Inhealth November 2012 by The Inlander

SPECIAL SUPPLEMENT TO THE INLANDER

InHealthNW

T H E I N L A N D N O R T H W E S T ’ S H E A LT H M A G A Z I N E / N O V E M B E R - D E C E M B E R , 2 0 1 2 / F R E E

Healthy

Beauty PAGE 18

ALSO IN THIS ISSUE: G E T R E A D Y

F O R

Y U M M Y

H O L I D A Y

K I D S

N E E D

M O R E

REFORM COCKTAILS VITAMIN D NEWS PAGE 10

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MIXING PAGE 28

PARENTING PAGE 30

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InHealthNW November-December, 2012

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InHealthNW November-December, 2012

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InHealthNW

November-December, 2012

T H E I N L A N D N O R T H W E S T ’ S H E A LT H M A G A Z I N E

in this issue GUEST COLUMN Donating self-esteem

MIXING Drinks for the season

NEWS Here comes health care reform

PA R E N T I N G Kids and healthy bones

I N N OVAT I O N A local firm tackles back pain

55-PLUS Behind all the low T hype

H E A LT H Y B E AU T Y From laser treatments to spa time

CALENDAR Health events through December

PEOPLE The link between art and science

Dr. Bassem Bejjani with his colleague Dr. Lisa Shaffer at Signature Genomics. He’s also a state arts commissioner. YOUNG KWAK PHOTO / STORY ON PAGE 38

WOMEN’S HEALTH Supporting your health during the happiest times of your life!

Supporting you and your health during the happiest times of your life!

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ON THE COVER: CHRIS BOVEY DESIGN

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November-December, 2012

InHealthNW 5 10/31/12 10:39:38 AM

FROM

Let us plan your

holidays SHOP LOCAL GUIDE

T H E E D I TO R

AS I HAVE WATCHED my skin return to its normal skim-milk pallor after a summer of probably ill-advised, but glorious exposure to sunlight, a study came across my desk. It seems researchers in cloudy old Scotland, where any number of my pasty ancestors hailed from, noticed the general pallor of their citizenry and wondered whether anything — anything at all — might bring a luster to their cheeks. Being Scots, they set about investigating it.

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Turns out, the more people increased their intake of coloriﬁc veggies and fruits — think tomatoes, carrots, red peppers, pumpkins, grapefruit and spinach — the more lovely became their complexions. Even though the study was pretty small — just 35 sallow souls — eating more produce induced increases in the coveted red-yellow tint of the subjects’ skin. And skin with more red-yellow pigment was also judged to be more attractive. Three servings of produce a day for six weeks seemed to do the trick. Researchers theorized that the same carotenoids that give fruits and vegetables their vibrant colors can color us up as well. And carotenoids help protect skin from the harmful effects of the sun, all the while also charging up the immune system. Now that’s healthy beauty. I hope you’ll enjoy the special section in this issue on other ways to create the look that gives you the conﬁdence to feel, as the French say, “good in your skin.” To your health!

InHealthNW November-December, 2012

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to learn more about how you can complete your MBA in Healthcare Management part-time in just 2-3 years. www.gonzaga.edu/MBAhcm Contact prospective student advisor, Kristen Paul at: paulk@gonzaga.edu November-December, 2012

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guest editorial

Lifting

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Spirits

Project Beauty Share provides basic necessities for women in need B y j u l i e fa r l e y

s a makeup artist, the best part of my Project Beauty Share has collected and distributed job is providing the means and materimore than 2,500 boxes of products — that’s almost als for women to feel good about them50,000 pounds of donations. selves, to brighten their spirits and to Right now we are gathering donations for the greet each day on a positive note. But Holiday Gift Giving program. Our goal is to my work led me to understand that there are deliver a festive bag of special items to each of many among us whose circumstances do not the residents of Spokane women’s shelters in late support feelings of self-esteem, nor the abilities to December. Particularly needed are new and barely interact successfully with the world outside their used makeup, body lotion and sunscreen, bar doors. The idea for Project Beauty Share started soap and shower gel, deodorant, shampoo and as a conversation with conditioner. one of my clients during There are other events you can help a makeup lesson. with special themes or a Items can be easily donated to Project Many people don’t refocus on specific items Beauty Share by going to any of the colalize it, but most hygiene throughout the year: products, shampoos, soap “For The Girls” is a lection sites around the area, including and toothbrushes cannot month-long feminine hythe Make-Up Studio, Salon Nouveau, be purchased with food giene drive held in May. Diva’s, Jewelry Design Center, Finders stamps or EBT cards. In “Profile Picture Night” Keepers, Simply Northwest, InStyle Saaddition, budgets at most is an early-summer event th lon, Tracy Jeweler’s, 14 & Grand Salon, women’s shelters and combining a product colCreations Salon, Chee Chee’s, Angelina other charitable organilection drive with a gift Salon and Essence Salon. Volunteers zations are so tight these for our donors — a profesdays that they must ration sionally updated Facebook to assist in organizing, sorting and these simple necessities of photo with the assistance sanitizing donated products are always life — even items like toilet of top-line photographers needed. It’s easy to volunteer or paper. and styling personnel. donate: visit projectbeautyshare.org. Project Beauty Share “Beauty Bash” is Project helps fill that gap. We rely Beauty Share’s primary on the Spokane community for donations of cosfundraising drive each fall. metics, hygiene and toiletry items, in new or slightly And the “Can You Spare a Square?” toilet paper used condition. That’s right. If the new lipstick drive also happens each fall. This year we exyou bought turns out not to look great on you, or panded, and with the addition of partners KXLY, your foundation is the wrong color, I encourage Albertson’s and Northwest Harvest, we were able you to donate those items to Project Beauty Share. to collect more than 20,000 rolls of toilet paper in Each week our volunteers gather to sort, sanitize two days that were distributed to area shelters. and organize the donated items for distribution Thanks to the Spokane community for allowing to shelters and organizations that provide services Project Beauty Share to help those among us who for homeless and low-income women. Since 2009, are less fortunate. n

Spoka ne’s B igge & New YGreatest st ear’s Party. Check our w ebsite for detail

InHealthNW November-December, 2012

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InHealthNW 9 S. Washington St. / Spokane, WA 99201 PHONE: 509-325-0634 EDITOR Anne McGregor

annem@inhealthnw.com MANAGING EDITOR Jacob H. Fries ART DIRECTOR Chris Bovey CALENDAR EDITOR Chey Scott PHOTOGRAPHER Young Kwak CONTRIBUTORS Luke Baumgarten, Nicholas Deshais, Lisa Fairbanks-Rossi, Julie Farley, Heidi Groover, Jacob Jones, Alicia Purvis Lariviere, Joe O’Sullivan, Stephen Schlange, Aayan Thomas, Daniel Walters, Christian Wilson PRODUCTION MANAGER Wayne Hunt ADVERTISING SALES MANAGER Tami Booey DIRECTOR OF MARKETING Kristina Elverum ADVERTISING SALES Jann Harris, Kristin Wagner, Carolyn Padgham-Walker, Bruce Deming, Emily Walden, Jamie Albertini, Jean Russell, Kevin Kunz, Michael Daubel SALES COORDINATION Raevyn West, Rebecca Rison, Angela Rendall DESIGN AND PRODUCTION Tom Stover, Derrick King, Alissia Blackwood DISTRIBUTION MANAGER Trevor Rendall BUSINESS MANAGER Dee Ann Cook

happy holidays

CREDIT MANAGER Gail Golden PUBLISHER Ted S. McGregor Jr. GENERAL MANAGER Jeremy McGregor InHealthNW is published every other month and is available free at more than 500 locations throughout the Inland Northwest. Subscriptions are available and cost $2.50 per issue. Call x213. InHealthNW welcomes guest columns, either by mail or e-mail (annem@inhealthnw.com). Include name and daytime phone number. REACHING US BY PHONE: EDITORIAL: x261; CIRCULATION: x226; ADVERTISING: x223. COPYRIGHT All contents copyrighted © Inland Publications, Inc. 2012. InHealthNW is locally owned and published by Inland Publications, Inc.

SPECIAL SUPPLEMENT TO THE INLANDER

November-December, 2012

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NEWS

Exchanges Bring Changes Washington state prepares for implementing the next phase of health care reform BY JOE O’SULLIVAN

President Obama signing the Affordable Care Act into law in 2010.

espite a fiery and continuing debate, the Affordable Care Act — aka, health care reform, or Obamacare — passed Congress and was upheld as constitutional earlier this year by the United States Supreme Court. Pushed for and signed into law by President Barack Obama in 2010, the law reached 2,700 pages and had nearly 10 major sections with about 450 different provisions. Some of those provisions are pretty basic: insurance companies can’t deny coverage to people with pre-existing conditions or automatically limit health insurance payouts (both starting in 2014). Others help move the health care industry away from paper records (starting in 2013) and allow young adults up to age 26 to stay on a parent’s insurance plan. But as it enters a brave new world of health care, what does Washington state have to do to get ready for the law? And how’s it going? “Washington is considered one the leaders, one of the pace car states, that is so far ahead of everybody else,” says Manning Pallanda, assistant director of the state Health Care Authority. Nonetheless, the state has a busy year ahead as it prepares for the biggest parts of the law — a private health insurance exchange and an expansion to Medicaid — to begin to take effect.

