Balance Volume 5 – Issue 1 – Spring 2013
The health magazine for Body, Mind & Motivation Published quarterly by the Lewiston Tribune and the Moscow-Pullman Daily News
POWER OF LIGHT
Experts recognize the value of sunlight
OLD SCHOOL WEIGHT LOSS
Moscow’s Clint Payton drops 235 pounds
Mediterranean diet is good, good for you
BABY ON BOARD
Doulas, midwives offer delivery options Spring 2013
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Balance – volume 5, issue 1 – Spring 2013
HAVE IT YOUR WAY Women giving birth have range of help from
doulas to midwives to traditional obstetricians
HEALTH & WELLNESS
FINDING THE RIGHT PAIR Stance, strike pattern important when buying running, hiking, walking shoes
OLD SCHOOL WEIGHT LOSS THE POWER OF THE SUN Moscow’s Clint Payton dropped 235 The effect of sunlight — or lack thereof — is pounds by eating less, working out more
ALSO | STRETCH MARKS 10 4
much greater than you might think
VERA WHITE 22
Lewiston Tribune staff writer
Oregon native Kevin Gaboury covers education for the Tribune. He’s currently in a slump, but hopes to get back into a workout routine soon.
Daily News staff writer
Tom is the WSU football and basketball beat reporter for the Moscow-Pullman Daily News. He has never conquered the training hill on a snowboard, despite hours of trying.
Daily News staff writer
Ben covers University of Idaho/Idaho prep sports. His favorite activities are playing with his puppy, eating pizza and watching the Packers.
Lewiston Tribune staff writer
Joel Mills lives with his family in Moscow. He’s currently enjoying the growing abundance of fresh, local foods available on the Palouse, and turning them (with some success) into good, healthy meals.
Lewiston Tribune staff writer
Kelcie covers Lewiston, Nez Perce County cops and courts at the Tribune. She lives in Moscow and is currently on a journey to fitness herself.
Elizabeth Rudd Daily News staff writer
Elizabeth is the business editor for the Moscow-Pullman Daily News, as well as page designer and copy editor. She lives in Moscow and enjoys running and biking along the Palouse.
Lewiston Tribune staff writer
Kerri covers the southeast corner of Washington for the Tribune. Her favorite activities are tennis, running marathons and chasing news stories.
Lewiston Tribune staff writer
Elaine started reporting at the Tribune in 1991 and has covered the business beat since 2000. She’s an aspiring distance runner who completed the Lewis-Clark Half Marathon in 2 hours, 25 minutes and 23 seconds, her best time yet.
More. Better. Brighter.
Jesse Hughes Graphic designer
Jesse has worked for the Daily News and Lewiston Tribune since 2008 in the advertising department. He and his wife try to eat a healthy, well-balanced diet and stay active by walking, hiking, and being kept on their toes by two boys.
A Full Life Agency.................................................................... 29 Allen, Dr. Richard.................................................................... 27 Alm, Dr. Ronald...................................................................... 25 Alternative Nursing Services.................................................... 21 Balance Spa............................................................................. 27 Bishop Place............................................................................ 31 Bluesky Dentistry.................................................................... 13 Court Appointed Special Advocates......................................... 11 Clarkston Denturist Clinic........................................................ 9 Clearwater Medical................................................................. 30 Comp. Care, Inc......................................................................... 9 Electrolysis--Permanent Hair Removal................................... 11 Elm View Chiropractic............................................................ 28 Garges, Lawrence M., M.D...................................................... 31 Henderson DDS, Robin........................................................... 30 Huckleberrys at Rosauers........................................................ 22 Leavitt DMD, Erin................................................................... 25 Maplewood Dental.................................................................. 29 Moscow Family Medicine........................................................ 17 Moscow Food Co-Op............................................................... 15 Moscow Yoga Center................................................................ 13 North Idaho Athletic Club....................................................... 15 Ozeran, Steven, M.D............................................................... 21 Pathologists’ Regional Laboratory........................................... 17 St. Joseph Regional Medical Center......................................... 32 Tri-State Memorial Hospital...................................................... 2 Valley Medical Center................................................................ 3 Vig’s Produce........................................................................... 27 Whitman Hospital & Medical Center...................................... 23 Whitman Senior Living........................................................... 25 Balance is published quarterly by the Lewiston Tribune and Moscow-Pullman Daily News and printed at the Tribune Publishing Co. Inc.’s printing facility at 505 Capital St. in Lewiston. To advertise in Balance, contact the Lewiston Tribune advertising department at (208)848.2216 or Advertising Director Fred Board at email@example.com, or the Moscow-Pullman Daily News advertising department at (208)882.5561 or Advertising Manager Craig Staszkow at firstname.lastname@example.org. Editorial suggestions and ideas can be sent to Tribune City Editor Craig Clohessy at email@example.com or Daily News City Editor Murf Raquet at firstname.lastname@example.org.
Have it your way Women giving birth have range of help from doulas to midwives to traditional obstetricians
hold that credential at any area hospital. Her practice is a sign of how childbirth is evolving in north central Idaho and southeastern Washington. Women who give birth at St. Joe’s can pick Hedrick, at Valley Medical Center in Lewiston, or an obstetrician as their primary care proBy ELAINE WILLIAMS vider. Doulas, women who provide nonmedical support before, during and after ndrea Hedrick caught five babies delivery, are more common at hospital on a recent weekend at St. Jobirths, said Nancy Draznin, a certified seph Regional Medical Center. professional midwife in Genesee, who Babies being born at the Lewiston has been helping women give birth for 20 hospital isn’t news. Having them years. arrive under the care of a certified In the last decade, the number of dounurse-midwife is. las serving the region has grown from two Hedrick, a former labor to 10, said Draznin, who is licensed in the and delivery nurse, state of Idaho. “There’s a bigger demand is the hospital’s for doula support. Women are really first certified catching on to the fact that there’s a big nurse midbenefit to having that kind of emotional wife and care.” the only Home births are changing too. Idaho person began licensing midwives — who aren’t to certified nurses — in 2010, creating a new category of birth professionals, Draznin said. Washington has had similar rules for at least two decades. Unlike those with Hedrick’s credential, people in this category typically attend home or birth center births and ordinarily don’t have hospital privileges. The requirements for each profession differ. Certified nurse midwives earn a master’s degree in nursing, then receive specialized training in child
birth and must pass board exams, Hedrick said. They also have to oversee a certain number of births under the supervision of certified nurse midwives. Hedrick received her training at Deaconess Medical Center in Spokane, where certified nurse midwives have had hospital privileges for 20 years. Hedrick’s duties are similar to those of obstetricians, with a couple of exceptions. Obstetricians typically aren’t in the delivery room full time until the baby is ready to be born. Hedrick stays with women who have opted for natural childbirth from the time they’re dilated to five or six centimeters through delivery. And if a birth requires interventions, such as a Caesarian section or a vacuum delivery, the obstetrician on call handles the delivery. Idaho and Washington have no certification requirements for doulas, but normally they are women who have witnessed a number of births and learned how to make the experience more comfortable and less stressful. Certified professional midwives, who normally aren’t nurses, have to pass cognitive and skills exams and handle a certain number of births before they strike out on their own, Draznin said. Women who choose midwives or doulas, frequently, but not always, are trying to avoid medical interventions, Hedrick said. “The model of care is one of empowering women, making sure women know all of their options when it comes to birth,” Hedrick said. “Birth is not an emergency. We only need to intervene if things fall outside of normal.”
