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volume 13, issue 4
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<< A Bloodworks Northwest bloodmobile can be schedule for special drives at a place of work, a special organization or place of worship. Learn more about donating blood in this edition of Healthy Living.
Articles & submissions
We’re always on the lookout for article ideas to include in our quarterly Healthy Living publication. If you have an idea for a story, please let us know. Professionals in their ﬁeld are invited to contribute informative and educational articles or columns for consideration in Healthy Living. Brenda Hanrahan and Laura Lofgren, special section editors Send articles, columns and photos (jpgs at 200 dpi minimum) to special under the “Also coming in 2018” section. sections editor Laura Lofgren at email@example.com. She wants to say that we have a Sweat Lodge and Wellness Path coming We cannot guarantee publication due to space and content considerations. soon If your submission is accepted, we reserve the right to edit it. Submitted articles are the opinions and beliefs of the contributing writer and in no way represent an endorsement by Healthy Living, Peninsula Daily BEST OF News or Sequim Gazette.
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The greatest gift you can give yourself, your family and your friends this holiday season is recovery. We are here to help.
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Local free clinic treats low-income patients with costly medications hepatitis C virus infection. Furthermore, hepatitis C is a leading Volunteers in Medicine of the Olympics cause of liver cancer in the United States and the No. 1 cause of liver transplants. (VIMO) free clinic marks its second year Chronic hepatitis C is the second most of participation in the University of Washcommonly reported notifiable disease in ington ECHO program for treatment of Clallam County, with 93 cases being people with chronic hepatitis C. In the 24 months that VIMO has partic- reported in 2015. Current medications to treat hepatitis ipated in the program, the clinic has treated 20 patients for this serious health C are effective with minimal side effects; most patients can be cured, if treated, condition using expensive life-saving with these drugs. drugs. But the treatment, which lasts from Hepatitis C is an infectious disease eight to 12 weeks (depending on the specaused by a virus that attacks the liver. cific medication and patient medical conMost people infected with the virus dition), uses some of the most costly pharremain infected for life (called chronic maceuticals available. infection) unless treated. In the United States, the cost of directChronic hepatitis C infection can lead to acting chronic hepatitis C medications scarring of the liver (cirrhosis), liver canranges from $54,600 to $150,000 for a full cer and death. course of treatment. According to the Centers for Disease Control (CDC), an estimated 3.5 million people in the United States have chronic HEPATITIS C continued on 5 >> BY JEANETTE STEHR-GREEN
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<< HEPATITIS C continued from 4
The Washington Health Care Authority (HCA) will not pay for treatment of patients with chronic hepatitis C on Medicaid without involvement of gastroenterological or infectious disease specialists; therefore, many low-income patients, especially those living in more rural settings, do not receive this life-saving treatment. ECHO, which stands for Extension for Community Healthcare Outcomes, expands access to these expensive hepatitis C medications by providing the necessary medical expertise and oversight free of charge to local clinics. VIMO has participated in the program since September 2015 and has presented 24 patients to the ECHO faculty. Of these patients, 20 have started treatment and four are awaiting HCA approval for treatment. Another 19 patients have been evaluated or are somewhere in the evaluation process for treatment. According to VIMO executive director Mary Hogan, the support provided by the University of Washington through ECHO has been invaluable. “Our participation in ECHO has allowed VIMO physicians to prescribe treatments that would have cost well over $1 million” in the two years VIMO has
Screening for Hepatitis C participated in the program, she said. VIMO has a designated hepatitis C treatment team, led by medical director Dr. Gerald Stephanz. The team includes a clinical psychologist, medical epidemiologist and patient navigators. Because the evaluation of patients with hepatitis C is complex, requiring many medical tests, it can take up to six months to complete the evaluation and several additional months to receive approval for treatment from the HCA. But curing the disease has been found to be cost-effective. Because something can be done about the hepatitis C infection, people who think they are at risk for hepatitis C should be tested. Patients found to be positive on the screening tests need to have their infection confirmed with more sophisticated tests and can seek care directly at VIMO or be referred to VIMO by their primary care provider. Call 360-457-4431 for more information.
The Centers for Disease Control and Prevention (CDC) recommends hepatitis C testing at least once for persons with the characteristics listed below. • Born from 1945 through 1965 • Ever injected illegal drugs, including those who injected once or a few times many years ago • Received clotting factor concentrates produced before 1987 • Received a transfusion of blood, blood components or an organ transplant before July 1992 (before screening was implemented) • On long-term hemodialysis • HIV infection • Signs or symptoms of liver disease (e.g., abnormal liver enzyme tests) • Born to hepatitis C virus-positive mothers If a person continues behaviors that put them at risk for hepatitis C infection (such as injecting drugs), testing should be repeated at least annually.