Buying Health Care

A health care “exchange” won’t resemble a stock exchange, with a big open floor filled with brokers 10

the new law, private insurance companies will calling out to snap up or dump surgical procedures. offer health plans for people who don’t qualify for It’s actually more of a connector hub linking buyers Medicare or Medicaid on the insurance exchange. and sellers of health care by way of an expansive Since each state also has its own specific health care computer database. laws, the Washington State Office of the Insurance Michael Marchand compares it to the online Commissioner is writing guidelines for insurance equivalent of a department store. By bringing companies on what they must include in their people who don’t have insurance — many of whom are relatively healthy — into the health care exchange to buy from competing insurance plans, Marchand hopes insurance costs for everyone can go down. “We’re the storefront, and people can walk in through the aisles and shop, based on what their individual need is,” says Marchand, communications director for the The number of additional Washingtonians state Health Care Exchange. who could qualify for Medicaid once The exchange will begin enrolling people in a soft opening in Ochealth care reform is enacted. tober 2013 before becoming fully operational in January 2014. While Marchand says getting everything ready over the next 12 months will insurance plans. Once the health exchange gets be difficult, he’s optimistic. going, the commissioner’s office can investigate “We’re considered at the forefront with what’s claims that a company is not living up to what’s happening around the country right now,” he written in its health plans. says. As for prices, Stephanie Marquis, spokeswoman Insurance Choices for the office, says comparing costs of the new Before the health exchange can get rolling, it’s goinsurance to current private plans is difficult. The ing to need health coverage plans to offer. Under …continues on page 12

330,000

InHealthNW November-December, 2012

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We are proud to welcome our new plastic surgeons! DAVID ARCHIBALD, M.D., received his undergraduate degree from Brigham Young University in Provo, UT, and his medical degree from Mayo Medical School in Rochester, MN. Dr. Archibald completed a residency in otolaryngology—head and neck surgery through the Mayo Clinic School of Graduate Medical Education, also in Rochester. He is certified by the American Board of Otolaryngology, and completed a fellowship in facial plastic and reconstructive surgery at the University of South Florida. He is a member of many organizations, including the American Academy of Facial Plastic and Reconstructive Surgery and the American Academy of Otolaryngology—Head and Neck Surgery.

DR. ARCHIBALD’S PROCEDURES:

PAUL RHEE, M.D., FACS, was in the Mesa/ Scottsdale area of Arizona in private practice for 12 years before joining Rockwood. He received his undergraduate degree from the University of California at Berkeley, graduating with honors and his medical degree from the University of Colorado Health Sciences Center in Denver. Dr. Rhee completed his pre-requisite training in general surgery at Temple University Hospital in Philadelphia, PA, and subsequently completed a residency in plastic surgery at the University of Colorado Health Sciences Center. He is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons as well as the American Society for Aesthetic Plastic Surgery. He is a fellow of the American College of Surgeons.

DR. RHEE’S PROCEDURES:

» Aesthetic and functional nasal surgery (rhinoplasty) » Face lift (rhytidectomy) » Eye lid surgery (blepharoplasty) » Ear reduction surgery (otoplasty) » Brow lift » Facial fat transfer » Laser skin resurfacing » Facial trauma surgery » Reconstruction of skin cancer defects » Rehabilitation surgery for patients with facial paralysis

» » » » » » »

Rhinoplasty Breast augmentation Breast lift (mastopexy) of all types Brachioplasty Abdominoplasty Vaser liposuction Medial thigh lift

To schedule an appointment at the Rockwood Plastic Surgery Center with Dr. Archibald, Dr. Rhee or Dr. Morimoto, please call (509) 755-5111.

ROCKWOOD PLASTIC SURGERY CENTER Deaconess Medical Office Building 910 W. 5th Avenue, Suite 504 Spokane, WA 99204 November-December, 2012

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news

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Unburdened

Shoulder pain can be tricky to treat, but now there are more options By chey scott

houlders are notorious for being hard-working — we shoulder burdens, shoulder our share of the load, and so on. All that work means shoulders have ample opportunity to get injured or damaged. “Lots of people with shoulder pain have bad rotator cuffs or an inflammatory arthritis like rheumatoid arthritis where [the rotator cuff] doesn’t function,” says Dr. Billy Page, an orthopedic surgeon at Orthopaedic Specialty Clinic of Spokane. But unlike the hip and knee, many shoulders just haven’t been very good candidates for joint replacement surgery. Page is now offering a reverse total shoulder procedure, something he says can help a new set of patients with shoulder pain. “Prior to its approval and utilization, there was really no good option for patients with Dr. Billy Page Aayan thomas photo arthritis or a non-functioning rotator cuff,” he says. The reverse total shoulder procedure was approved by the FDA in 2004. It replaces the joint with an artificial one, and also flips the position of the ball-and-socket joint. The ball thus becomes the socket and the socket becomes the ball, Page explains. Page says most patients’ recovery period is six to 12 weeks. He says pain in the joint is usually reduced by at least 90 percent after surgery. Because the procedure is still so new to the local medical community, Page says, one big challenge has been letting people know it’s an option. n

Exchanges Bring Changes… new law mandates more expansive coverage — for things like prescription drugs and maternity care, among others. Companies now offer catastrophic insurance that doesn’t cover these elements, Marquis says. Even with expanded coverage, though, “The price has to be reasonable in relation to the benefits the product is providing,” she says. Comparing prices “before” and “after” the law takes effect is also complicated by the fact that insured people are now paying for health care for the uninsured. Marchand says that Washingtonians who buy private insurance are currently spending “close to $1,000 per person,” to cover the costs of uninsured people using medical services like emergency rooms. The insurance commissioner’s office is finishing up writing the health plan guidelines — specifying what kinds of coverage need to be included — that health insurance companies will use to write their plans, according to Marquis. Insurance companies will be delivering their plans to the insurance commissioner’s office by January 2013, she says.

Medicaid Changes

Under the new law, Medicaid — the government health care program for the poor that has been in place since the mid-1960s — will expand.

By making eligible childless adults, pregnant women, parents and caretaker relatives who are not eligible today, Pallanda says the number of people on Medicaid in Washington could expand by about 330,000 people. The program isn’t just adding people, it’s also getting a 21st century tune-up. “Today, Medicaid is heavily dependent upon a lot of manual work: paper verifications, a resource test for families,” Pallanda says. But the state is engineering a computer system that will allow people to punch in on a computer and figure out what kind of health care they’re eligible for, “sort of like the Amazon experience,” says Pallanda. By punching in Social Security numbers or tax data, a computer linked to a federal database can tell a person whether they’re eligible for Medicaid, children’s subsidized health insurance or if they need to go to the health insurance exchange, Pallanda says. The federal government will completely fund people covered under the Medicaid expansion for the first three years (2014 to 2016); after 2016, the state of Washington will begin sharing some of that load. By 2020, the state will pay for 10 percent of the expanded coverage, with the federal government picking up the other 90 percent. n

InHealthNW November-December, 2012

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Tina Giethner, Professor of Human Physiology

Whole-Person Health Begins With Finding Balance in Your Life For today’s professionals, juggling multiple roles and responsibilities is the rule rather than the exception, leaving little time or energy for others or our health. Such imbalance takes its toll over time, in the forms of stress and chronic disease. Finding equilibrium is the key to overall wellness and life satisfaction, according to Professor Tina Geithner of Gonzaga University’s Department of Human Physiology. “Taking good care of ourselves positively impacts how we feel and look, and improves not only our functional capacity, but our quality of life,” Geithner said. Achieving that equilibrium involves tending to our physical, emotional, intellectual, spiritual, social and vocational health, according to Professor Geithner. At Gonzaga, that’s known as cura personalis – care for the whole person – a central tenet of Jesuit education and at the heart of the University’s mission.

In everyday life, balance is a delicate yet dynamic thing. Some days simply demand more focus on one part of life than another. But over time, each area requires tending. A periodic inventory can be helpful in creating an awareness of what contributes to and what takes away from that balance. “Being physically active is one of the best things we can do to improve our health,” Professor Geithner said. Yoga is a building block for her own whole-person health routine, because of its focus on presence and the mind-body-spirit connection, and its capacity to increase strength, stability and flexibility; but any form of exercise can be a starting point. “Just move,” she said. “Making time to take care of yourself is an investment that pays great dividends, including having more energy to be present with and give to others.”

Want to learn more about how you can experience the well-documented physical, mental and emotional benefits of yoga? Check out the American College of Sports Medicine’s “Selectively and Effectively Using a Yoga Program” by Professor Tina Geithner Ph.D. and Gonzaga alumna, Jennifer Jens at gonzaga.edu/yoga.

Join the celebration gonzaga.edu/125 November-December, 2012

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NEWS

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Providence’s new Valley outpatient facility opens in spring of 2014.

he future of American health care is being built from the ground up right off Interstate 90 at the Sullivan exit in Spokane Valley. If this is surprising, it shouldn’t be. Spokane is the largest health care hub between Seattle and Minneapolis. The metropolitan region recently ranked fourth in the nation for the highest employment numbers and wages in this field. But it’s not the six hospitals in the city, the 20,000 health care professionals who work here or the new medical school being built downtown that mark the change in how our ailments and illnesses are dealt with, though of course they help. It’s where the earthmovers and piles of dirt are in the Valley. In the spring of 2014, this location will be a state-of-the-art, $44 million outpatient facility, complete with urgent care, surgical suites and offices for primary care doctors. It’s a 21st century hospital — while not being a hospital at all. “The world of health care is changing,” says Mike Wilson, CEO of Providence Health Care, which is opening the facility. “We have a strategy and a vision that the care we provide for everyone in the region needs to be close to those people.” When the facility is up and running, it will have approximately 44 doctors and around 12 nurse practitioners or physician assistants. They’ll see up to 700 patients a day, and the center will have an urgent care facility, imaging services, a labora-

tory, pharmacy and cancer care services, to name a few. Doctors will also be on hand for primary care and specialty services such as cardiology and oncology.

erhaps most striking is the facility’s short-stay observation unit, the first of its kind in the Inland Northwest. Instead of spending the night in the hospital for minor surgeries, patients will instead spend their time in this observation unit. “It really is a matter of the intensity of the care,” says Wilson. “Today we have a number of patients that are observed and discharged within 24 hours. [Even though they’re hospitalized], they are basically patients within the outpatient environment.” This year alone, Wilson says Providence has seen a 12 percent increase in outpatient surgeries. Sara Marberry, executive vice president of the Center for Health Design, says the shift can be partly explained by gains in technology. In an article she wrote for Healthcare Design Magazine, she cited the gains in technology as having a big impact in the next decade. From shortening a three-day hospital stay to a 45-minute in-andout for invasive surgery, to the “advancement of nanotechnology and more use of telemedicine and home monitoring equipment to observe and treat patients, including ‘do-it-yourself’ diagnostic apps for smart phones/tablets,” Marberry sees technol-

