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2 HEALTHY HABITS 2015

BY ALLAN TINKER

For most of modern day complaints, the thing no one wants to hear works best: losing weight. Arthritis is included.

If you’re obese, losing weight will reduce the stress on your weight-bearing joints, your body’s natural processes, and even your clothing budget. It is a win, win, win.

This article will just address losing weight as it concerns arthritis, along with other helps for this condition that affects so many.

The information source is the Mayo Clinic, on reference from Dr. Amy Zimmerman, the new medical director for North-land Community Health Center.

Mayo Clinic sources tell us:Losing weight may increase

mobility and limit future joint injury. Along with this it will help regular exercise keep your joints fl exible. Swimming and water aerobics may be good choices because the buoyancy

New Northland Community Health Center Medical Director Amy Zimmerman offers some common, effective remedies for arthritis suf-ferers.

For all what ails you: losing weightof the water reduces stress on weight-bearing joints and allow you to get exercise even before you lose weight.

Heating pads or ice packs may help relieve arthritis pain and using canes, walkers, raised toilet seats and other assistive devices can help protect joints and improve the ability to per-form daily tasks.

Many people use alternative remedies for arthritis although there may be little reliable evidence to support the use of some of these products. The most promising alternative rem-edies for arthritis include:

• Acupuncture. This therapy uses fi ne needles inserted at specifi c points on the skin to reduce many types of pain, including that caused by some types of arthritis.

• Glucosamine. Although study results have been mixed, it now appears that glucosamine works no better than placebo. However, glucosamine and the placebo both relieved arthritis

pain better than taking nothing, particularly in people who have moderate to severe pain.

• Transcutaneous electrical nerve stimulation (TENS). Using a small device that produces mild electrical pulses, TENS therapy stimulates nerves near the aching joint and may inter-fere with the transmission of pain signals to the brain.

• Yoga or tai chi. The slow, stretching movements associ-ated with yoga and tai chi may help improve joint fl exibility and range of motion in people with some types of arthritis.

• Massage. Light stroking and kneading of muscles may increase blood fl ow and warm affected joints, temporarily relieving pain.

There are two main types of arthritis, and they damage joints in different ways.

Osteoarthritis is the most common type and involves wear-and-tear damage to joint cartilage, which is the hard, slick coating on bone ends.

Enough damage can result in bone grinding directly on bone, which causes pain and re-stricted movement. Here is the area of hip, knee, shoulder, and other joint replacements that one hears about frequently. This wear and tear can occur over many years, or can be hastened by a joint injury or infection.

Rheumatoid arthritis is the body’s immune system at-tacking the lining of the joint capsule, a tough membrane that encloses all the joint parts. This lining, known as the synovial membrane, becomes infl amed and swollen. The disease process can eventually destroy cartilage and bone within the joint.

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With the holiday season upon us, many people’s sched-ules are hectic once again. There are social events and family gatherings to attend, shopping ventures to make, and decorating to be done. While fun, the holiday season can be a time of added pressure, which leads to stress and other unhealthy situations.

At a time when you want to be at your best, stress can affect your physical well-being. The American Psychological Association says the hustle and bustle of the holidays has psychological consequences for some people. More people are inclined to feel that their stress increases, rather than decreases, around the holidays. The National Institute of Mental Health says chronic stress can lower immunity and cause excretory, digestive and repro-ductive systems to stop working properly. Stress also may cause you to eat unhealthy snacks to cope, and that can lead to unwanted weight gain.

Stress is not the only poten-tial health hazard that can arise around the holidays. A greater number of parties expose you to an abundance of foods and drinks you may not consume on a regular basis, and that can lead to a lot of mindless eating. Weight gained during this time of year can be diffi cult to shed

Ways to stay healthy this holiday seasoncome January, when colder temperatures challenge many peoples’ motivation to exercise.

Also, social settings put you in close contact with a greater number of people, potentially increasing your exposure to germs.

You can still feel your best during the holidays. Follow these tips for maintaining a healthy mind and body.

• Get the fl u vaccine. The fl u vaccine can protect you against various strains of the fl u. Get a fl u shot before the holidays so you are ready for cold and fl u season.

• Carry disinfecting wipes. Germs can linger on surfaces long after an infected person has come and gone. Studies from researchers at the Univer-sity of Arizona in Tucson have found the fl u virus - and even the antibiotic-resistant bacteria MRSA - on airline tray tables. Buses, trains and doors all may be harboring germs. Wipe down surfaces with disinfecting wipes and allow them to air-dry before touching them. This can help you avoid coming into contact with germs.

• Balance your activities. It can be tempting to overbook your schedule with a ton of ac-tivities, but this may ultimately prove stressful. Leave days open to relax and do things you want to do, such as viewing

Do your best to avoid stress or illness around the holidays.

