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Caring for your family through all of life's ages and stages. WALK- I NS WELCOME
November/December 2014 An Idaho Statesman publication 10 minutes of exercise goes a long way 10 ways to fit some fitness in your day
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Tips for keeping the holidays healthy 7 10 suggestions to help you stick to your goals Keep holiday stress at bay 8 Five ways moms can find the joy of the season
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Plan ahead for your older guests Help them feel safe and welcome
Fun exercise classes in the Valley More cool ways to get your groove on
How to be a better patient Plan, ask and engage with your providers
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NOVEMBER IS NATIONAL DIABETES AWARENESS MONTH Meet Miss Idaho Sierra Sandison 16 Type 1 diabetic isnâ€™t afraid to show her pump Are you at risk for prediabetes? Take the quiz to find out
You can manage your Type 2 diabetes 22 Plus, resources, holiday strategies, apps, more Treasure Valley health news 28 Hospitals and other groups share updates
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On the cover: Miss Idaho Sierra Sandison and Bridget McDonagh from Joplin Elementary share a moment at a event in October. Related story, 16 PHOTO BY KYLE GREEN /
How to reach us at the Idaho Statesman ADVERTISING OPPORTUNITIES: Linda Erickson at 377-6290 or firstname.lastname@example.org EDITORIAL CONTENT: Holly Anderson at 377-6435 email@example.com The next issue of Living Healthy will publish Jan. 3, 2015.
You never know how You’ll get hurt. Fortunately, West Valley Medical Center is fully staffed with board certified ER physicians.To experience an ER team that’s fully committed to short wait times and keeping you informed about every stage of your treatment, visit West Valley Medical Center. Text “ER” to 23000 for current wait times.
NOT BIGGER. JuSt Better.
10 ways to get
10 minutes of exercise Several mini-sessions add up to big results BY STARRE VARTAN MOTHER NATURE NETWORK
I know — some days it seems like it’s asking the impossible to get a workout in, even a half-hour’s worth. But the benefits of cumulative exercise are well documented, meaning that if you do three 10-minute sessions (say, one before you shower in the morning, one on your lunch break and one while you are watching TV at night), you are less likely to have several issues that presage significant health issues later on, such as metabolic syndrome, high blood pressure and cholesterol, and high waist circumference. (Longer-bout exercisers in an Oregon State University study did weigh less than those who did intermittent exercise — even for the same amount of time — so long walks, runs, bike rides and more are still worth doing.) Nevertheless, it’s worth scheduling in these mini-movement breaks — both for the health benefits and because people who exercise (on whatever kind of schedule) sleep better, have a greater sense of life satisfaction and well-being, and are more able to focus on the task at hand. Here’s how to get your exercise.
WALK YOUR DOG, OR YOURSELF If you usually just let your dog out several times a day, make one of them a real walk with your pooch. If you don’t have a dog, commit to a daily walk at a certain time (just after you wake up, on your lunch break or after dinner). Commit to doing it seven days in a row, rain or shine, and you will have created a habit you’ll find you miss on the days you don’t do it. And if you’re anything like me, you’ll find that your 10-minute commitment turns into 20 or 30 minutes some days. Walking is free, low-impact and easy, so just do it.
PACE WHILE TALKING ON THE PHONE I feel a compulsion to walk while I’m 4
talking. When I’m catching up with friends I can end up walking a couple of miles over the course of an hourlong conversation. But even if you don’t go “out for a walk” you can still move while chatting. Wander around the house, walk up and down the stairs, or just pace back-and-forth in the biggest room of the house. I do this while on personal and business calls. Need to take notes while you chat? Use a handsfree device and walk with a notepad.
STRAP ON YOUR SNEAKERS AND RUN If you usually run, it’s easy to break into a jog anywhere, anytime, as long as you are wearing decent shoes. If you jog along for 10 minutes or so, you’re unlikely to get too
sweaty or mess up your hair (unless, I suppose, you have some crazy-elaborate ’do!) running for that short amount of time, so you can easily return to work or whatever you were doing.
WALK WHILE READING Obviously, you’ll need to be careful while doing this, but if you need to read student papers, journal articles or research for your work, there’s no reason you can’t walk while doing it. It sounds slightly crazy, but it’s common practice among professors (and other people) the world over. Be sure to choose a route that’s likely CONTINUED ON PAGE 6
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to be quiet, and a path that isn’t likely to be slippery, muddy or otherwise filled with detritus, and go. It takes a bit of practice, but I’ve read whole books while taking walks — you’ll go slower than you normally might, of course, but once you get used to it, it’s a great way to get some movement in while getting work done. I even keep a pen with me to take notes while I walk and, no, I’ve never fallen on my face! (Though I wouldn’t do this if it were icy out.) Many people read while walking on a treadmill as well.
with routines if you don’t already know enough exercises to fill 10 minutes. Just Google “10 minute abs.”
WORK THAT BUTT Same as abs, but it’s a different body part, of course.
DO SOME CHORES ALREADY Ten minutes of raking leaves (do that every day for a week and save some bucks on yard maintenance — or keep yourself from doing 90 minutes in one day and getting crazy-sore); shoveling snow; trimming trees/bushes and cleaning up afterward; moving stuff around the house (laundry, toys, just putting stuff away); or stripping and remaking a couple of beds all count toward 10 minutes of movement. (And you can check stuff off your “to do” list!)
THROW A SOLO DANCE PARTY Pick three songs that just always get you going; with most songs between 3-4 minutes, three of them is an ideal length. And just move to them, in any way you want. I like to choose one slower song to start, then do two upbeat songs to follow. You can do this in your own living room or kitchen, or put your headphones on and head outside — who cares if your neighbor sees you? What are they going to say: “I saw Sue dancing in her own backyard yesterday”?
DO SOME YOGA Ten minutes of sun salutations will get your heart rate up and get you stretched out. Yoga takes very little space to do, and you don’t need any special equipment. This is especially great if you are working at a desk, as muscles get tight, and even if you are in an office, people will think you are healthy, not weird, if you take 10 to stretch and move. You will feel much more energized and (from my experience) be able to focus better when you take a yoga break mid-afternoon, instead of heading to the vending or coffee machine. There’s a great video to get you motivated (and naturally, you can find many more online). Find the video at YouTube.com by searching for “Free 10 Minute Yoga Sun Salutations Flow.” Dust off that bike. Leave your bike somewhere you can jump on it anytime. Figure out a route that’s five minutes long, time yourself going that far — then try to beat that time on your way back. (Plus, once you have your bike out, you’ll be more likely to use it for an errand or just take a ride when you have more than 10 minutes).
WORK YOUR ABS Ten minutes is about as long as you can work one body part, so it’s perfect for fitting into an exercise routine of mini-movements. And the Internet abounds
This article — http://www.mnn.com/ health/fitness-well-being/blogs/10ways-to-get-10-minutes-of-exercise — originally appeared on the Mother Nature Network at www.mnn.com.
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10 ways to keep the holidays healthy H
ave you been working hard to stay healthy in 2014? Did you actually make your New Year’s resolution last past Valentine’s Day? If so, give yourself a pat on the back. Alas, the holidays are at hand again. For some of us, they can turn into a downward spiral that begins with Halloween Health and Fitness and doesn’t let up until Jan. 2. MAGGIE In the hope that WILLIAMSON you won’t let Special to Living Healthy the coming season thwart the hard work you’ve put in over the last 10 months, here are 10 suggestions for keeping the holidays moderate and healthy.
Don’t plan to deprive yourself. Deprivation is just about guaranteed to fail — especially over the holidays. Set a realistic expectation. You probably won’t drop 15 pounds from November to January, but you can keep fitting in your jeans. Strive to eat healthfully and moderately, and stick to your normal workout routine.
Food tends to be an integral part of the holiday experience. In light of this, focus on the foods you like most or on treats that are unique to the holiday, rather than having some of everything.
Be mindful of the eating experience. Focus on the flavor, the texture, even the appearance of your food. Chew slowly and thoroughly. You will feel more satisfied on a smaller quantity, no deprivation required. So if you want dessert, go for it, but keep the serving small. Studies have demonstrated that we aren’t any more satisfied with a large serving of sweets than with a small serving. Savor a small portion and remind yourself that the majority of the pleasure is in the first few bites.
Don’t starve yourself before a holiday meal to save up calories for the big event — you’re just more likely to overeat. Furthermore, it’s probably not the best approach for keeping your blood sugar and insulin stable or your metabolism fired up.
Drink plenty of noncalorie liquids (such as water and green tea) through the course of the day. You’ll stay optimally hydrated, and it may help keep your appetite in check by adding to a sense of fullness. If partaking in alcohol, stick with one drink rather than two or three. The calo-
ries in alcoholic beverages add up quickly, and we tend to make poorer food choices when we drink more.
Remember: A holiday dinner is just ONE meal. You don’t have to eat everything at that one meal — that’s the beauty of leftovers. The holidays tend to be a time when emotions and expectations run high. Family interactions can trigger stress for many of us. It might be tempting to soothe our discomfort by eating and/or drinking to excess. Add an array of calorie-dense goodies, and things can turn into a trainwreck. How can we avoid getting derailed? Go into the situation with a specific plan for how you can deal with these situations. For example, decide ahead that when your sister brings up that same issue again, you’ll go to the kitchen for some water with lemon, not another cocktail or slice of pie.
Take in a turkey trot or an extra sweatsession to help balance out the extra holiday calories. Consider making it an annual tradition and invite friends and family to join you in the fun.
for yourself if you make it to January without gaining weight. Perhaps add some accountability by striking a wager with a friend that you’ll succeed.
Have a setback or lapse in judgment? Perhaps you went overboard on Thanksgiving? Don’t throw in the towel and consider the rest of the holiday season a free for all. We all make mistakes. Focus your energy on how you can prevent the same lapse at the next holiday or party. This holiday season, while you are reflecting on all you have to be thankful for, I hope you can add your health (physical and otherwise) to the list. Next, I hope you will frequently remind yourself that a holiday is only one day. Repeat after me: It’s a holiday, not a holimonth! Maggie Williamson is a health coach, NASM certified personal trainer, fitness nutrition specialist and weight loss specialist. She holds a master’s degree in social work and a bachelor’s degree in psychology. Her business, BoiseStrongMom.com, specializes in working with women seeking to improve their overall health and well-being.
