Summer 2014 1

The health magazine forBody, Mind & Motivation

Published quarterly by the Lewiston Tribuneand the Moscow-Pullman Daily News

BalanceVolume 6 – Issue 2 – Summer 2014

SWIMMING TO SUCCESSAsotin commissioner hits the water to stay

fit and competitive

KEY TO HEALTHY KIDSExpert recommends families prepare and eat meals together

HEALTH-CARE PROFILEA look at Lewiston children’s dentist Jeremy Wiggins

GAUGING THE DAMAGEIt’s possible to repair holes from ear gauges

�  Balance

Summer 2014 �

ValleyMedicalCenterWelcome to your for a Healthy Life.Family Practice

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4 Balance

Contents Balance – volume 6, issue 2 – Summer 2014

10

ALSO | GRILLING 5 | CHOCOLATE 9 | CANCER 18

LOCAL CONTRIBUTORS

JESSE HUGHESGraphic designerJesse has worked for the Daily News and Lewiston Tribune since 2008 in the advertising department. He and his wife try to eat a healthy, well-balanced diet and stay active by walking, hiking, and being kept on their toes by two boys.

LINDSEY TREFFRYDaily News sta� writerLindsey Tre� ry is the Business Editor at The Moscow-Pullman Daily News. She is a graduate of The University of Idaho, and enjoys Pinterest and veganism.

SHANON QUINNDaily News sta� writerShanon Quinn is the Washington Education reporter at the Moscow-Pullman Daily News. She lives in Moscow with her husband, two daughters and a rabbit named Clover. She enjoys yoga and wandering aimlessly in the wilderness.

BILL MCKEEDaily News sta� writerBill McKee is a News Desk Editor for the Moscow-Pullman Daily News. Originally from southern Louisiana, he lives in Pullman now, and is the self-proclaimed greatest-ever skier raised in the Deep South.

ANTHONY KUIPERSDaily News sta� writerAnthony, Pullman/Whitman County reporter at the Daily News, says he is truly, honestly trying to eat more vegetables: “Really Mom, I am.”

Allen, Dr. Richard ..................................21Alm, Dr. Ronald ......................................9Alternative Nursing Services .................22Bishop Place .........................................23Compassionate Care, Inc. ......................19Elm View Chiropractic .............................7Garges, Lawrence M., M.D. ...................23Henderson DDS, Robin ..........................22Huckleberrys at Rosauers .......................7Leavitt DMD, Erin ..................................15

Maplewood Dental ...............................21Ozeran, Steven, M.D. ............................11Pathologists’ Regional Laboratory ........17Peak Performance Physical Therapy ........9St. Joseph Regional Medical Center .......24Tri-State Memorial Hospital ....................2Tri-State Memorial Hospital ..................13Valley Medical Center ..............................3Whitman Hospital & Medical Center .....11Whitman Senior Living .........................15

ADVERTISER INDEX

More. Better. Brighter.

ELAINE WILLIAMSLewiston Tribune sta� writerElaine started reporting at the Tribune in 1991 and has covered the business beat since 2000. She’s an aspiring distance runner who completed the Lewis-Clark Half Marathon in 2 hours, 25 minutes and 23 seconds, her best time yet.

KERRI SANDAINELewiston Tribune sta� writerKerri covers the southeast corner of Washington for the Tribune. Her favorite activities are running marathons, hiking and chasing news stories.

JOEL MILLSLewiston Tribune sta� writerJoel Mills lives with his family in Lewiston. He’s currently enjoying the growing abundance of fresh, local foods available in the Valley and turning them (with some success) into good, healthy meals.

RALPH BARTHOLDTLewiston Tribune sta� writerRalph covers the Cops and Courts beat for Nez Perce County

BODY

GAUGING THE DAMAGEIt’s possible to repair holes from ear gauges

6NUTRITION

KEY TO HEALTHY KIDSExpert recommends families prepare and eat meals together

8BODY

HEALTH-CARE PROFILEA look at Lewiston children’s dentist Jeremy Wiggins

12COVER STORY

SWIMMING TO SUCCESSAsotin commissioner hits the water to stay � t and competitive

KAYLEE BREWSTERKaylee is a freelance writer who contributes occasionally to the Lewiston Tribune.

Balance is published quarterly by the Lewiston Tribune and Moscow-Pullman Daily News and printed at the Tribune Publishing Co. Inc.’s printing facility at 505 Capital St. in Lewiston. To advertise in Balance, contact the Lewiston Tribune advertising department at (208)848.2216 or Advertising Director Kim Burner at kburner@lmtribune.com, or the Moscow-Pullman Daily News advertising department at (208)882.5561 or Advertising Manager Craig Staszkow at cstaszkow@dnews.com. Editorial suggestions and ideas can be sent to Tribune City Editor Craig Clohessy at cclohessy@lmtribune.com or Daily News City Editor Murf Raquet at murf@dnews.com.

Summer 2014 �

Local chefs and dietitians offer advice on healthy barbecue options

By Anthony Kuipers

S ome might think the words “low-calorie,” or “healthy” don’t apply to summer barbecue meals.