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Nutrition: Skinny smoothies for the holidays the Elevated Ice Cream Shop’s Chocolate Covered Cherries that are my favorite treat at the Rose Theatre in Port Townsend. Balance holiday treats with a daily weight-loss habit. Drink away your chocolate cravings with this tart and All you need to do is fire up the blender once a day and sweet coconut smoothie. Unsweetened cocoa powder is make yourself a special, nutrient-dense smoothie to very nutritious and adds metabolism-improving antioxireplace a meal or dessert. This one little habit reduces dants to any smoothie. Hemp seed is a rich source of the your intake of calories while at the same time enriching your body with nutrients that can help you avoid gaining coveted omega-3 fatty acids that give our hair and skin a beautiful luster. weight through the season. Serves 1 As a science-based nutritionist, I design recipes with Ingredients: whole food ingredients that provide proven benefits. ½ cup cultured coconut milk By combining foods that each enhance the bodies abil¼ cup frozen dark cherries ity to release body fat, increase energy and boost metabo¼ cup ice lism, I have created powerful recipes for combating that 1 tablespoon hulled hemp seed sneaky cocktail party weight-gain. ½ tablespoon unsweetened cocoa powder Being that I am a Port Townsend local, when I make Directions: seasonal recipes, they are “seasonal” for those of us in the Combine all ingredients in a high-power blender or Pacific Northwest, and I often recommend ingredients food processor and blend until smooth. Drink immedithat I have discovered right here on the Peninsula. For my book, “365 Skinny Smoothies,” I concocted a dif- ately. Nutrition Facts (per serving): ferent combination of seasonal and bioactive ingredients Calories: 114, Fat: 7, Carbs: 12, Fiber: 4, Protein: 4 that promote weight-loss for every day of the year. Here are a few of my favorite recipes, from the DecemCREAMY WILD BLUEBERRY ber chapter of my book, to help you lose weight and stay This simple and filling drink has helped many of my clislim during the holidays. ents lose weight. We have access to antioxidant-rich local BY DANIELLA CHACE
This rich and delicious combination was inspired by
SMOOTHIE continued on 7 >>
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Food Coop, Country Aire Natural Foods in Port Angeles and in the organic blueberries from Finnriver produce department of many of our local grocery stores here on Farm in Chimacum. the Peninsula. This smoothie is like an oldThe Greek yogurt in this recfashioned blueberry milkshake. The cultured coconut milk proipe is a protein powerhouse that helps maintain muscle while vides probiotics, and the wild blueberries are one of our richest shedding body fat. It also helps keep hunger in check for hours. sources of polyphenols. Serves 2 Serves 2 INGREDIENTS: INGREDIENTS: ½ frozen banana (peeled before 1 cup cultured coconut milk freezing) 1 cup frozen wild blueberries 1 cup coconut water ½ cup nonfat Greek yogurt ½ cup nonfat Greek yogurt DIRECTIONS: ½ cup ice Combine all ingredients in a 2 tablespoons unsweetened high-power blender or food prococoa powder cessor and blend until smooth. 1-inch piece of fresh turmeric Drink immediately. root Use any milk alternative you DIRECTIONS: prefer in this smoothie. Greek Combine all ingredients in a yogurt gives this drink the bulk high-power blender or food proof its protein. Nutrition Facts (per servcessor and blend until smooth. Drink immediately. ing): Nutrition Facts (per servCalories: 104, Fat: 3, Carbs: 15, Fiber: 5, Protein: 7 ing): Calories: 101, Fat: 1, Carbs: 17, Fiber: 2, Protein: 7 THE FAT MELTER We’re fortunate to have access to fresh turmeric root, which is VANILLA MANGO DREAM available at the Port Townsend This is my “staycation” blend
the enzymes that help us release body fat. Serves 2 INGREDIENTS: ½ frozen banana (peeled before freezing) ½ cup mango ½ cup ice ½ cup coconut water 2 tablespoons chia seed 1 teaspoon vanilla extract DIRECTIONS: Combine all ingredients in a high-power blender or food processor and blend until smooth. Drink immediately. Nutrition Facts (per serving): Calories: 137, Fat: 5, Carbs: 17, Fiber: 7, Protein: 4
<< SMOOTHIE continued from 6
Daniella Chace, MSc, CN, nutritionist, is the author of over 20 health books, including “365 Skinny Smoothies,” “Turning Off Breast Cancer” and “Superfood Smoothie Bowls.” She is the host that has the fragrance and flavor recipe to get into swimwear of “Nutrition Matters,” available shape. of Maui. I can take a mental This luscious blend has mango, on National Public Radio, and is break and remember days in the which offers magneferin and lac- a medical nutritionist in private tropics even when I can’t get practice in Port Townsend. To away in the winter, and if you’re tase enzymes to support digeslearn more about her work, visit lucky enough to be heading to tion, as well as chia seeds with someplace warm, you can use this essential fatty acids that increase www.DaniellaChace.com.
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Your sugar shield for holiday health BY DANIELLA CHACE
“A little sugar on my tongue, gimme gimme gimme some, right here on my tongue ...” David Byrne’s words ring true, especially during the holiday season. But the sweet pleasure of holiday sweets comes with risks. I’m talking about that seductive and destructive sweet stuff that we know we should avoid and yet we’re so drawn to it: sugar. Even though sugar can be so delightful, it also can be our nemesis. It causes inflammation, the primary cause of dementia. It spikes insulin, the fat storage hormone. It is so damaging to the blood vessels that our bodies store it away as fat immediately, turning a hot-fudge sundae into thigh fat within minutes. Fear not, dear ones, as I am a hedonistic nutritionist with a pension for treats, and I have found the holy grail of lusciousness that actually improves your health rather than damaging it. This deliciousness has a name and it’s smoothie bowls. Smoothie bowls are thick smoothies poured into bowls and topped with tasty ingredients like pomegranate arils, coconut flakes, cocoa nibs, fresh fennel and tangerine segments. You eat them like a bowl of ice cream with a
spoon, they require chewing unlike their liquid smoothie counterparts, and they give us longer-lasting energy. They’re filling, can meet our nutritional needs and can be personalized with functional foods to meet our specific health requirements. The difference between the way our bodies process whole foods and liquids is significant. Chewing triggers the release of enzymes and acids along the digestive
