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Living Healthy JULY & AUGUST 2013 An Idaho Statesman publication

Camp food can be fun — and healthy 4 U of I dietitian offers up some menu makeovers Exercise outdoors with caution Take heed of the heat and other dangers

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Take part in the Idaho Senior Games 8 Meet a mother and son who ‘got in the game’ Alleviate acne with these tips 12 Idahoan Roshan Roghani advises us on skin care Change requires long-term thinking Elke Shaw-Tulloch’s public health column

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Taking charge of your health 14 Marc Johnson writes about prostate cancer Rodeos go pink for a good cause 16 Events benefit, bring attention to breast cancer Summer salad blends meat, veggies Plus, tips for buying fresher produce

18 & 19

It’s summer — be safe in the sun Idahoans at higher risk for skin cancer

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Sunscreen is a complicated thing Some tips to help you sort it all out

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Photos from local fun runs 28 & 39 Color Me Rad and Main Street Mile held in June Treasure Valley health news Hospitals and other groups share updates

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On the cover: Meridian’s Christina McEvoy enjoys the sun with family and friends at Eagle Island State Park. A skin-cancer survivor, she makes sure to take precautions. Related story, page 20. Photo by KATHERINE JONES / kjones@idahostatesman.com

How to reach us at the Idaho Statesman

648271-01

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ADVERTISING OPPORTUNITIES: Gina Moore-Smith at 377-6313 or gmoore-smith@idahostatesman.com EDITORIAL CONTENT: Holly Anderson at 377-6435 handerson@idahostatesman.com The next issue of Living Healthy will publish Sept. 7.


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Give your next camping trip a

NUTRITION MAKEOVER C

in a cold stream or lake to only nutritious, but can also act like ice amping season is finally chill it. When the bladder is blocks to keep the cooler cold. here. After years of expeempty, you can refill it with Æ Frozen bags of vegetables can also be rience, I have concluded water and hang it in the sun used like ice in coolers and can enhance that the secret to a successful to make a solar shower. your grilled meals. camping trip is having great “Gourmet” s’mores (I had Æ Yogurt in tubes can be frozen for a food. Food tastes so much to get these in because they great, tasty, cold treat. better when it’s cooked and are part of my 20 percent): Æ Eggs. eaten outside. Nutrition Melt chocolate in a cup, Æ Milk, cheese sticks, yogurt. For most, visions of campwarm a marshmallow over Æ Meats/fish/chicken. ing include foods like hot SEANNE SAFAII the fire, then dip it in chocoÆ Condiments. dogs, chips, soda pop and Special to Living Healthy late and roll it in crushed gras’mores. ... M’mm my faham crackers. Eat it right off vorite. Even though our activFor hikes, try some of these items that can the stick. ity level usually increases on camping be easily packed: trips, our nutritional intake suffers. CampÆ Fruit. The kinds with hard skins work ing really requires its own set of nutrition the best, like apples. OTHER HEALTHY CAMPING TIPS rules! I like the 80/20 rule—that is 80 perÆ Carrots, celery and sugar peas. Unless you are able to keep foods at the cent of the time you eat amazingly healthy Æ Granola bars or breakfast bars. correct temperature, avoid foods that need and the other 20 percent of the time you Æ Homemade trail mix: Combine nuts, refrigeration. Don’t forget to stock up on may treat yourself to your favorite not-socereals, raisins, craisins, chocolate chips or canned, packaged and dried foods that healthy foods. Healthy camping just takes M&Ms, dried fruit, pretzels and anything won’t spoil, to supplement fresh foods. a little planning. Here are some suggeselse that sounds good in sandwich bags. tions. Æ Water, water, water. Foods requiring no refrigeration Æ Bring plenty of fresh, canned and Back to the s’mores. . . if you MUST dried produce—carrot sticks, celery sticks, NEW TWISTS ON THE TRADITIONAL makeover s’mores, add a little peanut butapples, melons. Hot dogs: Choose brands with less than ter on top of the chocolate to boost the Æ Trail mixes, granola bars, Chex mixes, 150 calories, 450 mg sodium and 4 g satuprotein content, or better yet, add some nuts, cereal bars. rated fat. sliced bananas. I guess even everything Æ Low-fat jerky. Chips: Choose baked potato chips, pretcan undergo a nutrition makeover. Æ Breads and crackers. zels and baked tortilla chips. Æ Peanut butter. Dips: Use light sour cream dips or salsa. Æ Dry cereal or oatmeal. Soda: Choose diet soda, flavored waters, Dr. SeAnne Safaii is a registered dietitian and assisÆ Canned tuna. sparkling waters, sport drinks or diet ice tant professor of dietetics at the University of Idaho. teas. She also is president of the Idaho Academy of Beer: Switch to “light,” which has half Foods that require refrigeration Nutrition and Dietetics. She has worked in both the calories of regular beer. Æ Frozen 100 percent juice boxes are not public health and in acute care. S’mores: There is no substitute for s’mores! For those true gourmet campers, don’t forget to pack spices, pesto and pasta sauces. Before leaving home, cut up small bite-sized pieces of chicken or beef, marinate and freeze for kabobs. Bring potatoes, onions, zucchini and summer squash. Put them in a foil packet with butter and seasonings and seal it. Toss on the grill along with the kabobs, turning occasionally until they are done for a delicious meal. One of my favorite camping potato recipes is dutch oven hash browns. Find this recipe and many others designed for camping on the Dirty Gourmet website: www.dirtygourmet.com/category/recipesby-type/breakfast. Although oenophiles might think twice about sampling wine from a box, when it comes to camping, there is nothing better. There are no glass bottles to worry about hauling away, and you can use the box to start the campfire. If you are drinking PETE ZIMOWSKY / Idaho Statesman file white wine, you can submerge the bladder Kabobs are an easy but fun meal to make while camping. 4

LivingHealthy


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PETE ZIMOWSKY / Idaho Statesman file

Enjoy the views and sunsets on the Foothills trails, but remember to heed any designated park and trail hours and to carry a flashlight just in case.

Keep safety in mind when you exercise outside BY MARJIE GILLIAM COX NEWSPAPERS

Warmer weather brings greater motivation to engage in outdoor activities. But exercising in heat and humidity for prolonged periods of time can overtax the body, unless the fluids lost with perspiration are replaced. Should you consume water or a sports drink? Experts agree that water is the best choice when it comes to normal fluid loss — that is, when going about everyday activities like running errands, housecleaning and other routine tasks, or where exercise is not overly intense. Sports drinks specifically designed to replace electrolytes are generally recommended as a suitable fluid replacement in cases where physical activity is more extreme or when there is excessive sweating. Most experts recommend steering clear of so-called energy drinks.

MORE SAFETY TIPS Æ Remember to carry identification with you, especially if you exercise alone. Include your name and emergency contact 6

LivingHealthy

Don’t get caught off guard by longer days, life’s hazards number(s), as well as any pertinent medical information. Æ If you have a cellphone, take it with you. If you don’t own one, carry a safety device such as a personal alarm/siren, or even a whistle. Æ Before heading out, let someone know where you are going and the approximate time you plan to be back, as well as the route you will be taking in the event that someone needs to find you quickly. Keep your eyes and ears open, be aware of your surroundings and have a strategy planned for handling potential problems. Æ People frequently wear headphones while exercising. While motivational, unfortunately this can also make them less aware of noises around them. There are two great products I’ve recently discov-

ered that help solve this problem. AfterShokz headphones have a unique design that allows an open-ear listening experience, providing a safe and comfortable way to tune in to music or a phone call during activity, without tuning out surrounding environmental noise (aftershokz.com). AIRbudz (safesoundproducts.com) are earbud attachments designed with built-in air channels that allow the user to simultaneously hear music without distortion, while also allowing ambient noise into the ear. They fit into most existing earphones currently on the market that have removable earbud attachments. Æ It’s always best to refrain from exercising alone when out at night, but if you do, wear light-colored clothing and reflective tape to make you more visible to traffic. If you own a dog, take him with you. Æ Vary your route from time to time instead of taking the same one, and don’t always start and stop in the same place and at the same time. When letting yourself back into your house or car after exercising, have your door key or car opener ready beforehand.


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Photos by KATHERINE JONES / kjones@idahostatesman.com

Dave Fujii, who graduated from Payette High School, was the 1978 state triple jump champion. Now he and his mother, Pat Fujii, participate in the Idaho Senior Games. David will compete in this year’s triple and long jumps as well as in shot and discus in the state games. Pat will compete in the long and triple jumps, and the 50-, 100- and 200-meter dashes. They both also qualified last year for this year’s National Senior Games.

Never too old A mother-son duo competes in the Idaho Senior Games BY MELISSA DAVLIN SPECIAL TO THE IDAHO STATESMAN

© 2013 Idaho Statesman

As 81-year-old Pat Fujii practiced her sprints on a sunny June evening, her son, Dave, 52, ran alongside her and gave her tips. Remember to breathe. Lengthen your stride. Pick up your knees. “He’s a good trainer,” Pat said after one of her trips down the track. Pat and Dave both compete in the Idaho Senior Games, an annual sports event for Idahoans 50 and older. Through the years, Pat’s commitment to a healthy lifestyle has inspired other competitors, including her son, who competed in his first games in 2011. Idaho Senior Games events take place in multiple locations around the Treasure Valley, including Ann Morrison Park and Emmett’s Black Canyon Park. Events include track and field, archery, bowling, tennis and golf. Qualifying competitors can go on to compete in the National Senior Games. The games are sponsored by the National Senior Games in partnership with Boise Parks and Recreation. CONTINUED ON PAGE 10 8

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Chiropractic Care: For Elite Athletes, For Everyone! BY DR. DEED E. HARRISON, DC | OWNER & DIRECTOR OF THE IDEAL SPINE HEALTH CENTER

hiropractic has long been associated with keeping athletes performing at their highest level. As a matter of fact, some professional athletes will not get out onto the field (or court) without a proper and thorough adjustment by their chiropractors. For examples, Tiger Woods, Kobe Bryant, Jerry Rice, Tom Brady, and Terrell Owens are among athletes who count on their chiropractors – as much as their trainers – to get them ready for a big game. Just last month, basketball fans around the world were watching Miami battle San Antonio for the 2013 NBA championship. But most people don’t realize just how much of an impact a grueling six-month NBA basketball season and a two-month playoff run can have on an athlete’s body. NBA teams everywhere understand the importance of proper spinal alignment and how it can affect the health and longevity of their athletes. That’s why all 30 NBA teams have a team chiropractor on staff. Furthermore, the athletes, themselves, understand that maintaining a healthy and aligned spine will keep their bodies working like a well-oiled machine. They understand how chiropractic can impact their overall health, wellness, and athletic abilities. Chiropractic care helps enable elite professional athletes to continuously compete on a phenomenal level, elongate their careers, and avoid debilitating injuries that could sideline their dreams. Unfortunately most sport fans may not realize just how important chiropractic care can be for themselves and their families. After all, great chiropractic care isn’t just reserved for the elite professional athletes. Sitting behind a computer for eight hours a day, lifting grocery bags and children, making a wrong move at the gym, slouching while watching television, or sleeping in the wrong position at night can exert strain on your spine, just like a professional player experiences strain on their spine during a game. Whether you spend your time behind a desk, in front of a television, or out on the field chasing after victories, your spine needs to be in alignment and performing at its best all the time. If left untreated, a misaligned spine – whether it’s a

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"I just got started last year," says Pat Fujii, referring to her competition in the long jump and triple jump. "It’s never too late," says her son, Dave Fujii. "That's probably a really good theme."