MORE HELP FOR HOLIDAY PLANNING
Give yourself a specific incentive; you’ll be more apt to stick to your healthy trajectory. For example, plan a reward
Be a more joyful mom this season. PAGE 8 Help elderly relatives to feel welcome. PAGE 9 Diabetic? Tips for holiday eating. PAGE 23 NOVEMBER & DECEMBER 2014
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5 ways to be a more joyful mom during the holidays I
t is the joyful season, so Genny Heikka is a Treasure why is it sometimes so Valley mom, author, speaker hard to keep the stress and coffee lover. Stop by her level down during the holiblog at gennyheikka.com and days? share a cup or connect with Whether you’re a new her on twitter at mom, a seasoned veteran @GennyHeikka. For more with a houseful of kids or Family health tips on being a more joyful an empty nester getting mom, check out her latest ready to host adult kids for GENNY HEIKKA book “Finding Mommy Bliss the holidays, this time of Special to Living Healthy — Discovering Unexpected year can be full of stress Joy in Everyday Moments.” and mess — instead of joy and peace — if we let it. the dinner But the good news is there are things table or playing a game after dessert. you can do as a mom to save your sanity It doesn’t have to be complicated, so and be more joyful. Here are five tips: don’t overthink it. Just have fun, let your ASK FOR HELP guard down and create some laughter in Many of us struggle with asking for help your holidays — and in your heart. when we need it. We don’t want to impose TAKE TIME FOR YOU on others, so we just deal. Thirty-five peoThis can be one of the hardest things ple over for dinner? No problem. We turn for moms to do because we tend to put down offers for help and insist on doing it everyone else’s needs before our own. all on our own. Then, when the kids are But what good is a drained, cranky, clinging to our legs as we try to cook, and guests are arriving, we miss out on conver- stressed-out mom? Don’t be the martyr and sacrifice yourself this holiday season. sation and time with family because we’re Don’t drown in piles of wrapping paper too busy, too stressed and too distracted. and recipes, don’t lose yourself in countOr maybe your kids are grown and things aren’t as easy for you as they used to less errands and crowds, don’t believe that everything depends on you, all the time. be; decorating the stairs and setting the Right now — yes, right this minute as long table take longer and seem harder to you’re reading this — pause and think do. about one thing you’d like to do this holiThe solution is simple: Accept offers of day season. Go to a play downtown? Spend help and let your friends and family cona day with your girlfriends? Be intentional tribute; they want to! And if you aren’t getabout scheduling it. Put it on the calendar ting offers, don’t hesitate to ask. It may be and involve your family so they can plan as simple as, “Can you stop by the store on around it (Don’t worry; they’ll survive!). your way over and pick up a pie?” One Then do it. When you take time to refresh sentence like that can save you time — and decompress, you will be a more joyful and keep stress from stealing your joy. mom, and you will cultivate more joy in CREATE THE LAUGH your family as a result. I love what Ward Cleaver from “Leave It to Beaver” said: “You’re never too old to do SLOW DOWN At a time of year when there’s so much goofy stuff.” And it’s true! When was the last time you did something silly with your joy to be found, it’s ironic how many of us moms miss it because we’re too busy to kids or grandkids? The holidays can be so see what’s right in front of us. Precious much fun, but sometimes we schedule and stress the fun right out of it. Let this year be little ones opening presents. Wide-eyed wonder at the first snowfall. Memories undifferent. Try a new tradition: Say yes to folding in our homes. And what are we something you normally say no to, and be thinking about? How many more minutes silly (even if it doesn’t come naturally). until the turkey is done and did you bring Doing something new can be energizthe extra chairs in from the garage and will ing, and that energy will overflow to those you please hurry up and get ready or we’re around you. It might be something as simgoing to be late and why do I have to tell ple as having a snowball fight, asking everyone to do everything around here? everyone to share a funny memory around 8
Take a minute to breathe, mama — even before the holidays arrive — and reflect on what it all means. There are reasons we come together at this time of year and celebrate; spend time appreciating the meaning. These are the holidays. Remember what you’re celebrating and why and involve your family in the process. Tell stories, sing songs, slow down and savor the significance. There is a lot of joy to be found when the clock is ignored.
REACH OUT Study after study has found that the most joyful people have strong relationships, are grateful and are generous. The holidays are a perfect time to cultivate our relationships, appreciate what we have, and reach out to others. Not only do we spend more time with friends and family than we normally might, we have countless opportunities throughout the community to help those in need. Involve your kids or grandkids in a local charity outreach, adopt a family who might not be able to afford gifts, invite that lonely co-worker over for dinner, help repair your neighbor’s fence — the list could go on and on. When we approach the holidays (and life, for that matter) with gratefulness for all that we have and a willingness to reach out to help others, joy spreads in ways we might never have expected.
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Plan get-togethers with older relatives in mind Help them feel special by thinking about their needs ahead of time
t’s time to start thinking about holiday gatherings filled with family and friends. There is great joy in preparing for time away from work, planning feasts, attending special holiday events and seeing our loved ones. In making plans with the older members of our families, consider the following tips for an enjoyable multigenerational holiday: Create a safe environment. When seniors are taken out of their usual environment, unsuspecting risks arise. Be on the lookout for foot hazards such as throw rugs, sloped floors or door thresholds that may not be easily seen. A beautiful rug in front of the kitchen sink could quickly become difficult for your loved one to navigate when being helpful. Simply remove the rug during the visit and then replace it later. Also check the bathroom to remove any trip hazards such as toddler step stools or rugs. Ensure the light switches are visible, and the door
is easy to open and with my dad when he lived in close. assisted living. My sisters and I Keep the sound levels would take turns fielding his down and the lights up. An requests. event that is loud, dark Prepare to accommodate a and crowded can cause few requests yet empower your confusion in someone loved ones to act on their own with hearing aids or behalf. Family health glasses. Take the party on the road. Bring Keep it short. Consider the holiday party to your loved ANN UPCHURCH that older adults may one. Their home may not be Special to Living Healthy not enjoy being out of large enough for the bigger partheir routines and familties, but an early evening of iar places as long as others. warm beverages, holiday music Even though your loved ones want to join and traditional family treats might be the the fun, they may tire more quickly. Think best way for everyone to enjoy each other. of shorter events closer to home. Consider The biggest consideration is to keep the visit the accessibility and distance they might short and simple. Our parents, grandparhave to walk. Plan your transportation so ents, aunts and uncles very much want to that if the older adult wants to go home be included. With a bit of preparation, a earlier than the others, someone is ready to multigenerational holiday gathering can be do so. comfortable and fun for everyone. Be willing to accommodate. If older adults Ann Upchurch is the life enrichment/wellness now live in an assisted living environment, director of Touchmark at Meadow Lake Village they may be used to receiving help for in Meridian, a full-service retirement community “activities of daily living.” home to more than 400 people over the age of 55. On a trip away from their home, they She is responsible for directing activities and may expect to be waited on more than the events spanning a wide range of interests and younger generations consider necessary. abilities. This came from my personal experience
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African drums keep rhythm as an exercise class dances with help from guest artist Mohamed Bangoura at Hollywood Market Yoga in Boise's North End. READ ABOUT MORE LOCAL EXERCISE OPTIONS THAT WERE FEATURED IN LIVING HEALTHY AT IDAHOSTATESMAN.COM/LIVINGHEALTHY.
From West African dance to laugh yoga, more fun options to keep you active NIA
BY ANNA WEBB email@example.com © 2014 Idaho Statesman
In the Treasure Valley, the world of alternative culture extends to exercise. A number of local programs offer alternative roads to a healthy body and spirit. Here are a few to ponder:
WEST AFRICAN DANCE Among the alternative fitness, dance and movement classes in Boise, West African Dance on Thursday nights at the Hollywood Market Yoga building is sure to provide a big sweat and cardio bang for the buck. Dancer Kim Porter teaches the class in the one-time home of the Hollywood Market. Drummers, led by local musician Benjamin Pursley, provide the accompaniment. Dancers dance barefoot. Many wear bright African prints. Others stick to workout gear. Porter begins class with an intense warm-up. A brief description of that evening’s traditional dance follows. Porter focuses on a different dance each month. 10
Seven-year-old Elly Levi of Meridian attends the dance class nearly every week. Æ West African Dance: 7:15-8:45 p.m. every Thursday at Hollywood Market Yoga, 1319 8th St. in Boise. 841-9593. $15 drop in, $50 for a month pass.
The classic definition of Nia is “fusion fitness,” said trainer Britta von Tagen. “Nia is for the body, mind, motion and spirit.” It’s a mix of dance and meditation, of slow and fast movement. There is choreography, but if you attend one of von Tagen’s classes, you’ll hear her admonitions to dance “your way,” as often as you’ll hear her teaching specific steps. A typical Nia class might include touches of martial arts, ballroom dance, free dance, even some play-acting. Music, too, is mixed. “My mom calls Nia ‘earth woman dance class,’ ” said von Tagen. It’s suitable for all fitness levels and is generally done barefoot. The only requirement, said von Tagen, is a sense of humor. Depending on what you want to get out of the class, it can be as relaxed or as intense as you want. A fast-beating heart and a sweaty body are standard. Emotional epiphanies are not unheard of. Von Tagen is the proprietor of The Dojo, a studio in Boise’s North End that offers
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Suzanne Price of Boise keeps step with instructor Mohamed Bangoura, a visiting dance artist from West Africa. several classes in addition to Nia, including sword dancing and meditation. Nia was founded in California in the 1980s by instructors seeking nonimpact, “body-mind based” movement. Instructors attain levels, or “belts” akin to martial arts. Von Tagen has reached the highest level of Nia education possible. She’s one of only 44 “trainers” in the world. In addition to teaching Nia at the Downtown Y and at The Dojo, von Tagen travels frequently to teach students around the country and internationally. Æ Nia: multiple classes at The Dojo, 1512 N. 10th St., Boise, 720-3663, and at the Downtown Family YMCA, 1050 W. State St. Boise, 344-5502. $12 drop in at the Dojo, or 10 classes for $100. YMCA Nia classes included in membership.