Area hospitals allow doulas to be involved in births as long as they adhere to policies similar to those for sisters or friends who join women in the delivery room. The doula’s role in birth is different than that of a physician, midwife or husband, said Pullman doula ViviAnne Fischer. They meet with couples before the birth to develop a plan and talk through any fears they might have. Chief in that process is what women want, whether it’s epidurals to relieve pain, or support to get them through birth without drugs, Fischer said. Once labor starts, doulas usually stay with women in their homes until labor starts to intensify, something they judge by a woman’s behavior, not with a vaginal check, said Bobbi Bennett-Wolcott, a doula from Pullman. Once they’re at the hospital, they offer assistance such as providing a massage, placing hot and cold packs on the woman and helping find positions that make their contractions as productive as possible. “We have tools to create a comfortable environment and we have tools to help the mother cope,” Fischer said.
Bobbi Bennett-Wolcott has frequent visits with Josie Clark at her home, plus phone conversations, while they prepare for the birth of Jaela Elizabeth Clark.
Dr. Tema Jessup at Syringa Hospital in Grangeville offers this advice when it comes to hiring a doula: Find out how much training and experience they have and seek references from former clients. A skilled doula can be a huge help during birth, but an incompetent one can create challenges, said Jessup, a family medicine physician who delivers babies. “I have no problem with doulas. I usually put them to work when they are here.”
Scope of practice: Limited use of pharmaceuticals such as oxygen, intravenous fluids and antibiotics. Usually deliver babies at home or in birth centers. Provide care from conception through six weeks after birth. Rarely, if ever, have hospital privileges. How normally paid: Through private pay, Medicaid and insurance in Idaho. Through insurance and Medicaid in Washington. State license required in Idaho and Washington? Yes.
Certified Nurse Midwives
Certified Professional Midwives
Sources: Andrea Hedrick, certified nurse-midwife at Valley Medical Center in Lewiston; Nancy Draznin, of Genesee, a certified professional midwife who’s licensed in Idaho; ViviAnne Fischer, Pullman doula; Bobbi Bennett-Wolcott, Pullman doula. Fischer and Bennett-Wolcott are certified through Doulas of North America.
Training required: Master’s degree in nursing. Additional training in child birth and women’s health issues that include attending a certain number of births under the supervision of someone already certified in the field. Board exam. Scope of practice: Full prescriptive privileges. Usually deliver babies in the hospital. Can assist with surgeries. Provides care throughout pregnancy as well for almost any reproductive health issue, including annual exams. How normally paid: Through insurance. State license required in Idaho and Washington? Yes.
Training required: Attending a certain number of births. Passage of cognitive and skills exams.
Training required: None. Many have certifications through organizations such as Doulas of North America. Scope of practice: Emotional support for pregnant women before, during and after birth. Don’t provide medical assistance such as vaginal checks or monitoring of fetal heart beats. How normally paid: By the patient with the cost ranging from about $300 to $750. In certain instances, doulas can refer those with low incomes to doulas in training who may offer their services at a discount or for free. State license required in Idaho and Washington? No.
Hard to find good info on drug safety in pregnancy By LAURAN NEERGAARD The Associated Press WASHINGTON — Nearly every woman takes a medication at some point during pregnancy. Yet there’s disturbingly little easy-to-understand information about which drugs pose a risk to her baby, and what to do about it. Need some pain relief? In the fine print is the warning that painkillers like Advil aren’t for the third trimester. Left unsaid is whether to worry if you took them earlier. An awful cold? Don’t panic if you used decongestant pills, but doctors advise a nasal spray in early pregnancy. And don’t abandon antidepressants or epilepsy medicines without talking to your doctor first. Some brands are safer during pregnancy than others - and worsening depression or seizures aren’t good for a mom-to-be or her baby. “To come off of those medications is often a dangerous thing for the pregnancy itself,” warns Dr. Sandra Kweder of the Food and Drug Administration. “They need information on what to expect, how to make those trade-offs.” A new study shows how difficult that information is to come by. Women often turn to the Internet with pregnancy questions. But researchers examined 25 pregnancy-related websites and found no two lists of purportedly safe drugs were identical. Twenty-two products called safe on one site were deemed risky on another. Worse, specialists couldn’t find evidence to back up safety claims for 40 percent of the drugs listed, said Cheryl Broussard of the Centers for Disease Control and Prevention, who led the recent study. “The reality is that for most of the medi-
New studys show how information about taking medications while pregnant is difficult to come by.
