Livewell, september 22, 2013 indd

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livewell physically, mentally, spiritually

issue 4 | september 2013

s s e n i p p a H

how science connects

with health

HEALTH BENEFITS OF

pets cycling coconut oil cancer care project Adam

New HEALTH RESOURCE DIRECTORY

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Less pain. More life.

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SEPTEMBER 2013

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TA B L E O F C O N T E N T S 4

COMMUNITY INVITED TO SHARE HAPPINESS Initiative quantifies what makes us happy / Take the survey

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CITY PLANNERS IMPROVING BIKE ROUTES ‘Placemaking’ one goal of urban planners

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ALZHEIMER’S CONNECTION TO COCONUT OIL Mary and Steve Newport’s research of ketones

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CHAS HEALTHCARE OPTIONS GROWING What’s new and what’s next

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BEST DENTISTS FOR YOUR KIDS Pediatric dentists go beyond basics

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THE VALUE OF BRACES Nothing to fear, plenty to learn

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CAN COSMETICS HARM YOU? ‘All-natural’ beauty regimens may have health risks

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THINKING AHEAD ABOUT THE END Pre-planning for estate and pets helps your family

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HIGH SCHOOLS TEACHING LIFE SAVING METHODS State requires AED training with CPR

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LOCAL PROVIDERS OFFER UNITED CANCER PLANS Providers pooling to help cancer patients

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GROUPS MAKE BREAST CANCER PREVENTION FUN Education through parties and social visits

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WHY VACCINES MATTER Adults can help with booster shot

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BUSINESS DIRECTORY Local health-conscious businesses

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EVENTS CALENDAR Wellness related events for September and October

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CONTRIBUTORS

Mo l l y H o y l e , D i r ect or y S a l es

S-R Media Marketi ng Department.

T hough he once made his mom cry when he first tried white bread and Twinkies and asked for more of each, Joe now l oves learning new ways to prepare healthy food.

Molly is happy to be h ome after years on “the other side.” When her nose isn’t in a book, she enjoys g ard ening, hiking and kayaking. A self-p roclaimed “rock weirdo,” Molly can no t le ave a beach or trail without taking some of it home with her. She considers h er 3 wonderful children her greatest ac c omplishments.

Tr i s h M e r r y ma n , D esi gner

Bi l l D a v i d s on, S a l es L ea d

J o e B u t l e r, Ed i tor/Wri ter

S-R Media, LMP / owner l i n d e n r ü t e Bill has worked fo r S-R Media for m a s s a g e . lindenrutemassage@gmail.com over 6 years. Gra du ate of WSU in Trish is amazed by the strength of the Business, he apprec iates working with human spirit and people’s ability to his advertising c lie nts to improve power thru tough physical battles with their companies. His greatest joys pure grace. Proud beyond words of my are his wife and 6 children. mom. RIP Sally.

Cour t n ey D u n h a m , Wri ter Cou rtney is a writer, publicist, and director of Dunham Media Publici ty & Development . She believes living w el l is time spent with her people, dogs, and traveling. Follow her at n o t h i n g o n p a p e r. b l o g s p o t . c o m

Ho ll y J o n e s , Wri ter is an Emmy Award-nominated veteran of local television and national advertising. The WSU grad enjoys motherhood and other creative endeavors and can be reached at facebook.com/HandmadeHollyJones

S h a l l a n K n o w l e s, Photographer Shallan is a web desi gner, photographer, yoga instructor, and ow ner of G l u t e n F r e e S p o k a n e . c o m , which covers gluten-free dining optio ns around the Inland Northwest.

E r i k a P r i n s , Wr iter Erika writes, volunteers for Bike to Work Spokane and is o n the City’s B icycle Advisory B oard. She is t raining for her thi rd marathon.

Ren é e Sande, W r i t er A Spo kane native, Renée has spent 15 yea rs in communications, from PR to publishing, and is currently a free lan ce writer and designer who enj oys traveling and the greener side of t hings. h t t p : / / r e n e e s a n d e c o m . c o m

Ju lie Humphreys, W r i t er Julie is a longtime reporter/TV anch or. She spent 22 years with KHQ, and now writes for various publica tions, produces videos, and wo rks on a local health initiative ca lle d Step UP and Go. w w w. s t e p u p a n d g o . o r g

S a ra h Bain, W r i t er Sarah is a free lance writer and nonprofit con sultant. She has a special intere st in end-of-life issues, hospice and grief support.

Te rry Bain, W r i t er Terry is the a ut ho r of You Are a Dog and We Are the Cat. He lives in Spokane with his wife, three children, two dogs and two cats.

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happiness SCIENCE health Global initiative tries to quantify what makes us happy Story by JULIE HUMPHREYS YS S LiveWELL Correspondent How happy are you? You’ll more than likely answer from the gut since most of us feel our current emotions define our current happiness.

But if you were to take a short survey about happiness, you’ll discover more ways to measure happiness beyond those basic feelings of joy, sadness and stress. Think overall satisfaction with life.

Students and staff at Eastern Washington University are taking part in such a survey through an international project called The Happiness Initiative.

While the initiative is interested in what makes individuals happy, it’s more about studying collective happiness in communities and countries.

Think “If Mama ain’t happy, ain’t nobody happy.”

The initiative is part of a new and growing interest in how to measure our social and economic vital signs, beginning with looking outside of ourselves.

People involved in this initiative give credit to the country of Bhutan for looking for ways to link individual and group happiness to other positive things in a society.

Every two years Bhutan administers a survey asking residents how happy they are.

Some 40 years ago a new, very young king was asked how he planned to measure the success of the country he was now charged with leading. As the story goes, the 16-year-old replied, “By how happy our people are.”

Today, the government of Bhutan uses the survey results in every major policy decision, including new roads, a power dam, or any other major expenditure that may contribute to the country’s happiness and well-being.

So the tiny country of Bhutan became

the first (and still only) country to measure success by what it calls the “Gross National Happiness Index,” which differs from the Gross National Product (or Gross Domestic Product), a gold standard measurement of general economic conditions.

Some in the U.S. have wanted to add a happiness index to our various national metrics over the years. Even Robert Kennedy pointed out that ‘happiness’ index was missing from our GNP.

“The gross national p product includes air pollution a and advertising for cigarettes, a and ambulances to clear our highways of carnage. It counts special locks for our doors, and jails for the people who break them…It does not allow for the health of our families, the quality of their education, or the joy of their play.”

So we collectively recognize the limitations of the GNP, but we apparently haven’t been able to do much about it.

The Happiness Initiative www.happycounts.org, directed by Laura Musikanski, former director of Sustainable Seattle, a project to sustain vital local economies and livable, socially just communities, would like to change that.

Through the Happiness Initiative, she and others including Seattle filmmaker and activist John de Graaf, are working to show U.S. residents the importance of happiness in policy, business, education, and personal lives.

De Graaf got involved in the happiness study 20 years a ago.

He produced several d documentaries including “ “Running out of Time” and “ “Affl uenza” which looked at well-being from the standpoint of time and from consumerism.

Both programs reflected movements in our country, one to take back time from overwork and the other to curb rampant consumerism.

The Happiness Initiative picks up where those movements left off.

“They all tie together,” says de Graaf.

“We are headed in the wrong direction, we are putting what we have in front of relationships and social connections. We are working

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longer than we should because we want to consume more. Few people report they have enough time to do the things they want. The Happiness Initiative looks at what really makes us happy and healthy.”

De Graaf pushed off the movement at EWU last February.

Some 370 people in Cheney and the university community responded to the survey which measured 10 domains of happiness: 1) material well-being (income, employment security, debt) 2) physical health 3) time balance 4) psychological well-being (optimism, self-esteem) 5) education and learning 6) cultural vitality 7) environmental quality 8) governance (involvement, responsibility, and honesty in government) 9) community vitality 10) workplace experience (employment satisfaction, productivity, and compensation).

The respondents were part of more than 29,000 people nationwide who have taken the survey since 2008.

The EWU team administering the survey found similar results to other communities. In terms of psychological well-being and social support, students felt pretty good. Not a big surprise as they are in an environment with others who are able to socialize and get an education.

In terms of time balance and material well-being, EWU students fell below the

national standard and felt stressed with time and money.

Student Robyn Wallin explains the time crunch. “When you have to work to support yourself and pay for college, it takes away from hours to study. We are worried about if we will get jobs when we graduate.” Wallin, who used to attend the much larger University of Washington, finds living in the smaller campus in Cheney gives her a better sense of community between students and teachers.

She had a high score on community and social support in her survey results.

Recreation management professor Barbara Brock headed up EWU’s 2013 Happiness Initiative and psychology professor Nick Jackson will continue it next year.

EWU staff and faculty also participated, and results were predictable – most feel they are working harder and harder with less, which equals high work stress.

Brock says the beauty of the survey is not only does it find areas of weakness, but can help clarify what staff and faculty really desire. Many staff and faculty commented on their lack of physical health. Brock points out there is a free fitness and weights class at noon plus other on-campus fitness options that employees may not be aware of.

So what will be done with the local survey results? The end goal, says Jackson, is policy change. How might universities

take the happiness survey

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make changes so staff isn’t so pressed for time, or so employees can take advantage of existing physical activity options? A policy change permitting or promoting these areas ultimately affects an employee’s happiness, not to mention productivity.

Another goal of the initiative is individual change.

In April Eastern sponsored “In the Pursuit of Happiness Week” to encourage people to be aware of what makes them happy, what doesn’t, and how to change things in their lives. Jackson is trying to walk the talk in his own life.

“What this survey has enabled me to do is to see how my life is structured and identify what may not be as conducive to happiness,” he said. “It’s tempting for me to take on teaching an extra class because of extra income. But that prevents me from doing other things I want to do overall in my career.

The survey reminds me not to neglect the things that are my core values.”

Happiness is indeed subjective to a point.

But as the Happiness Initiative points out there are also some basic parameters that add to the likelihood of happiness and well-being for many.

So back to Bhutan, which celebrates Gross National Happiness!

Opposite page: Recreation management professor Barbara Brock from Eastern Washington University coordinated EWU’s involvement in the Happiness Initiative, an international survey that assesses what internal and external forces ccan make people happy. lmmaker and activist, helped Below: John de Graaf , a filmm launch The Happiness Initiative Initiat at EWU.

www.happycounts.org For more information on the global happiness effort and Bhutan’s role visit www.asap4all.org, a website for ASAP, the Alliance for Sustainability and Prosperity.

EWU Psychology Professor Nick Jackson suggests the following books for more on happiness and simplicity: Duane Elgin (1981). Voluntary Simplicity: Toward a Way of Life That Is Outwardly Simple, Inwardly Rich.

Janet Luhrs (1997). The Simple Living Guide: A Sourcebook for Less Stressful, More Joyful Living.

John de Graaf, David Wann, Thomas Naylor (2002). Afluenza: The All-Consuming Epidemic. (latest edition available Dec. 1, 2013) Lorilee Lippincott (2013). The Simple Living Handbook: Discover the Joy of a De-Cluttered Life.

David Batker, John de Graaf (2011). What’s the Economy For, Anyway? Why It’s time to Stop Chasing Growth and Start Pursuing Happiness.

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State of cycling ‘Placemaking’ one goal of urban planners Story by ERIKA PRINS LiveWELL Correspondent

Just across the river from downtown Spokane, a popular recreation trail that runs 13 miles to the west and eastward all the way into Idaho stops cold.

Cyclists in the know can detour around city streets and pick up the Centennial Trail a mile later.

But those who don’t know this secret short-cut are out of luck for at least a few more months, when the popular trail will finally extend from its current breaking point at Riverfront Park through the recentlydeveloped Kendall Yards northwest of downtown.

This effort shows what many developers and planners have been thinking -- bicycle and pedestrian infrastructure can boost the safety and economic health of nearby neighborhoods and businesses, not to mention physical health benefits from expanded fitness opportunities.