Christmas light displays or even just unwinding at home with a good book. Try delegating some tasks to others in the household so you don’t take on too much responsibility.

• Keep up an exercise routine. Don’t stray too far from your exercise schedule. You may have to move work-out times to free up other time later in the day for shopping or parties. Early morning is a good time to exercise because it gets you moving fi rst thing in the morning and might even encourage you to hit the sack a little earlier each night, ensuring you get all the sleep you need. Exercise also can improve en-ergy levels and relieve stress.

• Don’t focus on food.

Focus more on enjoyable activities that keep you moving rather than always being seated around the table for a big meal. Save indulgences for one or two treats on the holidays and eat sensibly otherwise.

• Talk to someone. If the

holidays have you feeling blue, talk to a friend or family mem-ber. If you need more profes-sional support, fi nd a social worker or psychologist that can help you work through stress and other feelings.

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4 HEALTHY HABITS 2015

BY EDNA SAILOR

MandareeMandaree Ambulance is the new-

est service provider in the area having begun its operation about a year ago.

The service is a unique arrange-ment between a private doctor and local people in Mandaree. It is a basic care service. So far the service has paid staff that fl ies into the community from Colo-rado. There are two paramedics and two EMTs to keep the service staffed.

Dr. Benji Ketagawa is the driving force behind the operation. His wife An-toinette is a partner in the operation as well. Their company offi ces are in North Platt, Nebraska. Dr. Benji prefers hands on approach and takes time to come out to Mandaree to go on ambulance calls from time to time.

The service enjoys some limited support from the Three Affi liated Tribes in the form of an ambulance station, electricity and no rent or utilities. The operation has also received a few grants from other sources to fund its work.

Local people are in the process of being trained as ambulance personnel. They started EMT training last Novem-ber and three will test in October of this year.

“It has always been the goal to turn the service over to local people when enough people are trained,” Ketagawa said.

Ketagawa fi nds that the operation does best to pay personnel rather than go the volunteer route.

“We feel it is important to pay people and treat the positions as jobs when we get to that stage. It was always our plan to start out with outside workers and train local people from our draw area to transition them to a local paid ambu-lance staff as we could accomplish it. We certainly did not want to draw people away from other services though.” She said.

The Mandaree Ambulance is a rural one of a kind operation in our area when it comes to the non- profi t community clinic they have also formed.

“There can be a lot of hours be-tween calls, so we work with people with chronic illnesses and elders and others who may have a non emergency need at our small clinic. By doing it this way our EMTs and Paramedics can maintain skill levels, and stay busy at the clinic while they are on call during paid hours. They provide services like checking on people by doing home visits. They can check on meds or injuries or meet other needs. We are also connected with telemedicine as an additional resource when it is need-ed,” Ketagawa said.

Preventive medicine is also on the minds of the squad. Antoinette

Mandaree is the area’s newest ambulance service. With the establishment of the service, the communtiy no longer has to wait for ambu-lances to travel the 27 miles from New Town or Watford City.

NewTown Ambulance staff, Lisa Valandra, Brandon Gosch, Squad Manager and Amanda Bibb, wait for the next call to come in.

Photo by Edna Sailor

Area Ambulances ready

Ketagawa explains.“Our staff is able to talk to patients

about health related subjects and how to stay out of the hospital. The clinic op-erations allow us enough money to pay personnel,” she said.

“It’s been a struggle to get everything pulled together but there is need. We had over 100 calls between January and June of this year. In July it was a call a day. We experienced a lot of accidents, especially during July. It is a good thing we are here to take those calls and can get there in a reasonable amount of time,” she said

Three Mandaree residents are train-ing to test for their EMT Certifi cations in October. They are

Jessica Spotted Horse, Renae Semi-nole and Josey Grady.

Mandaree Ambulance is a basic care service provider with a capacity to pro-vide Advanced Life Support according to Antoinette Ketagawa

New TownNew Town Ambulance is the only

North Dakota Licensed Advanced Life Support service in this group. It employs four paid full time Paramedics and fi ve paid full time EMTs.

When the oil industry experienced a slow down, it did not translate to a slow down for the New Town Ambulance ac-cording to squad leader, Brandon Gosch.

“We have actually seen calls go up,” he said.

New Town Ambulance Service has seen 777 calls since January fi rst of t\his year. In August they responded to 124 calls but average about 100 calls a month which averages out to 1200 to 1300 calls per year.

Types of calls vary, but Gosch, de-scribed a signifi cant change and increase in one aspect.

“We used to see a lot more prescrip-tion drug abuse calls, but more and more lately we are seeing more meth and heroin calls now. We have also seen an increase in gang, drug and alcohol related calls,” he said.

The New Town Ambulance Service sees to it that their vehicles are in great shape. They have two 2015 units and one 2010 unit. The service sees a 50,000 mile per year on their ambulances.