“When some people think low-calorie, they think low flavor, but that doesn’t have to be the case,” said Marissa Rudley, Uni-versity of Idaho campus dietitian.

There are ways to enjoy a delicious grilled meal without feeling guilty. All it takes is some creativity.

For example, the meat does not have to be the centerpiece of the meal.

Rudley suggested grilling pineapple or peaches and incorporating them into the entree. Fruit, along with bell peppers can be used to make a nice shish kabob with shrimp or beef, she said.

“Those can be excellent accompani-ments, but also the center of the plate too when it comes to barbecuing,” she said.

Chelsey Woods, Washington State University Dining Services’ dietitian, said grilling tomatoes, sweet potatoes and corn on the cob are also great options, as long as you use butter in moderation.

Or, skip the butter altogether. Michael Amore, executive chef of WSU Catering, said. Try substituting butter with olive oil, which has calories, but is low on choles-terol.

If red meat is on the menu, there may be some challenges.

Tobe Finch, director of Happy Day catering in Lewiston, said using red meat can be tricky, as the point of grilling is to preserve the fats that make the meat tender

and tasty.“The idea is that you’re trying to not

broil out all the juice and all the flavor,” he said.

Finch said the best way to keep calories down, is to have moderate portion sizes. Woods and Rudley agreed.

Rudley said it’s important to remember that your body can only do so much with the protein you get from meat, so nutrition-ally, relatively low portion sizes are best.

“In one meal, your body can’t really do much with 6 to 8 ounces of meat,” she said, adding that the protein you receive will likely be stored rather than used.

Woods and Rudley said that when it comes to burgers, buy ground beef that is only 10 percent fat.

Woods also suggested loading the burger with vegetables and avoiding condiments. Buying whole wheat buns, or skipping buns and using lettuce leaves instead can also make a difference.

For steaks, Amore said stick to the lean

cuts, like sirloin instead of ribeye, Of course there are also substitutes to

beef. Woods suggested cooking up a turkey burger or vegetarian burger instead.

Skinless chicken and seafood, like salmon, are also delicious alternatives, they said.

Rudley said whenever you’re cook-ing meat, sauce is key to a healthy entree. Instead of high-calorie barbecue sauces, which contain a lot of sugar and sodium, marinate the meat in something acidic like lemon juice or vinegar.

Amore said he would like to see society start to drift away from using the term “bar-becue” when we talk about these gatherings over the grill. That implies a scenario where the sweet, syrupy sauce has to be the key component.

Instead, he suggested using the term “cookout,” which implies a greater variety of food.

“You put a different frame on the pic-ture,” he said.

Keeping calories down when the grill is fired up

THINKSTOCK

�  Balance

Getting kids involved in meals has long-lasting benefits

By KAyLEE BREWSTER

G etting kids and families to eat healthy can be as easy as spending one meal together around the kitchen table.

Dannette Frasier, a dietician from Tri-State Memo-rial Hospital in Clarkston, said research shows that families who eat together have children who tend to have higher self-esteem and engage in less risky behavior.

“Whether it be at breakfast, lunch or dinner, fam-ily mealtime is a great opportunity for parents and children to discuss the day’s events,” Frasier said. “It’s a time for families to reconnect and fuel positive inter-actions and discussions.”

Eating as a family also develops healthier eating habits for children because the parents serve as role models for healthy eating habits. And having children help with meal preparation fosters healthy food habits as well.

“The more children are involved with meal plan-ning and preparation at every level, the more likely they are to try new foods,” Frasier said.

Frasier used this information to teach a Creative Cooking class at the Boys and Girls Club in Clarkston. The club received a grant to teach the class, which started in May 2013 and concluded in April. Kids were given a nutrition survey in 2012 to participate in the program. Josh Richardson, program director at the Clarkston club, said approximately 30 to 40 kids at-tended the classes.

“In the hustle and bustle of our busy lives, cook-ing is becoming somewhat of a lost art,” Frasier said. “Creative Cooking aimed to provide a foundation for which children can grow in their knowledge of healthy habits (hand-washing and food preparation), menu and meal preparation, making them feel as a valuable member of their family in their home.”

The Creative Cooking program allowed the kids to make the meals while adults supervised.

“The options are endless, though the more colorful

Raising healthy eaters

Tribune/STeve HankS

Dannette Frasier and her son Andren, 6, make fruit kabobs with strawberries, bananas, and blue berries with pretzels as skewers.See FRUIT on page 7

Summer 2014 �

the plate, the more appealing foods will be and a wider variety of vitamins and miner-als will be consumed,” Frasier said.

Students made foods such as hummus with vegetables, fruit kabobs, taco soup, fruit smoothies, veggie/cracker dips and turkey pinwheels — all were combined with lessons about nutrition.

“Creative cooking is a term we used to describe the bimonthly classes in a fun way,” Frasier said.

