Oregon Healthy Living August 2018

AUGUST 2018 | VOL. 11 — ISSUE 8

TAKE THE LEAP Become a volunteer coach

PLUS Snakebite season Nutrition woes for athletic girls

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Table of Contents

AUGUST 2018 | VOLUME 11 — ISSUE 8

FITNESS

Next generation fitness: Coaching youth

PAMPER

SPECIAL

COVER STORY

5

Going to school with medicine: Planning for peace of mind

13

FOOD

Middle-age adjustments: Making makeup work better for you

HEALTH

Female athlete nutrition: Signs of strain

18

22

Snake bite?

Keep calm and call for help

26

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On the cover Take a turn at the Dairy Queen in Medford on a summer night and you’ll find a hundred cars in a dusty parking lot. It’s summer baseball with the Junior Giants, a free program for boys and girls led by Medford Parks and Recreation Department in partnership with the San Francisco Giants Community Fund. In 2018, there are 44 teams with 604 kids. Leading those children are nearly 200 volunteers. As baseball concludes, more volunteers are needed to coach indoor soccer programs and spring TAKE NFL Flag Football leagues.

THE LEAP Find an application at www. ci.medford.or.us.

Cover photo by Michael D. Davis, courtesy of Medford Parks & Recreation.

The editor’s desk Our family hosted the end-of-season soccer party this year and took the lead in collecting a group gift for the volunteer coaches.

Our girls didn’t win a single game, but they had fun. I deeply appreciated those coaches who turned up each week, sometimes in the rain, to give the girls a chance to have a team. Also, this month we talk about rattlesnake bites. A curled rattler was recently spotted in the Vista Point neighborhood near Roxy Ann by an alert homeowner.

Next month, watch for the bad habits that hurt your health.

AUGUST 2018 | VOL. 11 — ISSUE 8

Become a volunteer coach

PLUS

Snakebite season

Nutrition woes for athletic girls

O regOn H ealtHy l iving . cOm

crose@rosebudmedia.com

Join the list...

STAFF EDITOR: Cheryl P. Rose VICE PRESIDENT OF SALES: Gail Whiting DESIGN & PRODUCTION: Paul Bunch, Eric Richey CONTRIBUTING WRITERS: Micah Leigh Haley Strahan Sarah Lemon Cindy Wilson Rebecca Scott

Oregon Healthy Living Magazine is published by the Rosebud Multimedia Advertising Department, 111 N. Fir St., Medford, OR 97501.

General information: 541.776.4422 Submissions and feedback: crose@rosebudmedia.com

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FITNESS

Leading by

Example

Toby Walker, recently named principal of Phoenix High School, coached a flag football team in April this year.

Volunteer coaches positively impact youth sports

Y

outh sports are a delicate balance of learning, growing, teaching and having fun. One of the key ingredients in that balance is the coaches — men and women who

Photo by Michael D. Davis, courtesy of Medford Parks & Recreation.

TEXT BY REBECCA SCOTT

volunteer their time to lead and teach young athletes. According to several participants, volunteer coaching is a rewarding, oncein-a-lifetime experience. continued on page 6

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FITNESS

continued from page 5

Rewards and challenges

As with other volunteer positions, there are challenges and successes associated with coaching. “Volunteering as a coach is an investment of time, love and care,” says Jeff Williams, who has coached flag football and indoor soccer in Medford.

For Scott Stewart, there’s nothing more rewarding than watching children thrive in their sport and grow as people. He started as a soccer parent and now coaches premier soccer in Medford. “When you see how appreciative the kids are, and how they become better people and good citizens in their community, those moments melt your heart,” he says.

Being a volunteer coach is also a practice in patience, according to Krista Atkinson, who has coached volleyball, basketball and baseball in Medford. She says coaches must be able to find the silver lining in difficult situations. As an example, if a team loses several games in a row, she says it’s important to raise morale and keep things fun for the participants. “Whether we won or lost, I would always have winners on the team, such as MVP, best offensive or defensive play and most optimistic,” she explains. In her experience, the smallest gestures often have the biggest impact on raising the kids’ spirits.

However, there are hurdles for volunteer coaches to overcome.

Williams, Stewart and Atkinson agree that sometimes the parents pose a unique challenge for coaches. Stewart says he’s had parents call him names. When that happens, he advises other coaches remember it’s about the kids on the field, not the parents.

