get to the point of being unable to move safely in their homes.” Hoarding behaviors are more prevalent in older adults, according to Susan Jay Rounds, behavioral health specialist at Senior and Disability Services, Rogue Valley Council of Governments in Central Point. “This can be because of physical disabilities, health issues or finances. There is also a higher rate of depression among older adults,” she says. Individuals with hoarding behaviors can often feel continued on page 28
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continued from page 27
overwhelmed, have a difficult time making decisions, have unhelpful beliefs (around perfectionism, responsibility, source of identity and control), while others experience a strong sense of avoidance or tend to overthink a situation, Rounds describes. “In our workshops, we say a person who experiences the behavior of hoarding is one who has difficulty discarding items and feels strong urges to save things/clutter,” Rounds says. “They also may experience distress and impaired functioning. This condition can be experienced on a continuum from mild to severe.” Rounds and Austin say the Buried in Treasure workshops offer hope to those experiencing the behavior of hoarding. The workshops follow the book "Buried in Treasures" by David Tolin, Randy O. Frost and
Gail Steketee, which lays out a scientificallybased program for treating this condition. “Our workshops take them through activities step-by-step that help them develop the strength and stamina to make decisions about what to keep, and what to let go of,” Austin says. Participants who attend the Buried in Treasures workshop report lower levels of anxiety and an increased ability to stay focused, according to Rounds. “One participant, who wishes to remain anonymous, wrote the following: ‘Before the class, everything felt overwhelming and frightening. As the class progressed, I began to feel empowered and hopeful. I believed there was an answer that was supportive of change without causing more trauma. It really helped provide the tools for change.’”■
Helping with hoarding For friends or relatives, the absolute worst step is to go in and clear out a person’s home who has the behavior of hoarding, says Susan Jay Rounds, behavioral health specialist. The book "Buried in Treasures" offers the following advice: DO: • Be on their team. Offer to be there for support and as an assistant when the person wants to declutter. Let the person direct the areas they want to work on and the way they want to work on it. • Help the person stay focused on the task. Help separate a declutter task into smaller steps. • Provide emotional support. Be gentle and offer empathy instead of being a drill sergeant or taskmaster. • Visit the person’s home without talking about the behavior or outcomes of hoarding. • Empower. Help the person make decisions but don’t make them for them. • Be a cheerleader. Telling them you believe they can acquire less and discard more; noticing when they are doing a good job. • Lend muscle. Help with hauling away. • Be an empathetic friend. Accompany the person to yard sales or stores with the purpose of not buying anything. DON'T: • Don’t argue. • Don’t take over decisions. • Don’t touch or move anything without permission.
28 OREGON HEALTHY LIVING | MARCH 2020
• Don’t tell the person how he or she should feel. • Don’t work beyond your own tolerance level.
Buried in Treasures Workshops The next workshop series begins April 1 from 1-3 p.m. and continues for 16 weeks.There is no participation fee; workshops are free. Class location will be in Grants Pass for this series. For more information and to register, contact Samantha Austin at 541.423.1379.
Corralling clutter If you want to reduce clutter in your life, but do not believe you are experiencing hoarding behaviors, check out “De-Stress: Unclutter Your Life Workshop” hosted by Medford Parks and Recreation on April 22, 2020 at Santo Community Center. Visit playmedford.org for details and fees.