Nutrition lessons focused on such things as whole grains, adding fruits and veg-etables to snacks, healthy protein sources and eating healthy during the holidays. The grant money allowed food to be purchased for the kids to make meals and snacks.

The Lewiston Boys and Girls Club also has started a healthy food program, although they did not receive a grant. The Lewiston Boys and Girls Club budgets money for the program, where they teach kids how to make healthy snacks and living a healthy lifestyle. Any child who wants to participate is able to, said Andrea Van Vogt, Lewiston unit director.

The Clarkston Boys and Girls Club Creative Cooking program ended after the grant ran out.

“Unfortunately, it was not renewed, but the nutrition knowledge the children gained over the past year is a skill set they will take with them for a lifetime,” Frasier said.

Tribune/STeve HankS

Andren prepares to sample his work with a healthy snack of a fruit kabob.

FrOM FRUIT On page 6

Suggestions for well-rounded mealsl Get a food from each of the food groupsl Make food colorful Healthy meal optionsl Breakfast: burrito with eggs, sauteed veg-

etables and cheese wrapped in a whole-wheat tortilla with fruit and a glass of milkl Lunch or dinner: protein (meat or beans),

whole grains (whole-wheat pasta or brown rice), salad or cooked vegetable, fruit and a glass of milk

Source: Dannette Frasier, a dietician

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�  Balance

Jeremy Wiggins walks in his father’s footprints at Dentistry 4 Children

By KAyLEE BREWSTER

T he room has chairs, toys in a toy box, stacks of children’s books on a table and a TV playing cartoons.

But this isn’t a family room, it’s a dentist’s waiting room.

Jeremy Wiggins is the owner and children’s dentist at Dentistry 4 Children at Lewiston — a job his dad, Curtis Wiggins, used to occupy. In fact, watching his dad work with kids inspired him to become a children’s dentist.

“I like kids, it seemed like a fun way to hang out with kids,” said Jeremy Wiggins. “Watching (his dad) doing it for all those years it seemed fun and rewarding and exciting.”

Growing up some of his friends and kids he knew also knew his dad. Wiggins is now having the same experience as a father. His kids often ask him when they’re out in public if a child they see is one of his patients.

“It’s different in a small community where you know lots of people,” he said.

Wiggins graduated from Walla Walla University at College Place, Wash., with a bachelor of science in 1996. He completed his pediatric dental residency program and graduated from Loma Linda Uni-versity School of Dentistry in California with a doctor of dental surgery degree. He returned to Lewiston in 2002.

Wiggins said he always intended to re-turn to Lewiston to practice dentistry and work with his dad. However, Wiggins did not plan to take over his father’s practice,

which he did when his dad retired in 2012.“I was anxious for the opportunity to

work with him and then it kind of turned into taking over but it was mainly just the chance to come back and work with him,” Wiggins said, adding many dentists don’t have the opportunity to hone their skills with a longtime practicing dentist.

“And you learn a lot of stuff from people that have done it as long as he has that you

don’t learn in school,” Wiggins said. “He (his dad) was a good partner. He was an easy partner.”

Wiggins said he learned something ev-ery day from his dad just by watching him work with patients.

“The main thing he always told me was to just treat people nice,” he said.

Wiggins said working with kids is like a game.

Continuing the family business

Tribune/Kyle Mills

Lewiston dentist Dr. Jeremy Wiggins focuses on child teeth care at his practice Dentistry 4 Children in the Orchards.

Summer 2014 9

“You’re having to try and make what we do seem like a fun thing and a good idea,” Wiggins said. “Part of what we do is � xing problems but part of what we do is play the game so they look forward to coming back the next time.”

� e other challenge is maintaining patience with the patients. “Probably the biggest challenge is trying to be patient and still be fun, but still get what you have to get done, done.”

Wiggins said it was di� cult taking over his father’s practice because he had to run both the dental side and the business side on his own.

“So there was a little bit of growing pain, a little bit of challenge, but now it’s been long enough that I don’t really notice it as much anymore,” he said.

Wiggins said there weren’t many changes he made to his father’s practice. � e biggest is the number of hours avail-able to patients with his dad no longer in the mix.

And while there haven’t been many changes at Dentistry 4 Children, Wiggins expects the industry as a whole will be changing with the onset of the A� ordable Care Act.

“I think all dentists would say that the business end is what’s changing and which is the hardest to deal with right now,” he said. “Especially in kids because we just don’t know what’s going to transpire with the changes in the dental insurance, which I think is going to have a lot more to do with kids than adults. But I could be wrong.”

But for Wiggins it’s all about the kids. “I guess in a way it keeps you young. You get to hear about fun stu� they’re doing. You get to sit there and watch cartoons with them. Everything’s kind of an adventure. You love it when they’re excited to come in and see you. Or their mom says they’ve been talking for a month about ‘when do we get to go back? When do we get to go back? When do we get to go back?’ � at’s the most fun. Some days it doesn’t even seem like work, you just spend all day hanging out with kids.”

