Oregon Healthy Living September 2018

SEPTEMBER 2018 | VOL. 11 — ISSUE 9

BAD HABITS BREAKDOWN Health no-nos

O REGON H EALTHY L IVING . COM

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Roman Style Chicken

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Ingredients • 4 skinless chicken breast halves, with ribs • 2 skinless chicken thighs, with bones • 1/2 teaspoon salt, plus 1 teaspoon • 1/2 teaspoon freshly ground black pepper, plus 1 teaspoon • 1/4 cup olive oil • 1 red bell pepper, sliced • 1 yellow bell pepper, sliced • 3 ounces prosciutto, chopped

Directions Season the chicken with 1/2 teaspoon salt and 1/2 teaspoon pepper. In a heavy, large skillet, heat the olive oil over medium heat. When the oil is hot, cook the chicken until browned on both sides. Remove from the pan and set aside.

Keeping the same pan over medium heat, add the peppers and prosciutto and cook until the peppers have browned and the prosciutto is crisp, about 5 minutes.

Add the garlic and cook for 1 minute. Add the tomatoes,

2

Oregon Healthy Living • September 3, 2018

• 2 cloves garlic, chopped • 1 (15-ounce) can diced tomatoes • 1/2 cup white wine • 1 tablespoon fresh thyme leaves • 1 teaspoon fresh oregano leaves • 1/2 cup chicken stock • 2 tablespoons capers • 1/4 cup chopped fresh flat-leaf parsley leaves

wine, and herbs. Using a wooden spoon, scrape the browned bits off the bottom of the pan. Return the chicken to the pan, add the stock, and bring the mixture to a boil.

Reduce the heat and simmer, covered, until the chicken is cooked through, about 20 to 30 minutes.

If serving immediately, add the capers and the parsley.

Stir to combine and serve. If making ahead of time, transfer the chicken and sauce to a storage container, cool, and refrigerate. The next day, reheat the chicken to a simmer over medium heat. Stir in the capers and the parsley and serve.

Table of Contents

SEPTEMBER 2018 | VOLUME 11 — ISSUE 9

HEALTH

SPECIAL

FOOD

COVER STORY

Horrifying Habits: • Taking care of teeth • Skin savers • Better body mechanics • Sidestepping sore feet • Avoiding vision busters • Proactive pet parenting

12

Too Many Tomatoes?

Recipes from your garden

5

1 in 3 Women: Recognizing partner violence

24

EVENTS

Local Events: Calendar: What’s going on in your community?

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September 3, 2018 • Oregon Healthy Living 3

On the cover

The editor’s desk Would your sloppy habits horrify your health providers?

Learn some tips to avoid common pitfalls. Also, clarify your knowledge about the many pervasive ways intimate partner violence affects people across all demographics. Next month’s issue will be our annual harvest edition, full of recipes for all those fall flavors that make autumn delightful.

Justin Matthews of Medford kindly agreed to ham up the bad habits this month as our model. Justin, who works in digital sales for Rosebud Multimedia, said his favorite part of the photo shoot was working with Uno the corgi, who turned out to be a naturally professional model. They were joined in showing off horrifying habits by Melissa Cowell Bunch of Eagle Point.

BAD HABITS SEPTEMBER 2018 | VOL. 11 — ISSUE 9

BREAKDOWN Health no-nos

Photo by Dustin Peters.

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 Rebecca Scott Sarah Lemon Cindy Wilson CONTRIBUTING PHOTOGRAPHERS Tessa DeLine, Dustin Peters

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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Ashland Food Cooperative ................ pg.

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Connected Physical Therapy .............. pg.

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Finish Line Real Estate........................ pg.

Good Medicine Acupuncture ............. pg.

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Hyperbaric Oxygen Treatment Ctr. ..... pg.

Illumined Body .................................. pg.

Medford Dermatology ....................... pg.

Medford Food Co-op ........................ pg.

Medford Foot & Ankle....................... pg.

3 11 9 26 21 29 4 23 7 28 13 18 15 17

O REGON H EALTHY L IVING . COM

Medical Eye Center ........................... pg.

Medicap Pharmacy ........................... pg.

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The Noyce Clinic ............................... pg.

Oregon Retina Center ....................... pg.

Pacific Source.................................... pg.

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Rosa Transformational Health............. pg.

Sherm’s Food4Less............................. pg.

