LiveWELL, September 23, 2012

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

live W E L L physically, mentally, spiritually

issue 2 • september 2012

Heart health • furry Friends • Medicare maze • the Knees • Women’s health

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

CHORUS: Turn around slowly. Time is a racer.

The wink of an eye takes you from here to there.

Turn around slowly, and treasure your days here.

These precious moments may come to be rare.

All it takes to smack us back into reality is to sit by the bedside of a critically ill loved one. Instantly, petty differences fall away. And instantly the value and importance of good health becomes crystal clear.

As The Spokesman-Review/S-R Media publishes 2012’s second LiveWELL special section today, our commitment to providing our community local, timely and important stories about health care grows ever stronger.

Today’s section focuses on lowering your risk of heart disease through an innovative mix of genetic testing and high-tech scans. Making sense of Medicare in this season of political change. Alternative care for our animal family members. Less-invasive hysterectomies for women with other health care complications.

And a host of other local stories that will guide you to better living.

Remember: each Tuesday in the TODAY/ LiveWELL section, our newsroom journalists keep you up-to-date with local news and feature stories on health and wellness, and our spokesman.com/LiveWELL web and mobile site is your go-to source for hundreds of local classes, events and health care seminars.

Please let us know how we’re doing by e-mailing livewell@spokesman.com. You can count on us to be your information partner in local health care, and to share with you “matters of life or death.” But more often than not, matters of Living Well.

In a flash, he discovered my foolish wishes.

I wished she was walking and talking and more.

But why hurry what will pass me so quickly?

I should be longing to linger.

Kathleen Coleman Director, Digital Business Operations & Product Development S-R Media

We bypassed “Could I Have This Dance?” Skipped over “Longer,” and shunned “Butterfly Kisses.”

Our wedding went straight for the jugular, emotionally speaking, with David Kauffman’s “Turn Around Slowly”: “I met a grandfather and all of his children And as we were talking, a tear filled his eye.

He smiled at my child; I handed her to him And just for a moment he went back in time.

He remembered the dreams of having a family, Of holding the ones that God sent his way.

The joy they would bring him to make his heart larger.

Then he looked in my eyes and said:

And held in his arms my child turned back to me As if to say, “Listen well.”

She said, “Look at me, Daddy, and love me this moment; This moment is all that we have.”

She said: (CHORUS)

is a product of The Spokesman-Review/S-R Media.

Kathleen Coleman, Director Digital Business Operations & Product Development Dan Johnson, Director Sales and Marketing Special Section Staff Editor, Joe Butler Graphic Design, Trish Merryman Nita Alexander Sales Lead, Todd Hogan Contributing Writers/ Photographers Courtney Dunham Kim Andersen Dan Webster Renee Sande Tricia Jo Webster Shallan Knowles Jillian Wilson LiveWELL is a product of Cowles Publishing Company, 999 W. Riverside, Spokane WA 99201 W. Stacey Cowles, President and Publisher Disclaimer: Though LiveWELL promotes many area medical-oriented businesses, it doesn’t make any recommendations.

Consult your personal health care provider for questions about your particular situation.

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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whygrouphealth.org Services available if care is received at Group Health Medical Centers locations. © 2012 Group Health Cooperative

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

table of CONTENTS 6-7, 10-11

Better Heart Health Spokane clinic focuses on preventing heart attacks, strokes

14-17

Your Furry Friends Caring for our four-legged pals in holistic ways

26-27,38-39

Hysterectomies Technology has created new options for patients

32-33

Changes at CHAS Two doctors enjoying new roles

44, 48-49

The Knees Have It Area surgeons seeing more joint-related concerns

54-55

Valley Honors National recognition for knee, hip programs

58-59

The Medicare Maze Seniors have more choices than ever

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Clearer Vision Spokane-based company helps make sense of eyewear needs

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

THERAPEUTIC BLISS FOCUSES ON

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

TRAILBLAZING nurse practitioner vows to prevent HEART ATTACKS Innovative heart health and stroke prevention center founded in Spokane Story and photo by Courtney Dunham LiveWELL Correspondent

School of Medicine and Adjunct Professor at Texas Tech School of Nursing.

The Method uses advanced cardiovascular disease detection techniques including:

With such a unique approach to heart health, how do other providers view the Heart Attack Nurse practitioner Amy Doneen and Dr. & Stroke Prevention Center?

Bradley Bale admit that when they founded Ken Bryan, Rockwood Clinic’s the Heart Attack & Stroke Prevention director of business, said many Center in Spokane in 2006 – the first in the Rockwood providers are familiar United States – they weren’t sure anyone with the center. would actually come through the door.

“There is awareness and They hoped it would happen, but some level of both support and also intended to spend more than 15 skepticism at an individual minutes with each patient, and reverse an provider level,” he said. “At the unfortunate trend in busy modern medical clinic level, Rockwood supports practices. prevention and scientifically Since then, the pair says hundreds of lives supported methods of treatment. have been saved through the Bale/Doneen So we would not argue with Method, which focuses on making heart anything the clinic is doing that attacks and ischemic strokes preventable. has scientifically demonstrated They confidently claim that if you receive effectiveness.” care here, you will not have a heart attack or However, he said there is some stroke, period. defi nite divergence of opinion The Method goes beyond standard risk Amy Doneen, director of the Heart Attack & Stroke Prevention Center. from a payment perspective. factor assessment and is based on an optimal Rockwood contracts with a variety of • Genetic testing care model. It features a disease treatment insurance providers, while Heart Attack • State-of-the-art ultrasound measurement of paradigm that identifies whether plaque is & Stroke Prevention Center doesn’t work major arteries present in the arterial bed, which can indicate with any, although patients can submit their • High-tech heart scans that the patient is at risk for heart attack, paperwork to their own insurance providers • Personalized treatment strategies ischemic stroke, or diabetes, and its presence for reimbursement.

• “Fire panel” tests for insulin resistance affords an individualized treatment protocol.

“I do not know the entire rationale for this, These techniques are foundational elements Although cardiologists and heart surgeons but it certainly limits the audience they serve,” nationwide have successfully lowered mortality responsible for identifying those at risk for Bryan said. “Rockwood’s desire is to serve heart attack and stroke who may otherwise be from heart attacks, the number of reported the entire spectrum of the population, using considered in “good health.” heart attacks and strokes has not dropped. what we understand to be the best accepted Cardiovascular disease remains the leading Treatment may have improved, but Doneen standards of care. We are contracted with cause of death and disability for men and said the current approach to prevention virtually all payers, and receive most of our women in this country, yet it can remain in doesn’t go far enough. payments from them. To that extent, our the background of other more “acceptable” Doneen, now director of the Spokane client populations may not often significantly diseases, Doneen said.

Center, advocates prevention vs. reacting intersect.”

She said heart disease is often perceived as to cardiac trouble. The ‘why’ of disease and something we did wrong, whereas cancer is inflammation prompted her to become a Doneen encourages people to visit perceived as something that can strike anyone. the heartattackandstrokepreventioncenter. nurse practitioner.

“Breast cancer is about 40 years ahead of Bale, a family practice M.D., now lives com or consider an appointment at us in awareness. Don’t get me wrong – cancer in Texas where he teaches the Bale/Doneen 507 S. Washington, Suite 170. should be talked about,” Doneen said. “We Method to other medical providers, and No referral is needed. For more information serves as medical director for the Heart Health just want cardiovascular education to catch up on the Bale/Doneen Method, visit www.baledoneen.com.

Program at Grace Clinic in Lubbock. He is also because it’s the key to empowering people to make the right decisions.” an assistant clinical professor at Texas Tech

See related heart health story on page 10.

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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Cardiac options Compiled by Tricia Jo Webster/LiveWELL Correspondent

We’re not encouraging readers to have heart attacks, but if one takes place, you may be in good hands. In addition to plenty of physicians with cardiology specialties, the area’s main medical centers also offer heart-friendly techniques and programs, from trauma to transplants. The staff also works closely with a patient’s provider or other medical specialists to secure optimal healing and hopefully better outcomes.

Here’s a run-down of local offerings: • Deaconess Hospital: In January 2010 Deaconess became the first and only Accredited Chest Pain Center in the Spokane region – a designation held by only 12 percent of U.S. hospitals. Chest pain is among the top symptoms of emergency patients, and this designation means that any patient who comes here experiencing chest pain will receive care that meets or exceeds the highest national standards of care. Deaconess staff believe that 70-90 percent of heart disease can be prevented through lifestyle change, and offers cardiac care featuring education, prevention, testing and treatment.

Deaconess provides superior team-centered cardiac care with extensive testing – from cardiac catheterization and CT scans to echocardiography and nuclear scans – to help physicians determine cardiac health.

After testing, treatment can include lifestyle changes, medication, a stent, plaque removal or surgery. Whatever the option, Deaconess provides a patient-focused approach blending the latest medical technology with quality care. 800 W. Fifth | Downtown Spokane | (509) 458-5800 | DeaconessSpokane.com • Holy Family Hospital: From diagnostic services and emergency care to rehabilitation, Holy Family has all bases covered: echocardiograms, electrocardiograms (EKG) and exercise treadmill tests, plus nuclear medicine and other imaging studies.

Patients with coronary heart disease might consider the cardiac catheterization lab, where diagnostic and emergency interventional services can help locate and remove blockages in coronary arteries.

Staffed by critical care RNs and cardiovascular techs with extensive experience in catheterization techniques and advanced certification, patients are assured of expert care. Pacemakers and electrocardioversions are also offered. The Advanced Care Unit is available for semi-critical patients, or those who require cardiac monitoring; they can regain strength and independence while being carefully monitored. Holy Family’s Cardiac Rehab Program helps people with heart disease improve physical function, build confidence in day-to-day activities and reduce health risks through education and wellness. 5633 N. Lidgerwood | North Spokane | (509) 482-0111 | www2.providence.org/Spokane

• Valley Hospital and Medical Center: When heart problems occur, the difference between a positive or tragic outcome can be separated by minutes, and that’s why Valley Hospital has gathered specialists in all aspects of cardiac care, from consultation and evaluation to advanced diagnostic and treatment.

The Emergency Department is one of the busiest around locally and a cardiologist is always available, plus board certified physicians and RNs certified in Advanced Cardiac Life Support. As part of the Rockwood Health System, Valley Hospital offers quality care along every point of the healthcare continuum, from cardiac emergencies to ongoing care. 12606 E. Mission Ave. | Spokane Valley | (509) 924-6650 | SpokaneValleyHospital.com • Kootenai Heart Center Kootenai Heart Center provides quality cardiovascular services to Inland Northwest residents. Physicians and staff provide a wide range of cardiac care including diagnostic testing and imaging, interventional catheterizations and treatments, open-heart surgery, intensive care and cardiac rehab and support. Kootenai’s Heart to Heart program offers risk screenings throughout the year, as well as during the entire month of February (American Heart Month). For $15 people can learn their lipid profile, blood pressure and Body Mass Index (BMI), then review the results compared with healthy values.

For patients who’ve suffered a heart attack, Kootenai Heart Center offers a cardiopulmonary rehab program blending monitored exercise, stress reduction techniques, nutrition assistance and a support group.

2003 Kootenai Health Way | Coeur d’Alene | (208) 666-2275 | kootenaihealth.org • Providence Heart & Vascular Institute/Sacred Heart There’s no other hospital in the region where you can receive a mechanical heart implant, heart transplant or robotic surgery, plus all the routine heart procedures you’d expect of a world-class heart hospital. Sacred Heart’s reputation for quality comes from a 50-plus year history of being a leader in cardiovascular advances. The staff performs three times as many cardiovascular procedures as any other hospital in the region. The facility ranks in the nation’s top 10 percent of hospitals in treating patients for heart attack and congestive heart failure, and top 20 percent for coronary artery bypass grafting. From initial diagnostic testing to treatment and follow-up care, Providence Heart & Vascular Institute surgeons and staff have received nationwide recognition for quality and successful outcomes. So, whether you need a routine procedure or major surgery, you can trust experts to take good care of your heart – and they’ll also teach you how better care for it yourself. 101 W. Eighth | Downtown Spokane | (509) 47-HEART | SHMC.org

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

BABY TEETH ARE IMPORTANT!

SIMPLE STEPS TO TAKE CARE OF YOUR CHILD’S TEETH Provided by Washington Dental Service Foundation KidsOralHealth.org caring for baby teeth and healthy snacking.

Your child also may get a fluoride varnish application to prevent tooth decay.

Oral health is an important part of overall health, and good oral health starts with healthy baby teeth. Baby teeth, which start to appear at about 6 months, are especially atrisk for decay and need to be protected.

Tooth decay is the most common chronic disease of early childhood. Cavities can be painful and interfere with your child’s ability to eat and sleep and concentrate in school.

Here’s the good news: kids don’t have to get cavities!

Starting early with regular preventive care and a healthy diet can prevent decay and foster good oral, and overall, health.

One of the most important steps is to make sure your child gets an oral health screening by his/her first birthday by a dentist or physician.

Most children see a physician up to 11 times for well-child checkups before age 3.

The dentist or physician will look for signs of early tooth decay and share tips on

TIPS FOR TAKING CARE OF BABY TEETH: You can give your child the best opportunity to start a lifetime of good oral health by taking a few simple steps:

Beginning at birth, Wipe your baby’s gums with a washcloth or piece of gauze after feeding. As soon as you see baby’s first tooth, start brushing it with a soft “baby” toothbrush. Use a small amount (rice-sized) of fluoridated toothpaste.

Try putting your child’s head in your lap to make brushing easier.

Avoid constant snacking on sugary, sticky or starchy foods or sweet liquids throughout the day.

Ask your child’s dentist or physician about fluoride varnish, which is painted on the teeth to prevent or heal early decay.

If you put your baby to bed with a bottle, fill it with water. Formula, milk, or juice can increase cavity risk.

Parents need to protect their own oral health Everyone in a family should practice good oral hygiene, including brushing, flossing and regular dental checkups.

It is especially important for pregnant women to get dental care – it keeps both mother and baby healthy. When mothers have tooth decay, they are more likely to transmit cavity-causing bacteria to babies and increase baby’s risk for developing cavities. Parents should also avoid sharing utensils with children and cleaning babies’ pacifiers by putting them in their mouths.

Visit KidsOralHealth.org for more info on how to protect your child’s oral health.

Families with Medicaid coverage can call (509) 324-1478 to learn about Spokane’s Access to Baby and Child Dentistry program (ABCD), which helps connect children under age 6 with dental care.

Sponsored by Washington Dental Service Foundation, which is dedicated to significant, longlasting improvements in the oral health of young children, pregnant women and seniors.

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

COULD IT HAPPEN TO YOU? 37-year-old mom heals from two heart attacks

By Courtney Dunham LiveWELL Correspondent

At age 37, the last thing Juli Townsend considered was a heart attack when she started feeling short of breath one morning last fall.

Her symptoms quickly worsened to the point that the pain “dropped me to the floor.”

Chest tightness extended to her neck and arm, two fingers were numb and she began vomiting.

Townsend told her husband to hurry to the emergency room, where a triage nurse seemed to suspect anxiety, and asked Juli if she ever gets stressed.

“I said every day, but it’s never felt like this,” Townsend said.

Townsend was given an EKG, which indicated she was fine, and waited to see a doctor. She still had a lot of chest pain, which the nurse thought could be stress-related, and that her vomiting was caused by too much coughing.

The ER doctor determined that Townsend likely had pneumonia, especially after finding water in her lungs.

Juli Townsend, left, suffered two heart attacks last fall/Courtesy photo She was given an IV, and the pain subsided, then she went

RISK FACTORS Heart Attack & Stroke How do you know if you’re at risk for a heart attack, stroke or Type 2 diabetes? Watch for these red flags: • Personal or family history of cardiovascular disease • Personal or family history of heart attacks, strokes or Type 2 diabetes • Elevated cholesterol and elevated blood glucose levels • Nicotine use in any form and/or secondary exposure

home with high-powered antibiotics to battle pneumonia.

Her employer encouraged her to stay home the rest of the week, and a follow-up check-up a week later confirmed her lungs were clear.

She returned to work half days, thinking the worst was over.

Just a little over a week later, the pain returned, but it was worse, radiating through her back and traveling to her right arm.

“I was hunched over and my family wanted to bring me to the ER again, but I told them that I could wait until the morning and go to urgent care,” she said. “That next morning I felt like I’d been hit by a truck.”

At urgent care, testing concluded what Townsend already guessed – it wasn’t pneumonia. Blood tests and an esophageal cocktail followed, then a Nitro tab.

“I think the urgent care doctor was pretty sure what was happening (was) with my heart but he handled it just great, so as not to have me worry,” she said. “He asked me to pay close attention to how I felt – (including) my reaction to the Nitro.”

The medicine made her feel better briefly, but any physical activity made her feel worse.

The blood test revealed that she had an elevated level of a certain enzyme, which the doctor said indicated heart damage. He said she needed to go to the hospital and meet with a cardiologist.

• Psychosocial issues such as depression, anxiety, or stress • Diabetes (risk factor for heart attack and stroke) • Gestational diabetes and high blood pressure during pregnancy (pre-eclampsia) • High blood pressure • Abdominal obesity • Sleep problems • Age (over 40 for men, over 50 for women) • Gum disease • Erectile dysfunction

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

“Even when I heard this, I wasn’t thinking I had a heart attack. I just thought I had to see the cardiologist about the heart damage,” she said.

There, she learned more details.

“He said, ‘I can’t believe I’m about to tell someone your age this, you’ve had a heart attack.’ she said. “Then it was concluded that the first (visit to the ER) was also one – I had had two heart attacks. I was in complete shock and in denial.”

Townsend spent the next few months taking statins, designed to reduce high cholesterol and help her heart recover, even though she didn’t suffer from high cholesterol. But this didn’t seem to be working, plus there were other side effects, along with anxiety anytime she sensed unusual feelings in her chest.

She needed a miracle, and found it from Amy Doneen, RN, BSN, MSN, ARNP.

Genetics may play a role Doneen, co-founder of the Bale/Doneen Method and the director of the Spokane’s Heart & Stroke Prevention Center, immediately told Townsend that she didn’t cause her heart problems.

“I started crying immediately because I had been blaming myself, wondering what I did wrong,” Townsend said. “Was it all those cinnamon bears and coffee?”

Doneen’s view, and the focus of the Heart & Stroke Prevention Center, is that heart health really comes down to genetics.

“I can sum our entire method in

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Townsend doesn’t feel negative toward the three words – education, disease, and other professionals who missed the cardiac inflammation. Treat the why and we’ll see diagnosis, since they’re trained to follow inflammation come down. With education, standard care. But as Townsend’s young age we become partners in care,” she said. showed, each person’s case is unique.