HEALTH CARE PROFILE:Jeremy Wiggins, Dentistry 4 Children

When should children � rst see a dentist?The American Academy of Pediatric Dentistry, the American Dental Association and the American Academy of Pediatrics recommend children be seen within six months of get-ting their � rst tooth or 12 months of age.

Tips for getting kids to brush their teethMake it a game. Let them pick a fun toothbrush and some cool toothpaste that they like. Your dentist can give you instruction on the type and amount of toothpaste that is best for the age of the child. Dentists like to see parents taking the responsibility for brushing until the age of 8 or 9. Some kids love to brush and others not so much. Regard-less, kids need to brush twice a day. Once after breakfast and again as close to bedtime as possible. After that second brushing, only water to drink.

Source: Jeremy Wiggins, Dentistry 4 Children

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10  Balance

Some opt to have the holes in their ears repaired through plastic surgery

By ELAINE WILLIAMS

I saac Beckvold used to be able to stick four fingers through the holes in his ears.

That was in high school. Today, cour-tesy of out-patient surgery, the 22-year-old Lewiston man has scars on both ears, but the attention-attracting gauges are gone.

Beckvold is among a growing num-

ber of people who have intentionally stretched holes in their ears. Doing so creates an edgy look that’s easier to re-verse than a tattoo.

Beckvold got his ears pierced in sev-enth-grade, and then in the eighth grade gradually kept making the openings wider. Each adjustment over the course of more than a year cost $20 per ear and he would go about twice a month.

For about a day or two, he would feel unusual pressure while the wounds scabbed, bled and stung as his ears ripped ever so slightly.

“I stopped because I didn’t have that much skin to stretch anymore,” Beckvold

said.People’s reactions varied, he said.

Some people thought they were awe-some and encouraged him to keep going. Others, including relatives, objected on religious grounds.

“I honestly liked the looks of them,” he said.

Eventually it was his family who won out, partly because he thought it would be easier to find a job.

“They paid to have them undone because they couldn’t stand the site of them,” Beckvold said of his family.

So far, Beckvold appears to be among a minority of people who tire of gauges

Gauging the future of gaugesTribune/barry Kough

Isaac Beckvold (left) took his ear guages out but his brother Conner stil wears them.

Summer 2014 11

and undergo surgery to have them repaired. Dr. Steve Ozeran, a Lewiston plastic surgeon, said he does one or two of the procedures annually, sometimes for those trying to enter the military.

The patients’ earlobes are numbed and then he cuts the skin, rolling it into a pinwheel to restore the earlobe to as much of its original shape as possible.

“You may have some depressions, but it definitely looks more like an ear,” Ozeran said. “... All of the tissue is there, it’s just been stretched out.”

One of the toughest parts of the proce-dure was the noise, which was unnerving even though he chewed candy the whole time, something the medical staff had him do to muffle the sound, Beckvold said.

The other challenge is financial. Insurance companies typically don’t pay because it’s considered cosmetic, Ozeran said. For Beckvold, the cost was $750 in medical fees.

It’s a big commitment to have gauges removed, but it’s easier than tattoo re-moval, where laser or surgical treatments often leave noticeable scars where the ink once was, Ozeran said. “They never really go away.”

Beckvold noticed two benefits once his holes were gone. He soon found work at a Lewiston-Clarkston Valley retailer and he no longer had to worry about cleaning them everyday.

“The bigger (they are),” Beckvold said, “the more awful smell you get.”

Hygiene tips for gaugesl Make the holes larger gradually, so the skin stretches without ripping.l Wash them frequently with sea salt and clean, warm water.l If they get red and itchy, it might be an allergic reaction. Try surgical steel and avoid nickel.l If you get tired of your gauges and can’t afford a procedure, try removing the gauges. The holes should shrink substantially. Sources: Tats & Tails Tattoos in Lewiston; Dr. Steve Ozeran, Lewiston plastic surgeon

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12  Balance

Asotin County commissioner draws strength, energy from time in the water

By KERRI SANDAINE

W hen Jim Jeffords isn’t tending to Asotin County business or playing with his grand-

kids, you can probably find him in the water.

The 56-year-old Clarkston resident is a competitive swimmer who has set records and qualified for six events at the national level.

“Exercise is a very important part of my life and my wife’s,” said the Asotin County commissioner. “It balances our lives. I think the key as you get older is

to keep moving. We sleep better. It en-ergizes us. Being able to do this means more to me than making money.”

The mild climate and recreational opportunities in the Lewiston-Clarkston Valley, such as cycling on bike trails or swimming at the Asotin County Family Aquatic Center, are great benefits of living here, Jeffords said.

Balance through competitive swimming

Tribune/barry Kough

Jim Jeffords swims many morning laps at the Asotin County Family Aquatic Center.

Summer 2014 13

“I’ve lived here 30 years, and I really can’t imagine moving anywhere else,” he said.

Jeffords is completing his first term as a county official and running unop-posed for a second one. He previously worked for the city of Lewiston in human resources and as a training director for the Nez Perce Tribe’s two casinos. He and his wife, Tami, have two sons and four grandkids.