“We swap them out at 100,000 miles, so we need new ones every two years. Each unit costs about $200,000. New Town received grants for the latest mod-els,” Gosch said.

With paramedic and ALS responsi-bilities, good equipment is paramount.̀

“We have the latest, greatest equipment possible, “ Gosch said.

The New Town squad is licensed to perform advanced protocols.

“Because of the distance from a hospital, we can run a complete cardiac arrest process. We are equipped with so-phisticated EKG equipment and can run the entire arrest until the patient can be helicoptered out or to the coroner if the patient does not survive, Gosch said.

They are trained for delivery of medi-cations and advanced services as well.

“The service is also licensed to run a RSI which is a Rapid Sequence Intuba-tion with ventilation if the situation war-rants such action. It includes administer-ing sedation in order to complete actions to address a compromised airway. We have to do this for facial trauma quite often,” Bosch said.

New Town Ambulance has a Mutual Aid Agreement with Parshall.

“We are back up for them and they do for us when necessary.“We also do intercept calls with them where we meet them on the highway and assist with car-diac or other situations when needed,” Bosch said.

Mutual Aid agreements are in effect for the service with Mandaree, Parshall, and Stanley.

New Town Ambulance is considered a separate political subdivision and receives its own mill levy funding. It does not receive funding from the city of New Town and is not contracted with them presently. However, the city has contributed signifi cant support towards the services new building. The Three Affi liated Tribes contribute funding to the operation. Other tax money

that comes in only pays for maintenance of the building. It does not pay for runs or personnel,” Bosch said.

Those expenses are recovered in much the same way as a hospital and clinic services.

“We obtain our revenue through bill-ing. We are able to bill Medicare, Medic-aid and insurances.

We also bill patients directly. People seem to think that taxes or something else pays for the service and they don’t have to, but that is not the case. It is just like other medical entities. We have to do the same paperwork,” he said.

Just as in other operations, costs for operations go up.

“Our costs go up too and we have cost recovery just as others do. We al-ways stock the best medications and sup-plies. If any become outdated we have to renew them. Just as with any medical entity, it is expensive,” Bosch said.

In terms of jurisdiction, the ambu-lance is licensed by the state for opera-tions.

“We are licensed for New Town, San-ish and Van Hook.” Bosch said.

New Town Ambulance recently ex-panded their building.

“We received a grant through the state and have now expanded from 2 to 4 bays and added an education center. We offer classes on an ongoing basis.

AMBULANCEScontinued on page 5

for any health emergency

are also connected with telemedicine as an additional resource when it is need-ed,” Ketagawa said.

Preventive medicine is also on the minds of the squad. Antoinette

bilities, good equipment is paramount.“We have the latest, greatesest t

equipment possible, “ Gosch said.

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They include First Aid, CPR, and First Responder courses. All are open to the public. People interested in taking classes may call

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MakotiOne of the highway 23 am-

bulance services shares space with the Fire Department in Makoti.

Its ambulance is a basic care provider. There are eight EMTs available, with another who is a college student and participates on weekends. They also have 3 qualifi ed drivers. They do not have a Paramedic. Makoti is also an “all call” operation and has not had new EMTs for 15 yrs.

Leanne Larson, EMT, says that with a squad that has car-ried the responsibilities for so long, they want to see some new blood.

“We are fi nding it is time to get some younger people in-volved. We are planning to run a First Responders class in Oc-tober with the ambulance squad in Parshall. We would hope to be done by Christmas. We hope to have more trained people to make runs with us, she said.

Larson described the service.“We have a relatively new

ambulance, but we are excited that we have just ordered a spanking brand new state of the art vehicle. Our equip-ment is always well maintained and updated. We like to go to conferences and learn about the newest equipment. We can get training on it and we usually buy it to help provide services,” she said.

The Makoti service provides about 25 calls per year and col-laborates with Community Am-bulance in Minot for Advanced Life support situations.

Recently,Makoti Ambu-lance entered into a Mutual Aid Agreement with Garrison-Max Ambulance Service.

The purposeof the agree-ments are to assist each other with patient care when situations demand it, especially during periods of overload or in a mass casualty event. The agreement stipulates that mutual aid response will be made upon request if the service will not jeopardize its own service lo-cally.

Parshall AmbulanceParshall Ambulance squad

has obtained a spiffy new piece of equipment that will be very valuable to them and the Par-shall Fire Department.

“It is an all terrain vehicle that will help us to be able to reach victims in isolated or dif-fi cult off road scenarios, par-ticularly during winter,” Jamie Clemenson, Squad leader, said.

Unlike nearby services, Par-shall Ambulance has partnered with Ambulance Resources in Bismarck. Through that process they were able to obtain paid EMTs.