Townsend was given a series of tests to Seven months later, Townsend’s genetic learn about her vascular health. marker numbers and plaque have all moved “The tests revealed that (Townsend) has a in the right direction. genetic lipid abnormality “To see them that is not adequately improving, treated with a statin alone. makes me (feel) Even if she had been on so much better a high-dose statin, her and confident,” disease would have likely Townsend said. “Amy continued,” Doneen said. will always answer “She carries the Apo E any questions, and gene ¾, which means her if she doesn’t know, body does not process she’ll find out; fats/carbohydrates/ ultimately it will help proteins the way that improve my overall most people do – this is care.” important because, even Townsend is eager though Juli was following to share her story the current ‘standard,’ and urges others, it would not be an especially women, to appropriate move for her.” find out what danger Townsend’s insulin signs to pay attention resistance, which had to. She’s shared never been diagnosed, Amy Doneen from the Heart Attack and Stroke Prevention Center shows a model of a human knowledge with her was a silent, significant heart. Courtney Dunham photo sister, including what to cause, Doneen said, and could have contributed to continued vascular watch for and what to ask doctors.

She tells other women to take care of their damage, vascular inflammation and even insides, physically and spiritually.

Type 2 Diabetes.

“I look at everything that happened as a Doneen connected Townsend with a reminder to take care of my whole self,” she nutritionist to help formulate a diet. A said. “As women, especially, we need to do different diagnosis and a firm treatment that more.” direction helped boost Townsend’s confidence.

• Rheumatoid arthritis • Lupus • Psoriasis • Migraine headaches • Gout • Polycystic ovaries • Hirsutism (facial hair growth in women) • Oligomenorrhea (changes in menstrual cycles) • Hispanic or African American descent • Osteoporosis

In addition, genetic factors may come into play, often presenting no outwardly visible or easily recognizable signs of being at risk. By using tests like coronary calcification scanning, screening for abdominal aortic aneurysm (AAA), ankle-brachial index for peripheral artery disease, electrocardiograms, echocardiograms, and the carotid intima media thickness test (CIMT), many of the most significant factors related to risk for heart attack and stroke can be identified.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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As we move into fall the kids are going back to school and we get colder and shorter days. The summer schedule is a thing of the past and it’s time to settle back into a routine, which will often require a gym. Getting out of the house and going to the gym is much more motivating than going to the basement and running on a treadmill.

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Performance Enhancement Equine, canine massage therapist For Area Pets Story and photos by Courtney Dunham/LiveWELL Correspondent

Erica Curless, owner of Dog and Pony Show, received extensive training in equine and canine massage therapy.

The recent Summer Olympics gives nonathletes a newfound appreciation for the years of dedicated training involved, plus the support required to keep these stellar athletes moving.

Massage therapists, for instance, play a vital role in maintaining the level of athleticism, whether the competitors are human or animal.

Erica Curless, a former newspaper journalist and owner of Dog and Pony Show: Massage for Performance Horses and Dogs, grew up on the back of a horse.

While considering new career options as layoffs loomed, she discovered something that was an ideal blend of her equine background and communication skills: equine massage.

“When I was first thinking about this, I was running marathons, and needed a lot of massage work to keep me going,” she said.

“I think it just clicked that horses and dogs would benefit from the same therapy,” Curless said.

She began researching the profession online, and the more she learned, the more it fit her interests and skills. She spent three months at Prairie Winds Equine Massage Therapy College in Wellington, Colo., in an intensive hands-on program involving work on more than 100 horses of all types and disciplines.

She’s now part of a handful of experts in the Inland Northwest with equine massage and other complementary training. There are a variety of training programs around the country, from weeklong seminars to the more intensive program she attended.

Her focus is on an animal’s soft tissue, which often complements an animal chiropractor’s focus on bones and joints. Several Washington veterinarians have sought additional chiropractic training, or even other approaches such as animal acupuncture.

Curless said the hope of massage is to get ultimate and correct movement so the horse or dog can do its job and have a long, successful career without breaking down or getting injured. Massage helps horses and dogs engage their hindquarters (where the motor is located), lift their ribcage and free their shoulders for uninhibited power

and free, long strides, and also helps with rehabilitation from injuries and surgeries.

Early Greeks massaged horses, as did Arabs and residents of India. Equine massage is fairly new to the Northwest, but a lot of the horses and dogs that Curless works on also have received acupuncture and chiropractic treatments.

She said massage therapists need a wellrounded education to perform treatments and help owners understand how their animal’s muscles work. This way they can ride or do exercises to get those muscles to begin changing and have lasting, observable effects.

“A massage therapist doesn’t ‘fix’ anything.

We help the body (soft tissues) and the mind work together to heal,” she said. “Massage therapists are really just facilitators that help the animal bring self-awareness to their bodies so they can adjust themselves and aachieve ccorrect movement m aand balance.”

Curless has C been working b with her w dad, Randy d Curless, C who trains w border collies b tto herd llivestock.

“We’re ttrying to develop d eexercises to help individual dogs build strength and get more balance in their muscles. Dogs are new to me. I didn’t grow up with working dogs. It’s difficult because I can’t ride them and actually feel their strides and movement,” she said.”

It’s also a challenge to suggest canine exercises because she hasn’t worked as much with dogs.

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“I’m very fortunate to have the expertise of my dad who has such a diverse understanding of dogs,” she said. “He gives lessons every week, so it’s like having a working laboratory. It’s really fun to collaborate and get a little more insight into his passion.”

Curless also has been helping her mom’s border collie recover from hip surgery last fall.

“Massage really helped her start using that leg and building up strength. Now she travels like nothing happened and she is strong and fluid,” she said.

With horses, riders can feel the effects of massage therapy. Curless said the animals are also quite responsive, and you can see them almost instantly processing the treatment.

“They often stretch, yawn and poop, which are signs of relaxing. But the true difference is in how they move and how they feel. Strides are longer, their backs more rounded and their muscles feel relaxed and less braced,” she said.

How does canine therapy differ from equine therapy?

“The body of a horse and a dog are actually very similar. The biggest difference is with their minds. Dogs think and respond differently than horses. So I have to figure out how to connect with them,” she said.

When Curless made her career transition, she heard a lot of jokes like, “How do you get a horse on a massage table?”

“Now I think people are impressed that it really is a viable business and that there’s a market,” she said. “There’s a lot of excitement here now (that there is) a massage therapist available with such solid training and an extensive background with horses. People have told me they’ve never seen me happier, and I think that’s true. Going to work in a barn with horses and dogs is the best.”

She finds animals’ straight-forward nature refreshing.

“I think it’s because they have no ego and that makes working with them even more rewarding,” she said.

For more info on Dog and Pony Show, call (509) 991-7314 or email ecurless@hotmail.com.

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veterinary medicine:

ACUPUNCTURE, MASSAGE MASSAGE,, CHIROPRACTIC, REHAB & more About 100 veterinarians in the Spokane area specialize in care for household animals, livestock, and other creatures big and small.

Some see value in additional training in areas like massage, chiropractic care, even acupuncture and acupressure, which is perfect for owners seeking ultra-specialized care for their animal companions.

There are a variety of online programs and training opportunities available in these fields, and more veterinary programs are teaching these topics. For instance, alternative medicine coursework in equine veterinary education has increased about 30 percent in the past decade.

Mushtaq Memon, lead researcher from Washington State University’s Paul G. Allen School for Global Animal Health, and colleagues recently surveyed 41 accredited veterinary schools worldwide about Complementary and Alternative Veterinary Medicine courses, including if CAVM classes were required or elective, the number of credit hours available, and whether the topic was a lecture- or laboratory-based format.

Thirty-four schools responded, and only one requires that all students take a CAVM course. Some offer elective courses, but generally the study indicated there was a shortage of expertise but a large demand.

WSU offers a CAVM course with its patient wellness program, where students learn acupuncture, massage and chiropractic care. A component of the wellness program is pain management, which these techniques can address.

WSU students can join a student chapter of the American Holistic Veterinary Medical Association, which discusses how to blend conventional treatment with alternative therapies like acupuncture, herbs, massage, homeopathy, healing energy, natural diets, and more.

At least two Spokane area vets employ traditional and CAVM approaches:

DR. SONNI GILBERT, DVM, CERTIFIED VETERINARY ACUPUNCTURIST and owner of ANIMAL PAIN MANAGEMENT & REHAB. CENTER received her DVM from WSU’s College of Veterinary Medicine in 2004 and certified in veterinary acupuncture by Colorado State University in 2005.

The Animal Pain Management & Rehabilitation Center was established in 1996 and offers physical fitness & pain evaluations, pre- and post-surgical physical therapy, hydrotherapy with underwater treadmill, acupuncture, chiropractic care, core strengthening exercises, weight loss assistance, conditioning and endurance training, and therapeutic massage education.

Gilbert works with geriatric patients, patients with internal medicine/skin/ seizure/digestive problems, and competition animals like rodeo, dressage, eventing, pleasure and trail riding for horses, plus herding, confirmation, schutzhund, hunting and tracking for dogs.

She also works on reining and cutting horses and provides rehabilitation services following injury or surgery.

DR. KRISTA PORTER, DVM, owner of SPRINGWATER

VETERINARY SERVICES, offers chiropractic care and traditional care. She graduated from Colorado State University in 1996 with a bachelor’s degree in equine sciences and a Doctor of Veterinary Medicine in 2001, then the Certified Veterinary Spinal Manipulative Therapist in 2006, at the Healing Oasis before finally earning her master’s degree from Colorado State in 2011. She worked in a mixed animal practice as well as equineexclusive practice before venturing out on her own in 2009. She works with horses, dogs, and occasionally cats.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

PET OWNERS seeking better fare for their loved ones

By Courtney Dunham LiveWELL Correspondent Tracy Stevens admits that feeding her stuff ’ with better, natural ingredients also dogs the highest quality grain-free food isn’t generally costs more. cheap, but she’s sees the long-term benefits Natural dog or cat food contains in the health of her furry “children.” actual meat or high-quality meat meal Her 4-year old terrier isn’t itching – pulverized, dehydrated meat, such as constantly to the point of bleeding. And yes, chicken or beef – instead of meat bywe’ll just come out and say it – the poop products. Fresh fruit and vegetables can be of her three dogs has never been healthier included, and there is no added salt and looking and easier to pick up. sugar.

“It always surprises me when people ask me why I spend so much on food – why wouldn’t I give them the best?” she said. “I can afford it, and if I can go out and eat a few times a month, I can surely buy them healthier food.”

Stevens started buying higher-end food three years ago and has seen corresponding lower vet bills and more importantly, peace of mind.

Locally-owned pet supply stores like Prairie Dog Pet Mercantile and Urban Canine specialize in providing natural dog and cat foods. Stevens shops twice a month at Urban Canine, which has locations Pets can be great social companions. Courtney Dunham Photo on the South Hill and Newport Highway, Don Cutler, who owns Prairie Dog Urban Canine owner Deborah Olmsted Mercantile with his wife, Cyndi, said said some pet owners might think they can’t common ingredients in traditional, lowerafford natural food. She counters this with: quality foods are corn and wheat, which are “they can’t afford not to buy it with the cost cheaper to produce. of veterinary care today.”

“What we tell people is [to consider], do Proponents say pet food can be a costyou want your dog eating something you effective solution to maintain a pet’s health, wouldn’t eat?” he says. “Read the label – just reduce the risk of diet-related diseases like human food.” or prevent allergies. However, ‘the good

Besides allergies, other common dietary consequences include digestive, yeast and ear problems. Natural products typically prevent these, plus provide a shinier coat, less shedding and reduced dander.

“We can tell right away when a dog comes in and is being fed low-quality food,” Cutler said.

Interestingly, a dog or cat that switches to a more natural diet actually consumes less. The daily food requirement is about half of a conventional brand.

Cutler said Prairie Dog Mercantile doesn’t stock foods that contain soy, wheat or corn, because over time, he said dogs can develop allergies to these products.

They once had a chocolate Lab with many allergies. They tried various treatments, which Cutler describes as “maintenance” rather than solving the problem.

“Someone suggested, ‘change the food’ and it worked,” he says. “Within three weeks she was a new dog, and we became converts.”

Natural pet food also means a lessintensive manufacturing process, which typically takes place in the United States, Canada, Australia or New Zealand. As in human foods, more nutrients are preserved when the cooking temperature stays lower.

More controlled sourcing of raw ingredients is another key characteristic. For example, Champion Pet Foods in Canada, which makes the Orijen and Acana brands,

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human or pet food should check labels to learn the source of Mary Iverson ingredients, and avoid lowerAcupuncturist Veterinary Service, LLC quality goods made with corn, Small Animals Cancer meat by-products, and added sugar and salt.

Care Support Although it’s tempting to give 509.863.5851 dogs table scraps or whatever pet 208 S. Steen Rd, Veradale food is easiest at the store, Dr. Mon. Wed. 7:30 a.m. - 8 p.m.

Patrick O’Dea of Heart Arrow Tue. Thu. Fri. 7:30 a.m. - 6 p.m.

Veterinary Service recommends a www.hatchingturtle.com high-quality commercial dog food Saturday 8 a.m. - 2 p.m. and refraining from www.heartarrowvet.com unhealthy snacks.

High-quality food should months. But large and giant breeds always have meat listed as one of the first shouldn’t be fed as adults until they ingredients. Puppies should have twice the reach about one to two years, depending nutrition of adult dogs and always avoid upon the breed. They should receive table scraps and never be fed bones. supplemental nutrients only when advised Adult dogs should be fed once a day by a veterinarian, O’Dea said.

– or twice for large or very active dogs.

For all dogs, the most important rule is to Small to medium breeds generally may provide plenty of fresh water at all times. be considered adults after about six

exclusively online:

only uses wild-caught fish, instead of farmed fish, and other ingredients that are never frozen.

According to Cutler, if the dry food is not manufactured in a company’s own plant, it is carefully outsourced with strict quality control measures. For example, Natural Balance controls the quality of food manufactured for it by Missouri-based Diamond Pet Foods.

“You can even take the lot number off [a Natural Balance] bag and go online to check the quality report,” he says.

Another locally-produced provider of pet treats is Libby’s Best Dog Bakery. Based in Post Falls, Idaho, it’s the only 100 percent USDA-certified organic pet food provider in Idaho and one of a handful nationwide.

Owner Marcia Irvin said obtaining the certification required several months of paperwork and evaluations. She is also re-certified annually, which involves inspections of not only her ingredients, but verifying that all of her suppliers follow the same requirements.

“It’s worth it – everyone claims to be organic, but if you’re not certified organic, you’re not really organic at all,” she said. “Only a few dozen pet places really are.”

Libby’s Best Dog Bakery products can be found in the Spokane area at Main Market and Bark R Boutique in Spokane Valley.

Where to start if you want to change your pet’s diet?

Olmsted from Urban Canine says customers should keep in mind that some name brands are jumping on board with new packaging that appeals to the ‘green’ customer without necessarily providing a reputable product.

The Association of American Feed Control Officials, a trade group, sets guidelines for pet food, but Cutler says its standards are so low that “people shouldn’t take that to mean anything.”

He said anyone considering new

924-4 92 4-4558 558

spokesman.com/livewell When writer Courtney Dunham learned that Sammy, her beloved friend and 17-year-old dog, had liver cancer that was spreading like crazy, she put her heart into finding ways to make their remaining time meaningful, and maybe ways to turn the cancer around.

She learned about organic pet food, herbal supplements and pet massage.

Whether it was the improved diet, the massages, or plenty of prayers, Sammy stayed around for two more years and was even declared cancer-free at one point.

To follow their emotional journey, check out www. spokesman.com/livewell.

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businessPROFILE

www.affordableoptics.com

HOW LONG HAVE YOU BEEN IN BUSINESS? We have been in business for almost 10 years since we opened our first retail location in 2003 at 916 East Mission Avenue in Spokane. Thanks to our customers and their support, we now have four locations. In addition to the original Mission Avenue location, you can find us at 15735 E Broadway, Suite 3C2 in Spokane Valley, and our newest stores: 12519 N. Division, Suite 4, Spokane, and 1039 21st St., Lewiston, Idaho.

TELL US ABOUT YOUR BUSINESS. Affordable Optics is a locally-owned and operated full-service retail optical center. We position ourselves as the best-value leader in eye care/eyewear retails. Our mission is to meet the eye care needs of our customers through the best value and warranty offered by our knowledgeable and experienced optical professionals in a personalized service environment. We can do so because of our factory-direct frame source and in-house optical laboratory in Spokane. Most of our customers are those who want to get a pair of nicely fit, quality and trendy eyewear without worrying about being overcharged. Our customers also prefer to have personalized service by experienced and knowledgeable optician and professionals within a pleasant environment in our stores. Our customers know that they can always get the best deal from AO as we can always match anyone’s price.

WHAT KIND OF PRODUCTS AND SERVICES DO YOU OFFER TO HELP PEOPLE “LIVE WELL?” We offer full service to our customers. We have a large selection of contacts and eyewear from basics to best, including designer frames at a much lower price than other optical stores.

We offer a variety of sunglasses. We also have a full line of specialty products including prescription safety, professional hunting and motorcycle riding glasses. We’re proud to feature frames from our Native Vision collection designed by Smoker Marchand, a member of the Confederated Tribes of the Colville Reservation.

We’ll provide frame adjustments, new nose pads and cleaning for free.

We accept most major vision insurances, including Asuris and VSP. When we bill a customer’s insurance, we wait for the insurance to reimburse us, we don’t require the customer to pay us upfront.

Our customers have really appreciated this approach to business in a tough economy.

DOES AFFORDABLE OPTICS PROVIDE VISION EXAMS? We offer comprehensive eye exams at all locations provided by our independent doctors of Optometry. Our licensed opticians and frame consultants fit you with glasses or contacts that best meet your lifestyle.

ANYTHING ELSE YOU WANT READERS TO KNOW? Our service extends beyond our doors. We are proud to do service work and to support services and organizations such as Access to Recovery, Institute of Extended Learning and the Lions Club that provide vision services and eyeglasses for those in need. We thank Spokane for supporting our success.

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ChildrensChoiceDental.com Dr. Bruce Toillion

N I

F

Dr. David Toillion Dr. Charles Toillion Dr. Christopher Herzog Dr. Andrew Garabedian South 624.1182 North 755.5437 Medical Lake 299.5171

T T Y The Children’s Choice What is pediatric dental specialist?

A pediatric dental specialist is trained to provide oral health care to children, young adults, and individuals with special needs. Following dental school, a pediatric dentist is required to complete a pediatric dental residency. We are trained to treat the needs of children while mastering behavioral management techniques aimed to provide positive dental experiences for every patient.

What is the difference between a children’s dental office and a pediatric dentist?

Many general dentists effectively care for adults and children within the same office. Confusion, however, stems from “children’s” offices that do not have specialty trained pediatric dentists. While these offices resemble a pediatric dental office and cater only to children, the practitioners have not completed a residency in pediatric dentistry.

How do I know if my child is seeing a pediatric dentist?

As a parent, inquire if your child’s dentist has completed a residency in pediatrics. Some pediatric dentists, like those in The Children's Choice, are also diplomates of the American Board of Pediatric Dentistry. As a board-certified pediatric dentist we are expected to maintain the highest level in the dental care of children.