His current goals are to compete in the Lewis-Clark Valley senior games, qualify for nationals and participate in a “Swim the Snake” fundraiser that involves swimming from Lyons Ferry Park to Lyons Ferry Marina.

“Some people have a problem with the ‘senior’ part of senior games,” Jef-fords said. “But a lot of us are still com-petitive. It’s fun to win or place high in your age group, but the camaraderie is outstanding. A 70-year-old kicked my butt in Boise, but just talking to him was awesome. He was wearing knee socks with sandals, plaid shorts and a frumpy shirt. When he removed his outer clothing before the swim, from the neck down he looked like a 40-year-old stud.”

The memory brings a smile to Jef-fords’ face. You can’t judge athletes by their ages, clothing or body types.

As a high school sophomore in Northern California, Jeffords played nose guard on the varsity football team. At 5 feet 7 inches and 190 pounds, “I was a fat kid,” he said. “I was always chubby.”

He started jogging to get in shape, grew to be 6 feet tall, and, thanks to his active lifestyle, maintains his weight at 170 pounds.

Although he’s always enjoyed sports, Jeffords, who grew up in a military family, didn’t get serious about swim-ming until 2006.

“I’ve always swam, but not very good,” he said. “When I started do-ing triathlons in the ‘80s, I barely got through the swims.”

Ironically, Jeffords, who is a big fan of the aquatic center, was not a supporter when the proposal went before Asotin County voters.

“I didn’t see it as financially vi-able,” he said.

Now he’s a regular at the Dustan Loop site and an annual pass holder.

After swimming at the center for a year, Jeffords decided to dip his toe in competitive waters. His first swimming goal was to participate in the Waikiki Roughwater Swim, a 2.4-mile endeavor.

“I trained for that, and we went to Hawaii for the Labor Day weekend in 2007. I was 25 minutes slower than I

anticipated, and my wife thought I’d drowned. Other than my wife being scared, it was a cool experience.”

Racing against the clock, setting new goals and training for events keeps Jef-fords focused and in shape. He hopes to qualify for a national competition that will be held in 2015 in Minnesota.

A skiing injury has hampered his running, so Jeffords now cycles and swims during triathlons and gets a teammate to do the run portion of the event.

“Running banged my joints up pretty good. That was my first love. The longer the distance, the better.”

Luckily, he’s found a replacement that is just as relaxing and rewarding as pounding the pavement, he said.

“I like the weightlessness of it. At first I could never find that ‘runner’s high’ zone, but after two years of prac-tice, I found it. After 150 yards, I get in a zone and I can just cruise.”

“I like the weightlessness of it. At first I could never find that ‘runner’s high’ zone, but after two years of practice, I found it. After 150 yards, I get in a zone and I can just cruise.”

Jim JeffordsAsotin County commissioner

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14  Balance

Gritman offers medical care in Potlatch, Kendrick and Troy

By RALPH BARTHOLDT

I n 1990 more people in Idaho lived in rural areas than in the state’s increas-ingly growing urban centers.

According to the U.S. Census Bureau, almost 60 percent of the state’s population lived outside of cities, preferring instead Idaho’s diverse countryside to work, raise families and recreate.

More than 20 years later, the trend has shifted hard in the opposite direction, as 69 percent of Idaho’s population lives in cities.

As rural populations slumped, medi-cal facilities in outlying communities lost funding and closed their doors. The former Potlatch facility was a victim of the exodus that resulted, in part, when the town’s lumber mill was shuttered in the 1980s. The remaining families traveled to care facilities in Moscow, Pullman and sometimes farther, making round trips of more than 100 miles to St. Maries, Coeur d’Alene or Lewiston.

In places like Potlatch, traveling for medical services ended in 1996 when Grit-man Medical Center implemented a plan to provide health care to its outlying areas.

Gritman board members and adminis-trators understood their obligation was to make health care accessible and breaking down the distance barrier was the first step.

“Our service area is all of Latah County, not just Moscow,” Gritman CEO Kara Besst said.

It opened a mid-level care center in Potlatch, called a rural clinic, that provided a variety of services from urgent care to wellness checks and a staff that included a

physician’s assistant as its primary medical caregiver. As patient volume climbed, the Potlatch clinic became a model of rural care.

An upgrade at Potlatch, set to be com-pleted in November, will include a new

facility that adds 2,400 square feet, providing more space for additional services, Besst said.

Four years after recommitting to

Potlach, Gritman took over an existing facility in Kendrick. That clinic, which includes a nurse practitioner, was also recently upgraded to provide additional space and services. In 2012, Gritman took

over an existing facility in Troy, where a physician’s assistant provides patient care.

“For us, the philosophy is to provide care to all of Latah County, and to provide access to care,” Besst said.

A physician shortage nationwide — estimated at 96,000 by 2020, she said, has hospitals looking for alternative ways to provide quality care to patients in their service areas. Mid-level physician’s as-sistants and nurse practitioners are filling that gap, serving in many ways as a rural family doctor historically did.