Southern Oregon Foot & Ankle ......... pg.

Superior Athletic Club........................ pg.

Wild Fern Natural Health .................. pg.

15 19 4 23 8 10 32 6 25 2 19 21 27

....and reach your next customer with Oregon Healthy Living!

To advertise contact Specialty Publications & Events Manager Athena Fliegel at 541.776.4385 or afliegel@rosebudmedia.com

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FOOD

‘MATER

madness

RECIPES AND PHOTOS BY TESSA DELINE

I

t often seems that after tenderly caring for your tomatoes for weeks, filled with anticipation of that uniquely summer flavor, they all turn red the same weekend. Then there is the single zucchini plant's plentiful results that will have you attempting to pawn off the abundance on neighbors and friends.

Now is the time to switch from single slices to larger production methods.

Experiment with salsas, soups and sauces that you can eat right away or even can for later enjoyment if you know your food preservation rules. (If you aren’t up on preserving, check our calendar for a free class in Central Point this month). Here are three easy recipes to get you started.

continued on page 6

Put your surplus produce into sauces, salads and salsas September 3, 2018 • Oregon Healthy Living 5

FOOD continued from page 5

Tomato Salad This lightly-adapted recipe is from the late, great chef Anthony Bourdain. It is a simple yet flavorful mixture that is easy to prepare and delicious! Take advantage of varieties of heirloom tomatoes to make this salad especially tasty.

INGREDIENTS: 2 pounds fresh heirloom tomatoes 1/2 teaspoon coarse salt or to taste 1/2 teaspoon fresh-cracked pepper or to taste 1 medium-sized red onion 1/2 teaspoon coarse salt 1 1/2 teaspoon fresh garlic paste 1/4 cup of quality olive oil 2 tablespoons balsamic vinegar Fresh basil leaves for garnish DIRECTIONS: Wash, core and cut the tomatoes into wedges. Place wedges into a strainer and sprinkle with fresh-cracked pepper and 1/2 teaspoon of course salt. Let the tomato wedges sit for 1/2 hour. Meanwhile, peel and thinly slice the red onion and place in another strainer.

Sprinkle the onions with the additional 1/2 teaspoon of salt and then let sit for 1/2 hour.

When the 1/2 hour is up, lightly brush off the salt and pepper from the tomatoes and give each tomato wedge a light squeeze to remove the seeds. Toss seeds away. Put tomatoes in a bowl. Use your hands to lightly squeeze the moisture out of the onions, then add onions to the tomatoes. In a separate small bowl, whisk together garlic paste, olive oil and balsamic vinegar.

Add the dressing to the tomato and onion mixture.

Lightly toss, taste and correct your seasonings. Garnish with basil leaves and serve.

Servings: 4

6

Oregon Healthy Living • September 3, 2018

YOUR BRAIN ON FOOD

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September 3, 2018 • Oregon Healthy Living 7

FOOD continued from page 7

Fresh Tomato Basil Sauce Make this from-scratch tomato sauce recipe when you have an abundance of ripe tomatoes from your garden or the local farmers’ market. Cooking time varies depending on the type of tomato.

INGREDIENTS: 3 pounds of garden tomatoes 1/2 teaspoon of coarse salt or to taste 1/4 teaspoon fresh-ground pepper or to taste 1/3 cup of quality olive oil 4 cloves of garlic, minced 1 tablespoon tomato paste 1/4 cup fresh basil, chopped DIRECTIONS: Wash tomatoes and cut a thin round off the bottom of each tomato. Place a cheese/box grater over a mediumsized bowl, and using the cut end of tomato, start grating.

Grate each tomato until all that is left of the tomato is the stem end and flattened tomato skin. Carefully continue grating until finished. Toss stems and skins. Season tomato pulp with coarse salt and pepper. Heat olive oil in large pan and add tomatoes, tomato paste, garlic and fresh basil. Cook on medium, stirring often until mixture has slightly thickened, about 30 to 40 minutes (or thicken to your likeness). Juicy tomatoes will take a bit longer.

Remove from heat, taste and correct your seasonings. Use immediately or store covered in the refrigerator for up to three days.

Servings: 3 cups

8

Oregon Healthy Living • September 3, 2018

FOOD

continued on page 10

Learn how to support various hormonal conditions with special recipes to balance hormones, alleviate symptoms and prevent food cravings.

