Issuu

HOLE Health

May 4, 2011

A supplement to the Jackson Hole News&Guide

Classically FIT

Friendly competitions at Jackson gyms help in weight loss efforts, pay major bonuses.

INSIDE Ask a few questions to make sure you have the right insurance for you or your family.

Nature provides bounty of health-enhancing substances in the form of medicinal plants.

St. John’s Community Health Fair • 9 a.m. to 1 p.m. Saturday • Snow King Center • See story on page 3.

2 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

“It is never too late to be what you would have been.”

Healthy for

George Eliot

summer fter nine months of winter and more than 600 inches of snow, summer is finally within reach.

As anxious as everyone is to get outside, now is a good time to prepare mentally and physically for the transition to warmer weather and the activities it brings.

Elizabeth Cheroutes, MSW Licensed Clinical Social Worker

Therapy for Individuals and Couples Specializing in trauma and pre-natal and postpartum mood disorders.

This year’s Hole Health section is focused on that transition, giving people the tools they need to heal their winterweary bodies and start out strong.

690-0484 • 125 East Pearl www.JacksonHoleTherapy.com • elizabeth@jacksonholetherapy.com

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lite lunch

Men's Health Awareness

For starters, a story about a new type of self-administered therapeutic massage can help ease the pain of 10,000 turns on the slopes of the Tetons. Another new method, a form of dynamic stretching, can keep muscles, ligaments and joints limber for the next great challenge of summer.

Screenings at St. John’s Community Health Fair can help ensure your body is running on all cylinders. For those eager to make the switch to warm-weather sports, an article on proper preparation can help prevent early season injuries. As the weather gets warmer, eating local foods again becomes an option. Two stories provide guidance about wild and locally raised foods, some of which can be found growing in your own backyard or on the sides of many popular trails. So, as you prepare for the coming season, take time to reflect on your health. Go into the summer with the knowledge that your Hole Health is at its best. —Kevin Huelsmann Cory Hatch

Lisa Finkelstein, DO Michael Rosenberg, MD Sandra Marshall-Goodson, PHN

Tuesday, May 10, 2011 Noon- 1:00 pm

Special supplement written, produced and printed by the Jackson Hole News&Guide

St. Johns' Medical Center Moose-Wapiti Classrooms

Publishers: Michael Sellett, Elizabeth McCabe Associate Publisher: Kevin Olson

As part of the 2011 St. John's Community Health Fair, free prostate screening clinics are held. Come learn about the importance of getting a prostate cancer screening and the health resources available for men of all ages in our community. The panel will include Dr. Lisa Finkelstein, board certified urologist, Dr. Michael Rosenberg, board certified general surgeon, and Sandra Marshall-Goodson, public health nurse specializing in men's health issues.

Editors: Cory Hatch, Kevin Huelsmann Layout and Design: Kathryn Palagonia Photo Editor: Bradly J. Boner, Price Chambers Copy Editors: Jennifer Dorsey, Rich Anderson Features: Kelsey Dayton, Brandon Zimmerman, Sarah Reese, Cara Rank, Johanna Love, Katy Niner, Angus M. Thuermer Jr., Amy Schenck, Theresa Griswold Director of Sales and Marketing: Kate Sollitt Advertising Sales: Amy Golightly, Viki Cross, Adam Meyer, Karen Brennan

Free, Open to the public Bring your own lunch or purchase lunch at the Refuge Grill.

Advertising Coordinator: Meredith Faulkner

For more information call 739 7244

Advertising Design: Stacey Oldham, Lydia Wanner, Audrey Williams, Caryn Wooldridge Pre-press: Brent McWhirter, Kyle Brewer Pressmen: Greg Grutzmacher, Jeff Williams, Dale Fjeldsted, Bryan Williams Office Manager: Kathleen Godines Customer Service Managers: Amy Boog, Ben Medina Circulation: Corry Koski, Kyra Griffin, Pat Brodnik, Gary Bourassa

St. John's Medical Center

625 E. Broadway

307 739 7244 214252

We’ll get you back on the saddle again!

Orthopaedic Associates of Jackson Hole Experience • Compassion • Ethics Specializing in: Fracture and trauma care • Sports medicine and arthroscopy Joint replacement surgery • Comprehensive spine care Hand, foot and ankle surgery • Computer-assisted surgery

307-734-5999 • 945 West Broadway Ste 202 William Neal M.D. Angus Goetz D.O. Mary Neal M.D. 214496

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 3

NEWS&GUIDE FILE PHOTO / PRICE CHAMBERS

Dr. Tom Pockat talks to Sara White, 6, about the health of her stuffed animals at the 2009 health fair as her mother, Katy White, holds sister Katelynn. The teddy bear clinic is part of this year’s fair, too, along with a variety of screening services, information booths and family activities.

2011 health fair to promote

an ounce of prevention Screenings, tests feature big at Saturday event. By Kevin Huelsmann

rganizers of the St. John’s Community Health Fair are trying to eliminate the choice between paying bills and spending money on preventative screening and health care. This year, health fair organizers said, they are trying to focus on offering as many free screening services and tests as they can. “In my position, I’ve been struck by the fact that, with the current financial difficulties, one of the first things to go is preventative screenings,” said Julia Heemstra, wellness coordinator

BIOHEALTH

at the Jackson Hole Community Health Information Center. Heemstra’s comments have been echoed by other public health officials, as well as administrators of human service organizations. “In talking with local doctors, there has been a marked reduction in people coming in for screenings that really are recommended,” Heemstra said. “If you have $2,000 that could be spent elsewhere instead of for medical care, people are choosing to spend it elsewhere.” The health fair, which is scheduled for 9 a.m. to 1 p.m. Saturday at Snow King Center, is slated to offer free screenings for hearing,

dental, vision, skin cancer, blood pressure, memory disorders, orthopedic conditions, body composition, spinal misalignment and movement. “One of our most popular screenings, the one with long lines snaking around the building, is the skin cancer screening,” Heemstra said. “You have all of your moles looked at, and someone will tell you if you need to follow up with any of them. “We have a strikingly high melanoma rate here in Teton County,” Heemstra said. “So many of these young adults who are active spend a lot of time outdoors. It’s really

See PREVENTION on 4

Healthy Hospital

Come in and learn to feel

calm and focused without adding medication. You will learn to drop your stress and become more resilient.

St. John’s Medical Center is pleased to be Tobacco-Free, effective January 1, 2012.

Any age, any ability. These tools are endorsed by

To view our policy, visit tetonhospital.org/tobaccofree

Andrew Weil and Deepak Chopra. Call Joy Nelson Lundeen, RN BCN for your free phone consultation, or send

Joy Nelson Lundeen, RN BCN Mike J. Menolascino, MD Medical Director

an email and she will call you.

St John’s Medical Center

739-7532 biohealth@wyoming.com • Jackson & Wilson

214666

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4 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

PREVENTION

SPIN

What’s happening when at the fair

Continued from 3

Roll Call Boot Camp Pump Cardio Sculpt Step+ Spring Conditioning Yoga (multi-level) A dynamic cycling class taught to music. You’ll climb hills,

sprint and pedal your way to the best cardiovascular shape ever! Beginners welcome...come a little early to set up your bike.

membership. contract. commitment. All you have to lose is weight!

Plastic Surgery Consult with Dr. Payne:

Breast Reconstruction PLASTIC SURGERY OF JACKSON HOLE JOHN C. PAYNE, D.O. BOARD CERTIFIED

Call 733- 8070 for your appointment 555 E. Broadway, Suite 211 • Jackson

www.plasticsurgeryjacksonhole.com

$115 214801

PUNCHCARD

Behind Smith’s - High School Rd 734-5878 • bellfitness.net

Bras for a Cause, presented by our local Soroptomist chapter, brings focus to the importance of early detection of breast cancer. With early detection, there are more treatment options, often including preservation of most of the breast after removal of the cancer. In many cases, however, removal of the breast is necessary to provide the best opportunity for cure. Many reconstructive options are available here in Jackson, including implant-based and autologous (own tissue) reconstruction, performed either at the time of mastectomy, or following completion of cancer treatment. Early Detection is the key to a cure.

Committed to our community, full-time, year-round.

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10 CLASSES

important to get checked.” Physicians also will be on hand to interpret the results of the increasingly popular blood draws. For children, medical providers will offer pediatric screenings for vision, dental, hearing and orthopedic conditions. Free foot and table massages and cleaning and straightening services for eyeglasses also will be offered throughout the fair. Free Spanish translation services will be available. In addition to the wide array of tests expected to be offered at the fair, Heemstra said she and other fair organizers are working to encourage residents to get preventive tests and screenings by providing information about financial resources offered both locally and through the state. The fair attracts a broad range of medical providers. More than 100 organizations and medical providers signed up to host booths at the fair, which includes more than 15 departments at St. John’s, Heemstra said. “A big part of people accessing resources in the community is being aware of what resources exist here,” Heemstra said. “The health fair really is a forum that allows the community to see what health care providers are out there.” Fair organizers said they tried to include activities and information that will be pertinent to individuals of all ages and backgrounds. Children and families can get a thorough once-over of their favorite stuffed animals at the teddy bear clinic. They also can tour a fire truck or ambulance, get their face painted, try their moves on Wii Dance and check the safety of car seats. For older people, fair organizers scheduled a medication check from

9 a.m. to 1 p.m., Saturday at Snow King Center Free demonstration classes 9 to 9:30 a.m., Jazzercise 9:45 to 10:15 a.m., Pilates 10:30 to 11 a.m., yoga 11:15 to 11:45 a.m., karate Noon to 12:45 p.m., Zumba 10 a.m., 11 a.m. and noon, bouldering in Phil Baux Park Free screenings Vision* Dental* Hearing* Skin cancer Memory disorders Blood pressure Orthopedic* Body composition Functional movement Spinal misalignment *Pediatric screenings available 11 a.m. to noon Friday at the Senior Center of Jackson Hole. The medication check offers seniors a chance to bring in all of their prescriptions and supplements and have a pharmacists review them for any potentially harmful interactions, appropriate use and duplications. New to the fair this year is the addition of food and drinks, which will be offered at no cost. Fair organizers said they expect to serve coffee, bagels, gluten-free breakfast treats and coffee cakes in the morning, and tamales and mini-quiches in the afternoon. A list of exhibitors can be found at www.tetonhospital.org.

Here to Get You Back to Where You Want to Be n Surgical and Non-surgical Orthopedics and Sports Medicine Rehabilitation n Neck and Back Pain Rehabilitation, Scoliosis Programs n Women’s Health: Pre-natal/post-partum musculoskeletal complaints, Pelvic pain, Incontinence, Osteoporosis, Post-operative breast cancer rehabilitation, Lymphedema n Elderly Balance/Fall Risk Programs n Custom Orthotics / Custom Knee Braces No physician prescription required (except Medicare, Medicaid, Workers’ Compensation)

PT, DSc, OCS, Owner

www.tetonoralsurgery.com

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Jeff Shirley PT, DPT

1090 S. Hwy 89, Jackson Wy 83002 • 307.733.5577 www.fourpinespt.com

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V. Norene Christensen

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 5

When craving red meat, opt for bison, elk

With more nutrients and less fat, game meat is a healthier option for the carnivorous tooth.