cations, it’s not that they’re safe or not that’s the concern. The concern is that we just don’t know,” she said. Broussard experienced some of that confusion during her own two pregnancies - when different doctors handed over different lists of what was safe to use. It’s a growing dilemma. The CDC says medication use during the first trimester - especially vulnerable for birth defects because fetal organs are forming - has jumped 60 percent in the last three decades. Plus, women increasingly are postponing pregnancy until their 30s, even 40s, more time to develop a chronic health condition before they’re expecting. The CDC is beginning a Treating for Two program to explore how to get better
information, and the FDA plans to revamp prescription drug labels with more details on what’s known now. But people want an easy answer - use it or don’t - and for many drugs, they won’t get one anytime soon. “Women agonize over it,” said Dr. Christina Chambers of the University of California, San Diego. She helps direct California’s pregnancy risk information hotline that advises thousands of worried callers every year. Some drugs pose particular birth-defect risks. For example, the FDA requires versions of the acne drug isotretinoin, first marketed as Accutane, to be sold under special tight controls. Similarly, last year FDA said women who want to use a new weight-loss drug, Qsymia, need testing first
And women should watch out for overthe-counter drugs with multiple ingredients, like decongestants added to allergy medicines, Dolan said. While any potential risk from decongestant pills seems small, “the question is, ‘Do you really need it?’” she asked, advising a nasal spray instead. Ask your doctor about the safest choices, Dolan said. Also, check the Organization of Teratology Information Specialists, or OTIS - www.otispregnancy.org - for consumerfriendly drug fact sheets or hotlines to speak with a specialist. Stay tuned: The FDA has proposed big changes to drug labels that now just say if animal or human data suggest a risk. Kweder said adding details would help informed decision-making: How certain are those studies? What’s the risk of skipping treatment? Is the risk only during a certain trimester? ••• Online: www.otispregnancy.org http://www.cdc.gov/pregnancy/meds/index.html
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to be sure they’re not pregnant. Other medications are considered safe choices. Obstetricians say pregnant women need a flu shot, for example. A recent massive study in Denmark offered reassurance that taking the anti-nausea drug Zofran for morning sickness won’t hurt the baby. But many drug labels bear little if any details about pregnancy. Drugmakers shy from studying pregnant women, so it can take years for safety information to accumulate. Moreover, the CDC says 1 in 33 babies has some type of birth defect regardless of medication use. It can be hard to tell if a drug adds to that baseline risk. Consider antidepressants, used by about 5 percent of pregnant women. Certain brands are suspected of a small risk of heart defects. Studies suggest a version called SSRIs may increase risk of a serious lung problem at birth - from 1 in 3,000 pregnancies to 3 in 3,000 pregnancies, Chambers said. Also, some babies go through withdrawal symptoms in the first days of life that can range from jitteriness to occasional seizures. Women have to weigh those findings with the clear risks of stopping treatment, she said. “The time to be thinking about all this is when you’re not pregnant,” when your doctor can consider how to balance mom’s and baby’s health and might switch brands, Chambers said. That’s what heart attack survivor Kelli Tussey of Columbus, Ohio, did. The 34year-old takes a variety of heart medications, including a cholesterol-lowering statin drug that the government advises against during pregnancy. So when Tussey wanted a second child, she turned to doctors at Ohio State University who specialize in treating pregnant heart patients. They stopped the statin and switched her to a safer blood thinner. “They said my heart could take it,” Tussey said. Now four months pregnant, “it seems everything’s fine.” Sometimes it’s a question of timing . That painkiller ibuprofen, sold as Advil and other brands, isn’t for the third trimester but isn’t a big concern earlier on, said Dr. Siobhan Dolan, an adviser to the March of Dimes.
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More than skin deep Stretch marks: Frustrating, embarrassing, and for some an issue that’s more than skin deep By Angela Hill Oakland Tribune OAKLAND, Calif. — For many women, they’re the red, white or sometimes brown badges of bearing children. But while pregnant women are the group with whom we most frequently associate stretch marks, a larger percentage of the population is not immune. Weight gain can bring on stretch marks, too - men and women alike can end up with unsightly reminders of heavier days. Even people www.newface.com who went through sudden extreme growth Whatever the cause, the main sticking point is stretch marks never really go away, and certainly not on their own. spurts during adolescence often have marks around their joints or on their backs. And bodybuilders sometimes get them on the ations where I would have skin showing,” but of hormonal variations during extreme upper chest and shoulders. she said. “I hardly get in the pool with my changes to one’s body. Almost all believe Sometimes. That’s part of the frustrakids, and they don’t understand why.” there’s a genetic component. tion - and the mystery. Some people get What frustrated her is that she has alVarious laser and even radio frequency them, and some people don’t, even under ways been physically fit. During pregnancy treatments can minimize the appearance, similar conditions. Whatever the cause, the the weight gain came rapidly and stretched but if you’re prone to getting stretch marks, main sticking point is they never really go her skin. you’re pretty much stuck with some permaaway, and certainly “It’s embarrassnent road maps to your skin’s past. not on their own. ing, and it’s hardly Nguyen has undergone several laser “It has affected my confidence, The topic - espeever discussed,” treatments with Dr. John Tang at the Rejuve and I never wear a bathing suit and she said. “I know cially for women nonsurgical cosmetic care clinic in Saratoga, avoid situations where I would have there are other - is a delicate one, Calif., and there has been a softening of the skin showing. I hardly get in the akin to discussing problems that are marks. pool with my kids, and they don’t personal finances more traumatic and “We can reduce the appearance, but you understand why.” or face-lifts. For life-threatening, can’t ever really eliminate them,” Tang said. Anne Nguyen some, the problem but stretch marks He adds that hormones can be a factor. a San Jose, Calif., accountant is more than skin do affect a person’s “On a young healthy person, stretch deep. emotional state. marks are normally caused by rapid increase Anne Nguyen, 32, a San Jose, Calif., Knowing it will never go away affected me.” or decrease in weight,” he said. “When we accountant, says she felt like “damaged Many dermatologists say the cause is get older, the stretch marks we have often goods” when pronounced stretch marks ap- literally a stretching of the skin, hence look worse due to hormonal loss, especially peared after she had her first two children. the name, pushing it to the point where for women because of loss of estrogen and “It has affected my confidence, and I connective tissue breaks down. Yet others growth hormone, which controls elasticity never wear a bathing suit and avoid situassert it’s not entirely a matter of stretching and collagen production.”
Dr. Richard Nolan of Laser Skin Source in Alameda, Calif., specializing in aesthetic medicine, likens human skin to a delicate fabric. â€œIf you push your finger through the fabric, you stretch out the fibers, and it never will go back,â€? he said. â€œBut itâ€™s not the same for everyone. Youâ€™ll have a woman with five kids and no stretch marks and then a guy who was fat at age 14 and a muscle builder at 28 who gets them.â€? The marks occur in the dermis, the resilient middle layer of the skin that helps it keep its shape. They most often show up in areas of your body where fat is stored - the stomach area, breasts, upper arms and thighs. Many dermatologists say hormonal changes and genetics influence the skinâ€™s capacity to withstand stretching. And some researchers have artificially created stretch marks on normal skin by applying strong topical steroid creams, suggesting a hormonal cause. Also, sun exposure, smoking and diet can affect connective tissue, Tang said. â€œAnd thereâ€™s obviously a genetic predisposition,â€? said Dr. Min-Wei Christine Lee, a dermatologic surgeon and the director of the East Bay Laser & Skin Care Center in Walnut Creek. â€œIt tends to be if your mom and grandmother had them, youâ€™ll get them, too. Itâ€™s so variable. For some people, even a slight bit of weight gain will do it.â€? Not all stretch marks are equal. Some appear reddish, while some are purple or whitish. Some start out pink then change over time to a silvery appearance, which
indicates the most damage. And they vary with different skin tones and types. Nolan says Asian skin seems to be particularly prone to the development of the marks, and dark skin must be treated more gently, or the pigment can darken even more in those areas, making the marks more pronounced. â€œThereâ€™s an art to it,â€? Nolan said. â€œWith light skin, thereâ€™s less melanin, and it can take more aggressive treatments. With darker skin, too aggressive treatments can increase brown lines.â€? Currently, the most popular procedures are various laser therapies to stimulate new growth of collagen and elastin. Tang uses a radio frequency device in conjunction with lasers. A study in the journal Dermatologic Surgery showed that radio frequency combined with pulsed-dye laser treatment provided â€œgood and very goodâ€? improvement of the appearance of stretch marks in 33 of 37 patients, but more research is needed, doctors say. A relatively new treatment is fractional
laser resurfacing, using scattered pulses of light on one â€œfractionâ€? of the mark at a time over the course of several visits. This creates thousands of microscopic wounds, and the skin responds by producing new collagen and tissue at the bodyâ€™s outer surface. As to over-the-counter creams, Lee has not found them to be very effective on their own. â€œAnti-stretch-mark creams sound magical, and they may be helpful combined with other treatments,â€? she said. â€œBut theyâ€™re only really good moisturizers. They may help keep skin from looking worse and improve skin texture, but theyâ€™re not a cure.â€? And perhaps there doesnâ€™t need to be. In this age of online exposure, some celebrities have gone public. Country singer LeAnn Rimes recently tweeted about hers. And according to StretchMarks.org, in a pre-airbrushed image from a recent photo shoot one of the sexiest women alive - Jennifer Lopez - showed off her bared marks.