Who is The Children's Choice?

We are a Spokane-raised group of board-certified pediatric dentists.

With deep roots in the community, our practice is dedicated to delivering high-quality, ethical, and compassionate care. Because we believe no child deserves a toothache, we always make room to see a child in pain and we believe in providing after-hour emergency care.

The children of Spokane deserve exceptional care and we are happy being The Children's Choice for pediatric dentistry.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

ACTIVE LIVING

CAN HELP YOU FEEL

BETTER

SPINAL DIAGNOSTICS An aching back can be a real pain in the neck. Dr. Arthur S. Watanabe is an expert in finding the underlying causes of spinal and joint pain, then treating them. After reviewing your medical history and records, Dr. Watanabe creates a treatment plan that could very well lead to the end of your pain. In addition to steroid injections, joint and nerve blocks, and non-surgical remedies for osteoporosis fractures, Spinal

Diagnostics also features open MRI technology. This scanner is the only machine of its kind in the Inland Northwest; it affords ample headroom, and instead of being fully inserted inside a tube, patients slide through a 4.5-foot-deep scanner, which means even if you’re a big guy, there’s plenty of room to move, and no need to panic. 528 E. Spokane Falls Blvd, Suite 14 | Spokane l (509)455-6736 www.spinaldiagnostics.net

HAND THERAPY WORKS WONDERS We tend to take for granted the fact that when we tell our body to do something, it’ll just do it. But injury, illness, surgery and trauma have a way of reminding us that things don’t always work as we’d like them to. From fractures, arthritis and tennis elbow to carpal tunnel syndrome, burns and post-surgery restrictions, the therapists at Applause Hand Therapy help patients reap the benefits of rehabilitation to the upper extremities, including the all-

important hands. Treatments are specially tailored to meet each individual’s needs, and may include a heat modality, soft-tissue massage, range of motion work, myofascial release, joint mobilization or wound care. The main goal is to get you back to your daily activities and productive lifestyle – and that’s a goal worthy of a standing ovation.

2607 S. Southeast Blvd. Suite B-150 | Spokane South Hill | (509) 532-8114 | applausehandtherapy.com

TRY OUT SILVERSNEAKERS Keeping active, especially as we get older is important to our overall health. That’s why Group Health introduced its SilverSneakers® fitness classes, free to any senior enrolled in the Group Health’s Clear Care® HMO (Medicare Advantage) plans. Seniors meet at participating private fitness clubs (including Curves fitness clubs for women)

and YMCAs across Washington State. Sessions last one hour and are led by specially trained instructors. (In most classes, seniors exercise while seated in straight-back chairs.) Dates vary by location. Call (206) 326-2800 or tollfree: 800-992-2279 or visit www.ghc.org/classesAndEvents/ silverSneakers

DRINK GREAT FOR JOINT HEALTH An active lifestyle is critical to maintaining joint health.

But sometimes joints feel too sore and creaky to maintain an active lifestyle. Hmmm … that’s a real dilemma. Luckily there’s a supplement that promotes a refreshing way to hydrate your body and joints while you’re on the go – it’s called Supple. Created by a staff of expert medical and

research scientists, this health drink is full of good stuff that makes you feel great: glucosamine, chondroitin sulfate, plus plenty of vitamins and minerals. These ingredients provide the body with what it needs to augment the strengthening and rebuilding process. Problem solved. supplebodies.com

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LEARN FUNDAMENTALS OF PILATES If you’re used to the “bigger is better” approach to fitness, you’ll likely be surprised by the results a series of very small, precise movements can get you. Pilates is a system of specific exercises performed using eccentric contractions that simultaneously lengthen and strengthen muscles to increase both power and flexibility in a balanced manner. Pilates unites the mind with the body through the principles of breath, focus, precision, flow of movement, centering, coordination and balance. At Precision Pilates you’ll learn the fundamentals on the mat before moving on to more advanced workouts that incorporate the reformer, a piece of equipment that adds resistance and requires increased balance. Through your continued workouts you’ll enjoy increased energy, plus a stronger, longer and leaner body. Welcome to your new fitness philosophy: Less is more! 221 W. Pacific | Spokane | (509) 747-3439 | precisionpilatesofspokane.com

HERE’S TO BETTER ENERGY

Retirement shou|d be anything but boring.

You deserve a retirement community that keeps up with you. Riverview is an active living community that offers amenities to fit every lifestyle.

Whether its relaxing in the spa, swimming a few laps in the pool, or breaking a sweat in the exercise studio, our brand-new aquatics and fitness center is sure to wow you. If you like working with your hands, our 1,800 sq. foot, state-of-the-art woodshop could be the place for you!

Riverview has so much more to offer, including beautiful homes and a vibrant community. All so you can do your retirement, your way. Find out more about your next adventure at www.riverviewretirement.org.

509-483-6483 1801 E. Upriver Drive w w w.river view retirement.org Aquatics and Fitness Center, opening Summer of 2013

When it comes to a healthy life, we sometimes get in our own way by creating internal walls that block the body’s natural flow of energy. Left unchecked, these blockages can lead to physical and emotional illness. Reiki helps clear a path that allows energy to flow in a healing manner.

Compass Rose practitioners can help release blocked energy and negative emotional patterns that often lead to depression, anxiety, dysfunction and disease. Reiki treats the whole person – mind, body and spirit – and can be used as a complement to ongoing medical treatment. Compass Rose is an international Reiki training center, and it’s also a place where people come together to learn, to socialize, to let go and to heal. The desired result is more than a healthy body: it’s a sense of empowerment, a sense of balance, a sense of peace. 9803 E. Sprague | Spokane Valley | (509) 9269803 | ChangeYourCompass.com

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

ACUPUNCTURE CAN BENEFIT CANCER PATIENTS If you’re battling cancer, you likely feel tired, your joints hurt, you’re not hungry, and may even be anxious or depressed.

Acupuncturist Mary Iverson offers the possibility of decreasing some symptoms through acupuncture as an adjunct therapy to Western medical care. She has been working

with cancer patients for eight years and uses acupuncture for pain management and to decrease nausea. She also offers Reiki as an alternative to acupuncture for people toward the end of their life. 430 W. Second Ave | Spokane | (509) 863-5851 | HatchingTurtle.com

EXERCISE ‘ROUND THE CLOCK Do you ever get the urge to run on a treadmill at 3 in the morning? Whether insomnia or a late-night work schedule is to blame, Snap Fitness makes that dream of an after-midnight workout a reality. The gym is open 24 hours a day, seven days a week, which means it’s ready whenever you are. With locations throughout the city, you won’t have to travel far to find great fitness equipment in a clean, comfortable, safe and friendly fitness setting. As an added bonus you’ll enjoy online training, nutrition and

wellness services, all at an affordable rate that doesn’t require a contract. It looks like you’re gonna have to work a little harder to come up with a good excuse when it comes to skipping your workouts!

Snap Fitness locations in the Spokane area include South Hill, Cheney, Northtown Square, Mt. Spokane, Spokane Valley, and Indian Trail. North Idaho locations include Hayden and Coeur d’Alene.

SnapFitness.com

TEAM PILATES CONTINUES 90-YEAR-OLD DISCIPLINE Casual fitness fans may not know that there are pilates classes and Pilates classes. The former ones are classes that claim to teach some stretching and flexibility, maybe.

But the latter classes use the official Pilates Method and the trainer has official certification. Actual Pilates techniques have been around for more than 90 years as a form of exercise designed to correct imbalances in the body’s muscles, improve the range of motion in the spinal column and joints, and re-educate movement and posture. In Spokane, one place

to try Pilates is from Angelie Renay Melzer, owner of Team Pilates. Her studio at 521 E. Holland Avenue Suite 60 offers several classes including group mat, which tone and shape the body; small group equipment, which use a variety of tools such as springboards, chairs and more; an open gym where you can work at your own pace with the equipment; and a home mat plan, where you try a customized workout. To learn more or make an appointment, call (509) 232-0714 or visit team-pilates.com

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Devoted solely to Women’s Health Care including Obstetrics, Gynecology, and… is your Center for Urogynecology & Pelvic Reconstructive Surgery Specializing in the care of women with pelvic floor dysfunction.

Problems and symptoms associated with pelvic floor dysfunction: • Incontinence • Prolapse • Emptying disorders • Overactive Bladder • Pelvic (or bladder) Pain Please call and make an appointment to discuss possible treatment options.

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AFFINITY LIVING COMMUNITIES

businessPROFILE

NEW LIVING OPTION IS NOW AVAILABLE IN SPOKANE FOR THE 55+ CROWD www.AffinityatSpokane.com Affinity Living Communities is a new approach to living for people 55 and over. They offer high quality and value for those seeking truly independent living without high prices.

Visit Affinity at South Hill or Mill Road and you’ll notice the locations feel more like quality condominium communities rather than apartments.

Each suite is thoughtfully designed with modern finishes. There’s an abundance of amenity spaces inside and out, that allow residents to enjoy their new carefree lifestyle.

Outside you’ll see raised garden beds where residents can plant flowers, herbs and vegetables, a clubhouse with an indoor pool, spa, yoga studio, workshop and outdoor dining area.

Inside, residents enjoy Dilly Dally’s Pub with twice-weekly complimentary beer and wine happy hours, a state-of-the-art theater and fitness center, and an Internet café with complimentary coffee beverages.

While in-house food service is not part of the package, a daily

continental breakfast is included in monthly rent, and an a la carte dining program is available from local restaurant partners.

The hospitality-based approach does not include assisted living services, but for those desiring personal care, Affinity partners with the area’s most reputable providers.

You won’t find requirements for long-term commitments, expensive down payments and fees associated with other senior communities.

Both Affinity at South Hill and Affinity at Mill Road provide beautiful apartments and a community feeling for affordable monthly rent ranging from $995 to $1,450. Rent includes all utilities, cable TV, Wifi Internet, housekeeping twice per month and much more.

For a limited time, Affinity communities offer new residents a $500 gift card if they reserve by Oct. 31 and move by Nov. 30, 2012.

Affinity will be operating eight locations in Washington, Idaho and Colorado by early 2013.

The Spokane locations are at 3304 E. 44th Avenue for Affinity on the South Hill (509)448-6300/www.AffinityatSouthHill.com, or Affinity at Mill Road, 12710 N. Mill Road, (509) 465-2400/www.

AffinityatMillRoad.com Visit www.AffinityatSpokane.com or call 1(888) 690-6682.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

ARE YOU CARING FOR A LOVED ONE? You are Not Alone!

Caregivers often experience Interrupted Sleep on a regular basis, which can lead to exhaustion.

Caregivers often feel no one understands their situation or how they are feeling.

Elder Services (Frontier Behavioral Health) has Services and Resources that can help.

Please call Monday – Friday, 8 - 5 pm.

Services include: ■

Family Caregiver Support ■ Respite Care ■ Kinship Care ■ Support Groups

For information & support, Call Elder Services: (509) 458-7450

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

businessPROFILE

ARE YOU A CAREGIVER? CAREGIVERS ARE HEROES Across America, millions of unpaid caregivers provide care to loved ones. Caregivers include spouses, sisters, brothers, adult children, nephews, nieces, aunts, uncles, friends, etc. Caregivers are also grandparents raising grandchildren and relatives raising children.

They are selfless and devote time and attention to those who need them. They provide love, support, kindness, and “hands on” assistance to our most vulnerable and disabled neighbors, family and friends.

Caregivers face numerous challenges that include accepting new roles and responsibilities, as well as performing new tasks. Caregivers often put their own needs aside and put the welfare of others above their own. Caregivers typically do not seek assistance and can become isolated, frustrated and tired, which puts added strain on their physical and emotional health. Therefore, it is essential for caregivers to remain connected to resources and services that assist them in providing care. It can make the difference between living a life of isolation and loneliness and having quality of life.

Elder Services (a department of Frontier Behavioral Health) and Aging and Long Term Care of Eastern Washington provide services that support caregivers. These services include: Respite Care - Provides relief for caregivers by arranging timely, viable, and appropriate in-home and out-of-home respite care services; Family Caregiver Support - Provides caregivers with access to information and education, as well as practical items that help them maintain their caregiving role; Kinship Care - Provides relatives raising relatives and grandparents raising grandchildren with the support and resources necessary to remain viable caregivers.

It is important to remember that we may either become a caregiver or need one. Please call Elder Services and discover available resources and supports. And …. take a moment to thank the caregivers within your family or network of friends. After all, they are “Priceless.”

PLEASE CALL (509) 458-7450 for information.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Do you need a hysterectomy?

By Kim Andersen LiveWELL Correspondent

non-cancerous tumors in muscle tissue of the uterus.

Dr. Steven Brisbois, medical director of The Women’s Health Center at Sacred Heart Medical Center.

Photo Shallan Knowles

According to the American College of Obstetricians and Gynecologists, the hysterectomy, or removal of the uterus, is one of the most frequently performed surgical procedures in the U.S., and the second most common procedure for women after cesarian section deliveries.

The most common diagnosis leading to hysterectomy in the U.S. is uterine fibroids, which are typically

More than 50 percent of women over 40 have uterine fibroids. Most don’t have symptoms, thus require no treatment. But treatment may be recommended for severe pain, abnormal bleeding, infertility, or mass effect, which is the impact a fibroid or other growths can have on nearby organs and tissue, such as problems urinating or a swollen uterus.

A patient with problematic fibroids has surgical and non-surgical choices. Some non-surgical alternatives can preserve the uterus and shrink but not eliminate fibroids; use a drug to lower the production of estrogen; or employ a procedure called uterine artery embolization, where an interventional radiologist cuts off blood supply to the fibroid.

Conservative surgical options include removing the fibroids while preserving and repairing the uterus. Almost any woman with fibroids is a candidate for fibroid removal.

If the fibroids are inside the uterus, they may be removed with a hysteroscope (transvaginal scope into the uterus).

If the fibroids are deep within the uterus, they may be removed with a laparoscope (scope through the abdominal wall), which may require robotic assistance if the fibroids are large and numerous. Both

Photo courtesy InCyte Pathology

procedures can be performed on an outpatient basis.

Or, a woman with problematic fibroids, after consulting with her provider, may be a candidate for a hysterectomy.

Other options Other possible reasons for hysterectomy may include uncontrolled bleeding; severe endometriosis, which is uterine tissue growing outside of the uterus; or severe prolapse, which is when the uterus may have fallen or shifted to a different position.

In addition, most women with gynecologic cancers require hysterectomy. Hysterectomies won’t bring on surgical menopause – this only occurs when the ovaries are removed.

The only situation a gynecologist would suggest a pre-emptive hysterectomy is if a woman is at a very high risk for uterine or ovarian cancer.

Dr. Steven Brisbois’s, medical director of the Women’s Health

Center at Sacred Heart Medical Center, says a small percentage of women carry a gene that places them at high risk, and pre-menopausal women with a personal history of breast cancer may be able to reduce their risk for recurrence by up to 50 percent if their ovaries are removed.

“With careful informed consent, this option will be discussed,” he said.

Some in the medical community say more hysterectomies are performed in America vs. other countries, and suggest American surgeons make less effort to consider nonsurgical options.

However, even the critics suggest that extra time talking with your provider about current surgical options or other choices benefits everyone.

Please see more Hysterectomy stories on pages 27 and 30.

R

g

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

RESOURCES

for gynecologic procedures

By Kim Andersen, LiveWELL Correspondent

businessPROFILE

Dr. Steven Brisbois and 10 other gynecologists perform robotic surgery at Spokane’s Sacred Heart Medical Center. Gynecologists also perform robotic surgery at Deaconess Medical Center in Spokane and Kootenai Medical Center in Coeur d’Alene.

BEHIND THE CURTAIN PATIENT-CENTERED PATHOLOGY®

What to expect before & after a hysterectomy:

www.incytepathology.com

BEFORE: Your doctor will order diagnostic imaging and lab tests prior to surgery to provide information, including confirmation that you don’t have hidden gynecologic cancer, which may change the surgical approach.

“Your health team cares for you as you prepare, undergo and recover from surgery,” says Dr. David C. Hoak, M.D., chief medical director at InCyte Pathology. “Some of us are behind the scenes. There are specially-trained physicians called radiologists that read your ultrasound and other images before surgery.”

“At our lab, pathologists specially trained in gynecological pathology process Pap smears and endometrial biopsies. After a hysterectomy, while you recover, our lab does further sampling and testing on the organs to again rule out cancer and anything unexpected. The team provides the surgeon the best information, so he or she can make informed decisions in support of your health and healing.”

Tests before your hysterectomy may include: • Pap smear, which detects the presence of abnormal cervical cells or cervical cancer • Endometrial biopsy, which detects abnormal cells in the uterine lining or endometrial cancer • Pelvic ultrasound, which may show the size of uterine fibroids, endometrial polyps or ovarian cysts

AFTER: • After surgery, you’ll remain in recovery for a few hours. You’ll be monitored for signs of pain and receive medicine for pain and to prevent infection.

• Your hospital stay and recovery period is determined by whether you had an open hysterectomy or a minimally invasive procedure.

• With an open, or abdominal hysterectomy, you’re recovering from major surgery. Women will often be in the hospital 3-6 days after surgery, with a full six-week recovery time.

• For a minimally invasive procedure, your recovery time will be much quicker. Some women go home the same day, most by the next day.

You can often return to normal activities and work within a week.

• If you have a hysterectomy without removal of the ovaries, you may not need ongoing medication. If the ovaries are removed, hormonal changes occur. Depending on a woman’s symptoms, hormone replacement may be considered.

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Friends and family routinely share information about their doctors and dentists as part of a health care discussion.

However, have you ever heard anyone ask, “Who is your pathologist?” or “Who read your biopsy?”

Too often, the sole contact a patient might ever have with a pathologist is the signature found at the bottom of a pathology report following a surgical procedure.

InCyte Pathology

At , we believe that patients and their families want to be better informed about their health so they can better understand their illness.

Accurate, understandable information leads to informed decisions about the management of their care. Studies demonstrate that patients who cope best are the ones who are engaged with their treatment. These are the same patients who ask questions about their illness and treatment options.

InCyte pathologists are working diligently to provide innovative, and valuable resources for you to acquire the knowledge you can understand and trust.

The company’s newly created “Ask The Pathologist” web page is provided as a simple tool to help patients become more engaged and informed about their health. Helping patients to understand their illness enables them to gain control over their fears and make informed decisions about the course of their treatment.

A separate section at InCyte’s web site provides a wide spectrum of useful information that ranges from a basic glossary of terminology to more detailed information specific to your diagnosis.

InCyte Pathology has also implemented a Facebook page to make it even easier to contact us or find out what is new at one of our laboratories. The better patients understand their illness, the better partners they’ll be with their health care team, which now includes their pathologist.

So, who is your pathologist?