Closing the Trail Gap “I think it was always a driving force of the developers of Kendall Yards to have this trail amenity,” says Grant Wencel, a planner and bike/ped coordinator at the City of Spokane. “It’s right next to ‘urban decay,’ so to speak,” He’s referring to the proximity of the new development in proximity to the generally more downtrodden section of the West Central neighborhood.

“Some people would stay away from that area. Other people would say, ‘Hey, this is a chance for us to put in a significant in-fill project in the heart of the city.’”

Wencel believes the Centennial Trail can help create a sense of security in the neighborhood.

“Having eyes on the trail, all kinds of people, will increase safety,” he said.

The City of Spokane has recently begun to take steps toward hiring a consulting firm to rewrite Chapter Four – the transportation section – of its Comprehensive Plan.

This fall, city staff and consultants will seek public input on what new priorities should be reflected in the rewrite.

“I don’t think you can isolate transportation from the neighborhoods, the businesses, the destinations it serves and how we interact with that,” says Wencel. The current Comprehensive Plan, however, has been accused of separating different elements, a charge that some critics say has been the norm for planning for decades.

Downtown Bicycle Network Downtown Spokane’s one-way streets are proof, Wencel said, that street plans that focus solely on efficient motor vehicle traffic flow can negatively impact public health – both in terms of air quality and opportunities for physical activity – as well as surrounding businesses.

The plan for a Downtown Bicycle Network will begin its first phase of implementation this fall, funded by a federal traffic mitigation and air quality improvement grant.

The start of a projected six miles of new

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bike routes in the downtown core, the network extending the bicycle lane on Main Avenue.

Better signage and markings will improve high-traffic intersections like the one at Main and Browne. Bike racks will be placed along the corridor.

Reverting a portion of Main Ave. to a twoway street was initially slated to occur along with the rest of the project.

“A lot of these one-way couplets were designed 30-50 years ago, and their main purpose was to move people through the city,” said Wencel.

Businesses along Main Ave. have fought for years to revert Main back to a two-way street, arguing that the one-ways reduce their accessibility to customers – drivers, bicyclists and pedestrians alike.

As it became clear the entire project would stall as a result of strong opinions about the two-way street among downtown’s decisionmakers, planners chose to separate it into a separate “Phase Two” portion of the project.

And yet, a four-lane, one-way corridor presents limitations for bicyclists, pedestrians and disabled people in terms of vehicle speed, non-motorized transit accessibility and atmosphere.

“If the desire is to make it a – kind of like a main street – ‘Old Town Main Street Spokane,’ I think you need to think about making it facilities for everyone as best you can,” says Wencel.

Greenways Pilot Project Not all bicyclists are comfortable or ready to ride on main streets, says Betsy Lawrence, Bicycle Advisory Board member and founder of a casual women’s cycling group, Belles and Baskets.

“Going on errands, going to the library, is a good place to start, and we should really be supportive of that cyclist,” she said.

Another new project seeks to provide casual riders and pedestrians an alternative to arterials. The Greenways Pilot Project will create pleasant, accessible routes along lessbusy streets that connect to schools, parks, shopping centers and dense housing areas.

“This is an opportunity to make improvements on local streets, and connections to major destinations,” says Wencel.

Last year, a committee of city staff and citizens identified four priority routes and the ideal infrastructure. Wencel created a rough estimate of each project’s possible cost.

Those findings are now in the hands of city council members Jon Snyder and Mike Allen.

University District Bridge On the east end of downtown, a plan to build a foot bridge between the Riverpoint campus and the East Sprague business district will go forward despite controversy over its $15 million price tag.

The south end of the bridge will connect to existing crosswalks, a marked bike route and a bus stop.

The projected cost rivals that of recentlybuilt bridges for cars, except this bridge will only move bicyclists and pedestrians – a point that has not been lost on its critics.

“Connecting the south University District to Riverpoint is a huge economic opportunity,” says Brandon Rapez-Betty, University District Project Manager for the Downtown Spokane Partnership.

The opportunity lies not just that the bridge can move people, but also in what an iconic footbridge conveys about Spokane’s culture.

“Let’s make it an inspiring place where students and faculty are encouraged to come to and enjoy and not leave for Portland or Seattle or any other city that has invested in the idea of beautiful placemaking experiences,” he said.

Placemaking, a term heard more often in urban planning, means creating public facilities that attract people and inspire health and well-being.

“We have not invested in infrastructure that, in my opinion, inspires people to want to be in a place, since Expo ’74,” Rapez-Betty said.

Like Wencel, Rapez-Betty believes bicycle and pedestrian presence makes streets

safer. East Sprague is known for “certain types of crime,” but building a stunning landmark, rather than the current bare-bones infrastructure, may be the key to revamping the area’s image.

“We have to create a destination – the idea of more eyes on the street, the better off everybody is,” he said. “If we were to do the absolute bare minimum, we don’t know that that would do anything to change the area.”

Although the visually impressive bridge’s design does add to its overall project cost, says Rapez-Betty, height requirements also drive the cost – the bridge must cross four right-of-ways, including the BNSF railway.

Giving bicyclists and pedestrians access to the area south of the University District has already proven to be enough to attract investors, says Rapez-Betty.

“We’ve already heard from developers that they want access to the campus, they want access to the medical district and they want that connectivity. If the bridge is not there, they’re not going to invest in the area.”

Photos courtesy City of Spokane Opposite: The City of Spokane is continuing its efforts to make streets more welcoming to cyclists, including rewriting part of its transportation plan and creating a Downtown Bicycle Network.

Above: One of the possible projects is to create bikefriendly routes through the city but away from busier arterials. These will be useful for cyclists who may not ready for the busier congestion.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

the Alzheimer’s

l i O t u n o c Co connection connection Story by COURTNEY DUNHAM LiveWELL Correspondent After more than 40 years of marriage, Mary and Steve Newport remain a great team. Their devotion became clear early on when Mary was accepted to medical school and Steve quit his accounting job to stay home and raise their first of two daughters. They figured the early sacrifice would be worth it after retirement when they planned to finally travel.

Instead, at just 53 years old, Steve was diagnosed with early-onset Alzheimer’s disease. Mary, now a doctor, knew there would be no traveling in the cards since the average lifespan from Alzheimer’s diagnosis to death was just seven years.

She knew she needed a miracle to keep the long-term love of her life around a little longer, but no drug she knew of had been able to reduce the symptoms of this degenerative disease.

But then she learned about the healing properties in coconut oil and found a miracle for both of them.

Steve left his corporate job the day their first daughter was born, enabling Mary to finish her medical training. Even after a second daughter came along, he still kept the books for Mary’s neonatology practice. He said he had the best job in the world.

Around 2001, Steve started making mistakes. Mary first noticed a $4,000 payroll error. Then came problems with quarterly taxes. She said Steve would shuffle papers around and seemingly stall for time.

“At that point I thought maybe the practice had become a little too complicated. However when he began to have trouble remembering if he had been to the bank or post office that day, I knew that was not normal,” she said.

Steve also started hoarding things like the mail in the garage, and he became very depressed. Their doctor prescribed antidepressants but his symptoms started getting worse.

In 2003 the couple moved to another town where Mary could open a new neo-natal intensive care unit. Steve had problems navigating around the small town and couldn’t read maps like he used to. He also started spending hours in the garage looking for something. Mary said he’d start searching in the morning and by the time she got home from work that night, he was still looking for it.

Mary decided that they should see a neurologist who did a complete evaluation of Steve and ordered an MRI. Conditions like vascular dementia or stroke were ruled out.

One of the tests was called the Mini Mental Status Exam, a 30-point exam that tests for common items related to memory, such as location, time, season, following instructions, and writing a full sentence.

Mary said an average person would score 30 -- Steve scored a 23. The doctor diagnosed him with dementia, with the warning that if conditions worsen, the diagnosis could be amended to Alzheimer’s.

After about a year, at age 53, it was accepted that Steve had early-onset Alzheimer’s disease. The doctor prescribed

Aricept for the symptoms, but Steve’s condition still worsened.

The doctor gave him another drug to which hopefully would allow the brain’s neurotransmitters to become more available and better communicate. Unfortunately, Steve still declined.

Up until 2007, Steve was still able to cook for himself. But then Mary noticed he was getting thin, and discovered that he had lost 10 pounds in less than three weeks.

Over the next few months, Mary saw a significant tremor start, he couldn’t put words together, and said his personality began to evaporate. Steve began to put oil into the gas tank of the lawnmower and vice versa, then started taking the machine apart. He didn’t remember doing this, and thought people were stealing from him.

“These are all things you see with Alzheimer’s,” Mary said. “Much less smiling and interaction, and when we’d talk, we were on a different wavelength. His answers weren’t appropriate for the conversations we

Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

15

were having. It all became very distressing.”

Mary said. went shopping for coconut oil, guessed on an Heading into 2008, both of their hopes appropriate dosage, and put it in his oatmeal were now diminishing, but Mary continued There have only been a few times when that morning. researching clinical trials, which would allow Steve missed his coconut oil – and noticed Steve’s second screening was scheduled at Steve access to the newest drugs. She found it quickly. One time he had to fast for blood 1 p.m. that day, and he scored an 18 out of 20 ttwo promising ones and scheduled two backwork. He became shaky, confused, and his on the same test he had previously failed. tto-back screenings. tremor started again. Within 20 to 30 minutes “I didn’t know for sure at the time whether it The night before the screenings, she of taking coconut oil, the tremor went away was the coconut oil or my constant prayers c came across a new study that indicated and he could think clearly. that he was finally able to pass. Regardless, I iimprovement.

“It’s literally like an energy,” Mary said. decided to keep using the coconut oil.”

“You never see that with Alzheimer’s, so “Like if your tank runs out of gas your car I was extremely curious. I found a patent for doesn’t run.” tthis particular treatment, and discussed was Two weeks later, Steve did the same tthat they now call it ‘diabetes of the brain’ clock drawing test, and now drew a very o or ‘brain starvation,’” she said. “They have clear clock with numbers on it. Previous learned is that there are certain areas of the MRIs that indicated a shrinking brain b brain associated with Alzheimer’s that have appeared stable. d difficulty getting glucose into the cells, and It’s been 13 years since Mary noticed g glucose is the very basic energy that we use that something wasn’t right with Steve, and ffor all of the cells in our body.” nine since he was diagnosed.

Mary said Alzheimer’s is somehow Although Steve has improved in many c connected to problems with insulin receptors, memory areas, he has cognitively slipped w which put glucose into cells. overall, and he’s battled conditions like When the receptors aren’t acting normal, gout and other side effects from the tthe cells aren’t fed and start dying off. medications.

Researchers think this happens at least 10 or The couple’s dreams of post-retirement 2 20 years before you start seeing symptoms of traveling most likely still won’t happen A Alzheimer’s. since Steve gets confused outside of his This particular study discussed comfort zone, especially in different cities m medium-chained triglycerides oil or and airports.

She researched everything she M MCT oil for short. The liver metabolizes “We still have a good time together,” could find about on coconut, M MCT oil into ketone bodies, which are she said. “He knows and loves me still and s simple molecules that the body can use holds my hand. That’s quality time that we triglycerides and ketones. ffor alternative fuel. The result is that wouldn’t have had.”

She increased his servings to if people eat oils containing MCT, their Mary knows that if she hadn’t bodies will have more ketones circulating. discovered the benefits of coconut oil, she three times a day and started However, medium-chained would have lost Steve at least two years cooking with coconut oil instead ago. Gone would be a husband, a father, triglycerides aren’t found in the oils commonly used in American diets, such and half of a long-term team that has of other oils and butter. as canola or olive oil. One source of MCT managed to stay ahead of the nation’s oil can be derived from coconut oil. fourth largest killer.