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Spring 2013â€‚ 11
Finding the perfect pair of shoes Stance, strike pattern important when buying running, hiking, walking shoes By Elizabeth Rudd
hen it comes to buying a good pair of running shoes, there’s more to consider than the colors — you’ve got to know your gait. Tige Arnold, a sales associate in the shoe department of Tri-State in Moscow, said when he has customers who come in looking for either a running or a walking shoe, he has two areas he evaluates first — their stance and strike pattern. Arnold said there are three different stances people have: overpronation (rolling their foot in), neutral stand (no roll out or in) or supination (rolling their foot out). He said everyone wants to get to a neutral stance. To determine what a customer’s stance is, Arnold said he will analyze how they walk or have them balance on one foot. If they can easily balance, he said they usually have a neutral gait. There are also three strike patterns which, Arnold said, include forefoot (on the ball of the foot), midfoot (flat on heel and forefoot) and heel (hit on the heel and then roll forward). He said there are two ways to tell what a person’s strike pattern is: look at their old running shoes or watch them run. “The most accurate way is to have the customer bring in their current pair of running shoes to tell where the wear marks are,” he said. Logan Clark, merchandising visual team leader at Sports Authority in Lewiston, said they have a heat pressure tab that a customer can stand on that will show an outline of their foot. He said it shows if a person has a high
Geoff Crimmins/Daily News
Tri-State in Moscow sells a variety of styles of shoes, including these running shoes.
or low arch, where the most pressure is when they stand and some indication of rolling. But he agreed with Arnold, that it is best if customers come in with their old shoes. Arnold said people will strike and stand the same when walking, but it is not as pronounced as when they run. “That’s usually the main category of shoe that we’ll be checking people’s gaits for because you can have a lot of injuries if you don’t get the right category of shoe or the right style of shoe,” Arnold said. He said even when he has people looking for a walking shoe, he will try to get them into a running shoe because they are basically a “beefed up walking shoe.” He also said that walking shoes are becoming less popular and Tri-State only carries one right now. “The walking shoes will have less cushion and are less durable because it’s not designed for impact,” he said.
Clark said he also tries to steer customers away from walking shoes for the same reasons. He said running shoes are also more comfortable even if a person only plans to walk. Clark said what he’s found to be the most helpful when trying to determine what a customer needs is ask them questions about their walking or running habits. “The biggest thing I’ve noticed is you just have to get into a conversation with them,” he said. It really comes down to a personal preference, Clark said, and the more you can learn about what a customer wants from their running or walking shoes the better you can help them. The biggest thing is to gain the customer’s trust, Clark said. “We’ll get you in something that will fit your foot the best,” Clark said.
Geoff Crimmins/Daily News
(ABOVE) Tige Arnold, right, helps Vincent Allen, who was shopping for speed hiker shoes at Tri-State in Moscow
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Arnold said the same is true for people who are looking for shoes to go hiking. He said it depends on the kind of hiking they plan to do, the expected terrain and the need for ankle support. Arnold said he asks first if the customer is looking for waterproof or nonwaterproof, with or without ankle support. “Every situation is different,” he said. “Everybody’s got their preferences.” Arnold said he just starts with the basic questions and goes from there. “The big thing is you get what you pay for,” he said. “With us, we carry higher-end stuff and the biggest shock to some people is the price.” Regardless of what a customer is looking for, Arnold said he tries to give customers the knowledge base they need to buy good shoes, and if they’re not sure what to look for he will help. “There’s a lot more than running, hiking and walking,” he said.
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Spring 2013 13
Running with a purpose Organization key to successful running season
Miller said she doesn’t follow a strict For other people, running is more busirunning schedule, but she tries to go sevness and less pleasure. “Maybe 15 percent of the time I run it’s eral times a week. By Ben Handel for my own pleasure,” Caleb Struble, a cadet “As it gets warmer I’ll go out more often though,” Miller said. “Last year I went run- with the University of Idaho Army ROTC ning just about every morning and would program, said. “The rest of the time, it’s arm weather has started to flirt write my times down to keep track of how bright and early for drill.” with the Palouse and runners As a member of the armed forces, Struble everywhere have started to I was doing and so I could see how much I dust off their shoes and wash their jogging was improving. Having doesn’t need to worry “I guess the reason I run is shorts. For many people, this is the time of a schedule helps a lot.” too much about planbecause I want to shed a few the year to start planning a running season. Keeping a journal ning a running strategy. Some people run because they want of your running times pounds and get in shape. I don’t Uncle Sam has that to lose weight, some because they enjoy is a handy trick to help particularly enjoy it, but I want covered. to look good. It’s also a good getting out of the house and some because sustain motivation “Our running proway to meet other people.” gram gives us a good they want to enter a race. Others may go over a long period of variety to build our carrunning with their friends or their dogs, time. It also provides Rachel Miller of Lewiston diovascular strength,” using running as a social tool. a sense of accomplishStruble said. “For example, on Wednesdays “I guess the reason I run is because ment as times for various runs slowly decrease. we do intervals where we run about four I want to shed a few pounds and get in miles total but we do it in spurts where we’ll shape,” said Rachel Miller, a Lewiston na“When I first started recording my run as fast as we can for a half mile or so. tive. “I don’t particularly enjoy it, but I want times, I wasn’t very fast,” Miller said. “It’s so rewarding seeing the difference a few weeks Mondays we’ll just go on one long run. ” to look good. It’s also a good way to meet can make though. ” For those who don’t have the added other people.”