LAUGH YOGA Laugh yoga first became popular in India in the 1990s. It isn’t like “twist yourself into a pretzel yoga,” said instructor Juanita Hebbeln. It’s something you can do straight from work in your business suit, in your pajamas or workout clothes, even in a wheelchair. You can be 100 pounds overweight or an athlete. One requirement: “We only ask that you leave your judgment at the door,” said Hebbeln. In class, Hebbeln guides participants through exercises that simulate the physical motions of laughter. The body doesn’t know the difference and releases the same healthy chemicals — dopamine, oxytocin, serotonin and endorphins, known by the acronym “dose” — as it does during a real belly laugh. Students stand for part of the
class, sit or lie down for the rest. Often, the initially fake laughter becomes genuine, said Hebbeln. Sometimes, the release of emotion takes the form of tears. Even when that happens, students say they feel better afterward. Hebbeln believes in laugh yoga as a way to practice deep breathing and meditation. “I’ve tried to meditate. I’m too hyperactive and it doesn’t work for me. But I experience a meditative state in laugh yoga,” said Hebbeln. “I tell students that they go into class with grains of doubt, and go out with pearls of wisdom.” Æ Laugh Yoga: 7 p.m. Wednesdays at The Dojo, 1512 N. 10th St., Boise, 344-5502. $10 drop in. Anna Webb: 377-6431 NOVEMBER & DECEMBER 2014
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Be an â€˜activeâ€™ patient:
Plan, ask and engage H
ealth care is expensive, time consuming and stressful. Itâ€™s imperative that you, as consumer, customer and patient, get the most from your health care experience. Become an â€œactiveâ€? participant. Benjamin Franklin once said, â€œIf you fail to plan, you are planning to fail.â€? There are several things you can do to prepare for your next medical visit:
you want and need without forgetting whatâ€™s important. Further, health care insurance and payment options are now more complex than ever. Contact your insurance carrier in advance to ensure youâ€™re clear on your finanPatient advocacy cial responsibilities (deGREG FELTENBERGER ductible and co-pays). When you arrive at your appointSpecial to Living Healthy ment, the clinic will probably ask for your co-pay and any remaining balance. PLAN However, it wonâ€™t have the amount you Before your appointment, think about owe at the conclusion of that dayâ€™s services what you want from the visit. Do you want since the clinic has to submit the details of to talk about a health problem, get or the services to your insurer, and the insurchange a medication, get a medical test or ance company will let the clinic (and you) discuss treatment options or a surgery? know the amount of the patientâ€™s responsiWrite your plan down on paper and bility (see the explanation of benefits bring it with you. Have you ever noticed statement from your insurance company). the difference in a visit to the grocery store ASK with a list and without? Visiting a health During your appointment, ask questions care provider is no different â€” get what
to ensure you fully understand what your provider tells you. And if possible, share your plan with someone else and take that person with you to the appointment. He or she can help you to ask questions and understand all the answers. Example questions include: Ă† What is my diagnosis? Ă† What are my treatment options and the benefits of each option? Are there treatment side effects? Ă† Will I need a test? Whatâ€™s the test for? Ă† If you are given a prescription, what will the medicine do? How do I take it? What are the medication side effects? Ă† If thereâ€™s discussion of surgery, why do I need surgery? Are there other nonsurgical options? How often do you perform this surgery? Ă† Should I change my daily routine/behaviors? In addition, there are two primary types of patient categories in an outpatient clinic: new and established. According to the American Medical As-
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sociation, â€œA new patient is one who has not received any professional services from the physician or another physician of the exact same specialty and subspecialty in the same group practices, within the past three years, and an established patient has received professional services â€Ś within the past three years.â€? These patient types should be transparent to you, the patient, but could result in some additional time and paperwork when youâ€™re at the clinic.
SOME WEBSITES TO HELP Ă† The Idaho Health and Welfare website has information on Idaho providers, facilities, disease prevention and more: www.healthandwelfare.idaho.gov Ă† The Idaho Medical Association has a provider finder on its site: www.idmed.org Ă† The Ada County Medical Society also has a provider finder on its site: www.adamedicalsociety.org
STAY ENGAGED After your appointment, there are times when you should re-engage your provider. For instance: if you experience side effects, if your symptoms get worse, if you receive any new prescriptions or start taking any over-the-counter medications or supplements, if you donâ€™t receive the results of a test or if you have questions about any results you donâ€™t understand. Itâ€™s always OK to re-engage your provider if you have questions, but donâ€™t be surprised if your provider defaults to another appointment (depending on the questions). There are two primary reasons for another appointment. First, most providers feel any services they offer will be of a much higher quality when face to face, particularly if the provider needs to examine you or run additional tests. And second, an
Ă† Independent Doctors of Idaho: www.independentdocsid.com Ă† Consumer Reportsâ€™ Consumer Health Choices: http://consumerhealthchoices. org/campaigns/getting-healthcare-right Compiled by Statesman staff
unfortunate reality of todayâ€™s environment is the litigious umbrella overshadowing health care (providers may feel at greater risk for a malpractice claim depending on the questions asked). If you leave your appointment and feel your provider wasnâ€™t listening, there are a few simple options: (1) Ask to speak with the practice ad-
ministrator (2) Ask for a customer comment form and include your contact info, or (3) Seek another provider. The world of health care is slowly evolving into a true service industry. Therefore, many physicians and administrators have realized you â€” the patient â€” are the most important part of the health care process (you are the customer) and your feedback is absolutely wanted and needed. If we donâ€™t know itâ€™s broken, we canâ€™t fix it. Becoming active in your health care will ensure you get the most from your appointment. The time and money spent on your care will be more worthwhile and less stressful when questions arenâ€™t left unanswered and you understand everything your provider tells you. Active involvement will help you make better decisions, improve the quality of care received, avoid medical harm â€” and youâ€™ll feel much better about the value of the care you receive. Gregory S. Feltenberger (PhD, MBA, FACMPE, FACHE) is the CEO of Idaho Urologic Institute. He has more than 20 years of executive-level and administrative health care experience, including serving as the chief operating officer of the U.S. Air Force Academy Hospital in Colorado Springs, Colo. Idaho Urologic Institute is based in Meridian with offices in Boise and Nampa.
Idaho Urologic Institute Three Locations to Serve You. Meridian, Boise, and Nampa.
For More For M ore Information: Information: 208-639-4900 www.idurology.com www.idurology.com
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You can visit YourHealthIdaho.org to see plans and pricing and to get more enrollment information.
Be in the know about Your Health Idaho P
eople can’t predict that was right for them and when they will get sick their families. People were or need to go see a pleasantly surprised when doctor. Emergencies hapthey realized how affordable pen, and when they do, it is health insurance could be. important to have health With tax credits, many insurance, because a broken Idahoans saved up to arm shouldn’t break your 70 percent or more on their Your Health Idaho bank account. monthly premiums. Your Health Idaho, the Idahoans can find those PAT KELLY state’s health insurance exsame great deals on health Special to Living Healthy change, is here to help you insurance plans this year. If find the coverage you need you are thinking about to handle all of life’s twists and turns. If shopping for a plan, here is what you need you’ve been putting off getting health into know: surance, especially if you thought you IMPORTANT DATES couldn’t afford it, now is the time to look. People can shop for health insurance on Last year, more than 76,000 Idahoans Your Health Idaho starting Nov. 15 all the found health insurance through Your way through Feb. 15. Idahoans will be able Health Idaho. It was the first time in the state’s history when people were able to go to compare 198 health insurance and dental plans while also seeing if they are eligionline, compare dozens of health insurble for a tax credit to help with monthly ance plans side-by-side and pick the one
premiums. If Idahoans want to start the new year with health insurance, they will need to apply for a tax credit and select their health insurance plan before the first week of December. Shopping for a plan on the exchange will take time, so start the process as soon as you can.
FIND HELP With so many different health insurance plans, it can be hard trying to figure out which one is the best fit. Thankfully, there are agents and brokers across the state who can help you choose the right plan for free. That’s right — there is no cost to you to receive expert advice. Agents and brokers undergo hours of training to be able to sell health insurance plans offered on Your Health Idaho, and they know the plans sold on the exchange better than anyone else. If you need help finding an insurance agent or broker in
1108-LivingHealthy-14,15-YHI_living healthy 11/3/14 2:50 PM Page 15
ENROLLING IN MEDICARE? Medicare annual enrollment continues through Dec. 7. Medicare beneficiaries can change, drop or enroll in a Medicare Advantage plan or Part D prescription drug coverage plan. While the annual enrollment period applies to these plans, it does not apply to Medigap. The Idaho Department of Insurance encourages consumers to review available plans through Medicare Plan Finder, www.Medicare.gov. The departmentâ€™s office of Senior Health Insurance Benefits Advisors (SHIBA) is available to help consumers understand their options. SHIBA is a federally funded program that offers free, unbiased counseling â€” advisers do not sell insurance or recommend coverage. Talk to a SHIBA counselor or schedule an in-person appointment by calling 800247-4422. For more information, visit www.doi.idaho.gov and search for SHIBA. Information from the Idaho Department of Insurance
your neighborhood, visit YourHealth Idaho.org and click on the â€œlocate nowâ€? button on the homepage.
IDAHOANS HELPING IDAHOANS This year, we are rolling out our own technology platform and cutting our ties with HealthCare.gov. Your Health Idaho was designed to help the people in our state get the health insurance coverage they need. Idaho decided to create a statebased exchange because we didnâ€™t want the federal government making important decisions that would impact Idahoansâ€™ health care. By having our own technology platform, Idaho will maintain control over all aspects of the exchange. Now, Your Health Idaho is truly Idahoans helping Idahoans. From the moment people start shopping for health insurance up until the time they use their plan, everything will be done inside our state lines. We know there will probably be a few bumps in the road when people start signing up for health insurance â€” after all, we are dealing with technology. However, we have the right people in place to fix any issues that come up. And in the end, we know having our own Idaho solution will allow us to do a better job of serving you, our customers. So, while we canâ€™t tell you when youâ€™re going to get sick or prevent you from tripping and breaking your leg, Your Health Idaho can help you make sure youâ€™re covered when life throws you a curve ball. If you have any questions about signing up for health insurance or if you want to find out if you qualify for a tax credit, please visit YourHealthIdaho.org. Pat Kelly is the executive director of Your Health Idaho.