CONTINUED FROM PAGE 8

GET IN THE GAMES Neither of the Fujiis was a health nut or even exercised much in recent years before getting involved in the senior games. Pat, a retired educator, was always petite and slightly weak, Dave said. She had trouble with physical tasks like pulling luggage. Dave participated in track in high school and coached students later in life, but worked at a desk all day and described himself as a “workaholic couch potato.” That changed in the mid-1990s, when one of Pat’s daughters gave her a gym membership. She began working out, then started participating in the senior games in the years after that. Dave, impressed by his mom’s achievements and drawn in by the friendliness of other competitors, joined in 2011 when he turned 50. Training for the annual games isn’t Pat’s only way to stay fit. She belongs to a weekly walking group, practices tai chi and volunteers at the West YMCA. But Pat wants to make one thing clear: Seniors don’t have to be super healthy to be active and participate in the senior games. Pat has her own health problems. She takes medication daily to help with multiple ailments. In 2008, Pat was diagnosed with breast cancer. Even that couldn’t stop her from participating. Throughout her radiation therapy, she trained. Her doctors had told her staying active would help with radiation-related fatigue, “so I never stopped exercising,” Pat said. She competed in the Senior Games the day after her last radiation treatment. She isn’t the only one who has some struggles. At the games, participants encourage each other while remaining aware of their limitations, Pat said. Everyone has health problems of some sort, and friendly encouragement takes the place of trashtalking. That camaraderie is what draws most participants to the games, said Idaho Senior Games state coordinator Mike Thornton. Though there are a handful of serious athletes, most are like Pat and Dave — everyday people who want to get off the 10

LivingHealthy

Idaho Senior Games are open to people 50 and older. The 2013 state games are Aug. 3 through Sept. 1, with events taking place throughout the month. Events include archery, basketball, billiards, bocce ball, bowling, cycling, golf, horseshoes, pickleball, racquetball, run/walk, shuffleboard, metal bat and wooden bat softball, swimming, table tennis, tennis, track and field, and triathlon. The last day of registration is Aug. 2. For more information or to register, visit idahoseniorgames.org. For more information, call Mike Thornton, 208-297-2032. couch, get active and take control of their health. Over the years, Pat added different events. In some, such as long jump, she has been the only competitor in her age division on the state level. But the short, slender woman’s presence on the field turns heads, and other competitors have taken notice of Pat’s commitment to staying active. Thornton remembers seeing Pat push herself during the 2012 games. “I looked up about two o’clock in the afternoon. It’s about 95 degrees,” he recalled. “She’s already competed in four events, and she’s lining up to do another (race). I’m 73 and pretty fit for my age, and I certainly wouldn’t have wanted to follow her schedule.” In 2012, both Pat and Dave qualified for the 2013 National Senior Games, taking place in Cleveland this summer. Pat and Dave were picked to carry the flag for Idaho during the opening ceremonies. Another of Pat’s admirers was a firsttime competitor with Dave in 2011. When they returned in 2012, Dave noticed the man had toned up considerably. When the two chatted, Dave’s peer cited Pat as his major motivation. As Dave told the story over dinner in late June, Pat expressed surprised. “Mom doesn’t realize who all she inspires,” Dave said.


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Proper skin care can alleviate acne A

cne (acne vulgaris) is a skin condition where lesions form on the face and upper body. Though it is difficult to pinpoint the exact cause for each individual, acne is typically caused by one or more natural body functions including: hormone imbalances or changes, overproduction of oil, frequent shedding of skin, or clogged pores due to debris accumulation.

night and right after working out. Be sure to use a mild cleanser that is made for your particular skin type. Astringents should be used only on oily spots and only if your skin type is extremely oily. Using harsh soaps, Skin care loofahs or tough scrub pads ROSHAN ROGHANI can exacerbate the problem. Stop touching your skin: Special to Living Healthy Pinching or squeezing your blemishes can cause scarring, blotching and bleeding. If you must, use a blackhead extractor to remove the WHO GETS IT? debris from a pore. Monthly microderThough acne is very common among mabrasion treatments are a great way to adolescents, it also affects millions of control acne, keep dead skin and dirt at bay adults. Young adults are most susceptible and gain a healthier, more radiant comto frequent acne breakouts. During puberplexion. There are many great local spas ty, levels of the male hormone androgen that offer specialty pricing when you buy increase in both boys and girls, causing multiple treatments at once. Online glands to enlarge and create excess sebacoupon deals also offer many inexpensive ceous matter. In adults, common causes opportunities for those wanting to try a include genetics and lack of dead skin or micro or peel treatment for the first time. debris removal. Adult women may suffer Shave with care: Try both electric and slight acne sensitivities due to using the traditional razors to see which irritates wrong cosmetic items for their skin type. your skin less. Tugging and irritating the hair follicle can be a big reason for irreguHOW SHOULD IT BE CARED FOR? lar breakouts. Be sure your razors are alClean carefully. Wash in the morning, at

ways sharp and only shave as needed. Be mindful of the cosmetics you use: If you are acne-prone, always choose oil-free cosmetics or treatments. Instead of a heavy foundation, try a light BB or CC cream. I like to give my skin at least two days a week to breathe. Never sleep in your makeup. Open your pores: Bring a small pan of water to a boil, place a cloth over your head and breathe in through your nose. The steam will open your pores and should be followed by a micro treatment, extraction or at-home mask. You can add a few drops of your favorite essential oil in the pan. Peppermint is refreshing, and thyme is perfect for late-night relaxation.

WHEN DOES IT GO AWAY? Unfortunately there is no way to tell and results vary for each individual. Always try adjusting your care routine before seeking medical assistance. If you still do not see results, contact a dermatologist. Roshan Roghani has experience in a variety of cosmetic fields, from product development to merchandising. She is the director of exports at skin-care product company Camille Beckman in Eagle.

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Changing communities takes long-term efforts H

IPAN also worked with ealth interventions need the seven local public health to be “sticky,” according districts to conduct a comto Mark Fenton, a wellmunity assessment created known public health and by CDC, called the planning consultant who visCHANGE Tool. The ited the Treasure Valley reCHANGE Tool evaluated the cently and spoke to public existing environment and health, transportation, planPublic health policy support of physical acning and engineering officials as well as elected offiELKE SHAW-TULLOCH tivity, nutrition and tobacco cessation. From these assesscials and the general public. Special to Living Healthy ments, communities identiHe wasn’t talking about fied needs and assets and dedoughnuts or other gooey, veloped community action plans to addelicious confections, unfortunately. He dress the gaps. was talking about making changes in There has been some great success with neighborhoods and communities that last. the CHANGE Tool community action He said short-term, one-shot programs plans: and interventions aren’t necessarily susÆ Emmett is connecting a walking path tainable. While programs such as weight around its city park. loss challenges and fun runs are beneficial Æ Meridian is implementing healthy food and promote healthy behaviors, they don’t drives to collect more nutrient-dense food often actually change behaviors for the for the food bank. long run. Æ Rexburg has created way-finding Policy and environmental changes that signage and maps highlighting the trails of are “sticky” truly do affect population Madison County. health because they provide access to Æ Moscow is working on a community healthy options and make it easy for peogarden and worksite wellness programs. ple to choose healthy behaviors in their Æ Rupert has helped supply physical everyday lives. activity equipment for elementary school The Idaho Department of Health and students to use at recess. Welfare’s Physical Activity and Nutrition Æ Post Falls has created community (IPAN) Program has been working to supactivity guides that will be distributed at port these “sticky” policy and environphysician offices and highlight healthmental changes in communities throughfocused opportunities in the area. out the state over the past few years. With Æ Pocatello is working on healthy checkfunds from a Communities Putting Prevention to Work grant from the Centers for out lines in a few local groceries. These local examples of policy and enDisease Control and Prevention (CDC), vironmental changes are making a differIPAN worked in three school districts to implement nutrition standards in competi- ence by not only providing access to healthy choices, but making the healthy tive food settings as well as with five comchoice the easy choice. You can help supmunities to create Complete Streets conport these types of changes in the places cepts that promote active and alternative you live, learn, work, worship and play by transportation. letting your local leaders know they are The school competitive food work reimportant to you. Participate in your sulted in the three school districts adopting policies and practices for healthy vend- child’s school wellness board, write to your city leaders, promote healthy policies ing machines, school store options, student taste testing of healthy foods and hav- at your office and participate in public hearings about transportation. Being an ing only healthy snacks in the classroom. advocate for change and bringing a health Complete Streets projects resulted in the completion of walking audits, education of lens to the decision-making tables can sometimes be all it takes to transform your community leaders and planners about ineveryday environment to one that corporating walkability and bike-ability in supports a healthy lifestyle. their community designs, bicycle and pedestrian master plans, city adoption of Complete Streets policies and installment Elke Shaw-Tulloch, master of health sciences, is a of way-finding signage on current trails state health officer and Division of Public Health and paths. All of these projects resulted in administrator with the Idaho Department of long lasting changes that create a healthier Health and Welfare. Find out more about environment for students, school staff and Department of Health and Welfare services at community members. healthandwelfare.idaho.gov.

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‘I’m Marc’s Prostate’ W

little feature entitled “I’m hen I was a kid growJoe’s Heart.” ing up, it always “I’m certainly no beauty,” seemed that we had a Joe’s Heart says, writing in the daily newspaper in the house, first person (or organ). as well as a magazine or two. “I weigh 12 ounces, am redWe watched the network brown in color, and have an evening news, of course, unimpressive shape. I am the everyone did, but for real inMen’s health dedicated slave of —well, let’s formation we turned to print. Very old school. My dad was MARC C. JOHNSON call him Joe. Joe is 45, ruggedly good-looking, has a pretty particularly fond of Reader’s Special to Living Healthy wife, three children and an exDigest and would often concellent job. Joe has made it. sume the entire contents of Me? I’m Joe’s Heart.” the latest edition in one sitting. The articles Joe’s heart goes on to report that Joe were mostly short, crisply written and, in probably eats too much fat, has gained matters of politics, almost always had a weight, smokes and doesn’t exercise right-of-center slant. enough. Sound familiar? It was a good, genThe Digest also had jokes that could be repeated safely in polite company. I particu- tle, authoritatively delivered message that remains as appropriate today as it was to larly remember pages of jokes called the Don Draper generation in the 1960s. “Humor in Uniform” (for the World War II Reader’s Digest pieces on “Joe’s Liver” and generation like my parents ) and “Life in “Joe’s Kidney” followed. I don’t recall that These United States,” little stories about there was a Reader’s Digest piece on Joe’s everyday life. Sometime in the 1960s, the Digest started Prostate — this was, after all, way before WebMD, and “men’s health” (and women’s, publishing a series of short articles on varifor that matter) wasn’t much discussed in ous aspects of human health, all written the polite company where Dad told his from the perspective of the vital organ feajokes. tured. I distinctly remember Dad pointing Things have changed for the better in out to me that I needed to read and absorb a

that regard. The Internet is full to overflowing with good, authoritative information on “Joe’s Prostate,” or in the case that I have become most familiar with — my prostate. Like more than 200,000 American men annually, I was diagnosed recently with prostate cancer. Next to skin cancer, prostate cancer in the most commonly occurring cancer among American men. The disease claimed more than 28,000 lives in 2009, the last year for which we have the most complete figures. There is almost truth to the line I’ve heard and now use myself — “if you live long enough, you’ll get prostate cancer.” Prostate cancer is indeed widespread, and it takes a particular gruesome toll among African-American men. My case — special to me, for sure — nonetheless seems fairly typical in many ways. My own concerns about heart health lead me some years ago to regularly monitor blood pressure, cholesterol and other blood markers. Often these simple blood tests will also include the somewhat controversial screen for prostate cancer — the PSA test, or prostatic-specific antigen. Early this year, my PSA level took a jump in the wrong direction. A retest confirmed the increase and signaled cause for concern. A number of good and caring health care

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0713-LivingHealthy-14-15-Johnson_living healthy 7/6/13 10:20 AM Page 15

SYMPTOMS TO WATCH FOR

PSA levels, which led to my early diagnosis, I am an advocate of the checks on a regular basis. The rap against the test is that it’s not precise, produces false positives and causes many men to undergo expensive testing that may not be needed. In short, whatever you decide for yourself, don’t be a victim of a lack of knowledge. Take charge of your own health. Decide what works for you. It just might save your life. In my case, I’m convinced regular testing and early diagnosis did save my life. Finally, to all the family and friends who have sent endless good wishes my way for the last couple of months, I can only say thanks a million. In the busy world of the 21st century, it is all too easy to take for granted, or not fully appreciate, the awesome power of people who take the time and trouble to care. Take it from me: It means the world. A recent follow-up call from my surgeon confirmed that the pathology workup on my former prostate and the other tissue that he removed during surgery was negative. My cancer had not spread beyond the prostate. In the textbooks, they call that a good outcome. My personal brush with the disease that is described as the “most rapidly rising� cancer in most countries around the world was both frightening and enlightening. I am richly blessed to have had access to (and been able to afford) world-class health care and the tools to seek out information upon which to make life-changing (and lifesaving) decisions. I come away with a new appreciation for the American public health crisis of obesity, poor nutrition and lack of access to care, and I’m convinced that knowledge and awareness of a whole range of health care issues is at the heart of a healthier country. I’ve always taken good health for granted. I now consider it a gift, indeed a miracle. Marc C. Johnson is a partner with Gallatin Public Affairs. His blog, The Johnson Post, can be found at www.manythingsconsidered.com.