Gritman will continue to look for op-portunities to serve outlying areas, Besst said. That could include adding more and varied services such as physical therapists or speech therapists at its rural clinics.

Rural clinics see a resurgence

Tribune/ralph barTholdT

Lori Roberts, medical assistant for Gritman Medical Center, works in the office at the family clinic in Potlatch.

“For us, the philosophy is to provide care to all of Latah County, and to provide access to care.”

Kara BesstGritman CEO

Summer 2014 15

Tribune/ralph barTholdT

Construction is underway for the new Potlatch Family Clinic run by Gritman Medical Center. 4 1 8 1 3 0 F 2 _ 1 4

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16  Balance

Hyperbaric chamber primarily for wound care, but other treatments in use

By JOEL MILLS

W hile Michael Jackson never slept in a hyperbaric chamber, rumors that “Wacko Jacko” was infatu-

ated with the oxygen-infusing technology fueled its reputation as just another bizarre medical treatment.

And even though many proponents of the high-pressure vessels still make wild claims about their ability to treat everything from hair loss to autism, hyperbaric chambers do have several legitimate uses that many hospitals have embraced, said Dr. Jane Fore, the attending physician at the Tri-State Memorial Hospital Wound Healing & Hyperbaric Center in Clarkston.

“It’s like taking a dive and not getting wet,” Fore said of the massive glass and metal chambers that mimic the higher atmospheric pressure under the sea.

Patients lie in one of the center’s two large, tubular chambers, breathing pure oxy-gen while the pressure is gradually increased to two or three times normal levels. Fore said the resulting increased blood-oxygen levels can effectively help alleviate several maladies.

One of the most common uses is to treat wounds, since oxygen is an important com-ponent in the healing process. The chambers are also effective in reoxygenating the blood after cases of carbon monoxide poisoning. And diabetics whose compromised circu-latory systems have difficulty delivering oxygen to body tissues can benefit as well, Fore said.

More recently, the center has added other indications to its list of hyperbaric treat-ments. One is central retinal artery occlu-sion, a disease that blocks the main blood source for the eye, causing sudden vision loss.

Hyperbaric treatment for the condition is one of the uses approved by the Under-sea and Hyperbaric Medical Society, and it can be covered by health insurance plans. In fact, hyperbaric chambers offer the only good therapy that currently exists, according to the society.

Another new indication is for sudden sensorineural hearing loss, which can be caused by a lack of circulation or an inflam-mation inside the ear. The condition can be associated with an infection, or a blood supply issue, Fore said.

“(Hyperbaric treatment) is shown to give substantial improvement in long-term hear-ing,” she said.

Most of the problems that can be helped by hyperbaric treatment have one thing in

common, Fore added: They are ischemic, or related to a shortage of oxygen supplied to tissues due to restricted blood flow. The center is researching the possible application of hyperbaric treatments to major ischemic events like a heart attack or stroke, she said.

Fore has many success stories, but one of her favorites is a woman who had dead tissue lying over an artery in her neck after a surgeon removed a cancerous tumor. Doctors feared the tissue wasn’t healing, and could eventually kill her. But hyper-baric treatments completely changed the character of the tissue, which successfully healed in.

Another positive outcome came when the jawbone of a stroke patient was literally dying, and hyperbaric treatments helped reverse the damage. And one woman was able to save her leg from a flesh-eating infection, Fore said.

“Her surgeon called and asked where we should cut her leg off,” she said. But Fore recommended hyperbaric therapy to avoid

High-pressure treatment

Tribune/Kyle Mills

Tri-State Memorial Hospital has two hyperbaric chambers for patients who visit the Wound Healing & Hyperbaric Center in Clarkston.

Dr. Jane ForeTribune/Kyle Mills

Summer 2014 17

Tribune/Kyle Mills

Dusti Kelley, a certified Hyperbaric Technician, prepares one of the chambers for a patient at Tri-State Hospital’s Wound Healing & Hyperbaric Center in Clarkston.

that extreme measure. “She’s up and walk-ing around with a good leg now.”

One issue that frequently crops up with hyperbaric treatment is the claustropho-bia that can be triggered when patients are enclosed in the chamber. With that in mind, the hospital purchased wide models in 2005, when the hyperbaric part of the center opened.

Patients also have a technician sitting beside the chamber throughout the treat-ment, which can last two hours or longer. If anyone panics, they can get out at any time. Some patients can also be given a sedative to help with any anxiety, Fore said.

And speaking of the length of the treat-ments, boredom can also set in. To combat that less-serious problem, each chamber has a television above it that can play either DVDs or streaming online video.

Tri-State was the only local hospital that offered hyperbaric treatment until Grit-man Medical Center in Moscow opened its own facility last year. The next nearest hyperbaric treatment centers can be found in Spokane and the Tri-Cities.

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18  Balance

Turning ‘I can’t’ into ‘I think I can,’ and the positive affect of thinking positively

By Lindsey Treffry

I t happens thousands of times each day. I’m fat. I’m ugly. I can’t do it. I’m tired. I’m late. I hate my job. My partner is lazy.