InHealthNW November-December, 2012

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ogy having a large impact on how we view and use medicine. But she also says the shift away from hospitals is primarily being driven by the biggest health care legislation in generations, President Barack Obama’s Patient Protection and Affordable Care Act. “The thing about health care is it’s very slow to change. … Outpatient facilities are certainly where it’s going. Health reform is certainly driving that,” Marberry says. “The train has left the station on health reform. Health organizations started preparing for that no matter who’s in office.” According to a recent study by the Commonwealth Fund, the United States spends more than any other industrialized nation on health care annually, at about $8,000 per person. Norway and Switzerland, second and third respectively, both spent less than $5,000 per person. Obamacare was meant to combat this inflated difference with its focus on accountability and preventive care. Wilson, Providence’s CEO, says building a less intensive outpatient facility is about lessening the cost for both provider and patient. “It’s a recognition that we need to provide the right care at the right time in the right place.”

t’s this “right place, right care” philosophy that isn’t being practiced in Washington’s biggest city, according to a recent article in the Seattle Times. Federal law allows emergency rooms to collect a “bonanza,” says the executive director of Regence Blueshield in the article. ERs aren’t allowed to turn anyone away, but they are allowed to charge more for the services they provide — three to four times the price to treat a broken ankle than at an urgent care facility. Since health care reform became law in March 2010, Seattle has seen 11 ERs built, renovated or expanded. Critics charge that some hospitals are taking advantage of tax breaks and cash-free bonds to build new ERs in affluent areas, collecting big profits along the way. Wilson says Providence is taking a different path in Spokane. “We are developing urgent care centers throughout this region that allow people to avoid going to the emergency room,” says Wilson. “We expect to see over 1,500 patients a month,” in the new facility’s urgent care. Spokane isn’t without its own boom. In the last three years, Providence alone has increased its ranks of physicians from having 45 employed physicians to approximately 275. They’re in the process of adding another 75 by the end of the year. Much of this came earlier this year when Providence Health Care merged with Group Health, creating the largest physician organization in the region. By the end of the 2013, the two will use the same electronic medical records. It’s not just Providence that’s growing by leaps and bounds. Community Health Systems, which owns Deaconess and Valley hospitals, bought Rockwood Clinic three years ago. For Wilson, consolidation is a win-win-win. “It really is a proactive effort to manage the patients in the least intensive environment,” he says. “More convenience, lower cost, better care.” n November-December, 2012

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I N N OVAT I O N

Health Tinkering A Sandpoint company claims to have made major strides in reinventing physical therapy BY DANIEL WALTERS

Steve Neff demonstrates Revita Clinic’s unique system to treat back pain on patient David Robinson. STEPHEN SCHLANGE PHOTO

t’s been more than a decade since Gerry Cook, an inventor in Sandpoint, Idaho, started work on his bicycle pedaling system. But in true inventor fashion, he never finished it. He got sidetracked. Those distractions, inspired by requests from a physical therapist, have produced far greater success than he possibly could have imagined. He’s turned an experimental therapy device for a Seattle SuperSonics basketball player into multiple unique physical therapy machines now used in 30 clinics across the nation.

Some evidence, he says, indicates his technology could be a major development for those suffering from back pain.

t the Revita Clinic in Spokane Valley, David Robinson is confident about the impact of the clinic’s therapy. The 62-year-old man has had arthritis — his spine was deteriorating, and he was having lower back problems. It wasn’t agonizing pain, but it was perpetual discomfort. He felt “brittle,” he says.

But his investment manager suggested he stop by the Revita Clinic. Now, toward the end of two-and-a-half months of therapy, he’s pleased. Each session leaves him feeling better longer than a session with a chiropractor, he says. “It’s been more successful than the ordinary massages,” Robinson says. “This has more of a long-term effect than a lot of the other programs I’ve tried.” At Revita, it’s a multi-step process across at least six different machines. Every machine but one was designed by Gerry Cook at Pneumex.

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A few of the machines use “unweighting,” harnesses that slightly lift the subject. Cook says it gives many of the advantages of relearning to walk in water, without water’s inherent resistance. Injuries can force unnatural or dangerous movement — like walking with a limp or trudging with a back injury. That can spawn other injuries and other problems. Machines using unweighting can help solve that. A harness above a treadmill, for example, allows injured patients to walk or run using correct form and posture without pain. A baseball player, Cook says, who favors one side over the other can use an unweighted treadmill to be taught to strengthen his weak side. He says Sandpoint High School installed four of his unweighted treadmills in the weight room. Other machines use whole-body vibration to relax and stimulate muscles. “I was the biggest skeptic going in,” Cook says about vibration, “I thought it was crazy. Now I’m probably the biggest proponent.” The premise, he says, is simple. If he pushed you, you’d respond — you may push back, and you’d automatically work to keep your balance. Vibration at 600 to 3600 times per minute, he says, not only works to strengthen the muscles, it can also relax them and increase blood flow — and relieve pain. “That’s one of the biggest impediments to rehab, people are afraid to move because of the pain,” Cook says.

teve Nefff, co-owner of Pneumax, walks InHealthNW through the process that patients like Robinson undergo. 1) It starts at the Pneu-Map, a Pneumex device that rolls over the curvature of a spine, comparing it on a grid to a healthy spine. 2) The patient lays on the VibroTrac, a table that combines unweighting and vibration. Connected to a four-way harness, the harness alternately stretches the patient — think of how a car accident victim might be suspended in traction — and relaxes as the patient performs exercises. 3) The patient walks on a treadmill while suspended by an unweighting harness. 4) With the help of the physical therapist, the patient performs exercises while sitting in a Pneuback unweighting chair. 5) The patient stretches his body on a wholebody vibration chair — one of the few machines not manufactured by Pnuemex. 6) Finally, the patient performs more exercises standing on a vibrating platform and leaning against a resistance belt. But the next step, for both Revita and Pnuemex, is determining how effective it really is. “We can rehydrate [spinal] discs,” Cook claims. “We’ve seen it on a lot of pre-and post MRIs.” Washington State University in Spokane has already undertaken an initial “proof of practice” study that determined Revita resulted in “marked improvements in pain, posture, and … quality of life in adults with chronic back pain.”

Emily Carolyn Johnson, an associate professor in the department of nutrition and exercise physiology at Washington State University, worked with an undergraduate research student to compare questionnaires from Revita patients before 12 weeks of therapy and after 12 weeks of therapy. “Not being an orthopedic researcher, I was a bit surprised with the magnitude of the effect,” Johnson says. “They reported quite a bit of improvements.” She stresses, however, that without a control group, some of the improvement the survey found could have come from the placebo effect. Research has been mixed for people with neurological impairments: While one study found that whole body vibration training machines can be effective for helping stroke or cerebral palsy victims to regain strength, another study showed it was ineffective for multiple sclerosis patients. Now the Pnuemex machines have become part of a 36-person study that compares the Revita method to conventional physical therapy. But Neff says the study is struggling to find enough of the right sort of patients to complete it. Instead, the clinic might begin to simply compare its own data to data from other physical therapy clinics. Either way, Neff sees his clinic as the next step in helping to solve back pain. “This isn’t revolutionary,” Neff, says. “It’s more evolutionary. It’s another tool in our toolbox. And we need new tools.” n

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LASER FOCUS How concentrated light can make you look and feel better

BY HEIDI GROOVER

n an office with plush chairs and Michael Jackson’s “Pretty Young Thing” drifting from the speakers, patients wait to see what Dr. Kevin Johnson can do for them. Brochures promise better skin, smoother legs and flatter bellies. Down the hall, a clicking sound comes from behind a door with a warning sign. “Ow, that one hurt more than the last one did,” a female patient says with a nervous laugh. Technicians are shooting cold air onto a tattoo on her butt and then landing a red beam of light on the spot. A beam of laser light separates the ink from the skin, slowly fading the image. Like tattoo removal, many of the offerings at Johnson’s Advanced Aesthetics depend on laser technology. Lasers use precisely focused, high-intensity light to affect cells or slice through tissue. They can destroy veins, reshape the cornea for better vision, even out skin tone or melt fat. Just as with medications and other procedures, the U.S. Food and Drug Administration approves new laser use in medicine to ensure procedures are safe. The American Society for Laser Medicine and Surgery, an industry group that provides research and education on laser use, has more than 4,000 members representing about 50 specialties, from surgeons to biologists. “There’s been an explosion in technology in the last 10 years,” Johnson says, “Lasers were very uncommon in medicine, and it seemed almost like Star Wars when it first started. There didn’t seem to be a big application for it. I don’t think many people thought it would really catch on. Now there are just thousands of different applications for lasers.”