By Cara Rank

aintaining a healthy diet doesn’t mean living off chicken, fish and vegetables. You can still enjoy a thick, juicy steak and a messy hamburger without the artery-clogging fat and cholesterol if you opt for grass-fed game meat such as elk, bison or venison. “Game meat is much lower in fat and saturated fat than other red meat,” said Therese Lowe Metherell, a registered dietician and News&Guide columnist. “The fat that ends up in the meat is much healthier. When meat is finished on grain, it produces saturated fats, and saturated fats are bad the for heart. They’re also inflammatory, so they’re not good for the joints.” Instead, free-roaming, grass-fed animals offer plenty of omega-3 fats. And, because they get more exercise, the result in a leaner cut, she said. One portion of elk or buffalo meat contains half the fat and calories of an equal portion of beef. For example, a 3 ounce serving of beef contains 8.7 grams of fat, 55 milligrams of cholesterol and about 180 calories. The same serving of buffalo has about 1.8 grams of fat, 43 milligrams of cholesterol and 93 calories. While Metherell recommends eating only one portion of beef a week, game meat can be consumed up to twice weekly. Aside from being better for the

dennis Butcher, Md Special interest in gastrointestinal cancer prevention, pulmonary, cardiac and preventative general internal medicine. Board Certified Internal Medicine Serving Jackson Hole region since 1980

ellen Meyers, Md Special interest in primary care Physician with the St. John’s Hospitalist Program Board Certified Internal Medicine Serving Jackson Hole region for more than a decade

Lisa Larson Hoyt, GnP

Deer in beer

STOCK PHOTO

Buffalo is not only tasty but also has fewer calories and less fat and cholesterol than beef. Grass-fed animals also are easier on the environment.

heart, game meat also is good for the environment, said Dan Marino, owner of Jackson Hole Buffalo Meat Company. “It’s a more sustainable product than beef,” Marino said. “Beef will, if you turn ’em loose, eat the grass clear down to the root. Buffalo and elk will not do that. They’re more roamers, so they won’t destroy the environment that they live in.” For those hesitant to try elk, buffalo, or deer, fearing a gamey taste or firmer texture, there are ways to ease into the transition. Marino suggests starting with ground meat. “You’re not sacrificing any flavor,” he said. For other cuts, Metherell recommends slow cooking for hours to break

down the tissue. Another option is to cook the meat no more than mediumrare to avoid tough or dry results. Marinating breaks down the tissues, too, and creates a flavorful dish. Use acidic liquids such as juice, wine, beer or vinegar. Metherell also recommends becoming a smart shopper. Elk and buffalo are available in local grocery stores, but some may have been raised commercially and finished on grain, reducing the health benefits. Jackson Hole Buffalo Meat Company is a good resource, she said. Or, talk to that neighbor with a freezer full. “Volunteer to mow their lawn or baby-sit their kids,” she said. “That’s really the best source.”

Ingredients 2 large onions, sliced 4 large carrots, sliced 4 stalks celery, sliced 4 cloves garlic, diced 2 teaspoons freshly ground black pepper 1/2 cup sweetener, such as maple syrup or honey 1/2 teaspoon cloves 1/2 teaspoon allspice 2 teaspoons dried basil 2 bay leaves 1 tablespoon chopped fresh parsley 1 quart apple cider vinegar 1 quart vegetable broth 1 pint dark beer 2 tablespoons canola or olive oil Saute vegetables and garlic in oil for 10 minutes over medium-high heat. Add remaining ingredients, except meat. Simmer 30 minutes, then chill. Place marinade in large nonmetal bowl, then add 3 to 4 pounds venison, cut in 2-inch pieces. Let stand in refrigerator 1 to 2 days. Place meat and marinade in a large kettle. Bring slowly to a boil. Cover and cook over low heat for 2 hours. Thicken liquid for gravy, if desired, and serve with potatoes. – Therese Lowe Metherell

It’s what’s on the InsIde that matters From wellness visits to diagnosis and treatment of chronic diseases and complex health conditions, St. John’s Internal Medicine provides local comprehensive healthcare for adults. Now accepting new patients Same day appointments available St. John’s Professional office Building, Ste 201 555 E. Broadway, Jackson WY 307 733 7222 Tetonhospital.org/internal

Certified Nurse Practitioner Serving Jackson Hole region since 1979

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6 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

A family is waiting...

Adoption-

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The Choice You and Your Baby Can Live With For more information on adoption: birthmothers.org • bethany.org • optionline.org

Right to Life of Teton County • P.O. Box 8313, Jackson, WY 83002 • 733-5564 • Elaine Kuhr

6SHFOU $BSF

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DNA tests of saliva can reveal an individual’s potential health problems, which can serve as a basis for changes in diet, exercise and other preventive care.

PDF PROOF?

Smart DNA

yields health clues Roadrunner Apothecary offers new tests that can guide preventive care. By Brandon Zimmerman

W Same-Day Appointments and Walk-ins Welcome - Walk-in care clinic for acute illnesses, minor wounds and the treatment of bone, joint and other injuries - On site services: Rapid strep test Rapid flu test Blood draws X-rays - Travel and influenza vaccines - CDL, FAA and school sports physicals - Worker’s compensation

Jim Little, Jr., MD, Board Certified in Family Medicine April North, MD, Board Certified in Family Medicine Doug Thomas, PA-C Hours: Mon-Fri: 9am-7pm; Sat, Sun: 10am-4pm

307 739 8999

St John’s

Family Health & Urgent Care 214247

Smith’s Food Store Plaza

tetonhospital.org/urgentcare

Highway 89 and High School Road

PLACE YOUR CLASSIFIED ADS

ONLINE 24/7

www.jhnewsandguide.com/classifieds

hen Babs Melka received her results from Smart DNA, she was in awe. “I was fascinated with it,” she said. “It gave me so much insight about my genetic disposition.” And that’s what Melka, owner of Roadrunner Apothecary — at 310 E. Broadway, No. 9 — hopes to bring to her clients. Smart DNA, located in Australia, employs groundbreaking science to examine the DNA in a person’s saliva. What comes back is a comprehensive breakdown of the individual’s genetic makeup that underscores genetic strengths and weaknesses and how the person reacts to different foods. With these results in hand, Melka can recommend an individualized nutrition and exercise program. Ultimately, this can help a person prevent high blood pressure, diabetes or cancer, she said. “To be proactive in someone’s health, especially these days when health care is so expensive, is invaluable,” she said. “If we can do something as easy and affordable as going through someone’s genes to give them the tools to manage their health in a proactive way, why wouldn’t you want to do it?” Results are to be used in conjunction with a patient’s medical history and other relevant parameters, such as levels of insulin, triglycerides, and the fatty acid composition used to calculate the risk of heart and circulatory diseases. Another health care provider introduced Melka to Smart DNA. She uses her own personal test, done a few months ago, to illustrate how the procedure works. First, a saliva sample is taken at Roadrunner Apothecary and sent off to Smart DNA in Australia. Within about three weeks, the results return. Melka’s test results showed a variety of weaknesses. She learned that consumption of polyunsaturated fatty acids exceeding 6 to 8 percent of her total caloric intake would increase her HDL (good cholesterol) levels dramatically. Melka also learned she metabolizes caffeine slowly and was told to decrease her consumption to one to two cups per day. Also, she discovered she was at a moderate risk for increased blood pressure.

It’s all in the genes Every human body has more than 25,000 genes. They determine our hair and eye color as well as our metabolism and how we react to our environment and process fats. The various forms of genes contain changes known as polymorphisms or single nucleotide polymorphisms. A result of such variation is that enzymes encoded by a gene may work faster or slower or lose activity. People inherit a gene from each parent. If both copies of the gene are the same, the SNP is said to be a homozygous variant. If the genes are different, the SNP is called a heterozygous variant. Smart DNA reads a person’s genetic makeup through saliva to determine what diseases he or she is susceptible to. With knowledge of what ailments a person may suffer later in life, diet and exercise choices can be made to help prevent them.

“Rather than wait until later in life to get high blood pressure, I can take steps now to prevent it,” she said. Her Smart DNA report said she would benefit from a Mediterranean diet with a lot of olive oil and one or two glasses of red wine per day. A Mediterranean diet usually helps reduce inflammation, which plays a key role in chronic diseases including diabetes, osteoporosis and obesity. The diet typically includes foods low in saturated fat and high in monounsaturated fat and dietary fiber. Melka’s results also showed her genes indicate she has a weak lumbar region and is susceptible to inflammation. As a result, specialists recommended a lowimpact aerobics program. “It was low-impact because they don’t want to exacerbate the inflammation,” she said. For pricing information, call Melka at 732-0540.

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 7

All of your Orthopaedic needs covered under one roof by fellowship trained specialists!

Teton Orthopaedics will get you back in the saddle. COURTESY PHOTO

Heidi Jost, MD

At Training to be Balanced and other area fitness facilities, group programs that emphasize accountability lead participants to healthier lifestyles.

Hand & Upper Extremity n Foot & Ankle n Custom Orthotics n Board Certified n Fellowship Trained n

Contests produce

local big losers

Geoffrey Skene, DO Non-Surgical Spine n Electromyography – EMG n Epidural Steroid Injections n Board Certified n Fellowship Trained n

Knee Arthroscopy Hand & Upper Extremity n Sports Injuries n Board Certified n Fellowship Trained n n

Adult & Pediatric Spine Surgery n Joint Replacement Surgery n Fracture Management n Board Certified n Fellowship Trained n

“That was motivating for me, too,” Henninger said, “to try to do different things.” She and her husband earned spa packages and months of free gym dues. Bell Fitness owner Becky Tucker said she charged a $25 fee this year, so only 25 people signed up. But, laying out cash motivated most of them to finish the contest and not drop out.