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tract, which prepare it for incoming food. Also, whole plant foods contain complex carbohydrates with fiber that metabolize more slowly, resulting in fewer spikes in blood sugar and insulin. In my book, “Superfood Smoothie Bowls,” I hone in on 10 superfood categories that stand out due to their medicinal benefits that include berries, citrus, pomegranate, spices, stone fruits and coffee. When I talk about superfoods, I’m referring to foods that contain nutrients that have proven health benefits in specific doses. My passion is taking food nutrient research with dosedependent clinical outcomes for healing and translating that fresh new research into recipes. For example, “The Journal of Nutrition” just published a study with cocoa flavanols that found just two teaspoons of unsweetened cocoa powder per day reduced wrinkles and improved elasticity in photo-aged skin (sun damaged) for women in 24 weeks. I will take an exciting new study such as this and start a recipe with those two teaspoons of cocoa powder, and then I’ll add other delicious smoothie ingredients that also reduce wrinkles due to their nutrient content, such as mint for its carotenoids, cultured coconut milk for its probiotics and chia seeds for their essential fatty acids. SUGAR continued on 13 >>
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GIVING THE GIFT OF LIFE
The simple act of donating blood can make you healthier BY PAIGE VOGT
You’ve heard it before: Giving blood saves lives. But did you consider that giving blood can improve your health and even save your own life? That was the experience of Lisa Sentman, a mom and speech pathologist from Sammamish. In early May, Sentman tried to give blood but was deferred after the screening showed that her iron levels were too low. “I thought, ‘OK, I already take a multivitamin, I already eat a lot of spinach, there’s not a whole lot more I can do,’ ” she said. But the revelation resulted in a series of doctors appointments that led to a shocking diagnosis: hairy cell leukemia. Fortunately, hairy cell is one of the most treatable forms of leukemia. A little more than three weeks after her attempted blood donation, Sentman started the first of five two-hour chemotherapy sessions. Within a month, she went from being a hopeful blood donor to a cancer survivor. “I feel very blessed, very fortunate,” she said. Though it’s not always a matter of life or death, many donors find that regularly donating blood has a positive and even profound impact on their personal health. Here are a few of the most commonly cited benefits: ■ “Donating blood forces me to re-evaluate my health choices.” We hear this comment the most. Health choices can range from frequently washing hands and getting flu shots to avoid sickness, to simply getting enough sleep each night. Together, these small decisions allow donors to stay healthy enough to give blood on a regular basis. ■ “Eating an iron-rich diet or taking iron supplements ensures I have enough red blood cells to give blood.” Donating blood can be an incentive to include more healthful, iron-rich foods in your diet, such as chicken, turkey, fish, cooked beans, broccoli, green peppers and spinach. Iron increases red blood cells, which
A donor gives blood on a Bloodworks Northwest bloodmobile. deliver oxygen throughout the body, so a strong red blood cell supply helps donors avoid anemia post-donation. ■ “Regular exercise helps me stay healthy enough to donate.” Exercise is another donor tip that also cuts the risk of heart attack or stroke and keeps the body strong. For some, that means taking the stairs rather than the elevator or setting aside time to move and stretch each day. ■ “Donating blood helps me manage my time.” Many donors juggle busy schedules, so
making time for blood donation provides an opportunity to consciously evaluate priorities. Time between donations also varies, requiring some planning ahead. For example, you can donate platelets every seven days (it takes up to two hours) or give whole blood every 56 days (it takes just 45 minutes). Some donors find time to make their appointments online at www.tinyurl.com/ PDN-BloodDonors during lunch breaks. ■ “I just feel happier after giving blood.” Donors often report a positive
Bloodworks Northwest photo
mood after donating blood. Some call it the feeling of good will, while others say the cookies and juice (in moderation, of course!) help, too. No matter your motivation, the simple act of giving blood makes the difference of a lifetime to patients in our community. In fact, every time you donate blood you have the opportunity to save the lives of up to three local patients. By the numbers, here’s a look at the local need for blood and Kitsap and BLOOD continued on 11 >>
Peninsula Daily News/Sequim Gazette
Advice for novice or experienced blood donors Unlike other marvels of modern medicine, quality blood is an important health component that cannot be created synthetically. Blood shortages continue to plague medical establishments across the globe. For those who require transfusions, blood from volunteer donors can be the difference between life and death. However, many people are apprehensive about donating blood because of their own unique fears of the unknown or from past poor experiences with the process. With a little knowledge and some preparation, donating blood can be made much easier.
Bloodworks Northwest photo
Lisa Sentman sits in a hospital bed during a chemotherapy treatment at Seattle Cancer Care Alliance. << BLOOD continued from 10
Clallam counties’ team of life savers in 2017: 800 Number of Northwest people needed to donate blood every day to supply local hospitals with blood needed by patients 90+ Northwest hospitals served 75+ Number of years Bloodworks Northwest has served the community 6,500 Number of Peninsula donors registered with Bloodworks Northwest 1,700 Number of Peninsula first-time donors last year 400 Number of Peninsula blood drives 100 Number of blood drive donor groups on the Peninsula (employers, schools, community and faith groups) 200+ Number of full-time and donor group volunteers on the Peninsula INFINITE Value of donors giving back to their community If you’d like to join this powerful community movement (and even reap some benefits for yourself), find a Bloodworks donor center or blood drive near you. Opportunities are also available to host a bloodmobile at your work, organization or place of worship, or to volunteer at a blood drive or donor center. For more information, visit www.bloodworksnw.org. PENINSULA DAILY NEWS/SEQUIM GAZETTE
CONFIRMING DONORS’ HEALTH One of the first steps to donating blood is to determine donors’ eligibility. Potential donors undergo a short health screening and are asked various questions to determine their eligibility. The presence of certain illnesses or other disqualifications helps ensure that the blood will be healthy and that the blood drawn will not have a negative effect on the donor. The American Red Cross states that potential donors will undergo a pin prick on the finger to test for iron levels in their blood. This is to ensure that donors will not be made anemic from giving blood. Frequency of donation, weight and age also will be considered before prospective donors are allowed to donate blood. Many organizations urge prospective donors to avoid giving blood if they have had simple dental work done within 24 hours or major dental work in the past month. Dental work in general can dislodge bacteria, which can get into the blood stream and cause systemic infection.