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Prostate cancer may not cause signs or symptoms in its early stages, according to the Mayo Clinic website (mayoclinic.com). Many times, signs of prostate cancer are first detected by a doctor during a checkup. Prostate cancer that is more advanced may cause signs and symptoms such as: Æ Trouble urinating Æ Decreased force in the stream of urine Æ Blood in the urine Æ Blood in the semen Æ Swelling in the legs Æ Discomfort in the pelvic area Æ Bone pain Some other websites for information include the Prostate Cancer Foundation (pcf.org) and the National Cancer Institute (cancer.gov/cancertopics/types/prostate).

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professionals advised a biopsy of what until this spring had been my somewhat mysterious prostate. The biopsy, conducted in a doctor’s office, confirmed cancer. Like millions of other Americans, I now know what it’s like to have a doctor straightforwardly tell you, “You have cancer.� Wow. Didn’t see that coming. It is a moment of coming face-to-face with your own mortality. One’s attention is immediately fixed. As with any unwelcome news, there was for me, at least, a period of denial. There must be some mistake, right? Cancer doesn’t run in the family. From a health standpoint, I haven’t been behaving that badly. Maybe too much red meat and too few veggies, but I get my exercise. What gives? Soon enough denial gave way to questions about what can be done to treat the unwelcome visitor in the nether regions of the male anatomy? Answering that question became a research mission of the kind I have never before undertaken. I offer only two pieces of advice in this little prostate post with the first being the importance of becoming your own best advocate when confronted with any health challenge. Doctors and other medical professionals are (generally) wonderful people, committed, smart, caring and often overwhelmed. They exist not just to treat your condition, but to be walking, talking sources of first-rate professional information. In order to take full advantage of their knowledge, however, I’m convinced you must do your own homework and engage in the development of your own treatment strategy. Knowledge really is power, and information about your health care options truly is empowering. Since April, I’ve spent hours reading, consulting friends who have dealt with the same issue and quizzing health care professionals as I try to learn about what I now consider my favorite gland. I gave that gland up to surgery a few weeks ago after it became clear to me that what the surgeons call a “radical prostatectomy� was my best option given factors like age, overall health and the state of my cancer. The surgery, again from my perspective, was a very big deal. Thousands of men undergo this treatment every year, but facing major surgery, time in the hospital and recovery was a brand-new experience for me. Friends and family faced this new challenge with me, and many days later I’m feeling better and better. There will be months ahead of coping with and overcoming the undesirable side effects of prostate removal, but thanks to early detection, superb medical care and those who have helped — they know who they are — I feel today like a 60-year-old guy with a new lease on life. Second piece of advice: Don’t be confused about the controversy and debate over the utility of PSA testing after age 40. Every male needs to have enough information in order to formulate a personal point of view on this central issue of male health. In my case, because a savvy family practice doctor has rather routinely checked my

www.thecottages.biz JULY & AUGUST 2013

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0713-LivingHealthy-16,17-Rodeo_living healthy 7/6/13 10:21 AM Page 16

COWBOYS FOR THE CURE Chicks n Chaps at Caldwell Night Rodeo raises funds to promote breast health BY MELISSA DAVLIN SPECIAL TO THE IDAHO STATESMAN

Planning on attending a rodeo this summer? You’d better have a pink shirt to wear. Increasingly, Idaho rodeos are adding breast cancer awareness events to their schedules. The latest breast cancer fundraiser, Chicks n Chaps at the Caldwell Night Rodeo, pairs women with cowboys to teach them rodeo skills like roping and riding. It’s not just about gawking at pink-clad cowboys for one night, though. Like the other programs, Chicks n Chaps raises money for local women who are fighting breast cancer or need mammograms. While the goal is to raise money for breast cancer, the emphasis is having a fun night out, said local Chicks n Chaps organizer Krystah Kurtz. For a $75 ticket, participants get beer, whiskey, wine, food from Outback Steakhouse, a T-shirt and a goodie bag, as well as a ticket for the Caldwell Night Rodeo. Kurtz lost two aunts to breast cancer. After learning about Chicks n Chaps, she approached the Caldwell Night Rodeo to see if it would be interested in hosting the program. Chicks n Chaps has 16 events in 10 states, and is adding more each year, said co-founder Shannone Hart of Missoula, Mont. The emphasis is on raising money for local breast cancer support groups. Other national organizations raise millions for research, so Hart wanted to focus on supporting women in local communities. That could take the form of funding mammograms, paying for gas so women can get to chemotherapy appointments, or other financial assistance for women who are fighting breast cancer, Hart said. Each Chicks n Chaps event has a local organizer who can connect with community resources. Chicks n Chaps’ main mission is to raise money for local breast cancer programs, but there’s also another focus, Hart said. Most Chicks n Chaps attendees are career women, many with no previous exposure to rodeo. Targeting women for fundraising makes sense, Hart said. With more women becoming the breadwinners for their families, decisions on which charities to donate to are likely to fall on them as well, she said. 16

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DARIN OSWALD / Idaho Statesman file

Chase Erickson rides in the bareback bronc event at last year’s Caldwell Night Rodeo. There are no animals in the arena during Chicks n Chaps events, Hart said — just women and cute cowboys. The event isn’t the first breast cancer awareness program at the Caldwell Night Rodeo. This year marks the sixth annual Power of Pink Night, which raises money for free breast cancer screenings performed at West Valley Medical Center and Saint Alphonsus Medical Centers for uninsured or underinsured women. Rodeo participants and spectators are asked to wear pink to the themed night, which is Thursday, Aug. 15. The Caldwell Night Rodeo also hosts a Power of Pink Walk to raise money for the same programs. Other rodeos have gotten in on pink power, too. Since 2006, the Snake River Stampede has hosted Stampede for the Cure, which also provides money for mammograms for local women. Money

makers at the event include Bunco for Boobies and $10 cups of pink lemonade. According to its web page, the program has raised $420,000 for local mammograms since its inception. It, too, asks rodeo-goers to wear pink on its theme night, which is Wednesday, July 17, this year. Chicks n Chaps is making its way to other parts of the state. The Lewiston Roundup is hosting Chicks n Chaps on Friday, Sept. 6, and Coeur d’Alene’s North Idaho Fair and Rodeo is holding its second Chicks n Chaps event Friday, Aug. 23. What’s the link between rodeo and breast cancer? For many, it’s personal. At the Caldwell Night Rodeo, the Power of Pink night started when the wife of a board member died from the disease. Hart started the foundation while her mother was undergoing treatment for breast cancer. “I think it hits close to everyone’s heart,” Kurtz said.


0713-LivingHealthy-16,17-Rodeo_living healthy 7/6/13 10:21 AM Page 17

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A free guide has just been made available to type II diabetics detailing an approach more powerful than any drug known to modern science. The free diabetic guide explains in plain English how many diabetics have been able to reduce and eliminate their drugs and insulin injections, lose weight without exercise, reduce and eliminate the risk for diabetic complications, restore pancreatic function, and even become nondiabetic. The free guide also reveals rarely diagnostic testing that is helping doctors understand potential causes of diabetes beyond weight gain, genetics, and lack of exercise. To receive your free guide (available only while supplies last) call toll free 1-208-994-6003 or go to www.CrushDiabetesReport.com Dr. Steven Killion, D.C.

Kelby Lepper attended last year’s Power of Pink Night with his mom, Louise Lepper.

Chicks N Chaps 3 p.m. to 7 p.m. Aug. 15 Caldwell Night Rodeo Grounds, 2301 Blaine St., Caldwell. For women 21 and older. Tickets are $75. Visit Chicksnchaps.org for more information and to register. Caldwell Night Rodeo Power of Pink Walk 8:30 a.m. Aug. 10 Caldwell Night Rodeo Grounds, 2301 Blaine St., Caldwell. $20 adults, $12 seniors and children, $7 breast cancer survivors To register, visit caldwellnightrodeo.com. Snake River Stampede July 16-20. Stampede for the Cure Night is July 17. (There is also the Bunco event July 13 to benefit Stampede for the Cure.) Idaho Center Arena, 16200 N. Idaho Center Blvd., Nampa. Tickets and pricing are available at ictickets.com, at Idaho Center ticket outlets or by calling 442-3232. Learn more about Stampede for the Cure at stampedeforthecure.org and learn more about the Stampede at snakeriverstampede.com.

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0713-LivingHealthy-18,19-food_living healthy 7/6/13 12:06 PM Page 18

Salad blends meat, veggies BY STEPHANIE WITT SEDGWICK SPECIAL TO THE WASHINGTON POST

TERIYAKI STEAK, SNOW PEA AND SHIITAKE SALAD 4 to 6 servings For the steak: 3 tablespoons low-sodium soy sauce 2 tablespoons toasted sesame oil 2 teaspoons light or dark brown sugar 1 pound top round, sirloin or flank steak, preferably 1 to 1 1/2 inches thick For the salad: Kosher salt 6 ounces snow pea pods 3 tablespoons mild olive or peanut oil 8 ounces shiitake mushrooms, stemmed and sliced into 1/4-inch strips 1/2 cup finely chopped sweet onion 1-ounce piece fresh ginger root, peeled and finely chopped or grated 2 small carrots, grated (4 ounces total) 2 tablespoons seasoned rice vinegar or sushi vinegar 2 teaspoons toasted sesame oil 2 teaspoons low-sodium soy sauce 1 tablespoon plus 1 teaspoon toasted white or black sesame seeds (see NOTE)

For the steak: Combine the soy sauce, toasted sesame oil and sugar in a gallonsize zip-top bag. Add the steak and seal, pressing out as much air as possible. Massage through the bag to coat evenly. Refrigerate for 4 to 12 hours, turning the bag over every few hours if possible. Broil or grill the steak to medium-rare or to the desired doneness. Cool to room temperature, then thinly slice into strips about 1 1/2 inches long. For the salad: Bring a medium pot of water to a boil. Fill a bowl with cool water and ice cubes. Lightly salt the boiling water, then add the snow peas and cook for 1 minute. Drain, immediately transferring the snow peas to the ice-water bath. Cool for 5 minutes, then drain and pat dry with paper towels. Cut each snow pea pod lengthwise into 2 or 3 strips (discarding the strings) and place in a mixing bowl. Heat 1 tablespoon of the olive or peanut oil in a medium nonstick skillet over medium-high heat. Add the shiitake strips; cook for 3 to 4 minutes, until the mushrooms wilt. Add the chopped onion and the ginger; cook, stirring, for 2 to 3 minutes, just until the onion starts to soften. Transfer the vegetables to the mixing bowl to cool. Add the grated carrots and sliced steak, along with the remaining 2 tablespoons of