Located next to St. John’s Medical Center 555 E. Broadway • Jackson, WY

307-733-3900

Satellite Locations: AFTON, PINEDALE, ROCK SPRINGS, LANDER, BIG PINEY, GREEN RIVER & RIVERTON 99999

“Some people need some structure, some accountability, the feeling like someone actually cares about their progress.” – Becky Tucker OWNER, BELL FITNESS

“Each year, so many people didn’t finish,” Tucker said. “That’s the whole point: to finish.” Tucker took measurements of all the participants at the beginning and end of the challenge. In addition to weight,

See BIG LOSERS on 24

The Therapist Will See You Now! JHCCC announces walk in services and expanded scheduling. No wait time for assessments. CALL 733-2046 FOR INFORMATION Free confidental online mental health screenings at www.jhccc.org SLIDING SCALE FEE • WE ACCEPT ALL INSURANCES Nationally Accredited at the Highest Standard Best Practice Therapies including DBT (Dialectical Behavioral Therapy) and EMDR

733-2046

Peter Rork, MD

The Benefits Of Colonics Hydro-Cleanse

Detoxify The Colon Provides Detection Of Parasites Soften Toxic Fecal Matter Hydrate The Colon Promotes Natural Peristalsis Increase Intestinal Flora Create A Clean Environment Eliminate Toxins After Surgery Eliminate Toxins After Quitting Smoking Help Detox From Drug & Alcohol Addiction

Monday-Friday 8am-5pm and after 5:00 by appointment. 24-Hour Crisis Services • 733-2046

640 East Broadway • www.jhccc.org

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fter the holidays, Jennifer Henninger knew she needed to make a fresh start for 2011. Setting out to eat less sugar and exercise more, she signed up for I Lost It at the Club, the fifth annual contest at Bell Fitness. Between Jan. 10 and March 22, she lost more than 26 pounds and trimmed 3 inches from her waist. She won the women’s division, even beating her husband, Tom, the top finisher in the men’s category. “I feel much better,” Jennifer Henninger said. “I changed my diet a lot, cut out almost all sugar and carbs, although I still make exceptions for birthday cakes,” she said. The mother of three, who works part time with her interior design business House to Home, hit the gym four or five times per week during the contest. While she was there, she ran more than she had in the past. She also experimented with new exercises thanks to a bingo-like card that encouraged members to cross-train with activities such as yoga, Pilates, spinning and stair climbing. The first three people to complete enough tasks to fill up lines on the card got prizes.

Sports Medicine, Arthroscopy n Shoulder and Knee Surgery n Trauma & Fracture Care n Board Certified n Fellowship Trained n

Joshua Beck, MD

Friendly competitions help people lose body fat each spring. By Johanna Love

David Khoury, M.D.

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Any and all statements made in this ad are not stating that colon hydrotherapy will cure any illness.

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8 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

health insurance

Mary E. Girling, MD OB/GYN

A rough guide to premiums, coverage on the individual market.

Announces the opening of her new women’s practice: specializing in medical and surgical obstetrics, gynecology, infertility, wellness, menopause, pelvic prolapse and urinary incontinence.

Now accepting new patients

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Healthy Minds Healthy Bodies Healthy Smiles S. Ed Owens, DDS, MSD Shannon E. Owens, DDS, MS Specialists in Orthodontics and Dentofacial Orthopedics Treatment For Children, Adolescents, Adults Local Orthodontic Care Certified by the American Board of Orthodontics Invisalign® Certified Orthodontists

By Kevin Huelsmann

bout one quarter of Teton County’s adult population does not have health insurance. Teton County has one of the highest percentages of adults between the ages of 18 and 64 without health insurance in the state, matched only by Albany County, according to researchers at University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation. Though those numbers were taken from federal data collected in 2007, local insurance brokers and social service employees say the trend continues. There are myriad reasons why some valley residents do not have insurance. Some have employers that stopped providing health insurance. Some voluntarily forgo insurance to save money. Others cannot find a company that will provide a policy. Another large segment of the valley’s uninsured is made up of individuals who string together several part-time jobs to make ends meet, insurance professionals said. Wyoming law does not require businesses to provide health insurance, and many businesses offer health benefits only to full-time employees, leaving part-time workers to search for insurance on the open market. “We see a lot of young people who think they’re healthy and don’t need heath insurance,” said Christine Johnson, who manages benefits administration and claims at Summit Insurance. “The problem is that accidents will happen, and without some sort of coverage, you can wind up going bankrupt. You can ruin your credit when you can’t pay your high bills.” Others have said they are starting to see individuals whose employers cut the level of benefits they receive through their insurance, raise their required contribution or cut their insurance altogether. And some valley workers simply waive off health insurance to avoid the high cost of premiums. “People just reach a threshold where they can’t handle it anymore,” Linore Wallace, of Jackson Hole Insurance, said. “With the cost of gas, cost of food. Where do you draw the line?” Being thrust out of a group plan run by one’s employer creates a sizable hurdle to finding affordable and effective health insurance coverage, but one that is not insurmountable. Both Wallace and Johnson said residents trying to cobble together some

kind of health insurance have to shop around. They also need to do their homework to make sure the plan they pick will work for them and not leave them in the lurch. Though online outlets that provide health insurance for individuals exist, they can come with pitfalls. People should pay attention to the details, and to the needs of living in Jackson Hole. For example, while a $4,000 lifeflight limit might not be of much concern to someone in a metropolitan area, it can create problems for someone who is hurt in Jackson and needs to be flown to Salt Lake City. “Where are you going fly on a lifeflight for $4,000 around here?” Johnson said. “We’ve had a case where the person had a $4,000 limit and ended up having a bill of something like $20,000.”

“Without some sort of coverage, you can wind up going bankrupt.” – Christine Johnson SUMMIT INSURANCE

Another potential hazard for someone trying to navigate health insurance plans on his or her own is the network of medical providers covered by the plan. For example, the website set up by the federal government to help people find health insurance, www.healthcare. gov, lists a handful of insurance companies for Jackson residents. The problem, Wallace said, is many of the companies do not include Jackson providers in their network. “All networks don’t work in this area,” she said, explaining that First Choice of the Midwest and Blue Cross Blue Shield have some of the strongest networks in the valley. “You can see a great price and great plan, but if you don’t look far enough into it, you can buy a product that you’re not going to be happy with.” Wallace said consumers also need to pay attention to the out-of-pocket costs they could face. Though many individuals try to seek out the lowest premium, they sometimes can get stuck paying for much more after an accident or illness, thus erasing the savings they found in See INSURANCE on 25

WE WELCOME YOUR ENTIRE FAMILY Theresa Lerch, CNM, CFNP Lori Bowdler, FNP-BC

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Providing Comprehensive

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733-4585

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 9

“A journey of a thousand miles must begin with a single step.” - Lao Tzu Offering Psychotherapy and Nutrition Counseling for Adolescents and Adults Specializing in: Eating Disorder Recovery • Adolescent Concerns • Food & Mood

Sarah Long, MS, PLPC

PRICE CHAMBERS / NEWS&GUIDE

The Prenatal Entry Program provides up to $600 for low-income, uninsured expectant mothers to start prenatal care. It’s designed as an assistance program that gets women through the doors for their first visit.

Pondera Counseling LLC 307.690.4179 • 125 E. Pearl St, Suite 209 www.ponderacounseling.com

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Prenatal care

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emphasis creates results An unsettling trend is reversed through a communitywide effort.

By Amy Schenck

s the effects from the nationwide recession rippled through Jackson, a disturbing trend was developing at St. John’s Medical Center. With increasing frequency, patients who had received no prenatal care were walking through the doors of the emergency room in labor. “It can present a very stressful situation where you’re trying to make up for lost time,” said Dr. Maura Lofaro with Gros Ventre OB/GYN. When this happens, doctors don’t know anything about the patient: her age, the length of her pregnancy, whether she has had previous pregnancies or whether there are high-risk complications. In response, a group of community members got together to form the Prenatal Entry Program. The program provides up to $600 for low-income, uninsured expectant mothers to enter prenatal care. It’s designed as an assistance program that gets women through the doors for their first visit. “If you can get someone into that first visit, they understand the importance of prenatal care,” said Bonnie Pockat, the maternal child health coordinator for Teton County Public Health. The majority of women who come to Pockat’s clinic through the Prenatal Entry

Program get the full complement of prenatal care, which generally consists of seven to 15 visits, Lofaro said. The women are responsible for paying for the visits after the initial $600 in assistance. “The vast majority of the patients we have cared for are in good financial standing with our office,” Lofaro said. The program has been running for 14 months. In its first year, it helped 75 women, or 15 percent of the deliveries at St. John’s Medical Center. The Community Foundation of Jackson Hole has provided $54,000 in funding for the program, largely out of its emergency assistance funds. Since the program’s initiation, no women have arrived at Jackson’s hospital to deliver without prenatal care, and very few women have waited to enter prenatal care until their third trimester, organizers say. “So, in terms of the purpose of our program, we’ve been 100 percent successful,” said Vida Day, the project coordinator for the program. She also is director at El Puente, a nonprofit that works to improve health care access by providing around-theclock translation services. There are financial benefits for participants and the community, said Liz Finegan, director of St. John’s Medical Center Foundation. Prenatal care can prevent, or at least reduce the risk o costly medical com-

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10 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

Edible and medicinal plants abound in Jackson Hole Identification is key for safe foraging.

By Cory Hatch

tarting roughly 10,000 years ago, hunter-gatherers around what’s now Jackson Hole shared a deep connection with the landscape, subsisting on its plants and animals with knowledge they passed down from generation to generation. Now, with most people resigned to foraging through supermarket aisles, a small number of local plant experts have spent years rediscovering the abundance of greens growing along their favorite trails. The result, they say, is a veritable forest smorgasbord of medicinal and edible plants, if only you know what to look for. Once you learn which plants are safe and tasty, harvesting them can provide a range of benefits, from a delicious early season salad to a quick fix for an injury incurred on the trail. If you’re stuck out in the woods, knowing how to find sustenance can even save your life. Kevin Taylor, an employee of the Teton Science Schools, learned to identify the region’s various plants as a botany student at the University of Wyoming. “For me, using plants in a lot of different ways is a way to increase the intimacy that I have with the plants,” he said. “Stinging nettles look very different to me after having eaten them for years.” Proper identification is crucial. “A lot of people start by becoming interested in ethnobotany,” he said. “They want to find out about what they can eat or what they can use for medicine. I learned to identify plants first. I tend to think that that’s a safer way to do it.” Safety in this case is more than just avoiding a stomach ache. It could mean the difference between life and death. “Two of the most poisonous plants in the world occur in this valley, poison hemlock and the water hemlock,” Taylor said. “The hemlocks are in the carrot family, or sometimes it’s called the parsley family. That family also has some of the most use-

NEWS&GUIDE FILE PHOTO / PRICE CHAMBERS

As this honey bee knows, dandelions have many uses as an edible and medicinal plant, from providing salad greens, a coffee substitute or an ingredient for wine to being used for liver ailments, as a diuretic or to supplement potassium intake.

ful edible and medicinal plants in the world as well.” Taylor’s friend and fellow plant enthusiast Jean Jorgensen agrees. “People have died in this area,” she said. “You need to really know what you’re doing before you get out there and start messing around, because it could be fatal.” Jorgensen was once co-owner of a company that eventually morphed into Wind River Herbs and The Herb Store, two businesses that still operate in western Wyoming. One edible plant easily confused with the deadly hemlocks is the cow parsnip, she said. “When you look through various field guides there are some plants that are described as edi-

ble but weird,” Jorgensen said. “We have that really big cow parsnip here, in the same family as deadly hemlock.” At least one researcher “says this would be an excellent survival plant,” she continued. “It is not on record how hungry they were when the plant was tried.” Some of the safer options include both native and nonnative species in the area. Eating nonnative species is a good way to find sustenance while also limiting damage to, or even enhancing, the ecosystem, Taylor said. Dandelions might be the most ubiquitous and easy-toidentify non-native edible plant. “I’ll eat dandelion salads all spring until my lettuce comes