LOOKING BETTER

At his downtown office overlooking Riverside and Howard, Johnson’s most common laser work is hair removal. For $100 to $300 a session, he’ll remove hair anywhere on the body. A highly concentrated beam of light is sent through the skin and down to the hair follicles, where the light is absorbed by

the follicles, killing them. (Because hair grows in cycles, he can only kill about 30 percent of hair follicles at any given time, so multiple visits are required.) Johnson also uses non-invasive lasers to even out skin tone and texture. Most of his lasers work from the surface of the skin, sending beams of laser light into the skin to even out dark spots, soften fine lines and wrinkles, and treat scars. But while the non-invasive lasers are often successful, Johnson calls a more destructive CO2 laser the “gold standard.” That laser “vaporizes” parts of the skin to spur more collagen rejuvenation, ultimately creating clearer, smoother and tighter skin. Of course it comes with a tradeoff. Because of the seriousness of the procedure, it requires about a month of preparing the skin with topical creams and maintenance. Then, it can require about a week to heal. “It comes down to really how bad the damage is and how aggressive the patient wants to be with the treatment,” he says. “It really comes down to severity.” Although he’s not looking to treat medical problems with his laser procedures, Johnson still sees his work as important. “We look at this as maintenance,” he says. “People take a shower. They brush their teeth, they comb their hair, they work out, they eat right. This is the same type of thing. People want to look good.” Johnson is even using laser technology to trim pounds. Liposuction is nothing new, but his office has begun offering laser-assisted liposuction over the past few years. In that procedure, he uses a laser under the skin to melt some fat and tighten the skin above it. The newest light beam to hit Johnson’s office is Cellulaze, a tool just approved by the FDA in January. What makes cellulite so unsightly is the bands beneath the skin that connect the muscle to the skin, creating dimples when fat is present. Cellulaze releases those bands and melts some fat, decreasing the “lumpy” look on the skin. It’s not only revolutionary for its lasting effects (most other procedures ...continued on next page

Dr. Kevin Johnson of Advanced Aesthetics in Spokane: “People want to look good.” CHRISTIAN WILSON PHOTO

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Lasers have come a long way: Dr. Kevin Johnson says that more than 50 medical specialties use them to treat patients. CHRISTIAN WILSON PHOTOS

“LASER FOCUS,” CONTINUED... don’t stick around longer than a few months), but for its ability to keep the skin taut afterward. In both laser-assisted lypo-suction and the Cellulaze procedure, tightness is paramount. “People don’t want to look like a deflated innertube after the fat is removed,” Johnson says. The slow climb in laser use in Johnson’s office is part of a larger national trend toward using lasers for everything from looking better to helping alleviate serious medical ailments. From hair and tattoo removal to vision surgery, lasers have the potential to solve problems less invasively than other treatments. “As physicians, we’re required to continuously educate ourselves in new technologies and not just rely on what we learned in medical school,”

Back or neck pain? WE CAN HELP TO IMPROVE THE QUALITY OF YOUR LIFE. 20

Johnson says. “Things move so fast that if we don’t continue to educate ourselves with new treatments, we fall behind, and our patients really suffer the consequences.”

FEELING BETTER

Like those around Johnson’s office, lasers across the field of medicine work in different ways, do different amounts of damage and cure different ailments, even those that are more than cosmetic. At the base of the South Hill, doctors at the Providence Vein Center in the Spokane Heart Institute describe how they use lasers to treat varicose veins that do more than look bad. The veins, which swell and darken, are also often broken to the point of causing severe pain. Valves inside each

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vein, which stop blood from draining back toward the feet after it’s pumped up to the heart, sometimes break down and quit working. That causes blood to pool inside the veins, swelling the leg and causing soreness, says Dr. Stephen Murray, a surgeon who destroys those veins with a laser. He inserts his laser under the skin and guides it through the vein using ultrasound technology. Then he shoots a beam of laser light through the vein, collapsing it so it no longer transports blood. The body then only uses healthy, working veins for blood-flow, relieving the pain. The treatment starts at around $2,700. The doctors warn patients of medical risks associated with the procedure, though the most common — phlebitis, caused by blood trapped in the col-

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lapsed vein — goes away within a couple months, Murray says. Some people who come in for the procedure underestimate the seriousness of the pain they’re feeling and worry that laser treatments must be only for cosmetic concerns. “A lot of people live with venous disease — they just live with it,” says Dr. Megan Hoefer, another Providence doctor who helps assess patients for the laser procedure. “They think they just feel that way just because they’re 55 and so they’re tired … They’re embarrassed, too. They think that we think they’re coming in just because they don’t like how they look.”

WHAT THE FUTURE HOLDS

Lasers have made huge strides in medicine and cosmetics, but Johnson thinks they can still get better. He’s hoping for a better surface skin-tightening laser and more effective non-ablative laser treatments. If he could give patients the results of his ablative CO2 laser without the intense recovery, “that would be a phenomenal laser.” Murray sees researchers in his field already experimenting beyond lasers with procedures that don’t even require a break in the skin. The technology behind work like that Johnson and Murray do is also being put to use in alternative medicine. Mari Pritzl owns Spokane Laser Pain Relief, where she uses “cold laser therapy” or “low-level light therapy” — lower-power lasers that do not produce heat — for injuries like tendonitis, ligament tears and arthritis. She charges $20 a session.

“It saddens me to hear of a diabetic who loses their toes, then a foot due to non-healing lesions. They developed [these] non-healing wounds due to the lack of circulation to the distal part of the limb. No blood flow [means] there is also no oxygen being delivered to the wound,” Pritzl writes in an email to InHealthNW. “No antibiotic taken orally will get to the wound; no topical ointment will penetrate and increase blood flow,” she claims, “but the laser will. The laser stimulates scavenger cells, creates a natural antibiotic reaction [and] stimulates the cells we need to reproduce new healthy cells.” Work like Pritzl’s is controversial in the medical world and analysis of its effectiveness is inconclusive. The FDA approves such devices for marketing, but most insurance companies don’t cover procedures with them. The American Society for Laser Medicine and Surgery says low-level light therapy has “substantial merit as a valid therapy.” 5.0 h But adds, “In spite of the scientific validity of LLLT, there are still many commercial claims for devices that are not well supported and some are in fact just plain incredulous,” according to the society’s introduction of the therapy. “The message to take from this, though, is to not throw out the baby with the bathwater when confronted with some of the fringe claims of LLLT.” For now, the expansion of laser use means more patients are interested in — and not afraid of — the procedures, doctors say. Johnson calls the treatments “mainstream.” “People see laser treatments as a common and effective way to take care of a lot of things these days,” he says. n

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Invest In Yourself

People want to feel better, whatever the economy, making spas and salons seemingly recession-proof

InHealthNW November-December, 2012

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85% OF HOMES HAVE HARD WATER.

BY LISA FAIRBANKS-ROSSI

s a woman with lots of coarse, dark hair, I have always been an excellent candidate for expensive grooming. During years of prosperity, I’ve sported multi-tonal color, stayed relaxed with twice-monthly massages and even had twice-yearly therapeutic pedicures. In these modest economic times, my hooves and tresses are neglected. But while I may do my own dye and dab my roots with black brown mascara, I’d never stoop to cutting my own hair. Every girl has standards. “My mom lived through the Great Depression,” says Marsha Schlangen, whose talented daughter has just woven rich, shiny highlights and lowlights into her long blonde layers. “Even through the toughest economic time in history, women found the money to take care of themselves,” she asserts. “You face what you’re going through more powerfully if you take care of yourself. It just gives you a better outlook.” It seems lots of Americans share Schlangen’s sentiment. While the economy may have lost more than 1.5 million jobs between 2000 and 2011, the number of hair salons climbed by 8 percent, adding a reported 75,000 new jobs in the sector. In 2009, after a 16 percent increase in business, the International Spa Association declared the Spa Industry “recession-proof.” The ISA’s president, Lynne McNees, told Reuters, “The economy is hitting everyone across the board, but is also creating a lot of stress. We know that the No. 1 reason people go to spas worldwide is to reduce stress.” Perhaps recognizing the opportunity to refocus its marketing efforts, the spa and salon industry has transformed the culture of beauty services from “wants” to “needs.”

“O

ur business continues to grow, in part because of psychology,” explains Yvonne Smith, salon and spa director at La Rive inside Northern Quest Resort & Casino. “When money is tight, relaxation and enjoyment become more important,” she notes. “Customers are becoming more educated about spa services; they understand the importance of taking care of their emotional and physical well being,” says Smith. “It’s not just a luxury anymore. Some spa services have become part of normal maintenance.” “When I was working at a different salon, one of my clients lost his job,” adds Schlangen’s daughter, Christina Baker, a colorist. “He kept coming back for professional styling,” she explains. “He said, ‘There’s nothing worse than feeling like crap and looking like crap.’” ...continued on next page

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“INVEST IN YOURSELF,” CONTINUED... Next to pizza places and car washes, hair salons are the most-used businesses in the country. According to a recent survey by Welcomemat Services, women spend close to $900 each year on cuts, styles and color. And while men may take advantage of fewer types of services, the cost of staying handsome is hefty: The average national cost of a man’s cut and style has nearly doubled in the past few years to $46. “Speaking from my own experience as someone who’s been in and out of jobs,” says Abbey Crawford, a local singer, actor and now hairstylist, “I will always find a way to get my hair done. I’ve also found a way to get massages, because the older I get, the more important it is to take care of myself.” “I haven’t given my spa-ing up,” admits Nancy Sundin, a full-time social worker with three children. “It’s my physical and mental self-care we’re talking about.” While she tries to remain loyal to her massage therapist, “I do use more Groupon-type discounts now,” admits Sundin. It seems like there are six half-price massages, cuts, colors or waxing specials greeting us in our inboxes every day.

“…the older I get, the more important it is to take care of myself.” “Groupon and Living Social are awesome if you want to get your name out to a mass audience,” admits David Madvin, who runs two Elite Salon and Spa locations in Spokane. “But they are also what’s ruining the salon and spa business.” “The thing about giving your services away for half their value is that it cheapens the product, and it creates a customer who is price-driven,” Smith

Green Salon and Day Spa owners (left to right) Annie Grieve, Heidi Crow and Cheryl Lystad. YOUNG KWAK PHOTO adds. “No matter how fabulous the service is, they’re not going to come back.” Madvin concurs, and calls his first online coupon experience a $3,000 mistake. “I offered $100 worth of services for $45.” Madvin’s stylists, esthetician and massage therapist scrambled to serve all 318 new customers. And “fewer than five” of those bargain shoppers became return customers.

mith says La Rive is somewhat insulated from economic ups and downs by being focused on marketing a holistic experience rather than a service. It doesn’t hurt to be located inside a resort. “There are so few places that can offer a true, full-service spa,” says Smith. “This is not just an appointment that you’re keeping: ‘Let’s see, drop off laundry, pick up dry cleaning, get a massage.’” With any service, you get to put on a luxurious robe — and you get the full benefit of the pool, fitness center and Jacuzzi. It’s not on the flyers, but you can basically stretch

a 60-minute massage into a four-hour, grown-up play date. Because it’s impossible to compete with prices as low as those offered in coupons, most salons just won’t. “We want to stay competitive and relevant, but we don’t reduce our prices to do so,” explains Green Salon and Day Spa co-owner Annie Grieve. Before they created a niche by becoming an allorganic, eco-conscious salon, this group of businesswomen did things more conventionally. “At our last salon, there was a high noise level; it was all about the spectacle,” recalls Cheryl Lystad, another co-owner of Green Salon and Day Spa. “I didn’t feel welcome and at home, and I don’t think the clients did either. We decided to turn it inward.” “We don’t have our personal photographs on the mirrors. It’s not ego-driven,” explains Grieve. “We have turned off the phone, and we have become more ‘high touch.’ I think customers want to feel like it’s important that they are there. You get my full attention for however long is needed.” 