The house is dirty. I’m too busy for this. I’m too busy for that.

People experience 50,000 thoughts every day, most researchers say. For some, those are primarily negative, and for others, those are primarily positive.

It all comes down to a formula, said Lewis-Clark State College psychology profes-sor Rhett Diessner: H=S+C+V.

H=S+C+V is a formula used in positive psychology, a recent branch and movement that doesn’t just focus on negative emo-tions, such as anger, fear or sadness, but also positive emotions, such as joy, serenity and, specifically, happiness, Diessner said.

In the formula, H stands for happiness.S stands for a set range of happiness deter-

mined by genetics. Diessner said some people pop out of the womb with a disposition that leans one way or another on the negative- and positive-thinking spectrum.

C stands for conditions in life: “If you grow up with parents that are positive think-ers, that’s a condition of your life,” Diessner said, adding behavior of those at work or in a faith community as other examples of condi-tions that affect happiness.

V stands for voluntary — the only part of the equation in which someone can choose to think negatively or positively, or whether to be happy.

“For myself, one of my best friends in therapy is just to get out in nature, but that’s a voluntary choice of mine that changes my condition,” Diessner said.

Choosing to think positively is the part in which most people struggle, said certi-

fied personal trainer Michael Baszler, who promotes positive psychology in his training at the University of Idaho.

“I’m really into self-improvement and consciously choosing where you want your life to go,” Baszler said. When improving one’s self “no one’s going to say ‘I want my life to be terrible.’ They’re going to say ‘What do I want out of my life and how can I get there?’ ”

When a person’s focus switches to self-improvement, Baszler said this can lead to positive thinking, which is why he tells his clients to be aware of their thoughts.

Baszler said people often want to change everything at once when dieting and exercis-ing. The overweight person who needs to lose 50 pounds, wants it to drop off in a snap. Sometimes, they’re stuck thinking “I’m fat” or “I’m 220 pounds.” But, Baszler said, people have to think positively and with patience to create a nonrevolutionary change, such as weight loss.

Baszler calls the switch from negative to positive thoughts, “trimming the mental fat.”

“ ‘I’m fat,’ is a self-fulfilling prophecy,” Baszler said. When you think a certain way, “you’ll then act in accordance to your thoughts.”

Baszler, then, tells his clients to switch their prophecies. “I’m losing weight,” for example. Instead of “I’m 220 pounds,” say

“I’m 215 pounds,” which is a lighter, more attainable reality.

“Find something you want to switch that with, and use that,” Baszler said. “Come up with something and believe it.”

Or, as Diessner says, “Fake it till you make it,” which can take some time.

“Let’s say, for instance, I wanted to become a competent player of the piano,” Diessner said. “It’d take me a couple years of regular practice. This is the same with altering our thought patterns. It’s something that takes daily vigilance, daily practice.”

But the pay-off for positive thinking can be rewarding. Baszler found he can deal with external events more positively now. Diessner said positive thinking can benefit the cardio-vascular and nervous systems.

Better yet, he said, when a person thinks positively, they’re much more likely to be kind and thoughtful to those around them, which is something he addressed in “The Psychology of Beauty and Love,” a TEDx talk organized last year by LCSC.

“You’ve heard ‘We are what we eat.’ Well psychologists, say ‘We are what we think.’ The facts that are in our minds constitute our health to a large degree,” Diessner said. “Having your mind populated with positive thoughts, encourages a wide range of good things to happen.”

‘We are what we think’

THINKSTOCK

Summer 2014 19

Study suggests early sun exposure influences weight

By Shanon Quinn

A recent study suggests early rising and exposure to bright morning sunlight helps those who want to drop extra

pounds.The study, published April 2 in PLOS ONE,

a peer- reviewed Public Library of Science re-source, included 54 adult participants and took place over one week, during which participants wore a monitor on their wrists that recorded light levels, sleep midpoint and duration. They also kept food and exercise logs.

The study maintains those who were exposed to early morning light tend to have a lower body mass index, or BMI.

But don’t reset the alarm clock just yet.Sheryl Wagner, a registered polysomno-

graphic technician at Tri-State Memorial Hospital’s sleep center in Clarkston said it’s not a matter of being up before the sun that regulates your weight.

“It’s actually the amount of sleep you get, not whether you’re an early riser,” she said.

Wagner said people have two hormones that regulate weight: leptin and ghrelin.

Leptin, known commonly as the satiety hormone, is made only when the body is in a deep sleep. It tells the brain when to feel “full,” while ghrelin conveys the feeling of hunger.

When people don’t get enough sleep, an insufficient amount of leptin is produced, keeping the brain from getting the message the tummy is full.

Wagner said teenagers who stay up late on computers and phones tend to weigh more be-cause their bodies don’t have the opportunity to produce enough leptin.

Lack of sleep is linked to childhood obesity,

she said.But Wagner said getting out into the sun is

important.“Being exposed to light starts your day

clock, and sets your circadian rhythm,” she said.