A healthy life starts here Call - Click - Visit - Talk To Your Agent 208-994-3911 or 800-735-2900 (TTY) 408 E Parkcenter Blvd. Suite 100, Boise 10/.-,/+*)(/',&*%%)$.#",!'0 #,1 0$,$/,.,0$,!11, 0$,.#,0,'./0(',/*$#(0/#,$(* %'$#, .$,10/.-,/+*)(/','./0(',''$,*$,/*$#(0/#,('$'0 ,'$'-,#,0$,('%.)%,%0",/0$',*$,0$)0(", ,*,'0/,"'0(,.%.#0#.*$,/*0",0$,('#(./#.*$,%0",0 ", *),%)#,/*$#.$)',#*,0","*)(,'./0(', 10(#,,('%.)%,#'(,(* .'(,0(',0 0. 0 ',.$,*)(,$'#*( , *#,0 , 0$,0 0. 0 ',.$,0 ,/*)$#.', &+,//'#' NOVEMBER & DECEMBER 2014
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1108-LivingHealthy-16-19-MissIdaho_living healthy 11/3/14 2:54 PM Page 17
Miss Idaho Sierra Sandison speaks out on diabetes, confidence and Possibilities for Disabilities ‘America’s Choice’ is proving to be a popular speaker, activist BY DANA OLAND firstname.lastname@example.org © 2014 Idaho Statesman
KYLE GREEN / kgreen@
Miss Idaho Sierra Sandison isn’t shy now about showing her insulin pump, above, in public or encouraging people to live healthier lifestyles. She was a speaker at the annual Drug Free Idaho Red Ribbon Rally, held in October to focus attention on the dangers of illegal drugs.
ierra Sandison never imagined she would be a beauty queen — or a national celebrity — but both things happened in September when she competed at the Miss America pageant in Atlantic City, N.J. Sandison, 20, became the first Miss Idaho in 43 years to make the top 15 when she was selected America’s Choice — a finalist chosen by her fans through social media. “I couldn’t believe it. When I watch the video, it’s like I’m watching someone else,” she says. “But really I can’t remember a thing.” The athletic Twin Falls native, who has Type 1 diabetes, received national attention for wearing her insulin pump on stage during the competition, even during the swimsuit portion. With a smiling, sincere demeanor, she appeared on “The Dr. Oz Show” and received national press that allowed her to tell her story and discuss issues about diabetes. Sandison took inspiration from Miss America 1999, Nicole Johnson, who shares her condition and also wore her pump for the pageant. “When I started doing competitions, I was doing injections. I was worried about what boys would think, or my friends would say, if I had a machine attached to me,” Sandison says. “When I heard about Nicole, I realized I could be beautiful and have a pump. I finally got the guts to do it and it turned out pretty well.”
Provided by the Miss Idaho Organization
Miss Idaho 2013 Sarah Downs crowned Sierra Sandison, 20, with the title in July. Sandison competed as Miss Magic Valley, a title named for the area around her hometown of Twin Falls.
CONTINUED ON PAGE 18
NOVEMBER IS NATIONAL DIABETES AWARENESS MONTH: Learn more about your risk for prediabetes, read tips about to manage Type 2 diabetes, find out about classes and other resources — including apps — ON PAGES 22 THROUGH 27. NOVEMBER & DECEMBER 2014
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Type 1 diabetes occurs when there are high levels of glucose in the bloodstream. The glucose builds up because the pancreas has lost its ability to produce insulin, the hormone needed to process sugar into energy. With this form of diabetes, people must inject insulin several times daily or use an insulin pump like Sandison. Type 1 is most often diagnosed in children, adolescents and young adults. Sandison was diagnosed at 18. Sandison is taking a year off from business administration studies at the College of Southern Idaho to meet her Miss Idaho obligations. She receives requests for appearances from in state and across the country, mostly from diabetes organizations. Her calendar is already booked through April. She created her Miss America platform, Possibilities for Disabilities — a program of summer camps she organizes for kids with any kind of disability in Twin Falls. She started the camps with her sister, Hailey, before she began entering pageants. Now it is poised to grow beyond Idaho’s borders. The Sandison sisters are working to package the program with workbooks and online support so teens in other states can use Possibilities as a model for their senior project. “So, it’s scalable,” Sandison says. “And we don’t have to be at every camp. That’s our main idea, but we’d love to travel to a few places to get it started.” Question: How did your diagnosis of Type 1 diabetes affect you? Answer: At first it was the worst thing that ever happened to me. I had a really bad attitude about it. I pretended that I didn’t have diabetes. “I can’t do this,” I would tell myself. Eventually, I realized that once you form the right habits, it’s possible to live a healthy and have an awesome life. I see it’s a challenge that’s been placed in my life and I’ve been able to overcome it, grow as an individual and serve others because of it. That’s what we try to teach our kids in the camps. 18
Provided by the Miss Idaho Organization
Sandison proudly wore her insulin pump during the Miss Idaho competition, including the Lifestyle and Fitness portion with her swimsuit, above, and during the Miss America competition in Atlantic City, N.J., in September. As Miss Idaho, Sandison is becoming a spokeswoman for diabetesrelated issues. She was on the cover of the American Diabetes Association’s Forecast magazine in October. Learn more about National Diabetes Awareness Month at www.Diabetes.org.
Q: How did you get involved in the Miss America program? A: A friend was running for Miss Magic Valley a few years ago. At pageants, we give out one crown for every four girls. They had seven (girls). She begged me, and I was like, “Oh, my gosh, no. I’m not a pageant girl. I snowboard and play basketball.” But she got me to do it, and of course I lost. But I really liked it, so I went back the next year and won Miss Pocatello (which is open to anyone in the state). I went to Miss Idaho but didn’t make the Top 10. Then last summer I became Miss Magic Valley and Miss Idaho. Q: What was the one thing that led to your success? A: I traveled to 13 countries over that year between the Miss Idaho pageants. I used some of my savings and went to Europe by myself. I learned a lot about myself and really solidified my beliefs. I think that gave me the confidence I needed. Q: What was it like to win Miss Idaho? A: I didn’t make the top 10 the first year I went to Miss Idaho, and so I worked so hard and grew over that entire year. To have all that energy pay off in the end was incredible. Q: Why do you like pageants so much? A: When I started, I was heading off to college and I needed something to incentivize me to stay in shape. I was terrified of speaking in public. Pageants are an awesome opportunity to practice public speaking. I’m passionate about a gazillion things and it’s a great way to stay involved in my community. And the scholarship money. (Sandison earned about $20,000 in scholarships.) Q: How did you come up with Possibilities for Disabilities. A: My sister and I have a passion for working with people with disabilities. We were volunteering separately. She did it first as a cheer camp, then we decided to join forces, and with my organizational skills it just exploded. This year we’ve done two soccer camps, a tennis camp, a basketball camp and two cheer camps. Because the camps bring together kids with and without disabilities, I think it helps both find confi-
1108-LivingHealthy-16-19-MissIdaho_living healthy 11/3/14 2:54 PM Page 19
Plan Your Winter Vacation!
Provided by the Miss America Organization
Sierra Sandison, left, reacted with surprise and joy at being selected â€œAmericaâ€™s Choice,â€? to join the top 15 at the Miss America pageant in September. She became nationally known during the pageant and made appearances on news and health programs. Learn more about the Miss America Scholarship Program at www.MissAmerica.org.
dence and create their own opportunities. I saw it change the culture in our school. Q: Nicole Johnson â€” who continues to be an advocate for diabetes â€” has been an inspiration for you. Did you ever get to meet her? A: Yes! When I won Miss Idaho I found her on Facebook and sent her a message telling her, â€œIâ€™m going to be like you.â€? Nicole messaged me back at like 6 a.m. to tell me that she changed her plans and would be in Atlantic City for Miss America Week. Then I was in Orlando a few weeks later for orientation and she was there as a
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surprise. I couldnâ€™t believe it. Then I got to hang out for a few hours with her and her daughter in Atlantic City. It was awesome. Q: What is the biggest piece of advice you have for women following in your footsteps? A: The advice I give to most pageant girls is yes, work on your walk and your speaking, but most importantly make a difference, and if you donâ€™t win the pageant, you still win something. You still know youâ€™ve been successful. Dana Oland: 377-6442, Twitter: @IDS_DanaOland
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Sierra Sandison shows her crown to local elementary school students at the annual Red Ribbon Rally, held on the Capitol steps in Boise in October. The 2014 theme for the rally was â€œLove Yourself â€” Be Drug Free.â€?
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AT RISK FOR PREDIABETES? TAKE THIS QUIZ TO FIND OUT Answer the questions below to find out your risk. For each “Yes” answer, add the number of points shown. All “No” answers are 0 points. Public health ELKE SHAW-TULLOCH Special to Living Healthy
ne in three American adults has prediabetes, and most do not know they have it. If you, a family member or a friend has prediabetes and does not take action, you may develop Type 2 diabetes within three years. What’s the difference between prediabetes and Type 2 diabetes? Prediabetes means your blood sugar (glucose) is higher than normal. It means that you don’t have diabetes yet, but you are at risk for getting Type 2 diabetes. Type 2 diabetes means your body does not use insulin correctly and is causing sugar (glucose) levels to rise higher than normal. Insulin is a hormone produced by your pancreas. How do you know if you are at high risk for prediabetes? Take the quiz at right. If your score is 9 or more points, your risk is high for having prediabetes and you should make an appointment with your health care provider to address your risks for prediabetes soon. If you have prediabetes, now is the time for action! An Idaho Diabetes Prevention Program can help you take charge of your health to prevent or delay Type 2 diabetes. Diabetes Prevention Program classes meet once a week for 16 weeks, then once a month for eight months to maintain healthy lifestyle changes. During each session, your lifestyle coach will teach a lesson and lead a group discussion. You will learn to: Æ Eat healthy. Æ Become physically active. Æ Manage stress. Æ Stay on track when eating out. Idaho lifestyle coaches have the experience and training to help you reach your goals. Your lifestyle coach will help you: Æ Learn the facts about healthy eating and physical activity and explain how these behaviors will help reduce your risk for Type 2 diabetes. Æ Set and meet your goals. Æ Build relationships with other participants. Æ Work as a group to meet challenges. 20
Yes or No? Are you a woman who has had a baby weighing more than 9 pounds at birth?
Do you have a sister or brother with diabetes?