Williams hasn’t had many negative experiences with parents, but he encourages parents to simply thank the coaches after each game.

“Whether the team wins or loses, a thank OR D you goes a long way,” he says.

EDF

M

How to become a volunteer coach

There is always a need for volunteer coaches, according to Rich Rosenthal, director of the Parks, Recreation and Facilities Management Department for the City of Medford. “We run many youth sports programs, and we need volunteers so we can keep it affordable,” he explains.

Locally, Rosenthal says there has been a lot of positive discussion around coaching. “The Southern Oregon Sports Commission’s ‘Know Your Role’ campaign is a good message that complements our programs,” he says. The message encourages parents to be supportive spectators, and not coach from the sidelines.

6

“Organized team sports completely empowers children to be prepared for roles outside of sports.”

— Jeff Williams, volunteer coach, Medford

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Oregon Healthy Living • August 6, 2018

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FITNESS Rosenthal says one of the first and most valuable resources volunteers receive is the Volunteer Coach Handbook. It contains information about a coach’s responsibilities, how to run quality practices, codes of conduct, how to handle injuries and much more.

“The volunteers become the eyes and ears of the organization, so we train them for everything from behavioral issues to first aid, and how to teach proper sportsmanship,” he explains.

In many cases, he says it takes several hours to orient and train coaches based on the department’s policies and procedures.

If you want to volunteer, Rosenthal says the first step is to indicate your

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interest. After passing a background check, the training process starts.

Training covers the fundamentals in the Volunteer Coach Handbook and other pointers.

Even if you don’t have much experience with sports, Atkinson says successful coaches are the ones who care for the players. “You can always learn the nuts and bolts of the sport by watching videos and studying guidelines,” she says.

Rosenthal echoes this sentiment.

He doesn’t think a lack of coaching or sports experience should deter people from volunteering. “Anyone can learn the basics at any age,” he says.

continued on page 8

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FITNESS continued from page 7

More than sports in play

For Atkinson, being a volunteer coach harkens back to her own childhood. “When I was a kid, my dad coached my teams, and those are some of my fondest memories,” she says. Now that she’s a parent, having the opportunity to bond with her child through sports is incredibly special.

She says as a coach you help children learn confidence, sportsmanship and how to embrace qualities they don’t know they have.

Other volunteer coaches agree. “Organized team sports completely empower children to be prepared for roles

outside of sports,” says Williams. He believes teaching children good sportsmanship on and off the field has lifelong benefits. “You can make a child a better person through positive coaching,” he says.

Stewart believes some of life’s most poignant lessons play out on the field. “When you watch the kids working hard for themselves and for you, that makes coaching worthwhile,” he says.

Williams concurs. “Coaching youth sports has made me a better person, and the kids’ impact on me has been incredible,” he says.

OHL Mailbag

We asked readers to share their experiences as coaches.

Thank you to all who submitted their stories.

generation Generation to h spor ts

ars. I for over 20 ye ut aching yo I have been co my dad, who as inspired by w I e us ca be ng y high school star ted coachi up, and by m g in ow gr le ys whi y first job coached us bo He gave me m k. ia in om D h, Chuck ned so baseball coac 19. I have lear as w I n he w t JV coach e a difference as an assistan be able to mak To s. he ac co her g thing is much from ot ost rewardin m he T g. in d is rewar up and in kids’ lives at child grow th g n ei se r d and late em coaching a ki ing back at th ach. I love look co a d an t en ?” I loved become a par n you did that he w r be em em ill continue and saying, “R hers, and I w ot y an m d sons an spring coaching my is better than g n hi ot N . ’t me I can until God tells s. ay night light grass and Frid nt y, Central Poi — J.R . Godle

Sharing acc omplishm

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ts I coach volle yball: club fo r high schoo l Olympics. It is very rewa rding as I ge tt light up wh en they ma ke a great p lay, The connecti on you mak e with them is

— Tia Kh

8

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FITNESS

Photo by Michael D. Davis, courtesy of Medford Parks & Recreation.

EAT . BUY . LOVE

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within 100 miles #honestlylocal continued on page 10

ents

high school and Special ing as I get to see player s’ faces great play, get a point or win. ith them is rewarding.