Circadian rhythms are physical, mental and behavioral changes that follow a daily cycle and respond to light and darkness, according to the National Institute of General Medical Sciences.

Regular periods of approximately eight hours of sleep are important to the circadian rhythm and production of the hormones, Wagner said.

“The more consistent you can be with rise times, the better,” she said.

Sarah Clark teaches yoga at the University of Idaho Student Recreation Center at 10:30 a.m. Monday and Wednesday, but sometimes substitutes in later classes.

She said she sees people of all fitness levels working out at the gym throughout the day, but the people coming in early in the mornings are typically in good shape.

“The people working out early in the morning are our regulars. You can tell they’ve been working out for a long time,” Clark said. “They’re dedicated.”

Wagner said exercise is another way to start the clock, but whether you use sunlight, caffeine or working up a sweat, the key is to be consistent.

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20  Balance

New tech can add a boost to a fitness regimen

By Bill McKee

L ast year Christopher Torgerson wanted to add a little something to his workout.

A trainer with Snap Fitness in the Lewiston-Clarkston Valley, being in shape is important to him and his career, but he wanted something new to get him motivat-ed. Having an impulse for new gadgetry, he decided to add a little tech to his routine.

Since November he’s been wearing the Nike Fuelband, hardly ever taking it off. It allows him to set little goals for himself to hit throughout the day, he said. And for him, he said, it seems to be working.

“I can track my calories, my steps, my sleep, fuel points – plus I use it as a watch,” Torgerson said. “It’s almost like having a personal trainer reminder on your wrist.”

Activity trackers have been around for a while now. Since the early 1990s, some wearable devices have been available to monitor things like speed, duration and distance. The concept is simple, and in many ways can be done using just a pen and paper, using metrics and simple for-mulas in a workout.

In the last few years, however, with the introduction of products like the Fuelband, Fitbit and Jawbone monitoring ever more complex activity, from sleep stages and heartbeats to reminders to sit up straight, the industry has truly exploded, with more than 2.7 million wearable bands shipped in just the first quarter of this year alone, sell-ing at anywhere from about $70 to around $300, depending on brand or model.

Since a recent announcement by Nike that future development of the Fuelband

has been discontinued, there has been a great deal of speculation about the future of the wearables industry.

While Nike isn’t the leader in the industry — Fitbit and Jawbone make up about half and a quarter respectively, with Nike following at about 15 percent — the departure of the swoosh left some wonder-ing why. Others refer to wearables as digital “snake oil,” citing evidence that users have a tendency to wear the band for only about six months before giving up on it. Still oth-ers speculated that Nike has plans to work on a new brand in conjunction with Apple.

Torgerson said he isn’t concerned about what others are speculating about the wear-ables industry. He’s had his for more than six months, and he’s still a huge fan.

“I’m in, I love it,” he said. “For me it’s not a gimmick. It’s not a gimmick if it works, that’s how I think about it.”

At first he said he paid more attention to things like how many steps he took throughout the day and general activity levels throughout the day — but has since gotten a pretty good idea of what graphs of those kinds of things will be able to tell him. Now he likes to use it to set fitness goals throughout the day.

“Fuelband gives you digital trophies the same way you get trophies for completing goals in Xbox or Playstation,” Torgerson said. “You get points for hitting a certain amount of steps or calories, or working out for consecutive days. My highest was 65 days in a row.”

Always a fan of new technology, he ad-mits he’ll probably be interested in the next generation of smart watches when more of what’s available in the wearables are integrated. Still, Torgerson said he doesn’t expect to be swapping in his Fuelband for a new device in the near future.

“I love new tech, but this does what I

want it to do, so I’m not in a hurry to get a different one,” he said.

Travis Seltenreich doesn’t own any wearables yet, but said he thinks he might make a purchase in the not-too-distant future.

A student in exercise science and health at the University of Idaho and a personal trainer with North Idaho Fitness Club in Moscow, Seltenreich has recently been a part of a study looking into the effect of high-intensity training and has been wearing an Actigraph GT3X, which tracks intensity of movement, for the past several weeks.

As part of the control group, he hasn’t altered his workout in any way since look-ing at the data he sees, but said he still finds value in it.

“It really surprised me because I thought I probably wasn’t getting that much activity throughout the day. But when I actually looked at the data I real-ized I should probably be eating a little bit more. I thought I sat around a lot, but I’m more active than I expected,” he said.

Chantal Vella is the associate professor of exercise science at UI who is leading the study Seltenreich is taking part in. She said activity trackers can be very useful for individuals who might be looking to make a change in their routine.

“It can allow them to understand their baseline, then monitor how that changes if they’re on a new diet or a new workout program,” she said.

While Seltenreich said he is excited about getting a wearable of his own — he’s had his eye on the Nike Fuelband — he said it’s important to keep in mind they’re made to supplement exercise, and that the effort still has to come from the individual.

“These things are more of a tool to be used, not a solution in and of themselves.”

Wearables: workout revolution or digital snake oil

Summer 2014 21Summer 2014 21

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22  Balance

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24 Balance