To learn more, visit: www.incytepathology.com.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

If you or someone you love ever experiences heart attack symptoms, it’s good to know that expert heart care is as close as Deaconess Hospital. As the region’s first and only* Accredited Chest Pain Center, Deaconess has demonstrated expertise in the assessment, timely diagnosis and treatment of cardiac emergencies.** Skilled specialists and advanced cardiac services are available 24 hours a day. To learn more about the nationally accredited cardiac care at Deaconess, visit DeaconessSpokane.com.

In an emergency, call 911. *As of August 2012. **According to the Society of Chest Pain Centers, www.scpcp.org.

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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businessPROFILE

www.altcew.org At some point in your life, you or a loved one will likely need extra assistance to safely remain at home.

Imagine being worried about an aunt because you fear she is no longer taking good care of herself. Or, you are trying to understand your Medicare Part D plan, or want to learn ways to better manage a chronic illness.

In Spokane, northern Ferry, Stevens, Pend Oreille and Whitman counties, Aging & Long Term Care of Eastern Washington is the designated Area Agency on Aging. Its job is to handle planning, resource development and advocacy work so people have needed services to remain at home as they age.

ALTCEW also serves individuals ages 18 and above with a disability eligible for Medicaid Personal Care who need long-term services and support.

ALTCEW develops, funds and monitors services which include Senior Information and Assistance, Care Management, Home Delivered and Congregate Meals, Family Caregiver Support, Respite and more.

Several are provided through agencies contracted with ALTCEW, including Elder Services, Rural Resources Community Action, and Greater Spokane Meals on Wheels.

Some are also provided directly by ALTCEW staff, like Medicaid Personal Care Case Management, RN Consultation services, Chronic Care Management, Senior Medicare Patrol and the Statewide Health Insurance Benefits Advisors (SHIBA HelpLine).

Perhaps your father is not taking medication because he says he cannot afford it. You can call the HelpLine and a trained SHIBA volunteer will help figure out why Medicare Part D plan is not paying for his medication.

The SHIBA HelpLine, (800)562-6900, funded by the Office of the Washington State Insurance Commissioner, serves individuals of all ages and economic status.

The SHIBA Program at ALTCEW utilizes 47 volunteers trained to assist with health insurance concerns especially Medicare issues.

There are 30 Medicare Part D plans, 31 Medicare Advantage plans and a multitude of Medicare Supplemental plans for Medicare beneficiaries to choose from.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

businessPROFILE

DAMON ORTHODONTICS www.DamonBraces.com

Consider your orthodontic treatment options! What is important to you: comfort, results, compassion, and cost? Damon Orthodontics cares about what you want.

Did you know that Damon Orthodontics is a Spokane legacy that began in 1968 with Dr. Floyd Damon? The Damon family of orthodontists has put Spokane on the world map of Orthodontics. Dr. Dwight Damon created a unique orthodontic system designed for comfort that produces outstanding long-term results, while compassionately reducing permanent tooth extractions, palatal expanders, and headgear, all within affordable cost and no-interest payment plans.

You can trust Dr. Clay Damon and Dr. Paul Damon to provide world-class expertise delivering orthodontic results while considering how important it is that the process is as easy as possible for their patients. You can learn more about the Damon System at www.DamonBraces. com and discover how it has improved orthodontic treatment process and results. Orthodontic treatment time is shortened using the lowfriction Damon System.

The American Association of Orthodontists recommends a screening exam at approximately age 7, but patients of all ages can benefit from orthodontic treatment. Orthodontics is about more than enhancing a beautiful smile it is also about improving a bite that is not right which left uncorrected contributes to current or future dental problems.

A bite that is right is a good investment today. Protecting your teeth is a very high priority. Overall health depends on healthy functioning teeth!

Damon Orthodontics has three convenient neighborhood locations to serve you. Go to the source of the Damon System™, call today to schedule a complimentary exam and discover if you would benefit from orthodontic treatment, what type of treatment best fits your needs, how much treatment time is needed, and what affordable payment plans are available.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

31

DOMINO PROJECT Teaching Young Children to Learn Domino Project is the only full-time ABA (Applied Behavior Analysis) program for young learners in our region, specializing in verbal, social and academic development through comprehensive, individualized programs with measurable results.

Families, if you are looking for….

• An early learning center for children ages 2-5 years who have autism and their peers.

• A network of education and support for families affected with autism.

• A learning opportunity for children without autism to become a peer model.

Contact us at Northwest Autism Center for more information about the Domino Project. Email info@nwautism.org or Call 509.328.1582.

Horse Liniment Erases Pain

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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

for millions.

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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With us, it’s personal.

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We offer individualized rehabilitation of hand and upper extremity injuries or conditions.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Stepping back, moving forward CHAS Physicians Physicians look look forward forward to to switching switching roles roles CHAS

By Dan Webster LiveWELL Correspondent

At age 63, Dr. David Bare could be excused if he decided to hang up his stethoscope and head for the beach.

But that’s not going to happen. Not at the moment, anyway.

Sure, Bare is leaving his position as medical director of Community Health Association of Spokane (CHAS, which he pronounces “chaz”), an organization he has worked for since 2003. But he is not retiring. Instead, he’s returning to the ranks as one of the group’s urgent-care physicians.

“As I say, I’m going from a high-stress job to a job with high stress,” Bare said, adding with a laugh, “Patients will be coming to me for answers, but I’ll have to fake it a lot less than I do in admin.”

His successor, Dr. William Lockwood, 51, knows full well what he’s letting himself in for. He’s worked at one of CHAS’s nine clinics, Spokane Urgent Care, since 2010. And he’d enjoyed a full career as an emergency-medicine physician before that.

“After 20-plus years, I was looking for a change,” he said. “Through a series of coincidences, I ended up at CHAS, in urgent care, because I thought that would be a fun

and interesting challenge.”

His new job is likely to be even more of a challenge.

But Bare, for one, is glad that Lockwood was willing to accept it.

“It was really kind of scary initially because at first we were thinking we were going to have to go outside CHAS to find somebody,” Bare said. “And I thought, ‘How do you recruit into a position like this?’ ” But then Lockwood showed interest in the position, and, Bare said, “It was like, ‘He already knows all of this stuff.’

So it was perfect.”

Much of “this stuff,” as Bare put it, is associated with what has been one of the biggest U.S. stories since Barack Obama’s

election as President in 2008: the ongoing struggle over passage of the Affordable Care Act, which provides health care to some 40 million Americans previously uninsured.

The societal need posed by a lack of universal health insurance is something Bare, Lockwood and their CHAS colleagues are familiar with.

Since its founding in 1994, CHAS has made it its mission, according to its Web site, “to fill a gap between those who have health insurance and those who don’t.”

The organization, a nonprofit system of federally qualified community clinics, currently serves some 46,000 patients in and around Spokane

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Bare, who has gone on 22 different medical “micromissions” to foreign countries, recalls how shocked he was when CHAS first started providing dental coverage to residents living near Lewiston, Idaho.

“I was seeing people in the clinic and I said, ‘I haven’t seen such devastated mouths since I was in Haiti,’ ” he said.

“You’d look into their mouths and they’d have all these black nubbins that were their teeth.”

The gravity of that moment still moves him.

“It’s hard to understand how the richest nation in the world could have a problem that you also see in the poorest nation in the Western Hemisphere,” Bare said. “That drew me to work at CHAS, to realize that we have people right here whom we need to take care of.”

www.spokesman. com/liveWELL

and the Lewis-Clark Valley. It provides medical, dental and pharmacy services, “regardless of insurance status.”

That includes, Bare emphasizes, “not just the uninsured but the underinsured” as well.

“I think the term that is most frequently used to describe organizations like ours is

maintain files but also acts as a fail-safe system, triggering an alert when a prescription seems to conflict with a patient’s history; – healthy living classes that, Bare said, teach patients how to “goal-set their lives toward lifestyle changes”; – patient population maintenance, facilitated through software that, Lockwood said, allows CHAS to “easily measure objective data to find out how you’re doing and areas in which you can improve”; – a push toward providing more behavioral health, because as Lockwood said, “many times a patient’s problem is behavioral and not medical.”

In the end, though, what both doctors are most proud of is the basic mission of CHAS itself: providing good, affordable health care to those who are least able to pay for it.

online & mobile

Photo by Jillian Wilson Drs. David Bare and William Lockwood

‘‘safety net,’ ” Bare ssaid. “And truly, if w we weren’t here, the ((emergency rooms) w would be overflowing … because people w wouldn’t be able to gget in until later in the d disease process. There w would be no chronicccare management, no h health management. It w would be all aacute care.”

When asked, both Bare and Lockwood are happy to expand on the various services that CHAS offers, which include but aren’t limited to: – what Bare calls “patientcentered health care,” a concept of pairing patients with primary-care providers in order to manage their health-care needs; – advanced electronic recordkeeping that doesn’t just

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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businessPROFILE

DR. JODI FUNK www.drjodifunkdds.com

Jodi Funk graduated at the top of her class from both Gonzaga and Case Western University Dental School in Cleveland, and completed

regarded by her peers as one of the best cosmetic dentists in the country.

a one-year residency before returning to Spokane. Jodi’s skills have been nationally recognized and she is

Jodi finds inspiration and excitement in finding creative solutions to patients’ oral health needs and making their lives better.

At her South Hill office, she specializes in cosmetic dentistry, which includes reconstruction, braces, crowns and veneers.

Her office has a great reputation for her dental abilities and special touches – fresh-baked cookies at checkout, a custom blend of Craven’s Coffee, and a friendly staff, most who have been part of the team for years.

“Jodi’s attitude always is ‘good enough isn’t,’” said Greg Miley, CEO of Dr. Funk’s dental business. “She never takes shortcuts, or uses inferior products. The office is state-of-the art and patient comfort is a number-one priority.”

This summer, her patient-first focus led to the creation of the Funk Dental Experience® System, an innovative program that does everything from reducing anxiety to teaching lifelong good dental habits.

The system includes: • Anxiety analysis • A customized patient treatment plan.

• State-of-the-art digital diagnostics and live video of dental work.

• Digital X-rays instead of film, with contrasts and color illustrations.

• Warm blankets, hand waxing, an iPod with personalized music, and movies during exams.

• A Cavity Club for Kids, with regular prizes for brushing well.

“Our goal is to make you comfortable and help in making smart choices,” Dr. Funk said.

Come see us at 2829 S Grand, Suite 301, Spokane, or call (509) 747-4242. Visit drjodifunkdds.com.

ADVANCED HEARING AID CENTER

businessPROFILE

www.hearingaidsspokane.com Advanced Hearing Aid Center is a family-owned business that has

operated in Spokane for over

20 years. We are dedicated to providing our customers with the highest standard of care in a warm and friendly environment.

The company philosophy is that customers are not just customers -- they are part of the family, and the door is always open.

Eldon Kellogg, owner of Advanced Hearing Aid Center, shares why the center’s efforts are so important.

What do you like most about what you do?

I get such a joy from helping people hear. To see the look on their face when they can hear loved ones again is truly amazing. I love being able to offer such a wide variety of styles and brands, and I can usually find a hearing aid in everyone’s price range.

Is there anything new and exciting that you’d like to share? We are so excited to be one of the very few companies in Spokane that offers free Bluetooth for your telephone and TV (with most models) at no extra cost to you!! This is a huge savings to our customers and they get such an enormous benefit from it.

Anything else that you would like people to know? I would like people to know that it’s very important to get your hearing evaluated. You can schedule a free complete hearing evaluation in our office or in your home to find out how well you hear. If you have been exposed to loud noise in the work place, call us, we may be able to help.

Advanced Hearing is at 933 W. Third in Spokane, in the BOF Building, at the corner of Third and Monroe. For more details visit www.hearingaidsspokane.com or call (509) 835-3999.

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Advertising Supplement to The Spokesman Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Visit CHAS at any of our 9 clinics throughout Spokane County & the Lewis-Clark Valley.

509.444.8200 chas.org

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Advertising Supplement to The Spokesman Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Not your mother’s

hysterectomy SEVERAL OPTIONS FOR PROVIDERS, PATIENTS TO DISCUSS

By Kim Andersen LiveWELL Correspondent

Sharon Davis knows the difference a few years can make. Because of technological advances and a compassionate physician with specialized training, her quality of life has improved dramatically.

In 2007, Davis became Dr. Steven Brisbois’s first significantly obese patient to receive a robotically-assisted hysterectomy.

Brisbois, medical director of the Women’s Health Center at Sacred Heart Medical Center, began performing gynecological surgeries with help of the da Vinci robot in 2006, a year after the FDA approved its use for these types of surgeries.

With new treatments and advanced technology, women – especially those battling obesity and its complications like

while a shorter recovery time than open surgery, has longer healing time than a laparoscopic approach, where the surgeon uses a scope through the abdominal wall.

He said in some patients, surgeons can’t remove the uterus vaginally due to obesity, cancer, an enlarged uterus, adhesions or scarring from previous surgeries, or two or more c-section births.

The roboticSURGICAL assisted option, APPROACHES: which Davis experienced, If the decision is made involves a surgeon for a hysterectomy, there are with specialized two surgical approaches – a training sitting at traditional, or open surgery a console remotely – or a minimally invasive controlling procedure with smaller instruments incisions. inserted into the Dr. Steven Brisbois, medical director of The Women’s There is less scarring with body through small the minimal procedure, recovery Health Center at Sacred Heart Medical Center and incisions. patient Sharon Davis. Photos by Shallan Knowles. time is shorter and a woman From the console, goes home from the hospital hospital stay, and six weeks of the surgeon views a magnified, sooner, many times the same day recovery.

3D image of the surgical site, and she can return to work in a Surgeons may perform and can flex and bend robotic week. minimally invasive instruments like a wrist.

An open hysterectomy, on the hysterectomies with a vaginal other hand, requires a 5-7 inch approach, which Brisbois said abdominal incision, a 3-6 day has some degree of risk, and Davis -- have more options today than even 5-10 years ago, both for the type of hysterectomy doctors recommend, and alternatives to surgery.

“Every patient is unique and what is a good option for one woman may not be for another,” said Brisbois.

“The options and alternatives available depend on a woman’s symptoms, overall health and where she is in life.”

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

DAVIS HAD RUN OUT OF OPTIONS: “Because of excessive bleeding, I had no quality of life,” says Davis. “During my

She met with Brisbois, who concurred that a vaginal hysterectomy would not be an option because of her size, and an open procedure would also be risky.

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ACTIVE LIVING CAN HELP YOU FEEL BETTER HARMONY GROVE

periods, I couldn’t sit at work more than 15-20 minutes. If I was at home, I didn’t leave.

I couldn’t plan anything. I became anemic and chronically tired. I was hopeless.”

A co-worker recommended a gynecologist, who informed Davis that she had fibroids.

The doctor would typically recommend a hysterectomy because of the bleeding.

But because of Davis’s weight, she was told a traditional hysterectomy would be too risky due to possible complications and infection. She was also not a good candidate for other hysterectomies.

“I came out of the doctor’s office and sobbed,” says Davis.

“While I cried, I prayed and asked God, ‘What do I do now?’

A thought started running through my mind: “Get a second opinion.”

However, he offered to attempt a hysteroscopic removal of her fibroids, and removed most of them.

The bleeding improved for approximately eight months, then worsened.

“I knew I had to go back, and this time, I needed the hysterectomy,” Davis says.

After Davis’s initial surgery, Brisbois had received training in performing hysterectomies with the da Vinci robot, and now had a new option to offer Davis. They agreed to proceed.

Brisbois said everything went successfully. Davis stayed overnight in the hospital and went home the next day. She has had no complications since and feels great.

“It’s a huge blessing. I’m so grateful to Dr. Brisbois,” says Davis. “I’m sharing my story because I want other women in my situation to know there is hope. I have my life back.”

If your family is dealing with the anger and pain caused by alcohol or drug use, it’s important to know that there is a place to turn. Intervention Specialists LLC and the Family Recovery Program provide counseling for families who need help recovering from years, and sometimes generations, of relationship damage. Using a positive and affirming recovery process, each family member gets support for healing through eight gentle and loving strategies of intervention.

The process of getting a loved one into treatment is tailored to the individual family and emphasis is placed on mutually building healthy emotional management, communication, conflict resolution and problem-solving skills – as a family.

Most insurance plans are accepted here and families from Tri-Cities to Colville, and Montana to the Coulees are served.

9203 E. Trent No. 2 Spokane (509) 838-2111 or (866) 788-7464 www.TreatWithCare.com

HIGH INTENSITY FITNESS H.I.T. Workout Fits Ultra-busy Schedules. A new workout called H.I.T. (High Intensity Training) has become quite the “hit” for busy people these days who can see results after working out just two hours a month. The workout consists of 15 minutes doing six reps of a total of six or seven resistance exercises using light weights very slowly—10 seconds pushing the weight out and 10 more bringing it back. Marcell Scott, owner of H.I.T. Fitness in Spokane, says the goal is to push the body to maximal depletion of its glycogen stores. Scott says because replenishing those carbohydrate reserves takes the body three days, clients can’t work out more than twice a week and that they should be prepared for thorough fatigue after a session. For more info, go to spokanehitfitness.com

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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Healthy experiences await you at Coeur d’Alene Casino A little off the beaten path and many miles from ordinary, one amazing resort retreat offers a memorable golf, gaming and spa experience that is well worth the journey.

Set within the unspoiled splendor of the Idaho Panhandle – amid 345,000 acres of soaring alpine ridges, sparkling mountain lakes and stunning blue skies – a world-class golf club, resort and casino are quickly making the sprawling tribal lands of the Coeur d’Alene Indian Reservation one of the most popular vacation destinations in the Inland Northwest.

Owned and operated by the Coeur d’Alene Tribe, Circling Raven Golf Club roams across 620 acres of forested meadows, preserved wetlands and vast expanses to create a magnificent links-style layout that is as majestic, riveting and inspiring as its namesake.

The club also features a 25-acre practice facility and a 6,500-square-foot clubhouse, complete with locker rooms, showers, a full-service bar and the Twisted Earth Grill.

Adjacent to Circling Raven rests the Coeur d’Alene Casino Resort. Its 15,000-square-foot Spa

Ssakwa’q’n will enliven your spirit and connect you with nature in celebration of the seasons. The spa offers an array of treatments, ideal for a day of pampering or as part of your stay and spa package at the hotel.

The resort also features a pub/restaurant, a gourmet steakhouse and quiet bar. In addition, the resort added 98 hotel rooms last year, bringing the property’s total accommodations to an impressive 300 deluxe rooms and suites.