RunKeeper makes tracking your workouts fun, social, and easy to understand so that you can improve the quality of your fitness.
motivation of an angry drill sergeant breathing down their backs, there are many other things to help organize a running season. iPhone apps are a great new way runners can keep track of a plan and stick to it. The app, “RunKeeper Pro” enables GPS tracking, distance, speed monitoring, caloric output and activity history for any number of activities the user partakes in, including sports such as running, cycling, hiking, skiing and swimming. Users can also sync all their data to RunKeeper’s website to monitor progress and share publicly. “Ghost Race,” another app, enables users to track their times on various routes and compare their performance from day to day. The app’s audio function also keeps users updated on their progress against their “ghost” in real-time. And of course there’s music – possibly a runner’s best friend. A good set of tunes can keep workout junkies motivated and focused long after they normally would have thrown in the towel. “Music always helps me go the extra distance,” Miller said. “It takes my mind off my tiredness and gives my feet a rhythm.” Spring 2013
Getting fit with zombies Fitness apps and gadgets abound, but which ones to pick?
ing app. Unlike the Fitbit, UP doesn’t have the option of wireless data syncing, but the details of the data found in the app are valuable and easy By KELCIE MOSELEY to access. The app is limited only to iOS devices — meaning he advent of technology has made devices made by Apple. It’s it easier than ever to track every available through the Apple calorie burned and consumed, heart store, on Amazon.com or at rate beats per minute and even sleep www.jawbone.com/up. patterns in a 24-hour period. l Nike+ FuelBand — But with that comes a problem: With Those in need of motivation thousands of phone apps and many gadgets and love competition — even available, how to choose? with complete strangers — If popularity is the only deciding factor, look no further. Though the a quick Google search can give the answer. price tag of $150 might make But more research on details, feedback some cringe, the FuelBand from current users and how an app fits comes with an entire line of with your current lifestyle can make the accompanying merchandise difference. and apps through Nike. The band has an inner counter Best gadgets for $150 or less l Fitbit One — This gadget is an updated and LCD display that tracks “fuel points” throughout the version of the Fitbit Ultra that does more for a lower cost, at right around $100. The device day, which can be earned by taking a quick walk, climbis about the size of a Bluetooth earpiece, and Tribune/Barry Kough Zombies, Run! is one of the most popular fitness apps available for ing stairs or any other physical can sit right on a belt loop to track activity Apple devices. The app revolves around a story about the zombie apocalypse, activity. The user can compete throughout the day. It also has a wristband and the user is randomly chased by a pack of zombies, forcing the with others to get the most fuel that the user can slip on to measure the qualrunner to speed up or die. It is available in the Apple store for $3.99. points on any given day, or just ity and hours of sleep through the night. All try to beat a personal record. of the data logged with Fitbit can wirelessly sync to a phone, iPad or computer, and the brands range between $40 and $100. user can examine charts and other reports of Wireless headphones mileage and calories burned. Most of the reHeath Kelley, a nutrition specialist at Fitness apps views on Amazon.com for the device, which Gold’s Gym in Lewiston, said bluetooth headl Nike+ Running: Another product of debuted late last year, are positive, saying it’s phones are trending in the fitness world as Nike that is also popular is its running app easy to use and is a good motivational tool. well. He said the technology behind wireless for iPhone or iPod Touch. Kelley said this The Fitbit can also be purchased at www. headphones has improved to the point where app is one people at Gold’s enjoy using, as it fitbit.com/one. people are buying them more often and hav- often comes standard on Apple devices and l UP by Jawbone — If the Fitbit’s constant ing fewer problems with them. is free for download. One of its drawbacks switching between a belt loop or pocket to “Those are kind of the big one coming up,” is the need for a wifi connection to properly your wrist is a turnoff, consider the Jawbone Kelley said. utilize the GPS for measuring distance and UP wristband. While it costs a little bit more Many people enjoy the Beats headphones pace, and even then, some reviewers report at $130, the extra cost might be worth it for by Dre, Kelley said, but Motorola and Sony problems with the GPS accuracy. But for some users. UP also has a sleek, understated also have brands available. Beats wireless regular runners, the ability to track runs and design, and a well-designed, free accompany- headphones cost about $280, while other encouraging recorded messages from celeb-
More than 50 million Americans suffer from allergy symptoms. With Moscow Family Medicine's help, you don't have to be one of them.
Moscow Family Medicine Laboratory now performs the latest generation of allergy testing from a single blood sample. More than 400 individual allergens can be tested and there are currently 6 allergy proles available in our laboratory. The proles include allergens for foods, trees, grasses, weeds, animals, molds and insects. If the allergy is a food allergy, the patient knows what food(s) to stay away from. For most other allergens, immunotherapy treatment can begin to help alleviate allergy symptoms and patients can attain long-term tolerance to the allergens.
The iPhone app gives you full mobile access to your MyFitnessPal.com account, so you can log your food and exercise from anywhere, at any time. All changes made on your iPhone will be synchronized with their website and vice versa.
rity athletes are attractive features. l MyFitnessPal: This free app has a large food and exercise database for calorie tracking, active message boards for advice and encouragement, a large base of members and the ability to sync with many different devices, including the Fitbit. While it doesn’t come equipped with training plans, it is easy to set goals and make friends who can cheer you on when you log weight loss or other activity. l Zombies, Run!: This interactive app is by far one of the most popular in existence for working out. Unlike others that are full of numbers, charts and graphs, this one is purely about having fun while exercising. Once the user starts a “mission,” a story begins about how zombies have taken over the world. If the user is running outside and tracking is turned on, the app will randomly have zombies start to attack. At that point, if you don’t speed up — well, it’s brains for breakfast. The app is a little expensive at $3.99, but worth it for those who are motivated by continuing the story — and maybe the adrenaline rush of zombies in your ear.
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Old school weight loss Moscow’s Clint Payton dropped 235 pounds by eating less, working out more By KERRI SANDAINE
lint Payton shed 235 pounds the old-fashioned way: He ate less and exercised more. No surgery, no special diets, no gimmicks. The 38-year-old Moscow man just quit eating processed foods and switched to water and whole foods — and it worked. Over the course of two years, the 6-foot-2-inch father of two went from 440 pounds to 205 pounds. “There’s only one way to lose weight,” Payton said. “You have to burn more calories than you consume. You can eat Twinkies and lose weight if you’re running a marathon every day. You either eat very little or exercise a lot, whatever combination works best for you.” Payton, an information technology professional at the University of Idaho, decided to take a healthy approach to weight loss. It wasn’t that complicated, photos from Clint Payton he said. He gave up junk food and Clint Payton of Moscow is shown with his children Jacob, 7, and Kylie, 5, before started riding his bike to work. changing his diet and exercise routine, dropping more than 200 pounds. “I wanted to do more with my kids and make sure I was active as they were bread, just very small amounts and chips.” growing up, so I totally changed my only whole grain. I gave up cheese Every week, Payton dropped another diet. I cut out all completely and 2 to 3 pounds. In addition to reducprocessed foods switched to soy ing his calorie intake, he made another “I wanted to do more with my and I never cheat- kids and make sure I was active as instead of milk.” change that helped him lose weight. He ed. In order to do The most difgot a standing desk at his job. Standing they were growing up, so I totally it, I got really rigid changed my diet. I cut out all ficult processed instead of sitting all day burns more with my diet.” calories, he said. processed foods and I never cheated. food to bid fareHis rule of well to was chips. “Losing weight is not as mysterious In order to do it, I got really rigid thumb was pretty “I liked corn as people try to make it,” Payton said. with my diet.” simple: If it grows, chips, mostly be“Your body is a closed system. You conClint Payton of Moscow runs or swims, it’s cause I like salsa. sume energy and you burn energy. You OK to eat. I found other ways to eat salsa. I would have to find some balance of those two “I ate all types of proteins. I still ate put it on brown rice or homemade kale things. If you start losing weight, you
photos from Clint Payton
(ABOVE) Clint Payton of Moscow decided to lose weight and used a simple diet of whole foods to lose more than 200 pounds in two years. His children Jacob, 7, and Kylie, 5, are also happy about it. (RIGHT) Clint Payton’s ID tags show his weight loss.