PREPARING TO DONATE Potential donors are urged to eat a healthy diet full of iron-rich foods. It is adviseable to drink an extra 16 ounces of water or a nonalcoholic fluid prior to donating. A healthy, low-fat meal prior to donating also is recommended, as the Red Cross says fatty foods can adversely affect blood tests that check for infectious diseases, and the blood may not be used as a result. NEEDLES ARE NO BIG DEAL According to Justin Kreuter, MD, medical director of the Mayo Clinic Blood Donor Center in Rochester, Minn., while the needles used to collect blood are slightly larger than those used for immunizations at the doctor’s office, the needles have silicone on them to make the process of donating more comfortable for donors. DONATION DURATION Donating blood does not take a long time. It may take between 15 and 20 minutes for donation center workers to extract blood. Donating plasma or platelets may require more time. Allocate at least an hour to undergo the medical exam and to rest after the donation. POST-DONATION Donors are urged to rest for a few minutes after the donating and to enjoy the snacks and beverages being offered. The Red Cross says people should avoid performing any heavy lifting or vigorous exercise for the rest of the day after donating. It’s also adviseable to drink an extra four glasses of liquids and avoid alcohol during the day following a donation. — Metrocreative
Caring for dentures prolongs health of mouth This can create odors, and it can create irritation of the gums. Usually the gums begin to get red and often the irritated tissues begin to grow and create excess tissues There are a several opinions as to how to care for denthat interfere with the fit. tures. As a prosthodontist, a denture and dental implant Without the natural teeth present in the jaw bones, the specialist, I would like to address these opinions with hisbone begins to atrophy. As they do so, the bones and gums tory and suggestions. shrink and the dentures become less stable and the musOften the first experience with a denture is when the cles around the dentures can push them loose. teeth are extracted and a healing denture is placed. With extra room under the dentures, the gums can get Because it is acting like a bandage, the patient is rubbed and irritated. encouraged to wear the denture at all times except for This can cause the gums to begin to grow flabby, filled when they are taken out to be cleaned. This involves with connective tissues that move and compress easily. using a soft brush to scrub the dentures clean and then This creates a weak foundation, and the gums might soak them in denture cleansers or a cup of water with a have irritation areas that grow and become inflamed. teaspoon of bleach. The bleach can not be used on denThis normally takes years to actually occur, so the pertures that have metal in them because it causes the son is unaware that it is occurring, which is why I stress metal to turn black. Once the gums have healed for about a week, however, the importance of denture care. If the dentures are removed each night, and care is the care instructions change. taken to make sure that they stay fitted properly, they If the patient does not return or the dentist forgets to update the instructions, they might continue wearing the can last for a long time. Many dentures last up to 10 years even though the insurance companies will pay to dentures all of the time. replace them after five years. The problem with this is that the gums never get a Even with good care, the jaw bone will continue to atrochance to rest. Bacteria and fungus can be encouraged to phy since the bones are no longer supporting teeth like grow in the dark, moist environment of the mouth that they should. With the bone dissolving, the denture slowly does not enjoy the cleaning action of the tongue. The sinks into the muscle attachments, which causes the mustongue moves against the tissues massaging them and cleaning the bacteria and fungi that like to accumulate on cles to move the denture more, making it looser. The dentures can actually be trimmed so that they are the gums. BY L. SCOTT BROOKSBY
not pushing on the muscles, and this will make the dentures stay tighter. This involves using a Dremel tool to trim away the area pushing on the muscles. Most dentists do not recommend a patient adjusting their own dentures, but I often recommend it because it can save them money. Obviously it is best if they have someone guide them initially to make sure they know what they are trying to accomplish. Over time the jaw bone simply atrophies and shrinks. This eventually requires a new denture. If you want to minimize the atrophy you can have dental implants with snaps placed and they stimulate the bone and also help stabilize the dentures. One way to stop the jaw bone that supports the dentures from dissolving is to place dental implants. They can preserve the jaw bone and stop the atrophy. We will talk more about this in a future article. In addition to general dentistry training, Dr. Scott Brooksby, DDS, DICOI, completed his specialty training in prosthodontics at the San Fransisco VA Prosthodontic Program in conjunction with the UCSF School of Dentistry. He received his advanced surgical training with the Advanced Implant Study Group at Loma Linda Dental School in Southern California. He has been practicing as a prosthodontist since 1990, and as an advanced surgical prosthodontist since 1996. For more information, visit www.drbrooksby.com.