The Coeur d’Alene Casino Resort is one of the premier resort destinations in the Northwest. cdacasino.com 1-800-523-2464

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

MEDICAL TECHNOLOGY HELPS US ALL LIVE WELL PROFESSIONAL HEARING HEALTH CARE Professional Hearing Health Care specializes in audiometric evaluation, consultation, fitting, and programming the latest in digital hearing instruments. The Spokane Valley company emphasizes the importance of following up and fine tuning all hearing instruments after the original fitting, and its highly-trained hearing

professionals continually attend manufacturing company training seminars in order to learn the latest in hearing technology updates. Visit them at 12211 E. Broadway Avenue, Suite 4, Spokane Valley, Monday-Friday 8:30 a.m. - 4:30 p.m. (509) 924-3459 or www.prohearingspokane.com

SPOKANE COMPANY MEETS MEDICAL EQUIPMENT NEEDS Sine 2001, Spokane-area residents have had a new source for medical equipment, especially those wanting to be active but who may lack medical insurance or health benefits. A company called Wheelchairs and More, which later joined Western Medical Specialties, offers easy access to wheelchairs, power chairs, scooters, hospital

beds and more. The location at 202 W. Indiana offers a one-stop-shop for equipment, bath aids, disposable gloves, adult diapers and more. There’s even an on-site repair shop for people needing help maintaining their equipment.

For more details or information call (509) 489-6879 or www. usedwheelchairsandmore.com.

TOPICAL LOTION GREAT FOR ACHES Whether you’re sick or hoping to stay well, in search of something to perk up your beauty routine or looking for a fun gift or quirky household gadget, you pretty much know you’ll find what you need at your local Walgreens. But you might be surprised to learn that one of the things they carry to make you feel like a human again is actually something created to make horses feel better. No kidding!

ArthArrest is a topical analgesic lotion that has

proven to be so effective in alleviating pain from inflammation that it is used to treat racehorses’ legs. Not many of us put ourselves through the rigors of a thoroughbred, but running a 5k can bring on aches and pains only a human understands. If you’re dealing with pain from arthritis, sports injuries, bursitis, sprains or everyday aches and ouches, this stuff can get you back on track. walgreens.com

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

NORTHWEST BEDDING

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www.nwbedding.com Paul Paradiso, Sales Manager at Northwest Bedding How long have you been in business?

Northwest Bedding has been in business in Spokane since 1966. Our original store is at the corner of Division and Francis at 6227 N. Division. Our second location is in Spokane Valley at 14102 E. Sprague. Our manufacturing and warehouse facility is at 6102 S. Hayford Road, where we build, warehouse and ship our products to our retail stores and to over 150 wholesale accounts in Washington, Oregon, Idaho, Montana and Alaska.

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We have ďŹ ve major collections: The Spokane Collection; Vi Comfort Visco/Gel Collection; an adjustable power base collection; the Ultimate Life Collection; and Chiropractor Collection, designed in cooperation with a group of Spokane-area chiropractors. These mattresses offer a very conforming spring system with a ďŹ rm base.

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We are much more than a mattress store. We carry a full range of bedroom furniture representing many styles, wood colors and price ranges. We also offer one of Spokane’s best motion-upholstered furniture departments featuring recliners, reclining sofas, loveseats and sectionals.

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*Special terms apply to purchases charged with approved credit. The minimum monthly payment will be the amount that will pay for the purchase in full in equal payments during the promotional period. Interest will be charged to your account from the purchase date at the regular APR if the purchase balance is not paid in full within the promotional period or if you make a late payment. For newly opened accounts, the regular APR is 27.99%. The APR may vary. The APR is given as of 01/01/12. If you are charged interest in any billing cycle, the minimum interest charge will be $1.00. Offer expires 9/30/2012

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Joint replacement surgeries continue to rise BABY BOOMERS LIVING LONGER, OBESITY PLAYS MAJOR ROLE Story & photos by Courtney Dunham LiveWELL Correspondent As our life expectancies increase, we’re putting more demands on our bodies and the result is joint replacements are on the rise.

Hip replacements are expected to increase 174 percent in the next 20 years, and knee replacements will likely rise even more.

About 500,000 knee replacements and more than 175,000 hip replacements are performed annually. Dr. David Scott, M.D., specializes in total joint replacement and arthritis surgery at the Orthopaedic Specialty Clinic of Spokane and is founder of the Spokane Joint Replacement Center. He said the increase is primarily due to the lifestyle of the Baby Boom generation, whose members he said collectively aren’t willing to stop doing what they enjoy.

Joints are beat up and people are living longer, and they want joints that let them do what they’re used to doing.

This also means that younger people, often in their 50s and even 40s, are demanding joint replacements, increasing the market for the surgery.

“Joint replacement is growing every year, due to the increased activity and sheer number of the “Baby Boomers,” Scott said.

“It’s also due to the increased aging/life expectancy of the U.S. population. We’re replacing

(more) joints in both younger and older patients than ever before.”

Scott speaks nationally and internationally about trends and techniques and also maintains an active presence in clinical research. As the first surgeon

had rheumatoid arthritis, a disease for which treatment has markedly improved.

Now, osteoarthritis – caused largely by trauma and wear and tear – is the leading reason for joint replacements.

Total knee replacement

Dr. Amaryllis J. Scott from Orthopedic Specialty Clinic of Spokane.

to use a metal-on-metal hip replacement device in Spokane, as well as hip resurfacing and computer assisted surgery, his pioneering expertise continues to bring the latest in medical advances in orthopaedic medicine.

A couple of decades ago, the majority of people needing joint replacement surgery

utilization in the U.S. more than doubled from 1999 to 2008.

Although population growth is a factor, Scott said obesity plays a major role. It’s a huge problem that contributes to the deterioration of hips and knees, plus other serious medical problems.

“Weight loss will help increase mobility, but once you have a

worn-out joint, weight loss alone will not be sufficient,” he said.

“However, hip/knee replacement allows a patient to pursue weight loss, with all the general health benefits that follow.”

Scott said there is a wide range of ages that make for good surgical candidates for replacement, the most common being between age 40 and 80. Younger or older candidates pose different problems.

Recovery time varies greatly based on the individual, but Scott said the vast majority of hip/knee replacement patients are doing well four to six weeks after surgery.

There can be a lot of anxiety and worry with joint replacement surgery, so the staff likes to explain the whole process.

Spokane Joint Replacement Center is located within the Orthopedic Specialty Clinic. It offers a full interdisciplinary team including physical therapy, medical assistants, physician assistants, and research staff.

Patient Dick Denenny said having two total knee replacement surgeries wasn’t in his game plan, but when the 64-year-old could barely walk or stand, he knew it was time.

“Dr. David Scott has given me my life back. Three-and-a-half months after my second total knee replacement, I was back on the ski slopes. I have no joint pain and am enjoying what I love

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

to do again,” he said.

Scott replaced both of Debra Peale’s hips in two surgeries six months apart. Peale, 53, was particularly impressed with Scott’s seamless coordination with the staff at Holy Family, where the surgery took place, to provide her with the care she needed.

“I hurt my hip about 30 years ago, and then life just happened.

I love riding horses and working on the farm, but this really wore out my hips. The pain got so serious that I had to change jobs at work because I couldn’t climb the stairs to my old desk. Not to mention that I had to quit walking and running.

“When I met Dr. Scott, I was comfortable with his knowledge of my injury. Life is absolutely great now. I had tears of joy when I got back onto my horse.”

The clinic specializes in every

area of orthopaedics beyond joint reconstruction and replacement, including sports medicine, hand and upper extremity reconstruction, foot and ankle reconstruction, and physical and occupational therapy.

Another big portion of its patients come from sports medicine, more recreational than pro athletes. Dr. Amaryllis J. Scott specializes in sports medicine and shoulder surgery, and also sees a lot of people that hurt themselves doing “regular” (non-athletic) activities around the house, playing with their kids.

At age 24, Britney Brownlee enjoys being active, doing everything from half marathons to snowboarding. But after she felt a pop in her knee, she couldn’t do any of those activities for more than a year.

“I had a deep pain, but we couldn’t find anything using MRI or X-rays. Dr. Amaryllis Scott was able to identify the injury and fix it through surgery. I’m now doing the sports that I love and feel like I’m back to 110 percent.”

Dr. Kurt Anderson is the clinic’s specialist in upper extremities.

He works most often with Nerve Compression Syndrome, including Carpal Tunnel. He hasn’t necessarily seen an increase in surgeries recently, because usage has been high for some time.

“It continues to be an issue for anyone at the computer for the majority of their workday,” he said. “Repetitive use activities are the biggest challenge, however, diabetes, high blood pressure and hypothyroidism can all contribute. Conversely, Nerve Compression Syndrome/

Carpal Tunnel can be present with none of the previously mentioned contributors.”

Anderson recommends that computer users take hourly breaks for a minimum of five to 10 minutes at each break.

Arthritis is something that everyone seems to eventually have in upper extremities at some point. As with Carpal Tunnel, Anderson said it’s important to be evaluated early when you are experiencing pain from an unknown source, swelling, redness or loss of motion.

Whatever it is that ails you, patients are much more likely to experience better results when they see a medical professional shortly after experiencing symptoms, rather than waiting.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

MANY RESOURCES

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FIND ANSWERS TO COVERAGE QUESTIONS Submit this form in triplicate. Decide which deductible you want. Do you need catastrophic or comprehensive coverage? Whew. If your experience with finding medical insurance goes something like this, your first call should be to the knowledgeable SHIBA volunteers at Aging and Long Term Care of Eastern Washington. Whether you’re wondering about your Part D options, or need to find insurance for self-employment, this is a resource you’ll want to take advantage of because they offer free, non-

biased advice on what coverage might work best for you. And, if you want to make changes to your Medicare Advantage or Medicare Part D this year, open enrollment runs from Oct. 15 to Dec. 7. Lucky for you ALTC is holding a series of free workshops to help you determine which way you should go. For dates and times, call Margaret or Kathy at (509) 458-2509. If they don’t know the answer, they’ll find someone who does. Talk about excellent coverage! 1222 N. Post Street | Spokane | (509) 458-2509 | www.altcew.org/

COURTLAND PLACE ALL ABOUT RELAXATION If you’re over 55 and ready to relax, it’s time to consider Courtland Place. This residential retirement community located in the center of Spokane Valley boasts all groundfloor units, each with its own washer/dryer and full kitchen, plus private patios and grassy areas. Don’t feel like cooking? Head to the community dining room for dinner!

Take advantage of the community’s exercise room, game room and craft room, or take a load off and be pampered in the on-site beauty shop. Independence, comfort and privacy are at the top of the list, but socializing takes the cake. 1309 N. Evergreen Road | Spokane Valley | (509) 928-9197 | www.courtlandplacespokane.com/

IDAHO PHARMACY KNOWN FOR SERVICE North Idaho residents know that Interlake Pharmacy is the place to go when they want quick, caring and committed customer service. The staff has lived by the motto “Caring for you and about you” for more than 25 years, and regulars have come to trust the personal consideration and attention to detail that’s part of the program here. For patients who need a little help keeping track of complicated medication regimens there’s an individual compliance packaging program,

and if you’re too sick to walk up to the counter, there’s a delivery service and a convenient drive-thru. In addition to customized compounded medications and biodentical therapies, you’ll find diabetic and ostomy supplies, plus a great selection of gifts and cards. Since insurance co-pays are the same no matter which pharmacy you choose, why not visit a full-service pharmacy that offers plenty of extras? 700 Ironwood Drive | Coeur d’Alene | (208) 664-6664 | stores.healthmart.com/InterlakePharmacyHealthMa

NATIVE HEALTH WELCOMES ALL The NATIVE Project is a believer in creating a circle of care, when many people, organizations, families, even government agencies can combine their energy and efforts to create to benefit patients, who will in turn find ways to return the favor. Since 1987, the mission of the NATIVE Project and Native Heart Clinic has been to provide services that promote wellness and balance of mind, body and spirit for individuals, staff, families and communities. Balance and harmony can help combat drug and alcohol lifestyles, incorporate Native values,

promote integration of healing paths, respect lifestyles that encourage prosperity, and advocate education and awareness. The non-profit offers medical services, behavioral health services, treatment services, and children/youth services., including dental carea. There’s even a CHAS pharmacy on site. The NATIVE Project and NATIVE Health offices are at 1803 W. Maxwell in Spokane, and can be reached at (509) 483-7535 (Health) and (509) 325-5502 (Project.) For more info visit I www. nativeproject.org/NATIVEHealth.html

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Aging, active population spurs rise in knee, hip surgeries

By Dan Webster LiveWELL Correspondent An image sits fixed in Dr. Alan R. Danielson’s mind. It involves a bench, tucked behind the front door of his grandmother’s house, on which he remembers seeing what used to be the only practical solution to a degenerating hip or knee joint.

A collection of canes.

“I remember seeing, like, six canes in this thing,” Danielson said.

Danielson, 69, is an orthopedic surgeon who specializes in hip replacements.

Having practiced in Spokane since 1975, he is part of the medical group Northwest Orthopaedic Specialists. He and his colleagues, such as Dr. A. Kirk Reichard, are part of the medical specialty – hip and knee replacement – that has become such a familiar part of contemporary U.S. medical practice.

According to the American Academy of Orthopaedic Surgeons, some 800,000 hip and knee replacements were performed in 2003. Danielson says that total is now closer to 1 million – and rising.

The reasons for this increase are obvious: not only is the U.S. population aging, but that same population doesn’t want to restrict its activities due to physical limitations.

Danielson and Reichard both say, because of surgical procedures and technology developed over the past couple

of decades, today’s patients don’t have to restrict themselves the way previous generations did.

“One of the unique things you see in the current population is that people want to be active for so much longer,” Reichard said.

“And we’re trying to piece them together so they can continue their level of activity, whether

in hip- and knee-replacement and specializes in the “anterior approach” method of hip replacement. As opposed to the posterior or lateral approaches, the anterior approach goes in through the front of the hip and, as a consequence, involves the spreading – not cutting – of muscle groups.

Dr. Khalid Shirzad

arthroscopic surgery and jointreplacement surgery – can remember when hospitalizations “could be up to a week or even longer.”

“I surveyed my patients recently, and half of them are going home on the second post-operative day and half on the third, roughly,” he said.

“That’s a dramatic difference.”

Dr. Tycho Kersten

it’s with sports medicine and arthroscopic surgery to fix ligaments and tendons or when their joints are degenerating and treating them with hip, knee and shoulder replacements.”

The technical part of joint replacement has improved immensely, the doctors say.

Reichard, 38, did a fellowship

Because the procedure is “less invasive,” Reichard says, “we’re seeing what seems to be less dislocation and possibly a faster recovery rate for patients.”

Danielson, who says he is “old enough to have been involved in what I think are the two most significant changes in orthopedics” – namely,

John Neiertz can testify to the procedure’s effectiveness.

At age 63, with his right hip deteriorating, Neiertz had been managing his pain with four Aleve a day – two in the morning, two in the evening.

“I couldn’t get my shoes on, couldn’t get a sock on,” he said.

“It was just too painful.”

On Jan. 16, he underwent an anterior hip-replacement conducted by Reichard. A day and a half later, he was

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

homeward bound, the only sign of his operation a 7-inch scar on the front of his hip. And by the first of February, he was back at work – without having to use either a walker or a cane.

“I couldn’t be happier with the results,” Neiertz said. “I can walk without limping. I can play golf again. I can do yardwork without having to take pain pills when I’m done. I’m extremely happy.”

“It’s like a whole new lease on life,” he said.

Other advances, from advanced polymers that last far longer (some manufacturers advertise “30-year knees,” Danielson said) to better painmanagement treatment, have contributed to faster recovery times.

“Anything that gets these older patients up and moving faster curtails complications,” Danielson said.

So are you a candidate for joint-replacement surgery? Only your doctor can tell you. But if your doctor is Danielson, he will ask you two things: What is your level of pain, and how much are you willing to alter your lifestyle?

“If you get to the point where these things are more than you can handle, and you step back and yell ‘uncle,’ that’s when you do it,” he said.

Of course, you could always opt to be like Danielson’s grandparents.

“They used canes,” he said.

“They limited themselves and put up with a hell of a lot of pain.”

Photos by Shallan Knowles

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“THE Y” - 125 YEARS OF MAKING A DIFFERENCE FOR COMMUNITY YOUNG PEOPLE With the core values of caring, honesty respect and responsibility, the YMCA continues to put Christian principles into practice through programs that build healthy spirit, mind and body for all.

The YMCA joins together men, women and children in a social commitment to nurture the potential of kids, promote healthy living and foster a sense of social responsibility. YMCA of the Inland Northwest has three locations: Central Spokane, North Spokane, and Spokane Valley. Each location has unique features and facilities, such as the Central location that shares its facility with the YWCA, an aquatic center, and teen and family centers. The North Spokane location offers teen and fitness centers, outdoor recreation spaces, and an aquatic center. The Valley Spokane at Mirabeau Point includes an

aquatic center, a climbing wall and more.

The YMCA also sponsors the Eastern Washington University Children’s Center; RSVP, a program for senior volunteers; and Camp Reed, a program that has been offering programs since 1915. For more information call (509) 777-9622 or www. ymcaspokane.org/

STAYING AFLOAT IS STAYING ALIVE Staying Afloat is Staying Alive. To assist families in purchasing affordable, properly fitting life jackets, Spokane Regional Health District and the Inland NW Drowning Prevention Coalition have partnered with Big 5 Sporting Goods to provide 25 percent off discount coupons for life jackets. The coupons provide tips for proper life jacket selection, fit and use, and may be redeemed at any Big 5 Sporting Goods store in Washington state or north Idaho through Sept. 30.

Go to www.srhd.org/ and click on “Staying Safe in the Water.”

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HEALTHY SOLUTIONS A PET THAT DOESN’T SHED! A PET that doesn’t shed, doesn’t need to be fed and helps get you mobile? The one drawback is it’s not very snuggly. But for people who don’t have use of their legs, this PET— short for “personal energy transportation”—will make their eyes light up with delight as if they’d just received a new puppy.

Knobby-tired, colorful, with three-wheels and pedals on the handlebars, PETS have done just that for over 31,000 people

KEEPING ACTIVE HELPS YOU FEEL YOUNG

in 94 countries ies since the non-profit n was started 17 years ago.

One of the chapters is right here in Spokane. Started by Dick Carpenter, a retired attorney, because “it hit my heart,” Carpenter says the bike wheelchair hybrids are donated to people who need them via a network of nonprofits and through generous corporate donations. For more info, Call (509) 4663425 or petspokane.org.

VARICOSE VEINS - BEYOND A COSMETIC ISSUE For years, the only treatment available for varicose veins was surgery—called vein-stripping—that entailed having damaged veins tied off and removed in a hospital operating room. Now, there is a newer, less invasive technique called endovenous laser ablation. “Varicose veins are not just a cosmetic problem,” says Renu Sinha, a surgeon and board-certified phlebologist with the Rockwood Vein Care Clinic. “We have to change that perception among patients and health care providers.” Varicose veins can cause many problems with ambulation, fatigue or swelling, as well as tissue damage and venous ulcers. The procedure can take less than one hour, and patients are usually free to resume normal activities immediately afterward. For more info, go to www.rockwoodclinic. com/services and click on “Vascular and Endovascular Center” or call (509) 473-5537.