A pilot study she found showed that To read more about Steve and Mary’s people taking coconut oil had improved scores journey and how coconut oil reduced and Right away, Steve became alert in the on cognitive studies. reversed many of Steve’s symptoms, you can mornings. He used to wake up sluggish and Unfortunately, she found this information read her book, “Alzheimer’s disease: What if not talkative. He couldn’t remember how at 1 a.m. and Steve’s screening was set for 9 there was a cure?” to get water, and was confused about what a.m. However, Steve didn’t end up qualifying utensils to use. for the trial, scoring a 14, when a 20 was But now he started the day with more required. energy and animation in his face, could find The doctor asked Steve do a clock drawing Above: courtesy photo. Mary and Steve Newport show the clocks Steve was asked to draw to assess his mental the water and correct utensils. He started to test for Alzheimer’s, which is very common. and spatial abilities. The quality improved as he began joke like he used to.

He drew some random circles and some adding coconut oil to his diet.

About the fourth day, they talked about numbers. how their life had gotten much better. Steve “It was a bit shocking for me, and I knew Left: Dr. Mary Newport wrote “Alzheimer’s Disease: felt good and said it “felt like a fog had he was in a downward spiral. The doctor said What if there was a cure” detailing her research and lifted.” She had her husband back. he was on the verge of severe Alzheimer’s,” personal experiences with her husband’s decline.

“He said to me that it was like a light bulb Mary said. went on the day he started using coconut oil,” After they left the doctor’s office, Mary

16

Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Coconut oil available locally Mary Newport learned a lot about Alzheimer’s disease and possible ways to reduce its symptoms as her husband Steve struggled with it.

During her research, she ran across a study of the brain’s insulin receptors which concluded that ingredients in Coconut oil can be found at certain natural most area health food stores and oils could lead to some grocery stores. possible benefits.

“I researched coconut oil again and did kind of a biochemistry 101 refresher. I was able to find a fatty acid analysis breakdown and figured out that coconut oil is almost 60 percent medium triglycerides” she said.

Ongoing Alzheimer’s research shows that

Story and photo by COURTNEY DUNHAM LiveWELL Correspondent

something is going on with the patient’s insulin receptors. Humans need insulin to get glucose into a cell, and you need the receptors to act normally for that to happen, she said.

When receptors aren’t acting normal, brain cells start dying off. Researchers think this may actually happen as early as 10 or 20 years before symptoms of Alzheimer’s become noticeable.

It has also been known since the 1960s that the liver metabolizes MCT oil into ketone bodies, which are very simple molecules that the body can use for alternative fuel. The result was that if people eat more MCT oil, they would have more ketones circulating.

In the U.S., we mainly use oils without mediumchained triglycerides, such as canola or olive oils.

Mary learned that MCT oil is derived from coconut oil, and decided to offer it to Steve, starting with 2 tablespoons in his morning oatmeal.

Immediately he began showing improvement in his mental faculties so she has continued the supplement.

She’s become a proponent, as have others who credit it not just with mental health but with weight loss.

Newport suggests adding it to hot foods like she did. Others use it in place of butter, since it can be heated to a high temperature and blended with other

foods.

Spokane resident Michelle McDermott started adding two tablespoons of coconut oil to her coffee each morning instead of creamer, and has lost almost 50 pounds. Although she’s not suffering from any memory loss at 51 years old, she did say that she feels much sharper than before she started adding the oil to her diet.

“I have a family of four and work full-time, so you imagine that I get very tired,” McDermott said.

“I noticed that I feel much sharper and don’t feel as hungry as I used to in the afternoon.”

Studies have shown that because coconut oil is a medium chained fat, which means it’s converted into energy, (sugar) it ends up speeding up the metabolism. Because it’s considered a healthy fat, it fills you up longer than carbohydrates do.

Although McDermott does use coconut oil for cooking, she’s found that she likes the taste of it in her coffee and loves the jump-start feeling she gets after drinking it.

For people wanting to learn more about coconut oil, it can be found at Huckleberry’s Natural Market, most health stores and Amazon.com.

Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

CHAS:

What’s New & What’s Next

Story by HOLLY JONES LiveWELL Correspondent It started when they decided to replace the elevator. Two years ago, Community Health Association of Spokane (CHAS) needed to move the elevator in the Maple Street Clinic, which ultimately led to the addition of several thousand square feet and a complete renovation of the building.

“It’s still our largest clinic physically,” said Peg Hopkins, CHAS CEO. “It’s all disciplines running out of that site.”

The Maple Street Clinic features medical, dental, pharmacy, behavioral health, and an expansion of the OB-pediatric services.

“We’ve always done lots of deliveries, prenatal care and postnatal care, but we’re seeing a big increase in that line of work for us over this last year, so we’ve carved a special place out for that,” Hopkins said.

More important than the growth in size and services is the role that the CHAS clinic plays as an anchor in the community.

“It’s not just pills and diagnoses; it’s about building community energy about health,” Hopkins said.

CHAS also opened the Latah Community Health Clinic in Moscow, Idaho, this June, where the CHAS mission of outreach is going strong. CHAS has put an emphasis on providing fresh socks for local homeless, and Hopkins was excited to see how quickly that culture spread to the new location.

“We made it to Latah!” she said. Right away, she said providers in the new location started passing out socks to new patients.

The next focus for CHAS is education.

Changes to the way we access healthcare in America are beginning with a major expansion to Medicaid this fall, and CHAS wants to help educate the public about how it works and what it means.

“Our focus is helping people sign up and be aware. Letting people know that they’re eligible for this, how to become eligible, how to get attached to a medical home,” said Hopkins. No matter what your situation, CHAS clinics throughout the region are prepared to answer questions and even to help with signups when expansion begins in October.

Also on the horizon is expansion in the area of urgent care. CHAS has found that the need

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for urgent care access has grown, and that there are more people looking for an “arm’slength” approach to the patient-provider relationship, which allows patients to feel they have greater control over their health care experience. But the expansion doesn’t stop at urgent care, Hopkins says.

“You’ll continue to see physical expansion, because placing a health care home in a neighborhood is our model,” she said.

CHAS always welcomes donations and volunteering. “Any cash donation goes straight to patient care,” said Hopkins.

Another way people can help is through the “Healthy Living” program, which teaches chronic disease management to the person who spends the most time with the patients: the patients themselves. After going through the class, participants are encouraged to then lead another class, and so on.

“That’s a big way that people can help and volunteer. Take a Healthy Living class and teach a Healthy Living class,” Hopkins said.

You can learn more about CHAS, by visiting www.CHAS.org.

Horse Liniment Erases Pain

HIALEAH, FL — An ingredient often used to treat inflammation in racehorse’s legs, is now back on the market in its original doctor recommended clinical strength formula.

According to a national drug store survey, the formula at one time became so popular that it rose to the top of pharmacy sales for topical pain relievers. But the company marketing the product at the time changed the formula and sales plummeted. One of the inventors of the original formula has brought it back to the market under the trade name ARTH ARREST and says it can relieve pain

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ARTH ARREST works by a dual mechanism whereby one ingredient relieves pain immediately, while a second ingredient seeks out and destroys the pain messenger signal before it can be sent to the brain. Considered a medical miracle by some, the ARTH ARREST formula is useful in the treatment of painful disorders ranging from minor aches & pains to more serious conditions.

ARTH ARREST is available in a convenient roll-on applicator at pharmacies without a prescription or call 1-800-339-3301.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

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Pediatric dentists go beyond basics

Dr. Erin Johnson, DDS, a pediatric dentist from South Hill Pediatric Dentistry, says teaching children good habits can benefit them throughout their lives.

Story and photo by HOLLY JONES LiveWELL Correspondent WHY TAKE YOUR CHILD TO A PEDIATRIC DENTIST? Does the place have video games in the waiting room, fun Facebook contests, movies in the ceiling of the exam room, or friendly smiling faces of staff, ready to make the experience more fun for a kid than a dentist visit should really be?

Possibly.

But the real benefit to children and parents is the specialized care that pediatric dentists provide.

CAN’T ANY DENTIST SEE KIDS? Yes, just like general practitioners or family practice doctors can treat children. But like pediatricians, a pediatric dentist has received additional training in working with kids on top of his or her standard general dentistry training.

“When I was in dental school, I had four weeks of pediatric rotation, out of four years of dental school,” said Dr. Erin Johnson, DDS, a Pediatric Dentist and a board-certified Diplomate with the American Board of Pediatric Dentistry, who works alongside Dr.

Becky Coombs, DDS, at South Hill Pediatric Dentistry. “The time I spent with kids in my (pediatric) residency was 2 ½ years.”

The extra training that pediatric dentists receive includes advanced diagnostic and surgical procedures along with child psychology and clinical management, oral pathology, child-related pharmacology, radiology, child growth and development, management of orofacial trauma, care for patients with special needs, conscious sedation and general anesthesia.

Without this training, pediatric dentists and their staff may have a more sensitivity to the unique needs of younger patients. Johnson said the mom of a patient once shared why she made the switch to a pediatric dentist.

“She loved her dentist, but she overheard some of the staff complaining about having to see a child,” she said.

In a pediatric dental office, the entire staff knows that they’re going to see only kids all day, so even if a “meltdown” does happen, they’re prepared.

“That’s another advantage that I think specialists have – we see kids every day,” said Johnson. “We may see 45-50 kids in a day, as opposed to a general dentist who may see two or three. When the whole office is geared toward children, you’re never going to have that staff member who doesn’t like to see kids.”

Dr. Christopher Herzog, DDS, MS, of The Children’s Choice Pediatric Dental Group in Spokane, said not all children’s dental offices feature board-certified pediatric dental specialists.

Herzog, who has Diplomate status with the American Board of Pediatric Dentistry, is a board-certified pediatric dentist and on the board of directors of the Washington State Dental Association. He’s passionate about the distinctions between general dentistry and pediatric dentistry.

In 1994, he said the Spokane District Dental Society, the University of Washington School of Dentistry and Washington State Medicaid created the “ABCD” program, which

increased reimbursement for dental treatment for children under age 6.

This increased the number of children within that age group eligible for dental care, prompting several national chains and private “general dentistry for kids” offices to set up shop to take advantage of the program’s payout.

However, Herzog says, “the pediatric dental community was willing and able to treat the pediatric population before any ‘general dentistry for kids’ offices arrived in Spokane.”

Dr. Andrew Garabedian, DDS, who also practices at The Children’s Choice and is a board-certified pediatric dentist, said a good pediatric dentist can benefit patients for a lifetime.

“We are continuously raising our patients to be comfortable and confident dental patients,” said Dr. Garabedian. “We want them to grow up having positive dental experiences so they can settle in as adults and have no dental fears. Unfortunately, so many of the parents of patients in our practice have anxiety because no one raised them this way in their dental history.”

Spokane has several board-certified pediatric dentists. Even Johnson, who is originally from Michigan, has come to enjoy the dental community.

“When I moved here, I learned that right away. There are a lot of really great pediatric dentist offices. Even if patients aren’t coming to us, there are some really great offices – access to care here is amazing,” she said.

You can find South Hill Pediatric Dentistry at 2020 E. 29th Avenue, or online at www.southhillpediatricdentistry.com.

The Children’s Choice has an office on the South Hill, on North Nevada, and in Medical Lake. Visit them online at www. childrenschoicedental.com.

Parents can also visit www.aapd.org for a list of all of the residency-trained pediatric dentists in Spokane and elsewhere.

Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Breathing Easier About Story by HOLLY JONES LiveWELL Correspondent Some parents hear the word “braces” and automatically fear that big metal appliances will be crammed into the mouths of their little ones.

What may be surprising to some is that modern orthodontics has significantly reduced the need for a lot of these torture-like devices from the past.

In fact, Spokane is leading the way in a trend of much less metal, something that Kathleen Bayn of Damon Orthodontics equates to Microsoft.