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Medford

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FITNESS

OHL Mailbag continued from pages 8 & 9

Photo by Michael D. Davis, courtesy of Medford Parks & Recreation.

s Lasting memorie

sixth e in eighth and st children wer de ol o tw y m n .

Whe basketball team ys and Girls Club Bo e th d he ac grade, I co there was no s and found out am te r fo up n I went to sig a clipboard alked out with w I . ea ar r ou r fo team available ned up ng what I had sig ri de on w k, or perw I and a pile of pa alone coaching. t basketball, let ou ab g in th no for. I knew the game. At d the how-to of an s le ru of ok borrowed a bo s and the with the parent st ne ho as w I e, the first practic all helped. ing a blast. We be up d de en on players. The seas kids who did ore helped the m ew kn ho w s The player lp. I cannot hen I needed he w in d pe ep st s not. The parent ember is . What I do rem es m ga y an on w l remember if we und me in a loca those players fo of e on r, te la s that year and how he will uch fun he had m w ho e m ld store and to to try wanted her team ho w h ac co a as remember me ppy I did ain, but I am ha ag d he ac co r ve ne and have fun. I edford for the season. — S. Marino, M

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FITNESS Photo by Jim Craven, courtesy of Medford Parks & Recreation.

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In 197 3, I ha d the p coache rivilege s with of bein Fred K g one o etcham the tea f the to have m. I se nt his B r a d stats in Arnsbe he was to “Sp rg on honore or ts Illu d as on strated What a e of th ” and e “Face great e s in th xperien e major Crowd ce it w leaguer .” as to s ee the and to potent years in watch ial of a him go the ma on to p jors. lay sev eral — Rob er t Sta fford, Editor’s Medfor note: B d rad Ar

nsberg played , Texas as a pit Ranger cher fo s a nd the a pitch r the N Clevela ing coa ew Yor nd Ind ch for k ia s n e s v . eral m H e affiliat t h en beca ajor lea ed wit me gue tea h the A ms and rizona is curr Diamo ently ndback s.

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FITNESS

OHL Mailbag continued from page 11

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s such a gratifying y kiddo’s team wa m r fo er cc so ng Coachi xious, active r of a team of an de lea e th g in Be experience! t lasting ur day. I hope I lef yo e ak m y all re n and fun kids ca again for sure. kids. I would do it e os th on ns sio es impr Medford — Kendra Smith,

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SPECIAL

Student Health Preparing for a safe, successful school year TEXT BY HALEY STRAHAN

S

hopping for new clothes, picking out a bookbag, trolling store aisles for the specific red folders and No. 2 pencils from the school supply list—all these familiar tasks mark the fresh beginning of another academic year. But for parents of students with health conditions, such as asthma and diabetes among many others, embarking on a new school year brings extra challenges that can be extremely nerve-racking. continued on page 14 August 6, 2018 • Oregon Healthy Living 13

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SPECIAL continued from page 13

Coordinating care before class begins For these children and their families, each new year means new teachers, routines and expectations that must be carefully prepared and managed to ensure that the student is safe on campus and free to focus on academic success.

“The most important thing a parent can do in the weeks leading up to the school year is to begin to put plans into place,” says Dr. Rebecca Muller, a pediatrician at Providence Medical Group-Eagle Point Pediatrics. “You don’t want to wait until school has started and then try to deal with issues as they arise. It shouldn’t be up to the student to try to explain their situation to the staff in the moment.”

A good starting point for parents is to reach out to the school and ask what their protocol is for children with medical conditions, Muller recommends. Ask whether the school has a full-time nurse or if they rely on secretaries or other staff members to care for their students with health needs. Once a point of contact is established, parents can be sure to include that person in all meetings and decisions affecting the child’s care at school. “It’s helpful to have one person who knows the general routine with the child, who everyone knows to go to in case of a problem or question about care,” Muller explains.

If a parent is unsure about what to request, or feels that their concerns are not being heard, the child’s doctor is a great resource in explaining the clinical needs of the child to the school administrators, and helping parents advocate for any special procedures that may need to be put into place for a student to be successful in health and schooling. “A major part of many pediatric specialty practices involves outreach to schools,” Mueller explains. “That should be the first step for parents who need backup when it comes to negotiating with schools about special provisions.”