SENIOR CIRCLE PROGRAM SUPPORTS HEALTHY LIVING This social and support group for the “50 and better” crowd is sponsored by Deaconess Medical Center and Valley Hospital and Medical Center, and offers monthly “Doc” talks, “Lunch & Learns,” member only benefits, day and overnight trips, exercise programs, as well as subscriptions to local and national publications.

Members will also be introduced to some of the physicians at these facilities to improve relations between patient and doctor. For more info, call (509) 473-7899, or e-mail Joey Frost, Deaconess Medical Center Volunteer Services Senior Circle Director, frostj@empirehealth.org.

IS RETIREMENT BORING YOU? If a new career sounds exciting but you don’t know where to start, the Community Colleges of Spokane and the Institute for Extended Learning are affordable ways to explore your areas of interest and perhaps find a new calling! Take a skills-based course through the IEL to find out where your journey should begin or jump right in to one of CCS’s many programs. For more info, visit ccs.spokane.edu and iel.spokane.edu.

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PARKS DEPARTMENTS HAVE SPECIALTY ACTIVITIES Croquet leagues and Wii bowling are all the rage right now in senior centers across town! Keeping Spokane residents 50 years of age and older moving, the Spokane Parks & Recreation Department offers a wide variety of activities including travel (1-day and overnight trips, cruises, international travel), socializing, exercise and wellness classes, sports such as tennis, golf and bowling, as well as the chance to pursue old hobbies

and learn new ones, supplement income and contribute to the community! As well, educational seminars and workshops are available on a wide range of topics. For more info, go to spokaneparks.org/ and click on Recreation. Coeur d’Alene Parks & Recreation also offers Senior Activities including pinochle, bridge, quilting, and club meetings. parks.cdaid.org

SPOKANE REHABILITATION CENTER OFFERS DYSPHAGIA RELIEF A new and effective therapy to reduce the pain and inconvenience of dysphagia—a common condition that makes swallowing a challenge—is now available at Franklin Hills Health and Rehabilitation Center in North Spokane. VitalStim® Therapy, which uses electrical stimulation to retrain throat muscles, is the first proven treatment for dysphagia, backed by compelling clinical data and approved by the FDA. Franklin Hills is a recipient

of the American Health Care Association and National Center for Assisted Living’s Bronze – Commitment to Quality, a national award in recognition of their strong commitment to continuous quality improvement.

Franklin Hills Health has served Spokane and Eastern Washington Counties since 1960. For more information, go to franklinhillsskillednursing.com/ or call (509) 489-3323

NW AUTISM PROJECT OFFERS SUPPORT, RESOURCES Autism is a worldwide health concern – it’s estimated to affect one in every 91-101 children in the U.S. – but the real challenges occur at home, within families, schools and neighborhoods. Since 2003 the NW Autism Project has been supporting, facilitating and building accessible and comprehensive community-based approaches to helping children and adults with autism spectrum disorders in the Inland Northwest. Offering opportunities for learning and connections, staff here work with healthcare communities to improve early identification, diagnosis and referral to build integrated service provision through the

lifespan of people with autism. In collaboration with Eastern Washington University and Sacred Heart Children’s Center, NW Autism Project launched The Domino Project in 2008 to develop a robust network of autism professionals in our region to provide effective and innovative solutions to the complex challenges of autism. The needs of people with autism are no different than for any of us; we all need to love and be loved.

This project helps make it happen. 25 W. Fifth Ave. | Spokane | (509) 328-1582 NWAutism.org

GOLD’S GYM MAKES FITNESS EASIER Gold’s Gym has made getting in good shape even easier. No, you still have to burn lots of fat and build lots of muscle, but the nationwide fitness center has plenty of ways to plan your workout and fitness strategy, even before you enter one of their locations, including one on Spokane’s North side and one on the South Hill. For instance, even visiting 7dayvip. goldsgym.com can get you inspired by a busy stream of members setting fitness goals. You can find out when classes are offered in your area and find out how to sign up for one.

You can calculate your Body Mass Index online, which is a handy figure to have when you start planning your fitness goals, and set a resolution for better health. You can sign up for a 7-day pass to see for yourself why Gold’s Gym has been

around for 45 years and has more than 700 locations world-wide. The company prides itself on the latest cardio and strength training equipment, plus a wide array of group fitness classes, from martial arts to Pilates.

For more details visit the north location at 10101 N. Nevada/(509) 465-0500 or the south location at 2921 E. 57th Avenue/(509) 448-5800. www.goldsgym.com

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businessPROFILE

businessPROFILE

BELLAVITA ADULT FAMILY HOME www.bellavita-afh.com

ROCKWOOD CLINIC www.rockwoodhealthsystem.com Rockwood is a multi-specialty clinic. Rockwood patients have the benefit of primary care, urgent care and specialty care from multiple locations including Spokane, Airway Heights, Coeur d’Alene, Cheney, Deer Park and Medical Lake.

Rockwood sees more than 110,000 patients a year and employs more than 220 physicians and providers and a total of more than 1,100 employees. Rockwood offers more than 40 specialties and operates from 12 primary clinical locations providing concentrated medical and urgent care services and several other specialty care locations throughout Spokane and Coeur d’Alene, Idaho.

Rockwood is the largest freestanding outpatient diagnostic and treatment center between Central Washington and Minneapolis.

The Clinic is the largest regional referral center and is home to the region’s most comprehensive and skilled medical and health care experts.

Rockwood patients know if their health care needs expand, an integrated group of specialists is available for their specific condition and will work closely with their primary physician for assessment, treatment and follow-up. This allows for easy consultation between physicians and convenient referral of patients between specialties.

With the advent of electronic health records, our patient’s medical information is easily accessible to our providers, regardless of their location. It is our goal as Spokane’s major outpatient and diagnostic and treatment center to provide the highest quality of medical care. Rockwood is also part of the Rockwood Health System – which includes Deaconess and Valley hospitals.

Rockwood accepts most insurance plans and you do not need to be an existing patient to see our providers.

From primary care to surgical needs and audiology to weight loss surgery, Rockwood offers exceptional health care and medical services to our patients.

BellaVita means “Beautiful Life.” BellaVita Adult Family Home creates a beautiful life for people who enjoy quality living and want to sustain quality of life in their final years, who prefer the comfort of a residential home vs. a large institution, and enjoy having close family-oriented relationships.

BellaVita Adult Family Home is two blocks from Manito Country Club, at 4407 S. Helena Street.This quiet upscale South Hill neighborhood offers residents safe walks. BellaVita AFH was licensed by the State of Washington on March 21, 2012.

Beyond supporting residents in daily life activities, BellaVita cares for a range of needs from luxury retirement living to oneon-one round-the-clock care if needed. Nurse delegation is also available.

Residents are treated as family. BellaVita has a dementia and mental health specialty with the State of Washington and the staff has a passion for helping elders through hospice with dignity.

Coordination is available with outside visiting nurses and doctors.

The home also offers engaging activities, crafts, Skype and Facebook to connect with family and friends, Wii bowling tournaments, massage, chair yoga, cooking activities, entertainment, trips and other activities designed around residents’ interests.

“We designed BellaVita around how we would want our own family members cared for,” said Denise Cully, licensee.

BellaVita’s newly remodeled home offers ramp-free accessibility for wheelchairs and walkers with six large private bedrooms that can accommodate roommates if desired.

Residents can enjoy coffee and meals on the large front patio overlooking the neighborhood and the rose garden, or on the back patio overlooking the private backyard and ivy-covered trees.

Emma, the therapy dog, wildlife and plants help enliven the home.

BellaVita has a passion for creating delicious, nutritious and enjoyable meals and often features organic vegetables and meats prepared in a variety of ethnic styles.

The owners have also taken the “accessible bathroom” to a new level with spa-like décor, tiled roll-in shower, roll-up sink, automated bidet toilet and a 1,500-watt fan/heater.

For more info call (509) 368-9333.

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• Independent Living

• Wellness & Fitness Center

• Assisted Living

• Walking Trail

• Light Assisted Living

• Health ‘N Motion Programs

• Cottage Homes

• Fall Prevention Series

• Warm Water Pool & Spa

• Bistro

• Aquatic Classes

• Gourmet Chef

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Daily Tours

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Directions: I-90 to Evergreen exit, South on Evergreen Rd.

1201 N. Evergreen Rd., Spokane Valley, WA 509-922-3100 • evergreenfountains.com

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businessPROFILE

“WHERE LIVING WELL IS A WAY OF LIFE” www.evergreenfountains.com If you or a loved one is a senior looking for a flourishing environment for active independent living, assisted living, or cottage home living, look no further.

Evergreen Fountains is dedicated to offering enhanced senior living in a community environment while encouraging our residents to enjoy their own independent lifestyle centered on personal wellness: physical, mental and spiritual health.

Locally owned and operated by the Arger family, Evergreen Fountains is minutes from the Valley Hospital, Valley Mall, and Interstate 90. This progressive, active retirement community is designed to offer you the utmost in convenience, comfort, security, and social opportunities.

Evergreen Fountains offers a variety of amenities including: wellness center, gourmet chef, Vasi’s Bistro, movie theater, library, chapel, scheduled transportation, weekly housekeeping, activities, social events and much more.

The main feature of the dynamic Wellness and Fitness Center is a beautiful 88-degree swimming pool, which includes daily water classes. The exercise equipment is specifically designed for seniors and a personal trainer is available to help develop a program to meet each resident’s individualized needs.

The Health N’ Motion program inspires residents to have fun, be more active, improve their health and enjoy life to the fullest extent possible.

The proof of an excellent wellness program is in what our resident, Betty, had to say: “Swimming is something I so love to do and look forward to each day. It has helped me regain my strength and move from Assisted Living to being independent once again. This program has given me the opportunity to enjoy and live a normal life.”

For more information and tours, please contact Kathie Walker or Gene Arger at (509) 922-3100. 1201 N. Evergreen Road. www. evergreenfountains.com

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Valley Hospital joint replacement program honored PATIENT INVOLVEMENT AND EDUCATION VITAL PART OF PROCESS Story and photo by Joe Butler LiveWELL Staff Writer

Joint replacement isn’t an experience that we should really be looking forward to, but the way our society is aging and playing, it’s becoming more of an eventuality than a possibility.

“We have more aging Boomers, more arthritis, and the number of replacements that are going to be needed are expected to dramatically increase in the next 10-15 years,” said Dr. Jonathan Keeve, an orthopedic surgeon with Northwest Orthopedic Specialists since 1998.

Keeve also was the lead physician in the recent effort to gain national certification for the hip and knee replacement programs at Valley Hospital, where he’s practiced and performed surgery at for the past 24 years.

Over the last year, the joint replacement team, which included Valley Hospital staff, area physicians and others members of the region’s medical community, put together a

iin February, The Joint T Commission C granted its g Gold Seal of G Approval to A tthe program, making Valley m Hospital the H only knee and o hip program h with this w aaccreditation iin Eastern Washington W aand the ssecond in Washington, W ssharing the honors with h a program in Dr. Jonathan Keeve Vancouver. consistent, streamlined process “Spokane is blessed with and a set of best practices that excellent orthopedic care and we include following patients from have a great group of orthopedic their initial referral, through surgeons in our area,” Keeve surgery and then through said. “But at Valley Hospital, recovery and rehabilitation. we were able to get people to Their efforts were put to work together across so many the test last December when different disciplines to get to this representatives from The standard of care.”

Joint Commission for Joint Getting this certification Replacement visited the required cooperation and medical center to evaluate all interaction from nursing, aspects of the joint program, surgeons from NWOS and from leadership to infection Rockwood Health System, prevention and disease control physical therapists, dietary procedures. The commission is specialists, pharmacists, the nation’s oldest and largest operating room staff, and others. standard-setting and accrediting The journey to certification body in health care. started in nursing, with Holly The hard work creating and Emery, then an oncology achieving standards paid off: floor nurse looking for a

graduate project. She helped lead the project and found support among her peers and administration.

“We all focused on the optimal way to offer best practices,” Keeve said. “We also performed a critical look at our current processes and what we can do better.”

Valley Hospital CEO Dennis Barts said the distinction from The Joint Commission benefits everyone.

“With this certification, we are making a significant investment in quality on a day-to-day basis from the top down,” he said.

“It provides us a framework to take our organization to the next level and creates a culture of excellence. It’s a major step toward maintaining excellence and continually improving the care we provide.”

Holly Payne, RN coordinator for the total joint replacement program and an orthopedic nurse at Valley Hospital for 22 years, said the process starts when a doctor recommends someone for replacement surgery, usually hip or knee, but it also includes total shoulders or treatment for fractures.

Potential patients are asked to attend a class that discusses everything from discharge plan, the surgical process, to postoperative care and rehabilation.

“We help our patients with their discharge plan, so they know what to expect and have

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all the tools they need when they get home,” Payne said. “The focus on patients and families is vital.”

She follows up with calls inquiring about pain levels, medication education, appointment reminders or any other concerns. This also helps reinforce what patients were told right after surgery but may have forgotten during their hospital stay.

“We do a lot of checking up for at least six weeks, just to make sure everyone is recovering to their potential and are doing what they have been taught,” Payne said. “Education is important, and we don’t want anyone saying

‘no one told me this.’”

Keeve said so many Valley Hospital employees and other members of the joint replacement team were engaged and excited to achieve this certification, and this attitude continues.

“The Joint Commission plans to revisit us regularly to see if we’re still at this level, but we’ve also pledged to keep focusing on these areas internally,” he said.

Even better, Emery, who led the certification process originally, is now the director of the medical/surgical/oncology unit and continues to support the program.

Already, Payne said patients are

noticing the extra attention.

“People have said they’ve had replacement surgeries at other hospitals, but they love what we’re doing here, especially the classes,” she said.

The length of stay at Valley Hospital is 3.1 days for knee replacement, and 3.4 days for hip, which are lower than the national averages.

Both Payne and Keeve anticipate more replacements in the future.

“We’ve been offering the pre-op classes twice a month, but next year, we’ll increase to three times,” she said. “We’ve also been doing about 400 replacement surgeries a year, and are optimistic that it

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will increase next year.”

The framework involving many people in many disciplines could be adopted by other medical centers, which is good news for future joint replacement patients, or for hospitals wanting to reach higher standards.

“If I have to have joint replacement myself in the future, I want to make sure everything is lined up,” Keeve said.

For more information, visit www.spokanevalleyhospital.com.

For more details about The Joint Commission visit www.jointcommission.org

businessPROFILE

RIVERVIEW RETIREMENT COMMUNITY www.riverviewretirement.org Riverview Retirement Community is a stand-alone, Lutheran based, not-for-profit active living community founded in 1959.

It’s located on the Spokane River and the Centennial Trail, about a mile east of downtown Spokane. The 27- acre property at 1801 E. Upriver Drive is within a few blocks of Gonzaga University and the Iron Bridge project area.

Riverview is a continuing care community, offering all levels of care from independent living to assisted living, memory care, and skilled nursing. It has been awarded five stars of quality by Medicare and rated as the best long-term care facility in the state of Washington.

Facilities include on site classes by Spokane Community College, a new aquatics and fitness facility due to open in the fall of 2013). Extended walking trails adjacent to the Centennial Trail, a large community garden, a new state-of-the-art woodshop, and 164 customized independent living homes including cozy cottages and large riverfront apartments.

New residents moving into Riverview Village (beautiful independent living homes) enjoy flexible deposit plans, customized move-in assistance, and a $1,000 moving credit.

Other amenities include a complete maintenance-free lifestyle, an affordable monthly service fee, priority access to a full continuum of award winning care, and a refundable Life Tenancy contract that can help fund future health needs.

Riverview’s specialty? Affordable, award-winning care and amenities in a spectacular (and convenient) riverside setting.

For more details visit (509) 483-6483 or www.riverviewretirement.org.

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WOMEN PATIENTS

BENEFIT FROM SPECIALIZED CARE

WOMEN’S HEALTH SPECIALISTS FOLLOW WOMEN THROUGH THEIR LIVES Women have unique health needs, and the team at Northwest OB-GYN invites women of all ages to learn about its services. In fact, the providers at the Spokane location invite the opportunity to work with people from their teen years to their golden years. Physicians, midwives and staff provide care and treatment in obstetrics, gynecology, urogynecology and surgery, and also consult with members of the area’s larger medical community to offer even more care for patients. The staff can help you maintain good gynelogical health and also

focus on specific circumstances such as menopause or pregnancy. Northwest OB-GYN was founded 30 years ago by the work of Drs. Robert Walker, Steve Brisbois, Peter Fern and Glen Hiss. Over the years, the practice has grown to include certified nurse midwives and a specialist in urogynecology, and also uses modern technology including robotic surgeries and 3D/4D ultrasounds. The clinic is in the Sacred Heart Doctors Building in Spokane’s medical area. For more information visit http://nw-woman.com or call(509) 455-5050.

HEALTHY LIVING WORTH CELEBRATING THIS FALL Making time to look good is difficult enough. Finding time to feel good often seems like an impossible task. Thank goodness for the Spokane Wellness & Beauty Expo! This 3-day Sept. 28-30 event in Spokane Valley is all about helping you find ways to look AND feel good! The days will be filled with tons of activities, demonstrations, free wellness checks, mini spa and beauty treatments, healthy concessions and prizes.

Explore traditional and alternative health therapies, learn stress-reduction and pain-management strategies, discover new ways to live green and have a good time with your girls while you discover new beauty regimens, too! As if that weren’t enough of a good time, there will be prize drawings every hour. Wow! Don’t you feel better already? 10 N. Pines | Spokane Valley | (509) 434-0133 | wellnessandbeautyexpo.com

CLINIC FOCUSES ON WOMEN’S NEEDS In 2000, Inland Northwest Women’s Center and Spokane Women’s Clinic combined to create OB/GYN Associates of Spokane, a private practice which continues to provide Spokane-area residents with timely, efficient, comprehensive and compassionate women’s health care.

The goal of the office at 601 W. 5th Avenue is to help patients remain healthy and happy. Health services are available for all ages, from teens to past menopause. New patients and referrals are welcome.

Services include annual exams, breast and pelvic exams, contraceptive choices, family planning advice,

gynecologic care and surgery, tubal ligation, menopausal management, HPV vaccinations, ultrasounds and general obstetric care, maternity care and more.

The clinic also includes new medical technology including two state-of-the-art 3D-4D ultrasound machines, plus a bone densitometer, available for osteoporosis screenings.

OB/GYN Associates of Spokane accepts most insurance plans and can bill directly if needed.

Annual exams may be covered under insurance. Call (509) 455-8866 for more info or schedule an appointment or visit http://www. obgynspokane.com

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221 W. Pacific Ave Spokane WA 99201

(509) 747-3439 Jody M. Hechtman, MD F.M. McCaffree, MD Robin Messinger, MD Steven J. Richards, MD Traci A. Satterfield, MD Lori S. Smetana, MD Susan Reinhardt, ARNP L. Jan Wills, ARNP BrieAnne Gray, ARNP

Compassionate Women’s Health Care Always accepting new patients from adolescence through menopause

40 years of Service in Spokane 601 W. 5th, Suite 301 • 509.455.8866 www.OBGYNSPOKANE.com

VALLEY HOSPITAL RECOGNIZED AS ‘TOP PERFORMER ON KEY QUALITY MEASURES’ www.spokanevalleyhospital.com Valley Hospital was recently named one of the nation’s top performers on key quality measures by The Joint Commission, the leading accreditor of health care organizations in America.