“Spokane is to orthodontics what Redmond is to computers,” said Bayn. “Spokane is the home of the Damon-Smile system, created here, perfected here. Orthodontists worldwide have been using this system for over 10 years.”

This system reduces the use of headgear, expanders, permanent tooth extractions and removable appliances from the past.

The American Association of Orthodontics recommends an orthodontic screening

exam at, or around, the age of seven.

However, parents concerned about jaw or tooth development in their child can visit an orthodontist earlier.

Dr. Diane Paxton of Ellingsen Paxton Johnson Orthodontics said a common misconception about orthodontics is that early treatment can lead to the child needing to go through it all again as their teeth grow and move.

“When a child has a second set of braces, it’s not that the first set didn’t work. Early treatment is meant to correct problem that if not addressed at an earlier age would lead to a less-than-ideal final outcome. The goal of the second round is to address the final bite fit of the permanent teeth,” she said.

Sometimes orthodontic treatments can take more than one phase to achieve desired results, and it has little or nothing to do with how early treatment begins. Early evaluations can actually help reveal problems like missing or impacted teeth.

While a lot of people may think orthodontia is all about creating straight smiles, there are other health issues it addresses, such as

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21

improving the airway, chewing, and speech, making room for teeth that have not yet erupted, or even avoiding the extraction of permanent teeth.

“Orthodontia is about health, an enhanced smile is a side benefit,” said Bayn.

Paxton said straighter teeth make it easier to keep them clean, and can keep your teeth from wearing down so much.

“People can keep their teeth until they’re 90 years old or longer, now,” she said “Plus, you can’t help but achieve the aesthetic and psychological benefits of having a beautiful smile while gaining the functional improvements.”

Many Spokane orthodontists offer free initial exams, and don’t require a referral from a dentist.

“It’s important for parents to understand is that a trip to the orthodontist is as much about learning about your child’s mouth, good and bad – it’s more like an education,” Paxton said, adding that there’s nothing to fear and plenty to learn.

For more info visit www.epjortho.com or www.damon-orthodontics.com.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

baby TEETH The American Association of Pediatric Dentists recommends that

first dental appointment by their first birthday.

children have their

Story by LiveWELL staff

Even if the first teeth haven’t yet cut, there’s a lot of information that a dentist can pass along about oral development, proper hygiene and diet. Plus, getting a child used to the dental office experience is something that should start early.

A physician or pediatrician may also be able to check your child’s teeth during a wellness check-up. A physician typically sees a young child as many as eight times in the first three years of life and can discuss the importance of baby teeth and oral health.

The Washington Dental Service Foundation has been training physicians statewide how to check for early signs of tooth decay, assess risk, share oral health tips with families, apply fluoride varnish and make dental referrals when needed.

If caught early, dental decay can be stopped and even reversed, and early intervention can lead to improved oral health for a lifetime.

“From the time the first tooth appears, parents need to know how to take care of their baby’s teeth. This is one reason early screenings are so important,” said Dianne Riter, program manager for the WDS Foundation. “We’re engaged in helping to prevent the most common disease among children.”

In Spokane County, she said 57 percent of third graders have experienced tooth decay, and nearly 40 percent of kindergartners have as well.

“This means 4 out of 10 kids have a preventable disease, and through early intervention, it’s possible to reduce or reverse this,” she said.

About 300 primary care medical providers from the Spokane area have already received the training, which continues to be offered.

For more tips on caring for baby teeth or to inquire about training visit KidsOralHealth.org.

Courtesy photo. Spokane primary care providers receive training in how to address oral health during well-child visits. Training is provided by the Washington Dental Service Foundation as an extra option for parents who may not visit dentists regularly but do take their children to the doctor.

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For tips on taking care of your baby’s teeth visit KidsOralHealth.org

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Downsides of looking good “All-natural” beauty regimen may have

HEALTH RISKS

Story by RENÉE SANDE LiveWELL Correspondent You may be wearing the latest sunscreen or the trendiest shade of nail polish, but the laws governing what’s in these products may be older than your parents or even your grandparents.

U.S. laws regarding ingredients in cosmetic and personal beauty items haven’t been updated substantially since 1938, even though medical knowledge of how detrimental some of these ingredients can be to human health has grown by leaps and bounds.

“If you care what goes into your body, you need to read your labels and be an educated consumer,” says Abby McChesney, natural living specialist at Huckleberry’s Natural Market, considered Spokane’s largest retailer of healthy and organic personal care products.

While Huckleberry’s carries only 100 percent natural and organic products, including six make-up lines, the potential to find discrepancies in seemingly fitting brands still happens as the FDA exercises little to no regulation on personal care items and cosmetics.

McChesney said even if a product says “All Natural,” the phrase can sometimes be meaningless since, unlike the certification to be called ‘organic,’ companies rarely are required to demonstrate whether something is truly natural.

“If we’re looking at purchasing a product, it may look good until we get to the bottom of the ingredients, and then we say ‘Wait.

Parabens? That’s not going on our shelf,’” she said. “Also, if we or a customer have questions about a product we carry, we do our research and call the company.”

According to the Campaign for Safe Cosmetics web site, loopholes in federal law allow the $50 billion cosmetics industry to put unlimited amounts of chemicals into personal care products with no required testing, inadequate labeling requirements and no monitoring of health effects—even though many of the chemicals are known to mutate DNA, cause cancer, or mimic estrogen.

“These ingredients are very appealing to cosmetics manufacturers as they are

inexpensive and effective. But they’re not as the generic “fragrance” or “aroma,” which easily eliminated from our body and can build can actually encompass up to 500 different up to harmful levels,” said Amber Doyle, chemicals in one product. local creator of Zaki Organics, an organic Bonnie Gow, owner and creator of skin, hair and makeup line which she sells BonLogic Bath and Beauty Products, realized at her store, Bombshell Boutique, in Liberty just how toxic some ingredients were when Lake. she began using anti-aging face and eye While other countries have set strict creams. guidelines and reinforcements in the cosmetic “I started reading the labels and thinking, industry in recent years, the U.S. remains ‘Do I really want to put this on my skin?’ stagnant. The European Union has banned I quickly realized that I wanted healthier 1,328 chemicals from cosmetics to the U.S. products and control over the products I used FDA’s 11. Canada restricts chemicals like and what went into them.” formaldehyde, triclosan, selenium and Gow started by creating soap, and then nitrosamines—all of which are allowed in U.S. added face and eye cream, then hand and products. body lotion. She has a day job but spends “For some reason, we [the U.S.] have nights and weekends in her commercial always taken the cheap way out,” said Doyle. kitchen in Airway Heights creating new Chemical compounds which can cause special products. She loves giving people healthy concern are synthetic preservatives known choices and educating them on the health as parabens, which are often preceded by the benefits. words methyl, propyl, and butyl. They can “I’m still learning, it’s an ongoing process, often be found in common cosmetic products but it’s fulfilling,” she said. such as deodorant, shampoo, makeup, lotions and oral care.

Photos by Shallan Knowles, LiveWELL Correspondent “Since they aren’t breaking any rules, the FDA skates by, claiming Below: After being frustrated about the unhealthy ingredients in the amount of toxic chemicals used cosmetics, Amber Doyle decided to make her own products, which she called Zaki Organics. Right: BonLogic is a local provider of healthy soap. in beauty products is too minimal to cause damage,” Doyle said.

“Then a study comes out that shows parabens are found in 99 percent of breast tumor tissue.”

The study Doyle mentioned, published in the January 2012 Journal of Applied Technology, concluded that 99 percent of tissue samples from women participants contained at least one paraben, and 60 percent contained at least five parabens.

Other major offending ingredients include phthalates, found in soft plastics, cosmetics and skincare. These are stored in fat cells and have been proven to be carcinogenic and mutate DNA. They sometimes are listed

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For information on local producers: www.huckleberrysnaturalmarket.com www.ZakiOrganic.com www.BonLogic.com Safe Cosmetics Act (safecosmetics.org/ or www.govtrack.us/congress/bills/113/hr1385)

To find out how your personal care products rate: www.ewg.org/skindeep • More than 500 products sold in the U.S. contain ingredients banned in cosmetics in Japan, Canada or the European Union.

• Nearly 100 products contain ingredients considered unsafe by the International Fragrance Association.

• A wide range of nanomaterials whose safety is in question may be common in personal care products.

• 22 percent of all personal care products may be contaminated with the cancercausing impurity 1,4-dioxane, including many children’s products.

• 60 percent of sunscreens contain the potential hormone disruptor oxybenzone that can easily penetrate the skin.

• 61 percent of tested lipstick brands contain residues of lead.

• The average woman uses 12 cosmetic products containing 168 different ingredients daily.

Source: Environmental Working Group’s website, SkinDeep Cosmetics Database, http://www.ewg.org/ skindeep

Scents

Good smelling but sometimes bad for you Federal law does not require companies to list the chemicals in fragrance mixtures such as perfumes or even laundry soap.

Instead, “fragrance” becomes a catch-all term, which can include up to 500 chemicals in one product, many of which contain may impurities that are carcinogenic or act as hormone disruptors. Some common fragrances, such as those in shampoo, air fresheners, or eye

cream, are actually among the top five allergens in the world.

However, as a consumer, you are not without safe options. Try essential oils, which are derived from plants, or opt for products with no added fragrance. A great resource to utilize while selecting a safe product is the Skin Deep cosmetic safety database at www.ewg.org/skindeep/

Common ingredients to avoid: • Acetaldehyde a fruity odor but is also a human carcinogen.

• Acetonitrile can cause weakness, headaches, tremors, •

• • • • • •

numbness,and nausea. At high concentrations, can cause convulsions and death.

Ceteareth: human carcinogen DMDM hydantoin: skin, eye, and lung irritant. Can trigger immune response to include burning, itching, blistering, or scaling of skin.

Diazolidinyl urea & Imidazolidinyl urea: can cause allergies and immunotoxicity.

Musk tetralin (AETT) has been shown to cause brain cell and spinal cord degeneration.

Polyethylene glycol (PEG): petroleum product which can cause premature aging.

Styrene oxide skin and eye irritation, and in animal studies, is known to cause depression.

Toluene (also known as methyl benzene) neurotoxin and is largely sourced from petroleum. Can cause lung, liver, kidney, heart, and central nervous system damage. Can cause headaches, loss of muscle control, brain damage, memory loss, problems with speech, hearing and vision, and even death.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Salute Our Veterans is a 72-page, full-color tribute to their service.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Just like home.

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Ernest Health, Inc. owns and operates community-based acute rehabilitation and long-term acute care facilities throughout the United States. We are dedicated to providing high quality, costeffective physical medicine and rehabilitation services to promote the recovery of individuals who have functional deficits resulting from injury or illness as well as those with chronic or complex medical conditions.

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At Harvard Park, our standard amenities are anything but standard. All our residents enjoy: • Three daily meals prepared from scratch by an executive chef • A full calendar of engaging activities and social events • Dedicated live-in managers available 24/7 • Regular housekeeping and linen service • Scheduled shuttle transportation • An exclusive travel program with access to over 300 select locations nationwide • Pets warmly welcomed • And so much more!

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For information about Ernest Health and Rehabilitation Hospital Northwest go to www.ernesthealth.com, or call 208-457-1314.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Final Plans Pre-planning your estate helps your family’s emotional health Story by SARAH BAIN LiveWELL Correspondent Making your final arrangements yourself isn’t just wise for you, it can be good for your loved ones.

It can reduce their stress so that they have more time to grieve, and will ensure that your wishes are known and understood by family and friends.

Nancy MacKerrow, 76 years old and a retired City of Spokane library employee, started to think about end-of-life decisions around the time that her mother died in the late 1980s. In the early 1990s, she found a library book describing information that was useful for heirs, and ended up photocopying the whole book so it could be a roadmap for her own planning.