That was a valuable move that enabled them to employ three paid EMTs who can run

AMBULANCES continued from page 4

schedules 4 days on and 3 days off on a 72 hour schedule. Locally, the community adds another 14 volunteers to its operation.

“Our Ambulance is in good shape and we have state of the art equipment. We have a mutual aid agreement with New Town for backup in case we need Advanced Life Support on a call,” Clemenson said.

Plaza Ambulanceservice

Plaza Ambulance struggles with its need for more volun-teers. They may have to close doors if more people do not show up. A recent meeting drew nine individuals who agreed to begin the EMT training in September.

However, it would take nearly all of those volunteers to successfully complete and be certifi ed to serve on the squad. The outcome is unknown. Past history of recruitment and train-

ing has seen more drop outs than completers. Plaza’s last service level found only 3 EMTs left to answer calls. That is not enough to cover a standard schedule of 24-7 as required by the state for a basic service provider.

Rod Johnson, Faron Wold and Gary Johnson are the other long term community members helping to hold the structure together for the time being. Newcomer Tari Berry. EMT, is a new member and is extremely active in recruitment as well as

keeping books and making runs. Plaza does not currently have a squad leader. Gary Johnson, who served in that role for 22 years is technically retired, but is still interested in seeing the operation succeed.

Rod Johnson, who has 11 years into the operation is retir-ing at the end of this year.

Faron wold has fi ve years and much experience under his belt, but works out of town and fi nds his time stretched thin.

Plaza Ambulance needs new blood and they need it now.

“This is our last resort,” Tari Berry said. If we don’t get people out of the class of 9 that starts in September, we will have to close our doors.”

According to Kelly Sears, State EMS Training Coordinator sums it up this way:

“Any loss of an ambulance is serious. All of rural North Dakota is in need of volunteers. Communities don’t realize how serious the situation is until their ambulance service shuts the doors.”

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HEALTHY HABITS 2015 7

BY ALYSSA MEIERLeader-News

In the early nineties, only a couple of years before it

closed, Chad Isaak was a student at Riverdale High

School. A football fanatic at a school too small for their

own team, Isaak was forced to play on a multi-school team in Underwood. But after he frac-tured a vertebrae in his neck, it looked like he may have had to

hang up his jersey. “I went to medi-

cal doctors, physical therapists, neu-rologists, neurosur-

geons, even mayo clinic. and for the

most part, the medical com-munity was really unable to help me,” Isaak said.

The injury wasn’t

severe

Dr. Chad Isaak performs a manual adjustment on a patient’s neck using only his hands. (ALYSSA MEIER/Leader-News)

Washburn chiropractorfi xing up people, pets

enough to need surgery, but the doctors couldn’t seem to fi nd any other way to help him. He was told to come back in three months, or in six months and that they would re-evaluate then. For the time being, foot-ball was out of the question.

“Friday night football was a really big deal. … At the time, it was like the biggest thing in the world. When you’re that age, life revolves around playing football,” Isaak said. “To tell them that they they’ll never be able to do it again is a pretty big deal.”

And that answer wasn’t good enough for the then-teenager. So he went from neurologists and other experts at Mayo clinic that hadn’t found a solution, and turned to a chiropractor. And that’s where he found his answer, along with a calling of his own.

“I started seeing a chiroprac-tor that my father was going to, and they actually got me to a point so that I could play foot-ball again,” Isaak said. “That’s what go me on the road to chi-ropractic, because all of these people that were in the fi eld and supposed to be experts really couldn’t do anything for me, but a chiropractor could.”

Isaak knew the career meant running his own

business, something he had never wanted to do. So he explored other options. He spent fi ve years in the military as a medic and got a degree in nursing, only confi rming that chiropractic was what he wanted to pursue. So he spent another 5 years at Palmer Col-lege of Chiropractic in Iowa, until in 2006, he could fi nally call himself chiropractic physi-cian Dr. Chad Isaak.

Fresh out of graduate school, Isaak moved back to North Dakota and started a practice in Hazen in 2006. A few years ago, he made the decision to move to Washburn, and this Spring brought his business with him and plopped it down on Main Avenue. Now he is doing what he had never planned on - running his own business - so he can do what he really loves - improving the lives of patients. And this means treating problems a newborn all the way through the elderly, fi xing anything from the top of their head to the soles of their feet.

“The general rule … is any musculoskeletal problem that isn’t bad enough for surgery is a chiropractic problem. That could be a problem with your

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CHIROPRACTOR continued on page 14

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8 HEALTHY HABITS 2015

BY SUZANNE WERRE

Essential oils aren’t simply a new fad that is taking the world by storm as an alternative to modern medicine.

When asked where essen-tial oils “came from,” where did they originate, Ashlie Walcker of Let’s Face It Skincare and Spa of Underwood, pointed out that essential oils are mentioned 188 times in the Bible.