The hospital was recognized based on data reported about evidencebased clinical processes that are shown to improve care for certain conditions, including heart attack, heart failure, pneumonia, surgical care and children’s asthma.

Out of the 3,099 U.S. hospitals submitting accountability measure data to The Joint Commission, Valley Hospital is one of only 405 hospitals earning the distinction of top performer.

Furthermore, Valley is one of only five hospitals in the state of Washington and the only hospital in the greater Spokane/northern Idaho area to be recognized for attaining and sustaining excellence on these key quality measures. Inclusion on the list is based on an

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A Better Tomorrow Starts Today! businessPROFILE aggregation of accountability measure data reported to The Joint Commission during the previous calendar year.

To earn this recognition, Valley Hospital achieved exceptional performance standards in these measure sets: • Surgical Care • Pneumonia Care “We understand that what matters most to our patients is safe, effective care. That’s why Valley has made a commitment to accreditation and to evidence-based care processes. We have earned this recognition through the dedication and skill of our medical staff, nurses and other clinicians who care for our patients each day,” said Dennis Barts, Chief Executive Officer of Valley Hospital.

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Affordable Care Act will bring major changes to Medicare EXPANDED COVERAGE WILL INCLUDE PRE-EXISTING CONDITIONS, EXTEND COVERAGE TO AGE 55

By Courtney Dunham / LiveWELL Correspondent “We see it as empowerment through understanding,” he said.

Another important aspect to consider when picking the best Medicare plan is to find out which one covers prescriptions, and if your plan involves a co-pay or if you must pay for a 90-day supply of medication up-front.

A positive change brought on

by Affordable Health Care act legislation will be the expansion of coverage to include preexisting conditions, which Beamer said currently are not covered under Medicare or other healthcare plans.

Most people who are aware of the new Affordable Care Act – which phases in now through 2014 and beyond – will tell you they really don’t understand it.

That’s OK, because both Washington and Idaho residents have free access to professional guidance on what the coming changes will mean, including big changes to Medicare.

Here’s what you need to know right now: If you’re nearing age 65 and have the option to wait and sign up for a plan once all the changes have taken effect, this might be the most prudent course of action, says Nick Beamer, executive director of Aging & Long Term Care of Eastern Washington. But if you’re ready to sign up for Medicare now or

have already signed up for a plan, you do have the option to opt out and change your plan at a later date.

One of the most important approaches to take, Beamer says, is to first find out which plans your doctor is accepting right now.

“That’s a big one because some people have several doctors and specialists that they are going to, so it can be very difficult,” he says. “SHIBA (Statewide Health Insurance Benefits Advisors) volunteers are trained to help guide people through all of these questions and what they need to know. (See related SHIBA sidebar) Beamer said SHIBA is here to advise which plan would be most beneficial to people, so they can help themselves.

“This is huge for so many people who can’t get any insurance now for pre-existing conditions.

That means no healthcare plan can deny someone coverage,” Beamer says. “It will also start to cover more preventative care and screening, such as screening for cancer.”

Right now Medicare is available at age 65. The Affordable Care Act will expand age availability to 55 years old. This is especially timely and crucial, Beamer says, for the many people who have lost their jobs and no longer have medical coverage.

The changes will also greatly affect the donut hole that currently exists for coverage of prescription drugs. Right now people, especially those with

chronic conditions, have to pay a lot of money out of pocket that Medicare doesn’t cover. The future co-pay will mean very little out of pocket, Beamer says.

Expansion will also increase the number of physicians who currently accept Medicare, which is a real obstacle for Medicare participants.

Beamer recommends that people go to the Kaiser Family Foundation to see and learn more about the further changes the Affordable Care Act will bring and when these Nick Beamer changes will occur. The foundation’s Medicare page is www.kff.org/ medicare and the health care reform information page is healthreform.kff.org.

In the meantime, both Washington and Idaho residents have free access to the Department of Insurance SHIBA Division, where trained volunteers can guide you through the entire process of choosing which Medicare plan is right for you. In Washington call 1-800562-6900. For Idaho residents, call 1-800-247-4422.

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Free help available for Medicare choices Feeling overwhelmed over which Medicare plan to choose and don’t know where to start? Luckily there is help to guide you through the entire maze of questions, and better yet, it’s free.

Statewide Health Insurance Benefits Advisors, known as SHIBA, are part of the Insurance Commissioner’s consumer protection services. People can get free, unbiased and confidential assistance with Medicare and other health care choices.

Volunteer advisors will help you with health care coverage questions.

They provide free, unbiased health care coverage counseling to people of all ages.

More than 300 volunteer advisors statewide are experts in Medicare, Medigap coverage, employment-related health benefits, managed care, long-term care options, and more. SHIBA is not affiliated with any insurance company or product.

“We don’t sell any plans. We are here to advise you on which plan is best for you, outlining many options,” said Nick Beamer, executive director of Aging & Long Term Care of Eastern Washington.

SHIBA volunteers can assist consumers with choices and problems involving private health insurance as well as many government programs, such as: • Medicare • Medicaid • Basic Health • Children’s Health Insurance Program • Washington and Idaho State Health Insurance Pool They can also help answer these crucial questions: • How do I compare Medicare prescription drug plans?

• What is Medicare Advantage?

• What is Medigap?

• How do I get help with Medicare costs?

• I’ve been considering long-term care insurance.

What questions should I ask?

• I can’t make sense of my Medicare statements and medical bills. What do I do next?

For Washington residents, SHIBA volunteers can help you by phone, in person and through group presentations. For more information and to find a local office, call 1-800-562-6900.

For Idaho residents, senior health insurance information, counseling, and assistance are also available at 1-800-247-4422. You can also find more information online. For the Washington SHIBA program, go to www.insurance.wa.gov/shiba. For the Idaho SHIBA program, Senior Health Insurance Benefits Advisors, go to www.doi.idaho.gov/shiba/ shibahealth.

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Questions about Medicare?

Free, non-biased volunteers are here to help!

Medicare Open Enrollment If you want to change your Medicare Advantage or Medicare Part D plan this year, you must do it from October 15th – December, 7th.

•Reviewing your plan options can save you money •For FREE, NON-BIASED, advice bring your list of medications, with dosages, and your Medicare card to:

Aging & Long Term Care of Eastern Washington 1222 N Post St., Spokane, WA 99201

Any Tuesday Oct. 16 thru Dec. 4, 2012 9 a.m. to 4 p.m.

Volunteers will also be available at: Shadle Library: North Spokane Library: Oct. 18th, Oct. 25th, Nov. 1st and 15th Nov. 8th, Nov. 29th & Dec. 5th 44 E Hawthorne Rd 2111 W Wellesley 1:00 pm – 5:00 p.m.

1:00 pm – 6:00 pm

Cheney Library: Oct. 19th 610 First St 1:00 pm – 5:00 pm

For more information call: Margaret or Kathy at 509-458-2509 SHIBA (Statewide Health Insurance Benefits Advisors) is a free service of the Washington State Office of the Insurance Commissioner.

With our community partners we also provide the following services for seniors and other adults with disabilities: Information & Assistance Case management Family Caregiver Support Transportation Medicaid Caregiver Registry WSDA Dental Outreach In-Home Caregiver Training

Congregate Nutrition Chronic Care Management Senior Employment COPES & Medicaid Personal Care Services Bathing Assistance Home Delivered Meals

Health Appliances Minor Home Repair Respite (In-Home and Out-of-Home) Disease Prevention/Health Promotion Legal Assistance Senior Farmers Market Adult Day Care

To Access these services and others call: Spokane County: 509-458-7450 Stevens & Pend Oreille Counties: 509-684-3932

Ferry County: Whitman County:

509-775-0912 509-332-0365

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Freedom from joint pain begins with our free seminar.

Locally trusted. Nationally recognized. Valley Hospital is the first and only hospital in the Inland Northwest to receive The Joint Commission’s Gold Seal of Approval® for Hip and Knee Replacement.* Join us for a FREE orthopedic seminar: The Benefits of Hip & Knee Surgery Tuesday, September 25 | 6-7 p.m. | Complimentary dinner included Valley Hospital Health and Education Center RSVP to 509-473-5755 or visit SpokaneValleyHospital.com * As of August 2012

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

HAIR LOSS CONDITIONS ANALYZED Surprise! There’s no such thing as hereditary baldness. Instead of blaming your grandpa, the highly knowledgeable staff at Tamara’s Hair Studio & Wigs suggests you point the finger in other directions: your diet, medications, hormones or stress levels. Sometimes all it takes is a consultative conversation to figure out what’s causing hair loss; other times it might take an in-depth hair analysis. Once the cause is discovered, a personalized plan is created to help you stop losing hair, and in many cases even regrow the hair that’s gone.

Tamara’s customizes dietary supplements, creates “hair diets” and often works with your physician to ensure that external hair-growth treatments don’t compromise the desired effects of prescribed medications. Men, women and even children are treated here. You’ll also find over 1,000 wigs, a full-service hair salon, an esthetician and a massage therapist to help creative a healthy you. It’s not easy and it’s not cheap, but the results could be priceless. 21 W. Commerce Drive C | Hayden ID | (208) 762-2676

BP GRAPHICS MAKE PRESENTATIONS POP As nice as it would be to just focus on patients all day, modern medicine requires more. There’s plenty of paperwork and insurance, an office to manage, and you really should get out there and let potential patients know about you and your services. BP Color Graphics can help you get the word out with attractive visual displays, which be used for trade shows, medical fairs, community events, anywhere where you’d like your name, likeness and business to stand out from the crowd. The one-stop

digital imaging service bureau offers everything from posters to banners to custom cut-outs to complete trade show booths. Medical-oriented foundations or nonprofits can even benefit from BP Color Graphics design service, including retractable banner stands and even oversized checks. The high-quality materials can also include largeformat printing and lamination services. For more info how your company can benefit visit www.bpcolor.com or (509) 536-1810.

FREE BREAST & CERVICAL SCREENINGS Spokane Regional Health District is providing eligible women with free health exams, screenings, limited diagnostic testing and treatment, education, referrals and follow-up in nine Eastern Washington counties, including Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens and Whitman, as part of the Washington Breast, Cervical & Colon Health Program.

Eligible women must live in Washington State, be 40-64 years old or 35-39 years old with breast or cervical symptoms, have limited income, be uninsured or have insurance that does not completely cover these services, or they also can have insurance that requires a cost-prohibitive deductible or co-payment. For more information on the screenings, call (509) 324-1553 or (888) 461-8876.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

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businessPROFILE

businessPROFILE

DAVENPORT SPA & SALON GROUP HEALTH www.davenportspa.com COOPERATIVE At the new Davenport Spa and Salon, relaxation begins before you even step inside.

From the moment you arrive, a valet is on hand to park your car for you, complimentary. As the cares of the world outside begin to dissipate, you pass through an elegant marble anteroom, the Grecianinspired lobby and salon. Its frescoes have been meticulously restored to reveal and celebrate the building’s rich hundred-year history.

Here the mood shifts to one of almost sublime tranquility: subdued lighting, a cascading water feature, and soothing instrumental music. This marks the point where the ancient art of holistic healing blends with state-of-the-art treatments and therapies.

A complimentary glass of champagne awaits you in the serenity room — where you can slip into a plush warmed robe and feel the day’s remaining stresses melt away. Each room features an aromatherapy steam room with a selection of oils that can calm and reinvigorate.

Trained experts will take you on your path to rejuvenation, a path entirely of your choosing. Revel in the deep de-stress of a stone massage, or ease tension in tired feet with a focused session.

Busy guests can also book a 25-minute express massage for rapid revitalization.

The spa’s approach to relaxation and beauty is more than skindeep. Experience the exotic deep cleansing of a coconut scrub.

Restore youthful glow with an enriching facial. Or detoxify in a full-body seaweed wrap. There are specialized treatments for men, women, and couples, and the range of organic European cosmeceuticals have been carefully sourced for natural nourishing qualities.

All this pleasure does not come with the caveat of exclusivity. The services at the Davenport Spa and Salon are priced so everyone can make well-being a part of their routine, and restoring the essential health of the mind, body, and soul can become a necessary indulgence.

Get more details or make an appointment by calling (509) 7897300 or visiting www. davenportspa.com.

NEW PROVIDENCE-GROUP HEALTH PHYSICIAN GROUP WILL INTEGRATE CARE FOR PATIENTS

www.ghc.org In August, Providence Health Care and Group Health Cooperative announced the creation of a new, jointly owned company that will become the region’s most comprehensive physician organization.

The company will feature 132 primary care physicians from Group Health Physicians, Providence Medical Group, and Columbia Medical Associates, and connect to nearly 400 physicians and specialists in the greater Spokane area.

This is the latest step by Group Health to ensure that Spokane-area members receive health care in the most coordinated way possible.

These doctors will practice medicine that’s integrated across different health care settings and organized around our patients’ needs. When care is better coordinated, quality improves and people avoid unnecessary tests and visits, which helps bring health care costs down to be more affordable for consumers.

Patients of Group Health, Providence, and Columbia Medical Associates will become part of a medical home where their care is coordinated by personal physicians and their teams. When they require more than primary care, patients can step into the “medical neighborhood,” from specialty and urgent care to hospital care from Providence Sacred Heart Medical Center & Children’s Hospital and Holy Family Hospital.

Recently one of our members was diagnosed with a neurological condition and she wanted a second opinion about her condition.

The specialist she wanted to see practiced in Seattle and the woman could not travel there to get checked.

Because Group Health’s system is integrated with other providers, she received her second opinion quickly without the hassle of traveling. Her personal physician set up a virtual consultation by telephone with the Seattle specialist and together they performed a complete assessment of the patient.

This type of coordination isn’t as common as it should be. By working together, our organizations are excited to begin making medicine safer, more convenient, and more affordable for Spokane-area residents, especially when they require care across different settings.

Written by Kelly Stanford, vice president of market development for Group Health Cooperative.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

US ROUTINE MAINTENANCE KEEPS LIVING WELL BOTTOMS UP FOR YOUR BONES! A recent study at Oregon State University’s College of Public Health and Human Sciences has shown that when older women drink one or two alcoholic beverages several times a week, it may improve their bone health and reduce their risk for osteoporosis. Although alcohol abuse is a serious medical and public health problem, the effects of moderate drinking on health have not received a lot of attention, said lead researcher Urszula Iwaniec. Previous studies have found moderate drinkers have higher bone density than nondrinkers or heavy drinkers, but reasons why have been unclear. To read this article, go to oregonstate.edu and enter the words “moderate alcohol consumption.”

FEELING ANXIOUS? YOU’RE NOT ALONE Generalized anxiety disorder among women is currently more common than social phobias, panic attacks, and other anxiety-related health issues, experts say. Additionally, more often these days, women are waiting until their anxiety is at a crisis level before seeking help. Connie Chapman, a clinical social worker and therapist at Inland Psychiatry & Psychology, says to help ease feelings of heightened anxiety in her female patients, she encourages them to create “me time.” “I have women make lists of things they can’t achieve (because they’re too busy), such as making time for coffee dates or reading their favorite book.” If you think you may be suffering from anxiety or for more info, go to www.inlandpsychiatry.com Click on “Common Questions.”

FREE COLON CANCER SCREENING Spokane Regional Health District is providing eligible men and women with free colon cancer screenings, diagnostic testing, education, referrals and follow-up in nine Eastern Washington counties – Adams, Asotin, Ferry, Garfield, Lincoln, Pend Oreille, Spokane, Stevens and Whitman, in partnership with part of the Washington Breast, Cervical & Colon Health Program. Eligible recipients must live

in Washington State, have limited income, do not have colon symptoms (i.e., bloody stools), are 50-64 years of age (or younger if family history of colon cancer), are uninsured, have insurance that does not adequately cover these services, or have insurance that requires a costprohibitive deductible or co-payment. Call (509) 324-1553 or (888) 461-8876 for more info.

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

CLEAR SKIN

Frequent

Dr. C. Hammoud M.H., PhD, guarantees

Bell Ezee Flow Herbal Tea #4a

satisfaction. Helps to maintain healthy skin from the inside simply by cleansing the blood, instead of attacking the skin from the outside with creams or washes. * This makes sense. Usually you can see how it benefits your skin within days. * Many people wrote they were surprised how fast it worked. Lots of testimonials from pleased users on our Bell website. There is absolutely no risk for trying Dr. Hammoud’s product.

■ Last couple of years I tried everything. Results with Bell Skin Disorders #60 were unbelievable. I have beautiful skin again. Thanks for giving back my selfesteem. Nelisa Royer, 28, Doral, FL ■ My mom bought Bell #60. I was skeptical. It did work quickly and better #60 than anything else. Christopher Seraphin, 14, Brooklyn, NY. ■ It worked. I no longer have to hide at home, because I was ashamed to be seen. Agnes Casillas, 60, New York, NY ■ Can wear again dresses that are backless. My skin looks fantastic. Thank you from the bottom of my heart. Yvette Maclean, 40, Lodi, CA ■ I was trying everything for years and nothing worked. I felt physical and emotional pain having to hide. Finally I found your Bell #60. I’m so grateful and impressed about how fast it worked with amazing results. Eulalia Isabel Sanchez Martin, 30, Brampton, ON Skeptics can call everybody. All are real people like you or your friends.

SNORING?

As recommended by Dr. Gifford-Jones M.D. Here is proof that snoring can be corrupting your health and your marriage. Three out of 10 couples are considering divorce because of snoring says a major magazine article. You are not alone! An official survey says 48% of all people snore. 75% are affected, if you add non-snoring husbands that have snoring wives or vice versa. Snoring is caused by slack muscles in the throat. A common complaint is that people feel that they are not well rested in the morning. Many people wrote they are now sleeping like a babies. Their partners are delighted. This natural health product Sound Sleep #23 usually helps the first night. No side effects.

■ College professor had lack of good sleeps with many interruptions for last 8 years that made her tired #23 during the day. Within 3 days taking Bell Sound Sleep #23 the terrible snoring stopped. I wake up feeling refreshed and energized. I can concentrate in a focused, happy manner. I feel delighted with this natural product. Dr. Anele E. Heiges, 77, New York, NY ■ A life changing product. The very first night I took the capsules and every night after I had a restful and wonderful sleep. It has been a God send and blessing. I am by nature a skeptic. The money-back guarantee convinced me to try it. Jimmy Pay, 53, Gardendale, AC ■ 3 Years on Bell Sound Sleep #23. My wife and I are entirely satisfied. Snoring episodes have completely disappeared. This has improved our lives enormously. Leo Fortin, 60, St-Georges, QC ■ Basically you saved my husband’s life. For the last 5 years my husband had very bad nights. Bell #23 was nothing short of a miracle. I have my husband back. No more snoring. No more napping during the day. I am telling all our friends. Bonnie Johnson, 64, Wichita, KS ■ My life changed. Sleep now 7-8 hours. I am a retired college professor and author of books. I have no more need to nap during the day. Nothing I tried helped until I started Bell Sound Sleep. I am so delighted with this product I would like to make motivational speeches to help others. Carmen V. Caruso, 66, Ann Arbor, MI On the Bell Website we list phone numbers or email addresses of actual users of this product and all other Bell products. Most are delighted to talk about their relief.