In November 2002, MacKerrow’s brother died. At that time, MacKerrow and her sisterin-law needed to search through their home for financial records and other paperwork that wasn’t readily available.

“My sister-in-law knew where the checkbook was, but she didn’t know where any other records were,” MacKerrow said.

This effort lead to MacKerrow deciding she didn’t want her children to go through these same tedious and awkward tasks when her end comes.

That’s the same message from the funeral industry.

“Talk to your children or your spouse about their wishes,” says Theresa Sullivan, funeral director for Hennessy-Smith in Spokane. “You know that your aging parents are probably thinking about death. But parents don’t want to bring it up with their children, and kids are worried to bring it up with their parents.”

She said sometimes either party has to start that conversation. “Be blunt about it.

Ask them questions.”

Many funeral homes and online resources offer excellent checklists and questionnaires for people to fill out about their own end-oflife decisions. A simple litmus test to how you could answer these questions for your own parents or loved ones, could make even the biggest skeptic realize that getting some basic things taken care of early on relieves you from the pressure of making those choices alone later.

Carol Hunter, an estate planning attorney at Eymann Allison Hunter Jones, P.S., says that protecting your family’s assets and planning your legacy is not only smart but can save families a great deal of money.

“There are a lot of misperceptions about probate in Washington State,” Hunter explains. “We have very stringent rules on probate, and it’s a very simple process.”

But make sure your documents are in order, Hunter continues.

She cautions residents that while online forms are readily available, they are not always tailored to Washington law. You have to make sure that your power of attorney is durable.

“A good will should outlast your children growing up,” Hunter says.

She recommends looking at your will every five to 10 years or when a major event in your life occurs. This doesn’t necessarily mean it has to be changed, just reviewed.

“It is truly circumstantial when to review your will,” Hunter says.

Experts agree that a durable power of attorney for medical and financial matters is essential, along with a will and a Living Will or Health Care Directive.

MacKerrow gets together annually with her children now to go over her affairs.

Since they live in different cities across Washington, they plan a weekend in Spokane in late spring or summer. While most of it becomes a social weekend, her children perform a brief assessment of MacKerrow’s state of mind, how well she can drive, her hearing, simple things like that. They and her all agreed that this was a good idea for them to look for any changes that she might not see on her own.

MacKerrow admits that for her it’s also a chance to watch her two adult children begin to bond after some previous family estrangement. The children go off in the evenings together after spending the day with MacKerrow.

The best part of their weekend gathering?

MacKerrow says “when we sit down to play Story Cubes, and the kids begin to plot my murder. It’s great fun.”

Sullivan offers great tips for those uncertain about how to broach the subject of death.

“I tell people to start by saying you met a funeral director at a party, or use your doctor,” she explains. Then dive in to some generic questions about death wishes such as cremation or burial, things that may not be as emotionally charged.

Ultimately having a conversation before it’s too late is a gift for the family members who are still living. And that may be reason enough.

í˘ś

Advertising Supplement to Sâ&#x2C6;&#x2019;R Media/The Spokesmanâ&#x2C6;&#x2019;Review â&#x20AC;˘ Sunday, September 22, 2013 â&#x20AC;˘ Online and Mobile at www.spokesman.com/liveWELL

Smart Things to do to Prepare for Death 1. Talk with your loved ones about your personal wishes.

2. Prepare a will for anyone over 18 years old.

3. Prepare a durable power of attorney for ďŹ nancial and medical matters.

4. Keep your ďŹ nancial records up-to-date and make sure at least one other person knows how to locate those records.

5. For married couples, a community property agreement is good to have.

6.

Live well! Enjoy the time you have.

Photos by Shallan Knowles, LiveWELL Correspondent Left: Spokane has many cemeteries available, plus other end-of-life options. Dennis Murphy at Heritage Funeral Home encourages people to plan ahead for their ďŹ nal arrangements rather than letting your survivors decide on burial or cremation.

Right: Spokane resident, Pauline Eggleston, holds Penny, her dog.

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Estate instructions for your pets Story by TERRY BAIN LiveWELL Correspondent

In 2007, Leona Helmsley turned more than a few heads when she left the bulk of her estate, $12 million, to her dog Trouble.

While certainly an extravagant gesture, it shows the importance of making sure any loved ones, furry or otherwise, remain in good hands if youâ&#x20AC;&#x2122;re not around anymore.

While many pet owners may assume someone will take good care of their pets if theyâ&#x20AC;&#x2122;re no longer able to do so themselves, there is simply no guarantee unless speciďŹ c plans are made ahead of time. Even the Queen of Mean knew this to be true, hence the nice trust fund for her beloved Maltese.

According to The American Society for the Prevention of Cruelty to Animals, between 5 and 7 million companion animals enter shelters each year nationwide, many of them simply because their owner couldnâ&#x20AC;&#x2122;t take care of them anymore, due to illness, injury, or death. Of that number, between 3 and 4 million pets were euthanized.

The good news is that you donâ&#x20AC;&#x2122;t have to be a millionaire hotelier to make solid, legal, and humane plans for your pets. You donâ&#x20AC;&#x2122;t have to spend a lot of money. Mostly all it takes is a bit of foresight.

The ďŹ rst thing you have to do is ďŹ nd someone (or, even better a succession of people) willing to take care of your pet.

But donâ&#x20AC;&#x2122;t just assume someone will do so automatically. Talk to your planned caregiver, and update them regularly to remind them that youâ&#x20AC;&#x2122;ve named them as the responsible parties.

Depending on your situation, you may choose to make either formal or informal arrangements for the care of your pet.

Informal arrangements tend to be those that are not legally enforceable, but are still important for the care of your companion, such as grooming, feeding, and general care issues.

The more unusual the pet or their care, the more important it may be to outline their care in the form of a â&#x20AC;&#x153;dossier,â&#x20AC;? which may include things like routines, veterinary records, or unusual diets.

Formal arrangements may be legally binding documents such as a Pet Trust.

Though pet arrangements may be included in your will, ASPCA does not recommend this.

Directions included in a will only take effect when the will is executed, and until such a time your pet may be in a kind of legal limbo.

Furthermore, if the caregiver named in the will does not work out, the court is under no obligation to name another caregiver.

It is never too early to make arrangements for your pets.

Nicole Currier, 30, says her dogs are both rescues. She says she made a promise when she adopted them that even if sheâ&#x20AC;&#x2122;s no longer around to provide for them, â&#x20AC;&#x153;it is my responsibility to make sure they continue to have stable, healthy, happy lives.â&#x20AC;? Currier has made informal arrangements so far with two people who are familiar with her dogs and their care, but she also plans to make those arrangements formal as soon as possible.

The ASPCA has an extremely detailed section of its website detailing how to plan for your petâ&#x20AC;&#x2122;s future, including information on both informal and formal options, and how to do so affordably.

For more information, visit ASPCA.org and search for â&#x20AC;&#x153;pet trustsâ&#x20AC;? or www.aspca.org/pet-care/planning-for-yourpets-future.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Project ADAM advances State requires AED training with CPR Story by JULIE HUMPHREYS LiveWELL Correspondent

When Washington Gov. Jay Inslee signed a bill in May requiring all high school students be trained in CPR (cardiopulmonary resuscitation), advocates of AEDs (automated external defibrillators) cheered alongside CPR backers.

That’s because CPR is only the first step in saving the life of someone who has suffered a sudden cardiac arrest. Without using an AED to shock a stopped heart back into service, CPR efforts can be lost.

Shocking the heart is a way to interrupt the chaotic electrical activity that has caused a cardiac event and restore the normal heartbeat. The new law also calls for appropriate instruction in AED use.

You don’t have to explain the importance of an AED to Steve Jantz, athletic director at Wilbur High School.

“It saved my life,” he says without hesitation.

In October 2010 Jantz was announcing a volleyball line-up in the school gym when he suddenly collapsed. The school had just purchased an AED and placed it right outside the gym. Within a minute-and-a-half, bystanders performed CPR to keep the blood flowing to his heart, then located the AED and administered shocks.

Those initial minutes were critical because as time passes, a person’s chance of surviving a cardiac arrest decreases rapidly. Had an AED not been available, the 10 minutes it took emergency medical responders to get to the high school might have been Jantz’s final minutes.

It’s stories like that that fuel urgency for a high school AED distribution and training effort called Project ADAM. This national program has nine affiliates including one in Spokane under Sacred Heart Children’s Hospital. The project is named after Adam Lemel, a Wisconsin high school basketball player who died on the court after suffering a sudden cardiac arrest. Adam’s parents started Project ADAM (Automated Defibrillators in Adam’s Memory) to bring awareness to the importance of on-site AEDs

in schools.

Five years ago when Providence Sacred Heart was looking into Project ADAM, there weren’t a lot of AEDs in schools in Washington state, according to Ryan Schaefer, a registered nurse and electrophysiology coordinator at that medical center.

But Schaefer is quick to point out, it’s not the actual device itself that saves lives, it’s bystanders who are appropriately trained in how to use the device and are willing to administer CPR to shock someone.

“There are plenty of cases where a cardiac tragedy happens and there’s an AED on site that wasn’t used,” he said.

That’s why Schaefer and a dedicated group of community advocates continue the work of educating people about proper AED use.

They are partnering with schools not only to provide the $1,400 AED training package but to educate entire communities. AEDs will not only save the lives of students, but of staff, parents, and others.

“Statistics show on any given day 20 percent of the American population can be found at schools. Since schools are increasingly used as community gathering places, it’s a natural place to put a life-saving AED” says Schaefer. Increasingly, more and more people agree.

Photo by Shallan Knowles, LiveWELL Correspondent

“Additionally, schools that had AEDs had little medical direction to use the devices.

There was no outreach to local emergency medical personnel or health care providers on how to implement an AED program,” said Schaefer, a driving force behind Project ADAM. Tragically, the Inland Northwest has its own share of stories similar to Adam Lemel’s.

One was a student athlete at Northwest Christian named Josh Wright who died in 2010 after collapsing during a cross-country run.

Efforts to launch Project ADAM here were already under way and shortly after the student’s death, the local Project ADAM implemented its first AED program at that school in Wright’s honor.

Funding from the Sacred Heart Children’s Foundation still funds the AED program at area schools. Today 75 schools in the Inland Northwest have AEDs and/or program implementation through Project ADAM. Many stories like Adam Lemel’s and Josh Wright’s are being replaced with stories of students being saved because of AEDs on school property.

Ryan Schafer from Providence Sacred Heart is helping educate the community about proper use of AEDs, especially in schools.

For more information on the local Project

ADAM contact Providence Health Care Public Relations at (509) 474-3081.

The Moses Lake School District is an example of a community collaboration which funds its own AED program. The district has raised $36,000 to put AEDs in all of its schools and will work with Project ADAM to implement the program this fall.

Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

One of these women is terminally ill.

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

Combining Care: Providers pooling resources to Story by JOE BUTLER LiveWELL Editor

help cancer patients

In a world where health care is more competitive than ever, three providers are finding common ground.

Earlier this year, Cancer Care Northwest, Providence Health Care and Kootenai Health signed a Memorandum of Understanding to create a cancer alliance. In effect, they’re combining their resources to benefit patients, without losing any of their individual identities.

“Patients will have access to the same equipment and staff,” said William Fisher, chief financial officer of Cancer Care Northwest. “It makes things much more seamless.”

Traditionally, when a patient begins cancer treatment, he or she works with the providers in a particular group or facility. If the patient decides to switch to other facilities or physicians, they’ll likely need to start from scratch and create a new treatment plan.

Once this alliance gets off the ground, it will be significantly easier to coordinate coverage and offer additional access to

providers in Idaho and the Spokane area.

“We looked at equipment, construction, and asked ourselves if we wanted to continue to duplicate services and further divide the marketplace, which would increase costs and fragment health care,” Fisher said. “Or find ways to bring things together as a single entity.”