“It goes that far back,” she said. The most commonly recognized oils from the Bible are probably frankincense and myrrh – they were a gift -- but even back in biblical

Ashlie Walcker applies an essential oil to Brooklyn Schaan using a roller-ball.

Essential oils – for healthy living

Ashlie Walcker uses an essential oils diffuser daily at her spa and at her home.

times, people were using essen-tial oils for healing purposes.

Today, those same essential oils are still used for a variety of emotional and physical issues.

An essential oil is derived from plants. The oil is extracted from the most potent part of the plant where the oil is found. For example, lemon essential oils come from the rinds of lemons, while cinnamon comes from the bark of a cinnamon tree.

Essential oils can calm a fussy baby, said Walcker.

The oils can ease teething pain, calm or eliminate the symptoms of allergies, help with anxiety and depression, pain, nausea, appetite suppression and diges-tion problems. The

oils are also known to improve relaxation and sleep and give people a general sense of well-being.

A lot of parents have found essential oils have helped with their children’s ADHD, she added.

Those are just a few of the common things essential oils can help with, noted Walcker.

And they’re 100 percent pure and natural, pointed out Walcker.

Or at least they should be. Don’t be fooled by oils that

aren’t 100 percent pure, she added.

Only oils that are labeled Certifi ed Pure Therapeutic Grade are 100 percent pure. And if they don’t have that label, they are probably loaded with fi llers that won’t do a thing to help the user.

The doTERRA products Walcker uses at her spa are all certifi ed pure.

The oils can be used in a variety of different ways, noted Walcker, including direct ap-plication to the skin, adding a

couple drops to a glass of water and drinking

it, and the way

Walcker uses quite often at home and at her spa, through a diffuser.

“If I’m trying to prevent a cold, or help my kids get over one, I use it 24-7,” she said.

She also uses a doTERRA product called On Guard, which is a mix of different essential oils, daily once cold and fl u season hits.

On Guard can be mixed with water and sprayed on counters and toys and door knobs to prevent the spread of germs.

You can spray it anywhere.And it doesn’t leave an oily

residue, she added, so the spray can be left on or wiped off.

Having children in daycare or at school, it is inevitable they

will come down with a cold, but Walcker has found that when she adds a little On Guard in with her humidifi er, her two boys have had fewer colds, and if they do get a cold, they get over it much more quickly.

Another easy way to use the essential oils is simply to inhale them, added Walcker.

“Put a couple drops on your hands, rub your hands together, and just smell them,” she said.

Depending on which oil, or oil blend being used, the person should quickly feel the benefi ts. If they’re using lavender or Ro-man chamomile, for example, they should quickly feel a sense

ESSENTIAL OILScontinued on page 13

188 times in the Bible. “It goes that

far back,” shesaid. The most commonly recognized oils from the Bibleare probably frankincenseand myrrh – they werea gift -- but even back in biblical

bark of a cinnamon tree.Essential oils can calm a

fussy baby, said Walcker.The oils can ease

teething pain, calm oreliminate the symptomsof allergies, help with anxiety and depression, pain, nausea, appetitesuppression and diges-tion problems. The

pure and natural, pointed out Walcker.

Or at least they should be. Don’t be fooled by oils that

aren’t 100 percent pure, sheadded.

Only oils that are labeledCertifi ed Pure Therapeutic Grade are 100 percent pure.And if they don’t have that label, they are probably loaded with fi llers that won’t do a thing to help the user.

The doTERRA products Walcker uses at her spa are all certifi ed pure.

The oils can be used in a variety of different ways, noted Walcker, including direct ap-plication to the skin, adding a

couple drops to aglass of waterand drinking

it, and the way

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BY ALLAN TINKERCourtesy Mayo Clinic Staff, edited

Exercise is good for you, but just the word makes you tired. It is worth trying in small steps as it can boost moods, improve sex lives, help you live longer and better, and give more energy than it takes to do the exercise.

It can be as easy as taking the steps instead of the elevator; dancing the night away instead of a movie; walking to work or taking up gardening. Dr. Amy Zimmerman, Medical Direc-tor for Northland Community Health Center, referred the Mayo Clinic as a good source of information for many programs, including exercise.

Many of our communities’ local young professionals recom-mend some form of exercise, from running to walking to other forms of outdoor activity, includ-ing marathons, biking and hunt-ing. Some credit it specifi cally as a stress reducer.

The health benefi ts of regular exercise and physical activity are hard to ignore. And the benefi ts of exercise are for the taking, regardless of your age, sex or physical ability. Need more con-vincing to exercise? Check out these seven ways exercise can improve your life.