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September 3, 2018 • Oregon Healthy Living 9

FOOD continued from page 9

Roasted Zucchini Salsa Verde

If you prefer a spicy salsa, leave the seeds in the jalapeños. Roasting the jalapeños turns down the heat. This salsa is delicious with fish tacos or dipped with chips.

INGREDIENTS: 1 pound zucchini squash (or your favorite variety of summer squash) 1 large sweet onion 1/2 pound tomatillos, washed and husks removed 1-2 large jalapeño peppers, seeded and halved 2 tablespoons canola oil 1/2 teaspoon salt or to taste 1/4 teaspoon black pepper or to taste 1/4 cup fresh cilantro, chopped 2 tablespoons lime juice A few dashes Mexican hot sauce (such as Cholula) - optional

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Oregon Healthy Living • September 3, 2018

FOOD

DIRECTIONS: Preheat oven to 450 F. Prepare zucchini by cutting into 1-inch lengths. Remove husks from tomatillos and wash well.

Dry and cut tomatillos into quarters.

Remove stems and seeds from jalapeños.

Place zucchini, tomatillos, onions and jalapeños on a baking sheet and coat well with canola oil. Sprinkle with salt and pepper, place in oven and roast for about 20 minutes or until brown and tender.

Let cool. Add all ingredients to blender.

Blend to desired consistency. Taste and correct your seasonings.

Servings: 2 1/2 cups

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September 3, 2018 • Oregon Healthy Living 11

HEALTH

Top 4 photos

by Dustin Peters

HABITS

Everyday errors that hurt your health

F

rom teeth to toes, we unwittingly abuse our bodies through habits that can cause injury, illness or permanent damage to our health from every day behaviors that most people consider merely a part of daily living. We’ve asked doctors and health professionals around the Rogue Valley to share the benefit of their experience about what they commonly see in their practices that could be avoided.

HABITS

teeth

TEXT BY REBECCA SCOTT

H

ealthy teeth are an important part of your overall well-being. Dr. Pamela Ortiz of Grins 4 Kidz in Medford and Dr. Steve Nelson of Central Point Dentistry address some of the most infamous dental habits and why they are harmful.

Q. Why should I brush my teeth before going to sleep?

Dr. Nelson: If you don’t brush your teeth before bed, bacteria stay on them all night. Brushing your teeth acts as a shield because the toothpaste adds a protective layer to fight against bacteria. When you go to bed with clean teeth, it helps reduce your risk of cavities.

12

Oregon Healthy Living • September 3, 2018

HABITS

HEALTH

teeth continued

Q. Is it a big deal to use my teeth for opening things, like chip bags and bottles?

Dr. Nelson: Your teeth are fragile. If you abuse your teeth and use them in ways they weren’t intended, they will break.

When you neglect your teeth, they could rot, soften and become vulnerable to breaking. This leads to decay which compromises the integrity and foundation of your teeth. If a dentist cannot fix your teeth, they may have to be pulled.

Q. Do you need a mouthguard when you play sports?

Dr. Ortiz: If you play any sport, whether you’re an adult or child, wear a mouthguard. The guard distributes force

equally across your teeth and helps prevent them from breaking or getting knocked out.

Q. Is it OK for my child to use a pacifier?

Dr. Ortiz: Using a pacifier is a regular part of a child’s development. It can cause kids to have an open bite, but that can be fixed. If you take the pacifier out, usually the thumb goes in, and thumb sucking is a much harder habit to break.

Q. Are whitening products safe?

Dr. Ortiz: Using whitening products could make your teeth more sensitive. While some products are fairly strong, most over-the-counter products are safe.

continued on page 14

Photo by Dustin Peters

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HABITS

body

HEALTH TEXT BY CINDY QUICK WILSON

continued from page 13

W

hether we took her advice or not, Mom had good reasons for reminding us to sit up straight!

Bad posture is just one of many bad habits that abuse our bodies, resulting in debilitating pain. Two local physical therapists, Ellen Goodall of Jackson County Physical Therapy in Medford and Kelly Martin of Connected Physical Therapy in Medford, have helped identify some of these unhealthy habits.

Unhealthy posture

“Reading, talking on the phone or working on the computer creates rounding in the shoulders and thoracic spine while the head is thrust forward, causing strain on the neck,” explains Goodall. “This leads to neck pain and headaches. Try propping your book up while you read, use a small pillow for low back support and make sure your computer screen is at eye level.”