Do you have a parent with diabetes?
Find your height on the chart at right. Do you weigh as much or more than the weight listed for your height?
Are you younger than 65 years of age and get little or no exercise in a typical day?
Are you between 45 and 64 years of age?
Are you 65 years of age or older?
Total your score here ››
Æ Understand and respond to your food cues. Æ Stay motivated. Æ Solve problems that can get in the way of healthy changes.
DOES THE IDAHO DIABETES PREVENTION PROGRAM WORK? The Diabetes Prevention research study showed that making small behavior changes helped participants lose 5 to 7 percent of their body weight, which is 10 to 14 pounds for a person who weighs 200 pounds. These lifestyle changes reduced the risk of developing Type 2 diabetes in people who have prediabetes by more than half.
WHERE ARE IDAHO DIABETES PREVENTION PROGRAM CLASSES AVAILABLE? Idaho Diabetes Prevention Program classes are being offered in the following counties: Ada, Benewah, Canyon, Clearwater, Idaho, Kootenai, Lewis and Nez Perce. The Idaho Diabetes Prevention and Control Program and the Idaho Department of Health and Welfare are working with community organizations throughout Idaho to increase the number of counties where Diabetes Prevention Program classes are available. More Idaho counties will
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DIAGNOSED WITH DIABETES? Help is available. A Diabetes SelfManagement Education Program can help you learn how to manage and prevent complications of diabetes. A diabetes educator will work with you to help you find solutions to staying healthy that fit into your lifestyle. With a health care provider referral, diabetes education is covered by Medicare, Medicaid and most insurance plans. Find a program near you by visiting www.diabetes.idaho.gov, or call 2-1-1, the Idaho CareLine. offer the classes in the coming year!
HOW DO I CONTACT A DPP LIFESTYLE COACH TO GET SIGNED UP FOR A CLASS? Visit www.diabetes.idaho.gov or call the Idaho CareLine by dialing 2-1-1 to get connected with a lifestyle coach. Elke Shaw-Tulloch, master of health sciences, is the state health officer and Division of Public Health administrator with the Idaho Department of Health and Welfare. Find out more about Department of Health and Welfare services at healthandwelfare.idaho.gov.
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Diabetes is different for every diabetic Knowledge and listening to your own body are the best tools you have to help you manage your health STORY AND INFORMATION BOXES BY DUSTY PARNELL SPECIAL TO THE IDAHO STATESMAN
Diabetes is much like the ocean. You should never turn your back on it. But if it does pull you into danger, you can learn to swim. “You’re not sentenced to death because you have diabetes. You can beat it,” said Sharlene Stahl, who really took charge of her own health when she was diagnosed with Type 2 diabetes. “I’m off all my medicine.” Stahl was a person who had to learn the hard way. She had spent her life with her back to the ocean. “I’ve lost hundreds of pounds over my lifetime and regained them,” she said. “I had to have something dramatic happen before I could change my life.” It happened on her 70th birthday. She had planned a big family party. It was going to be a grand time. But then things fell apart for her. “I had a major, major, major meltdown in front of everyone who was most important to me,” Stahl said. It’s an understatement to say she wasn’t feeling well. “I was so thirsty, I was even drinking water.” She wound up in the hospital, she needed a wheelchair, and doctors told her she had “syrup” in her veins. Several of her friends thought she was going to die. “I had to have this awful experience to wake me up,” Stahl said. “I decided I had to eat differently, and I changed my life. I changed everything about the way I eat.” Not that it was easy for her at first. “I had to learn how to eat,” she said. “I had no idea what one serving was. No one had ever shown me that before.” She credits Julie Walker, now the manager of the St. Luke’s Humphreys Diabetes Center, for teaching her about portion sizes and what and how to eat. And what Julie kinds of foods are counterproWalker ductive. “I wish I had known about processed food and what it does to your body,” Stahl said. “I loved fast food.” “Knowledge is one thing, but acting on it is a totally different thing,” Walker said. “You are in the driver’s seat. You are the one who makes the decisions day in and day out.” Diabetes is a self-managed disease. That means you cannot just go to the doctor and expect him or her to make everything better. 22
Photos by DARIN OSWALD/ firstname.lastname@example.org
Boise resident Sharlene Stahl stocks up on fresh produce at WinCo in Downtown Boise. Having Type 2 diabetes has changed her shopping list dramatically. “I didn’t use to like eggplant, but now I can’t get enough of it,” Stahl says with a laugh. “You can’t just take your medicine and then be totally oblivious to the other things that affect your diabetes, and then (think you’re going to) be successful,” Walker said. “Our bodies are complicated. You can’t just put it on the back burner. There are things that affect your diabetes every day.” That’s why the treatment — or prevention — of diabetes starts with you. “Managing diabetes is healthy living. It’s not a foreign concept to anybody. It’s just that our society has gotten away from that,” Walker said. “It’s a healthy lifestyle. It’s not unique to living with diabetes.”
KNOW THY ENEMY The 6th century Chinese military strategist Sun Tzu might just as well have been talking about diabetes when he wrote this in his famous treatise, “The Art of War”: “Know thy self, know thy enemy. A thousand battles, a thousand victories.” “The first step is getting the information for yourself. You need to learn as much about the disease as you can,” Stahl said. “Every day of the week, I try to learn something about diabetes, even if it is just a couple sentences. Being consciously aware of
what it really is — and what it is not — gave me strength.” “Every patient is different and everyone is in different stages of diabetes,” said Cindy Horrocks, manager of the Saint Alphonsus Diabetes Care and Education Program. Cindy “That’s why it is important to Horrocks have an individualized care plan.” While diabetes is a self-managed disease, you will be much more successful if you don’t try to go it alone. “You need a support system to make and sustain changes,” Walker said. That support system includes family and friends and a dietitian or other health care professional. Support groups and classes can also be helpful. “It’s not just a single session to learn about diabetes,” said Diabetes Educator and Registered Dietitian Marjorie Rich with the Saint Alphonsus program. “Every person is different,” Walker said. In order to develop your individualized plan, your health care professional first will need to inventory your behavior — how you eat, what you eat, whether you
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skip meals or eat at home, whether you eat your vegetables, how physically active you are, whether you sit six to eight hours a day, whether you take your medication and take it properly. All these things come into play. â€œThen we would start whittling away,â€? Walker said. â€œEven the smallest changes can make a world of difference,â€? Horrocks said. And since Type 2 is a progressive disease, it is an ongoing project. â€œWhat works now may not work in five years.â€? But the attack plan is not that complicated: Ă† Increase your physical activity. Use 30 minutes of exercise a day, five times a week, as a starting place. Ă† Manage your medicines until you find what works for you. Ă† Learn how to handle stress (stress increases your sugar levels). Ă† Limit your liquid carbohydrates, such as soft drinks or fruit juice. Ă† Learn how other foods and carbohydrates affect your body. Ă† And learn about portion control. The Healthy Eating Plate is a great place to start. Start with an 8- or 9-inch plate and draw a line down the middle of the plate. One half should consist of nonstarchy vegetables. Divide the other half of the plate in two, and limit yourself to fist-size portions of protein in one section and whole grains and starchy foods in the other. Use healthy fats and oils, and watch out for added sugar. A serving of fruit or dairy once a day may also be acceptable. Wash it down with water or unsweetened tea or coffee. Realize that diabetes is linked to heart disease, so follow those Heart Healthy guidelines, too. If it all sounds a little bit vague, it is because different foods affect different people in different ways. â€œThere really is no such thing as a diabetic diet. Itâ€™s a matter of tailoring the guidelines to the individual. Itâ€™s a matter of knowing yourself,â€? Horrocks said. â€œWhat you eat is just one small part of your sugar level. Diabetes is a very complex disease. Eating is just one part of the equation. How you eat does not cause diabetes. If you have the gene, what lifestyle does is bring that gene out earlier.â€? But remember, you can learn to swim. â€œDiabetes is manageable,â€? she said. Writer Dusty Parnell â€” a Type 2 diabetic himself â€” is a freelance print, radio and video journalist who has worked in the Treasure Valley for more than 25 years.
ON PAGES 24 THROUGH 27: RESOURCES FOR DIABETICS Local help from professionals, websites for information, apps and more.
TIPS FOR GETTING THROUGH THE HOLIDAY FOOD SEASON Watch out, diabetics, here come the temptations of the holiday season. Keep some of these tips in mind to help manage your health and control your diet when the house fills up with people and goodies. Ă† There are always some healthy items to choose from; if youâ€™re worried about the food selection, bring an appetizer or dish you know will be both good for you and tasty. Ă† Donâ€™t overdo it. Watch your carbohydrates, and keep your portions small, including that helping of your favorite treat. Resist that second scoop of just about everything. Ă† Eat a healthy snack beforehand, such as protein, to help reduce food cravings and mealtime overeating. Also, drink plenty of water to help stave off those cravings for salty snacks. Ă† Donâ€™t overdo the sauces and condiments. All that gravy, cranberry sauce, salad dressing, sour cream, honey-glaze, honeybutter and marshmallow and cheese sauces are danger points for diabetics. Now look at your plate again â€” how many little red flags do you have there, dear? Ă† Half your plate should be vegetables or fruit. Grains, bread and proteins should make up less than a fourth of your plate.