Since the student will likely be under the supervision of various teachers throughout the school day, it is important to make sure that staff are informed about medical conditions and any special routines or requirements. “Kids are in school for quite a large amount of time,” notes Muller. “It’s smart to not just plan for things to go right, but for things to go wrong.”

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SPECIAL

For example, parents should be sure that there are measures in place for emergencies, such as a protocol to get medication to a student during a lockdown when the classroom may be inaccessible.

Coordinating social support Beyond the physical safety of the student, parents may be concerned about the emotional needs of a child with a health issue in school. “Children with special health needs may feel embarrassed about their condition, or simply different from their peers,” explains Mueller. “It’s important for parents and

teachers to be sensitive to this and listen to the child about what would make them most comfortable.”

Some children may prefer that their parent or teacher make a presentation to their classmates to explain their conditions, while others may want to have more privacy. One strategy teachers may employ for younger children is to assign a daily buddy for the child, who can do things like walk with them to the nurse’s office for daily medication or sit with them at the lunch table designated for children with food allergies. “I think that schools today are making an effort to foster ideas like inclusion and diversity,” continued on page 16

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continued from page 15 Mueller says. “Many times, other students would love to be involved in helping their classmate, they just don’t know how to ask. By including other students in the care of their classmate, it can benefit everyone.”

Coordinating school assistance Some health conditions will have more effect on academic performance than others. “If you find that your child is having difficulty with school work, it may be appropriate to meet with their teachers and counselor to consider further accommodations,” says Tania Tong, director of Special Education and Student Services for the Medford School District. “Depending on the nature of the difficulties, we would consider creating a 504 plan or even an IEP, which would outline the steps we plan to take to address the problems and help the student be more successful.”

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SPECIAL

Important terms to know ADA: Stands for the Americans with Disabilities Act. Enacted in 1990, the ADA outlaws discrimination in U.S. schools on the basis of physical or mental disability. Under the ADA, schools are required to make necessary accommodations for students to ensure that everyone has fair and equal access to education.

504 Plan: Official plan of action developed for a student with health needs that may interfere with the student’s ability to learn.

A 504 allows for provisions such as increased bathroom breaks, medical supervision on field trips, or extra time on tests.

IEP: Stands for individual education plan. An IEP is appropriate for students who have specific disabilities which affect their educational performance or ability to learn the general curriculum. An IEP sets learning goals and details strategies to help students attain them.

Medical Treatment Plan: Official document from the child’s doctor which sets out specific medical treatment procedures for the assigned caregiver to follow while the student is under his/her care.

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PAMPER

Looking Older ThanYou

Feel?

Tips to keep a youthful look at any age

18

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PAMPER TEXT BY MICAH LEIGH

A

h, youth. We all want it. And we spend tons of money pursuing it! Creams, spa treatments, cosmetic procedures—we will try just about anything. However, there are some simple tips to follow for both makeup and hair that will keep you looking your best without going through your savings.

Makeup: What to do and what to avoid “One of the most common mistakes mature women make is not choosing the right finish and texture in their products,” said Jayme Lee, makeup artist at JLM Artistry in Medford. “As we age, we tend to produce less oil in addition to losing collagen, which often results in dryness or a dull complexion. When choosing a foundation, choose something that has a luminous finish that will give skin a hydrated appearance.”

Lee says that women too often make the mistake of choosing matte finishes or using too much powder which only emphasize texture and dry areas. “Look for foundations with anti-aging serums built in which leave the skin looking plumper and more youthful.”

What about that vast array of eyeshadows we face at the cosmetics counter? “For mature women, it’s usually best to stay away from any eyeshadow that has glitter, intense shimmer or metallic shade. As tempting as it may look, be aware that these products will likely settle into your fine lines and wrinkles. When working on the eyes, use a creamy, matte shade for the crease, lid and brow bone. If you really want to add a bit of sparkle, opt for a satin finish or do a light wash of shimmer shadow on the lid for a little bit of glow.” continued on page 20

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PAMPER continued from page 19 Another common mistake that will age a mature woman is using black eyeliner in the bottom waterline, that area between the base of your lashes and the eyeball. “Lining your bottom waterline with black eyeliner will do the exact opposite of what you want by making your eyes look smaller instead of larger. The basic rule of thumb is to use a nude or white pencil which will make your eyes appear more open. If you want to add definition to your lower lash line, try smudging a soft brown or taupe shadow between your lashes and use a light- colored liner in the waterline.