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in,” Taylor said. Dandelions, like the vast majority of wild greens, are best picked when young. “That is not only the time they’re mildest, but also when they’re the most digestible,” Taylor said. Salads aren’t the only use for dandelions, Jorgensen said. The blossoms can be made into dandelion wine, and the roots can be cooked as a vegetable. The root can also be roasted and simmered to make a coffee substitute. Some people take the buds off the plant and cook them like fritters or stir them into pancake batter. The plant is also a useful medicinal plant for liver ailments, and it’s a diuretic that

doesn’t leach much-needed potassium from the body. Other non-native, edible plants include thistles such as the Canada thistle and musk thistle. “The inside of the stem — the pith — that’s edible,” Taylor said. “You use your bottom teeth to scrape it off. There’s been times on long hikes when I’ve used them to keep my mouth moist.” The musk thistle flower head can be cooked like an artichoke. While the outer layers aren’t palatable, the heart “is worth taking the time to boil up or steam up,” Taylor said. For native plants, there’s an ethic that both Taylor and Jorgensen observe: Rare and See EDIBLE PLANTS on 11

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 11

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protected species are left alone, and other native species are harvested only where they are abundant. Relatively abundant native species that people use for first aid include pine and arnica. “Pine pitch is something that you can put on an open wound or if you have a tooth abscess or something like that,” Jorgensen said. Arnica isn’t used for an open wounds, because it can blister, but it can be made into a liniment or a salve. Once, when Jorgensen injured her shin on a hike, she broke up fresh arnica and tied it to her shin with a bandana. “I had hit myself really, really hard,” she said. “But there was zero sensation and no swelling. “It’s nice to know those kind of things if you’re spending time out there in the woods,” Jorgensen continued. Both Jorgensen and Taylor mentioned stinging nettles as one of their favorite species to harvest. Like most plants, stinging nettles should be harvested away from roads or places where pesticides are used to avoid introducing pollutants into the body. Drying or cooking the nettles takes out the sting, which is caused by formic acid, the same chemical that makes ant bites so painful. “You want to collect very young, small shoots of this plant and steam it,” Jorgensen said. “It’s an absolutely delicious green that’s very, very high in nutrients supposedly even more nutritious than spinach.” The list of useful medicinal plants is seemingly endless. The roots or leaves of geraniums can be used to make a gargling solution for sore throats, and the root can be sliced and used to alleviate tooth aches. Desert parsley, when made into a tincture by soaking it in grain alcohol or vodka, is like echinacea: A few drops in the back of the throat can lessen the severity of a cold. Bearberry — also called kinnikinnick — is a good astringent.

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Source: Harrington, H.D. 1967. “Edible Native Plants of the Rocky Mountains.” The University of New Mexico Press, 391 pages. “In anticipation of my daughter being born, we collected it up and dried it,” Taylor said. “We put 4 or 5 inches of water in the tub and put the dried leaves in the water, almost making like a tea in the tub. It reduces inflammation. It’s really good at reducing infection after childbirth.” On the trail, roundleaf mallow can be used as a second skin for blisters, and mint helps with digestion. For backpacking trips, Taylor has two medical kits, one with conventional supplies and one with ethnomedical supplies. “Having film canisters full of these things is kind of fun to have in your backpack,” he says. Taylor also makes some trips during which he tries to eat only what he finds near the trail. The secret to such gustatory and medical adventures is knowledge, says Jorgensen. “I believe that, no matter where you are on the Earth, there are plants you could subsist on if you only knew what they were,” she said. “But you need to learn how to treat them ... how many times to change the water and things like that. “When I take kids out, I like to say, ‘If all wild animals innately know what they could survive on in the wild, did human beings also have this instinct and have we lost it along way?’ ” Jorgensen said.

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12 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

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ilson resident John Bishop says he has figured out the solution to the country’s problem of a high incidence of heart attacks. In his 360-page book, “How to Prevent a Heart Attack,” the real estate agent, lifestyle author, deep-sea diver and youth caregiver takes on the epidemic that affects American society. Bishop, who lives in Santa Barbara, Calif., too, has also published “The Santa Barbara Diet,” another book that seeks to offer healthconscious folk an avenue to fulfillment. Bishop does not have a medical degree and prints a warning at the beginning of his book saying it is “not intended to substitute for the diagnosis, treatment or advice given by a licensed, qualified, medical practitioner.” Once free of that obligatory disclaimer, he proceeds to offer advice, diagnoses and treatment for a problem most people would want to see assessed by a medical practitioner. His willingness to offer advice underscores his thesis: The entrenched medi214532 cal community in this country and Big Pharma — drug manufacturers — do not have your overall health and well-being as a principal concern. PDF PROOF?

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This unsettling proposal will unnerve many who find comfort in their doctors at checkup time. It will upset legions who subscribe to the benefits of Western medicine and the belief that all things American are best, even if an undue number of U.S. citizens suffer from heart disease. Of course, there is a segment of our society that shares Bishop’s skepticism and has made the intellectual leap from the promised nirvana of Madison Avenue to reality. Others with open minds may find themselves convinced by the author’s arguments, at least to start with. For example, Bishop describes how to assess oneself for the risk of heart disease. One: Measure your waist, and if it is larger than 40 inches for men and 35 inches for women, you are in trouble. A study of 360,000 men and women in nine European countries shows those with waists beyond the proscribed measure have double the chance of having a heart attack, Bishop says. That’s easy to buy. Next, check yourself for cholesterol, which everybody knows is a method of assessing risk. Bishop’s cholesterol measuring technique is unconventional, however. He says you can determine whether you

have high levels of bad LDL cholesterol by looking for white lines — arcus senilis — above or below the iris of your eyes. Next, he proposes an oral exam: gum infections, inflammations and poor dental health are telltale signs of high risk, Bishop says. “According to researchers at Columbia University College of Physicians and Surgeons, plaque buildup in the carotid arteries ... was 50 percent greater in people with diseased gums than in those with healthy gums,” he writes. This may be harder to believe but is plausible given his follow-up explanation. Dental problems are frequently associated with excess sugar consumption. Too much sugar in American diets contributes to obesity, diabetes and a plethora of health problems. Also, heart disease is an inflammatory problem. Gum disease is a similar ailment, he proposes. There’s also a check for whether one consumes enough vitamin C. Even skeptics of Bishop’s thesis might accept this as a viable indicator. They could well balk at his next suggestion, however: Check your earlobes for creases. “This crease will be at a 45-degree angle, run from back to front, and point toward your eyebrow in both earlobes,” he writes. “You must have the crease in both earlobes for it to be an indicator of coronary arterial disease.” The likely reaction by many to this proposed screen for heart disease risk will be, “This guy’s a quack,” Bishop says, but the assessment comes from Chinese medicine. He offers anecdotal evidence of the test’s accuracy from his former work in an oil patch. Among his colleagues was a high concentration of men who consumed lots of sugar, processed and fried foods, who smoked and drank heavily, who worked under stress and had a high incidence of bypass surgery. Bishop’s material might be rejected by some readers, but others will be captivated. Through the book, he offers an alternative to a culture of prepared foods, sedentary life and a reliance on the medical community to fix us when we run into trouble. Helpful hints for those who believe include lists of essential vitamins, minerals, elements and other cellular nutrients. The work is heavily footnoted and sourced. “How to Prevent a Heart Attack” might not be endorsed by doctors, medical associations and hospitals. It will, however, get readers thinking and perhaps inspire them to pursue a healthier lifestyle.

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 13

Keeping minds busy helps

seniors stay sharp Exercise, a healthy diet, social engagement and mastering new skills help fight dementia.

By Sarah Reese

argie Kudar exercises three to five times a week, plays trivia games and talks about current events with other residents of River Rock Assisted Living. “I participate in almost everything we have here,” said Kudar, 89, who has lived at River Rock since last fall. For Kudar, staying active has always been important. As she ages, keeping busy helps her maintain her body and her mind, she said. It’s a myth that most people will suffer from some sort of memory loss as they age, said Carol Taylor, a clinical social worker and patient educator for the Institute for Cognitive Health at St. John’s Medical Center. “It’s not normal to have significant memory loss with aging,” Taylor said. “There is some memory loss that happens with any brain across the life span as it ages, but not so that everyone over 65 is destined to suffer memory loss.” Dementia is a condition where there is significant memory loss and, in some cases, impaired judgment, Taylor said. “The condition impacts people’s daily lives to the degree that they need assistance with activities of daily living,” she said. Alzheimer’s disease is the most common form of dementia found in people

PRICE CHAMBERS / NEWS&GUIDE

Mary Patla, Margie Kudar, Dorothy Reimann and Gladys Weber work out with Erin Crow (not seen) April 22 at River Rock Assisted Living. Exercise is the most important thing people can do to ward off dementia or minimize its effects.

older than 70, she said. The number one thing people can do to delay the onset of dementia or minimize its effects is exercise, Taylor said. “We hear the words ‘the mind-body

If you feel sad or anxious, you are not alone! These symptoms are temporary and treatable with skilled professional care and social support.

Stearn recommends seniors focus on three areas to stay sharp: nutrition, social engagement and mastering new types of activities. Seniors should get 30 to 40 minSee SENIORS STAY SHARP on 15

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connection’ as though they’re two separate entities,” she said. “But really the health of your body can sometimes affect the health of your brain.” In addition to exercise, Cognitive Institute Executive Director Dr. Martha

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14 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

Dynamic stretching a better way to flex

Fitness specialist advocates method that increases mobility and prevents injury.

By Teresa Griswold

hen Scott Smith teaches his stretching clinics, he does not impose painful, 30-second holds. Instead, he advocates fluid, two-second stretches, performed in sets, using a technique known as active isolated stretching. It’s the opposite of static stretching, which most athletes from an earlier era are accustomed to as a warm-up before a race or tennis match. Smith, founder of One to One Wellness, a fitness center in Jackson, said he turned to active isolated stretching to bring flexibility into his own training practice 10 years ago. He was in great shape as a former college athlete and wilderness fire fighter, he said, but when he started using his head for work more than his body, his muscles, joints and ligaments essentially froze. To counteract the pain, he embraced the AIS method of dynamic stretching, which quickly increased his flexibility and mobility. The science behind dynamic stretching shows it is more consistent with the physiology of the body than static stretching, Smith says. “AIS is the most successful and quickest way to become more flexible,” he said. “It’s mainstream among college and professional sports teams.” Everyone, he says, from the desk jockey to the elite athlete, benefits from AIS through increased range of mobility, soreness reduction, injury prevention, pain relief, quicker rebounds, better sports performance and more flexibility, “Our movements in sports — for example, tennis — are pretty dynamic,” Smith said. “So why would we hold stretches for 20 to 30 seconds?”