JONATHAN COLLIN, MD
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beans and added protein to aid in weight management. Then — voila! — we have a powerful Coconut provides trace minerals, includskin elixir that not only heals skin, but ing sodium, magnesium, manganese and tastes scrumptious and replaces that eve- concentrated amounts of potassium that ning bowl of chocolate ice cream. support neurological function. It’s a classic win, win, win. Serves 2 I start my recipe work with quality SMOOTHIE INGREDIENTS: research, which means empirical human 2 peeled bananas studies (double-blind, randomized, con1 cup cultured coconut milk trolled trials), rather than animal studies 1/4 cup hulled hemp seeds whenever possible. 1/4 cup protein powder I cull out the nutrient dosing and trans2 teaspoons pure vanilla extract late that into servings of whole foods. Pinch of salt Then I create recipes that contain only Combine all ingredients in a blender foods that provide health benefits, with no and blend until smooth. fillers just for the mouth feel. TOPPING INGREDIENTS: This results in rich, heady flavors and 2 tablespoons chopped strawberries the aftereffects are noticeable. After a 2 tablespoons toasted almonds superfood smoothie bowl, your body is 2 tablespoons toasted unsweetened infused with nutrients that provide bene- flaked coconut fits such as boosting energy, feeding the Pour the smoothie into two small bowls brain and calming the nerves. and sprinkle each with half of the topI opt for ingredients that are vegan, glu- pings and serve. ten-free and low sugar. Nutrition Facts (grams per servSmoothie bowls are so easy that they ing): are the perfect medium for experimenting Calories 272, Fat 9, Protein 18, Carbs and creating functional recipes for your30, Fiber 7, Net Carbs 23 self and your family. They’re so delicious that you’ll want to FENNEL BERRY SORBET keep making them, and it’s those daily This beautiful magenta blend has fresh, habits that have an impact on our health nutrient-rich foods that provide protection over time. from the damaging effects of high blood You can try out a couple of my favorite sugar levels. recipes from “Superfood Smoothie Bowls,” This delicious blend is topped with or you can dive right into making your crunchy pistachios for their healthy fats. own personalized, functional smoothie Serves 2 bowls. SMOOTHIE INGREDIENTS: For example chia seeds, unsweetened 2 cups blood orange segments cocoa powder and vanilla help anxiety. 1 cup raspberries Berries, kale and spearmint help arthritis 1/2 cup chopped fennel bulb while nutmeg, sesame seeds and rosemary 1/4 cup chia seeds can ease back pain. 3 tablespoons black cherry concentrate Smoothie bowls don’t have to be sweet. 2 teaspoons coriander seeds In fact, I much prefer a combination that Combine all ingredients in a blender has more fresh produce flavors than those and blend until smooth. that are fruit juice-based. TOPPING INGREDIENTS: Although citrus segments and banana 2 tablespoons chopped pistachios slices are tasty toppings, savory toppings Sprigs of chopped fennel greens open up a whole new world of culinary Pour the smoothie into two small bowls exploration, such as mint leaves, unsweet- and sprinkle each with half of the topened cocoa nibs and toasted hulled hemp pings and serve. seed. Nutrition Facts (grams per servThese healthy treats can be served as a ing): snack or meal replacement. Calories 170, Fat 4, Protein 4, Carbs 21, Ideally, they will become a healthy Fiber 4, Net Carbs 17 alternative to a sugary dessert thus reducing your overall sugar intake while still Daniella Chace, MSc, CN, nutritionist, is satisfying that craving for mouth enterthe author of over 20 health books, includtainment. ing “365 Skinny Smoothies,” “Turning Off Na zdorovie (to your health)! Breast Cancer” and “Superfood Smoothie Bowls.” She is the host of “Nutrition MatVANILLA BEAN POT DE CRÉME ters,” available on National Public Radio, This elegant bowl is reminiscent of the and is a medical nutritionist in private classic dessert. practice in Port Townsend. This blend contains powerful probiotics To learn more about her work, visit for belly health, anti-inflammatory vanilla www.DaniellaChace.com. << SUGAR continued from 8
Today’s advanced technology gives eye surgeons the flexibility to tailor surgery to transform your vision to meet your needs and suit your lifestyle. We don’t just replace a lens clouded by cataract, we can give you a new perspective on seeing your world. At Northwest Eye Surgeons, we work with you and your family eye doctor to provide you with your best vision. You have options to see better with less dependence on glasses and excellent results. At your annual comprehensive eye exam, talk with your doctor about your eye health and your lifestyle and vision goals. If appropriate, your eye doctor can recommend a consultation with us.
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Davina Kuhnline, OD
Stephanie Stamoolis, OD
Matthew Niemeyer, MD
795 N. 5th Avenue, Sequim, WA 360.683.2010 www.nweyes.com 7C2004612
Peninsula Daily News/Sequim Gazette
Achieve Your Vision with Modern Cataract Surgery
Pets deserve wellness, too BY JEFF HIGHBARGER
Still, there are many things pet owners can do to add to their pet’s overall health and wellness. This can improve the animal’s capacity to compensate for many of life’s adverse conditions and, at times, even prevent some diseases entirely. Consequently, much of a veterinarian’s job is identifying and explaining ways to preventatively add to a pet’s state of wellness and overall health.
Pet owners are often confronted with questions when their pets are diagnosed with medical conditions. Two questions I hear at equal frequency are, “Did I do anything to cause this?” and “Is there anything I could have done to prevent this?” The majority of the time, the answer to these natural questions leans toward “no.”
GOOD NUTRITION Feeding our animal companions an appropriate diet — one which is both healthy and nutritionally balanced — is critical to maintaining a state of wellness. Unfortunately, deciding which diet or what kind of food to feed an animal is a difficult task. The available pet food options for consumers continues to expand every year. In fact, the pet food business is now a multibillion dollar industry nationwide. Adding to confusion, there is significant myth surrounding many feeding recommendations. Clients often ask if they should feed raw diets or home-cooked foods, or they ask whether canned food or dry food is healthier based on things they have heard from various sources. Most nutritional philosophies can be fed in a healthy way; however, for many pet owners feeding a commercial pet food is the most balanced option. Reputable pet food manufacturers will follow established the Association of American Feed Control Officials (AAFCO) feeding standards, thus ensuring adequacy of In this environment, it is easy to see how obesity and the diet. nutrient imbalances can easily occur simply by feeding Yet, adequacy is not synonymous with optimal. Add to the amount of food that is recommended by the manufacthis the fact that there are often misleading marketing turer or “what they say on the bag.” practices, inflated feeding guidelines and a history of regular food safety recalls. PETS continued on 15 >>
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parasites and the subsequent reactive disease states they are known to cause. It’s important to discuss the preventative and treatment options with your veterinary health care team. Many of the best parasite control agents require a prescription and need to be given as directed for optimal effect. DENTAL CARE Dental disease, second only to obesity, is the next most common condition seen in veterinary practice. This is easy to explain, as we humans
have similar dental conditions, yet we are able to manage our own oral health with regular, twice-daily brushing. Our canine and feline friends need our help to do the same. Coming up with a home dental care plan that includes some combination of brushing, proper nutrition and chew or treat options is an important consideration early in a pet’s life. The consequences of not maintaining an animal’s oral health results in the painful advancement of periodontal disease and eventual tooth loss. PETS continued on 16 >>
We have the groceries you need to serve your family 3 healthy meals a day.