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Beaming Confidence

our smile matters. Spokane dentist Stanley Sargent believes people make their first impressions within seven seconds, and their teeth say a lot. Whether someone is looking for a boost to their self-esteem or an aesthetic edge in the workplace, Sargent says local dentists offer a variety of options for promoting healthy and attractive teeth. “We can give you that Hollywood smile,” he says. With a bushy mustache atop a broad smile of his own, Sargent, of Spokane’s Grand Corner Dental, does indeed make a friendly impression. He offers an outstretched hand, and his wide grin reveals an array of neat, white teeth. Sargent points out the unintentional signals a lackluster smile can send to employers, customers or friends.

“If you’re not taking care of your teeth,” he says, “they are wondering what else you’re not taking care of.”

HOME CARE

Fortunately, the front line for a healthy smile is cheap — a sharp smile starts at home by keeping your teeth clean and avoiding sweets that damage those pearly whites. The worst offenders, Sargent says, are sugary, carbonated sodas and sports drinks. “It’s acid and sugar,” he says. “It’s a double whammy.” He recommends looking for sugar-free drinks without the acidic bubbles of carbonation. If you are going to indulge in a sugary drink, get it over with — nursing a drink keeps teeth bathed in damaging sugar and acid longer. Most people don’t realize tooth decay is driven more by the number of exposures to sugar or acid

Healthy teeth generate positive impressions BY JACOB JONES

than by the overall amount, Sargent says. Electric toothbrushes offer ease and superior cleaning power, but don’t forget: “There’s no replacement for flossing,” Sargent says.

COSMETIC PROCEDURES

Sometimes, however, clean teeth just aren’t enough. If time and decay have taken a toll on a smile, Sargent and others practicing modern dentistry offer lots of options. There’s no reason to accept a smile that doesn’t make you happy. “The simplest, easiest thing you can do to improve the look of your teeth is to whiten them,” he says. Sargent adds that most of his patients find whitening to be a satisfying improvement, noting that lightening teeth beyond what is usually natural is becoming more popular as more people want the “Hollywood smile.”

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Dr. Stanley Sargent at Grand Corner Dental in Spokane.

YOUNG KWAK PHOTO

The next stage of dental correction involves braces, either traditional wire braces or clear plastic Invisalign braces, he says. Sargent, one of the first general dentists in the country to certify with Invisalign braces, says many of his patients have found the removable option comfortable and convenient. Even straight teeth don’t look great if they’re marked by now-obsolete black amalgam filings. In addition, the American Academy of Cosmetic Dentistry says those older filings can expand and contract, creating tiny cracks in teeth. New composite filings can strengthen the tooth while looking natural. To get started, Sargent recommends replacing filings on the bottom row of teeth, which are much more visible when talking or laughing. He suggested patients then move on to the upper row as they desire. Porcelain veneers offer the opportunity for dramatic changes to the shape and color of teeth. Patients can achieve significant improvements in color, alignment and overall appearance. “We can literally manage anyone’s smile,” Sargent says. While cosmetic dentistry can carry a whiff of vanity, Sargent says it can be life-changing. One of his patients says she spent years considering corrective options, all the while teaching herself not to smile in public. Finally, she decided to undergo corrective work. “I’m like a different person,” she says. “It changed me. ... It has just been wonderful.” 

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InHealthNW 27 10/31/12 1:18:44 PM

Cheers!

MIXING

Try these drinks for some much-needed holiday cheer BY ALICIA PURVIS LARIVIERE AND ANNE McGREGOR

he holidays can be magical and all, but bitter cold and lack of sunlight coupled with an in-law invasion could easily drive anyone to drink. And that’s no lie: The Distilled Spirits Company of the United States reports that a quarter of liquor companies’ profits are made in the stretch between Thanksgiving and New Year’s alone. While no one would assert that someone who doesn’t drink should take it up strictly for health reasons, there are some undeniable benefits for those who choose to partake. “It’s safe to say that alcohol is both a tonic and a poison,” says the Harvard School of Public Health’s authoritative treatise on booze. “The difference lies mostly in the dose. Moderate drinking seems to be good for the heart and circulatory system, and probably protects against type 2 diabetes and gallstones.” Going beyond one drink a day for women, or one to two a day for men is a recipe for problems: heart and liver damage and an increased risk of breast and other cancers. That being the case, you may as well make your one drink something special. To that end, here are some dazzling, locally recommended beverages to brighten even the coldest winter evening. n

Steamed mulled wine at Wild Sage. Paul Harrington (above) with his book Cocktail: The Drinks Bible For The 21st Century at Clover. YOUNG KWAK PHOTOS 28

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RECIPES The Up to Date

Find it at Clover, owner Paul Harrington, bar manager Kristi Gamble

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Cocktail auteur Paul Harrington offers this refined version of a classic for InHealthNW. “This drink is not supersweet and has a nice, true almond flavor,” courtesy of the Amontillado sherry, says Gamble. “It’s an excellent aperitif.” 1 ½ ozs Wild Turkey 100% rye whiskey 1 ½ ozs Amontillado sherry ¼ oz Grand Marnier 2 dashes Angostura orange bitters Put all ingredients in a glass with ice and stir for 30 seconds, till chilled but not icy. Strain into a glass, squeeze an orange twist over the glass, the run it around the rim before dropping it into the cocktail.

Get Your Home Ready for the Holidays

Mulled Wine

Find it at Wild Sage, bartender Heatherann Franz “I cold brew the wine with the spices for 48 hours instead of on the stove because that makes the drink bitter,” Franz says. 1 sachet Martinelli’s mulling spices 4 ozs cabernet 1 oz brandy 1 orange section to juice 1 lemon section to juice 2 tablespoons brown sugar cinnamon, nutmeg (for garnish) Place spices and wine in a pot and steep in refrigerator for 48 hours. Add brandy, juice of the orange and lime (about 1/8 portion of each), and brown sugar and heat until steaming. Strain into a mug and serve with cinnamon and nutmeg.

Fall Toddy

Find it at Scout, bartender Gary Cooper This Fall Toddy is served very hot, and has a multi-layered, complex flavor, Cooper says. “Consider a less rich, chocolatecovered pumpkin cheesecake with esters of paprika. Then imagine that it could get you warm on the inside — and less inhibited.” 1 oz Hennessy 1 oz Buffalo Trace bourbon 1 oz Sailor Jerry 6 dashes of Angostura bitters 2 splashes of molé bitter 2 oz hot water A light float of 151 rum

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PA R E N T I N G

Learn Your

The ABCs (and Ds and Es) of healthy bones B Y L I S A FA I R B A N K S - R O S S I

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I S FOR ACCIDENT. The details of our first bone break are etched in our memories. Aubrey Springer’s now fiveyear-old tale is a dramatic one, involving titanium rods and two major surgeries; all born of a botched beanbag landing. Aubrey’s mom, Misty, was used to hearing her three young children play loudly and acrobatically in the basement. “I was upstairs making dinner, and my husband was supervising. The kids were just jumping off a window ledge onto this big beanbag. But Aubrey missed, and landed on her leg,” Misty recalls. “She started screaming, and my eight-year-old said he heard ‘a loud crack.’ She was in horrible pain and in shock.” Once the ambulance had taken the family to the pediatric ER, doctors determined Aubrey had broken her femur (thigh bone), and she was set up for surgery the following morning. While placing titanium rods is unusual for a child as young and petite as was her then five-year-old, the surgery was a better alternative, explains Springer, with quicker healing than the other option: six weeks of traction. “I remember specifically thinking, ‘Are her bones weaker because she has had dietary issues?’ She

doesn’t eat dairy… I looked at the distance she had fallen, and it didn’t seem that far, and I thought that was a lot of trauma,” Springer says. But the doctors who evaluate broken bones for a living say very few breaks in children raise suspi-

Getting Kids Enough Vitamin D B Y D R . M AT T T H O M P S O N

e can’t count on the sun like we used to for vitamin D — there are too many regional differences based on longitude and latitude, as well as significant differences in absorption based on ethnicity and skin tone. Incidentally, I have heard the incidence of rickets has been up in Southern California, despite its relationship to the sun — presumably because parents are doing a great job with sun block. And our skin does need to

be protected: these days, our skin needs to last us 100 years, compared to maybe 50 years just a century ago. At the same time, it is evermore apparent that vitamin D does more than just contribute to bone health; it also is crucial in neurologic and cardiac health, possibly in immune function, and it definitely can very much be associated with mood — maybe seasonal affective disorder. So what to do? Breast-fed babies will need a liquid supplement to achieve 400 international units a day

cion, as long as they are the result of a collision. “If the child says, ’I was playing football,’ or any other high-energy activity that ended with a trauma, I’m not concerned about bone health,” explains orthopedic surgeon Matt Wallace. “But