Anjou pears look festive and are a healthy food choice, too. Ă† Choose fruit for dessert. Pears are always a good choice this time of season. But that piece of pecan pie with the ice cream? Remember those little red flags you had all over your salad and main course? Ă† Alcohol isnâ€™t good for your diabetes either, so keep it to just a drink or two. Ă† DONâ€™T SIT NEAR THE FOOD. If itâ€™s buffet-style, make your plate and move away from the table. Itâ€™s easier to resist those buttered marshmallow yams if youâ€™re on the other side of the room where you need a pair of binoculars to eye them. Ă† Are you there for the food, or are you there to enjoy the company of loved ones? Câ€™mon, you know this one. Ă† Take a walk after eating. There will still be plenty of time for a nap later. Ă† Get back on track the next day. This was one special holiday meal; itâ€™s not food festival week. Youâ€™ve got pie to work off. Dusty Parnell, compiled with help from the Mayo Clinic and Carolinas HealthCare System
A Strong School Year Starts with a Strong Self
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LOCAL RESOURCES CAN HELP YOU NAVIGATE YOUR DIABETES
Dedication to regular exercise, healthy diet choices and self-monitoring are critical when managing your diabetes. That’s where a behavioral health professional can help you get the right mindset. These are some of the goals a behavioral health professional can help you achieve: Æ Identify your resources, as well as your physical and mental barriers that may impact your selfmanagement and medical compliance. Æ Enhance those coping and stress management skills to meet the challenges. Stress can increase your glucose levels. You want to adopt a calm approach to both life and diabetes. Æ Building those selfmanagement skills is vital. Diabetes demands daily attention, and you’re the only one in charge. Æ Promote those behavior changes that will support your health goals. Even small changes and diet adjustments can create great benefits and put you in the right groove for a healthier lifestyle. Æ Develop positive behaviors, emotional responses and thinking patterns that promote health and wellness. Diabetes is not a death sentence. You can stifle it, and a good attitude goes a long way. And remember: “There really is no one answer. And that is why it’s important to work with a certified diabetes educator to find a particular plan that’s going to work for you. What works for one person may not work for another,” says Cindy Horrocks, the manager of Saint Alphonsus’ Diabetes Care and Education Program.
What is diabetes?
S S S
When there is a lack of insulin in the blood, the body is unable to metabolize sugar. As a result, cells are starved for energy, causing constant hunger, and the blood is overloaded with sugar, leading to frequent urination and constant thirst.
Types of diabetes Type 1 diabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. Only 5 percent of people with diabetes have this form of the disease. The pancreas produces no insulin. Without regular injections or the use of an insulin pump, the patient can become comatose and die. Type 2 diabetes is the most common form of diabetes. In Type 2 diabetes, your body does not use insulin properly. This is called insulin resistance. At first, the pancreas makes extra insulin to help compensate. But over time, your pancreas isn’t able to keep up and can’t make enough insulin to keep your blood glucose levels normal. Type 2 is treated with lifestyle changes, oral medications (pills) and insulin. SOURCES: American Diabetes Association, Orange County Register, AMA Encyclopedia of Medicine, Prevention’s New Encyclopedia of Common Diseases
St. Luke’s Humphreys Diabetes Center The center provides individual and family counseling in self-management and prevention, as well as courses for the newly diagnosed, consultations for pregnant women with gestational diabetes, insulin instruction, lab tests and more. There is also a foot care clinic, as well as workshops for health professionals to help keep them up to date on the latest therapies, medications and technologies. In addition to group prevention and selfmanagement classes, individual dietician consultations and annual reviews, the center provides training at schools, helping to educate 24
Æ Meridian Center 520 S. Eagle Road, Suite 1229 884-4220 Æ Nampa Center 824 S. Diamond St. 463-7364 Services are also available in Mountain Home and Fruitland.
Diabetes results from a lack of the hormone insulin, which is secreted by the pancreas and metabolizes, or breaks down, glucose (blood sugar) into energy the body can I Insulin burn or store.
WHY YOU SHOULD CONSULT A BEHAVIORAL HEALTH PROFESSIONAL
both classmates and school staff on the needs of diabetic patients. It also sponsors the annual Don Scott Diabetes Family Camp for a weekend of fun and activities. Most insurance companies offer benefits for diabetes education when referred by a physician. Financial assistance is available for the uninsured. Call for more information. Æ Boise Center 1226 River St. 331-1155
Æ Walk and Talk: This free group meets for an hour every week at the Humphreys Diabetes Center in Downtown Boise. Led by Dr. Amy Walters, director of Behavioral Health Services, the goal is to help people make positive lifestyle changes. The first half-hour is discussion, followed by a half-hour walk on the Greenbelt. Every Tuesday, noon-1 p.m. 1226 River St.
Saint Alphonsus Diabetes Care and Education Program Saint Alphonsus opened a new center in 2013 to allow for more room to grow. The services in Boise, Meridian and Nampa offer selfmanagement education, medical management, insulin pump therapy, glucose monitoring, foot care and more. The program expects to expand into Ontario and Baker City, Ore., soon. The centers are also able to help facilitate those who need financial help, or help with their insurance companies. Æ Meridian 3250 W. Cherry Lane 367-6127 Æ Boise 1000 N. Curtis Road, Suite 305 367-6130 Æ Nampa Health Plaza (Garrity Boulevard & I-84) 4400 E. Flamingo Ave. 367-6130
West Valley Medical Center The Caldwell medical center’s Diabetes Resource Centers offer educational teams and many other services to help with diabetes. Æ 1906 Fairview Ave., Caldwell Æ 1717 Arlington Ave., Caldwell Information number: 402-0635 Idaho Health and Welfare programs Don’t forget about the Idaho Diabetes Prevention Program classes and the Diabetes Self-Management Education Program that are discussed on page 20 of this issue of Living Healthy. Find a program near you by visiting www.diabetes.idaho.gov, or call 2-1-1, the Idaho CareLine.
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3 More than 25 graduate and undergraduate programs in the health sciences offered at the ISU–Meridian Health Science Center Center.. 3 Dental, counseling and speech language clinics open to the TTreasure reasure VValley alley community community.. 3 The ISU–Meridian Health Science Center is located at 1311 EE.. Central Drive. DARIN OSWALD/ email@example.com
Cooking with fresh fruits and vegetables can be fun — and colorful. There are many websites and cookbooks where you can find diabetic-friendly recipes.
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FIND LOTS OF HELP ONLINE Local resources have great information St. Luke’s Humphreys Diabetes Center: www.stlukesonline.org/boise/specialties_ and_services/diabetes/ Saint Alphonsus: www.saintalphonsus. org/diabetes-care-education West Valley Medical Center: westvalleymedctr.com/service/diabetes-resourcecenter University of Idaho Extension Healthy Diabetes Plate: www.extension.uidaho.edu /diabetesplate Idaho Health and Welfare: www.diabetes.idaho.gov Camp Hodia Idaho (for kids with diabetes): hodia.org National websites with recipes and more Mayo Clinic Diabetes Diet: www.mayo clinic.org/diseases-conditions/diabetes/ in-depth/diabetes-diet/art-20044295 American Diabetes Association: www.diabetes.org American Heart Association: www.heart.org Fun food blogs Cooking Light Diabetic Recipes: www.cookinglight.com/eating-smart/ nutrition-101/diabetic-recipes Diabetic Foodie: www.diabeticfoodie.com Diabetic Enjoying Food: http://diabeticenjoyingfood.blogspot.com
If you prefer cookbooks to websites when finding recipes, there are many available to help manage diabetes. “The American Diabetes Association Month of Meals Diabetes Meal Planner” is one that’s recommended by experts. Visit diabetes.org for more information.
LivingHealthy publishes next on Jan. 3
JOIN A WEIGHT-LOSS CHALLENGE Losing pounds can mean winning money with the 7th annual St. Luke’s $10,000 Weight Loss Challenge. The event also has the potential to change your life — diabetic or not. Register by Jan. 10, weigh in and get to work losing weight. Six months later — on June 3 — we see who was the most successful. The $10,000 in prize money will be split amongst the top five men and top five women who have lost the biggest percentage. There are also Keep It Off competitions for those who participated last year, Take It Off team competitions, perseverance prizes, educational programs and more. Registration is $40 for past participants and St. Luke’s employees, $50 for new participants, $65 after Jan. 10 at www.fitoneboise. org. Call 381-7438 for more information or look for more details on the website soon. The challenge is sponsored by Ladd Family Pharmacy, in partnership with FitOne Boise.
The issue will focus on getting 2015 off to a healthy start. To advertise, call Linda Erickson at 377-6290 or email her at lerickson@ idahostatesman.com before Dec. 5. If you have questions about the editorial content in Living Healthy, email Holly Anderson at firstname.lastname@example.org.
ON PAGES 26 AND 27: APPS TO HELP YOU MANAGE YOUR DIABETES NOVEMBER & DECEMBER 2014
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Smartphone apps for diabetes management T
here are currently more abetes app is the best? The than 1,000 diabetes and answer is the one that works other health-related apps the best for your needs. Diaout there. (We now have apps betes apps can be used to to find apps!) A recent Nielcount carbs, log blood sugar son survey estimates that and communicate with your 50 percent of mobile phone health care team. subscribers own a smartHere are diabetes apps Nutrition phone. Food and nutrition that received the highest information is now at the ratings according to the SEANNE SAFAII fingertips of a large segment Academy of Nutrition Special to Living Healthy of the public. And this trend and Dietetics: isn’t going away anytime BANT soon. This app is designed to easily capture Many people like being able to record blood glucose readings and supply trend and track their habits. Some research sugdata for up to 90 days. It allows users to gests that those who track their foods tend track their blood sugar levels with ease and to be more mindful of their eating. The without distraction. Twitter integration almore a person stays on track, the more lows the user to share information with their good behaviors become habits. others, such as health care professionals. Some of the best picks for general nutriHowever, most people probably are not tion apps include: interested in sharing personal data such as SparkPeople Mobile App is one choice for blood glucose levels with the world. those who want to record their food intake and physical activity and use this informaBLOOD SUGAR TRACKER tion for behavior tracking and motivation. Blood Sugar Tracker allows the user to Fooducate helps individuals shop for easily log blood sugar levels, set target groceries. After scanning a product’s bar blood glucose ranges and view history and code, the user learns the health benefits simple graphs to see trends and patterns. It and more for that item. It automatically allows the user to export blood glucose grades foods and beverage on a scale from logs in various formats to a friend or to A to D. The grade is based on information health care providers. from the product’s nutrition facts panel and the ingredient list. Foods that are miniDIABETES COMPANION mally processed and nutrient-dense get The Diabetes Companion app features the highest grades. This means that real foods with natural ingredients score better complete nutrition facts for common foods, tons of recipes (more than 9,000), than processed foods. videos, Q&As for common diabetesMyFitnessPal. This app offers a food related issues and blood glucose tracking diary and exercise log with downloadable tools. The navigation is intuitive and it can reports. It also has a bar code scanner built be customized for insulin use, target blood in to locate individual food items. It cusglucose ranges and meal schedules. There tomizes a plan for the user based upon is a place for notes regarding exercise, abheight, weight, age, sex and activity level. normalities in normal routines, alcohol inBased on those data, it guesses how many take and skipped meals. You can track calories your body burns on a typical day, blood glucose for up to 90 days and share with no additional exercise. You can furtrend charts and log books with your ther customize it by telling it whether health care team via the Internet. You canyou’re trying to lose, maintain or gain not track or journal about food, however. weight, and the app walks you through a few screens in which you select how agGLUCOMO gressively you want to try to change your GluCoMo is an electronic diary and reweigh-in numbers. minder system for people with diabetes. It If you have diabetes, apps can be exallows users to track blood sugar levels, intremely helpful. This is especially true for sulin intake and other health components smart app-savvy young adults with diasuch as blood pressure and weight, activity betes who often fall off the grid when they and pulse. It also allows the user to set auleave pediatric care. Using a diabetes app can provide recipes, cooking tips and other tomatic reminders for any task. It will automatically calculate the user’s BMI from assistance as young people transition to adulthood. But how do you know which di- weight and height. Unfortunately, food en-
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try is limited to carbohydrate intake only, so while not a complete meal tracker, it is useful for those wishing to track numbers and carbohydrates to manage their diabetes.