Ideally, you want more of a natural posture, not arched but not slumping, where you can feel both your sitting bones, advises Martin. “There is actual science behind the fact that sitting up too tall can be more damaging to your body than slumping.”

Poor lifting technique

Photo by Dustin Peters

Goodall often treats pain that results from poor lifting habits. “Repetitive overhead lifting with bad posture creates impingement on the rotator cuff tendons, so lift with shoulders back and an upright spine. When lifting heavy objects from the ground that requires both hands, use a squat position. When lifting something light or small, extend one leg back behind you while you reach down

to pick up the object while keeping the back straight.”

Locked knees

“Standing with your knees locked or hyperextended is a very toxic habit,” warns Martin. “It can cause neck and shoulder pain and headaches. In that locked position, your brain is no longer getting good signals from the muscles and joint receptors, so you’re literally just hanging on these specialized rubber bands we call ligaments. Done habitually, it can literally affect your whole system.”

Unbalanced strength training

While strength training is usually a good thing, Goodall observes, “Weight lifters often focus on just the ‘beach muscles’ including biceps, triceps, 6-pack abdominals, glutes and quadriceps. This spot training can lead to weakness in the smaller stabilizing muscles that prevent injuries. Adding a balance component to their lifting routine, for example, standing on a Bosu while doing biceps curls, will help strengthen the stabilizing muscles.”

Tummy sleeping

Sleeping on your belly is a bad habit, says Martin, because it can restrict blood flow to the brain. In addition, turning the head to one side to breathe causes the neck to be twisted, putting the spine and head out of alignment, which can also cause neck pain. “The best way to sleep is on your side,” she says, “or the next best is on your back, but you may need a pillow under the knees, so your back isn’t stressed.”

Photo by Dustin Peters

incorrect posture 14

Oregon Healthy Living • September 3, 2018

correct posture

HAVE THESE SYMPTOMS?

Do you feel unsafe driving at night due to glare or halos from headlights?

Do you have difficulty seeing distant street signs or watching television?

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HABITS

eyes

HEALTH TEXT BY REBECCA SCOTT

continued from page 15

T

he eyes are one of the most important and complex organs in the body. From too much screen time to improper contact lens care, Dr. Helen Koenigsman at Medford Medical Eye Center and Dr. Jeffrey Welder of Siskiyou Eye Center in Ashland explain why these habits are harmful for your eyes.

Q. When I don’t have solution available, I sometimes use saliva to wet my contact lenses.

Is this safe?

Dr. Welder: No. Your mouth is full of bacteria, so saliva isn’t sterile. When you spit onto your contacts and put them in your eyes, it could cause an infection.

Q. Should I use only the lens solution to clean my contact lenses?

Dr. Koenigsman: Yes, use a designated solution to clean your contacts and remove bacteria. Dispose of the case every month because there could be bacteria or residue on it. Also, wash your hands before handling your contact lenses or touching your eyes.

Q. I forgot to remove my contacts before swimming. Could this harm my eyes?

Dr. Welder: Yes, especially when you swim in a lake or river. Bacteria from the water could get trapped between the lens and the eye and lead to an infection.

Q. I work on the computer a lot. Is too much screen time bad for my eyes?

Photo by Dustin Peters

“When you’re doing something visually taxing, like working on the computer, you forget to blink frequently, which can cause dry eye.”

Dr. Koenigsman: Yes. It strains your eyes because they are constantly active when staring at a screen.

When you’re doing something visually taxing, like working on the computer, you forget to blink

— Dr. Helen Koenigsman, Medford Medical Eye Center

16

Oregon Healthy Living • September 3, 2018

Photo by Dustin Peters

HABITS

HEALTH

eyes continued

frequently, which can cause dry eye. I suggest using the 20-20-20 rule — for every 20 minutes you’re looking at a screen, take a 20 second break and focus on something 20 feet away. This relaxes your eyes.

Q. Does protective eyewear keep my eyes safe while I work?

Dr. Welder: Yes. You need proper eye protection for any task where particles are flying around, like woodworking, metalworking or mowing the lawn. If a piece of metal or wood gets embedded on the surface of your eye, it causes pain and blurry vision. You especially don’t want to get metal in your eye, because metal rusts and causes inflammation. When patients come in with something embedded on their eye, I give them a numbing shot and then use some cotton swabs and forceps to pull it out.