— moms are doing great with breast feeding, but vitamin D is a big molecule, so it does not get through the breast milk in adequate amounts. And we are not keen on babies getting direct sun. The 400 IUs would also be contained in 25-30 ounces of formula. Older kids and adults should get 600 to 800 IU a day. Obviously in kids and adults, the best way for them to get enough vitamin D is from dietary sources, but that is pretty hard to do, so you may need to look into supplements. Be aware that it takes quite a bit more vitamin D to tune up someone with a deficiency, so testing is recommended if a low level is suspected; the RDA is just going to maintain a level, not raise it. n

InHealthNW November-December, 2012

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if a child is having multiple bone fractures without trauma, then they should be seen. If abnormalities are discovered, we would refer them to an endocrinologist,” says Wallace. “B” IS FOR BONES. Don’t feel bad if skeletal health and development haven’t been major concerns in raising your children. “I would say that most parents don’t think about bone health until that first break,” says Wallace. “Most of the time, broken bones look normal and heal reliably. The younger the patient is, the more angulation and displacement we can tolerate,” he explains. “When you’re talking about a 15-year-old girl, or a 16-year-old boy, their bones aren’t going to change; we have to treat them like adults. We’d have to straighten it.” Kids develop 90 percent of their bone mass before age 12, a time period when parents are usually more concerned with tracking height and weight than with framework. But the National Institutes of Health has launched an information campaign, Kids and Their Bones: A Guide for Parents, after a resurgence of the until recently never-seen disease rickets — a softening of bones caused by a deficiency of vitamin D, which keeps a body from absorbing calcium. “C” AND “D” ARE FOR CALCIUM AND D-DEFICIENT. “Luckily, nutritional rickets is a rare problem,” according to Wallace. Of more concern, according to the National Institutes of Health, is osteoporosis — which they call “a pe-

diatric disease with geriatric consequences.” A 2009 study published in the online version of the journal Pediatrics looked at data from 6,000 children from all over the United States and found nearly 70 percent of children had low levels of vitamin D, putting them at increased risk for heart and bone disease. Wallace says his most immediate concerns are obesity and a sedentary lifestyle. And there’s one easy cure for all of it. “E” IS FOR EXERCISE. “Get them off their butts, and outside,” says Wallace. Seriously. Doctor’s orders. “Children aren’t as active as they need to be; when you develop bad habits early on, years later they turn into major health issues,” like arthritis and osteoporosis. While any type of exercise is great for overall health, weight-bearing exercises are the bonebuilders. Running, walking, skiing and soccer qualify as “weight-bearing” because your feet and legs work your muscles and bones against gravity. As this happens, bone adapts to the impact of weight and the pull of muscle by becoming stronger and more dense. Wallace admits his own experience — as a father of five — shows it can be tough to get kids to get moving. “There’s better media; iPads, iPods and TV, so they’re aren’t as active,” he says. “If I say, ‘Go outside and play,’ they just stare at me, but if I say, ‘Let’s go out and throw the ball,’ or even a Frisbee, they’ll go,” Wallace says. “We have to want to be active with them.” 

Running Is Like Freedom

arol Hunter can’t help but promote her favorite weight-bearing exercise. She believes in running so much, she volunteers and fundraises for Spokane’s Active for Youth, and chairs the Lilac Bloomsday Run. When Spokane Public Schools cancelled its cross-country program a few years ago, Hunter says she knew she had to help bring running back as an option for children. So she worked with her friend, Active For Youth founder Mike Bresson, to bring back running to neighborhood schools. Each fall, schools run miles and half-miles after school, compete in a few bi-weekly regional, then all-city meets. “It should be a requirement for schools to let children outside,” she says. “It should be a requirement that we never lose physical education programs, or cross-country. Running is inexpensive, you don’t require a ball or coordination, and for kids, it’s a natural thing. It encourages a sense of excitement, and for some kids their ﬁrst experience with competition. Plus, we’re giving them an opportunity to build metabolism and promote skeletal health.” — LISA FAIRBANKS-ROSSI

November-December, 2012

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n the last few years, Stephen Willis has talked to more and more patients about the hormone that, physically speaking, makes men be men: testosterone. It deepens the voice, grows the beard and puts on muscle. It stimulates the sex drive. But after age 30, testosterone levels start a downward trek. Though “T” decreases by only about 1 percent a year, over a couple of decades… well, a lot of testosterone is just not there anymore. And that’s what worries Willis’s patients. “Some men are going to want to have high levels of testosterone in their fifties because they want to feel better,” says Willis, a local physician assistant with Rockwood Clinic who specializes in endocrinology and men’s health. Ten years ago many men probably would have

esearchers have been concerned that T levels are falling in men in industrialized countries. However, studies of men in unindustrialized groups have revealed low levels of circulating testosterone. Why? High levels of testosterone seem to compromise the body’s ability to mobilize the immune system. In areas rife with parasites and disease, lower testosterone levels foster the ability to battle these bodily invaders. UW researcher Ben Trumble and colleagues studied an isolated

Bolivian tribe — the Tsimane — where T levels were markedly lower than in the average American male. Still, in their study published in March 2012, they found that a competitive game of soccer sent testosterone levels soaring, just as sports do among American men, with elevated levels persisting at least an hour after the game. Though levels rose in winners and losers, the most virile responses were seen in individuals who felt they had played especially well. — Anne McGregor

InHealthNW November-December, 2012

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based analysis. IMS Health also found that in 2011, sales hit $1.9 billion worldwide. It would be easy to ascribe the interest in testosterone therapy to a marketing drive, but it is a tangled issue. Low testosterone levels are a real medical condition, and not always just a result of aging; but, while there’s fairly general agreement on what constitutes a low level in younger men, it’s been difficult to determine guidelines for what determines a “low” level in an older male. Complicating things is the fact that testosterone levels can vary substantially throughout the day, meaning a blood test in the morning may be very different from one in the afternoon, or from day to day. And just because testosterone levels are low doesn’t mean men should reach for a replacement hormone. “Quite often … men have low testosterone levels because of sleep apnea, depression, alcohol and substance abuse,” Willis says. Being overweight can also affect T levels. If these underlying issues are treated, Willis says testosterone levels often naturally rise to a normal level. For the men who still do need treatment, “there’s risk,” he says. “It can cause an increased risk of blood clots and prostate cancer. Cholesterol levels can go up.” Androgel, the most commonly prescribed testosterone, was forced to provide a black box warning label after children who came in contact with it had adverse side effects.

r. Mihai Alexianu practices at Spokane Urology, where he says just a handful out of the up to 100 patients he sees a month seek testosterone therapy. “It’s very effective” for those who need the treatment, he says. “The question is how safe it is because it is associated with increased risk of urinary obstruction, BPH [or benign prostatic hyperplasia] and prostate cancer. Some people have significant side effects.” And for men who aren’t undeniably testosteronedeficient, treatment may not be effective. “The problem is that we don’t have any evidence that prescribing testosterone to older men with relatively low testosterone levels does any good,” said Dr. Sergei Romashkan in a recent Associated Press article. Romashkan works for the National Institute on Aging overseeing clinical trials. He is currently conducting a trial of 800 men over the age of 65 to “definitively” determine whether testosterone therapy improves a man’s ability to walk, his sexual function and his energy, among other things. Stay tuned. The results are due in 2014. 

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InHealthNW 33 10/30/12 6:32:49 PM

CALENDAR OF EVENTS

NOVEMBER-DECEMBER The calendar is provided as a free service, on a space-available basis. Mark submissions “InHealth Calendar” and be sure to include the time, date, address, cost and a contact phone number. Mail: 9 S. Washington, 4th Floor, Spokane, WA 99201; Fax: 325-0638; or E-mail: cheys@inhealthnw.com.

CLASSES

FITNESS

PRE-DIABETES CLASS Students will receive a testing meter and preventative information during a two-part class, Nov. 12, Dec. 10 from 5:30-7:30 pm. $30. CHER Diabetes Center, 501 N. Riverpoint Blvd. Call: 474-5490

FARM GIRL FIT Personalized circuit and strength training classes for women offered in a group setting Mon-Sat from 6:30 am-6:30 pm. Prices vary. Farmgirlfit, 128 S. Sherman St. Visit: farmgirlfit.com Call: 747-2330 YARROW YOGA Hot yoga classes offered seven days a week from 6 am-6 pm. Prices vary. Yarrow Yoga, 412 W. Boone Ave. Visit: yarrowyoga.com Call: 413-2215 FALUN GONG Meditation exercises on Saturdays at 9 am. Free. Gonzaga College Hall Room 203, 502 E. Boone Ave. Visit: falun-inlandnw.org Call: 252-0433 SPIN CLASSES Spin classes on Mondays and Wednesdays at 6 pm. Free, bring your own equipment. The Bike Hub, 12505 E. Sprague Ave. Visit: thebikehubspokane. com Call: 443-4005 DANCE CLASSES Learn tribal fusion belly dancing, classical belly dancing, choreography, corps classes and more. Times and days vary, call for details. Northwest Bellydance Academy, 5515 N. Oak St. Call: 481-1533 Visit: northwestbellydance.com HATHA YOGA Classes are appropriate for all skill levels and held on Thursdays from 5:30-6:45 pm. $30 per fourweek series, $10 drop-in. St. Joseph Family Center, 1016 N. Superior St. Visit: sjfconline.org Call: 483-6495 QI-GONG Classes focus on slow movements and breath to increase energy and health on Fridays from 3:30-4:30 pm. $50 per six-week class, $10 drop-in. St. Joseph Family Center, 1016 N. Superior St. Call: 483-6495

TOBACCO CESSATION PROGRAM Students will learn to quit smoking during the four-week program starting on Nov. 7 and on Jan. 2 from 6-7 pm. Holy Family Health Education Center, 5633 N. Lidgerwood St. Visit: cherspokane.org Call: 474-5490