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Scott Smith of One to One Wellness stretches client Jim Ambler.

The burning sensation one often feels in static stretching is from stretching against a contracted muscle. That type of stretch actually inhibits flexibility, Smith said. Dynamic stretching, however, enhances it. “Basically, it encourages the existing system in the body to work properly, which makes this style of flex-

ibility training optimal,” Smith said. The AIS method consists of a series of active movements of the muscles on the opposite side of the muscles being stretched. The key is using a gradual twosecond stretch, which promotes full range of motion See BETTER WAY TO FLEX on 15

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 15 When people become concerned about their memory, they may tend to withdraw from normal activities that they have participated in for many years, she said. “A friend or family member may say, ‘I just don’t think she’s understanding anything. I don’t know why we bother to get her to church,’” Taylor said. “But for someone who has been to church every Sunday for 50 years, it helps them mark time.” The fourth thing people can do to keep their minds sharp is to master new skills, Taylor said. “So if someone does crossword puzzles, it doesn’t mean that you would go from doing two New York Times crossword puzzles a day to 10. That’s not what family! We can take care of your entire we’re talking about. We’re talking about different activities that encourage other skill sets,” she said. Those who do crossword puzzles could try sudoku or board games. Other activities to try might include playing an instrument or singing in a community or church group. “Learning a foreign language is a wonderful exercise for the mind,” Taylor said. “What has been found is that in doing so, we actually are able to create new neurological pathways in the brain.” Stearn and Taylor will be debuting The Hungry Brain book club at 6 p.m. May 2 in the Ordway Auditorium at Teton County Library. Reading material for the club will be about brain health, healthy lifestyles and what people can do to enhance memory.

SENIORS STAY SHARP

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Continued from 13

utes of aerobic exercise five to seven times a week. During aerobic exercise, a person’s heart rate rises to 65 to 80 percent of maximum heart rate, Stearn said. Maximum heart rate is 220 minus one’s age. “We know that when we exercise, endorphins are released, and it’s believed that exercise may have some anti-inflammatory effects on the body and brain,” Taylor said. “If so, that again underscores the importance of regular aerobic exercise.” Eating a healthy diet also can keep the mind sharp, Taylor said. “Dr. Stearn frequently says what’s good for your heart is good for your brain,” she said. The institute recommends a Mediterranean diet that includes plenty of fresh fruits and vegetables, whole grains, olive oil and foods that contain antioxidants. In addition to exercise and eating right, Stearn says social engagement is crucial for those concerned about their memory, Taylor said. Some benefits of social engagement are obvious, Taylor said, but some are not. “It allows people to preserve some of their social skills, but it also provides continuity,” Taylor said. “What we know about aging and elders with dementia is that continuity and familiarity are two elements that have a significant, positive effect on people.”

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and flexibility without activating contraction in the opposing muscle group. In this method of stretching, you would bring the leg up to signal the hamstring to release when stretching the quad, Smith said. Travis Rice, a Jackson-based professional snowboarder, learned the AIS method from Smith about nine years ago and consistently uses it five days a week as part of his training. His primary goal with dynamic stretching is to prevent injury. “It’s been a big thing for me in staying healthy,” Rice said. “I can wad up and tomahawk down big mountains and get up and be fine. I have to perform and stay loose. When I take crashes, I stretch and flex instead of breaking.” Though pros like Rice depend on optimal mobility, dynamic stretching is good protocol for everyday athletes. “Flexibility training is as important as core training or strength training,” Smith said. “Residents of Jackson Hole are incredibly fit. They usually have pain because of lack of flexibility and imbalances in their bodies. “It’s like driving a Porsche with a tire out of balance,” Smith continued. “They have this amazing engine, but they are beating the heck out of their body.” At One to One Wellness, it is com-

“I have to perform and stay loose. When I take crashes, I stretch and flex instead of breaking.” – Travis Rice PROFESSIONAL SNOWBOARDER

“It’s as important as working out,” he said. “You’ve got to have that flexibility to live and to operate. I’m strong to begin with, but I wasn’t flexible. Of course, it takes time, but if you’re more flexible, you’re better off.” As proof of the results, Smith stretched me using the AIS method. Before the session, I came five inches from touching my toes. After? I reached to the floor with ease.

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Continued from 14

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16 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

BRADLY J. BONER / NEWS&GUIDE

Mother's Day 5k racers jog along the Snake River dike just after the start of the event in 2009. The annual spring competition saw more than 100 participants in the running race.

Start out slow to avoid

early season injuries Technique, moderation and rest are essential for the Jackson Hole athlete.

By Cory Hatch

s Old Man Winter reluctantly relinquishes his grip on Jackson Hole, it’s nearly time for the region’s athletes to stow their skis and dust off their running shoes, bikes and backpacks. For many, the transition is a welcome switch from one favorite pasttime to the next, a new opportunity to reclaim a sport weather forced them to abandon last fall. Mud season also is prime time for early season injuries. By now, the cardiovascular systems of most avid skiers — whether downhill, cross-country or backcountry — have been tuned to the peak of efficiency. Unfortunately, summer activity muscles often have languished from inattention. Skate and backcountry skiers who transition into running too quickly are particularly susceptible to early season injuries.

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“We go from one type of activity to the next, and we tend to overdue it,” said Eric Orton, a Jackson-based personal trainer and contributor to the book “Born to Run.” “We can rely on our cardiovascular system to do too much too soon.” With our go-go-go mentality, the recovery needed to give muscles time to heal often gives way to the next big outdoor adventure. Early season, the perils of over-exercise are even more pronounced. “When we workout, we’re tearing our body down to rebuild it,” Orton said. “It’s through that rebuilding that fitness elevates. Your muscles still need that recovery. A lot of people don’t get that.” The first way to recover after a hard ski season might be simply to take a break. A two-week rest can rejuvenate an athlete’s mettle and physical wellspring. “Now you can go out and have a nice lunch without feeling like you need to See INJURIES on 17

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 17

INJURIES

How much exercise is too much for kids?

Continued from 16

tromp up the King,” Orton said. He recommends a rest week once every four weeks for the athletes he trains. “Rest is where you get stronger and faster.” Once the body is rested, it’s a good idea to vary the intensity of your workouts over the course of the week. “The common mistake I see people making is they morph into doing moderate exercise all the time,” Orton said. “It’s not hard enough to do any good and it’s not easy enough for recovery. They need to think about doing some hard work and some easy work throughout the week.” The consequences of a moderateonly routine are marginal gains in strength, speed and overall fitness. For people trying to lose weight, their body simply acclimates to the same old routine. To get fit, you need to trick your body. Elite marathoners, for instance, might run 80 miles a week at an easy pace and 20 miles a week at a pace considered intense. “If they keep doing the same thing all the time, their body weight stays the same and their time doesn’t improve,” Orton said. “Keep your body guessing and working differently. That is how the body wants to improve.” Transitioning from one season to the next, one sport to the next, offers a time to concentrate on form, Orton said. “Be cautious about your form going up and down the hills on the trail,” he said. “You want to have a forefoot strike and you don’t want a heel strike when you’re running. Slow down going downhill, and practice good form.”

“Rest is where you get stronger and faster.” – Eric Orton PERSONAL TRAINER

Shin splints and IT band trouble — problems with the tendon that runs between the knee and the hip on the outside of quad — are common problems for heel strikers, Orton said. Cyclists have it a little easier because the work comes from the rolling resistance of the wheels. Still, they should focus more on building strength in the early season than on long-distance endurance. “You should be putting in your base miles,” Orton said. “Focus on a little more hill repeats or sprinting to develop strength. If we focus on strength first and then apply it to endurance, we’re better off.” While proper technique is important on a bike, perhaps even more important is how the bike fits, Orton said. Getting

Figuring out how to balance a child’s need for exercise with his or her stage of development is tricky, says Eric Orton, a Jackson-based personal trainer. The best thing, he said, is to encourage exercise but to let kids be kids. A running race might be a good idea for one child, but not for another. “They have to be self-motivated,” Orton said.

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If a child does choose to run in races, “focus on 10-ks and 5-ks to develop speed and strength first,” Orton said. “A marathon would not be my first recommendation.”

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— Cory Hatch a professional bike fit from a shop can help avoid repetitive stress injuries to the knees and recurring pain from the back and neck. “What people don’t realize is that a small change or adjustment — we’re talking millimeters — can make a huge difference,” Orton said. For backpackers, proper conditioning of the feet is important to avoid injuries. One trick Orton recommends to hikers is to avoid wearing hiking boots on every outing. “On the shorter days, it might be good to develop foot strength in a running shoe or a minimal hiking shoe,” he said. “In a boot, you get what I call lazy feet.” Training your feet the right way — especially developing strength in the big toe — can help stabilize the knee, Orton said. Running or walking barefoot can help develop muscles that might otherwise go neglected. “When that stabilization happens, it fires your glut,” he said. “Your leg is being activated in equilibrium. It’s working appropriately.” As for the weight of a person’s pack, Orton advises people to build up slowly. Variation is also a good idea. “Maybe during the week, they’re doing some faster hikes without a pack,” Orton said. For all sports, the idea is to set goals and work up to them slowly. That way, many injuries are avoided while strength and stamina increase. “At some point, they have to be smart about it and listen to their body,” Orton said. Learn more about proper training methods at www.trainwitheric.com and www.runningwitheric.com.

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18 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

Melt

away pain New method focuses on connective tissues to benefit entire body.

By Kelsey Dayton

tacy Fisher, like so many Jackson residents, is active. She teaches a fitness class, works as a personal trainer and fills her down time with exercise or activity. Also like so many people who live a healthy lifestyle, Fisher used to accept a little bit of pain in her daily life — soreness and aches. But not any more, thanks to a new technique she is now teaching in Jackson. Three years ago, Fisher attended a fitness conference in California. As she registered, she saw a sign for a class. “Are you a fitness professional and are you in pain?” it read. Fisher signed up and learned about a process called “MELT,” which stands for myofascial energetic length technique, that involves rolling textured balls across parts of the body. Right after finishing a session about feet, she felt different. “It felt like voodoo to the foot,” she said. “I immedi-

PRICE CHAMBERS / NEWS&GUIDE

Stacy Fisher teaches a class on the MELT Method on Friday, a myofascial technique that aims to bring your body back to a more ideal state by directly enhancing body awareness, rehydrating connective tissue and quieting the nervous system.

ately thought, ‘This is what I’m missing.’ ” MELTing uses three different size balls on the hands and feet to treat connective tissue, Fisher said. The method simulates manual therapy and heightens the sensory nervous system, she said. Instead of stretching the muscles, MELT allows for fluid exchange, hydrating areas that have dried out, she said. Because MELTing targets the connective tissues that run throughout the body, working on one area, like the hands, can produce benefits elsewhere. “Pretty much everyone feels something,” she said. At a most basic level, MELT helps people cultivate a stronger sense of body awareness, Fisher said.