Your eyes will appear larger and brighter,” says Lee.

What will I do with my hair?

How often do we complain about our hair? It’s just never quite right. But there are certain things to keep in mind that will help you retain a youthful appearance.

How long is too long? “There is nothing wrong with having some length, but once your hair reaches past your ribs, all you are missing is your pointy black hat and broom,” says Melissa Harris, stylist at H&M Salon in Grants Pass. “Long hair that is too thick can look mop-like, too thin can look stringy. If you are worried about going too short, try a fun, shoulder-length, layered bob that can be flattering while still giving you the freedom of many different styles. Cut a little at a time. While long hair can add years, drastically cut short hair can give an ‘old lady’ appearance. Practice styling and getting comfortable with shorter hair before jumping into a pixie cut.”

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PAMPER Harris says having the same hairstyle you had when you were in your 20s will not make you look 20. “Nothing emphasizes your age more that an outdated hairstyle. You might as well be wearing your birth year on your forehead. Big bangs belong in the trash.

A wall of feathered, cemented bangs can be a cry that you are stuck in the 80s.

Tousled, touchable hair looks and feels better. Avoid colors that are too harsh.

And don’t be afraid to go gray. Gray hair can be stunning but demands a proper cut and style to rock those silver locks.

Explore your options. Even if it takes a few tries, updating your look can leave you feeling and looking like a younger version of your best self.”

Makeup expert Jayme Lee says great makeup starts with great skincare. “The No.1 mistake I see mature women make is not taking skin prep seriously enough. Always start with clean, freshly exfoliated skin to remove all dry flaky areas. Apply a moisturizer with SPF and daily eye cream 5-10 minutes before applying makeup to allow the products to completely absorb into the skin or else they will interfere with your foundation. Try using a primer.

There are so many great primers on the market that are designed to smooth fine lines, hydrate and give a subtle glow to the skin. Lastly, remember to use a lip mask or hydrating lip balm. It will prepare the lips for lip color and help it go on smoothly.”

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TRIAD TROUBLE

FOOD

eating disorder

Some female athletes at risk for rare diagnosis

menstrual cessation

TEXT BY SARAH LEMON

bonemineral density loss

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W

hen a women’s soccer coach in Southern Oregon noticed players at risk for a complicated and rare medical condition, she asked for help from local registered dietitian Julie Kokinakes.

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FOOD Female athlete triad, a combination of three factors, caused the soccer team to re-evaluate its nutrition and perceptions around athletic training, body composition and menstruation. Kokinakes, who has a private practice in the Rogue Valley, gave the women an overview of the problem and individual assessments during the 2017 soccer season.

“There’s no one-size-fits-all,” says Kokinakes. “It’s a really complex metabolic process.”

Even medical practitioners don’t have all the expertise and tools to treat female athlete triad, which often requires a team of people representing diverse disciplines.

The term first coined in 1992 by the American College of Sports Medicine, female athlete triad describes cooccurring indicators of disordered eating, amenorrhea — or the menstrual cycle’s cessation for at least three months — and loss of bone-mineral density.

While the first two factors typically constitute short-term struggles, the third puts young women at risk for lifelong osteoporosis and fractures.

“There’s a very specific skeletal disorder,” says Kokinakes.

Evaluating the soccer team, Kokinakes determined that some players had disordered eating. Some had shown signs of amenorrhea, which isn’t a cause for concern on its own. Kokinakes recommended more protein for some, more total calories for others and a whole-foods diet for all.

“All of them had low energy intake,” says Kokinakes, explaining that calorie restriction isn’t always the culprit. Poor-quality food, she says, also could be to blame. And not all athletes, particularly younger men and women, are aware of the need to consume the right quantity of calories for their sport, she adds. Female athlete triad is diagnosed primarily in women with lower body mass, making a naturally slim physique among the risk factors.

“They could be overnourished calorically but undernourished from a micronutrient standpoint,” says Kokinakes. “It doesn’t always go hand in hand with anorexia-bulemia.”

An imbalance of dietary fats often plagues patients with female athlete triad, says Dr. Alison Edelman, an obstetrician, gynecologist and faculty member at Oregon Health & Science University in Portland. Patients also tend to be

continued on page 24

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FOOD

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continued from page 23 low in ferratin, a naturally occurring protein that stores iron in the body’s cells and releases it when needed. Low levels can — but not always do — result in anemia, says Edelman.