What are the signs? If you suspect you or someone you know is experiencing hoarding behaviors, there are specific things to look for according to Susan Jay Rounds, behavioral health specialist: • Clutter creep: The home may have a large disorganized pile of items taking up a large corner of a room or perhaps an entire room covered with disorganized items, so that the floor is not visible, and the room cannot be used. • Overtaken by towers and piles: Very organized but large towers of items stacked 4 feet or higher so that there is only a narrow pathway going through the home. For example, piles of paperwork, whether its piles of newspapers, magazines, bills and general paperwork. The piles of items can be very organized, neatly in containers and stacked. • Quantity and duration: The keys would be the large number of containers, (some individuals pay for several storage sheds filled with possessions) and how long the containers have been stored. • Emotional attachment: How emotionally difficult it would be for the owner to discard the items and how much is the person paying to store their items? Other challenges for people with this condition can include feeling a very strong attachment to their items so that thinking of discarding them causes significant anxiety and depression. MF-00122852
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March / april 2020 Events
ROGUE VALLEY GROWERS MARKETS
MARCH 3 | 8:30 A.M.-1:30 P.M. ASHLAND: TUESDAYS, NATIONAL GUARD ARMORY, 1420 E. MAIN ST. AND SATURDAYS, 100 BLOCK OF OAK STREET. MEDFORD: THURSDAYS, THE CORNER OF HAWTHORNE AND E. JACKSON STREETS The fresh fruit and vegetable season kicks off with weekly markets in Medford and Ashland. CONTACT INFO: 541.261.5045, rvgrowersmarket.com
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SPRING INTO HEALTHY EATING SENIOR FAIR 2020
MARCH 17 | 9 A.M.-4 P.M. MEDFORD ARMORY, 1701 S. PACIFIC HWY., MEDFORD Hosted by ACCESS, an annual event with information, services, entertainment and prizes for seniors and families. Entry is free, with a suggested donation of $1 or one can of nonperishable food at the door. CONTACT INFO: 541.774.4312, www.accesshelps.org
MARCH 18 | 6-7:30 P.M. SANTO COMMUNITY CENTER, 701 N. COLUMBUS AVE., MEDFORD Whether you shop at the farmers market or grocery store, learn how to prepare light, cleansing spring meals and add some new, fresh, seasonal tastes to your palate. Three classes led by instructor Venessa Meaney. The fee is $28 for residents, $34 for nonresidents. CONTACT INFO: playmedford.com, 541.774.2400
ROGUE VALLEY BIKE SWAP
APRIL 4 | NOON-2 P.M. THE GROVE, 1195 E. MAIN ST., ASHLAND At the 30th Rogue Valley Bike Swap (formally Ashland Community Bike Swap) event, you can buy or sell secondhand, good condition, working bicycles and related equipment. The event is a fundraiser that promotes bicycle transportation and benefits bike safety education in Rogue Valley elementary schools. Admission to the Bike Swap is $1 per person. If wanting to sell a bike, the deadline to register is April 3. CONTACT INFO: 541.552.2264, AshlandParksandRec.org, sulaiman.shelton@ ashland.or.us
NUTRITION FOR AUTISM AND RELATED CONDITIONS
APRIL 6 | 6-8 P.M. ASHLAND FOOD CO-OP CLASSROOM, 300 PIONEER ST. ASHLAND A free lecture by Lisa Shelton, an integrative nutrition health coach, with tips for nutrition for autism and related conditions, such as ADHD, anxiety and learning disorders. CONTACT INFO: 541.482.2237, https://ashlandfood.coop/events
PEAR BLOSSOM RUN
APRIL 7 A.M. DOWNTOWN MEDFORD The 5K race begins at 7 a.m. The 1-mile and 2-mile fun run/walks begin at 7:50 a.m. The 10-mile race begins at 8:20 a.m. Medals for all 5K and 10-mile finishers. Over 200 random drawing prizes. CONTACT INFO: www.pearblossomrun.com
GET YOUR EVENT LISTED!
CONSCIOUS LIVING FAIR
APRIL 11 | 10 A.M.-5 P.M. INN AT THE COMMONS 200 N RIVERSIDE AVE., MEDFORD The mission of the Conscious Living Fair is to support alternative and holistic health practitioners in sharing their gifts with the public. Entry fee is $10. CONTACT INFO: www.consciouslivingfair.org
PEAR BLOSSOM PEDALS ‘N PEARS APRIL 11 | 8 A.M. BEAR CREEK PARK GREENWAY, MEDFORD The event includes four ride options: The Comice Family Ride (7 miles), the Bosc (14 miles), the Bartlett (30 miles) and the Royal Riviera (62 miles). Registration fees vary by ride. Safety helmets required. Raffles and prizes add to the fun. CONTACT INFO: www.pedalsnpears.com
Email crose@rosebudmedia.com with the following information: Event title, date, time, location, contact information, and a brief description including any required fees. PLEASE NOTE: Event information must be received at least 60 days in advance to be considered for publication in Oregon Healthy Living.
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