March 2012
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HEALTH & WELLNESS
“Our Family... Caring For Yours”
Kirk Boxleitner/Staff Photo
Cascade Valley Hospital orthopedic physician’s assistant Jodi Stickler, left, shows ‘Total Joint Academy’ patient Joan Sorensen how an artificial knee replacement would be implanted.
‘Total Joint Academy’ helps patients prepare for surgery, recovery
she was one of the first patients at Cascade Valley Hospital to benefit from a program that’s literally been years in the making. The “Total Joint AcadSEE ACADEMY, PAGE 4
Emotionally, Physically, Spiritually
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ARLINGTON — By her own estimation, Joan Sorensen has been overdue for a knee replacement for quite a while, although she figures the most recent years have been the most painful. On Thursday, Feb. 24,
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ACADEMY FROM PAGE 3 emy” is a two-hour class offered by Cascade Valley to those considering joint replacement surgery. It condenses into a single session as much information as possible about the risks and benefits of joint replacement surgery, and is offered not only to prospective joint replacement surgery patients, but also to their caregivers. “Many people have expectations about artificial joints that are different from reality,” said Dr. Edward Eissmann, orthopedic surgeon at Cascade Valley Hospital. “They might not realize the amount of therapy that will be required after surgery. You can’t just put an artificial joint in and have it heal up like taking your tonsils out. You have to do rehab on your limbs, to strengthen the muscles. Unless you’re willing to commit to that therapy, it’s better not to get the artificial joint at all.” While this might sound sobering, Eissmann noted that less than 5 percent of his patients have ever been unsatisfied with their joint replacements. By going over patients’ potential choices of implants, as well as concerns such as the modifications that they’ll have to make to their houses to prevent trips and falls, Eissmann believes that the Total Joint Academy arms patients with enough knowledge to tackle the challenges of the procedure. “Patients who receive preoperative education experience higher success rates
HEALTH & WELLNESS
and less pain than those who expect to be out dancing the same day,” Eissmann said. “Everyone reacts to surgery differently, but this class is designed to put patients in the right mental state, by giving them information in a patient-friendly format. If you’re depressed or stressed out, your recovery is going to take that much longer. With the Total Joint Academy, they get to meet their nurses and get everything done in one stop.” Michelle Crawford, manager of the Cascade Valley Hospital Orthopedic Clinic, emphasized that the Total Joint Academy is a requirement before any patient can undergo joint replacement surgery, and added that patients’ caregivers are strongly urged to attend the classes with them. “The patients are going to be a little bit stressed out anyway hearing about surgery, so they might not retain all of the information that’s given to them,” said Lanie Dschaak, director of surgical services for the hospital. “That’s where he caregiver can come in. It’s good for them to know what will need to happen anyway.” After having attended the class herself, Sorensen felt much more reassured about her upcoming knee replacement surgery. “I was really impressed by how they covered every little detail,” Sorensen said. “I’m not looking forward to the pain, but I know it’ll be worth it,” she laughed. For more information, call 360-435-2213 or log onto www.cascadevalley.org.
Giving up gluten doesn’t mean giving up flavor cramps, constipation, diarrhea, stuffy head, fatigue and bloating. I truly believe that 70 percent of the people who suffer from gluten intolerance don’t even know they have it, because as bad they might feel, they’re used to feeling that way.” Gluten intolerance is a reaction to gluten proteins found in wheat, and similar proteins found in other common grains such as barley and rye. Fisher recommends two steps for anyone who suffers from persistent symptoms that could be caused by gluten intolerance; get themselves tested by medical professionals, and don’t buy any foods that don’t specifically say “gluten-free” on their labels.