GLUCOSE BUDDY Glucose Buddy is described as a data storage tank for people with diabetes. Users can manually enter blood glucose numbers, carbohydrate intake, insulin dosage and activities. Users are given the option to link their app with glucosebuddy.com for complete functionality. It allows for individual customization for the blood glucose monitor and insulin pump used. It provides a graphical depiction of blood glucose numbers with color-coded highs and lows. Graph options include blood glucose, carbohydrate intake and activity, which can be shared with health care providers. Unfortunately, it can only calculate carbohydrate intake, and to get the full calorie/nutrition tracking, users must install and integrate CalorieTrack (another free app).
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WAVESENSE DIABETES MANAGER This app helps users track blood glucose results, carb intake and insulin doses. The app includes a log book, trend chart, email reports, color-coded results, video content from dLife and fully customizable target ranges for hypo-/hyperglycemia limits and mealtime schedules. Foods are easy to look up, as are recipes with complete nutrition data. It allows the user to customize for insulin use, target blood glucose range and meal targets. Users can include notes on abnormalities in medications, exercise, skipped meals or sick days. It has a great share function for use with health care providers. It has an excellent video library with recipe demos and interviews with celebrities and others who have diabetes. Unfortunately, there is no food tracker or option for food journaling.
OTHER OPTIONS As a dietician, I also like the Calorie King app, which is essentially a free database that contains calories, carbs, fat, cholesterol, and fiber and sodium content of foods. Just about any food is on this app. For those with no smartphone, the University of Idaho offers a Healthy Diabetes Plate website at www.extension.uidaho.edu/diabetesplate. This site helps individuals understand diabetes meal management, meal planning and shopping in a fun and interactive way. Please remember, if you have diabetes or any other health concerns, apps and websites should be used to supplement the advice and instructions from your provider and your health care team. SeAnne Safaii, Ph.D., R.D., L.D., is an assistant professor at the University of Idaho Dietetics Program and president of the Idaho Academy of Nutrition and Dietetics.
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News & events from the Treasure Valley health community SAINT ALPHONSUS HEALTH SYSTEM
New urgent care center opens Saint Alphonsus Medical Group’s newest Urgent Care location is at 3587 S. Federal Way on the Boise Bench. The new clinic specializes in the treatment of minor to moderate medical conditions. In other news from Saint Al’s: Æ Saint Alphonsus Regional Medical Center in Boise opened its newly expanded and renovated emergency department this fall. The expansion increased the department’s space by 30 percent and includes a decontamination chamber, new bedside computer charting equipment and larger waiting rooms. The $14 million emergency room expansion was statistically planned for increases in annual visits to the emergency room over the next 10 years. Æ Boise neonatologist Stewart Lawrence was honored this fall as a 2014 NICU Hero by Mead Johnson Nutrition and Hand to Hold, a national nonprofit Neonatal Intensive Care Unit (NICU) parent support organization. Sophie Carney of Meridian nominated Dr. Lawrence for his care following the birth of her twin girls at 25 weeks and six days’ gestation. Æ Saint Al’s has been awarded two distinctions by the American College of Radiology: a three-year term of accreditation in computed tomography (or CT scans) and accreditation as Idaho’s only official lung cancer screening center.
Mark your calendar for the 31st annual Festival of Trees The Festival of Trees is one of Boise’s premier holiday events and a fundraiser that has generated more than $8 million to date for community health care. Each year, more than 1,000 volunteers turn the Boise Centre into a wonderland of holiday splendor featuring nearly 300 creatively decorated Christmas trees and wreaths. The Festival of Trees is a family affair, and festival events include something for everyone — a formal Gala, a Fashion Show and Luncheon, the Senior Tea and the North Pole Village featuring Santa Claus. This year, proceeds from the event will support the expansion of the cardiovascular operating room. Over the last three years, the number of surgeries scheduled in the Saint Alphonsus CVOR has more than doubled and reached capacity. The 2014 Festival of Trees will take place from Wednesday, Nov. 26, through Sunday, Nov. 30, at the Boise Centre. To see a complete schedule of events or to learn more about the festival, visit the website at www.saintalphonsus.org/festival. 28
KATHERINE JONES / Idaho Statesman file photo
The annual Saint Alphonsus Festival of Trees at the Boise Centre features elegantly decorated trees and wreaths as well as entertainment, visits with Santa Claus and more. Admission is $7 for adults, $4 for children 12 and younger, and $4 for seniors 62 and older. Family passes can be purchased for $30 (up to six individuals). To volunteer, visit the website for more information and a registration form. Gala (Tuesday night) and Fashion Show (Monday) tickets also can be purchased at www.saintalphonsus.org/festival.
Jazz up your Mondays Meet Me Monday offers a chance to walk or run with other community members — rain or shine — on Monday evenings. There are programs in Boise and Kuna. Get the details at www.MeetMeMonday. org. The free event is organized by Saint Al’s and Bandanna Running & Walking. Learn more about Saint Al’s and its programs at www.saintalphonsus.org.
WEST VALLEY MEDICAL CENTER
Expansion will help boost heart care in Treasure Valley On Oct. 23, West Valley Medical Center broke ground on an expansion of its cardiac electrophysiology catheterization lab. The $3 million facility will offer the first advanced electrophysiology treatments in Canyon County. The existing suite will expand from 1,400 to 6,000 square feet and contain upgraded X-ray and 3-D mapping equipment to provide highly accurate imaging of the heart and major vessels. The expansion is scheduled for completion in April 2015. In other West Valley news: Æ For the second year, West Valley Medical Center was selected as one of the 100 Best Places to Work in Healthcare by Modern Healthcare. The 2014 rankings were announced Oct. 23 in Atlanta, Ga.
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Æ Jennifer Wagenaar is the new chief nursing officer. Wagenaar previously served as CNO for Aberdeen (South Dakota) Medical Center. Æ West Valley Medical Center has received the Heart Failure Gold Plus Quality Achievement Award from the American Heart Association and American Stroke Association for its commitment to quality care and outcomes for heart failure, in-hospital resuscitation and stroke patients.
Free men’s health seminar It’s “Movember,” so on Nov. 11, get “manswers” to many men’s health questions. The seminar begins at 5:30 p.m. Attendees will be entered to win two tickets to watch BSU take on Utah State on Nov. 29. Call 455-3995 to register for this free seminar. West Valley also offers seminars and sessions about creating a living will and breastfeeding, as well as maternity center tours and more. See the calendar on the hospital’s website. Learn more about West Valley and its programs at www.westvalleymedctr.com.
Photo by SAWTOOTH PHOTO PROS / Provided by FitOne
Katie Apple, left, accepts the 2014 donation check from FitOne on behalf of St. Luke’s Children’s Hospital last month from Heather Hill, FitOne director; Kristin Armstrong, director of community health for St. Luke’s; and Tanda Weeks, FitOne race coordinator. The 2015 FitOne event will take place Sept. 24-26. For more information, visit FitOneBoise.org.
ST. LUKE’S HEALTH SYSTEM
FitOne raises $90,000 for St. Luke’s Children’s Hospital About 10,000 people participated in the 5K, 10K and all-new half marathon on Sept. 20 in Boise. St. Luke’s Children’s Hospital was the event’s title beneficiary for the second year. Specific allocation of the 2014 funds will be determined soon, but funds from the FitOne donation in 2013 were used to support programs such as YEAH! (Youth Engaged in Activities for Health), the EXPLORE! Camp, the Star Track program and the Killebrew Miracle League Field. The funding also allowed St. Luke’s Children’s Hospital to become a part of a two-year pilot program led by Cincinnati Children’s Hospital called POWER (Pediatric Obesity Weight Evaluation Registry). Data analysis through the POWER pilot will allow better understanding of those multi-disciplinary programs that produce the best results, allowing St. Luke’s Children’s Hospital to develop and refine pediatric obesity programs and work on a longterm strategy to stem the growing trend of overweight and obese youth.
St. Luke’s donates advanced ultrasound equipment to BSU The donation from St. Luke’s ensures that Boise State students have access to the latest technology in the field. That’s good for students, the university and St. Luke’s Health System, which has hired hundreds of Boise State alumni for clinical and nonclinical positions. The new Siemens Medical Solutions
USA Inc. ACUSON S2000 ultrasound system, which has 3-D and 4-D capabilities, replaces older equipment and ensures that BSU students can practice and train on technology in use across the region and the country. The same equipment is used at several St. Luke’s locations. The equipment is valued at about $185,000. A full suite of probes, each valued at about $30,000, accompanies the gift, which will be housed and used in the Department of Radiologic Sciences within the College of Health Sciences at BSU. Learn more about St. Luke’s and its programs at stlukesonline.org.
CENTRAL DISTRICT HEALTH DEPT.