But a prescription for better nutrition typically isn’t sufficient to treat patients who “usually have to change everything,” says Edelman, who works closely with staff of OHSU’s human performance lab.

“A lot of it is behavioral,” she says.

“There’s a lot riding on these folks and their ability to perform athletically.

Usually, they’re coming in because their performance is off.”

Once physicians know that patients’ menstruation has ceased, or they’ve never even had a period, female athlete triad emerges as a possible diagnosis, says Edelman.

“We see the menstrual period as a vital sign,” she says, adding that patients who have never menstruated may never reach peak bone mass, due to lower estrogen.

Periods that start and stop based on the intensity of athletic training, or suppressing menstruation for major competitions is a goal of many patients, says Edelman.

Because menstrual irregularities, or the complete lack of menstruation, don’t have lasting consequences for women’s health and fertility, says Edelman, physicians focus on treating behaviors that contribute to amenorrhea and culminate in female athlete triad.

“You’re basically tipping into a point where you’re metabolically imbalanced,” says Edelman. “They put themselves at risk for poor performance and stress fractures.

They can be out of their sport for a long time. In Oregon, we see a lot of runners and cyclists.”

Modifying patients’ training programs and diets often goes hand in hand with shifting their mentalities, says Edelman. Families and coaches may have to adjust expectations about patients’ body weight and which foods should be on an athlete’s menu, she says. Mental health support can be a component of treatment plans, she adds.

“Many of them are having depression and anxiety because they’re not performing well,” says

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Edelman. “It’s hard to get people out of this cycle. What we do know that works is to have a team of people.”

This interdisciplinary approach to treatment is familiar to elite athletes, say Edelman and Kokinakes.

Fortunately, these teams of professionals don’t encounter female athlete triad very often. While it’s hard to pin down

a precise number, says Edelman, the rate is probably 10 percent or less of all female athletes in their early teens until the age of menopause. However, the numbers may be as many as half of all female distance runners in that age group, she adds. Kokinakes says she has treated five patients, perhaps fewer, in 25 years as a dietitian.

“There’s a lot riding on these folks and their ability to perform athletically.

Usually, they’re coming in because their performance is off.”

— Dr. Alison Edelman, OHSU

Symptoms to take seriously Girls with female athlete triad often have signs and symptoms of eating disorders, such as: • Continued dieting despite weight loss • Preoccupation with food and weight • Frequent trips to the bathroom during and after meals • Using laxatives • Brittle hair or nails • Dental cavities because tooth enamel is worn away by the frequent vomiting of bulemia • Sensitivity to cold • Low heart rate and blood pressure • Heart irregularities and chest pain Source: www.kidshealth.org

August 6, 2018 • Oregon Healthy Living 25

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HEALTH

When it comes to venomous snake bites, Hollywood had it all wrong TEXT BY CINDY QUICK WILSON

S

nakes are some of the most feared creatures on earth. The thought of a puncture by a pair of venomous fangs is enough to send anyone into panic mode. But as frightening as the encounter might be, the first thing to remember is that while rattlesnake bites are serious and do require medical attention, they are rarely fatal, even in pets.

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Joe Kreuzman, instructor, founder and director of Coyote Trails School of Nature in Medford, says people are most likely to encounter the Pacific Northwest rattlesnake in dry areas, especially on south-facing slopes. “Depending on the time of year, there are pockets around Table Rock and Lost Creek Lake where they’re prevalent.”

If you do come upon a rattlesnake, he says, freeze and back away, especially if it’s coiled. “You will hear the rattle, which is a sound you never forget,” he says. “They can generally only strike as much they are coiled up. Most snakes are between 3-5 feet long, so in that case you’d want to be 5 feet away. They can’t jump or leap out at you so you’re safe at that distance. They are not aggressive, but you don’t want to startle or antagonize one.”

continued on page 28

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HEALTH

continued from page 26

Snake encounters of the worst kind In typical Hollywood snakebite scenarios, crusty old cowboys used crusty old knives to cut an X across the wound and heroically sucked out the venom, presumably saving the life of the “fatally” bitten victim. In real life, Kreuzman says those methods are ill-advised. “More damage is done when people do this kind of field repair than from the snakebite itself.”