Kirk Boxleitner/Staff Photo
Sheli Fisher, owner and operator of the ‘Just for the Health of It’ food store in Marysville, shows off the gluten-free ingredients for a chicken Alfredo dish that’s safe for gluten-intolerant diners.
s w ging m e e N an bl xia h or o r C P ysle e- id f f g i L A din h D ea wit R l ua iated s i V soc As
SEE GLUTEN, PAGE 6
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MARYSVILLE — Not only is Sheli Fisher glutenintolerant, but so are two of her three children, which is why she has a vested interest in finding gluten-free foods that she and her family would actually want to eat. Fisher has worked as the owner and operator of the “Just for the Health of It” food store in Marysville since opening it in October of 2010, and in addition to providing gluten-free foods, she also hopes to help those who might be gluten-intolerant adjust to a new eating lifestyle. “The symptoms of gluten intolerance can range far and wide,” said Fisher, who suffers from irritable bowel syndrome as a result of her own gluten intolerance. “It can include stomach aches,
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GLUTEN FROM PAGE 5 “You could be intolerant of not just gluten, but also gluten and corn, or gluten and garlic,” said Fisher, who’s worked with a naturopath to map out her own course of health care. “Some folks are actually intolerant of gluten and rice, which is a tough one, because a lot of the gluten-free diet is based on rice. Most spices include some form of gluten, because it’s a binder and a filler. The point is, though, until you get tested, you won’t know for sure what exactly might be wrong.” In the best of cases, Fisher acknowledged that those who are gluten-intolerant will have to learn to
adjust to some slightly new textures and tastes in their foods, although she emphasized that significant strides are continually being made in gluten-free foods. “You can get really good French bread that’s glutenfree, and while there’s a little bit of a difference in the texture to some of the gluten-free cookies, you can still satisfy that craving too,” said Fisher, who noted that even a meal as elaborate as chicken Alfredo can be recreated with gluten-free Alfredo sauce, coconut milk, olive oil and pasta, complete with gluten-free baguettes and ranch dressing for a side salad. “My husband can’t tell the difference between that and the chicken Alfredo I used to make.”
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Fisher even shared two of her favorite gluten-free recipes, for quinoa-stuffed tomatoes and two-cheese sausage pizza casserole, which are reprinted below.
Quinoa-Stuffed Tomatoes:
• 1/2 cup uncooked quinoa. • 1 cup water. • 1/2 teaspoon salt, divided. • 1 tablespoon olive oil. • 1 red bell pepper, chopped. • 1/3 cup chopped green onion. • 1/8 teaspoon black pepper. • 1/8 teaspoon dried thyme. • 1 tablespoon butter. • 8 plum tomatoes, halved, seeded and hollowed out (or substitute 4 medium tomatoes). 1. Preheat oven to 325 degrees Fahrenheit. Place quinoa in fine-mesh strainer; rinse well. Bring water and 1/4 teaspoon salt to a boil in small saucepan. Stir in quinoa. Cover; reduce heat to low. Simmer 12-14 minutes or until quinoa is tender and water is absorbed. 2. Heat oil in large skillet over medium-high heat. Add bell pepper. Cook and stir 7-10 minutes or until tender. Stir in quinoa, green onion, remaining 1/4 teaspoon salt, black pepper and thyme. Add butter; stir until melted. 3. Arrange tomato halves in baking dish. Fill tomatoes with quinoa mixture. Bake 15-20 minutes or until tomatoes are tender. Makes 8 servings.
HEALTH & WELLNESS
Two-Cheese Sausage Pizza Casserole:
• 1 pound sweet Italian turkey sausage. • 1 tablespoon olive oil. • 2 cups sliced mushrooms. • 1 small red onion, thinly sliced. • 1 small green bell pepper, cut into thin strips. • 1/4 teaspoon salt. • 1/4 teaspoon dried oregano. • 1/4 teaspoon black pepper. • 1/2 cup pizza sauce. • 2 tablespoons tomato paste. • 1/2 cup shredded Parmesan cheese. • 1 cup (4 ounces) shredded mozzarella cheese. • 8 pitted ripe olives. 1. Preheat oven to 400 degrees Fahrenheit. Remove sausage from casings. Pat into 9-inch glass pie plate. Bake 10 minutes or until sausage is firm. Carefully pour off fat. Set aside. 2. Heat oil over mediumhigh heat in large skillet. Add mushrooms, onion, bell pepper, salt, oregano and black pepper. Cook and stir 10 minutes or until vegetables are very tender. 3. Combine pizza sauce and tomato paste in small bowl; stir until well blended. Spread over sausage. Spoon half of vegetables over tomato sauce. Sprinkle with Parmesan and mozzarella cheeses. Top with remaining vegetables. Sprinkle with olives. Bake 8-10 minutes or until cheese melts. Makes 4 servings.