According to MELTMethod.com, the techniques can help with flexibility and mobility, posture, range of motion, sleep and digestion. It also claims to reduce aches, pains, wrinkles, tension, head aches and injuries. “In a way, it sounds gimmicky, but it really is allencompassing,” Fisher said. Fisher has started teaching MELTing classes at her gym, Fisher Fitness. In an hourlong class, she guides students through different forms of MELTing. After the class, if students choose to buy the $20 kit — which includes the balls and diagrams — they are ready to

See MELT on 19

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 19

Rest assured, when you choose St. John’s Sleep Disorder Center in Jackson you’ve chosen the gold standard of care according to the American Association of Sleep Medicine (AASM.) And, St. John’s is the only Center in WY to achieve this important distinction. St. John’s Sleep Disorder Center is recognized by the AASM for the highest standards in:

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For out-of-county patients, your visit companion stays the night free at the nearby Hitching Post Lodge.

A few rubber balls of different sizes and firmness are used on the feet and hands in the MELT Method. Practitioners report improved balance, better posture and pain relief, among many other benefits.

MELT

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Check it out

Continued from 18

practice on their own. Fisher told Judy Singleton about MELTing, and Singleton’s ears perked at the word “hydration.” She has always had eczema on her hands. Since she learned the techniques, she has been practicing them for about five times a week for 20 minutes at a time. Her hands have cleared. She has also noticed an improvement in her posture, Singleton said. Brad Watsabaugh saw Fisher teaching clients MELTing while he was in physical therapy for a knee injury. Intrigued, he tried one of her classes.

“Personally, I got into it because I got sick of being fixed by everyone.” – Stacy Fisher MELT METHOD INSTRUCTOR

“Even the first time, you could totally tell a difference,” he said. Watsabaugh, who does a lot of yoga, found MELTing improved his practice, helping his balance and overall body awareness. He tries to do a session of MELTing before yoga, and when he travels, he brings the small MELTing kit along with him. In her years since first learning the MELT Method, Fisher has become a devoted practitioner. “Personally, I got into it because I got sick of being fixed by everyone,”

For information on the MELT Method, visit MELTMethod.com.

St John’s

Sleep Disorder Center

To find out about upcoming classes, visit FisherFitness.com. she said. Between her exercise regimen and work, Fisher received acupuncture and massage. She would feel better, but only for a few days. She still receives body work periodically, but in between, MELTing keeps her feeling good. “That’s why it’s brilliant,” she said. It involves “body-work techniques you can do on yourself.” It allows people to feel empowered by helping themselves and easing their own pain, she said. Fisher has also seen the benefits of MELTing on the clients she trains. There have been some challenges she has not able to help a client overcome — abnormally tight hamstrings that, despite stretching, never seemed to loosen, for example — but by and large MELTing made the difference. It allows people to get more out of traditional exercise, she said. She calls it a great addition to a wellness program, not a cure-all. “I want to offer one more piece to the restorative side to wellness,” Fisher said. “In Jackson, we’re so good at the exercise part — we’ve got that done, but because of that, we have the pain.” In addition to periodically hosting MELTing classes, Fisher plans to start offering classes about rollers or long, large tubes. The classes won’t use hard foam rollers, but softer versions used in the techniques similar to those she teaches for hand and feet.

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20 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

What?? An abortion increases MY risk for breast cancer?

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Some doctors appreciate patients who research their symptons online before an office visit, but others prefer people to surf the Web after a diagnosis. Right to Life of Teton County P.O. Box 8313, Jackson, WY 83002, 733-5564 • Elaine Kuhr

Be discerning

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or better or worse, people are turning to the Web for health information. Local doctors approach this rising trend from different perspectives. The sweeping expanse of online medical information can lead patients down complicated, or wrong, diagnostic paths, some doctors say. Other medical professionals see the benefit of having a more-informed pool of patients. Dr. Bruce Hayse, a family physician and general practitioner, considers his Jackson patients’ web research beneficial. Most of his patients are discerning about online resources and arrive in his office having done helpful research on the Web, he said. “People in Jackson are pretty intelligent and pretty sophisticated people,” he said. “It’s actually very good, for the most part, because people do bring up issues of significance. A lot of times they bring up things that would have taken me a long time to uncover.” Those issues have included patients’ medical histories and symptoms. “It really does prove helpful in a lot of cases,” he said. “People have done enough research on their own that they are able to help out by coming up with the pertinent issues.” An individual recently came into Hayse’s office having successfully used Web

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resources to diagnose himself with a hernia. For certain other kinds of health issues, like sexually transmitted diseases, people also go online before they make a doctor’s appointment. “They want to find a solution for it before they go to the doctor,” Hayse said. He often tells people to look things up online, but he doesn’t direct them to specific sites. “There is no one central site,” he said. “It would be nice if there was such a site and there ought to be one. That said, if you do things like WebMD and such, it’s at least a start.” Dr. George Poore, a general surgeon, listed four websites as credible: WebMD, Medscape, the Mayo Clinic and the National Institutes of Health. “Wikipedia isn’t bad, but you have to check the references, and so sometimes it’s really useful and sometimes it’s not,” he said. Do online research whenever you have questions, Poore said. “It’s hard to have too much information,” he said. Dr. Brent Blue of Emerg-a-Care is wary of patients diagnosing themselves through online research. “One of the problems with getting health information online is that there is no filter,” he said. “It’s not to say that there is not good information out there, you just have to be careful.” He offered a hypothetical example: If you look up abdominal pain online and start plugging in your symptoms, you will likely end up with a complicated diagnosis. “When people look online, it’s difficult for them to know what doesn’t apply to them,” he said. And then they call their doctor. “They come in with the wrong diagnosis all the time,” Blue said. When trying to disentangle people from such diagnoses, he finds it most difficult to talk them out of certain lab tests they don’t need that online sources suggested. He recommends holding off on online research until after receiving a doctor’s diagnosis. “Once they have the diagnosis, they can study up on it,” he said. “You can find tremendous things about diagnostic criteria, treatment and specific hospitals.” Better websites, Blue said, are those associated with universities, as well as WebMD. When trolling websites, people must look for red flags, he said. “A person has to be very, very careful when they are going to a website that includes nonphysicians and input from people that have a vested interest,” he said. That includes physicians touting a drug, he said. “It’s important to know who the writer is and how they are affiliated,” he said.

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 21

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As the debate over cellphone use and cancer rages on, a few simple measures can go a long way toward reducing the risks.

Local experts push

safe cellular phone use Nationwide campaign to teach safe cell use is headquartered in Jackson Hole.

By Kevin Huelsmann

n February, a study was published in the Journal of the American Medical Association that suggested using a cellphone for just 50 minutes can change the chemistry of one’s brain. The study was hailed as a major step in the ongoing campaign to raise awareness about the potential dangers caused by the use of cellphones and other electronic devices. “It was huge,” said Devra Davis, founder of the Jackson Hole-based Environmental Health Trust. “The way that standards were developed for cellphones that have been used since the 1990s rests on the assumption that there are no biological impacts caused by cellphones. This shows that that’s wrong.” With the release of the study came a renewed push to raise awareness about cellphone use — both locally and across the globe. Davis and Environmental Health Trust staff launched a campaign in Teton County School District No. 1 and, more recently, began distributing thousands of pamphlets in physicians’ offices across the country. In local schools, Davis’ group held a contest for the best poster design related to the risks of cellphone use and is planning to conduct teacher and parent training classes about how to safely use cellphones. One place to start is using a headset. “These devices are useful, and they can help save lives,” Davis said. “We all need to know that, over the long term, there are potential health issues that can be prevented. We’re thinking of this like seat belts or helmets.” The pamphlet being distributed by the health trust warns readers that frequent cellphone use has been linked to higher cancer rates, can change the way one’s brain processes glucose and has the potential to lower men’s sperm count. “Cellphones are two-way microwave radios that were never properly tested for safety,” the pamphlet reads. “Antennas for cellphones are continually searching for signals from towers to send and receive information. The body

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Source: Environmental Health Trust’s Global Campaign for Safer Cell Phone Use or brain absorbs about half the radiation emitted from a phone at any time.” Locally, a growing number of stores are stocking devices that aim to limit one’s risk when using a cellphone. Stores such as Roadrunner Apothecary and Knobe’s Radio Shack carry headsets and devices that mask the waves emitted by cellphones and other electronic devices. Babs Melka, who owns Roadrunner Apothecary, said many electronic devices emit waves that are different from those that occur naturally. The cells in one’s body recognizes the modified waves as foreign and tries to protect itself, which can have negative health effects. “[Cells] go into a protective mode,” Melka said. “They basically shut down.” In addition to headsets, Melka sells small devices that can be attached to one’s phone or other electronic devices to help avoid that protective shutdown. While the push for safer phone use is gaining traction in Jackson, Davis said she still has to battle with cellphone companies and the habits ingrained in the daily lives of many people. To combat that, she is working to promote education and reaching out to highly respected medical professionals to help raise awareness of the issue. “This is about saving the world from what will be a global catastrophe by giving people information about ways to protect brain and body,” Davis said.

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22 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

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By Teresa Griswold

t first glance, quitting tobacco seems simple. All you have to do is never smoke or chew again. Right? For most people, it never quite works that way. Tobacco users have been known to take all kinds of measures, everything from drenching their cartons of cigarettes in water to trying acupuncture to quell the desire for nicotine. But the habit is not easy to kick.

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“Most people want to quit, but find it difficult,” said Stacey Caesar, Teton County’s prevention specialist. “It really is an effort. It’s not an overnight thing.” Caesar recommends reaching out for help and staying determined to see it through. In Wyoming, there is free support in the form of Quitnet, a state program that offers free phone-based counseling services at 800-QUIT-NOW and web-based services at www.wy.quitnet.com. See QUIT TOBACCO on 23

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 23

QUIT TOBACCO Continued from 22

“It’s one of the most effective ways for people to quit the habit,” Caesar said. “It’s confidential, and you can do it on your own time.” Everyone has different reasons for why they started and why they want to quit, so an individually tailored program is often required. The program pairs people with counselors who are focused on nicotine and offers five free sessions about how best to quit. Nicotine-specific counseling doubles an individual’s chances of successfully quitting smoking. “That’s one reason the quit line is so good,” Caesar said. Julia Heemstra, wellness coordinator at the Jackson Hole Community Health Information Center, says the center collaborates closely with St. John’s Medical Center and with the county’s prevention initiatives, but they do not duplicate programs already in place. “We just make referrals to the Wyoming Quit Tobacco Program,” Heemstra said. “The Wyoming Department of Health wanted help resources to be concentrated in one place, and they have significant financial resources available to assist people in their quit efforts.”

“A lot of times, folks who are trying to quit find it easier when their employer goes tobacco-free, because it makes it so much harder [to use tobacco].”