Q. I squint often. Is this bad?

Dr. Koenigsman: There’s nothing harmful about squinting, but it’s an indication you need glasses, contact lenses or a new prescription.

continued on page 18

Photo by Dustin Peters

Photo by Dustin Peters

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HABITS

skin

TEXT BY MICAH LEIGH

Photo by Dustin Peters

continued from page 17

O

ur skin is the largest organ of our body, so we should be mindful about keeping it in optimum health. Dr. Craig Kraffert, a dermatologist and founder of ReddingDerm in association with MedfordDerm, has these helpful hints.

Not enough sun protection

Wrinkles, dark spots, even skin cancer are all side effects of too much sun exposure. Kraffert says that the results from overexposed skin are a very common problem in his practice. “People don’t want to use sunscreen because it can be messy, but it is the most important thing you can do for your skin,” says Kraffert. “Even walking from your house to your car exposes you to the sun. Besides being painful, sunburn is extremely damaging to your skin, and the damage is cumulative over the years. There is no such thing as a healthy tan!”

Sun tips:

1. Use sunscreen every single day. If you don’t use regular sunscreen on your face, use a cream or lotion that contains SPF 15 or 30.

2. Keep sunscreen in sight. If you can see it, you are more likely to use it.

3. Don’t forget to protect your neck and chest. Women often overlook these areas which can become sunburned and will show signs of age.

4. Wear long sleeves and a hat whenever possible. While driving, protect your hands with sunscreen or driving gloves.

5. Reapply sunscreen if you are out all day and/or swimming. It is important to remember that you can get a sunburn even on cloudy days. Use sunscreen liberally when you are outdoors.

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Oregon Healthy Living • September 3, 2018

HEALTH

Keep it Clean

Kraffert says that sun is not the only thing that can wreak havoc with our skin. “Even the best products won’t work if there is debris or oil on the skin,” he says.

Hygiene tips:

1. Cleanse twice daily, once in the morning to wash away dead skin cells and again at bedtime to remove makeup and environmental debris.

2. Use warm water as opposed to hot water, which can be slightly damaging to the skin.

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5. Don’t overdo it with anti-aging products. It’s best to stick with one moisturizer that uses both retinol and antioxidants.

The proper care can prevent or treat:

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continued on page 20

• Achilles Tendonitis • Pain • Instability

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September 3, 2018 • Oregon Healthy Living 19

HABITS

feet

TEXT BY MICAH LEIGH

continued from page 19

M

any foot pain problems can be avoided by making simple changes, according to two local podiatrists. We asked Dr. Evan Merrill of Southern Oregon Foot and Ankle and Dr. Rick McClure of Medford Foot and Ankle to share tips on avoiding common foot-related mistakes.

Bare feet a no-no

Merrill says that walking barefoot around the house on hardwood and tile floors can cause a painful condition called plantar fasciitis. The plantar fascia is a thick band of tissue that supports the arch and connects the heal bone to the toes. When the foot is not properly supported, this tissue becomes inflamed and causes heel pain. Always wear supportive shoes.

There are several good brands that include flip-flops.

Keep a good pair by your bed so you will be supported immediately upon waking up. The first step in the morning is often the most painful. If you object to wearing shoes indoors, designate a pair of tennis shoes that are only worn indoors.

Poorly trimmed toenails

McClure says that the No. 1 problem he sees is incorrectly trimmed toenails. People too often trim toenails by cutting the corners back which leads to painful ingrown toenails. Sometimes they will need corrective surgery. The simple solution, he says, is to always cut toenails straight across.

Too tight footwear

Besides causing pain, ill-fitting shoes can help create bunions, hammertoes and calluses, Merrill says. He recommends buying shoes from someone who knows how to correctly measure your foot. Another tip is to shop at the end of the day when your feet are swollen.

A shoe needs to fit all day long and doesn’t need to be “broken in,” Merrill says. It should be comfortable in the store. If you are a runner, buy a shoe that is a full size larger than what you normally wear to avoid bruised toes and blisters.

Ignoring pain

McClure says that too often, people don’t listen to their bodies when they are in pain. Instead, they continue to do the same activities through the pain, leading to tendinitis, stress fractures and other stress injuries. Pain is the body’s way of telling you to stop what you are doing and let the injury heal, he says.