Seniors keeping fit by playing video games
While many virtual bowlers tend to gather around the Wii with their controllers, a number of virtual bowlers have received impromptu tutorials from Ross on how to sync up their arms with the virtual bowling ball on the Kinect. “You have to follow through with your throw, just like you would with a real bowling ball,” Ross told one senior player on Feb. 6. “The computer monitors your movements, so it can see what you’re doing.” Wii sports started at the Stillaguamish Senior Center in the spring of 2011 with table tennis, and when Ross took over the program that summer, she made it a priority to turn it into a fullfledged social event. “We do our tournaments here and in Everett, Edmonds and Granite Falls,” Ross said. “For those who can’t drive their own vehicles, we provide the senior center’s bus. It’s all free of charge.” The Stillaguamish Senior Center nonetheless has team shirts for its bowlers, courtesy of Walmart SEE VIDEO, PAGE 8
Kirk Boxleitner/Staff Photo
Stuart O’Hagan adopts a more formal stance as he releases the buttons on his Wii controller to throw his virtual bowling ball.
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SMOKEY POINT — The Stillaguamish Senior Center has become a hot-spot for video gamers, most of whom are older, and all of whom are getting some health benefits as they hang out with each other and have fun. Nintendo Wii bowling tournaments between the Stillaguamish Senior Center in Arlington and the Carl Gipson Senior Center in Everett are now a twicemonthly event, with teams of senior players meeting at both facilities to compete, but according to Janice Ross, who schedules the Wii tournaments, the diversity of contests offered locally on the Wii should soon expand. “Right now, it’s just bowling, but we’re also assembling a Wii golf team, and even looking into archery,” Ross said, as seniors from Arlington and Everett alike tried their hands at knocking down the pins on their screens with their virtual bowling balls. “We’ve even got the Xbox 360 Kinect system, for those who might have trouble with the Wii controller, either in timing their release of the buttons, or just because of difficulties with their hands.”
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VIDEO FROM PAGE 7 and the local Jo-Ann Fabric and Crafts store, and Ross dutifully keeps track of each player’s scores, to determine who will receive trophies for that month. D.J. Winebrinner, program administrator for the Stillaguamish Senior Center, elaborated on the exercise benefits of the video game for players of all ages and ability levels. “You use all the same muscles in Wii or Kinect bowling that you use in real bowling, because you’re swinging your arm the same way,” Winebrinner said. “At the same time, those who have difficulty standing can do Wii bowling from their
chairs, so it’s all-inclusive. The seniors who might have difficulties with the Wii controllers have given us really positive feedback on the Kinect, which is a bit more realistic. You can even hook the ball on that one.” Smokey Point resident Pat Conklin has been a Wii bowler since the Stillaguamish Senior Center started the program, and she remains as enthusiastic as ever about it. “I meet new people in a fun atmosphere,” Conklin said. “I never worry about whether we’re winning or losing, and I’ve never met anyone else who takes it that seriously either. It’s just great to get out of the house. You can sit down or stand up to play, and you feel better
for having done it.” The Stillaguamish Senior Center is located at 18308 Smokey Point Blvd. in Ar-
lington. For more information, call 360-653-4551 or email program@stillycenter. com.
Kirk Boxleitner/Staff Photo
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HEALTH & WELLNESS
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Even though the Xbox 360 Kinect is just a video game bowling simulation, Marlene Pence gives herself a workout throwing its virtual balls all the same.
New lenses help those with rare type of dyslexia Kirk Boxleitner/Staff Photo
SEE STORY, LENSES PAGE 10
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Alexis Bundy, 13, no longer dreads reading periods or timed tests in her classes, and even finds reading fun after school, thanks to her ChromaGen lenses.