• Award winning produce • Natural and organic packaged groceries and bulk foods • Allergen-free options • Fresh selections from our deli • Full service meat and seafood including our own beef raised in Othello, WA.
apparent to most animal caretakers. This sort of screening can prevent a larger health care problem from presentObesity in dogs frequently leads to (or worsens) underlying and/or chronic health ing later on in a more acute way and gives the caretaker the option of earlier care conditions, such as respiratory probintervention. lems, chronic pain/arthritis and mobility The wellness visit will include a full issues. Similarly, we know that overweight cats physical exam and an update of needed vaccines for preventable diseases. It should are at a much higher risk of developing diabetes and certain liver diseases, as well also include a parasite screen. In senior-aged pets, it is recommended as other chronic conditions. to perform routine blood work to screen for Prevention here is the key. Balancing feeding options with the pet’s metabolic and organ disease that is not visible by exam alone. genetics, activity level and lifestyle generIn short, the goal of this wellness exam ally requires a consultation with a profesis to identify and prioritize the animal’s sional to ensure all factors are optimal. This could be your veterinarian, a board- health care needs so the pet caretaker can understand their options for how to best certified veterinary nutritionist or other care for the pet as it ages. qualified veterinary nutrition consultant. This one small step can not only help PREVENTION OF PARASITES dispel nutritional myths (not to mention Most pet parasites on the North Olympossibly save the pet owner quite a bit of pic Peninsula are very preventable. money over a lifetime of food expenses), Fleas and ticks are the most common but it may save the pet from suffering external parasites seen. We also commonly from chronic nutrition-related illnesses. diagnose roundworms, hookworms and tapeworms (internal parasites). ANNUAL WELLNESS EXAMS Fortunately, the advances in flea, tick Another component of keeping an animal healthy is providing them with a reg- and parasite control have given us several very safe and very effective options for ularly scheduled exam by a veterinarian. their control. The professional examination is often Many of these agents can be given able to identify a brewing condition well before the disease process would become monthly for continued prevention of << PETS continued from 14
“Move Better. Feel Better. Live Better.” 500 West Fir, Suite A, Sequim • 360-683-0632 • www.Fyzical-Sequim.com
• Come See Our New Solutions For Fall Prevention & Balance Training
• Clients progress quickly & safely with our state-of-the-art safety harness system • Return to a life you love!
Happy Holidays From All Of Us At FYZICAL! 7C2004605
Auto Accidents • Post-Surgery • Rehabilitation • Pelvic Health • Work Injury Lymphedema • Vertigo • Strengthening • Balance • Medicare Accepted
Clinical staff: Clinic Owner Jason Wilwert, PT, DPT, OCS; Britt Moss, MPT, OCS, CSCS; Dale Rudd, PT; Vonnie Voris, PT, CLT; Peggy Scheideler, PT; Marsha Melnick, PhD, PT; and our great Physical Therapist Assistants: Rose Reandeau, PTA; Claire Beukes, PTA; Andrea Divers, PTA Peninsula Daily News/Sequim Gazette
balanced and safe anesthesia, full dental radiographs, a comprehensive periodontal exam and cleaning above and Second to home care, taking your pet to a veterinarian for below the gum line. Although perhaps not always obvious to the human clia full anesthetic dental cleaning and radiographs is critical ent, the difference in the level of treatment received by to maintaining the animal’s oral health and comfort. that animal will be quite significant, and the results will Clients have asked about nonanesthesia dental cleanings. These procedures result in nothing more than a tem- last much longer. porary cosmetic improvement and are unable to address HEALTH INSURANCE the gingival and periodontal disease that lurks unseen Let’s face a fact: Household budgets are often tight and below the gum line. quality veterinary care can be expensive. For this reason, both the American Veterinary Medical Specialist-level care is getting more and more available Association (AVMA) and American Animal Hospital Assobut comes at a cost that is beyond the budget for many ciation (AAHA) have made policy statements that dental people. procedures for cats and dogs should minimally include For this reason, it is strongly recommend that pet owners consider obtaining pet insurance for their pet. More policy options are available today than ever before. Some are simple policies for emergency care only, but others include comprehensive wellness care. As they are gaining in popularity, the premiums also are often more affordable than people imagine. Insurance can significantly reduce the out-of-pocket costs for serious conditions as well as long term care. No matter how much preventative care an animal receives in its life, it is inevitable that a serious health problem will affect their life at some time. Having insurance prior to these crises gives caretakers the financial resources to commit to whatever level of care they feel is appropriate for the pet’s needs. Mayo Clinic Trained These policies expand the level of options available to Orthopedic Hand Surgeon pet owners, which can save animals from succumbing to what would otherwise be a life-threatening diagnosis. As animal caretakers, we all do our best to have happy Serving the Peninsula and healthy animal companions in our lives. Even when there are missteps in caretaking, most people are doing Since 2001 what they truly think is best for their pets. And even when the preventative care has been pristine, Then... animals still get sick, and when they do, they can’t be interviewed, they often don’t complain, and they have a Jake, Regina, and way of concealing underlying health problems until they Tristan McGovern << PETS continued from 15
can no longer be hidden. When we make a commitment toward keeping our pets as healthy as possible, we are giving back to ourselves as well in improved happiness and health in that life we share with our animal companions. Jeff Highbarger, DVM, has 20 years experience as a practicing small animal veterinarian. He has a bachelor’s degree in biochemistry and a doctorate in veterinary medicine from the University of Missouri. He and his partner, Abbie Doll, DVM, are the owners of Chimacum Valley Veterinary Hospital and Pet Townsend Veterinary Clinic.
Catholic Community Services of W e s t e r n Wa sh in g ton
Tristan McGovern, M.D. Regina McGovern, M.D. No Referrals Needed
• We are state licensed & accept insurance, private pay, DSHS & serve all income levels. • Services: housework to personal care, including medication reminders, incontinent care, transportation, bathing, dressing, transfers to/from wheelchair, and protective supervision.