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Wyoming Through With Chew ThroughWithChew.com Director, Niki Mueller 690-6669 Teton County Specialist Stacey Caesar 413-6883

Prevention

CHI Center Wellness Coordinator at St. John’s Medical Center: Julia Heemstra 739-7244 Tobacco Cessation Topic at Teton County Public Health TetonWyo.org/AgencyTopic. asp?topicID=202441

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Who’s on your health care team? While the Health Fair is an important first step to wellness, regular visits with a physician or other Primary Care Provider are an essential part of achieving and maintaining optimal health. The following Primary Care Providers are credentialed members of the St. John’s Medical Center staff:

– Julia Heemstra COMMUNITY HEALTH INFORMATION CENTER

Through the program, it’s possible to get nicotine replacement therapy at a reduced rate or, in some cases, for free. For example, by using Wyoming’s Quit Tobacco Program, an individual can purchase Chantix, Pfizer’s smoking cessation medicine, for $20 instead of $130. By signing up for the online Quitnet program, Heemstra said, individuals also are able to access chat rooms and forums to find peer-to-peer support in dealing with obstacles and feelings that arise during the quitting process. Another encouragement the program offers is a regular email update to participants on how much money they are saving by not smoking cigarettes. For those who have relapsed, “the savings alone can trigger another quit effort,” said Heemstra. Not all tobacco users are smokers. Chewers who want to quit are supported by the state-run program as well as with “Quit Spit Kits,” which are available at the CHI Center at St. John’s or by calling Niki Mueller at 690-6669. For additional resources, try Wyoming Through with Chew at www.throughwithchew.com. “A lot of times, folks who are trying to quit find it easier when their employer goes tobacco-free, because it makes it so much harder [to use tobacco],” Heemstra said. St. John’s is slated to go tobacco-free in 2012. Starting Jan. 1, tobacco use will be prohibited on all hospital properties, including the Hitching Post, rented condominiums and clinics and within employees’ own vehicles when they are parked on the properties. Patients and staff at St. John’s will be provided with resources to assist them with quitting tobacco, if they choose. In the works are an in-house support group for the staff and easier access to nicotine replacement therapies. Tobacco cessation resources will be available at the Teton County Tobacco Prevention booth at the Health Fair.

Bruce Hayse, MD, General Practice

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Cowboy Kids Pediatrics Ruth Anne Tomlinson, MD

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Jackson Pediatrics James Little, Sr., MD Lisa Ridgway, MD Keri Wheeler, MD Travis Riddell, MD

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Jackson Whole Family Health Kerry Carr, FNP-C Charlotte Mason, FNP-C Martha Mason, FNP-C

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Richard Sugden, MD, Family Practice

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St. John’s Family Health & Urgent Care Jim Little, Jr., MD April North, MD Doug Thomas, PA-C

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St. John’s Institute for Cognitive Health Martha Stearn, MD

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St. John’s Internal Medicine Dennis Butcher, MD Ellen Meyers, MD Lisa Larson-Hoyt, FNP-C

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The Women’s Health Center & Family Care Clinic Doug George, MD Laura Vignaroli, MD Giovannina Anthony, MD Naomi Sklar Albertson, MD

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tetonhospital.org 214249

24 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

BIG LOSERS Continued from 7

214745

All the news, and that’s no bull. Subscribe to the Jackson Hole News&Guide. Call 733-2047. 52 Issues - Teton County, $38; Outside Teton County (USA), $49, E-edition $45

she measured body fat percentages and waist, thigh and arm circumferences, and put people through a short fitness assessment: flexibility, push-ups and sit-ups. The television show “The Biggest Loser” inspires many people, Tucker said, but she wanted to measure more than just weight so that people would be able to see improvement regardless of the numbers on the scale. A more accurate picture of health will emerge if several factors are involved, she said. “Over the course of time, something has to change,” Tucker said. “Even if maybe your weight doesn’t change, you lose fat and gain muscle; you can do more push-ups than you did at the beginning. When people start it and they finish it, something positive always changes.” Tucker said the contest helps motivate her members to kick-start a healthier lifestyle. “Some people need some structure, some accountability, the feeling like someone actually cares about their progress,” Tucker said.

No Bones About it

“I email them to encourage them,” she said. “I think some people need that little extra push to keep them going.” Rather than wait until another contest begins, people can get going any time with a little help from a professional, she said. “Get those measurements done,” Tucker said. “It could very well be worth hiring a personal trainer for one session to put you on a program. See what your progress is every few months.” At the Training to Be Balanced gym, owner Augie Hernandez held a similarly timed Transformation Challenge from Jan. 24 to March 9. Response from clients new and old was overwhelming, he said. “We expected 40 people and got 130,” Hernandez said. Teams of five people participated by getting their body composition tested at the start and finish, and doing group workouts that involved core-focused training techniques. A team mainly from Four Seasons Resort Jackson Hole — Claire Scolnick, Pete Farrell, Francesca Howell, Marty Guinta and Michael Ralph — won the $2,500 prize.

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HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 25

INSURANCE Continued from 8

premium costs. “You get what you pay for,” she said. “If you find a plan where the premium is a lot lower, beware.” Other options for individuals trying to find health insurance include health savings accounts and, depending on one’s coverage or level of health, the Wyoming High Risk Pool or the federal Pre-Existing Condition Insurance Plan. Health savings accounts are regulated by the Internal Revenue Service and require one to closely monitor and manage the account, which can be used to save money for retirement costs or to create a safety net for medical care. “It’s just like an IRA, but you can use it to pay for medical procedures,” Wallace said. Even if they are not contributing to them, some people switch to health savings accounts simply because the premiums can be lower. Family plans offer only one deductible to customers, and every medical cost incurred by someone on the plan goes towards that deductible. Other options offered by state and federal agencies aim to help individuals with pre-existing conditions who are having trouble finding insurance plans to take them on. The state program known as the Wyoming High Risk Pool offers insurance to Wyoming residents who are denied coverage because of pre-existing conditions. One drawback to the program is that its rates are high. Monthly rates for a 25-year-old man can rage from $278 up to $378. For a female of the same age, rates could cost anywhere between $594 and $808, according to the program’s website. The federal program, called PreExisting Condition Insurance Plan, requires applicants to have been without health insurance for at least six months before applying. “It leaves people with a decision about

PRENATAL Continued from 9

plications such as early deliveries. When a baby is born prematurely — in the 24th or 25th week, say — costs can skyrocket beyond $1 million, Lofaro said. In addition to delivery and hospital expenses, costs can accumulate throughout the child’s life if it is not delivered healthy for services such as special education and speech and occupational therapy. “The more complete care a patient has during her pregnancy, the higher likelihood she is to deliver a term healthy child,” Lofaro said. Prenatal care also gives doctors an opportunity to talk about subjects like breast-feeding, parenting and family planning, Lofaro said. Program organizers hope the economy will recover to the point the assistance funds will no longer be needed. They don’t expect that to happen soon. “Right now, there’s significant need for it, and we’re quite grateful for its existence,” said Dr. Shannon Roberts, a colleague of Lorfaro’s at Gros Ventre OB/GYN. In addition to the flailing economy, a change in Medicaid policy that occurred several years ago compounded the situation, making many low-income women ineligible for prenatal care, Day said. “The community was adjusting to that, and then the recession hit,” Day said. The Prenatal Entry Program is a collaborative effort on the part of the nonprofit El Puente, Teton County Public Health, St. John’s Hospital Foundation, Community Foundation of Jackson Hole, Gros Ventre OB/GYN and the Women’s Health Center and Family Care Clinic of Jackson. Participants qualify through El Puente and Teton County Public Health. Gros Ventre OB/GYN and the Women’s Health Center and Family Care Clinic of Jackson care for the patients. “What a collaboration this is,” Finegan said of the alliance that reaches across public, nonprofit and business partners. “When you look at the organizations involved, it’s pretty remarkable.”

Tips for shopping for health insurance - Shop around as much as possible. - Check all out-of-pocket costs, not just premiums. - Review coverage limits. - Make sure the network of providers included in a plan includes Jackson providers. - Ask how the plan applies to services related to medical care in the valley, such as life-flights. - Consider programs such as health savings accounts, the Wyoming High-Risk Pool and the federal Pre-Existing Conditions Insurance Plan. whether to go on WHIP and pay an arm and a leg or go uninsured for six months and try to qualify for PCIP,” Johnson said. “It creates a dangerous gamble when you’re in this position because you have a serious medical condition.” Though there are massive efforts being undertaken at the federal level to reform and improve health insurance costs and coverage, Wallace and Johnson said they are still skeptical about what the end results will be. “I have seen health reform raise the cost of insurance,” Wallace said. “Insurance companies always comply with what the government says, but they also don’t have a problem raising rates.” In Jackson, many individuals are turning to high-deductible plans that simply afford them some kind of basic coverage that will help cover major injures or medical conditions. These plans, which used to be referred to as catastrophic coverage, now are becoming more commonplace. “People are looking for catastrophic coverage now, not something that allows them to go to their doctor’s office for a visit,” Johnson said.

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214278

FREE CAR SEAT INSPECTIONS to be held at this year’s Teton County Health Fair

Saturday, May 7, 2011 from 9am-1pm National Highway Traffic Safety Administration Certified Car Seat Technicians will be at the East Parking Lot, Snow King Ice Arena for the Check-up Event. A Spanish

translator will be available at the event. For more information, call or email Kathy Clay, Jackson Hole Fire/EMS 733-4732 or kclay@tetonwyo.org 214504

Please proof and call Viki at 739-9539 or return via Fax at 733-2138. Thanks!

PDF?

214631

26 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

Mike Geraci, of Jackson, coasts a downhill section of the Cache Creek to Game Creek Mountain Bike Race in 2008.

Trail season

just around the corner Crews are mobilizing to rehab popular routes on Snow King, Teton Pass.

By Cory Hatch

fter the seemingly endless winter of 2010-11, trails around Jackson Hole will begin to dry out during the next few weeks, paving the way for scores of hikers, bikers, runners and equestrians to take to the woods in search of the next great adventure. In the meantime, land managers have extended winter closures for many biggame habitat areas in the region, and Bridger-Teton National Forest officials are asking people to steer clear of trails with substantial amounts moisture. “People obviously start getting spring fever, but the amount of damage that can occur in a week of wet conditions can really mess up that trail for the whole season,” said Tim Farris, trails supervisor for the Jackson Ranger District. “If it’s muddy and you’re slipping around, you’re causing damage that has to be fixed.” Trails crews are beginning to mobilize for trail work, said Tim Young, executive director of Friends of Pathways. “Initially, the plan is to get our trail crews out to deal with fallen trees and damage to the drainage systems that, left unchecked, can cause a big problem,” he said. “We hope we can do a good job early getting our trails ready once the snow melts.” Farris and Linda Merigliano, a recreation program manager for the BridgerTeton, say upgrades for many routes in the valley will continue following several years of new construction on Teton Pass. “The big project this year for the Snow King area is going to be working on the Hagen trail,” Merigliano said. After much public input, forest offi-

cials have decided to keep the Hagen stairs, a series of steep steps along the trail in the Cache Creek drainage that gives even the bravest mountain biker pause for thought. “They are going to require a pretty significant rebuild to make it sustainable but keep the existing character,” she said. The Phillips Canyon trail on Teton Pass contains more technical terrain that officials plan to preserve.