MARYSVILLE — Alexis Bundy’s parents knew she was a smart, hard-working student, which made her challenges in school all the more mystifying and frustrating. “She always did well on her
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LENSES FROM PAGE 9 homework and papers, but she kept flunking in-class tests,” said Lisa Bundy, Alexis’ mom. “We thought it was just anxiety, or a lack of concentration, over having to do the work quickly because she preferred to take her time.” “Every year from third grade on I noticed that I was reading slower than the other kids,” said Alexis Bundy, who’s now 13. “We got her reading glasses in the fifth grade, but that didn’t seem to do much,” said Daryn Bundy, Alexis’ dad, who nonetheless took her back to Marysville’s Dr. Kim Kron for another eye exam this past
fall. “Ever since she got her ChromaGen lenses, though, her grades have steadily improved. She’s up about one full letter grade from where she was before.” Kron explained that Alexis, without even realizing it, was coping with a rare form of dyslexia that, rather than mixing up the order of letters on a page, causes its sufferers to see some letters as actually floating up off the page. “I have three patients with ChromaGen lenses now,” Kron said. “This form of dyslexia is probably more common than we realize, especially since dyslexia diagnoses often group together a lot of problems that aren’t dyslexia in the purest sense, which is the reversals of
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“If they’ve had eye exams before and been told that nothing’s wrong, that could be a sign. It’s under-diagnosed in children because they often lack the language to explain their difficulties, but it can occur in adults as well.” Dr. Kim Kron Marysville sequence.” “I wonder how many kids might have this form of dyslexia and simply don’t know it because they can’t explain how they see things,” Lisa Bundy said. “It’s like being color-blind, I suppose, in that if you’ve always seen things that way you’d never notice the difference.” Alexis recalled trying out a number of different colors of ChromaGen filters to determine which ones best resolved her vision issues. “It’s more fun to read now,” Alexis Bundy said. “A few years ago, I would dread seeing reading periods on the classroom whiteboards.” “Because these kids don’t get to take their textbooks home with them, she had to read those pages within a certain amount of time in class,” Daryn Bundy said. “She told us that, after a while she was just closing her book at the same time as everyone else because she knew she couldn’t get it done in time. That was putting her way behind.” Only a few months after getting her ChromaGen lenses, Daryn and Lisa agreed that Alexis had already developed more confidence, and they hope that more parents and teachers
HEALTH & WELLNESS
will become aware of this issue so that their children can avoid falling through the cracks. Kron advised parents whose children otherwise demonstrate an aptitude for learning, but who fail to do well on timed tests or reading exercises, to see an eye doctor to determine whether they’re dealing with this type of dyslexia. He added that ChromaGen is the only FDA-approved and patented lens technology for both color-blind deficiencies and various visual reading disorders associated with dyslexia, such as words that appear to move up and down or side to side, or blur in and out, or even scrunch together, pull apart or double. “If they’ve had eye exams before and been told that nothing’s wrong, that could be a sign,” Kron said. “It’s under-diagnosed in children because they often lack the language to explain their difficulties, but it can occur in adults as well.” Kron noted that, while ChromaGen lenses are available as contact lenses and eyeglasses for most prescriptions, they are not covered by most medical insurance programs, due to how relatively recently they were invented.
Biking helps you keep fit at all ages Kirk Boxleitner/Staff Photo
Annalee, left, and George Boulton have been biking for three decades and look forward to Arlington Velo Sport’s ‘Sweet Cakes’ rides.
ARLINGTON — George and Annalee Boulton may have slowed down in recent years, but they’ve kept on pedaling ever since they started bicycling together in 1983. In the summer of 2004, Annalee celebrated her 70th birthday by riding 70 miles between Arlington and LaConner, but she and her husband SEE BIKING, PAGE 12
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BIKING FROM PAGE 11 George are quick to point out that they’re not likely to ride that far again. Still, as they look forward to the Arlington Velo Sport bicycle shop resuming its Tuesday bike rides in March, they reflected on the impressive distances they’ve covered over the course of three decades. “We rode to Colorado together in 1987,” Annalee Boulton said. “It was 21 days, and it was fabulous. That trip remains one of the best memories I have. We went fully loaded, and our friends Ed and Betty Aylesworth came along in their pickup truck.” George estimated that he and Annalee averaged about 70 miles a day during that