BONNIE JO MOUNT / The Washington Post

oil, the vinegar, toasted sesame oil, soy sauce and 1 tablespoon of the sesame seeds. Toss. Let stand 15 minutes, then toss again. Taste, and adjust the seasoning as needed. Transfer to a serving bowl, garnish with the remaining teaspoon of sesame seeds and serve. NOTE: Toast the sesame seeds in a small, dry skillet over medium-low heat for several minutes, until fragrant and lightly browned. Cool before using. NUTRITION Per serving: 230 calories, 20 g protein, 9 g carbohydrates, 13 g fat, 3 g saturated fat, 40 mg cholesterol, 200 mg sodium, 4 g dietary fiber, 3 g sugar

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BY MARY BETH BURNER SHADDIX COOKING LIGHT

Stepping into a market this summer will reveal towers of colorful produce begging to be on your picnic table. Picking fresh is best in capturing the height of flavor and nutrition, so it’s important to know how to choose the perfectly ripe fruits and veggies. There’s nothing more disappointing (or costly) than coming home from a market trip only to discover you’ve grabbed under- or over-ripe goods. Luckily, you can avoid future frustration (and wasted money) this season by following these eight useful tips from the “Cooking Light Pick Fresh Cookbook.� From plump, juicy tomatoes to aromatic basil to sweet melons, this guide will help you in selecting the freshest and ripest produce from your local grocer, farmers market or even your own garden. Use your senses! Basil — handle with care: Basil is delicate and bruises easily, so look for stems that aren’t wilted and don’t have dark spots. The ideal would be basil stems that don’t have a flower bud and are full of glossy leaves. Keep basil out of your chilly fridge to avoid black spots. Blueberries — plump and powdery blue: Look for dark blue berries with a light blue frosting. Green or pink berries are not ripe, except the rare pink varieties. Avoid baskets of soft or mushy berries. Wait to wash until ready to use. Corn — pop a kernel: Husks should be

THUMP, SQUEEZE & SNIFF 8 tips for getting fresh with your produce moist, clingy and green. Silks should be dark brown but not dry or crisp. Pull back to reveal the top kernels and test with your fingernail; kernels should be full, plump and show a milky white liquid. Eat corn as soon as you can after it’s picked; sugars turn to starch quickly and the optimal flavor is lost. Cucumbers — crisp and firm: Avoid cucumbers that appear bloated and are turning from green to yellow. Yellowing is a typical sign that seeds are maturing (except for unusual varieties such as lemon cucumber.) Choose firm fruits with no sign of withering or soft spots. If in doubt, select the smallest of the type for optimum flavor and quality. If you find a bitter bite,

remove ends and skins before serving. Eggplant — go for glossy: Look for eggplants with firm, shiny skin. Duller, matte skin shows its age. Size and color vary widely among types, but the eggplant should feel heavy. Avoid those with wrinkled skin, soft spots or brown patches. Melons — thump & sniff: Ripe cantaloupes and honeydew melons will smell noticeably fruity at the site where the stem was attached. The other end will give slightly when pressed if the melon is ripe. Ripe watermelons should be heavy with a waxy rind, and they’ll sound hollow when thumped. Field-ripened watermelons will have a yellowish-white spot where they rested on the ground. Summer Squash — small & tender: Look for smooth, blemish-free squashes. A small, tender squash is preferable to an oversized, seedy one. Growing your own zucchinis? Pick often and go for the smaller, younger fruits instead of baseball-bat wonders. Tomatoes — shop locally: Naturally ripened, fresh tomatoes don’t travel well. The best flavor comes from vine-ripened fruits that were recently picked, so opt for those marked “locally grown� or grow your own. Look for tomatoes with bright, shiny skin and firm flesh that yields slightly to gentle pressure. The bonus of buying fresh? A rainbow selection of colorful varieties. Don’t refrigerate before using.

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0713-LivingHealthy-20-27-SkinCare_living healthy 7/6/13 10:22 AM Page 20

What’s behind Idahoans’ susceptibility to

SKIN CANCER? Experts aren’t sure, but say there’s a lot you can do to protect yourself from this killer STORY BY MELISSA DAVLIN Special to the Idaho Statesman PHOTOS BY KATHERINE JONES kjones@idahostatesman.com

W

hen Maureen Brewer thinks of her friend Amy Dunn’s melanoma diagnosis, one question keeps coming up: Why her? Before she got sick, Dunn was the healthiest person Brewer knew. She played soccer for Boise State University for four years and loved skiing. But in 2008, Dunn was diagnosed with stage III melanoma. After remission, the cancer came back in July 2011, and Dunn passed away in March 2012. She was 29. It doesn’t make sense, Brewer said. While Dunn was active and loved the outdoors, she was also sun-conscious. “Certainly she was more fairskinned and had freckles, but she also took care of herself,” Brewer said. It doesn’t take much to bring on melanoma — a fact the Idaho Department of Health and Welfare is trying to emphasize. According to the Skin Cancer Foundation, it takes only one blistering sunburn to double a child’s risk of getting melanoma later in life. It’s a message that may have

20

LivingHealthy

Harper Tuttle, 5, gets slathered with sunscreen before she's allowed to go swimming at Eagle Island State Park.

been missed by Idahoans in recent years. According to the Environmental Protection Agency, Idaho had the highest melanoma death rate nationally between 2001 and 2005. Idaho also has one of the highest incidence rates, according to the Centers for Disease Control and Prevention. That suggests Idahoans need to be vigilant about protecting themselves from the sun and have frequent skin checkups. The state’s health professionals and educators are trying to figure out why the rates are so high — and what can be done about it. CONTINUED ON PAGE 22


0713-LivingHealthy-20-27-SkinCare_living healthy 7/6/13 10:22 AM Page 21

SUNSCREEN BASICS The numbers: SPF — or sun protection factor — tells you roughly how powerful the sunscreen is. But increases in SPF numbers don’t mean proportional increases in protection. Put simply, that means SPF 60 isn’t twice as powerful as SPF 30, but you do get slightly more relief from the sun, said Patti Moran, cancer program coordinator for the Idaho Department of Health and Welfare. The type: The brand doesn’t matter as much as making sure you get

a sunscreen with broad spectrum protection. Those products protect against both UVA and UVB rays, Moran said. The approach: That said, sunscreen shouldn’t be your first line of defense against burns. Staying in the shade, avoiding the intense midday sun and wearing wide-brimmed hats are important in preventing skin damage, Moran said. “We’re trying to emphasize the total sun safety regimen,” she said.

WHEN DID SUNSCREEN GET SO COMPLICATED? PAGE 25

Christina McEvoy had melanoma but she doesn't let that deter her from playing in the sun with her family and friends. She just makes sure to be smart about it. They hang out in the shade of an umbrella and wear shirts and lots of sunscreen. “My kids are fair. I'm not even going to take chances.” JULY & AUGUST 2013

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0713-LivingHealthy-20-27-SkinCare_living healthy 7/6/13 10:22 AM Page 22

Christina McEvoy, left, and her family and friends enjoy a safe and sunny afternoon at Eagle Island State Park. McEvoy belongs to a local group called Sol Survivors, which works to educate young people about skin cancer risks. Read more about the group in the box at the right.

LOOKING FOR REASONS

Claire Lennberg is just 4 years old, but she knows how to apply sunscreen. 22

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Why are Idaho’s melanoma rates so high? “We've had the same question in the dermatology community,” said Boise dermatologist Dr. Steve Mings, who said there is no smoking gun but plenty of likely factors. Idahoans enjoy easy access to outdoor recreation, no matter where in the state they live. Many Idahoans earn their living working outside, too, from farmers and ranchers to construction and highway workers. While that active lifestyle has big payoffs overall, the one downside is skin damage potential, Mings said. The danger doesn’t go away in winter, added Patti Moran, cancer program coordinator with the Idaho Department of Health and Welfare. A sunburn from the ski slopes in February is just as dangerous as one from a day on the river in July. Add to that Idaho’s temperate climate, which encourages more outdoor activity than in states like Arizona and New Mexico, where the incidence of melanoma is


0713-LivingHealthy-20-27-SkinCare_living healthy 7/6/13 10:22 AM Page 23

NEW WAYS TO GET THE MESSAGE OUT You’ve heard it before. Use sunscreen. Stay in the shade. Wear a hat. Get your moles checked. Despite the message being repeated endlessly through skin cancer awareness campaigns, Idaho’s melanoma rates are still among the highest in the nation. Something isn’t working. To combat that, dermatologists and health educators are taking new approaches to get people’s attention.

New mothers Think you burn easily? A baby’s skin is even more delicate, Patti Moran of the Idaho Department of Health and Welfare said. Often, new parents don’t realize how fast their newborn’s skin can get damaged in the sun. No Sun For Baby is an educational program through public health districts and nearly 30 hospitals statewide. The program emphasizes burn prevention and teaches parents the differences between newborns and children who are older. If your child is 6 months old or younger, do not use sunscreen. That can affect the baby’s ability to stay cool. Also, most product testing for sunscreen has been done on older children and adults; little research exists on the effect of sunscreen chemicals on infants. Instead, keep baby out of the sun, especially between the hours of 10 a.m. to 4 p.m. Regardless of how old your child is, sun avoidance is the best, says the South Central Public Health District’s No Sun For Baby web page. Children and adults should wear hats and sunglasses and stick to the shade as much as possible. Also, be aware of reflective surfaces like water and snow. Those can burn skin as well. lower. While those states are known for their sunny weather, it’s so hot that not as many people recreate outdoors. Idaho’s high altitude also increases exposure to harmful sun rays, Mings said. Demographics also factor in. Skin cancer rates are higher in people with lighter skin, Moran said. According to 2011 census data, 93.9 percent of people living in Idaho identify as white or caucasian, compared to 78.1 percent nationwide. An independent, rugged spirit among older men may also contribute, Mings speculated. Farmers and ranchers in rural areas who spend all day, every day outdoors might be less likely to get moles or skin spots checked by a dermatologist. But it’s especially shocking when skin cancer strikes young, otherwise healthy people, like Christina McEvoy. McEvoy grew up in California and worked as a lifeguard during her teen years, spending eight or nine hours in

Teens Sol Survivors, a group of skin cancer survivors, is reaching out to junior high and high schoolers to send a message: Tanning isn’t worth it.

Christina McEvoy of Sol Survivors visits health classes in Treasure Valley schools to educate students about the dangers of tanning, whether in tanning booths or laying out in the sun. McEvoy, who was diagnosed with melanoma at 30 years old, said the presentations also emphasize embracing pale skin or, if they really want a sun-kissed look, relying on self tanners and spray tans. Presenters also talk about sunburn prevention. McEvoy said she’s spoken to hundreds of teens, and the reception has been great. Students have recognized her in public and told her she changed their perception on tanning. “If we can save one life, it’s worth it,” she said.

Barbers and cosmetologists Boise dermatologist Dr. Steve Mings is working with students in cosmetology and barber schools to identify potentially harmful moles and spots on customers’ skin. “There's been some literature in the natural dermatology community (on how) we're sort of missing an opportunity with hair dressers,” Mings said. Mings contacted cosmetology schools around Treasure Valley about six months ago, and most expressed interest in the partnership. The idea isn’t to have barbers and cosmetologists diagnose, Mings emphasized. Rather, they can point out moles to their customers and refer them to dermatologists. The practice isn’t new to the Boise area. Mings’ own barber, Duane Mitchell of Uptown Barber Salon on Ustick Road in Boise, has referred customers to Mings for much of the last decade. Most are receptive to his concerns, Mitchell said. Next, Mings hopes to reach out to dermatologists in urban areas across the state to start similar partnerships with other cosmetology schools. Roy Welborn gets his “whenever-my-hairneeds-cut” haircut at Uptown Barber Salon. Barber Duane Mitchell also keeps an eye open for troublesome spots on the skin, especially in the hard-to-see areas on the back of the ears and tops of heads, that a customer may want to talk to a doctor about. Mitchell is quick to point out that he is not in the “screening” business and he isn’t a health professional, but it’s something he can do to help his clients.

CONTINUED ON PAGE 24 JULY & AUGUST 2013

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the sun a day for much of her youth. Like many of her peers, she would lie in the sun and go to tanning booths to get bronzed skin. McEvoy was diagnosed with melanoma at 30 years old, when she was nearly eight months pregnant. After remission, the cancer came back in her lymph nodes two years later. Doctors gave her a 10 percent chance of survival. McEvoy beat the odds. In August, she will have been in remission for three years. “I feel pretty lucky,” she said.