Representatives from all three institutions hope to have all the procedural details in place by the beginning of 2014.

The first coverage area that will be part of the new alliance will be radiation therapy. There will be 39 providers, including 27 oncologists and 12 advance practice professionals such as nurse practitioners and physician assistants.

Dr. Joni Nichols, medical oncologist for Cancer Care Northwest, said once the collaborative radiation program is ironed out, there’s potential for coordinating care in several other areas.

“We imagine sharing research, palliative care and more,” she said.

She said she and her fellow oncologists already discuss patient’s treatment options and prognosis. Now, with the new memorandum, this potentially brings more area cancer experts to the table, sometimes literally in the case of tumor conferences, which are when providers discuss treatment courses for specific cancers.

Surgical, primary care, pulmonary specialist, ENTs, and researchers can all be part of the discussions, including those who previously would have had to stay within their

own groups.

“This is going to be an amazing collaboration,” Nichols said. “Some of it has already been there unofficially, but now we hope there will be even more of a multidisciplinary approach.”

Fisher said the idea of collaboration isn’t particular new, but sometimes requires more formal mergers or acquisitions to happen.

“We’ve been approached in the past, but we’ve decided to find ways to remain independent and maintain our identity,” he said. “But this opportunity brings together everything well.”

Fisher doesn’t expect any resistance or opposition to the plan, especially from insurance companies.

“We think these efforts will lower the rates for patients, will offer better care, and we’re banking we can increase efficiency,” he said.

“We’ve already invested a lot into this.”

Jeanne Atha, executive director of Kootenai Health’s Kootenai Clinic, said there have always been efforts to share services between Idaho and Washington, but this new alliance will be especially helpful.

“We’ve had a long history of joint ventures with Sacred Heart for radiation therapy,” she said. “But we’ve been discussing other ways to enhance this.”

Radiation therapy is an area where there is duplication between several area providers, so it makes sense to find ways to share resources when possible. It also could allow some Idahoans to receive treatment locally instead of having to go to a specialist in downtown Spokane.

“We want to start looking at bigger programs, collaborating on research, and giving patients access to more clinical trials,” she said. “We want to work together to optimize existing pathways and provide quality care at low costs.”

She said even though there’s still work to do to formalize the alliance, it’s exciting to be at this point.

“There’s really an intent to bring

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things together,” Atha said. “This is a unique opportunity.”

At Providence, the collaboration fits perfectly with the company’s philosophies of quality and affordable delivery of care. And, according to Scott O’Brien, chief strategic officer, it’s been great working with other providers who have the same outlook.

“As we’ve come to know each other, we’ve come to appreciate everyone’s different missions and histories, but everyone has the same commitment to patients,” he said. “We like this willingness to figure what’s best for patients from within the entire health community vs. one set of doctors.”

O’Brien said the health care industry has

been seeing more partnerships and resource sharing. In some cases, this model is within an organization, such as a number of facilities or staff under one corporate owner.

Here, however, he said Providence was interested in exploring new areas for partnerships that may not be as integrated.

Cancer care was a smart area to start with.

It’s a growing need and a place where there are already many experts and facilities.

Many oncologists also are familiar with each other, even if they work for different companies.

“We hope this will help patients achieve better outcomes,” O’Brien said. “Our next step is to bring more members of our teams together.”

Kootenai Health launches new brand Idaho medical center says good-bye to ‘The big K’ Earlier this summer, Kootenai Health announced a new name and a new logo as part of a goal to become a premier regional medical referral center in the next decade.

“Our real focus is on the future,” said Jon Ness, CEO of Kootenai Health. “Over the last couple of years, we’ve made a significant commitment to add new programs and services for our patients. We are evolving from being a good community hospital to becoming a growing regional medical center.”

In the past, individual properties in the Kootenai organization had separate names, such as Kootenai Medical Center and the North Idaho Cancer Center. Now, they will be all carry the same Kootenai Health brand, including the main facility in Coeur d’Alene.

Other services, such as 77 physician practices, cancer programs and outreach will be consolidated under the name Kootenai Clinic.

Other recently-added features include a special care nursery for premature babies, an electrophysiology lab for heart rhythm issues, and a second linear accelerator for cancer programs.

Plans are also under way for the 2014 opening of a family medicine residency program to

help graduating physicians finish their training locally.

“Some of the best health systems in the country operate using this model,” said Walt Fairfax, M.D., Chief Medical Officer of Kootenai Health. “Mayo Clinic and Cleveland Clinic are both based on a similar model.”

The new logo, Kootenai Health’s “spark” was designed to visually represent a reaching out to others and bringing everyone together for the benefit of patients. It incorporates Kootenai’s signature blue with the addition of greens to represent healing and growth. The linking pieces symbolize the connecting of multiple service lines to create a unified whole.

Kootenai Health is the largest employer in North Idaho, with a payroll of more than $72 million and an annual economic impact of more than $200 million.

“I can’t imagine our community without the strong, local presence of Kootenai Health,” said Steve Griffits, president of Jobs Plus, a business recruiting organization. “You provide hope and assurance, and brings our community together in so many marvelous ways.”

Information: www.kootenaihealth.com

Left: Photo by Shallan Knowles, LiveWELL Correspondent Stacie Bise from Kootenai Clinic shows one of the facility’s radiation therapy machines.

Top Right: Courtesy photo. This fall, Cancer Care Northwest plans to relocate its clinical and administrative offices to a new 38,000-square-foot building in Spokane Valley.

Bottom Right: Courtesy photo. Kootenai Health CEO Jon Ness announces plans to rebrand the North Idaho medical center and related properties as Kootenai Health.

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A regional health care alliance is good news for the whole Inland Northwest, but especially those who live east of Spokane.

That’s part of the reason Kootenai Health was invited to be part of the discussions. Cancer Care Northwest also is using the opportunity to move into a new building in Spokane Valley.

“The Valley was the only area that doesn’t offer radiation therapy,” said Loralee Laramie, physician liaison for Cancer Care Northwest. “So we’re bringing more imaging and integrated care – patients will be able to see more people all in one visit.”

This fall, the organization will move into a 38,000 square feet building that will include a 21,000-square-foot clinical area, effectively doubling the current size. The administrative offices, which are currently at another spot in the Spokane Valley, will also move.

“This is going to be huge for North Idaho and Spokane Valley people, who won’t have to travel as far for treatments,” she said.

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BREAST CANCER PREVENTION can be fun Two area organizations promote education through parties and social visits Story by COURTNEY DUNHAM LiveWELL Correspondent

demystify the breast so that they are not afraid or embarrassed to touch them and talk catchy name from the 2-year-old daughter of about them, and take action if they need to.” founder Heike Malakoff.

She said the CYB Parties are fun, engaging In 2003, at age 34, Malakoff was diagnosed and non-threatening ways to learn about with breast cancer. The mother of three didn’t breast health. have any history of breast cancer and wasn’t “Our Check Your Boobies parties are in any of the risk groups, but discovered a similar to many other women’s gatherings lump while nursing her daughter. including book clubs, Tupperware parties, During her cancer battle, she said her purse parties, or other community daughter Maia would often ask, “Have you gatherings,” she said. checked your boobies?”

Party hosts also share details about Malakoff created CYB to educate women diet and exercise’s roles in breast cancer about the importance of breast health. prevention and CYB representatives show One of its unique outreach efforts is the guests how to perform proper breast exams.

“Check Your Boobies” party, which educates “In a familiar, comfortable environment women about breast health in “a fun, frank, with their girlfriends, we give women all the and fear-free way.” information to become familiar with their Parties take place in cities and college breasts and teach them to check their boobies campuses nationwide, and in the last year, frequently enough so that they can note any have occurred in Spokane and Pullman, changes,” Driscoll said. “The most important Driscoll was first introduced to CYB when thing is for every woman to be familiar with her sorority at Washington State University her breasts and note any significant changes. partnered with the group to raise awareness We also provide a free online email reminder for breast cancer on campus. After which provides women with a monthly graduation, she was further compelled to reminder to check.” help out after The parties watching her also can “To encourage more people to 53-year-old aunt a short receive screenings, this year EWC is include Peggy fight presentation offering after-hour accommodations from a breast – and lose – a battle with an cancer for parties of 20 or more.” aggressive form survivor. of breast cancer.

At a recent According to the National Comprehensive Spokane-area party was Debra Minkove, Cancer Network, women must check their who was diagnosed with breast cancer at age breasts frequently enough to note changes.

32. Her paternal grandmother on died from Checking them at the same time every month ovarian cancer, and she carries the gene gives a baseline to note significant changes. called BRCA 1, which increases the chances Following up with a doctor is also vital. she’ll get ovarian cancer later in life. She Breast self-exams are important for women continues to get ultrasounds on her ovaries. under 40 since mammograms are not widely After finding a lump, Minkove started available for that age group, and they may treatment right away with a double not be accurate due to the density of younger mastectomy and chemo. She also continues to breasts. get regular ultrasounds on her ovaries.

CYB hopes to change the way health She has made it her mission to educate information is delivered. women about breast health, especially “Breast health education needs to happen younger women who don’t think they’re at more than once a year in a doctor’s office,” risk.

The American Cancer Society states Driscoll said. “We want to help women to that one in seven women will develop breast know their body, know their breasts, and

Check Your Boobies got its unique,

Cancer is never a party, but two regional breast health organizations are trying to add some fun into prevention efforts.

Inland Imaging’s Every Woman Can and an organization called Check Your Boobies both focus on education and the power of early detection through self-checks and mammograms.

With more than 250,000 women diagnosed with breast cancer annually in the U.S., there are many organizations that promote better health and self-screenings. But more can be done.

“Awareness hasn’t led to action,” said Kayla Driscoll, a Spokane native and program manager for the Seattle-based Check Your Boobies. “Eight out of 10 women said they don’t perform breast self-exams regularly. They don’t know how to check properly. They are not in tune with normal monthly changes in their breasts, and they are scared they might find something, so they just don’t do it.”

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cancer in her lifetime. Early detection makes a huge difference in survival.

According to the American Society of Clinical Oncology, up to 97 percent of women diagnosed with early stage breast cancer will survive five years after diagnosis.

“Our hope is that if someone does find a cancerous lump that they will have found it as early as possible,” Driscoll said. “We’re about more than discovering or avoiding a cancer diagnosis. We’re about empowering ourselves to be pro-active about our own health. It’s about knowing your boobies; knowing that if you do find something, you know what to do and if found early, you have many options.

The campus visits are catching on, she said. CYB has come to 16 campuses nation-wide, sometimes annually. Recent visits have included WSU, Harvard, UCLA, Berkeley, University of Arizona, UW, and University of Oregon “I want women everywhere to be checking their boobies and ensuring for themselves the gift of health,” she said.

Every Woman Can is a similar funfocused campaign which hopes to empower and encourage women over 40 to have annual mammograms.

One of its outreach methods is

“Mamm Parties” which are relaxing ways for groups of friends to get annual mammograms taken care of while enjoying beverages, beauty consultations and massages.

To encourage more people to receive screenings, this year EWC is offering afterhour accommodations for parties of 20 or more. Participants must be eligible for their annual screening mammogram.

Inland Imaging will work with a group hostess to help plan the party. All participants are asked to bring insurance cards or payment options, and the name of their physician.

“We know that early detection can greatly improve chances of survival from breast cancer,” said Chief Operating Officer Kathleen Wilson. “Screening mammography is still the best tool we have to diagnose this disease. The radiologists and staff of Inland Imaging want to do our part to help every woman who should have a mammogram receive one this year.”

Free mammogram days are also available for any woman over age 40 who is uninsured, underinsured, or has a high deductible and no known breast health issues.

For more details visit www.everywomancan.org or www.checkyourboobies.org

Opposite page: Photo by Courtney Dunham Lekseea gave proceeds from her summer lemonade stand to Every Woman Can, a program that promotes breast health and cancer prevention.