Exercise controls weightExercise can help prevent ex-

cess weight gain or help maintain weight loss. When you engage in physical activity, you burn calories. The more intense the activity, the more calories you burn. You don’t need to set aside large chunks of time for exercise to reap weight-loss benefi ts. If you can’t do an actual workout, get more active throughout the day in simple ways - by taking

Dr. Amy Zimmerman, Medical Director for Northland Community Health Center, referred the Mayo Clinic as a good source of informa-tion for many programs, including exercise.

Benefi ts of regular physical activitythe stairs instead of the elevator or revving up your household chores.

Exercise combats health conditions and

diseasesWorried about heart disease?

Hoping to prevent high blood pressure? No matter what your current weight, being active boosts high-density lipopro-tein (HDL), or “good,” choles-terol and decreases unhealthy triglycerides. This one-two punch keeps your blood fl owing smoothly, which decreases your risk of cardiovascular diseases. In fact, regular physical activity can help you prevent or manage a wide range of health problems and concerns, including stroke, metabolic syndrome, type 2 dia-betes, depression, certain types of cancer, arthritis and falls.

Exercise improves moodNeed an emotional lift? Or

need to blow off some steam after a stressful day? A workout at the gym or a brisk 30-minute walk can help. Physical activity stimulates various brain chemi-cals that may leave you feeling happier and more relaxed. You may also feel better about your appearance and yourself when you exercise regularly, which can boost your confi dence and improve your self-esteem.

Exercise boosts energyWinded by grocery shopping

or household chores? Regular physical activity can improve your muscle strength and boost your endurance. Exercise and physical activity deliver oxygen and nutrients to your tissues and help your cardiovascular system work more effi ciently. And when your heart and lungs work more effi ciently, you have more energy to go about your daily chores.

Exercise promotesbetter sleep

Struggling to fall asleep? Or to stay asleep? Regular physical activity can help you fall asleep faster and deepen your sleep. Just don’t exercise too close to bedtime, or you may be too energized to fall asleep.

Exercise puts the spark back into your sex life

Do you feel too tired or too out of shape to enjoy physical in-timacy? Regular physical activity can leave you feeling energized and looking better, which may have a positive effect on your sex life. But there’s more to it than that. Regular physical activity can lead to enhanced arousal for women. And men who exercise regularly are less likely to have problems with erectile dysfunc-tion than are men who don’t exercise.

Exercise can be funExercise and physical activity

can be a fun way to spend some time. It gives you a chance to unwind, enjoy the outdoors or simply engage in activities that make you happy. Physical activ-ity can also help you connect with family or friends in a fun social setting. So, take a dance class, hit the hiking trails or join a soccer team. Find a physical activity you enjoy, and just do it. If you get bored, try something new.

The bottom lineon exercise

Exercise and physical activity are a great way to feel better, gain health benefi ts and have

fun. As a general goal, aim for at least 30 minutes of physical activity every day. If you want to lose weight or meet specifi c fi t-ness goals, you may need to ex-ercise more. Remember to check with your doctor before starting

a new exercise program, espe-cially if you haven’t exercised for a long time, have chronic health problems, such as heart disease, diabetes or arthritis, or you have any concerns.

10 HEALTHY HABITS 2015

BY NICOLE STEELE

CHI St. Alexius Health-Garrison has started a new electronic health record system called Epic. On Sept. 12 CHI St. Alexius Health switched to the new system.

CHI St. Alexius Health’s hospitals in Garrison, Bismarck and Turtle Lake are participat-ing in the Epic electronic health record project.

Participating clinics include: the Garrison Family Clinic and the Washburn Family Clinic.

According to a press release, CHI St. Alexius Health’s Presi-dent Kurt Schley said, “The new system is designed to improve patient safety and provide physicians, advanced practice clinicians, nurses and caregiv-ers with more complete, timely information, all in an effort to provide a better patient experi-ence.”

“Throughout this past sum-mer, associates from our head offi ce completed extensive training to learn this new sys-tem,” said Dr. Brandon Price, family medicine physician and chief medical information of-fi cer at CHI St. Alexius Health, according to a press release submitted by CHI St. Alexius Health. “Many received addi-tional training and will serve as ‘super users,’ which means they are side-by-side with caregivers in the hospitals and clinics espe-cially during the fi rst few weeks following implementation.”

Advantages of the new up-grade include accurate patient information, faster service and less mistakes. Epic computer software has thorough secu-rity standards to ensure that

Jasmine Dalton, right foreground one of the helpers assisting staff of CHI St. Alexius Health-Garrison in the new Epic system, shows Kerry Seidler, some of the procedures of the new system.

SUBMITTED

Patients will now have ac-cess to their health records.

CHI St. Alexius Health-Garrison received a new patient portal call “MyChart.” Other Locations of CHI St. Alexius like Turtle Lake and Washburn now offer the opportunity to access select portions of their health records online through the organization’s website st.alexius.org.