STRIKING A BALANCE After Dunn’s death, Brewer changed her approach to sun protection. Brewer used to sit in the sun to tan, but not anymore. “It’s not worth it. That vanity is 100 percent gone. Don’t care,” she said. She’s also vigilant about keeping her 6-month-old out of the sun. Dunn’s friends also continued an organization that had initially been set up to help with Dunn’s medical bills. Get It Dunn’s long-term focus is still taking shape, Brewer said. Part of the goal is to keep Dunn’s memory alive, but Dunn’s friends also want to educate others about the dangers of melanoma and provide screenings at Get It Dunn events. Last year, her friends put together a fun run in Dunn’s memory, where they provided skin cancer screenings and raised money for an endowment fund in Dunn’s name. In its second year, Run for Dunn drew more participants — a trend Brewer hopes will continue for what they hope will be an annual event. After her battle with cancer, McEvoy has made sure to avoid the same mistakes. She no longer tans, and avoids spending time outdoors when the sun is most in-

"They know the drill," Christina McEvoy says, referring to her sons, Austin, 8, left, and Carson, 5. They apply lots of sunscreen and wear shirts. tense. Her children have never had a sunburn, she said, but that doesn’t mean they are cooped up inside all day. Instead, McEvoy takes common-sense precautions that allow her kids to enjoy swimming, cycling and other outdoor activities. “I don't think that you need to be scared of the sun,” she said. “But you just need to be aware." Freelance writer Melissa Davlin has been reporting about Idaho and its people since 2005. A graduate of University of Idaho, Davlin lives in Boise. She's currently writing a book about Bhutanese refugees in Idaho.

LEARN MORE Get It Dunn in honor of Amy Dunn: Getitdunn.org Sol Survivors Melanoma Foundation: solsurvivors.org Central District Health Department: cdhd.idaho.gov/CHEC/Cancer/ skin_cancer.htm Idaho Department of Health and Welfare: healthandwelfare.idaho.gov/ Health/DiseasesConditions/Cancer/Skin Cancer/tabid/504/Default.aspx South Central District Health: www. phd5.idaho.gov/Cancer/skincancer.html Idaho facts about skin cancer: epa.gov/sunwise/doc/id_facts_web.pdf

DIFFERENT SKIN CANCERS 1. Basal cell carcinoma begins as a non-healing scabby area that doesn’t go away; it is most common, but highly treatable.

3. Malignant melanoma looks like a dark lesion with uneven color and surface, could arise from existing mole; it’s the deadliest if detected late.

2. Squamous cell carcinoma begins with a sore that never heals; it can be painful and spread to other parts of the body.

SELF-EXAMINATION Most skin cancers are highly treatable if detected in their early stages. Here’s what to look for:

Asymmetry

Color varies in shade 24

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Irregular border

Diameter greater than 6 mm

Examine your body front and back in the mirror, then right and left with arms raised.

Bend elbows and look carefully at forearms, upper underarms and palms.

Look at the back of your legs and feet, the spaces between your toes and on the sole.

Examine the back of your neck and scalp with a hand mirror; part hair for a closer look.

Finally, check your back and buttocks with a hand mirror.


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When did sunscreen get so complicated? Choices are confusing, but the bottom line is any sunscreen is better than no sunscreen BY MELINDA WENNER MOYER SLATE

Summer picnics, pool parties and every parent’s favorite pastime: chasing after your kid with the sunscreen bottle. But what’s arguably more arduous than slathering lotion onto a screaming 3-yearold is choosing the right sunscreen. Not only are we presented with hundreds of choices — cool mist or lotion, sensitive skin or extra sensitive skin, SPF 30 or 50 or 75 — many are apparently unsafe, too. Some critics warn that sunscreens can cause cancer while others claim that certain ingredients increase the risk of infertility. Dr. Oz says your sunscreen might be poisonous. In its 2013 Guide to Sunscreens, the nonprofit Environmental Working Group says that only 25 percent of sunscreens on the market are “free of ingredients with serious safety concerns.” So should we keep our kids indoors for the next three months? There is some scientific evidence to support the safety risks, but it’s hardly conclusive. Many media outlets have overinterpreted research results, making broad statements that don’t reflect what scientists actually know. Plus, while there is research to support avoiding controversial ingredients like oxybenzone and retinyl palmitate (the Environmental Working Group’s guide is an excellent resource for identifying sunscreens without them), some experts warn that other sunscreen compounds could pose similar risks we don’t yet know about because only a few have been extensively studied. It helps to have a short primer on sunscreen and how it works. By far the most popular sunscreens are the “organic” ones, so-called because they contain carbon, not because they were grown without pesticides or on a free-range farm. These include most Coppertone and Banana Boat products. These sunscreens protect us from harmful ultraviolet (UV) radiation by absorbing rays before they penetrate deep into our skin. (Not all organic sunscreens absorb both UVA and UVB rays, which have different wavelengths, so it’s important to pick “broad spectrum” versions that protect against both types.) Inorganic “mineral” sunscreens, on the other hand, typically comprise coated titanium dioxide, zinc oxide or a combination

of the two. These formulations, found in Badger and California Baby products, typically reflect or scatter UVA and UVB rays. Organic sunscreens often contain oxybenzone. One of the most well-publicized claims about oxybenzone, also an ingredient in some cosmetics and in plastic food packaging, is that it disrupts hormones to potentially harmful levels. A 2008 study found traces of oxybenzone in the urine of 96.8 percent of a representative sample of the U.S. population, which suggests the molecule is widely used and is absorbed into the body after being applied onto the skin. But how confident can we be that its hormone-changing effects are actually harming us? Most studies have been conducted on cells or animals and are difficult to draw conclusions from. One study, for instance, found uterine changes in rats that were fed extremely high doses of oxybenzone and other organic sunscreens, but people don’t typically eat sunscreen for lunch. One 2004 intervention study was, however, conducted in humans. Researchers repeatedly measured blood hormone levels in 32 people before and after they applied lotion that contained two commonly used organic U.S. sunscreen ingredients. The subjects’ blood levels of several hormones, including testosterone, changed after using the lotion. But the hormone differences were found only at certain times after lotion application, leading researchers to conclude that the changes “did not seem to be related to the exposure to sunscreen compounds.” Organic sunscreens have another potential downside: When they absorb UV light, they become “excited” and unstable. Research has shown that the common sunscreen ingredients oxybenzone, octocrylene and octylmethoxycinnamate (OMC) dissipate that extra energy in ways that lead to the production of molecules called reactive oxygen species that could damage the lower layers of skin and our DNA. This finding is ironic, because UV light is thought to increase the risk of cancer and accelerate aging in part because it does the exact same thing. You cannot win. But remember that UV light also produces these damaging molecules after penetrating unprotected skin. And

SUNSCREEN MYTHS Dermatologists say that some common misconceptions about sun protection sometimes thwart their advice to patients about using sunscreen. MYTH: SPF over 15 is overkill SPF 30 and higher sunscreen protects skin significantly better than SPF 15; high SPF compensates for sweating, water washing off lotion and using too little. MYTH: Sunscreens deteriorate in a year Unless sunscreen lotion turns rancid, it keeps for several years; shake up an older sunscreen before use. MYTH: Cloudy days and being in the water make sunscreen unnecessary Up to 80 percent of ultraviolet light penetrates clouds; up to 50 percent penetrates water.

MYTH: Clothing or hats are as good as sunscreen You need to cover up and use sunscreen. And remember, loose fabrics transmit up to 30 percent of UV, and wet fabrics even more; baseball cap brims are too small to protect well. MYTH: Sunscreen causes overheating during exercise In an experiment, 22 men exercised vigorously wearing heavy sunscreen; their skin was cooler than when exercising without sunscreen. Source: The Physician and Sportsmedicine Graphic: Paul Trap and Helen Lee McComas, MCT

APPLY EARLY, OFTEN Apply sunscreen 15 to 30 minutes before going outdoors or swimming to give time for the sunscreen to absorb. Don’t forget rims of the ears, lips, back of the neck and tops of the feet. Reapply sunscreen every two hours or more often if swimming or sweating. Products labeled “waterproof” provide protection for at least 80 minutes in the water, while “waterresistant” protects for 40 minutes. Sunscreen rubs off when toweling dry.

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researchers argue that if you reapply sunscreen, as you’re supposed to, these potentially damaging effects of reactive oxygen species could be mitigated because reapplication prevents UV rays from reaching the sunscreen molecules that have penetrated deepest into the skin. Sunscreen manufacturers also try to optimize their formulations so that they stay on the surface of the skin rather than penetrating deep as they did in some of these experiments. Some sunscreen companies add antioxidants like vitamin E and vitamin C to their formulations to absorb some of these reactive compounds. One 2011 study found that the addition of antioxidants to SPF 15 or 50 sunscreen formulations reduced the numbers of reactive oxygen species in skin more than two fold. (To find sunscreens with added antioxidants, look for inactive ingredients such as sodium ascorbyl phosphate, tocopherol, tocopheryl acetate or diethylhexyl syringylidenemalonate.) But antioxidants don’t always behave as expected, bringing us to another sunscreen controversy. Retinyl palmitate, a form of vitamin A, is an antioxidant added to many sunscreens and cosmetics (it’s also used to fortify some dairy products and cereals). Although the FDA considers retinyl palmitate to be safe, research suggests that upon interaction with UVA light, the compound produces reactive oxygen species. Yes, that’s correct: An antioxidant

SOME ITEMS TO REMEMBER Skin cancer is the most common of all cancers. The American Academy of Dermatology estimates that one in five Americans will develop skin cancer in his or her lifetime. Basal cell and squamous cell carcinomas are the two most common forms of skin cancer but are easily treated if detected early. Basal cell and squamous cell carcinomas are associated with accumulated sun damage over many years. Melanoma is different. It is associated with brief, intense exposure. Melanoma has a high survival rate if caught early and before it spreads to the lymph nodes. It accounts for only 4 percent of skin cancer cases but causes about 79 percent of skin cancer deaths, according to the American Cancer Society. Labeling: For information on the FDA laadded to organic sunscreens to help quench these potentially damaging reactive molecules is actually producing them instead. When’s winter? Retinyl palmitate has gotten an especially bad reputation lately because of a series of studies (yet to be published, but available online) conducted by the National Institute of Health’s national toxicology program. Researchers there slathered mice with a retinyl palmitate lotion and then ex-

Helping you reach your fitness goals...

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beling rules, go to www.fda.gov/sunscreen. More guidance? For those who want more advice on which products are best, the Environmental Working Group recently released its 2013 Guide to Sunscreens. Go to ewg.org/2013sunscreen. Here is what EWG says to avoid: Æ Spray sunscreens. Æ Super-high SPFs. Æ Oxybenzone, a chemical that acts like estrogen. Æ Loose powder sunscreens. Æ Retinyl palmitate because it may speed development of skin tumors and lesions. Æ Combined sunscreen/bug repellents. Æ Sunscreen towelettes. Æ No tanning oils. Statesman wire services

posed them to different amounts of UV light. Some of the treated mice developed a greater number of malignant tumors than mice that weren’t given the cream, but it’s hard to know how to interpret the results in part because the mice had all been genetically engineered to be predisposed to cancer. Mice also have extremely thin skin, so compared to humans, UV light probably penetrates more easily into their lower skin layers.