trip, in time for them to set up camp at 7 p.m. just about every night, although Annalee recalled one day of riding in Washington that saw them clock 104 miles before they went to bed. The Boultons had already ridden along the Oregon coast in 1986 with the Aylesworths, who rode their own bicycles for that trip. Over the years, the Boultons’ pedal-powered destinations have included Spokane and other parts of eastern Washington, as well as locations as varied as Lopez Island and even Harrison Hot Springs in British Columbia. “We wanted to do something together that we could both enjoy,” George Boulton said. “She’s not into golfing.” A knee surgery for George and a temporary, partial loss of vision for
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Annalee have sidelined them both for a while, although they intend to retain the services of a bicycle trainer to get themselves back in their bike seats soon, even if they won’t be taking risks on the road like they used to. “It’s just not safe on the highways for us anymore,” Annalee Boulton said. “We look at old photos of us riding along the Oregon coast, with the highway road right there, and we didn’t think anything of it at the time.” By contrast, they both spoke highly of the weekly bicycling groups organized by Arlington Velo Sport, which will ride on Centennial Trail through September. “Centennial Trail is just ideal for where we’re at right now,” George Boulton said. “Rather than going on long trips, we can just do weekly rides on the trail with friends, and share barbecues in our backyards after we’re done,” Annalee Boulton said. The Boultons have been customers of Mark and Rochelle Everett, co-owners of Arlington Velo Sport, even before the bicycle shop came to town, back when it was still Stanwood Velo Sport. The Boultons praised the
Everetts for having helped their bicycling hobby thrive over the years, and with it, the couple’s health. “It’s great for cardio,” George Boulton said. “I look at those old photos and I can scarcely believe how fit I was.” “The scenery that we rode through formed visions in my head that will never go away,” Annalee Boulton said. “I remember riding across Wyoming, on this ribbon of road, with nothing but sagebrush around us. Every day was a new adventure.” Mark Everett is once again inviting the community to take part in his “Sweet Cakes” ride — named after a rider who was part of the group when it started in 1996 — which loops to form an 8-mile round trip on relatively flat terrain. He described it as a social ride at a leisurely pace that starts from his shop, located at 401 N. Olympic Ave. in Arlington, and goes north on the Centennial Trail, turning around at Bryant to conclude with a meal at one of Arlington’s downtown restaurants. For more information, call 360-629-6415 or log onto www.stanwoodvelosport.com.
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Courtesy Photo
From left, Barb Cheney, Ed and Betty Aylesworth and Annalee Boulton show how narrow the bike lanes were on the highways along the Oregon Coast in 1986.
HEALTH & WELLNESS
Marysville Parks and Rec offers healthy activities Marysville Parks and Recreation invites you to get healthy this spring and summer. Many health and wellness classes are offered including Yoga, Zumba, Running, Women with Weights Fitness Training, Belly Dance, Senior Fitness, Salsa Dance, Hoop Dance, Journey Fit Club & Weight Loss and more. Whether you are looking to enhance your workout routine or start something new the Parks & Recreation Department has something to offer. Adult Softball Spring and Summer League as well as Adult Kickball League will also be offered in spring and summer. These are great ways to get out and stay active this summer while having fun. Keep your kids active and healthy this spring and summer with Marysville Parks and Recreation. From Kidz Love Soccer and Hoop Dance to ZumbAtomic and Creative Dance your child
will love having fun and keeping fit. Once summer starts Marysville Parks and Recreation will have a full offering of summer camps to keep your child on the move. Camps include Basketball Camp, Volleyball Camp, Track & Field Camp, Day Camp, Mini Camps and Tiny Tots. Camp registration began on March 1 so start thinking summer, fit and fun. The community is invited to Healthy Communities Challenge Day, a fun-filled community event focused on healthy living in Marysville. With vendors and entertainers focused on fitness, nutrition, gardening, physical health, recreation, community support organizations and more, you will love discovering all that Marysville has to offer. Healthy Communities Challenge Day will be from 10 a.m.-2 p.m. on Saturday, June 2, 2012 at Allen Creek
Elementary Field, 6505 60th Dr. NE, Marysville. Admission is free. In collaboration with Marysville Community Coalition, Healthy Communities Project, Snohomish County Get Movin’, YMCA, United Way, Sno-Isle Libraries, Marysville School District and many other organizations you will love this high energy day. Take part in fun activities such as the climbing wall, football toss, learn about programs for all ages, test your nutrition knowledge, try your hand at Frisbee Golf, join a Zumba demo, register for Get Movin’ and have fun! You won’t want to miss this free day of family fun. For information about these activities or a full listing of programs and online registration visit marysvillewa. gov and click on Marysville Parks and Recreation ePlay or call Marysville Parks and Recreation at 360-363-8400.