Exposed skin

McClure notes that summertime footwear, including sandals and flip-flops, can be tough on the skin of the feet, leading to cracks in heels and toes.

By moisturizing regularly, this condition is totally preventable, he says.

Too high heels

Stay away from heels that are over 2 inches tall, Merrill advises. High heels can put too much pressure on the ball of the foot, causing a condition called neuroma, he explains. Neuromas can cause the toes to go numb.

Top causes of foot pain Plantar fasciitis Morton’s neuroma Bunions Hammertoes

20

Tendinitis Ingrown toe nails Heel spurs Stress fractures

Oregon Healthy Living • September 3, 2018

Photo by Dustin Peters

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September 3, 2018 • Oregon Healthy Living 21

HABITS

pets

TEXT BY CINDY QUICK WILSON

continued from page 21

W

Q: What bad habits come under the, “But we’ve always done it that way!” justification?

hile it’s true most pet parents would never intentionally do things to cause harm, some habits can have dire consequences for our four-legged family members. We asked two local veterinarians, Dr. Jim Goodbrod of Lincoln Road Veterinary Clinic in Grants Pass and Dr. Nile McGhie at Bear Creek Animal Clinic in Ashland, what they would most like to warn pet owners about.

A: McGhie says, “Giving dogs bones to chew on.

They can break a tooth or swallow large pieces and then it’s a painful, and often expensive, trip to the vet.

Use this rule of thumb: if you can dent the surface of the bone or chew toy with your thumbnail, it’s safe to chew on. Always supervise your pet when it’s chewing on a chew toy or other tough treat to ensure they don’t choke or swallow dangerously large pieces. And though it’s commonly done, I also tell people not to leave the seat up on the toilet bowl. Most toilet bowl cleaners are very toxic, and it can be very easy for puppies or kittens to fall in and drown.”

Q: What habits might be less obvious but still can have dire consequences?

A: McGhie says, “Feeding a grain-free, boutique, raw or homecooked diet without guidance from your veterinarian. New studies suggest that these diets may be linked to fatal heart disease in our pets. A veterinarian has a doctoral degree in animal health including nutrition.

They have been trained to read through the marketing fluff to help you select the best food for your pet.”

“The consequences are truly horrifying when untethered dogs either fall or get thrown out of the backs of trucks.”

— Dr. Jim Goodbrod, Lincoln Road Veterinary Clinic, Grants Pass Q: What are some of the worst things you see pet parents do?

A: Goodbrod says, “I’ve seen some truly horrifying consequences from untethered dogs either falling or being thrown out of the backs of trucks. The road rash and broken bones can be catastrophic. Even tethered, they can hang themselves if they go over the side. I don’t recommend ever leaving a dog in the back of the truck. Hot cars are also one of the worst things. People say, ‘well, I’m going into the store for just a couple of minutes,’ but a car with the windows rolled even part way up can get hot very quickly, even on a cloudy day, and dogs can easily overheat and die.”

Another danger, Goodbrod warns, is taking puppies that are not fully vaccinated to a dog park, or anywhere they can be exposed to the parvo virus. “Socializing is great, but parvo can live for a couple of years in the eliminations of an infected dog, so it can be trouble for an unvaccinated dog.”

2 photos by Dustin Peters

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Oregon Healthy Living • September 3, 2018

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SPECIAL

more than bruises Intimate partner violence has subtle symptoms TEXT BY SARAH LEMON

It’s the wife who saves pennies for months to leave her husband who holds the purse strings.

It’s the woman whose boyfriend insists she check in by text message every 20 minutes during happy-hour with co-workers.

It’s the man who declines friends’ social invitations when his samesex spouse feigns illness.

It’s the transgender person whose partner relocates them every few months to prevent interaction with family.

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Oregon Healthy Living • September 3, 2018

I

t can happen to anyone, anytime, anywhere. And abuse by an intimate partner doesn’t have to be physical. Verbal, psychological, sexual, cultural and financial influences are among the myriad ways that perpetrators — “inch by inch” — wrap their control around victims, says Barbara Johnson, executive director of Community Works in Medford.

“It’s so subtle,” says Johnson, whose nonprofit provides crisis services for clients fleeing domestic violence. “It happens so slowly that you don’t even know it’s happening to you.”