BREAST CANCER PATIENT ASSESSMENTS Thirty minute, one-on-one assessments with a wellness coach who will provide patients with access to free or low-cost wellness therapies on Nov. 15 from 1-5 pm. Free, registration required. Wells Fargo Building, 601 W. First Ave. Visit: cherspokane.org Call: 232-8138 THRIVING BEFORE, DURING AND AFTER BREAST CANCER Attend the second class in a two-part program focusing on breast cancer prevention, detection, education and support on Nov. 15 from 8 am-4 pm. $20, lunch not provided. Providence Sacred Heart, 101 W. Eighth Ave. Visit: cherspokane.org Call: 232-8138 HEALTHY COOKING CLASS Students will learn how to prepare a new healthy meal each session on Nov. 15 and on Dec. 20 from 6:30-8 pm. Free. Holy Family Education Center, 5633 N. Lidgerwood St. Call: 232-8138 CPR CLASSES Students will learn adult, child, and infant CPR and choking first aid on Nov. 20, Dec. 4, and Jan. 8 from 6-8 pm. $10. St. Luke’s Rehabilitation Institute, 711 S. Cowley St. Visit: cherspokane.org Call: 232-8138 DIABETES PREVENTION Learn some of the many things you can do to stay healthy and prevent diabetes on Nov. 26 from 5:30-7 pm. Free. CHER Diabetes Education Center, 501 N. Riverpoint Blvd. Call: 232-8138 CANCER SURVIVAL CLASS A 10-week open class to help cancer patients, families and caregivers, starting on Dec. 1 and on Jan. 1, 2013. Sacred Heart Medical Center, 101 W. Eighth Ave. Free. org Call: 474-5490 PREVENT CLASSES Attend classes as part of a six-session program for women diagnosed with pre-diabetes on lowering the risk of developing breast cancer on Nov. 7 and 14 and on Dec. 12 and 19. Times vary. Free. CHER Diabetes Education Center, 501 N. Riverpoint Blvd. Visit: cherspokane.org Call: 232-8138

BENEFIT Build a Masterpiece

How good are your frosting and cake-decorating skills? Aspiring and real-life pro bakers and chefs get a chance to put their talents to the test during Christ Kitchen’s 8th annual Gingerbread Build-Off fundraiser in early December. Just try not to give yourself a sugar-induced bellyache by eating more frosting and sprinkles than end up on the gingerbread house. Teams of local chefs, bakers and even architects — it takes some planning and math to get a towering structure of sugar to stand — go head to head in this ultimate gingerbread building 34

competition, all for a good cause. This year’s event theme is “Super Hero Holidays,” so you can be sure to see some pretty impressive builds. The winner is determined by public vote (cast as many votes as you like for $1 apiece) and the opinions of local food industry experts, says Christ Kitchen Director Jan Martinez. The build-off is one of Christ Kitchen’s mostattended events of the year, Martinez says, bringing in needed funding for their mission of hiring low-income women in the community, also giving them not only a source of income, but the confidence and training to succeed in the workplace. — CHEY SCOTT Gingerbread Build-Off • Build-off on Dec. 9 from 10 am-4 pm • Houses on display through Dec. 25 • $1 per vote, $7 to decorate your own • Davenport Hotel • 10 S. Post St. • christkitchen.org • 325-4343

MEN AND ANGER Men will learn alternatives to aggression, develop coping skills and learn to identify anger triggers on Wednesdays from 5-6:30 pm. $15 per session or $90 for six classes. St. Joseph Family Center, 1016 N. Superior St. Visit: sjfconline.org Call: 483-6495 WOMEN AND ANGER Women will learn to express anger constructively, learn to deal with angry outbursts, strained relationships and more on Wednesdays from 4-6 pm. $100 for three classes. St. Joseph Family Center, 1016 N. Superior St. Visit: sjfconline.org Call: 483-6495 MEDITATION Students will learn to calm the mind with 30-minute meditation classes on Tuesdays from 6-7:30 pm. $10-$12. St. Joseph Family Center, 1016 N. Superior St. Visit: sjfconline.org Call: 483-6495 MENDED HEARTS Attendees will learn about cardiac or pulmonary disease on the third Thursday of each month (Nov. 15, Dec. 20) at 3:30 pm. Kootenai Medical Center, 2003 Kootenai Health Way, Coeur d’Alene. Visit: kmc. org Call: 208-666-2897 STRESS AND INFLAMMATION Learn how stress can have a profound overall effect on your health on Dec. 20 from 5:30-7 pm. Free. CHER Diabetes Education Center, 501 N. Riverpoint Blvd. Visit: cherspokane.org Call: 232-8138 THRIVING BEFORE, DURING AND AFTER BREAST CANCER Attend the first class in a two-part program focusing on breast cancer prevention, detection, education and support on Jan. 12 from 8 am-4 pm. $20, lunch not provided. Providence Sacred Heart, 101 W. Eighth Ave. Visit: cherspokane.org Call: 232-8138

SUPPORT GROUPS GRIEFSHARE Those experiencing the loss of a loved one are invited to meet for healing and support on Thursdays from 7-8:30 pm. ONE Church, 15601 E. 24th Ave. Visit: onespokane.com Call: 993-8276 FOOD ADDICTS IN RECOVERY Attend a support group with others experiencing challenges with weight control and diet on Mondays at 7 pm. Free. St. Luke’s Rehab, 711 S. Cowley St. Visit: foodaddicts.org Call: 443-5580 MENTAL ILLNESS SUPPORT GROUP Parents with a child under 18 diagnosed with a mental illness can meet with others for support on Nov. 12 and on Dec. 10. Sacred Heart Medical Center, 101 W. Eighth Ave. Visit: namispokane.org Call: 838-5515 MENTAL ILLNESS PEER GROUP Meet with others who have been diagnosed with a mental illness on first and third Wednesdays. Holy Family Medical Center, 5623 N. Lidgerwood St. Visit: namispokane.org Call: 838-5515 TOBACCO SUPPORT GROUP Learn to successfully quit smoking with others on Nov. 12, Dec. 3 and 17, and Jan. 7 from 6-7 pm. Providence Holy Family Health Education Center, 5633 N. Lidgerwood St. Visit: cherspokane. org Call: 482-0111 CAREGIVER SUPPORT GROUP Caregivers and the people they look after are invited to attend for socialization and activities on Nov. 13, Dec. 11 and Jan. 8 from 1-3:30 pm. Providence Adult Day Health, 6018 N. Astor St. Visit: shmc.org Call: 482-2475 CANCER SUPPORT GROUP Patients and family members are invited to meet on the first, third and fifth Tuesday of every month from 5:30-7 pm. Providence Holy Family Health Education Center, 5633 N. Lidgerwood St. Visit: shmc.org Call: 474-5490 WOMEN’S CANCER GROUP Open group for women dealing with cancer on Mondays from noon-1 pm. Kootenai Cancer Center, 1440 E. Mullan Ave, Post Falls. Visit: kootenaihealth.org Call: 208-666-2000 …continues on page 36

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CALENDAR OF EVENTS

NOVEMBER-DECEMBER SUPPORT GROUPS

CANCER SUPPORT GROUP Patients and family members are invited to meet for discussion, support and encouragement on the second and fourth Wednesdays of the month from 12-1:30 pm. Rockwood Cancer Treatment Center, 12410 E. Sinto Ave. Visit: rockwoodclinic. com Call: 755-5808 AMPUTEE SUPPORT GROUP Amputees will share experiences on the third Tuesday of each month from 11 am-12 pm. St. Luke’s Rehabilitation Institute, 711 S. Cowley St. Visit: st-lukes.org Call: 473-6681 SPINAL CORD INJURY GROUP Individuals will share experiences, learn about medical advances and therapies, and socialize on the fourth Wednesday of each month from 1-2 pm. St. Luke’s Rehabilitation Institute, 711 S. Cowley St. Visit: st-lukes.org Call: 473-6681 STROKE SUPPORT GROUP The group will provide education, support and social networking for stroke survivors, friends, and caregivers on the third Thursday of each month from 3-4 pm. St. Luke’s Rehabilitation Institute, 711 S. Cowley St. Visit: st-lukes.org Call: 473-6681 ALCOHOLICS ANONYMOUS SUPPORT Those living with alcoholics will meet on Fridays from 5:30-6:30 pm. St. Luke’s Rehabilitation Institute, 711 S. Cowley St. Visit: st-lukes.org Call: 230-0231 or 326-6443 AUTISM SUPPORT GROUP Family members and loved ones living with autism will meet on the third Wednesday of each month from 6:30-8:30 pm. St. Luke’s Rehabilitation Institute, 711 S. Cowley St. Call: 624-3323

PARENTING

BRAIN INJURY SUPPORT GROUP Those living with brain injuries and their loved ones will meet on the second Wednesday of each month from 7-9 pm. St. Luke’s Rehabilitation Institute, 711 S. Cowley St. Visit: st-lukes.org Call: 340-0786 PARKINSON’S SUPPORT GROUP Those living with Parkinson’s and their caregivers meet on the second Wednesday of each month from 1:30-3 pm. Parkinson’s Resource Center of Spokane, 910 W. Fifth Ave. Visit: spokaneparkinsons.org Call: 473-2490 HIV SUPPORT GROUP Individuals with HIV/AIDS and their friends and family are invited to meet for dinner and supportive conversation on the second Monday of each month from 5:15-7:15 pm. Free. Spokane AIDS Network, 905 S. Monroe St. Visit: san-nw.org Call: 455-8993 BREAST CANCER SUPPORT GROUP Women with cancer are invited to share their experiences and issues encountered on the second and fourth Wednesday of each month from 6-8 pm. Providence Holy Family Hospital, 5633 N. Lidgerwood St. org Call: 475-5490 HOSPICE SUPPORT GROUPS Grief support for spouses, children, families, survivors of suicide and more meet regularly throughout the Spokane area. Times and locations vary. Visit: hospiceofspokane.org Call: 456-0438 CANCER SUPPORT GROUP People who are living with cancer are invited to meet on Wednesdays from 1-2 pm except for Nov. 21 and Dec. 26. Kootenai Medical Center, 2003 Kootenai Health Way, Coeur d’Alene. Visit: kmc.org Call: 208-666-3800