“The big project this year for the Snow King area is going to be working on the Hagen trail.” – Linda Merigliano BRIDGER-TETON NATIONAL FOREST

“We heard strongly, ‘Don’t change the character of that trail,’” Merigliano said. “We think we can do it, but it’s going to be a fair amount of work.” Also on Teton Pass, maintenance crews will focus on the Black Canyon trail, and the Teton Freedom Riders will continue their work on Fuzzy Bunny and the Power Line Jumps. At Jackson Hole Mountain Resort, crews will finish work on some hiking trails and also will focus on completion of the Teewinot Bike Park. “It’s a great system right at the base of the village,” Young said. “This is an opportunity to create a specific and See TRAIL SEASON on 27

BRADLY J. BONER / NEWS&GUIDE

HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011 - 27

TRAIL SEASON Continued from 26

well-designed location for mountain bikes.” Friends of Pathways, which collaborates with the BridgerTeton, also will help install new signs and kiosks in the Teton Pass and greater Snow King areas. “There’s actually a lot of work we’re going to be doing out at Munger Mountain, too,” Farris said. “There’s a pile of backcountry and wilderness projects, too.” Teton Pass, Snow King and Munger Mountain aren’t just for mountain bikers, Merigliano said. “In all three of those areas, there are tremendous opportunities for hiking,” she said. On Teton Pass, for instance, the History and Big Rock trails are for hikers and horses only. Include Old Pass Road in your plans and there are good opportunities for loops. “If hikers are looking for places where they are not going to find bikes close to town, there are some nice opportunities,” she said. “In the Snow King area, we’re really trying to manage for multiple use. We’re trying to make that trail system work for everybody.” For cyclists and dog owners, that means being courteous to other user groups. “Particularly on the Puttputt trail and on Ferrin’s, bicyclists really need to announce their presence,” Merigliano said. “Don’t act like you own the trail, and slow down around other people. “Picking up waste, people really need to do that,” she said. “And if you have any doubt about your ability to control your dog,

BRIDGER-TETON NATIONAL FOREST / COURTESY MAP

The Teton Pass trail network on the Bridger-Teton National Forest includes multiuse routes as well as ones specificially for downhill mountain bikers, for hikers and horses and for bikers and hikers. Officials ask all to stay off muddy trails.

you really have to have it on a leash. The number one way to really reduce conflicts is if people are just friendly.” Away from town, hundreds more miles of trails await. “We have about 700 miles total of trails in the district,”

Merigliano said. “There are places like Cabin Creek down in the Snake River Canyon. Hiking up that trail, it’s a really, really pretty drainage.” This year especially, people also need to watch out for wildlife. Moose on Teton Pass can

be more dangerous than grizzly bears, and Munger Mountain and Teton Pass are both important big game calving areas. “We may have a little more winter kill than normal, which may mean we have more bear and lion activity,” Merigliano

said. “We may have to do temporary closures of trails.” Early in the summer, people should also take care at creek crossings. High water flows can be dangerous and some creeks might be impassible until snow goes away in the mountains.

St John’s St. John’s Medical Center wishes to recognize the valuable contributions nurses make to our hospital, our patients and our community. Nanette Bean Cathy Beck Sarah L. Buxcel Terri L. Conger Patricia Cousins Anne Delahaye Kristine L. Dreesen Susan A. Freeze Veronica L. Gamble Susan L. George Sanaya S. Ghaswala Kristin A. Hamister Katie L. Hansen Nicole L. Howe Laura A. Inglesby Dian L. Jackson Jaime R. Jackson Evelyn M. Katzke April A. Kennedy Denise Krewson Emily R. Larson Patricia L. Ludwig Lucia l. McConnell Kathy L. Melichar Terri L. Miller Hannah C. Morris Teresa M. Musetti Heidi A. Myhre Lisa K. Olin

Alicia M. Palazzolo Keegan Pfeil Meredith L. Scott Kathleen A. Warner Julie R. Woolwine Alan T. Sousa Jodi A. Armstrong Monica W. Blankenship Mary A. Coddaire Emily M. Cooper Sandra Dunlevy Sara Henderson Julie W. Huot Elizabeth C. Kleiman Vickie L. Lund Margaret M. McIntyre Diana L. Osuna Jill B. Pampe Joanne M. Starkey Stephanie B. Thompson Judith Basye Paige G. Janssen Carol B. Poole Bethany D. Shidner Dawn D. Weeks Patti J. Burr Louisa M. Denny Judy Elquist Kristen A. Gries

Emily R. Kritzler Lynne LaRose Nancy A. Littlefield Leah K. Nydam Laurel A. Pruett Erin W. Ragain Mary C. Sharood Julie L. Shirk Susan C. Ward Jan C. Williams Beverly J. Boynton Katherine M. Curry Karin H. Davis Kathleen Y. Devine Stacie M. Hill Jessica S. Long Michael E. McDonnell Mary Jo A. McNamee Monica C. McNamee Patricia P. Mull Elizabeth A. O’Rourke Sarah L. Sams Christine R. Smith Adria T. Stines Kimberly A. Thomson Susan K. Wadsworth Brandon K. Barlow Katina N. Campbell Adrienne R. Christian

Katherine A. Cottam Joanne Dawson Jon M. Fisher Janet K. Goulette Sarah E. Graham Karla N. Hanson Carrie L. Harrington Nina E. Helm Audra J. Mullineux Shannon M. Murphy Linda Rose-Griest Cheryl M. Sawyer Karen K. Schroeder Rebecca J. Schultz Christine M. Shirk Patricia A. Weber Christina Weiher Janet M. Wood Julie S. Belanger Laura R. Callari Brenda J. Dean Susannah L. Detrick Sara E. Ezzell Roberts Jennifer Hays Lynlee A. Johnson Maggie Meacham Susan Rediger April M. Rogers Tina S. Romaine

Erin Turley Miriam “Jill” Walsh Rebecca E. Wartig Rebecca Zalewski Barbara L. Falk Marilyn J. Raver Steven W. Rickert Keith A. Virostko Robert E. Anderson Debra G. Barnes Constance R. Baumer David J. Bender Andrew K. Byerly Tim J. Cully Cheryl Hewitt Kristen A. Irvine Andrea D. Mathers Maureen B. Miller Chris M. Morasco Kimberley J. Morse Karen W. Petrozella Gretchen T. Schmid Kelly Q. Schroeder McIntosh Sullivan Brooke P. Young Brenda L. Allen Jan Bauer Carolyn J. Daily Linda K. Rode

Susan Thornton Clarissa S. Wells Lisa R. Welsh-Gocke Catherine M. Cullinane Susanne M. Schenk Diane Bircher Maureen E. O’Leary Vicki L. Rosenberg Laura Lee A. Berrett Ann Herrod Risa Sandoval Debra L. Thibeault Karen J. Vandzura Mary Wiser Nancy L. Watsabaugh Trisha L. Larimer Kathleen M. Byron Janet M. Olson Marilyn K. Tatarek Betty A. Zernik Lynn Campbell Christina Moran Rebecca White Lisa Larson-Hoyt Jennifer Zeer Anna Schwartz Steve Beard

The formal recognition of Nurses Day began in 1953 when Dorothy Sutherland of the U.S. Department of Health, Education and Welfare sent a proposal to President Eisenhower to proclaim a “Nurse Day” in October of the following year. The proclamation was never made, but National Nurses Week was observed October 11-16, marking the 100th anniversary of Florence Nightingale’s mission to Crimea. In 1974, President Nixon proclaimed a “National Nurse Week.” In 1981, a resolution was initiated to declare May 6 “National Recognition Day for Nurses”; that designation by Congress occurred in 1982. In 1990, Nurses Day was expanded to “National Nurses Week.”

214797

28 - HOLE HEALTH, Jackson Hole News&Guide, Wednesday, May 4, 2011

ASPENS WELLNESS CENTER 19 Independent Businesses, Under One Roof, Dedicated To Your Well Being - In The Aspens on The Teton Village Road

307-733-7004 www.tetonsportsclub.com Serving the Valley for over 30 years with a clean, friendly environment. New Cardio Equipment • Selectorized & Free Weights • Free Group Classes Free Towels • WiFi-Great Northern Coffee • Tea Sauna • Indoor & Outdoor Hot Tubs • Tennis & Swimming Pool in the Summer Months

ExpEriEncEd and accrEditEd pErsonal trainErs Joan Lapham, AAHFRP-CPT, 307-413-2895 Matt Delgado, NSCA-CPT, 307-690-0504 Jessie Aufderheide, NSCA-CPT, 307-690-2103 Sandy Humphrey, ESA-CPT, 307-699-3337 Cindi Clarke, ACE & CFFT Certified, 307-413-1216 Tim Gibbons, Cooper Inst-CPT, 307-690-3935

Jackson Hole Physical Therapy

Basic Kneads

Sports Medicine and Rehabilitation Scott E. Harmon PT,OCS,SCS,ATC,CSCS Brian Prax, MA,PT 307-734-9005

Shannon Helton, Massage Therapist 307-690-7024

Martha Allen,Cnmt

Diana Y. Walter, LPC, LMFT

nueromuscular therapy 307-450-8273

Tamara Clausen

Celestial Crane Acupuncture 307-690-9540

Padma Mountain Studio Private YogaCounseling-Astrology 307-739-0888

Rejuvenation

Kate Halsey

Molly Zimmer, Aesthetician 307-732-2099

Debra McSwain

307-733-2122 www.wildernessventures.com Student Outdoor Adventures since 1973 LEADERSHIP-SERVICE-ADVENTURE

Sports Massage Ortho-Bionomy Certified Massage Therapist-Personal Trainer 307-734-5841 Rolf Method of Structural Integration Therapeutic Massage 307-733-0898

Clear Water Hydro Cleanse 307-413-1128

Kim Young

Mountain Lotus Massage Therapy 307-413-0217

Pilates In The Tetons

Jessica Paffrath, 307-732-0222 Melanie Pfister, 307-272-0834

Pro Motion

Chiropractic & Rehabilitaion Jeremiah Handschind,DC 307-699-3170 www.promochiro.com

Tisch Brown, Lpt

Wilderness Ventures

Massage Therapy 307-690-0447 tischbrown@hotmail.com

New West Knife Works

Hair Stylists,Manicure,Pedicure Aestheticians, Massage Therapy Aveda Hair Products, Jewelry 307-733-2887

307-739-2695

Ginger Root Salon

Teton Endermologie

Squirrel Rork, Licensed Endermologie 307-690-2827 squirrel@wyom.net

aspEns propErtiEs i,llc

307-733-7004 C/O Tom Frisbie Office Space Available

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