maintain that balance.” Payton said he was always a big kid. He grew up in Texas and was overweight from middle school on, but he remained pretty active, playing sports and participating in the marching band. In 1992, he moved to Moscow to attend the university, and he continued to gain weight. The No. 1 culprit in his case was a bad diet. A couple of years ago, he decided it was time to make a change. “I didn’t really have a pivotal moment. I just decided I was going to do it. A lot of people don’t recognize me now. They think I had surgery. I tell them no
way. I did it the old-fashioned way, mainly because I couldn’t afford anything else.” The weight loss allows him to do more with his kids, ages 5 and 7, and engage in more outdoor activities. It also helped him realize his dream of becoming a volunteer firefighter. “I joined the Moscow Fire Department and I wouldn’t have been able to do that,” he said. “I am doing a lot of stuff I wouldn’t have been able to do. I feel much better and have more energy.”
Spring 2013 19
Paddling a kayak on the calm waters of the Snake River at sunset is a way to escape the ratrace, get exercise and not travel too long to get there.
Get out and get fit Full- and half-day trips make it easy to exercise in the great outdoors By Kevin Gaboury
o you have the day off, the sun is shining and you’re looking for something cheap to do that doesn’t require too much driving. If you’re not sure where to start, there are plenty of options in and around the region to get you out of the house for the day while getting some exercise.
Hells Gate Marina
The Hells Gate Marina at Hells Gate State Park, just two miles south of Lewiston, offers rentals of canoes, kayaks or rowboats from around Memorial Day to Labor Day. The cost is $35 per day. Marina manager Jock Pring recom-
mends turning left from the marina and paddling upriver as far as you can go. When you’re done, just sit back, let the current take you home. “I’ve had some people go up to Asotin,” he said. “I had one guy go beyond Asotin, but that was in a canoe.” The rowboat is ideal if you want to do a little fishing, Pring added. Hells Gate State Park also has a system of dirt trails for hiking, horseback riding or trail running and there’s a designated area for swimming. For more information, call the park office at (208) 799-5015.
State parks provide recreation opportunities
Three state parks a short distance from Lewiston and the Palouse offer beautiful scenery and great hiking opportunities for a half- or full-day trip. l Just 77 miles west of Lewiston, Palouse Falls State Park features several miles of hiking trails and dramatic views of the 198-foot-tall falls. The park is open from 6:30 a.m. to dusk during the summer months and requires a Washington Discover Pass for all vehicles or a $10 day pass. l Nestled at the base of the Blue Mountains 30 miles south of Clarkston, Fields Outfitters offer rafting trips Spring State Park offers several miles of Several local outfitters offer rafting hiking, biking and running trails. It’s also a trips on the Lochsa, Clearwater, Snake popular cross-country skiing and snowand Salmon rivers in Idaho. For more shoeing destination in the winter. Summer information on how to book a trip, visit hours are from 6:30 a.m. to dusk, and a the Hells Canyon Visitors Bureau at www. Discovery Pass is required for all vehicles. visitlcvalley.com or call them at (509) l Kamiak Butte County Park, just 12 758-7489. miles north of Pullman in Whitman Coun-
ty, features five miles of forested hiking trails that reach an elevation of 3,641 feet. Visitors are treated to panoramic views of the Palouse region and more than 150 bird, mammal and plant species. The park is open from 7 a.m. to dusk in the summer.
With its craggy peaks and awesome depths, Hells Canyon offers some breathtaking views for hikers. The Hells Canyon National Recreation Area boasts nearly 1,000 miles of trails, so finding a good day hike is easy. The most popular trails are a few hours south of Lewiston and require travel on unpaved roads. ď Ź The Snake River Kirkwood Ranch Trail is a moderate, 10.6-mile out-andback route that takes hikers from the Upper Pittsburg Landing to the Kirkwood Living History Ranch, according to www. Trails.com. The trail offers spectacular views of Hells Canyon, ending at the Kirkwood Ranch, an idyllic oasis of green
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grass nestled between the steep walls of the canyon. The best time to go is April or May, and the route takes approximately five hours to complete. Camping is also available at the ranch if you plan on an overnight stay. No water is available, so bring plenty of your own. To get there, drive south from Lewiston to White Bird, then take the 17mile maintained gravel road to Pittsburg Landing. ď Ź The Snake River Trail is a 54-mile route that starts about 6 miles downriver from the Kirkwood Ranch Trail. The moderate-to-strenuous route offers spectacular views from river level to the peaks of the Seven Devils Mountains. Wildlife, such as bighorn sheep, can also be spotted. It is best in the spring when the canyon is green and itâ€™s perfect for a long day hike or four- to six-day backpacking trip. For more information on these or other Hells Canyon hikes, visit the Hells Canyon National Recreation Area office in Riggins or call (208) 628-3916.