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Arlington offers activities to help you get fit ARLINGTON — The Arlington community has plenty of activities to help area residents get fit this spring. The Stillaguamish Athletic Club is offering a number of fitness classes through the month of March. T’ai Chi for Health is sponsored by the Arthritis Foundation and uses the T’ai Chi principles of slow and continuous movement to exercise muscles and joints, with a focus on balance. Camille Drotts instructs the class on Thursdays from noon to 2 p.m., from March 1-22, for a four-week fee of $40. Adult Social Ballroom Dance will feature ballroom coach Josh Roehl teaching dance moves such as the cha cha, salsa, foxtrot and tango. All levels are welcome to
make this class their date night or to come by themselves to get in shape. Youth classes and private lessons are available. This class runs from 6:30-7:30 p.m. on Fridays, from March 2-23, for a fee of $45 per session per single dancer, or $80 for couples. Pilates/Core is a mind/ body mat workout designed to uniformly develop the whole body and leave people feeling longer, taller, more toned and more relaxed. All levels are welcome to attend this class on Mondays and Wednesdays, starting at 10:30 a.m., from March 5-28. Fees are $50 for one class per week, or $90 for two classes per week. TRX Suspension Training Classes will show you how to build power, strength, flexibility and balance through
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resistance from body weight and gravity. The machine is designed to engage the core muscles in every exercise and is adaptable for all levels, but the class size is limited to six. Four-week sessions begin at the start of each month, and 30-minute sessions are available several times a day Mondays through Fridays. Fees are $40 for one class per week, or $79 for two classes per week. The Stillaguamish Athletic Club is also opening its pool to the community for Friday swim nights, running from 5:30-8:45 p.m. The fee is $5 per person, but no registration is required. The Stillaguamish Athletic Club is located at 4417 172nd St. NE in Arlington. To register or learn more about the programs there, call 360-4359404 or email sacfitlife@aol. com. The Arlington Boys & Girls Club is offering co-ed T-ball for ages 4-5, coach pitch for ages 6-7 and pitching machine baseball for ages 8-9 this spring. The majority of games are set for Saturdays, with practices scheduled for two nights a week. The season will begin the week of April 9 and run through June 9. Sign-ups will run from March 8 through April 5, and fees will be $80 for T-ball and $90 for coach pitch and pitching machine baseball. The Arlington Boys & Girls Club is located at 18513 59th Ave. NE. To register or for more information, visit the club or call 360-435-4442. At the Denton Massage & Wellness Clinic, located at 303 Olympic Ave. in Arlington, Yoga for Strength, Flexibility, Balance & Relaxation is a beginner-friendly class
HEALTH & WELLNESS
taught by Rona Hansen, who focuses on proper breathing, creating space inside the body and classic yoga warm-ups, postures and stretches. This class meets Mondays at 4:45 p.m. The fee is $12 for drop-in students, or $100 for a 10-class punchcard, which amounts to $45 per month. Zumba Fitness is a Latininspired, calorie-burning dance workout designed to get participants fit and relieve their stress. Attendees should bring water, tennis shoes and towels to Presidents Elementary School, located at 503 E. Third St. in Arlington, Mondays and Thursdays starting at 4:30 p.m. Licensed Zumba instructor Reina Quimzon teaches the course. The fee is $50 for a 10-class punch card. Ronning Chiropractic, located at 3116-A 188th St. NE in Arlington, will host a Subluxation Workshop on the first Tuesday of every month from 6-7 p.m. This interactive workshop will teach you to locate posture imbalances and perform simple tests that families can do together to monitor their nervous system functions. A slide presentation will cover how Ronning Chiropractic performs tests in its office to detect nerve interference, through the use of sophisticated computer analysis. The fee is $25, but you can bring a friend as a workshop partner for no charge. Call 360-653-8307 to register. Post Middle School, located at 1220 E. Fifth St. in Arlington, is opening its gym for Recreational Adult Co-ed Volleyball on Friday nights, from 7-9 p.m., excluding holidays. There is no fee and drop-ins are welcome. For more information, call 360403-3448.
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Jonathan R. Grant M.D. Gary K. Johnson M.D.
Anacortes
588-8985
Mount Vernon
336-2178
MARCH 2012
James R. Gross M.D. David A. Riley M.D. Arlington
435-6300
587645
Gary L. Brown M.D. Kevin C. Harris M.D.
15
588975
16
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