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At this point you might be thinking that the best solution is to just buy only nonorganic, mineral-based sunscreens. Maybe, but these aren’t perfect, either. Although most mineral sunscreens don’t absorb UV light — the molecules sit on top of the skin and reflect or scatter the rays — they leave a white, greasy film on the skin that many people find annoying. Yes, annoying sounds preferable to damaging, but the only way sunscreen works is if your kids apply it. The less thick and greasy, the better. Newer “nano” formulations of these mineral sunscreens are much more pleasant, but they don’t reflect UV light as effectively — and they also absorb UV light in addition to reflecting it, which means they too can produce reactive oxygen species. As for SPF, most dermatologists and the Environmental Working Group now recommend avoiding anything above 50 because they give us a false sense of security, so we stay out longer while forgoing necessary reapplication. The numbers are deceiving anyway: SPF 50 protects against 98 percent of the UVB rays, but SPF 30 protects against 97 percent of them — not exactly a critical difference. And what about application methodsprays, gels, wipes or old-fashioned lotions? The Environmental Working Group warns against sprays because of the risk that the chemicals could be inhaled or get into the eyes. But if your child won’t let you near her with anything but a cool mist, by all means use it — just ask him to hold his breath and close his eyes as you apply it. The EWG also warns against combination sunscreen/bug sprays, which may increase absorption of the repellent chemicals, and sunscreen wipes, which might not deliver adequate protection. As for all the other sunscreen chemicals you might see listed on the back of your bottle: They have been FDA-approved, so they have been tested for safety to a certain degree, but few academic scientists have independently assessed their potential health effects because it’s difficult to get funded for such studies. “The funding agencies that we’ve submitted to have said that this is something that industry should fund, but industry has cut budgets for research and development,” explains Kerry Hanson, a chemist and sunscreen researcher at the University of California at Riverside. As a result, socalled “safe” sunscreen ingredients may simply be the ones that haven’t been as thoroughly researched. The one thing that is clear is that any sunscreen is far better than no sunscreen — sunburns, especially in children, are much more dangerous than a little oxybenzone or retinyl palmitate. That said, don’t rely on sunscreen to do all the work. If your family spends lots of time outside, invest in sun hats and sun-protective clothes, which pose no known risks except maybe to your bank account. 648840

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BOISE’S MAIN STREET MILE PHOTOS BY DARIN OSWALD doswald@idahostatesman.com

The annual run/walk event, which brings awareness to men’s health and prostate cancer, hit Downtown in several waves in June. Learn more at mainstreetmile.com. See more photos at IdahoStatesman.com/photogalleries

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News & events from the Treasure Valley health community SAINT ALPHONSUS HEALTH SYSTEM

‘Healthy Me’ health fair offers screenings, massages, more Bring the family to a free Women’s and Children’s Health Fair from 10 a.m. to noon Saturday, Aug. 3, at Saint Al’s in Boise. The event features free chair massages, glucose/bone density/vision screenings, kid’s fingerprinting, raffles, giveaways and more. Celebrating the merging of pediatric and OB/GYN services in one integrated location, this event is at Saint Al’s Boise campus at 1072 N. Liberty St., Mulvaney Building parking lot.

Happy first birthday to Meet Me Monday On June 10, a crowd gathered in Downtown Boise to celebrate the first anniversary of Meet Me Monday — a community health partnership between Saint Alphonsus and Bandanna Running & Walking. Through temperatures ranging from 8 degrees to 108 degrees, and regardless of rain, sleet or snow, Meet Me Monday participants gathered every week for 52 weeks to get out for a free walk, run or stroll. Meet

Provided by Meet Me Monday

The first Meet Me Monday 50-timer incentive awards went to the Orth family, a local couple and their 3-year-old twin boys, who have attended every week. Above, Brian Orth runs through the Grove fountain with one of the twins during a recent Meet Me Monday. Me Monday added new features throughout the year, including a periodic “Doc Walk� where participants could walk and talk with local physicians, a community table highlighting local nonprofits and

company nights for local businesses such as the Idaho Statesman and Micron. You can join in any Monday evening for CONTINUED ON PAGE 30

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News & events from the Treasure Valley health community a free 1-, 2-, or 3-mile walk or run. Sign in starting at 5:15 p.m. at the Pioneer/Old Boise Building (6th & Main). A new MMM walk/run group has launched in Kuna. The meeting place is the Kuna Visitors Center (first right off Swan Falls Road from Avalon in Kuna) at 6 p.m. Mondays. There are 1- and 2-mile options. For more information about the Boise and Kuna events, see www.MeetMeMonday.org.

Dinner with Father Frechette benefits Project Haiti Father Rick Frechette will share the triumphs and challenges of his work and Project Haiti’s continued support of quality medical care for the poor at a celebration mass and dinner at 6 p.m. Thursday, Sept. 12, at Saint Al’s McCleary Auditorium. Tickets are $100. For 20 years, Saint Alphonsus Project Haiti has been supporting the work of Father Rick at Saint Damien’s Children’s Hospital in Port-au-Prince. For more information about Project Haiti, visit www.saintalphonsus.org/ project-haiti, call 367-3997, or email debbhami@sarmc.org.

Get ready to play Bunko At 6 p.m. Friday, Oct. 4, McCleary Auditorium at Saint Alphonsus will be decked out in pink for the fifth annual Boise Bunko Babes for Boobs — Breast Cancer Awareness event. The cost is $25 per person. Bunko groups are welcome. For more information, contact Marian Evans at 8599662 or Debbie Hamilton at debbhami@sarmc.org.

Provided by the Elks Wound Center

The hyperbaric suite at the Elks Wound Center in Meridian. Hard-to-heal wounds can be the result of complications from diabetes, cancer treatments and surgical procedures. Those suffering from lymphedema and edema also benefit from the medical expertise at the Elks Wound Center. The Elks Wound Center is the only UHMS-accredited facility in Idaho. The Elks Wound Center’s primary locations are the Meridian clinic in the Portico West Building and the Boise facility inside the Elks Rehab Hospital. Wound care patients are also served at two satellite locations in Hailey and McCall. Learn more about the Wound Center at www.woundandhyperbaric.org. Learn more about the Elks at www.elksrehab.org.

ST. LUKE’S HEALTH SYSTEM Learn more about Saint Alphonsus and its programs at www.saintalphonsus.org.

ELKS REHAB SYSTEM

Wound Center earns high marks from accrediting group Patients in Idaho have the advantage of a rare resource when they are faced with hard-to-heal wounds. The Elks Wound Center has just been recognized as one of the top hyperbaric medicine facilities in the world. Fewer than 10 percent of accredited hyperbaric medical centers are able to achieve the Undersea and Hyperbaric Medical Society’s Accreditation with Distinction honor after a rigorous evaluation. The Elks Wound Center’s growing practice encompasses patients with chronic non-healing wounds, many of whom are at high-risk for amputation and are ideal candidates for hyperbaric oxygen therapy. 30

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Register for FitOne run/walk FitOne is the evolution of the 20-year St. Luke’s Women’s Fitness Celebration, one of the largest women-only 5K run/walk and women’s show events in the country. FitOne takes place Sept. 19-21 in Boise. The title beneficiary for the event is St. Luke’s Children’s Hospital. This year, FitOne is introducing a new 5K Family Wave, a women-only 9K course and a two-day expo offering free health screenings to registered participants. To learn more and to register or volunteer, visit www.FitOneBoise.org or call 381-2221.

St. Luke’s hosts open houses for parents-to-be At a free open house at St. Luke’s Boise and Meridian Medical Centers, expectant parents can meet with doctors, sign up for classes, tour the hospital, enjoy refresh-

ments and maybe win a prize. Open houses are scheduled for the following dates: Æ 6 to 8 p.m., July 17, St. Luke’s Boise Medical Center. Æ 6 to 8 p.m., Sept. 11, St. Luke’s Meridian Medical Center. Æ 6 to 8 p.m., Sept. 11, St. Luke’s Boise Medical Center. Registration is required. To register visit www.stlukesonline.org or call 381-9000.

Picnic celebrates NICU grads The annual free event for children treated at the St. Luke’s Children’s Hospital Newborn Intensive Care Unit will be from 6 to 8 p.m., Wednesday, Aug. 7, at Municipal Park Sweet Gum Site in Boise. All NICU graduates and their families are invited. Hamburgers, hotdogs and drinks will be provided. Please bring a side dish of salad, fruit, vegetables, chips or dessert. There will be crafts and games for the kids. At the picnic, donations will also be accepted for clean, new or used baby clothes (size 0 to 6 months) and diapers of any size.

American Heart Association recognizes St. Luke’s centers St. Luke’s Boise and Meridian medical centers have received the Get with the Guidelines Heart Failure Silver Quality Achievement Award from the American Heart Association. The recognition signifies that St. Luke’s has reached an aggressive goal of treating heart failure patients according to the guidelines of care recommended by the American Heart Association/American College of Cardiology. St. Luke’s was recognized for instituting aggressive risk-reduction therapies that included providing patients with proper


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drug dosages and providing education on managing heart failure and overall health, which included lifestyle modifications and follow-up care. Learn more about St. Luke’s and its programs at stlukesonline.org.

WEST VALLEY MEDICAL CENTER

Caldwell medical center receives high honors West Valley Medical Center was the only hospital in Idaho recently awarded an “A” Hospital Safety Score by The Leapfrog Group. Also, the HCA Mountain Division — which West Valley Medical Center is a part of — is one of 65 health systems that recently achieved a place in the top quintile (20 percent) nationwide by Modern Healthcare.

West Valley sponsors events, information sessions Power of Pink Walk Fundraiser: West Valley Medical Center partners with Saint Alphonsus Medical Center for this annual event, now in its sixth year, to raise awareness and funds for the Power of Pink mammogram program. Learn about the Saturday, Aug. 10, walk in a related story in this issue on page 17. Call 455-3771 for more

INTRODUCING THE BEST WALK-IN TUB YET!

information or visit www.caldwell nightrodeo.com/NewsEvents/Power OfPink.aspx. Power of Pink Night at the Caldwell Night Rodeo: Thursday, Aug. 15. This event raises money for free breast cancer screenings available at West Valley Medical Center and Saint Alphonsus Medical Centers for local women who are uninsured, underinsured or underserved. To apply for aid, visit the events page at www.caldwell nightrodeo.com to find an enrollment form, or call West Valley Medical Center at 455-3905 or Saint Alphonsus Medical Center in Boise or Nampa at 367-3019. Safe sitters babysitting class: Hands-on class that teaches youth ages 11 to 13 the skills needed to care for and protect children, including how to help a choking child. 9 a.m. to 4 p.m. Saturday, Sept. 7, Kaley Auditorium. Cost is $35, which includes a kit with materials. Registration is required at 455-4095. Create Your Living Will: 3 to 4 p.m. Wednesday, Aug. 7, or Wednesday, Sept. 4. A living will provides doctors with information regarding your wishes for life-sustaining procedures. Free; no registration required. Breastfeeding 101 Class: 6:30 to 9:30 p.m. Tuesday, Aug. 13, in the Indian Creek Room at West Valley Medical Center on the corner of 10th Avenue and Logan Street in Caldwell. This one-session class is taught by a certified lactation consultant. Support companions are encouraged to attend with moms-

1,000

$

to-be. The fee is $10 (or free to anyone who has completed the pre-admission process). Registration required; call 455-3995. Family Maternity Center Tour: Meet the staff, tour the new family suites designed for comfort and bonding, meet other expecting moms and learn about the pre-admission process at 6:30 p.m. Thursday, Aug. 8, or Thursday, July 11. The tours will also take place at 4 p.m. Sunday, July 28, or Sunday, Aug. 25. Sessions start in the Indian Creek Room. Free. Call 455-3995 to register. Childbirth preparation: Taught by a registered nurse who reviews labor and delivery, relaxation and coping techniques, cesarean (C-section) delivery information and prenatal exercises. The class is from 9 a.m. to 4:30 p.m. Saturday, Aug. 10, in the Indian Creek Room. The class is free to anyone who completed the pre-admission process. Register by calling 455-3995. Learn more about West Valley and its programs at www.westvalleymedctr.com.

SOUTHWEST DISTRICT HEALTH

It’s time to start thinking about school immunizations Southwest District Health will host a Back-to-School Immunization Clinic from 10 a.m. to 4 p.m. Saturday, Aug. 24, for ages CONTINUED ON PAGE 32

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News & events from the Treasure Valley health community 4 to 18 years at the Canyon County facility, 13307 Miami Lane in Caldwell, near the corner of Idaho 55 and Florida Road. No appointment is necessary. The cost per child is $20 regardless of the number of immunizations required. Bring your insurance card and immunization records. Learn more about SWDH programs at www.publichealthidaho.com.