Mon-Sat, 10 am-7 pm • 360-683-4642 4681 Sequim-Dungeness Way, Sequim www.nashsorganicproduce.com
• We provide care from 1 hour to 24 hour live in, respite & overnight care. • Care for everyone regardless of religious preferences.
Free in-home evaluation: 360-417-5420 • 1-855-582-2700
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Fyzical Therapy adds key equipment in Sequim BY JASON WILWERT
ing or even actually losing their balance, without the danger of an injurious fall. As they practice these harder activities, Fyzical Therapy and Balance Centers they gain confidence and strength, and has brought new, cutting-edge tools to they retrain their balance system. Sequim that help safely train patients to This improved safety extends to a safer reduce their fall risk. workplace for the clinic staff, who could be The clinic uses a ceiling-mounted safety injured if they tried to catch a patient who harness system that allows people to chalwas falling without a safety harness. lenge their balance without fear of falling. The quality of therapy provided is also Additionally, the staff is using specialenhanced, as the patient can walk norized techniques to combat vertigo/dizzimally in a harness instead of in the unnatness. The fear of falling, as well as the ural state of others holding onto them. consequences of having fallen, impact Therapists can safely step away from many people in Sequim every day. the patient and thereby get a broader perOlder adults are especially vulnerable spective on how the patient is moving. to these problems, and for years physical This enables the therapist to give the therapists have worked to help decrease patient more accurate feedback, which the risk of falling in this population. The accelerates the patient’s rehabilitation. new equipment at Fyzical brings that Patients often begin their therapy protherapy care to a higher level. gram in the harness system, and they Imagine it like this: Training your balprogress through varying and increasingly ance is like training a muscle for strength. Sequim Gazette photos by Michael Dashiell difficult exercise challenges. If you can lift 100 pounds, you are not Dr. Marsha Melnick, left, and Dr. Jason Wilwert help assistant Claire Beukes demonstrate The focus is on the patients returning to going to get stronger by lifting a fivenew balance equipment at Fyzical Therapy and Balance Center on Sequim. functional activities, so additional exerpound weight. cises for home also are assigned. Wearing the safety harness allows exercises because of a fear of falling, it is In order to make gains, you need to be patients to be challenged out to the edge of like training with too small of a weight, working closer to the limit of what you their capabilities, to the point of nearly falland it is hard to make progress. can do. If you avoid challenging balance BALANCE continued on 18 >>
For an appointment,
Peninsula Daily News/Sequim Gazette
When the temperature drops, we run a higher risk of health problems and injuries related to the weather, including hypothermia, frostbite, and falls due to ice and snow. Try to stay indoors when it’s very cold outside. If you need to go out and happen to slip and and injure yourself, Sequim Health & Rehab is ready to help you get back on your feet with our seven-day-a-week therapy department or our outpatient therapy services. 2017 Finalist Best Rehabilitation Facility Clallam Co
2016 1st Place Best Rehabilitation Facility Clallam Co
650 W. Hemlock St., Sequim, WA 98382 360.582.2400 www.sequimskillednursing.com HEALTHY LIVING
7C2011231 43993556 43993556
Serving Serving Clallam Clallam County County since since 1971, 1971, Peninsula Peninsula Behavioral Behavioral Health Health is is the the region’s region’s primary primary resource resource for for mental mental health health services. Last year over 3,300 men, women, and children Servingyear Clallam County since 1971, Peninsula Behavioral services. Last over 3,300 men, women, and children Serving Clallam County since 1971, Peninsula Behavioral received psychiatric and psychological services Health is the region’s primary resource for mental health from an Health is the region’s primary resource for mental healthan received psychiatric and psychological services from services. Last year over 3,300 men, women, and children expert staff including MDs, nurse practitioners (ARNPs), services. Last year over 3,300 men, women, and children received psychiatricMDs, and psychological services from an (ARNPs), expert staff including nurse practitioners social workers, nurses, case expert staff counselors, including nurse practitioners (ARNPs),managers, received psychiatric andMDs, psychological services from an social workers, counselors, nurses, case managers, social workers, counselors, nurses, case managers, expert staff including MDs,professionals. nurse practitioners (ARNPs), and other and other professionals. and other professionals. Serving since 1971, Peninsula Behavioral social Clallam workers,County counselors, nurses, case managers, We are committed to offering you quality, specialized care. We are committed to offering you quality, specialized care. Health the region’s primary resource for mental health and other professionals. We are is committed to tooffering you specialized care. We look forward working with you quality, in understanding your We look forward to working with you in understanding services. Last year over 3,300 men, women, and children needs and fostering progress toward your goals. We are committed to offering you quality, specialized care. We look forward to working with you in understanding your your and progress your goals. received and psychological services from For an appointment, We needs look psychiatric forward to working with youtoward in understanding youran needs and fostering fostering progress toward your goals. please call 360-457-0431 expert needs staff and including MDs, nursetoward practitioners (ARNPs), fostering progress your goals. or visitFor us atan www.peninsulabehavioral.org For an appointment, appointment, social workers, please counselors, nurses, case managers, For an appointment, call 360-457-0431 please call 360-457-0431 Helping People Grow and other professionals. please call 360-457-0431 or visit us at www.peninsulabehavioral.org and Change. ororvisit visitus usat at www.peninsulabehavioral.org www.peninsulabehavioral.org We are committed to offering you quality, specialized care. We look forward working with you in understanding your Helping People Grow Helping Peopleto Grow Helping People Grow needs and fostering progress toward your goals. and andChange. Change.