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You Choose the hoursâ€Ś You Choose the daysâ€Ś Spring 2013
Heart-healthy cooking Mediterranean diet is good and good for you BY VERA N. WHITE
Located inside Rosauers
322 Thain 22
Egg with Tomato
Meat Balls Marinated
6 eggs 5 tomatoes ½ cup of oil salt and pepper
600 grams of minced meat, not too lean 2 onions, grated 2 slices of bread, soaked without crusts 2 teaspoons full of milk 2 teaspoons full of salt A little black pepper 1 cup of oil Vinegar 3 tablespoons of flour ½ cup of tomato juice 3 cloves of garlic crushed Red pepper Parsley, finely chopped
Wash the tomatoes well, skin and cut them up as finely as possible. Put the oil in a frying pan once it is heated well, add the tomatoes. Salt and pepper it and allow to fry for 5 minutes until a sauce is obtained. In the meantime, beat the eggs well, then add to the tomatoes in the frying pan. Lower the heat and allow the omelet to cook well. Prick with a fork all over for better and even cooking. Then when one side is done, turn the omelet carefully over to the other side. Mix the minced meat with the onions, Three portions. 280 calories each. the soaked bread, the salt and tablespoons of vinegar. Knead these ingredients and mold into big meat balls. Coat each one with flour and fry them, using the 4 cups of oil mentioned in the ingredients. Then Over strain the oil from the frying pan, wash the pan and use 5 tablespoons of frying oil. 2500 Add the flour and stir until brown. Pour in Items the tomato juice, the water (or meat stock if used), the crushed garlic, 3 tablespoons of Certified Organic Foods vinegar and some parsley. Allow the sauce to come to a boil and pour over the 4 meat Natural Body Care Products balls. www.huckleberrysnaturalmarket.com 8 to 10 portions. Road, Lewiston • 411 North Main, Moscow 2 meat balls per serving, 90 calories. 375181C4-13
uring my years of writing food columns, I developed the habit of reading food magazines like normal people might pour over the latest best-selling novel. In the past few months, I’ve noticed a trend developing of people who are adopting the Mediterranean diet for a heartVERA WHITE healthy eating plan. According to the Mayo Clinic staff, this diet incorporates the basics of healthy eating plus a splash of flavorful olive oil and perhaps a glass of red wine among other components characterizing the traditional cooking style of countries bordering the Mediterranean Sea. Most healthy diets include fruits, vegetables, fish and whole grains and limit unhealthy fats. While these parts of a healthy diet remain tried-and-true, subtle variations or differences in portions of certain foods may make a difference in your risk of heart disease. Research has shown that the traditional Mediterranean diet reduces the risk of heart disease. In fact, a recent analysis of
more than 1.5 million healthy adults demonstrated that following a Mediterranean diet was associated with a reduced risk of overall cardiovascular mortality, a reduced incidence of cancer and cancer mortality, and a reduced incidence of Parkinson’s and Alzheimer’s diseases. I had occasion a few years back to take a Mediterranean cruise. At a stop in Athens, I picked up a cookbook titled, “222 Recipes, the Greek Cookery Book.” I am sharing some recipes below that reflect this tasty and healthy style of eating.
l 6 sheets of ready-made crust pastry l 3 cups of milk l 5 tablespoons of sugar l 5 tablespoons of semolina l 2 eggs beaten l 4 tablespoons of butter l 1 cup of castor sugar l ½ tablespoon of cinnamon
Put the sugar, milk and the semolina in a small saucepan to heat on a moderate flame. Stir until it has thickened slightly. Remove from heat and add the eggs gradually stirring well. Spread 1 sheet of crust pastry coated with melted butter. Put in the center of the pastry a small portion of the mixture remembering to divide the mixture so that you have enough for five more sheets. Fold the pastry over the stuffing carefully and form a square shape. Repeat the procedure with the other five sheets. Coat the top sheet with butter. Coat the baking tin as well and bake in a moderate heated oven for about 20 minutes. When cooked, sprinkle with castor sugar and cinnamon. l 1 piece, 340 calories.
Strength and balance fitness classes available through WHMC Classes are taught by trained and certied Hill Ray Plaza Colfax Whitman Hospital instuctors. Monday / Wednesday 10-11am Call 509-397-5733 for more information. LaCrosse Methodist Church Tuesday / Thursday 1200 W. Fairview St., Colfax • (509) 397-3435 www.whitmanhospital.com 9-10am Spring 2013 23
Minty fresh or deadly alternative? E-cigarettes, used by some to kick the habit, on the FDA’s hit list By JOEL MILLS
hey come in flavors like peach mango and minty grape, but consumers won’t find them on the candy aisle at the local drug store. They are electronic cigarettes, or e-cigarettes, and they have a brief but embattled history in the U.S. Some producers and vendors claim they are a safer alternative to tobacco that can help smokers kick the habit. But the Food and Drug Administration has tried to ban the nicotine-delivery devices, and is in the process of trying to regulate them as tobacco products. “I think it’s actually a legitimate way to help people quit,” said Derek Russel, who sells e-cigarettes at a Moscow smoke shop. Bess Isaacson, a Mayo Clinic-certified tobacco treatment specialist at St. Joseph Regional Medical Center in Lewiston, can’t recommend them as a cessation aid. “I can’t support it because we only go with FDA-supported medications,” Isaacson said. And Dr. Hugh Haegelin, a Lewiston specialist in pulmonology, said he doesn’t think e-cigarettes are helpful, and can even contain small amounts of known carcinogens. Most e-cigarettes resemble regular cigarettes in shape, and work by using a battery to heat an element that vaporizes a liquid that usually contains water and synthetic nicotine. Some also contain propylene glycol, which produces a visible vapor when heated.
Blair Roberts, a 22-year-old sales associate at Colorado E-Smokes, holds an electronic cigarette and the filter end that holds the liquid nicotine solution at an E-Smokes store in Aurora, Colo.
E-cigarettes were introduced to U.S. markets in 2007, but were briefly banned by the FDA in 2009 and 2010. Since then, they have steadily gained a following, especially among those looking for a way to quit. Others choose e-cigarettes because it allows them to “smoke” indoors and take fewer breaks on the job, Russel said. Isaacson has heard anecdotal evidence during some of the classes she teaches of ecigarettes helping people quit. But she’s also heard of people who misuse them and get sick from inhaling too much nicotine. “They’re sucking on them like a regular cigarette,” she said. The FDA also has warned of other adulterants in some e-cigarettes, like diethylene glycol, an ingredient in antifreeze. And
there are several reported incidences of the lithium ion batteries inside the devices overheating and exploding, sometimes causing injuries. But Russel said e-cigarettes continue to gain popularity. About three quarters of the customers who buy them are over 40, and the rest are in their 30s. Virtually no teens or college students buy them because that demographic prefers regular cigarettes, and hasn’t yet tried to quit, he said. And even though many brands are engineered to taste like candy, the most popular varieties taste like tobacco, he added. “That’s mainly what I sell,” Russel said. “People really don’t seem to go for the flavors.”
He sees a spike in sales every January. “Everybody’s making that New Year’s resolution to quit smoking.” Haegelin recommends either nicotine gum or the prescription drug Chantix to his patients. Chantix has a 100 percent success rate in his experience, Haegelin said, but it does have the risk of psychological side-effects like hostility, agitation, depression, and suicidal thoughts or actions. Isaacson belongs to the Association of
Treatment of Tobacco Use and Dependence, and she said its members are eager for more information about e-cigarettes. “We agree that it’s here to stay, and we’d like to get studies on it and see what are the benefits,” she said. “We know the negative end of it.” And even Russel said his firsthand experiences with customers indicate mixed results. “It’s a big hit or miss with people.”