CENTRAL DISTRICT HEALTH DEPT.

New CFO joining the team Bonnie M. Spencer will be the new chief financial officer for the Central District Health Department. Spencer, who is a certified public accountant and a certified public manager, has worked in various roles at the South Central Public Health Bonnie M. District in Twin Falls for the Spencer past 30 years, the last seven as deputy director. Spencer starts on July 22. Cholesterol screenings: The monthly screening clinics at CDHD occur every the first Tuesday at 707 N Armstrong Place, Boise, from 6:30 to 9 a.m. No appointment is necessary. Next screenings: Aug. 6, Sept.

3, Oct. 1. New price: $25. Information: 375-5211. The Mountain Home office of CDHD (520 E. 8th St.) will offer cholesterol screening from 7 to 9 a.m. Wednesday, Aug. 21. $25. Information: 587-4407. Mountain Home sports physicals: CDHD will offer immunizations records review and shots from 1 to 4 p.m. Friday, July 19, at the Mountain Home Sports Physicals event at St. Luke’s Trinity Mountain, 465 McKenna Drive, Mountain Home. Bring immunization records and completed forms available at cdhd.idaho.gov. Immunizations Simplified – A Toolkit for Childcare Providers is a class designed to help child-care operators better understand immunization rules and regulations. Next classes: Sept. 18 and Oct. 1, from 6-8 p.m. Free. Call 327-8625 to register. Humphrey’s Heroes: CDHD and the Boise Hawks team up to offer kids up to age 14 free admission to home games. Children who are up to date with their immunizations can get a voucher from their medical provider or CDHD to become one of Humphrey’s Heroes and go to a game free. Call 327-7450 for information or an appointment. Vasectomy information class: Vasectomy offers men safe and permanent birth con-

Dr. Darrell E. Oakes

trol. CDHD offers a free class about the procedure from 6 to 7 p.m. the second Monday of every month. Call for information 327-7400. Learn more about CDHD programs at www.cdhd.idaho.gov.

THE COLLEGE OF IDAHO

Students bring smiles to India through Davis Project Each year in India, thousands of babies are born with cleft lip and palate deformities — conditions that can lead not only to health and communication problems, but also to negative social stigmas. This summer, two College of Idaho students from Asia are seeking to make a difference on their home continent through their Davis Project for Peace, “Bringing Smiles Where They Never Were: Combating Facial Deformities and Affixed Social Superstitions though Education.” Junior Rahul Sharma and sophomore Minh “Mark” Bui used their $10,000 Davis grant to provide logistical support and upgrade services for Operation Smile, an international children’s medical charity focused on eradicating lip and palate deformities.

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The College of Idaho now has had a Davis Project for Peace funded in six consecutive years. Students previously completed projects in Malawi, Tanzania, Egypt, Ecuador and Brazil. Learn more at www.davisprojectsforpeace.org. More information about Operation Smile also is available at www.operationsmile.org.

operating room, and how pollutants vary throughout the day and with changing outdoor air quality. Project Zero started in 2011 and a number of improvements in operating room protocols already have been implemented with notable success. The name, Project Zero, describes the team’s ultimate goal of achieving zero infections.

Learn more about the College of Idaho and its programs at collegeofidaho.edu

Research focuses on genes at root of Alzheimer’s disease

BOISE STATE UNIVERSITY

Students work with St. Luke’s on infection prevention Boise State University electrical and computer engineering doctoral students Jim Hall and Michael Pook are part of a team working with St. Luke’s RMC surgical site infection initiative, Project Zero, to monitor and improve air quality and reduce infections for orthopedic surgery patients. Over the coming year, Hall and Pook will use environmental monitoring equipment developed by the Hartman Systems Integration Laboratory at Boise State to analyze the air quality in St. Luke’s orthopedic surgery rooms. The study will pursue an understanding of the level of cleanliness of the orthopedic surgery rooms, how air flows through the

Boise State University biological sciences professor Troy Rohn is focusing on how a certain inherited gene increases the risk of getting the disease. Rohn, a leading expert in Alzheimer’s disease, has been awarded a three-year, $284,462 grant from the National Institutes of Health for research into the disease. The grant will allow Rohn to focus on the role of a gene called apolipoprotein E4 (apoE4) in greatly increasing the risk of a person to develop late-onset Alzheimer’s. About 15 percent of the population carries the gene. Although apoE4 clearly increases the risk for Alzheimer’s, the way it contributes is not certain.

Biologist’s research holds promise for fighting tumors Boise State University biology professor

Allan Albig is working in a relatively new research area that examines the interactions between the body’s cells and connective tissues that surround them. Unraveling their mysteries could hold promise for slowing or stopping the growth of malignant tumors. It is well known that the connective tissues and cells that make up the human body “talk” to one another. But what information they contain, and what causes a protein in connective tissue to signal a cell to grow, or stop growing, is relatively poorly understood. Albig received a $300,000 grant from the National Institutes of Health for his biomolecular research.

Online adult-gerontology nursing program approved The Idaho State Board of Nursing has approved the start of a new online master of nursing, adult-gerontology nurse practitioner (AGNP) program at Boise State University. The program will provide nurses access to education as an advanced practice nurse, helping to meet the ever-increasing need for primary and acute care practitioners in the state. The AGNP program will include a master’s degree in adult-gerontology nursing and two new graduate certificates: adultCONTINUED ON PAGE 34

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News & events from the Treasure Valley health community gerontology nurse practitioner in acute care and adult-gerontology nurse practitioner in primary care. The AGNP program is part of a broader set of existing and newly approved graduate programs in Boise State’s School of Nursing. They include an existing master of science in nursing and master of nursing and a new doctor of nursing practice.

Nursing professor helps Ugandan orphanage Eldon Walker, assistant professor in the School of Nursing at Boise State University, will join others from the Boise chapter of Be the Change Africa in July to work with Nsumba Orphanage in Uganda. The orphanage is about two hours south of the capital of Kampala and has about 350 children ranging in age from 2 to 18 years old. The group also is working with Destiny Friends International, which mobilizes support and resources in order to restore the lives of people affected by HIV/AIDS, orphans and vulnerable children and the elderly. Every year the Be The Change local chapter collects clothes, dental supplies and medical supplies to take with them on a trip to Africa each July. Learn more about Boise State and its programs at www.boisestate.edu.

IDAHO STATE UNIVERSITY-MERIDIAN

Professor recruiting children for language study Dr. Diane Ogiela, an assistant professor in Idaho State University-Meridian’s department of communication sciences and disorders, is conducting a study to better understand how children with language learning difficulties process and understand language. She and her research team are looking for 7- and 8-year-olds who have received language therapy from a speech-language pathologist or have a language-based learning disability. To qualify, a child must use English as his or her native or primary language and have no history of intellectual impairment, autism spectrum disorder or a known genetic syndrome/disorder that affects learning. The study takes two sessions and includes a free hearing screening and language testing. Sessions will be conducted at ISU-Meridian, 1311 E. Central Drive, and test results will be provided to parents at no cost. After each session, children will receive a $5 Target gift card. If interested in participating, contact Ogiela at 373-1870 or 373-1853 or email her at langlab@isu.edu. 34

LivingHealthy

RELAX WITH NEW CDS

Two guided meditation audio recording albums were recently produced and released by Jeanne Dillion, a certified yoga therapist and director of Boise’s Yoga for Wellness LLC. “iRest — Yoga Nidra, for Kids at Bedtime and Quiet Time” was inspired by Jeanne’s grandchildren and those of her students and friends. This CD/audio download includes two practices designed to help children fall asleep with ease or rest quietly. “iRest in Serenity” — Finding Peace in a Chaotic World, Yoga Nidra “ is a CD/audio download with two practices designed for adults to reduce stress and bring deep relaxation. Both albums are based on Integrative Restoration (iRest), 10-step protocol based upon the ancient practice of Yoga Nidra. To learn more about the CDs and how to purchase them, call Dillion at 345-7113 or visit www.yogaforwellnesspro.com/ extra_gentle_cd.html. Depending on your format choice (download or CD), the cost via the link varies from $9.99 to $15.

cer tumors as effectively as doxorubicin, but without targeting the subclass of enzymes that protect the heart muscle. Frank conducts her research at the Boise Veterans Affairs Medical Center and the L.S. Skaggs Pharmacy Complex at ISUMeridian. She is collaborating with Todd Talley, Ph.D., and Dong “Danny” Xu, Ph.D., assistant professors of biomedical and pharmaceutical sciences in ISU’s College of Pharmacy. For more information, contact Nicole Frank at frannic2@pharmacy.isu.edu or Todd Talley at talley@pharmacy.isu.edu.

Clinics offer low-cost help ISU-Meridian, 1311 E. Central Drive, offers dental, mental health and speech-language services at clinics located on campus and staffed by faculty, student clinicians and licensed professionals. Contact the clinics directly for fee schedules and appointments. Æ The Delta Dental of Idaho Dental Residency Clinic at Idaho State University offers a full slate of services, including oral surgery, implants, root canals, crowns, pediatric dentistry and preventive care. Call 373-1855. Æ The Counseling Clinic offers individual, couples and family counseling. Call 373-1719. Æ The Speech and Language Clinic offers therapy for children and adults who are experiencing communication problems and disorders. Call 373-1725. Learn more about ISU-Meridian programs at isu.edu/meridian/clinics.shtml.

Researchers study side effects UNIVERSITY OF IDAHO of cancer drugs Mark your calendars to learn more about infectious diseases Idaho State UniversityMeridian graduate assistant Nicole Frank is conducting research to understand the relationship between chemotherapy drugs and the toxicity they cause. Nicole Frank Frank, a microbiologist working on her Ph.D. in pharmacology, is helping Gem Pharmaceuticals, LLC of Birmingham, Ala., determine why a potential cancer drug currently in clinical trials appears to be Todd Talley less toxic than the chemotherapy drug doxorubicin, which is widely used to treat a variety of cancers but can lead to heart failure after long-term use. She and her team have found that Gem’s experimenDong tal drug appears to fight can“Danny” Xu

The WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) Mini Medical School sessions will take place over four weeks from 7 to 9:15 p.m. Oct. 2, 9, 16 and 23 at Saint Alphonsus’ McCleary Auditorium in Boise, 1055 N. Curtis Road. This year’s topic is infectious diseases. Registration opens in mid-August. Visit www.uidaho.edu/boise/wwami/minimedical-school or call 364-4544 for information. The cost for all four nights is $25.

Learn about preserving food at Ada Extension classes A series of Harvest Food Preservation classes begins Aug. 28, with jams and jellies. The cost for that class is $12. Classes in September include canning basics, pressure canning, pickling basics and safe gifts from your kitchen.


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Æ “StrongWomen — Healthy Lifestyles” starts on Sept. 25 and continues on Mondays and Wednesdays through Nov. 13. StrongWomen is a national fitness and nutrition program designed for women 40 and over ($25). “Healthy Habits” is a free online program that begins on Sept. 24 with a survey and continues through Nov. 19. You’ll get eight weeks of healthy living topics sent to your email address. To learn more about the Ada Extension classes, call 287-5900 or visit uidaho.edu/extension/ada. Æ If you need answers to gardening and food preparation questions, check out a local University of Idaho Extension office. Extension offices are open 8 a.m.-5 p.m. Monday through Friday, except holidays. Æ Ada County: 5880 Glenwood St., Boise, 287-5900, email: ada@uidaho.edu Æ Canyon County: 501 Main St., Caldwell, 459-6003. Email: canyon@uidaho.edu. Online: www.uidaho.edu/extension/canyon. Learn more about the University of Idaho and its programs at uidaho.edu.