Left: Courtesy photo Kayla Driscoll, program manager for Check Your Boobies, helps set up parties where women can learn how to reduce their breast cancer risk and proper ways to screen themselves.

Every Woman Can recently funded three $10,500 grants to organizations helping to increase the Spokane area’s access to mammograms, especially for the uninsured.

One of these was Community Health Association of Spokane, which in 2012 provided more than 650 breast exams for uninsured women. Nearly half were eligible for mammography services at little or no cost.

The other recipients were The Native Project and Spokane Regional Health District’s Breast, Cervical and Colon Health program.

The 2013 EWC grant funds will provide 35 screening mammograms for uninsured, lowincome patients in Spokane County.

“Each organization’s grant is focused on at least one of the specified grant priorities and will aid area women in at-risk populations,” said EWC Marketing Director Pam Prye.

EWC also has a group of volunteers eager to help with awareness and fund-raising efforts.

At a recent EWC Benefit Yard Sale, volunteers raised $2539.67, which will help nearly nine women and their families. One of those volunteers was Lekseea, who lost her aunt to breast cancer and started a lemonade stand in her honor and donated all her proceeds to EWC.

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6 Ways to Reduce Breast Cancer Risk Preventative Mastectomies: Right for you?

How to Support Your Loved One’s Fight 9 Best Prevention Foods Change Your Life, 1 Habit at a Time

WATCH FOR THIS LOCAL SPECIAL SECTION TUESDAY, OCTOBER 15

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Adults can help whip whooping cough with a booster shot Story by KIMBERLY GRANDINETTI, M.D. Special to LiveWELL Suzanne Bassett, a microbiology instructor at Spokane Community College, never expected her interest in viruses and biology to ever hit home so personally. But in summer 2011, her 4-week-old daughter Abby came down with pertussis, also known as whooping cough.

Abby was admitted to Sacred Heart Medical Center’s pediatric ICU where she struggled to breathe and coughed uncontrollably, frequently turning blue. Her heart rate plunged each time she coughed and the nurses initiated an emergency response and CPR to get Abby breathing again. Her parents watched Abby suffer, hooked up to breathing tubes and sometimes too weak to cry even as the nurses drew blood. They knew she could die.

“It was heartbreaking,” Suzanne Bassett recalls.

Even after receiving antibiotics, Abby remained in the hospital for five weeks.

She still coughed in fits and turned blue.

She couldn’t eat, and required therapy to learn how to drink from a bottle, nurse and catch up on developmental milestones.

Abby is now 2 years old and is safely at home.

However her parents still worry about chronic lung disease, and she must take medication to avoid severe respiratory infections.

“I want people to know it’s so much better to prevent whooping cough through immunization instead of treating after the infection,” says Suzanne Bassett.

Last year Washington state experienced a major pertussis epidemic with more than 4,000

cases. Nationwide it has reached its highest level in 50 years.

As Abby’s pediatrician, I’ve witnessed firsthand the terror that families experience when their child is sickened by pertussis. The illness affects the lungs and respiratory system and spreads easily by coughing and sneezing.

Children can have severe coughing spells that make it hard for them to eat, drink, breathe and sleep. These children often gasp for air between coughs, making a ‘whoop’ sound. The illness can lead to pneumonia, seizures, brain damage, and death.

What parents don’t know is that babies usually catch whooping cough from parents, grandparents and siblings who believe they have just a mild cough and don’t realize they are infected. By July of this year, Washington’s Department of Health had already reported 405 cases and one child had died.

The best way to protect yourself and your child is to get a Tdap vaccination. Vaccines

are encouraged for pregnant women, adults and teens, as well as children and babies 8 weeks and older.

Because pertussis spreads easily within homes, daycares, schools and neighborhoods, family members and friends should get the vaccine too.

A recent national poll from the University of Michigan shows that 60 percent of adults don’t know when they last received the vaccine. Only 20 percent reported getting it in the past 10 years. If you don’t know your vaccine status, talk to your doctor about getting a booster.

Here in Spokane, Group Health Cooperative, Providence Health, and the Spokane Regional Health District are sponsoring the Silence Whooping Cough campaign to provide all the latest information on pertussis and how to prevent it. For more information visit www.silencewhoopingcough. org.

Families can enter to win free diapers for a year when they ask their friends and families to get vaccinated. To enter, visit the campaign website and send an e-card that reminds your loved ones to get a booster shot.

“In the United States we don’t take vaccine-preventable illnesses as seriously because we don’t see how terrible the suffering really is,” said Bassett. “I encourage adults to get the booster shot to protect the babies in our community.

As adults, we can take the lead in protecting our children from pertussis. Your individual act benefits our entire community.

Kimberly Grandinetti, MD, is a pediatric hospitalist who practices at the Group Health Riverfront Medical Center in Spokane.

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Acupuncture

PROTEUS CONSULTING, SHEN TANG ACUPUNCTURE & WELLNESS CLINIC LLC 1616 E. Seltice Way, Suite 213 Post Falls 208-262-6698 www.acupuncturecoeurdalene.com info@acupuncturecoeurdalene.com

10323 N Strahorn Road Hayden 208-215-5607 www.proteusid.com moreinfo@proteusid.com

Allergy & Asthma Counseling/ Mental Health Treatment SPOKANE ALLERGY & ASTHMA CLINIC 508 W. 6th Ave 509-747-1624 www.spokaneallergy.com

Chiropractic BACK IN HEALTH CHIROPRACTIC www.backinhealth.com 208-665-7158 1801 Lincoln Way, #4 Coeur d’ Alene 1525 Main St Maries

GENTLE TOUCH CHIROPRACTIC 608 W Garland Spokane 509-924-1942 www.gentletouchspokane.com gentletouchchiropractic@gmail. com

29TH AVE CHIROPRACTIC 3144 E 29TH Ave Spokane 509-534-5712 29thavechiro@gmail.com

MANITO FAMILY DENTISTRY

Consulting

POSITIVE VIBES COUNSELING 2702 N. Perry St. Spokane 509-879-3499 www.positivevibescounseling.com positivevibescounseling@yahoo.com

REIKI HEALING ARTS 1042 W. Mill Ave. # 103 Coeur d’Alene 208-665-5862 www.reikihealingarts.com Susan@reikihealingarts.com

SPOKANE MENTAL HEALTH-ELDER SERVICES A Dept of Behavioral Health 5125 N Market 509-458-7450 www.smhca.org/elder.aspx

THE CHILDREN’S CHOICE FOR PEDIATRIC DENTISTRY South Spokane 509-624-1182 North Spokane 509-755-5437 Medical Lake 509-299-5171 www.ChildrensChoiceDental.com

DR. DAVID ENGEN & DR. RUDOLF HAHN 6817 N. Cedar Suite #202 Spokane 509-326-4445 www.DrEngen.com

3615 S. Grand Blvd Spokane 509-456-8676 www.manitofamilydentistry.com orsidds@yahoo.com

MEDICAL LAKE DENTAL CLINIC 123 N Brower St. Medical Lake www.medicallakedc.com 509-299-5171

STEVEN MILLS, DDS 3201 S. Grand Blvd Spokane 509-747-5184 reception@stephenmillsdds.com

MT BALDY DENTAL OLA J. ENGLUND, D.D.S. ROBERT DESROCHES, D.D.S. CENTER 4817 N. Cedar # 201 Spokane 509-326-817 0 www.yourdentalfamily.com info@yourdentalfamily.com

1305 Highway 2 W., Bldg A, Suite A Sandpoint www.mtbaldydental.com 208-263-6806

NORTH IDAHO DENTAL INLAND CENTER FOR CONTEMPORARY DENTISTRY GROUP 1717 First St. Cheney www.roccanovadds.com 509-235-6241 info@roccanovadds.com

2165 N Merritt Creek Loop Coeur d’Alene 208-667-8282 www.nidentalgroup.com bengatesdds@gmail.com

JEFFREY L LOCKWOOD, DDS FACP

RANDY E. OTTERHOLT, DDS

6817 N Cedar Road # 102 Spokane 509-327-4469

Dental/Oral Health

6817 N Cedar Rd., #102 Spokane 509-327-4469 www.drotterholt.com

CARNELL FAMILY DENTISTRY LOVE FAMILY DENTISTRY JOSEPH J. PAWLUSIAK, 9723 E Sprague Ave. 4610 N Ash St #204 DDS, MS Spokane 509-326-8120 jamescarnelldds@yahoo.com

Spokane Valley 509-928-0505 www.lovefamilydentistry.com lovefamilydentistry@yahoo.com

15 E. Central Ave Ste D Spokane 509-483-2080

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MICHAEL READEL, D.D.S. 6227 N Monroe Spokane 509-326-2291 www.spokanecosmeticdentistry.com RhReadelDDS@hotmail.com

JEFFREY REGELIN, DDS 902 West 14th Spokane www.regelindmd.com 509-838-4137 509-838-2737 contact@regelindmd.com

Disk and Spine DISK AND SPINE NORTHWEST 1341 N Northwood Center Ct. Ste B. Coeur d’Alene 208-215-3261 www.diskandspinenorthwest.com

SLEEP DENTISTRY OF SPOKANE 3143 E 29th Ave Spokane 509-536-5900 www.sleepdentistryspokane.com

SPOKANE ORAL & MAXILLOFACIAL SURGERY 602 N Calgary Ct., #202 Post Falls 208-667-8282 www.spokaneomfs.com

WASHINGTON DENTAL SERVICE FOUNDATION P.O. Box 75688 Seattle 206-528-2337 www.KidsOralHealth.org Foundation@DeltaDentalWA.com

Denture Clinics PRECISION DENTURE CLINIC 1720 N. Ash St. Spokane 509-328-5300 www.precision-dentureclinic.com

Florist

1003 E Trent Ave., #150 Spokane www.columbiamedicalassociates.com 509-838-4491

8605 E Trent Avenue Spokane Valley www.riverparkflowersandgifts.com 509-928-0950

RIVERPARK FLOWERS & GIFTS

FAMILY MEDICINE Furniture LAKE Ear, Nose & Throat LIBERTY 23801 E. Appleway Liberty Lake 509-928-6700 libertylakedoc@aol.com

ROBERT R SHAW, DDS 2700 S Southeast Blvd, Suite 101 Spokane 509-747-8779

COLUMBIA MEDICAL CENTER

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SPOKANE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS 1424 N McDonald, Suite 101 Spokane 509-928-7272

Education

Fitness/Wellness DESIGNER FITNESS LLC Spokane 509-230-1100 designerfitnessnw.com sandra@designerfitnessnw.com

SANDPOINT WEST ATHLETIC CLUB COMMUNITY COLLEGE SPOKANE ACT 2 2917 W. Fort George Wright Dr., Spokane 509-279-6027 www.iel.spokane.edu/LNB/ACT2 katherine.murray@iel.spokane.edu

Endocrinology ENDOCRINE ASSOCIATES OF SPOKANE 910 W 5th Ave #570 Spokane, 509-777-5000

1905 Pine St. Sandpoint 208-263-6633 www.SandpointWest.com swac@sandpointwest.com

404 W 15th Ave Spokane 509-838-8538

See Website for locations near you www.walkersfurniture.com

Hearing Aids HUSTON HEARING 6 West Joseph Ave 509-483-1221 Fax - 509-483-0105 www.hustonhearing.com info@hustonhearing.com

Home Health Care

ABILIA HEALTHCARE SPOKANE RACQUET CLUB 1903 S. Dearborn St. 509-535-1239 www.spokaneracquetclub.com jason.overland@spokaneracquetclub.com

Family Medicine RICHARD H BALE, M.D.