According to the press release, Tod Graeber, adminis-trator of CHI St. Alexius Health in Garrison, Turtle Lake, and Washburn, MyChart allows patients to conveniently view, manage, and download certain medical records such as medi-cations, immunizations, and allergies.

The portal also enables us-ers to receive test results more quickly. Health education topics and discharge instructions from their provider and pay bills online. Patients who have a CHI St. Alexius Health provider can communicate online with the

NICOLE STEELE/INDEPENDENT

New health record system is

patient’s medical information is maintained with a high degree of confi dentiality.

Keith Horner, director of Pharmacy and Clinical In-formatics of CHI St. Alexius Health, said, “The new system can improve communication among providers and decrease the chance of duplicate tests being run.”

“The electronic prescription process also helps the providers screen for allergies and run in-teractions when ordering medi-cations for the patients. Patients will also have access to much of their information through a patient portal call MyChart.”

“Having an integrated electronic health record is an essential tool to provide the best quality of care. We chose Epic, which is rated the best electron-ic health record in the country, and is used on more patients that any other electronic health record,” added Horner.

Patients will also see advan-tages for their health care.

“With the new system pa-tients will see their care givers using a computer more to docu-ment information than in the past. They may also experience having wrist bands placed with bar codes to improve the patient identifi cation process. Prescrip-tions may be sent electronically to their pharmacy instead of a paper prescription. The elec-tronic prescription process also helps the providers screen for allergies and drug interactions,” said Horner.

With the new system and the advantages that go with Epic the change seems to be success-ful.

“Overall the implementa-tion has been going very well,” observed Horner.

“We brought up three hospi-tals and all owned clinics so this was a very extensive ‘go live.’ We trained approximately 2,400 associates who are still gaining

profi ciency on the system but working very hard to do that at the same time as doing their usual duties,” Horner added.

He went on to say, “We are very excited to have this tool in place to assist the associates in providing high quality care to those who come to CHI St. Alexius for healthcare services.”

Other participating clinics include: Family Clinic Arch-way Mental Health Services, Arthritis Clinic, Heart & Lung Clinic, Heat & Vascular Center,

Human Performance Center, International Radiology Clinic, Medical Plazas in Mandan and Minot, Neonatal Clinic, Nephrology Clinic, Neurology Clinic, Neurosurgery Clinic, Pain Clinic, Pediatric Cardiol-ogy, Physical Medicine Clinic and Urology Clinic.

Although CHI St. Alexius works closely with Mid Dakota Clinic and The Bone & Joint Center, these two facilities were not part of this project.MyChart launched

provider’s offi ce via a secure MyChart message as well as request an appointment.

“MyChart signifi es an important step toward improv-ing patients’ healthcare experi-ences,” said CHI St. Alexius Health’s President Kurt Schley. “MyChart and the implementa-tion of our electronic health record system, Epic, refl ects CHI St. Alexius Health’s ongo-

ing commitment to advancing technology and providing our patients with enhanced access to, and ownership of their per-sonal health care information.”

To access the patient portal requires a computer with an Internet connection or a smart phone. Information is secured by a personalized ID and pass-word known only to the patient or guardian.

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HEALTHY HABITS 2015 11

BY DANIEL ARENS

From large businesses to local news-stands, from Nickelodeon to Michelle Obama, there has been a renewed surge in developing healthy lifestyle choices to combat obesity. The rising emphasis on the nationwide “epidemic” is designed to ensure that the upcoming generation takes seriously the obesity problem.

But, according to Certifi ed Worksite Wellness Consultant Bert Speidel, there is more to overall personal wellness than the problem

Wellness means more than weightof weight.

Speidel acknowledged the signifi -cance of the problem of obesity in the nation, and praised the recent emphasis on addressing the issue, but she also said that being skinny does not automatically correlate to being in good health.

The campaign against obesity is also a reaction to a nationwide problem, whereas Speidel stressed that proactive approaches to health issues was the best means of dealing with personal wellness.

“Wellness is far more prevention than treatment after the fact,” Speidel said, emphasizing the need to reward proac-tive steps that can be taken.

“I think the culture is changing, but it’s been reactive,” she continued, adding that despite the recent stress of healthy choices there remains a big problem in this country, both with obesity and with people getting seriously sick at a younger and younger age.

It is important to be aware of labeling on foods. Speidel said food companies can twist food labels to make their products

appear healthier than they

actu-ally

are. Consumers need to take the respon-sibility to know what it is they are eating, and the actual effect of different kinds of food on their lasting health.

According to Speidel, the hardest part of building a healthy lifestyle is the change required in our behavior. She described the United States as having a large problem with portion-control, relating over-large portion sizes to the American culture of accumulation.

“In general, Americans want more stuff, work more for stuff, use up more stuff,” she said.