Public education, community discourse and widespread condemnation of domestic violence have heightened awareness over the past few decades. But the insidious crime retains its hold on millions of Americans, approximately 1 million of them in Oregon, where the incidence of domestic violence is higher than the national average, says Johnson. It’s a societal ill that also has long-term health consequences beyond acute physical injuries.

“It’s one of the things that ultimately drives health outcomes,” says Dr. Christina Nicolaidis, an internist and professor at Portland State University and adjunct professor at Oregon Health & Science University, who has researched intimate partner violence for more than 20 years.

Numerous studies, says Nicolaidis, link abuse by an intimate partner to

continued on page 26

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SPECIAL continued from page 25 a laundry list of physical ailments, from high blood pressure and gastrointestinal distress to neurological impairments and chronic pain. Higher risk in all major disease categories, including cancer and cardiovascular disease, follows.

“It’s been linked with just about every physical symptom you can have,” she says. “Of, course, it’s bad for your health.”

Mental health impacts, both short-term and long-term, run the gamut from depression and anxiety to substance abuse and posttraumatic stress disorder. Pregnant women who are victimized subsequently deliver underweight babies. And overall, survivors of intimate partner violence have decreased life expectancies and incur high health care costs, not even taking emergency room visits into account, says Nicolaidis.

Yet physicians, says Nicolaidis, must guard against compelling patient victims toward a course of action, particularly leaving dangerous relationships. Well-meaning practitioners can end up doing more harm than good, she says. One of Nicolaidis’ first research projects asked victims of intimate partner violence in the 1990s how their doctors should respond to a disclosure and what types of support and services they should offer.

“This is an issue where we don’t kind of automatically get it,” she says. “It really shows a lack of understanding of the complexities.”

Fear for personal safety, isolation from family and friends, low self-esteem and lack of monetary resources are just the tip of the iceberg blocking a victim’s exit, say Johnson and Nicolaidis. Most are loving and loyal partners, truly invested in their relationships.

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Often believing they are helping their partners — even “fixing” them — victims put stock in excuses and apologies and may value the feeling of being needed. When violence escalates, victims trying to defend themselves can physically injure their abusers and, ironically, become subject to police investigation.

“Not all intimate partner violence is this clear-cut, batterer-victim dynamic,” says Nicolaidis.

More murky still is abuse within same-sex relationships, which has a higher incidence than within the heterosexual community, say Johnson and Nicolaidis. Homosexual victims typically are more reluctant than heterosexual counterparts to report the crime, they say, citing the closeknit nature of the lesbian-bisexualgay-transgender community in which victims may have no friends who are not shared by their partners.

“It makes it so hard to find support,” says Johnson.

As with heterosexual dynamics, the abuser may be charismatic and wellliked, says Johnson, while the victim comes off as suspicious and unstable.

“They’re not even able to think clearly,” she says. “They’re in a fightor-flight mode all the time.”

Lack of support in a victim’s inner circle tasks health care providers

Need Help?

If in a dangerous or emergency situation, do not hesitate to call 911.

Community Works’ 24-hour HelpLine can be reached by calling 541.779.4357 ( HELP), toll-free 1.855.216.2111.

For information about shelter housing and victim services, see www.community-works.org.

Learn more about domestic violence, including state-by-state statistics, through the National Coalition Against Domestic Violence, www. ncadv.org.

Read the Centers for Disease Control and Prevention’s latest articles and publications about intimate partner violence at ww.cdc.gov/violenceprevention/ intimatepartnerviolence/index.html.

It’s Time to Claim the Health Care You Deserve.

1 in 3 women and 1 in 4 men in the United States have experienced some form of physical violence by an intimate partner.

(Oregon Coalition Against Domestic and Sexual Violence) continued on page 28

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SPECIAL continued from page 27 and other service professionals with extending a lifeline. While treating a patient’s surface medical issue, doctors may realize that intimate partner abuse is the root cause, says Nicolaidis. She recalls assisting a colleague’s efforts to normalize a diabetic patient’s blood sugar when it came to light that the woman’s intimate partner was withholding or bestowing her medication as a form of control — and abuse.

Amid all outward signs, it takes some victims years to work up the courage to report abuse. Even if leaving isn’t the immediate goal, it’s never too soon to take the first steps. And there’s no “right” way, say Johnson and Nicolaidis, to behave like a survivor, according to society’s stereotypical script. Victims who reclaim some control over their situations, however, can begin defending themselves.