WALKERS FURNITURE

WHITWORTH AQUATICS 300 W. Hawthorne Rd. www.whitworth.edu/aquaticscenter 509-777-4246

3704 N. Nevada www.AbiliaHC.com 509-228-3646 for appointment

ALL VALLEY HOME CARE 1312 N. Monroe 509-448-7400 www.vidaseniorresource.com sarah.brumbaugh@vidasenior resource.com

PANHANDLE HEALTH DISTRICT – HOME HEALTH DIVISION 8500 N Atlas Rd Hayden 208-415-5160 www.phd1.idaho.gov

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Hospice Care

Naturopath COEUR D’ALENE HEALING ARTS

HOSPICE OF SPOKANE 121 S Arthur St Spokane hospiceofspokane.org 509-456-0438

Hospitals Deaconess Medical Center 800 W 5th Ave Spokane 509-473-5800 www.deaconess-spokane.org

Valley Hospital and Medical Center 12606 E Mission Ave Spokane Valley 509-924-6650 www.valleyhospital.org

Rockwood Clinic 400 E 5th Ave Spokane 509-838-2531 www.rockwoodclinic.com

Hypnosis DR. JANE HELLE Clinical Hypnotherapist Spokane 509-993-5811

Medical Supply

520 E. Coeur d’Alene Ave, #100 Coeur d’Alene 208-664-1644 www.cdahealingarts.com

INTEGRATIVE MEDICINE ASSOC 3424 S. Grand Blvd Spokane 509-838-5800

OB/GYN

OB/GYN ASSOCIATES OF SPOKANE 601 W 5th Ave #301 Spokane 509-455-8866 www.obgynspokane.com

6326 E. Trent Ave. Ste A Spokane Valley 1-800-585-4201 www.peaks-plains.com

Physical Therapy

DAMON ORTHODONTICS

APEX PHYSICAL THERAPY, PLLC

South HIll - 509-448-2600 www.damon-orthodontics.com North - 509-484-8000 www.damonanddamon.com Valley - 509-924-9860 www.damon-smiles.com

12109 E. Broadway Ave. Bldg. B Spokane Valley 2020 E. 29th Spokane 509-926-0570 www.epjortho.com smiles@epjortho.com

Pharmacy

KOOTENAI OCCUPATIONAL MEDICINE INTERLAKE PHARMACY 700 Ironwood Dr. Suite 202 Coeur d’Alene 208-292-2959 www.kootenaioccmed.net rpatton@nifp.com

ADVANCE PHYSICAL THERAPY 1905 W Pine St. Sandpoint 208-263-7998

Spokane 509-465-1749 Cheney 509-559-5038 Airway Heights 509-244-9968 www.apexpt.com

ELLINGSEN-PAXTON-JOHNSON B&B PHYSICAL THERAPY 6415 North Monroe Street ORTHODONTICS Spokane

Occupational Medicine 700 Ironwood Drive Coeur d’Alene www.interlakepharmacy.net 208-664-6664

509-327-4867 www.bbptspokane.com bandbpt@mail.asisna.com

LAKEWOOD PHYSICAL THERAPY 1401 N. Lincoln Way Coeur d’Alene 208-676-1424 www.lakewoodphysicaltherapy.org mnelson@nifp.com

MOMENTUM PHYSICAL THERAPY 4305 E. Trent Ave, #100 Spokane 509-535-6050 www.momentumindustrialrehab.com

Organic & Hydroponic Supply SPOKANE ORGANIC & HYDROPONIC SUPPLY

PEAKS & PLAINS MEDICAL, INC.

Orthodontics/ Periodontics/ Implants

Valley - 509-534-4055 North - 509-468-4800 spokaneorganicandhydroponicsupply.com spokaneorganics@gmail.com

THE MEDICINE SHOPPE PHARMACY Spokane Valley 509-924-1222 Spokane 509-327-1504 Deer Park 509-276-5081 www.medicineshoppe.com

PHYSICAL THERAPY ASSOCIATES 2507 E. 27th Ave. Spokane 509-456-6917 www.ptassociates.net

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Travel

Podiatry/Shoes HARVARD PARK COEUR D’ALENE FOOT & HARVARD PARK RETIREMENT ANKLE 101 W. Ironwood Drive, Suite 131 Coeur d’Alene 208-666-0605 www.cdafootankle.com cdafootandankle@gmail.com

1616 E 30th Avenue Spokane 509-747-2703 www.harvard-park.com david.workman@holidaytouch.com

SOLE SOLUTIONS 15319 E Indiana Ave # 3 Spokane Valley 509-252-0633 www.sole-solutions.com shoes@sole-solutions.com

Senior Housing

TOUCHMARK ON THE SOUTH HILL 2929 S. Waterford Dr. Spokane 509-536-2929 www.touchmarkspokane.com cag@touchmark.com

COEUR D’ALENE CASINO SPA

1309 N. Evergreen Rd. Spokane Valley 509-928-9197 www.courtlandplacespokane.com jimmeel@comcast.net

WILLOW GROVE 1620 E Mead St Spokane 509-795-5606 www.willowgrovehome.com

Senior Services / Elder Care AGING AND LONG TERM CARE OF EASTERN WASHINGTON 1222 N. Post, Spokane 509-458-2509 www.altcew.org action@altcew.org

ELDER SERVICES

GOOD SAMARITAN SOCIETY SPOKANE VALLEY 17121 E. 8th Ave. Spokane Valley 509-924-6161 www.good-sam.com couwerke@good-sam.com

A Dept of Behavioral Health 5125 N Market Spokane 509-458-7450 www.smhca.org/elder

EDWARDS LALONE TRAVEL

855-232-2772 www.cdacasino.com/spa

502 W. Riverside Ave, Suite 203 Spokane 509-747-3000/800-288-3788 www.edwardslalonetravel.com

GREEN SALON & DAY SPA

Urgent Care-Medical

227 West Riverside Ste A Spokane 509-868-0538 www.greensalonanddayspa.com

KOOTENAI URGENT CARE

PURE SKIN SPA Liz Horgan, LMP; 509-220-1510 Tracy Langford, ESTI; 509-844-4376 216 W. Pacific, Spokane www.pure-skin-spa.com Lizhorgan4@gmail.com

Sporting Goods COURTLAND PLACE

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TRI-STATE OUTFITTERS 6275 Sunshine Street Coeur d’Alene 208-772-0613 www.t-state.com cda@t-state.com

Therapeutic-Retail

700 Ironwood Dr. Suite 170 E Coeur d’Alene 208-667-9110 www.kootenaiurgentcare.com cbanta@nifp.com

Vision Care EMPIRE EYE PHYSICIANS 1414 N. Houk Rd., Ste. 103 Spokane Valley 509-928-8040 www.empireeye.com

LAKESIDE EYE CARE 312 N. 4th St. Coeur d’Alene 208-676-1422 lakesideeyecare@gmail.com

LITTLE MO’S OPTICAL

HEADACHE HAMMOCK 3735 Selkirk Rd Sandpoint 208-265-5758

This business directory is a sampling of Spokane and North Idaho health and wellness resources. To be included in a Spas future issue, please call 509.459.5272.

1720 Lincoln Way Coeur d’Alene 208-664-4011

Weight Loss

CONSCIOUS CHOICE WELLNESS COACHING 509-953-9097 consciouschoicewellness@gmail.com 208-664-4011

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Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL

EVENTS CALENDAR For more info on upcoming events, ongoing health programs and medical support groups in the Spokane community, or to submit your free entry, visit www.spokesman.com/health/calendar

september 26

Day hiking slideshow with Craig Romano, 7 p.m. REI, free. Local author will share info

october 2-30

about a diverse array of trails through the region. (509) 328-9900 or www.rei.com/spokane.

“Soup for the Soul,” Participating Spokane area restaurants will sell soup and offer proceeds to Arts in Healing, a program at Providence Sacred Heart Medical Center & Children’s Hospital.

27

5 Make-A-Wish 5K Walk/Run for Wishes,

Stop Violence Against Women Day and Women’s Resource Fair, 11:30 a.m.-8 p.m. Coeur

d’Alene Casino, Worley. Speakers and activities will focus on domestic violence and prevention efforts, including spotlighting local resources. $75. (509) 928-9664 or (208) 686-0601.

Caring for Kids Luncheon, 11:30 a.m.-1 p.m.

DoubleTree Hotel, Spokane. Proceeds benefit Morning Star Boys’ Ranch and St. Anne’s Family Children and Family Center.

Features Gonzaga Coach Kelly Graves. $100. (509) 358-4254.

28 “Simplify Life, Magnify Life: Bike Riding as a Contemplative Practice,” 10 a.m.-3 p.m.

8:45 a.m. Mirabeau Meadows Park, Spokane Valley. Fifthannual family friendly walk raises money to help grant wishes for local children with life-threatening illnesses. Free, but team members are asked to raise at least $100. (206) 623-5300.

6 Run for the Angels, 4 p.m. Riverstone Park, Coeur d’Alene. 5K run/walk benefits Inland Northwest SIDS Foundation. $25 adults, $15 children. (208) 557-4371 or www. sidsrun.eventbrite.com.

11-12

18-19 25-26

St. Joseph Family Center, Spokane. Sr. Patricia Novak, OSF, will facilitate retreat day that includes prayer, reflection and bike riding. Registration required by Sept. 23. $25. (509) 483-6495 or www.sjfconline.org/simplify_life_magnify_living.html.

Haunted Zombie Hike, Riverside State Park

National Public Lands Day. Visit any Washington State

Convention Center, annual fund-raiser benefits medical programs, and 2013 recipient is the Sacred Heart Children’s Hospital and Vanessa Behan Crisis Nursery. $150 per person http://thepumpkinball.org.

Park for free. Free access days also take place Oct. 9-11. www. parks.wa.gov.

SCRAPS Walk in the Park, 10 a.m.-2 p.m. Prairie View Park, Spokane. Pledge walk supports SCRAPS Hope Foundation’s Medical Fund. People can register as individuals, team/packs, or “cat napper” (virtual walker – pledge only). (509) 477-2760. www.

SCRAPShopefoundation.org.

29 Duck Waddle 5K, 11 a.m. Riverfront Park. Familyoriented race benefits Shriner’s Children’s Hospital and includes the Duck Drop at 2:30 p.m., where rubber ducks are placed into the river. $15, (509) 623-0424 or tinyurl.com/duckwaddle.

Equestrian Area. Get some fitness while being scared. $5 adults, 3 and under free. (509) 465-5064 or Spokaneparks.org.

19 The Pumpkin Ball, 5:30 p.m. Spokane

24 “Embracing Hope: Explore the Spiritual Impact with Chronic Mental Illness,” 7 p.m.

St. Joseph’s Family Center. Marian Beaumier, LICSW, will facilitate presentation about spirituality and mental illness.

Suggested donation $10. (509) 483-6495.

Advertising Supplement to Sâ&#x2C6;&#x2019;R Media/The Spokesmanâ&#x2C6;&#x2019;Review â&#x20AC;˘ Sunday, September 22, 2013

ARE YOU CARING FOR A LOVED ONE? Are you caring for a spouse or other adult, raising a grandchild, niece, nephew, sibling, cousin, or other relative child?

FOR INFORMATION & SUPPORT

Call ELDER SERVICES (509)

458-4750

Funded by Aging and Long Term Care of Eastern Washington AGING & LONG TERM CARE OF EASTERN WASHINGTON . 0/34 30/+!.% 7! s &!8

Advertising Supplement to S−R Media/The Spokesman−Review • Sunday, September 22, 2013

Health care and health coverage working together.

At Group Health, cooperation is and always has been the principle behind everything we do. We created a system where the business and economics of health coverage and the art and science of medicine work together with a shared goal—better health. By making patients everyone’s priority, Group Health is able to raise quality, lower costs, and ultimately improve outcomes.

Together we share One Goal. Group Health.

To get started, visit ghc.org/onegoal.

© 2013 Group Health Cooperative