Bites most often occur in the hands, fingers and lower extremities. “If it does happen,” Kreuzman says, “try to remain calm and move out of harm’s way.

Then clean the area with plain water. Don’t use ice packs or cut the wound or try to suck the venom out.

You also don’t want to use a tourniquet. None of these are effective methods of treating snakebites.”

There will be swelling, Kreuzman warns, so depending on the location of the bite, it’s important to remove any jewelry if you’re bitten on the hand or fingers or remove socks and shoes if you’re bitten on the lower extremities like ankles, feet or calves. “If you have a pen, mark the time of the bite and the area so you can tell how much it’s swelling. If possible, stay put and wait for emergency responders, or if you are in the back country, slowly start to get yourself out to where you can get help or get to a hospital. The main thing is to remain calm. You have enough time, and if you follow those procedures you’ll be fine.”

snakebites. “Most pets generally will survive, even if they don’t receive the anti-venom, which stops the venom from spreading.”

Most often dogs will get bitten on the face, Arvizo says. “The swelling can be dramatic, even two or three times bigger than normal and that will be very painful, so in this case, it’s obvious. If we’re in doubt, there is a blood test that will tell us if an animal has been bitten and how much venom we’re dealing with.”

If the bite is severe, the veterinarian may use anti-venom (made from antibodies) to treat the bite.

“There really isn’t anything you can do yourself that is appropriate or helpful,” Arvizo says. “The anti-venom is the treatment of choice in terms of stopping the venom from spreading, so even if you are hours away, it’s best to get them to the vet as soon as possible. We combine that with IV fluids and pain management.”

Arvizo cautions that not all primary care vets have anti-venom on hand, so it’s worth a call to your vet to ask ahead of time. “If the bite is severe, anti-venom is the best course of treatment, so when time is of the essence, it’s good to know we always have it on hand here at the emergency clinic.”

Tell-tail signs your pet may have a rattlesnake bite Having a pet show up with fang wounds and a paw or muzzle swollen to twice its size is also alarming. “I try to ease people’s fears when they bring an animal in,” explains Dr. Jamie Arvizo, a veterinarian with Southern Oregon Veterinary Specialty Center in Central Point.

Arvizo specializes in emergency care and has treated her share of poisonous

“More damage is done when people do the wrong kind of field repair than from the snake bite itself.”

— Joe Kreuzman, director of Coyote Trails School of Nature, Medford 28

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HEALTH

Rattlesnake Bites 101 Joe Kreuzman, instructor, founder and director of Coyote Trails School of Nature in Medford, says that while rattlesnake bites are rarely fatal, it’s important to know what to do while waiting for emergency care.

Being snake smart: • Watch for snakes around tall grass, rocks and woodpiles.

• Carry a stick to tap the ground out in front of you. If you encounter one, give it space to retreat.

• Wear protective clothing like tall boots, long pants and leather gloves.

• Be especially mindful of children and dogs.

Snake bite symptoms may include: • Two puncture wounds with severe pain, redness and swelling • Drooping eyelids, blurred vision • Difficulty breathing

First aid: • Try to remain calm and call 911 immediately.

• Clean the wound with water. Do not cut, use a tourniquet or ice, or suck the venom.

• Cover with a dry bandage and if possible, keep the wound lower than the heart.

• The area will swell, so remove restrictive clothing or jewelry immediately.

• Stay hydrated with water only. Avoid sugary, caffeinated or energy drinks.

• Wait for medical assistance if possible or walk calmly back to your car or emergency vehicle.

• Vomiting and nausea • Sweating and salivating • Numbness in the face and limbs • Low blood pressure • Thirst

For our pets: • Get them to the vet or pet emergency clinic as soon as possible.

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August 6, 2018 • Oregon Healthy Living 29

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AUGUST 7-8

TH

EVENTS CALENDAR

AARP DRIVER SAFETY CLASSES 12:30-3:30 P.M. • MEDFORD SENIOR CENTER, 510 E. MAIN ST. MEDFORD CONTACT INFO: 541.772.2273 A two-day course taught by AARP trained instructors for drivers 50 and over. Topics include defensive driving techniques, safety strategies, new traffic laws and rules of the road. Classes are $15 for AARP members, $20 for nonmembers.