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BATHROOM TRIPS? ■ Men Natural nutritional support for urinary ease & comfort. Relief within 3-5 days from dribbling, discomfort, urgency, poor flow. Instead of getting up many times most need to get up only once or not at all each night. For many years a favorite for mature men.

Good sleep helps to have more energy all next day. Also blood flows more easily where it counts for better sex life. Thousands of satisfied repeat customers. No side effects. We have literally hundreds of testimonials.

■ I was skeptical. I bought a box and it worked as advertised. Within a week I had relief. Howard Toy, 69, Henderson, NV ■ It’s heaven to sleep through the night. For many years I had 6-7 sleep interruptions every night. Had urgent trips to the bathroom day and night with discomforts. I enjoy my new life. Angus Pike, Oshawa, ON ■ I am truly amazed and relieved. After 2 weeks I no longer have to get up during the night. I’m enjoying a normal sex life again. I hope a lot of men with a pride issue give this tea a shot. It’s difficult to express how delighted I am. Clarence A. Rehrig, 58, Allentown, PA ■ Know the truth.

This is my third year of drinking the Ezee Flow Tea. I highly recommend it. A real life saver.

Thomas M. Thurston, Forsyth, GA. ■ Women suffering with incontinence, UTIs ask for Bladder Control Tea for Women #4b. Guaranteed relief within days. No need to make claims. Bell relays 100% truthful user’s free speech. No money is paid for it. No questions asked guarantee.

Blood Pressure Formulation Dr. C. Hammoud M.H., PhD, recommends this natural, effective fish peptide product to nutritionally support the body’s normal blood pressure function. *A science-backed herbal phytonutrient. Promotes flexible, relaxed blood vessels in healthy persons. *A one-of-a-kind formula that offers unprecedented nutritional support for your overall health and well-being. *We have thousands of repeat customers. Blood pressure is a focal point of cardiovascular wellness. *Achieve your balance and maintain your balance and a healthy range.

■

Bell Blood Pressure Formulation helped me feel great. Thank you for this wonderful product. William Oliver, Portsmouth, VA ■ I have #26 been taking Bell #26 now for one year. My mom and brother started taking it as well. Even my pastor is on it now. Thanks! Mary Earl, Longview, TX ■ I started to take Bell Blood Pressure Formulation Formulation #26. After about 30 days my blood pressure was normal. My doctor was very happy with me. Irene Surridge, 67, Owen Sound, ON ■ A friend recommended Bell BP Formulation! When a friend had good results I decided to try it. After taking Bell Blood Pressure Formulation #26. It made a difference in my life. Milton Perdomo, 68, Rego Park, NY. No need to make claims.

Bell relays 100% truthful user’s free speech. No money is paid for it. No questions asked guarantee. *These statements have not been evaluated by the Food and Drug Administration.

This product is not intended to diagnose, treat, cure or prevent any disease.

■ AVAILABLE IN SPOKANE: Mother’s Cupboard Nutrition 9984 N. Newport Highway; Mother’s Cupboard Nutrition 3001 East 29th Ave.; Pilgrim’s Nutrition/Natural Market 9118 East Sprague Ave.; Spokane Vitamin & Mineral 1008 W. Rosewood Ave.; Medicine Shoppe Pharmacy 12414 East Sprague Ave.; Super Supplements 2525 N. Ruby St.■ SPOKANE VALLEY, WA: Mother’s Cupboard Nutrition 109 N. University Rd.; Super Supplements 6630 East Sprague Ave. Ste C. ■ LIBERTY LAKE, WA: Mother’s Cupboard Nutrition 1233 N. Liberty Lake Rd. Ste. 108. ■ KENNEWICK, WA: Super Supplements 5200 Clearwater Ave. ■ ALSO AVAILABLE IN COEUR D’ALENE, IDAHO: GNC Ironwood Square, 226 Ironwood Dr. Ste. A2.; Super Supplements 403 W. Neider St.Pilgrim’s Nutrition/Natural Market 1316 North 4th St.; ■ HAYDEN, ID: Mother’s Cupboard Nutrition 293 W. Prairie Shopping Center. Flour Mill Natural Foods 88 W. Commerce Dr. ■ PRIEST RIVER, ID: Mountain Harvest Foods 100 McKinnley St. ■ SANDPOINT, ID: Truby’s Health Mart 113 Main St. ■ COLVILLE, WA: Richard’s Nutrition Center 111 N. Main.■ MOSCOW, ID: Pilgrim’s Nutrition Center 1998 W. Pullman Rd. ■ SALMON, ID: Nature’s Pantry 401 Main St. ■ REPUBLIC, WA: Straight from the Heart Massage 720 South Park Ave. In other towns try your local health food stores first. If they don’t have it and don’t want to order it for you, order on our website or call us with Visa or Mastercard. S & H $9.95.

www.BellLifestyle.com 1-800-333-7995 Bell uses the power of nature to help put life back into your lifestyle

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

businessPROFILE

CALENDAR OF

DEACONESS BRINGS LIFENET TO SPOKANE www.deaconessspokane.com In May, Deaconess Hospital brought the LIFENET System to Spokane. Working in conjunction with American Medical Response (AMR) ambulance service, LIFENET equipment was installed in the 22 AMR ambulances which enables paramedics in the field to perform an electrocardiography (EKG) test and send it to the emergency physicians at Deaconess using wireless Internet capabilities.

By purchasing the LIFENET System, Deaconess is the only hospital in the area with computer software installed in the hospital Emergency Room that can communicate with defibrillators and monitors on local ambulances.

An EKG is the best way to measure and diagnose abnormal rhythms of the heart.

The EKG can even detect which areas of the heart might have already suffered damage during a heart attack.

With this new technology, the ER physicians and cardiologists at Deaconess can come up with a game plan to treat the patient before he or she arrives in the ER, saving crucial minutes that can mean life or death for a patient suffering a cardiac event.

LIFENET uses the latest digital technology on a secure network, allowing paramedics, nurses and physicians to focus on treatment of the patient.

To minimize the risk of lasting heart damage, the American College of Cardiology recommends physicians reestablish blood flow to the patient’s heart within 90 minutes of admission to the Emergency Room.

SYSTEM

Meeting this 90-minute “door-to-balloon” time requires early diagnosis, quick transportation to the catheterization lab and an interventional cardiologist to open the patient’s blocked artery with a balloon to restore blood flow to the heart.

LIFENET and the partnership between AMR and Deaconess allows critical minutes to be shaved off the treatment time for heart attack victims.

In addition to LIFENET, Deaconess is also the only accredited Chest Pain Center in the Spokane region, making it uniquely positioned to integrating the best practices and newest protocols into heart patient care.

EVENTS TO HELP YOU LIVEWELL

The Spokane-area community is serious about its health. To help you keep track, we have an interactive free calendar at www.spokesman.com/health/calendar.

Find everything from community-wide health festivals, workshops, classes, seminars, fun runs or support groups.

Here are some selections of interesting events this fall.

Sept. 24 “Whole Foods – The Whole Story,” a free workshop presented by CHER, 5:30-7 p.m., 501 N. Riverpoint Boulevard Suite 245. Topic will cover whole vs. processed foods, what they are, what the advantages of a whole food diet are, and how to include more in your daily diet. www.cherspokane.org Sept. 26: “Quit for Good,” a tobacco cessation program, 6-7 p.m., Holy Family Health Education Center. Four-week program makes quitting easier. Free course – participants who attend all four courses receive a $25 gift card and a free quit kit. www.cherspokane.org Sept. 30 Shriners Duck Waddle 5K, 11 a.m., Riverfront Park. Annual fundraiser for the Shriners Hospital, $15 to enter, www.elkatif.org/duckwaddle.html or (509) 623-0424.

Oct. 4 Gentle Exercise, 3:15-4:15 p.m., Southside Senior Activity Center.

Class includes gentle aerobic segment, strength, stretching and range of motion training from standing or chair position. $42. (509) 279-6027.

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

businessPROFILE

CHAS BUILDING HEALTHIER COMMUNITIES THROUGH HIGH QUALITY, AFFORDABLE PRIMARY CARE

www.chas.org Lack of health insurance coverage for 46 million Americans is one of the nation’s most pressing issues. Since 1994, Community Health Association of Spokane (CHAS) has been working to fill the gap between those who have health insurance and those who don’t. Under federal healthcare reform, federally-qualified health centers like CHAS will see an increase in demand and play a greater role in providing high quality, affordable healthcare for all Inland Northwest families.

CHAS is a non-profit system of health centers providing high quality medical, dental, behavioral health and pharmacy services to families and individuals of all ages, regardless of insurance status. Currently serving more than 46,000 patients at nine locations throughout the Spokane area and Lewis-Clark Valley, we expect to continue to rapidly grow, bringing new jobs to our economy, while providing a healthcare home to more people in the Inland Northwest.

To assist our patients in obtaining insurance coverage, we help enroll them in Healthy Options, Washington Health Program, Washington Basic Health Plan, and Medicare or Medicaid. We also bill private insurance. For those who are uninsured, we offer a flat-fee, similar to a co-pay for each visit.

Our mission is to improve the overall health of the communities we serve by expanding access to quality health and wellness services.

Our services: • Primary medical care for the entire family, including pediatrics • Prenatal and obstetric care, including midwifery • Women’s health services • Full dental care for children & adults • Urgent care services • Behavioral health care • Healthcare & outreach for HIV, Hepatitis C and the homeless • Auto-refill and mail-out pharmacy services • Wellness education • X-ray & laboratory services • Chronic disease management • Substance abuse prevention • After-hours phone consultation with a provider Our goal is to provide a brighter, better, healthier future for all families!

businessPROFILE

LA RIVE SPA AT NORTHERN QUEST CASINO YOUR JOURNEY TO TRANQUILITY BEGINS AT LA RIVE northernquest.com Escape to pampered luxury and experience the world class hospitality of the nationally-recognized La Rive Spa at Northern Quest Resort & Casino. Inspired by the Kalispel Tribe of Indians and the river they call home, spa treatments at La Rive restore your mind, body and soul. Unwind in our Healing Waters CoedRelaxation Lounge, featuring three waterfalls reminiscent of spring run-off on native lands. Or soak in a soothing tub in our private Camas Duet Suite, which includes a fireplace and couples shower.

At La Rive Spa, awaken your spirit with treatments adopted from tribal culture and surrounding nature, alongside classic European spa and salon services.

Guests enjoy full-day access to all spa amenities with the purchase of any spa service. For an experience unlike any other, try our experiential shower and enjoy the sensation of a beautiful waterfall raining down on you, enhanced by music, light and sound.

Spend time in our state-of-the-art fitness center or take a dip in our river-inspired pool, hot tub or sauna. As your cares melt away, indulge in our culinary menu featuring unique taste sensations from Masselow’s, Eastern Washington’s only AAA Four-Diamond restaurant.

The Kalispel Tribe believes healthy, active lifestyles bring long and prosperous lives. At La Rive, Spokane’s finest massage therapists, estheticians, make-up artists, hair designers and nail specialists are committed to the wellness and comfort of each and every guest. All healing massages, wraps and body treatments are enhanced by a palette of natural and native materials. Open seven days a week, your journey for physical and spiritual renewal begins at La Rive Spa. Luxury and relaxation are calling your name. Let the traditions inspired by the Kalispel people enhance your senses, renew your spirit and heal your soul. For treatment details and to see our virtual tour, visit northernquest.com. To schedule your appointment, please call 877-871-6772.

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

Online & mobile at spokesman.com/liveWELL

LOOK FOR MORE INFO live W E L L every Tuesday in The Spokesman-Review TODAY section

Plus Issue 3 of this special marketing section coming Spring 2013 will include these informative stories:

Helping hands: We’ll look at the modern massage industry, including what kind of training is needed, different disciplines and the benefits to the body.

Nighty night: We know our bodies need sleep, but there’s a lot we don’t know about what happens when we nod off.

Body contouring: Many machines, devices, and creams claim to help you lose weight and feel better without surgery, including some at spas and medical clinics. What options are out there and are they medically sound?

Braces: How has orthodontic technology changed over the years? Are people getting them earlier or later in life? How has Spokane become known as an area of innovation?

Stress: We all have it, and too much can affect our mental and physical health.

Do any regional experts have suggestions for getting rid of it?

The new gym: Fitness centers with plenty of traditional weights are out there, but people also want new techniques, classes and styles, everything from Pilates to PX90.

If you or your company would like to be part of LiveWELL, contact Todd Hogan at (509) 459-5039.

Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

HEART ARROW VETERINARY SERVICE In March 1978, Dr. Pat O’Dea and his wife Marlene moved with their four young children to the Spokane Valley from Kalispell, Mont. Their goal was to open a veterinary clinic somewhere in the Spokane area. They chose the name Heart Arrow Veterinary Service based on Dr. Pat O’Dea’s livestock brand.

In May 1978, Heart Arrow Veterinary Service opened for business on East Sprague in Veradale. The clinic is now located at 208 S. Steen Rd. in Spokane Valley, providing comprehensive, compassionate veterinary care for over 34 years! Veterinarians Drs. Pat O’Dea, his daughter, Megan McElroy, and Joan Vendramin, along with the excellent staff of Cheryl, Mickey, Dianna, Jamie, Sherry, Cayla, and Michael offer a friendly, caring, personal environment for everyone’s family pet. (509) 924-4558, www.heartarrowvet.com/

PHYSICAL THERAPY HELPS CANCER PATIENTS Physical therapy is a key component often missing in the treatment of breast and other cancer patients. Many cancer survivors experience ongoing pain, swelling, or impairments in mobility, strength, posture, and stamina that affect long-term function. Research has shown that specialized PT intervention can help patients recover faster, experience less pain, and prevent or reduce the severity of many common long term complications of cancer treatment. Cancer care services at Therapeutic Associates Spokane Physical Therapy empower cancer patients to take an active role in their recovery, restore optimal function and improve quality of life. Bill Olson, PT, has advanced certification in Orthopedic Manual Therapy and extensive postgraduate training and experience in the management of Lymphedema and venous insufficiency, which allows him to address common musculoskeletal problems affecting the muscles, joints and nerves of cancer patients, plus swelling that can occur anywhere in the body if there is compromise of the lymphatic or venous systems.

If anyone you know is experiencing physical symptoms as a result of cancer treatments, please call (509) 624-4035 or visit www.therapeuticassociates.com/SpokanePT

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Advertising Supplement to The Spokesman−Review • Sunday, September 23, 2012 • Online & Mobile at www.spokesman.com/liveWELL

BETTER LIVING THROUGH QUALITY www.affordable-optics.com In this modern era of taking better care of our bodies, your eyes should not just be an afterthought. Dedicate yourself to preserving your vision health. Affordable Optics makes that a lot easier on your schedule and your wallet.

EXAMS It is recommended that you have a comprehensive eye exam every year. This painless process can be an early warning sensor against cataracts and glaucoma.

People with diabetes should be especially vigilant about eye exams as neglecting your eyes can lead to permanent blindness.

CONTACTS Changes in soft contact lens technology is creating new options for contact lens wearers. Accuvue has recently announced a new daily lens called Accuvue Moist for Astigmatism. The new technology in the lens makes it very comfortable while increasing the flow of oxygen to the eyes.

sunglasses. Besides blocking harmful UV rays that cause brown cataracts, they eliminate the glare off horizontal surfaces, including water. This is what allows you to look into the water and see the fish. Driving with polarized glasses can improve driver’s reaction times creating safer driving conditions.

Affordable Optics also offers the latest in sport sunglasses, which allows outdoor enthusiasts like boaters and motorcycle riders to see clearly without glare. These frames offer a wrap-around shape that can block the wind and water from getting into the eye and are available in prescription and nonprescription lenses. Popular lens choices are Progressive, Polarized or even Transitions. The ultimate choice would be

EYE CARE eye examination from one of three licensed doctors, purchase your contact lenses and select your new glasses all in one trip.

FRAME STYLES Somewhere Buddy Holly and all the other so-called nerds are smiling, realizing they were fashion trailblazers and didn’t know it. Holly’s trademark glasses with the thick black rims are not only back in style – they’re one of the hottest sellers for eyewear.

The nicknamed “Geekalicious” glasses are so popular now that even people without a prescription are coming in looking for eyewear that will make them look smarter, says Linda Jordan, a Licensed Optician at Affordable Optics in Spokane Valley.

The store carries a wide selection of frames to choose from. There is a good mix of “affordable” frames, with along with unique designer selections. They also carry Silhouette, Ray-Ban and Guess frames along with the locally designed Native Visions collection.

GLASSES

OUR STAFF

Recent advances in spectacle lens materials allow them to create eyewear that can be very light weight and highly functional for those with higher prescriptions which were once thick and heavy.

If you have a child that participates in sports, give the gift of safety lenses and sports frames. Most schools will not allow students to wear glasses during sports unless they are made of polycarbonate material. Put them in a sports frame that stays on during intense activity and your athlete will be happier and save their other glasses for the classroom.

Other exciting breakthroughs include changes for progressive lens wearers.

Progressive lenses are a no-line bifocal and are now available in a digital freeform option. The backside of the lens is now digitally designed and cut with computercontrolled lasers adding greater width in the intermediate and reading areas and better peripheral vision without distortion.

Everyone should have a pair of polarized

Because of the importance of your sight, we understand that you want to work with someone you can trust. Affordable Optics’ staff are experienced specialists who are dedicated in providing satisfactory solutions to meet our customers’ needs. Initially called a Frame Stylist, Linda quickly learned that a lot of education went into becoming one of the first female Licensed Optician in a male dominated industry. She looks at her role as a teacher to patients who come in looking for the perfect glasses, based on their prescription, lifestyle, needs and budget.

Jordan takes her job so seriously that she actually created her own “10 Commandments for Frame Selection.” Her list includes rules about color palette to facial shape and temple placement.

Linda Jordan would like to invite you and your family to come out and meet her and the team of trained professionals at any of the Affordable Optics stores in Spokane and Lewiston. Where prices are not just great, but you will have a great experience picking out your next look.

Photo by Courtney Dunham

the innovative new Transitions Vantage lens. This lens does it all. It transitions from clear to dark lenses in bright light conditions while increasing the polarization as they darken. Perfect for a ride around the Pacific Northwest!

“We make Quality Eyecare Affordable” isn’t just a slogan. It is a way of life at Affordable Optics. With Saturday and walkin appointments available, you can get your

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