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SEPTEMBER

EVENTS CALENDAR

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LAKE OF THE WOODS TRI-SPORT WEEKEND 7:30 A.M. • 950 HARRIMAN ROUTE, KLAMATH FALLS CONTACT INFO: http:// lakeofthewoodstri.com Multiple events take place over the course of the weekend, from openwater swims to a half marathon.

New for this year, stand-up paddle boarding is included in triathlon events and now there is a trail marathon option. Registration fees vary by event. There are events for kids 10 years old and up as well as family activities.

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RIDE THE ROGUE 7 A.M. • PALMERTON PARK ARBORETUM, ROGUE RIVER CONTACT INFO: http://ridetherogue.com Cycle through stunning scenery, passing Table Rocks, vineyards and along the Rogue River. Ride options include full century ride, metric century ride, 40-mile ride, 19.6-mile ride, and to celebrate the 10th anniversary of Ride the Rogue, a new mountain bike 20-mile loop. Event limited to 1,200 riders.

Refreshments included for rides and a post-race celebration.

Race proceeds support the Rogue River Recreational Corridor and Greenway.

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OUT OF THE DARKNESS COMMUNITY WALK 10:30 A.M.- 12:30 P.M. • THE COMMONS, N BARTLETT ST AT 5TH, MEDFORD CONTACT INFO: 541.531.5124, acay@roguefcu.org Hosted on behalf of the American Foundation for Suicide Prevention, the organizers hope to raise $25,000 to invest in new research, create educational programs, advocate for public policy, and support survivors of suicide loss.

FOOD PRESERVATION 101 10 A.M.-NOON • FIRST PRESBYTERIAN CHURCH, 456 W. PINE ST. CENTRAL POINT CONTACT INFO: 541.779.6691, ext. 309 or freshaccess@accesshelps.org.

This free class presented by ACCESS Food Share Gardens introduces canning, dehydrating and basic fermentation.

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GET LISTED! DO YOU HAVE AN EVENT YOU’D LIKE TO PROMOTE ON OUR EVENTS CALENDAR? Simply 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.

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Oregon Healthy Living • September 3, 2018

SEPTEMBER

EVENTS CALENDAR

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BRAIN BOOKS DISCUSSION GROUP 1:30-3:30 P.M. • ASHLAND BRANCH LIBRARY, 410 SISKIYOU BLVD., ASHLAND CONTACT INFO: 541.774.6996, www.jcls.org Sponsored by the Friends of the Ashland Public Library, the topic this month will be “The Hidden Life of Trees: What They Feel, How They Communicate” by Peter Wohlleben.

The author presents scientific findings on how trees exchange signals with each other.

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CATARACT SURGERY SEMINAR 6 P.M. • MEDICAL EYE CENTER, 1333 BARNETT ROAD, MEDFORD CONTACT INFO: www.medicaleyecenter. com, 541.779.4711 A free information session led by three ophthalmologists about the treatments options for cataracts.

Refreshments will be served.

SOUTHERN OREGON SENIOR RESOURCE FAIR 9 A.M.- 3 P.M. • JOSEPHINE COUNTY FAIRGROUNDS, 1451 FAIRGROUNDS ROAD, GRANTS PASS CONTACT INFO: http://www.teamsenior.org/seniorfair The Senior Resource Fair is a free event for the public hosted by Team Senior Referral Services to provide Southern Oregon residents the opportunity to become informed consumers and prepare for the changes that come with aging.

Classes, vendors, prizes, goodie bags and more are part of this event.

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HEALTHY FOOD FESTIVAL 9 A.M.-5 P.M. • GRANTS PASS HIGH SCHOOL COMMONS, GRANTS PASS CONTACT INFO: https://www.facebook.com/healthyfoodfestival This fourth annual event is a fun-filled day to learn about how the food you eat every day affects your body, mind and spirit. Food samples, classes, free health checks and screenings, and chances to win prizes are all part of the day’s activities. Admission is free.

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CENTRAL POINT SATURDAY MARKET 10 A.M.- 2 P.M. • 419 N FRONT STREET (HWY 99), CENTRAL POINT CONTACT INFO: http://www.centralpointchamber.org/saturdaymarket.html Come out for the last market of the season and browse the tents of produce vendors and local artisans.

September 3, 2018 • Oregon Healthy Living 31

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