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MT. ASHLAND HILL CLIMB RUN 7:30 A.M. • WINBURN WAY AT LITHIA PARK ENTRANCE, ASHLAND CONTACT INFO: www.mtashlandrun.com The 41st anniversary of this challenging 13.3-mile trail run, which represents an elevation gain of 5,600 feet. Registration is $40.

OREGON HONEY FESTIVAL 11 A.M.-5 P.M. • ASHLAND ELKS LODGE, 255 E. MAIN ST., ASHLAND CONTACT INFO: www. oregonhoneyfestival.com This annual familyfriendly festival is intended to educate people about honey bees, beekeeping, honey and health. The menu of events includes speakers, tastings, demonstrations and live music. The ancient fermented beverage made from honey, mead, will be showcased. Children 8 and under are free. Tickets are $10 online. Aug. 18 also happens to be National Honeybee Day.

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HEALTHY EATING FOR KIDS 5-6:30 P.M. • LA CLINICA WELLNESS CENTER, 730 BIDDLE ROAD, MEDFORD CONTACT INFO: 541.535.6239 Drop in for a free evening cooking class to learn how to provide delicious and nutritious meals for families. Classes are offered in Spanish and English and are open to families with young children.

Another class is offered at the same time and location Aug. 27.

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BRAIN HEALTH AND THE KETOGENIC DIET 6-8 P.M. • ASHLAND FOOD CO-OP CLASSROOM, 300 PIONEER ST., ASHLAND CONTACT INFO: www.ashlandfoodcoop.com Dr. Nancy Noyce presents a free lecture on the ketogenic diet’s positive effect on cognitive decline. This diet is built on metabolic principles achieved through low carb and high fat intake. Dr. Noyce will talk about the rationale for the diet and how to get started with a question and answer period.

GET LISTED!

DO YOU HAVE AN EVENT YOU’D LIKE TO PROMOTE ON OUR EVENTS CALENDAR? Please email crose@rosebudmedia.com and include 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.

We’re currently accepting submissions for event dates between October 10 through November 30, 2018.

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AUGUST 23

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EVENTS CALENDAR

BACK TO SCHOOL WITH ESSENTIAL OILS 6:30-8:30 P.M. • TWIN CREEK RETIREMENT CENTER, HOBBY ROOM, 888 TWIN CREEKS CROSSING, CENTRAL POINT CONTACT INFO: centralpointoregon. gov/parksrec, 541.664.3321 EXT. 130 Instructors Paula Yelle and Robin Godden share how essential oils can have numerous benefits for children as well as their teachers.

Register through Central Point Parks & Rec. Participation fee $5.

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MEDICINAL AND EDIBLE PLANT WALK 11 A.M.-12:15 P.M. • NORTH MOUNTAIN PARK, ASHLAND CONTACT INFO: www.ashland.or.us/ register, 541.488.6606 Stroll through North Mountain Park in Ashland to learn more about the abundance of edible and medicinal plants. Led by Erin Krenzer, learn how to identify and sustainably harvest useful plants. Bring a notebook, pencil and camera for notetaking. For ages 12 and up. Fee of $8.

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GEOCACHING 101 1-3 P.M. • COMPUTER CLASSROOM, 155 S. 2ND ST., CENTRAL POINT CONTACT INFO: centralpointoregon.gov/parksrec, 541.664.3321 ext. 130 Come join Southern Oregon Geocaching for this free, introductory class for ages 8 and up. The class will offer tips and an overview of this fun activity that gets you out in nature. Topics will include terminology, GPS and satellite technology and setting up your own geocaching account.

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CLEANING UP YOUR CHOLESTEROL 6-7 P.M. • ROGUE VALLEY FAMILY YMCA, 522 WEST 6TH STREET, MEDFORD CONTACT INFO: wellness@rvymca.org What you eat can affect how much cholesterol your body produces. Too much can lead to health risk factors.

Join leaders at the YMCA to learn how to make better food choices for yourself and your family. This is a free class, open to all and includes a healthy snack.

THURSDAY BEGINNER’S TAI CHI IN THE PARK NOON-1 P.M. • THE COMMONS, PEAR BLOSSOM PARK BLOCK 2 STAGE, MEDFORD CONTACT INFO: www.playmedford.com, 541.774.2400 A free, weekly Tai Chi practice of fundamental movements. The Instructor is Jeremy Huard and continues throughout August.

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