Freezing Temperatures & Icy Sidewalks
she would be permanently confined to a wheelchair. Through therapy enhanced with the use of the harness system, she This two-level approach results in the patients working on more difficult balance was able to build both her strength and her confidence. She eventually developed tasks without the harness. Eventually, the patient can often gradu- the ability to do standing activities without support and walk more than 50 feet ate to advanced balance tasks without with the harness. needing the harness for safety. The physical and psychological benefits Often, it is the fear of falling as much as a lack of balance that holds back patients of these improvements are certainly important and worthwhile. from walking well. Fyzical Therapy and Balance Centers The harness system eliminates this fear and gives patients a boost of confidence so has seen patients come from the wider region around Sequim, as news of this they can attempt more difficult balance new system has spread. challenges. Additionally, patients have been sent by The impressive effects of the harness other therapy clinics in the area, as those system could be seen in the case of therapists have recognized the advantages Roberta S., a patient who was seen at of the safety harness system. Fyzical Therapy and Balance Centers in Patients with a wide variety of condithe beginning of 2016. She had been told by her physician that tions can benefit from this type of directed << BALANCE continued from 17
BALANCE continued on 19 >>
Quail Hollow Psychotherapy PLLC
RAIN SHADOW I N T E G R AT I V E M E D I C I N E
A Holistic Approach to Healthcare
Joseph L. Price, PhD
Combining the best of traditional medicine and evidence-based alternative options to help your body find balance.
346 N. Sequim Ave, Sequim | 360.504.3243 | rainshadowintegrativemedicine.com
Board Certified in Integrative Medicine and Gynecology Carolyn DeSalvo, Hormone Management • Nutrition & Weight Loss MD, FACOG Comprehensive Healthcare for Women Fee for Service or Membership options available - Accepting
Fluid moves through canals in the inner ear as a person’s head moves, and nerve cells in the walls of the canals sense this movement and report it to the brain. Problems such as crystals that develop in the fluid can cause an “error message” — a report to the brain by these nerves that the head is moving quickly, when in fact it is hardly moving at all. This signal is inconsistent with other information reaching the brain (from the eyes, for example), and this inconsistency is perceived as vertigo or dizziness. Physical therapy can be a powerful tool in treating these problems. With specialized movement techniques, the physical therapist can help clear the canals of the offending crystals and restore correct signaling by the nerves.
exercise therapy. Fyzical Therapy and Balance Centers has seen patients with an array of concerns, including head injury, inner ear problems, dizziness, stroke, Parkinson’s disease, multiple sclerosis and various orthopedic conditions. In addition to the expanded ability to work with patients who fall, Fyzical also is the local authority on vestibular, or inner ear, problems. The vestibular system uses intricate organs in the inner ear to report to the brain about the speed and direction of movement. Vertigo results when these systems are not functioning properly. Vertigo is a sensation that the room is spinning and can occur even when the patient is barely moving. The inner ear systems are a combination of mechanical and neurological parts.
www.QuailHollowTherapy.com VISIT PORT ANGELES SENIOR CENTER all Pickleb eers lunt
INTERESTED IN LEARNING HOW TO LIVE A MORE ACTIVE, PAIN-FREE, HEALTHY LIFE?
MELT® Method a self-treatment, soft tissue technique using small balls and a soft foam roller may be the answer. The nervous system cannot relax and heal properly when it is receiving signals of pain. MELT® is used to treat an array of issues such as stiffness, achiness, tension, digestive issues, arthritis, and neck and low-back pain. Achieving and maintaining healthy fascia is the missing link between fitness and medicine.
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OPEN DAILY 8-8 9122 Rhody Dr
708 S. Race St. Suite C, Port Angeles 360-417-0703 • www.soht.info
Strait Exercise & Wellness Center has on-going classes and workshops for many different conditions. Call us 360-417-0703 or drop by for more information.
e ffe Co nge u Lo
328 E. 7th, Port Angeles, WA (SW corner of 7th & Peabody)
Peninsula Daily News/Sequim Gazette
<< BALANCE continued from 18
Once this problem is corrected, some dizziness may remain. Physical therapists can then teach the patient certain movement exercises that help to retrain the brain to interpret signals from the inner ear to reduce the dizziness. Additionally, people can suffer dizziness symptoms from other medical factors, such as deconditioning after a long illness. These patients can benefit greatly from a physical therapist’s knowledge about correct movement and balance of muscle strength. Because the Fyzical staff has many years of experience, they are very effective at recognizing where a patient is in their abilities and at assigning the correct exercises for the patient’s stage of recovery. Finally, it is important to understand that in rare cases, the causes of dizziness can be quite serious. For example: If a patient has a brain tumor pressing on the balance centers of the brain, they might experience dizziness. The Fyzical staff is well versed in the type of medical screening that identifies such issues.
When faced with a potentially serious medical condition, the Fyzical staff stands ready to communicate with the physicians involved to help the patient receive the medical testing and care necessary. From recognition of basic balance problems, to reduction of the fear of falling, to advanced treatment and care of inner ear dysfunction, to troubleshooting serious medical concerns, the staff of Fyzical Therapy and Balance Centers of Sequim is committed to the restoration of normal movement and function. Dr. Jason Wilwert, PT, DPT, OCS, is a doctor of physical therapy and is a boardcertified specialist in orthopedic physical therapy. Dr. Wilwert received a Bachelor of Science in biology from Iowa State University, a Master of Physical Therapy from the University of Iowa, and a Doctor of Physical Therapy from the University of Montana. Dr. Wilwert has been practicing since 1994, and has practiced on the Olympic Peninsula since 1999. He became the owner of Sequim Physical Therapy Center in 2003, and this clinic joined the national Fyzical Therapy and Balance Centers chain in 2016.
Lodge Chiropractic and Integrated Wellness
Donna Lodge, D.C.
Located in The Lodge at Sherwood Village 660 W Evergreen Farm Way Sequim, WA 98382 Open Monday, Tuesday, Thursday, Friday 9 am - 5 pm Medicare Accepted • Open to the Public Utilizing the Sigma Method and Drop Table
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