Get help kicking the habit CDHD offers FREE Tobacco Cessation classes supported by Idaho Tobacco Millennium Funds. Call 375-5211 for information. Want to host an on-site tobacco cessation class? Contact Joanne Graff at 327-8543. Cholesterol screening: Offered the first Tuesday of every month at CDHD, 707 N. Armstrong Place, Boise, from 6:30 to 9 a.m. No appointment is necessary. Next screenings: Dec. 2, Jan. 6, Feb. 3. Cost: $20. Information at 375-5211 or cdhd.idaho.gov. Reproductive health services for men and women: Contraception, STI/HIV screening, pap testing available Monday through Friday. For an appointment, call 327-7400. Flu shots for kids: CDHD does not offer adult flu vaccine but has the vaccine for children in several forms. Call 327-7450 to schedule an appointment. Fit and Fall Proof classes: Free classes help
seniors prevent falls with simple exercises to improve strength, balance and endurance. More than 20 locations. Information at www.cdhd.idaho.gov or 327-8591. Learn more about CDHD programs at www.cdhd.idaho.gov.
SOUTHWEST DISTRICT HEALTH
Get a pertussis vaccination Southwest District Health, which includes Adams, Canyon, Gem, Owyhee, Payette and Washington counties, has seen a large increase in pertussis (whooping cough) cases reported in 2014. Children 6 years of age and younger need DTaP vaccine to protect them from pertussis. Older children, adolescents and adults (ages 11 and older) should receive a Tdap booster, especially: Æ Pregnant women, those who might become pregnant and new moms. Æ People who live with or care for infants under 1 year of age (siblings, parents, grandparents, extended family and child care providers). Æ Health care workers. Southwest District Health has both vaccines available by appointment. There is a limited supply of reduced-cost Tdap vaccine for $10 (regular cost $71) to those who qualify. Call 455-5345 to see if you may qualify for this reduced cost. Southwest District Health has flu vaccine for all ages as well. Call 455-5325 for more information. Learn more about Southwest District Health and its programs at www.swdh.org. NOVEMBER & DECEMBER 2014
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IDAHO STATE UNIVERSITY-MERIDIAN
RED CROSS REMINDS FAMILIES ABOUT THE DANGER OF HOME FIRES
Kids needed for hearing studies ISU-Meridian’s Department of Communication Sciences & Disorders is recruiting children to participate in research studies designed to improve the ways hearing professionals test and work with kids who have communication and hearing disorders. Researchers are looking for children in the following groups: Æ Birth to 8 years old with normal hearing or any type of hearing loss Æ 4 to 7 years old with normal hearing or with a cochlear implant Æ 6 to 8 years old with normal language or with a language delay/disorder, learning disability or dyslexia Æ 8 to 11 years old with normal hearing and normal or corrected vision (targeting auditory processing ability) If you are interested in having your child participate in one or more of these studies, email Dr. Gabriel Bargen at email@example.com with your name, phone number and email address. A research assistant will contact you.
Home fires are much more common and more dangerous than most Americans seem to realize. A recent survey for the American Red Cross shows that people believe they have much more time to escape a burning home than they really do. While fire experts agree that people may have as little as two minutes to escape a burning home before it’s too late to get out, most Americans (62 percent) mistakenly believe they have at least five minutes to escape. Nearly 18 percent erroneously believe they have 10 minutes or more to get out. Here are some additional findings: Æ 42 percent of Americans feel confident they can escape their burning home in two minutes. Most parents (69 percent) believe their children would know what to do or how to escape with little help. Æ Less than half of parents (48 percent) with children ages 3-17 have talked to their families about fire safety; only a third (30 percent) of families with children have identified a safe place to meet outside the home; and less than one in five families with children (18
Health screening set for Nov. 20
BOISE STATE UNIVERSITY
Need a free flu shot or cholesterol check? Attend the Nov. 20 health screening at the ISU-Meridian Health Science Center from 4 to 7 p.m. The screening process includes a basic physical exam; dental evaluation; blood sugar, hepatitis C and HIV testing; traumatic brain injury screening; and health education. For more information, call 373-1700. Services are performed by ISU faculty and student clinicians.
Visit free health fair on Nov. 19
Is it time to check your hearing? Get your hearing checked for free on Nov. 11 from 3 to 6 p.m. at the Speech and Language Clinic at ISU-Meridian. Clinicians will see adults, teens and children as young as 3 years old. Participants will receive their results immediately, including referrals if further evaluation is needed. For information, call 373-1725.
Clinics offer low-cost help Æ The Delta Dental of Idaho Dental Residency Clinic at ISU offers a slate of services, including oral surgery, implants, root canals, crowns, pediatric dentistry and preventive care. (373-1855). Æ The Counseling Clinic offers individual, couples and family counseling. (373-1719). Æ The Speech and Language Clinic provides therapies to treat numerous conditions, including stuttering, adult aphasia and articulation. (373-1725) ISU-Meridian is at 1311 E. Central Drive. Learn more at www.isu.edu/meridian. 30
The “Be Bronco Healthy” 18th annual Boise State health fair will be held from 10 a.m. to 3 p.m. Nov. 19 in the Student Union Jordan Ballroom. The event, open to the public, features exhibitors and more. More information online at news.boisestate.edu.
THE CANCER CONNECTION IDAHO
Find cancer support, more The Cancer Connection Idaho offers several classes and programs, with registration and more details available at cancerconnectionidaho.org. All programs are located at The Cancer Connection Idaho, 2504 Kootenai St., Boise. Highlights: Æ Writing Group, the second Wednesday of month (3 to 4:30 p.m.) Æ Women’s Connection Group, the second Monday of month (6:30 to 8 p.m.) Æ Advanced Disease Connection Group, fourth Tuesday of month (1 to 2:30 p.m.)
FRIENDS IN ACTION
Caregiver Conference in Boise Are you taking care of a spouse, parent or child who is disabled, frail or ill? Join Friends in Action for the fourth annual Family Caregiver Conference at Boise State on Jan. 31. This all-day event will bring together more than 400 family caregivers to hear speakers, participate in break-out sessions and learn about local resources. Registration is $30 and includes parking, lunch
percent) have practiced home fire drills. The Red Cross has some tips to help people increase their chances of surviving a fire: Æ If you don’t have smoke alarms, install them. Immediately. At a minimum, put one on every level of your home, inside bedrooms and outside sleeping areas. Æ If you have smoke alarms, test them today. If they don’t work, replace them. Æ Make sure that everyone in the family knows how to get out of every room and how to get out of the home in less than two minutes. Æ Practice that plan and find out: What’s your household’s escape time? To find out more about how to protect yourself and your loved ones from fire, go to www.redcross.org/id/boise or contact your local Red Cross to find out the location of local smoke alarm installation events. You can also download the free Red Cross first aid app at www.redcross.org/ mobile-apps/first-aid-app. American Red Cross of Greater Idaho
and the resource expo. Online registration will open in early December. Visit www. fiaboise.org or call 333-1363 for more information. At the website, you can also learn more about the Powerful Tools for Caregivers and Living Well in Idaho classes.
THE IDAHO FOODBANK
Sign up for Cooking Matters The Idaho Foodbank provides nutrition education to all ages. Cooking Matters classes are free, but your household must meet income guidelines in order to be eligible. Information: http://idahofoodbank. org/cooking-matters-sign-up.
Free workshops, groups The Alzheimer’s Association Greater Idaho Chapter offers support groups (including a telephone caregiver support group), workshops and more. Call 405-9068 or visit www.alz.org/idaho for more information. November is National Alzheimer’s Disease Awareness Month.
CREATE COMMON GOOD
Take a cooking class Create Common Good, the Boise nonprofit social enterprise, is hosting “Stylish Starters: Entertaining for the Holiday Season” Nov. 13 from 6:30 to 9 p.m. Tickets cost $65. Call 258-6800 or visit www.create commongood.org for more details.
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SUBMIT YOUR NEWS
Medical grants available for kids The UnitedHealthcare Children’s Foundation (UHCCF) is seeking grant applications from families in need of financial assistance to help pay for their child’s treatments, services or equipment not covered, or not fully covered, by their commercial health insurance plan. Qualifying families can receive up to $5,000 per grant with a lifetime maximum of $10,000 per child. Children must be 16 or younger. Families must meet economic guidelines, reside in the U.S. and have a commercial health insurance plan. Grants are available for medical expenses families have incurred 60 days prior to the application date as well as for ongoing and future medical needs. Parents or legal guardians may apply at www.UHCCF.org.
YOGA IN THE HOOD
Yoga studio opens in North End Yoga in the Hood, operated by Shannon Femenia, may be new, but its 16th Street building has a history — it housed the Swim and Run Shop run by Nina Shelton for 30 years. (There is still a Swim and Run Shop at 8620 W. Fairview Ave. in Boise.) For information and schedules, visit www.yogainthehood2.com.
The next issue of Living Healthy publishes on Jan. 3. If you’re interested in contributing to the community health news, contact Holly Anderson at handerson @idahostatesman.com by Dec. 1.
IDAHO DEPT. OF HEALTH & WELFARE
Don’t put off that flu vaccine It’s recommended that everyone older than 6 months get the flu vaccine. This year, officials are recommending that children ages 2 through 8 get the nasal spray flu vaccine because it might work better than the flu shot in younger kids. Every year, flu contributes to the deaths of 36,000 people in the United States and causes more than 200,000 hospitalizations. For information, visit www.cdc.gov/flu or http://flu.idaho.gov.
ALLIED ORTHOPEDICS GROUP
Orthopedic urgent care opens Direct Orthopedic Care is Boise’s first orthopedic urgent care facility treating minor to serious orthopedic injuries in adults and children. “We saw a need in our community to provide an emergency room
alternative to treating sports and workrelated injuries. We all know these types of injuries can be painful. It is our goal to offer our patients an expedited, less costly experience with direct access to the necessary specialists,” said Dr. David Hassinger of Allied Orthopedics Group. The board-certified specialists at DOC treat a variety of orthopedic conditions, including fractures, dislocations, sprains, strains and tears. The facility, at 7979 W. Rifleman St. in Boise, is open 365 days a year and no appointment is necessary. For hours and more, visit www.BoiseDOC.com.
IDAHO SUICIDE PREVENTION HOTLINE
Suicide hotline expanding hours The Idaho Suicide Prevention Hotline (1-800-273-TALK), a program of Mountain States Group Inc., continues to expand hours toward 24/7 coverage. Sunday daytime and Sunday through Thursday overnight shifts are set to be added later this month. Weekend overnight shifts were added earlier this year to the regular Monday through Friday hours. Suicide is the second-leading cause of death for adolescents and young adults in Idaho. For more information, visit www.idahosuicideprevention.org. For volunteer information, call 258-6992 or email firstname.lastname@example.org.
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