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Spring 2013 25
The power of the sun The effect of sunlight — or lack thereof — is much greater than you might think
go to bed later,” Van Dongen said. “This one of the first approaches that people is a biological phenomenon. This is not tried,” said Dr. Cassandra Nichols, direcsomething they do because they are lazy tor of WSU’s counseling center. or they want to party all night.” While it doesn’t work for everybody, The lack of sunlight also causes a defishe said, for those who respond, it tends By Tom Hager ciency in vitamin D in the body. Separate- to work pretty well. ly, there is growing evidence that a lack of WSU students seeking light therapy can unny days can often seem scarce on sunlight can increase your risk of cancer, call (509) 335-4511 to set up an appointthe Palouse in spring, and that can diabetes, and multiple sclerosis. They will ment, while UI students can call (208) spell trouble for people in a variety never be the sole cause of any disease, but 885-6716. of ways. Not only does the lack of sunlight it certainly creats an issue for people living For residents of the area who don’t cause a higher frequency of Seasonal Afin overcast areas. attend either of the fective Disorder in the Pacific Northwest, The most com“This is a biological phenomenon. universities, Nichit can also lead to a sleep and vitamin D mon problem, how- This is not something they do ols recommends deficiency. ever, is that the lack because they are lazy or they want they visit a psychiaDr. Hans Van Dongen, a scientist at of sunlight causes trist. Anyone can to party all night.” seasonal depresthe Washington State University Sleep purchase the lights Dr. Hans Van Dongen sion. The producand Performance Research Center, says online, which genscientist at the Washington State University tion of serotonin sunlight plays a role in our sleep habits. erally cost less than Sleep and Performance Research Center in the body, which Sunlight, he says, controls the timing of $200, but a trained is known as the happiness hormone, our biological clock, a part of the brain professional would know which one to drastically decreases during the winter. that keeps time. choose and whether any other factors may “It’s a real group of cells, actually,” Van Although WSU estimates that 6 percent be causing the depression. They may recof the general population suffers from Dongen said. “You can point it out. We ommend anti-depressant medication, talk seasonal depression, over 10 percent of know where it’s located.” therapy, and exercise, she said, but more people living in the Pacific Northwest suf- likely than not they will recommend the There’s a spot in the brain where the nerves from the eyes cross over each other fer from S.A.D. light therapy if sunlight deficiency is the Fortunately for college students, there on the way to the visual cortex in the back source of the problem. of the brain, he said. A group of cells there is a solution. Both the University of Idaho There is a perception that because a gets to see the light that the eye sees before and Washington State University offer lack of sunlight causes a deficiency in you actually see it in your visual brain. free confidential testing and counseling. “That group of cells knows what time The main approach counselors use is light it is based on light exposure outside and,” therapy, which replicates the healing efhe said, “... will be responsible for making fects of the sun. sure that you adjust to a time zone.” “It’s been used for about 20 years… It’s Unfortunately, for the tens of thousands of college students in this area, he said, they are likely not getting the sun exposure that other age groups are getting. “Their biological clock is naturally inclined to be a little bit later than that of older people and so they are automatically driven biologically to get up later and to
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Robert Hubner/WSU Photo Services
Dr. Hans Van Dongen in the observation room of the sleep lab with a research assistant
vitamin D, one can simply take vitamin D pills to prevent S.A.D. But the depression is caused by the lack of sunlight, as is the vitamin D deficiency. Vitamin D pills canâ€™t replace the light therapy.
The biggest misperception, however, is that one can simply mitigate the effects by more exposure to the outdoors. That gains you little if the sun is hidden behind clouds, Nichols said.
Spring 2013â€‚ 27
Transplant advocate understands the need on a personal basis awareness about the importance of bone marrow transplants, which replace dysfunctional blood-forming stem cells with healthy ones. Roberts, who recently returned to work, reATLANTA — Delia Fernandez is looking ceived a bone marrow donation from her sister. for her perfect match. “This is not just for me, but to help save Not for love, but to stay alive. other people’s lives,” said Fernandez, a logistics The married mother of four, who was diaganalyst for an Atlanta company. nosed with chronic myeloid leukemia in 2008, For those needing such transplants, there’s has waited nearly two years for a new bone a 30 percent chance that a family member, marrow transplant. particularly siblings with the same two parents, Anti-cancer drugs didn’t work. Nor did a will be a full match. previous transplant. The greatest risk for complications for Donor and recipient DNA have to be closely recipients is graft-versus-host-disease, in which matched for transplants to work. the donor’s immune system recognizes the So far, doctors scouring a registry of potenpatient’s cells as foreign and attacks them, said tial bone marrow donors for a match that will Dr. Otis Brawley, chief medical officer of the work and not cause new complications have American Cancer Society. come up empty-handed. Fernandez’s siblings are only partial matchThat’s why Fernandez, 38, a resident of Hiram, Ga., wants people to join the registry as es, so now she is looking outside her family. People with the same ancestry are most potential donors, particularly African-Amerilikely to be matches. But genetics can be tricky. cans, Asians and Latinos. Latinos, for example, come from a very diverse Minorities are underrepresented on Mingenetic pool, which makes it more difficult to neapolis-based Be The Match, a large registry find a full match. of potential bone marrow donors. “You think of your genetics as a fingerprint,” More than 70 types of diseases, including said Dr. Scott Solomon, an Atlanta hematololeukemia and lymphoma, can be treated with gist and oncologist and medical director of bone marrow transplants. the Unrelated Donor Transplant Program at She said the decision by “Good MornNorthside Hospital in Atlanta. ing America” co-anchor Robin Roberts to go “Trying to find someone with the same finpublic with her battle against myelodysplastic gerprint is very, very difficult.” And there have syndrome, a rare blood disease, helped raise By Shelia M. Poole The Atlanta Journal-Constitution
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been “some amazing matches” between people of different ancestries, Brawley said. “There have been good matches between individuals who appear to be European and individuals who appear to be black,” he said. Be The Match has facilitated more than 55,000 transplants since 1987. It has more than 10.5 million potential donors in its registry. “So the challenge is that we have to find more people of ethnic diversity to join the registry to help meet our needs,” said Tina Saadat, the Southeast recruitment and community development supervisor for Be The Match. One problem donor-matching organizations face is that people think there are risks to donating, when there are few. “I think a lot of it has to do with education on the topic,” said Fernandez. “There are still a lot of misconceptions about donating.” Some of her older relatives think “they will take out an organ or that you will end up in a wheelchair.” There are several ways to donate, including by bone marrow stem cell collection, a surgical outpatient procedure done in a hospital. Peripheral blood stem cells can also be given in an outpatient procedure similar to donating platelets or plasma. Blood stem cells are the most frequent donation, and fewer than 1 percent of PBSC donors experience a serious side effect from the process. Dr. Al Soltan, president of Georgia Cancer Specialists, said transplant outcomes have improved over the years in part because of better patient-centered programs and better control of infections. “We get to see many people benefit from the gift of life,” he said. The optimum age to donate is between 18 and 44, but people generally stay in the registry until age 61, when they automatically roll off. Solomon said finding a potential donor can be complicated. Once a donor joins a registry, he may not be identified as a potential match until years later.
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