PREPARED CHILDBIRTH The class for mothers-tobe will discuss labor and breathing techniques, pain management, fetal monitoring and more on Tuesdays from Nov. 6-Nov. 27 or on Thursdays from Nov. 29Dec. 20 from 6:30-8:30 pm. A special express class session will be held on Dec. 1, 4 and 11 from 9 am-1 pm. $15-$65. Kootenai Medical Center, 2003 Kootenai Health Way, Coeur d’Alene. Visit: kootenaihealth.org Call: 208-666-2030 CHILDBIRTH CLASSES Expecting parents will learn about labor, birth, postpartum care, pain management, breathing, infant care and more in a four-week weeknight class or a one-day Saturday class, offered at both Sacred Heart and Holy Family hospitals. $75. See website for schedules. Call: 474-2400 Visit: shmc.org BABYSITTING BASICS Students ages 10-15 will learn about childcare, safety, behavioral techniques and more on Nov. 10, Dec. 1 or Jan. 12 from 9 am-2 pm. $40. St Luke’s Rehabilitation Institute, 711 S. Cowley St. Visit: cherspokane.org Call: 232-8138 MATERNITY TOURS Expecting parents will meet nurses, staff and tour the birthing facilities on Dec. 1 and Jan. 1, 2013. Call to schedule appointment. Sacred Heart Medical Center, 101 W. Eight Ave., Call: 474-2400 Holy Family Hospital, 5633 N. Lidgerwood St. Call: 482-2229 Visit: shmc.org BREASTFEEDING BASICS Mothers will learn to initiate and continue breastfeeding on Nov. 12 from 6:30-8:30 pm. $15. Kootenai Medical Center, 2003 Kootenai Health Way, CdA. Visit: kmc.org Call: 208-666-2030 NEW MOTHER SUPPORT GROUP Attendees can seek advice from other new mothers and a lactation consultant will be on hand to answer questions. Group meets every

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Wednesday at 10 am. Free. Providence Sacred Heart Women’s Health Center, 801 W. 8th. Call: 474-2400 PARENTING CHILDREN OF DIVORCE Parents will learn to communicate with their kids, create a supportive environment, learn about separation effects and more on first and third Tuesdays from 6-9 pm. $25. St. Joseph Family Center, 1016 N. Superior. Call: 483-6495

EVENTS FLU VACCINE CLINICS Get your seasonal flu and H1N1 vaccine and prevent lost time at work, school and other activities this winter on Nov. 10 from 8 am-2 pm. $30, some insurance plans cover the vaccine. Rockwood Clin-

ics at 400 E. Fifth Ave.; 19 N. Seventh St., Cheney; 9001 N. Country Homes Blvd.; 14408 E. Sprague Ave., Spokane Valley. Visit: rockwoodclinic.com Call: 459-1652 WINTER WISHES Second annual fashion show hosted by Logan Magazine to benefit people with disabilities on Nov. 11 from 3-6 pm. $25. Spokane Convention Center, 334 W. Spokane Falls Blvd. Visit: loganswinterwishes2. eventbrite.com Email: laurie@loganmagazine.com HEALTH CARE IN SPOKANE Community forum hosted by T.R. Reid featuring panel discussion by local and national health care leaders on how to build an efficient, quality and cost-effective health care system on Nov. 13 from 5:30-7 pm. Free. Spokane Convention Center, 334 W. Spokane Falls Blvd. Call: 359-6335

HEALTHCARE

HOMETOWN HEROES Annual event honoring local community members and organizations that have made a positive impact on Nov. 15 at noon. Free and open to the public. Northern Quest Casino, 100 N. Hayford Rd., Airway Heights. Visit: inwredcross.org Call: 326-3330 JINGLE BELL RUN Get active in a family holiday-themed, 1-5K fun run or walk that will raise funds to benefit the Arthritis Foundation on Dec. 1 starting at 7 am. $20. Riverfront Park, 507 N. Howard St. Visit: spokanejinglebellrun.kintera.org Call: 206-547-2707 COOKIE EXCHANGE Annual event benefiting Ronald McDonald House Charities of Spokane on Dec. 12 from 6-9 pm. Patsy Clark’s Mansion, 2208 W. Second Ave. Visit: rmhcspokane.org Call: 624-0500 n

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PEOPLE

Imagination

Unbound

Bassem Bejjani, pediatric geneticist and state arts commissioner, on the vital relationship between art and science BY LUKE BAUMGARTEN

Bassem Bejjani with his painting “The Juggler” by French artist Chantal Roux: “Art is not a luxury; it is something that improves creativity, improves initiative, improves individuality.” STEPHEN SCHLANGE PHOTO

assem Bejjani was always good in school. And when you’re raised in Lebanon and good in school, the paths forward are pretty clear. “You either become an engineer or a doctor or a lawyer,” Bejjani says. Bejjani was interested in science as a kid, but better at biology than “the hardcore sciences,” so he became a physician and geneticist, founding a groundbreaking genomics company in Spokane in 2003. Bejjani has never played an instrument, though his brother did. He doesn’t really paint or draw. But in mid-September, after spending a year on the board of the Spokane Symphony, Bejjani was appointed a Washington State Arts Commissioner. He says his commitment to the arts is a duty he feels to a community that has supported him, but it also goes deeper than that. Bejjani believes 38

science and art are fundamentally linked, that creativity fuels innovation and that when we cut arts budgets in schools, we do so at our own economic and cultural peril.

hen he came to America in 1987 — leaving Beirut to flee Lebanon’s civil war — the first job Bassem Bejjani could get in the medical field was at a Boston-area genetics lab. He worked to get his medical license in America and went into pediatrics, moving from the University of North Carolina to the Baylor College of Medicine, where he taught, oversaw a research program and had a clinical practice treating genetic conditions in children. In 2003, Sacred Heart recruited Bejjani and a colleague, Lisa Shaffer, to come to Spokane, where they founded Signature Genomics. The

company did pioneering work to use microarrays, a research technology that allows many different genetic tests to be completed simultaneously, in a clinical setting. The industry at the time didn’t think this was possible. Colleagues gave Bejjani and Shaffer a raft of reasons it wouldn’t work, he says, ticking them off: “It’s clunky. It’s expensive. It’s slow. It works only 20 percent of the time. It needs a lot of specialization and people to do it and to interpret it.” But the company worked through all these issues, getting costs down, making the tech more reliable and easier to use. They were the first company to bring the devices to the clinical market. “We proved that it can work clinically and that it is, in fact, very helpful,” Bejjani says. Nine years later, he says, microarrays “are the standard of care.”

InHealthNW November-December, 2012

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cience operates under certain rules and presuppositions. “Richard Feynman said, ‘Science is imagination in a straitjacket,’” Bejjani says. “In science, you are letting your imagination loose, but you are bound by the laws of physics and chemistry and math.” But sometimes, Bejjani says, the rules we abide by aren’t given to us by the universe; they’re created by our own sense of the status quo. “Whenever you are in the straitjacket of science, sometimes you impose on yourself rules that don’t exist,” Bejjani says. This is what had happened with microarrays. Conventional wisdom that they were too expensive and cumbersome had become a rule of the marketplace. “It’s when you see that these rules are selfimposed — and you then break them,” Bejjani says, “that innovation happens.” Signature Genomics was the first company to break the microarray rules, and they were rewarded with a brand new market and a slew of competitors scrambling to keep up. That’s where a grounding in the arts comes in, Bejjani says. Rule-breaking in the arts, especially in the last 100 years, has become a broad, disruptive creative impulse. “Think about painting — think about Picasso and the surrealists,” Bejjani says. “Since the Renaissance, people had two eyes, one nose, one mouth and they were drawn to all the right proportions. And the masters did beautiful paintings. But then, in the early 20th century, somebody said, ‘To heck with it, I’m changing it.’”

Bejjani believes progress is built around this sort of disruption. “This is how humanity progresses, too, right? Think of where humanity was before Gutenberg — before the printing press — and how hugely we changed after that,” he says. “It seems that the arc of humanity is not linear, it’s quantum — like one of those electrons that live at a certain [atomic] level and then you reach another energy and you have a whole other set of possibilities. We are like this.” The drivers of these quantum leaps across the board are creativity and creative problem-solving, he says, and nothing teaches these impulses like art and music. Teaching these things in schools, then, is more than fun; it’s vital to our continued scientific and economic power. “Everybody calls this the ‘creative economy,’” he says, “and yet we’re not doing a good job of teaching and fostering creativity. It is a shame that art is always the first thing on the curriculum that gets cut. Art is not a luxury, it is something that improves creativity, improves initiative, improves individuality.” It’s already important in Washington state. “Our economy is based on creativity,” he says, citing giants like Microsoft and startups like the local firm GenPrime. “The engines of our economy are all creative engines.” And if the Spokane area is going to become a bigger player in the creative economy, he says, “We have to develop this creative muscle, so to speak. When we restrict it from growing, everything is restricted from growing.” 

There’s more to

than one way

save a life

With every blood donation you have the potential to save up to 3 lives. During the winter and holiday months there is an increased need for blood. A 501(c)3 not-for-profit organization, the Inland Northwest Blood Center (INBC) is the sole supplier of blood and blood products to our area hospitals. Consider designating INBC as your charity of choice for your employee giving campaign or make a charitable contribution this holiday season.

800-423-0151 • www.inbcsaves.org

WE’RE GIVING FROZEN FISH THE

COLD SHOULDER. Fruits, vegetables, meats, sweets, artisans’ wares and more, local, organic, and hand-crafted. Experience true local flavor.

The Spokane Public Market now accepts EBT cards. EBT customers may purchase wooden tokens at the SPM Information Booth to be used for qualifying food product purchases. 24 W. 2ND AVENUE THUR–SAT, 10AM–6PM, SUN, 11AM-5PM SPOKANEPUBLICMARKET.ORG November-December, 2012

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10/30/12 6:25:58 PM