ADVANCED UPPER CERVICAL CHIROPRACTIC WELLNESS

New clinic opens near Downtown in North Boise Advanced Upper Cervical Chiropractic Wellness will hold an open house and rib-

bon-cutting ceremony from 10 a.m. to 1 p.m. Tuesday, July 16, at its office at 711 W. Franklin St. in Boise. Dr. Alan Fox operated a chiropractic clinic in Twin Falls for 30 years. His clinical experience and advanced postgraduate training has led him to develop this new clinic in Boise. He focuses on an area of chiropractic called UCSC — upper cervical specific correction. This method looks for something called an upper cervical displacement toward the upper portion of the neck, which is considered the most important area of the spine. To learn more, call, 344-0234 or visit atlascorrectionboise.com.

IDAHO LIBRARY ASSOCIATION AND BLUE CROSS OF IDAHO

Groups team up to help Idahoans learn about insurance The Idaho Library Association and Blue Cross of Idaho are working to inform Idahoans about the new health coverage options that will be available through Idaho’s Health Insurance Exchange this fall. The Idaho Library Association will distribute need-to-know information about the Affordable Care Act and provide access to public library computers to access getcoveredidaho.com, and other online resources. Participating libraries will also share information about the changes to

health insurance. The partnership is part of a broader Blue Cross of Idaho healthcare reform education initiative called Get Covered Idaho that will help individuals understand the coming changes and the new Idaho Health Insurance Exchange. Contact your local library to find out more. For more information about the upcoming changes in health insurance, visit www.getcoveredidaho.com.

IDAHO DEPARTMENT OF INSURANCE

Website offers information about health care law The Affordable Care Act, or Obamacare, has left many people confused. The Idaho Department of Insurance is preparing a series of articles and website links to help consumers understand the implications of the ACA. Under the law, most Americans will be required to have health insurance. Many provisions have already been implemented. More changes will take effect Jan. 1. The Department of Insurance encourages Idahoans to visit www.doi.idaho.gov to learn more about the ACA and to keep abreast of changes. Consumers may call the department at 334-4250 in the Boise area or 800-721-3272 toll-free statewide. CONTINUED ON PAGE 36

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News & events from the Treasure Valley health community AMERICAN CANCER SOCIETY

Programs need volunteers People are needed in Ada and Canyon counties to help the Cancer Society’s Cancer Resource Centers Look Good ... Feel Better and Road to Recovery programs. For more information or to volunteer for a specific program, contact Lindsay Nelson at 367-3508 or lindsay@cancer.org. The society’s Cancer Resource Centers are at the Saint Alphonsus Cancer Care Centers in Boise and Caldwell. The American Cancer Society Look Good…Feel Better program provides women with cancer an educational session on how to manage the appearance-related side effects of cancer treatment. Volunteer opportunities are available for program coordinators and cosmetologists and licensed beauty professionals interested in facilitating the program. Drivers are needed for the Road to Recovery program, which provides transportation to and from treatment. For more information about the American Cancer Society, visit cancer.org.

AMERICAN RED CROSS OF IDAHO

Make an appointment today to help out by giving blood High temperatures have caused the cancellation or early closing of some blood drives in Idaho recently. Combined with the normal seasonal drop in donations during the summer, more blood donors are needed. Call 1-800-733-2767 or visit redcrossblood.org to make an appointment or for more information.

HUMPHREYS DIABETES CENTER

Camp offers fun, help for diabetics and their families St. Luke’s Humphreys Diabetes Center, St. Luke’s Children’s Hospital and Bogus Basin Mountain Recreation Area are presenting the second annual Don Scott Diabetes Family Camp for families who have children with type 1 diabetes. The camp is scheduled for Saturday, Sept. 14, at Bogus Basin. This camp will offer outdoor activities for the family, along with group sessions for parents and caregivers, peer-to-peer opportunities for kids and an evening campfire. The deadline to register is Aug. 23. The cost is $25 per person or $100 per family. Call 381-9000 or visit www.stlukes online.org to register. Contact Lisa Gonser at lgonser@slhs.org for more information. 36

LivingHealthy

Provided by Boise Parks and Recreation

BOISE’S ANN MORRISON PARK IS NOW HOME TO THE CITY’S FIRST OUTDOOR GYM, thanks to a donation from Bodybuilding.com. It features 15 pieces of equipment, including a sit-up bench, leg press, rowing machine and squat press. The gym is located along the Greenbelt in the northeast corner of the park. Signs provide instructions and health tips.“We live in an extremely active community,” said Bodybuilding.com founder and CEO Ryan DeLuca. “And we wanted to build on that spirit by giving everyone a chance to experience the life-changing physical and mental benefits of a gym — for free.” The donation is valued at $80,000, which includes the equipment, installation and maintenance for five years.

Contestants win — and lose The $10,000 Treasure Valley Weight Loss Challenge wrapped up in June. The 99 finalists lost a combined 2,881 pounds. The first-place woman was Daphne Mallory, who lost 83.2 pounds, or 40.82 Daphne percent of her bodyweight. Mallory The first-place man was Shea Morin, who lost 124 pounds, or 37 percent of his bodyweight. Mallory and Morin each won $3,000. Runner-ups also won cash prizes. Want to try the Challenge? Shea Morin Humphreys Diabetes Center will launch the 2014 contest on Jan. 4. Visit www.hdiabetescenter.org later this year for more information.

IDAHO SUICIDE PREVENTION HOTLINE

Hotline expands hours The Idaho Suicide Prevention Hotline (1-800-273-TALK) received two gifts of $37,500 each, which helped the hotline add an additional evening phone responder shift and expand its hours of operation to 9 a.m. to 9 p.m. Mondays through Fridays. United Way of Treasure Valley connected the ISPH with these donations from the J.A. and Kathryn Albertson Foundation and St. Luke’s Health System. The ISPH is a program of Mountain States Group.

BOISE CITY PARKS AND RECREATION

Paralympic sport of Goalball is being offered at Fort Boise In partnership with the Boise Blaze Goalball Team, the Boise Parks and Recreation AdVenture Seeker program invites individuals with visual impairments to learn the rules and play Goalball at the Fort Boise Community Center Gym. Participants must pre-register for the session by calling 608-7680, enrolling online at www.cityofboise.org/adaptive recreation or enrolling in person at Fort Boise Community Center (700 Robbins Road, Boise). A drop-in rate of $4 per person per date is available once the session has started (before dropping-in, please call 608-7680 to ensure that the session is going). If the minimum enrollment of six has not been met, the session will be canceled. Scholarships are available for youth and for adults who have disabilities. Call Sonya or Emily at 608-7680 to learn more about Goalball and the AdVenture Program or visit www.cityofboise.org/adaptive recreation for time and price information.

Can you Walk 150 this year? Boise Mayor Dave Bieter has challenged residents to walk 150 miles in honor of the city’s sesquicentennial. You can participate as an individual — or as part of the business challenge, which runs through Nov. 30. Businesses of all


0713-LivingHealthy-29-38-briefs_living healthy 7/6/13 11:21 AM Page 37

sizes are invited to compete in five categories. Prizes include walking shoes, pedometers, shoe laces and FitBits for tracking the health benefits of walking. Participants are urged to log their miles in a tracker at www.boise150.org Business challenge participants include Boise Inc., Boise Metro Chamber of Commerce, Idaho Banking Co., Idaho State Dental Association, the Idaho Statesman, Intermountain Gas Co., Murie Design Group, Les Bois Credit Union, Central District Health Department, Idaho Tennis Association, Boise Art Museum and Prosperity Organic foods. For information about the business challenge, see www.walk150.org or contact Chuck Darby at cdarby@cityofboise.org or 608-7653.

Deadline to sign up for dodgeball tourney is July 13 The Allegiant “Dodge High Fares” dodgeball tournament will run from 8 a.m. to 1 p.m. Saturday, July 20, at Fairmont Park, 7929 Northview. Cost is $100 per team, with proceeds benefiting the city’s Kristin Armstrong youth scholarship program, adaptive recreation programs for people with disabilities and Let’s Move Boise. To register a team, see dodgehighfares.com/ events/boise-id. The deadline is July 13.

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AMERICAN LUNG ASSOCIATION

‘Breathe Easy Breakfast’ will benefit local lung association The event will be from 7:45 to 9 a.m. Oct. 2 in support of research, education and advocacy regarding lung disease, smoking cessation and clean air. The breakfast will be held at The Loft in the Stueckle Sky Center at Boise State. Tickets are $25 per person and $400 for a VIP table of eight. The speaker is Wiley Petersen, former professional bull riding champion, who rejected tobacco company sponsorship money and became a powerful anti-tobacco advocate. All proceeds from this event fund the mission and programs of the local Lung Association. For more information, contact Jan Flynn at 345-2216 or jflynn@lungmtpacific. org. Learn more about the American Lung Association of the Mountain Pacific at lungidaho.org.

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Groups can apply for grants The Idaho Foodbank Fund will accept grant applications through July 31 from any Idaho nonprofit that provides hunger relief services. Funds can be used to support ongoing hunger-relief programs and services, purchase food and/or expand existing caCONTINUED ON PAGE 38

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News & events from the Treasure Valley health community pacity (new freezers, shelving, transportation, etc.). Qualified applicants must be 501(c)(3) organizations but are not required to have any connection with Community Action Partnership of Idaho, Catholic Charities of Idaho or The Idaho Foodbank. For information about how to apply for a grant, email grants@idahofoodbank fund.org. To learn more about the fund, view the announcement and access a grant application, go to idahofoodbankfund.org.

Program brings lunch to kids The Idaho Foodbank’s popular free summer food program Picnic in the Park runs through Friday, Aug. 16, this year. Lunches are distributed in Boise city parks and other locations. For a list of parks and more details, see www.idahofoodbank.org.

BOISE FIRE FIGHTERS LOCAL 149

Take precautions at home to prevent burns and scalds Burns and scalds occur most often in the home as a result of preparing hot food and beverages or from hot tap water in showers and bathtubs.

SUBMIT YOUR NEWS Most of the information for the community health news is submitted by area hospitals and nonprofit organizations.The next issue of Living Healthy publishes on Sept. 7. If you’re interested in contributing to the community health news, please contact Holly Anderson at handerson@ idahostatesman.com by Aug. 12. “Cooking and bathing are such common and routine activities that many people don’t think twice about the possibility of injury. But approximately 400,000 burns are reported each year in America, of which 160,000 are scalds, burns and scalds are clearly dangers in our homes. Additionally the most vulnerable populations are kids younger than 4 years of age and the elderly,” said Matthew Lutz, a Boise Fire Department firefighter and medic. Exposure to 150 F tap water for as little as 2 seconds can result in 3rd-degree burns and burns from liquid between 160-180 F, the temperature of a cup of coffee or tea, can be bad enough to require skin grafts. In young children and the elderly, scalds and burns can result faster and be more injuri-

ous because their skin is thinner than older children and adults. Keep yourself and loved ones safe with these tips from Boise Fire Fighters Local 149. Tips for the kitchen: Æ Supervise children in the kitchen. Æ Use rear burners when possible. Æ Keep pot handles turned in and away from stove front. Æ Never hold young children while cooking. Keep children away from stoves, ovens, microwaves, and appliances like crock pots and rice cookers. Æ Avoid using tablecloths that, if grabbed, could pull hot food down on a child. Æ Put non-slip mats by the stove to prevent falls. Tips for the bath: Æ Turn water heater thermostats to 120 F maximum temperature; 100 F is a safe bathing temperature. Run your hand through water to test the temperature before placing a child in a tub. Æ Never leave children alone in the bath. Æ Always turn cold water on first and off last to prevent accidental scalds. Æ Use special tub spouts and shower heads that have sensors to detect and shut water flow off when water is too hot. Visit www.boisefirefighters.org for more information.

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COLOR ME RAD

PHOTOS BY KATHERINE JONES kjones@idahostatesman.com

The colorful race benefited Special Olympics Idaho and drew 3,000 to Expo Idaho in June. See more photos at IdahoStatesman.com/photogalleries

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0713 living healthy  

The Idaho Statesman's Living Healthy magazine for July & August 2013.

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