Speidel stressed the need for devel-oping habits over time that will allow us to scale back the sheer amount of food that we consume. Different tactics could be used to encourage prioritizing our health.

Education is one way in which healthy choices can be addressed. All of us, and especially children, need to hear messages that continue to enforce the importance of being healthy now, while we’re young, rather than waiting until there is a serious problem with our health before we change our ways.

Speidel also named the workplace as a source of encouragement and informa-tion related to ensuring employee health. She said that employers can encour-age their workers with opportunities to eat right and exercise. Serving healthy snacks at organization parties, providing easier access to gyms or other places of exercise, and encouraging employees to take walks during their breaks are just some of the possible ways in which the workplace can support healthy decision-making.

“You have to be intentional and prepared,” Speidel said, addressing the time it takes to create lasting habits. She went on that often in our busy lives, with schedules and deadlines around every corner, we do not take the time to be intentional about our meals, choosing “fast food” options (not necessarily just the restaurants) rather than taking the time for a home-cooked meal.

Speidel said that it is wise to be pre-pared, having healthy foods and snacks like granola or fruit in the car before you get to the gas stations, which do not of-fer a wide amount of healthy choices in their food selection.

There is a connection between our health and our stress levels, Speidel said. Extreme stress can harm mental stability, and there has been a lot of recent discus-sion concerning mental health issues in the United States.

“There is stress you can’t control,” Speidel said. “You have to learn to deal with it. And there’s stress you can control.”

She said that if you exercise, stress

WELLNESS continued on page 12

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WELLNESS continued from page 12

decreases because endorphins are release into your brain and cause you to feel better and more energized. She contrasted the genuine energy gained from fi ber with short, temporary energy “highs” that sugar give, which lead inevitably to a crash later on. According to Speidel, the process of genuine energy from food comes from a slow and steady accumulation of healthy energy that keeps your body moving correctly.

In order to further combat stress, Speidel mentioned the importance of combating self-doubt talk. She mentioned sup-port groups as a positive means of having outside infl uence to combat negative self-talk. The shared experiences, as well as continual feedback on successes and struggles, provides a check to personal doubt.

There is nothing wrong, Speidel cautioned, with people who struggle with health issues in diet. She said that the sugary and fattening foods Americans eat are naturally wired to be enjoyable and desired, and that support and information is needed if a person is going to change their habits.

Changes in habits, and the expectations from the changes, must also be reasonable. It takes time to reap the for the benefi ts of healthy decision-making to be reaped, and encourage-ment is necessary to gradually transform single decisions into a cycle.

The changes that people can make in their lives to live more healthfully should also be realistic. Speidel cited as an example those who drink lots of pop. She said that, for starters, a person drinking three cans of soda a day should strive to only have one can, and replace the other two with water. From that point, further smaller goals can be set until a more healthy fi nal goal is reached.

Speidel said that Mercer County has many options for those pursuing a healthy life-style, including gyms, walking paths, and numerous parks. She also credited the staff and lead-ership of the Sakakawea Medi-cal Center (SMC) in Hazen for its strong support of initiatives

designed to support healthy lifestyle choices.

The SMC is currently in the process of constructing a new hospital that will streamline the care services that the hospital provides, attach the clinic (cur-rently located across the street) to the hospital itself, provide a separate ER entrance from the main entrance, and create a more welcoming atmosphere for patients.

Initial dirt work began in mid-August, and a portion of the SMC on the southeastern side of the existing building has been torn down and its services removed to other locations. The new hospital will be located east and slightly north of the current facility.

The work began following North Dakota Department of Health approval of the site plan which allows dirt work, utility installments, and work on a new road for the hospital. The actual construction plan is still under

Department of Health review, and it will have to be approved before the actual construction of the new facility can begin.

SMC CEO Darrold Bertsch said that fi nancing for the new hospital is largely in place, but the funds will not be available until the construction plan is ap-proved. Bertsch hopes that the new hospital will be completed by the end of 2016.

Bertsch addressed the cur-rent healthcare environment, saying that people in general are spending less time in hos-pital as further developments make it increasingly easier for care to be provided at home. The new hospital’s structure, it’s open environment near the main entrance (complete with a small cafe), and the easy access to the specifi c service required are all partly designed with these new developments.

“This is a way for us to model patient care with an out-

patient model,” Bertsch said.Speidel also praised the new

hospital design as a means to improve access to care. Re-ferring to the clinic’s location within the hospital instead of across the street, Speidel said that “there won’t be any more of this wheeling people between the clinic and the hospital in the middle of a winter day.”

Home Health and Hospice, which provides follow-up care services to patients who have left the clinic or hospital, as well as care and comfort for dying patients, is currently located on the other side of ND Highway 200, north of Longshots Bar. After the clinic joins the new hospital, these services will be moved to the clinic’s current location across the street from the SMC.

The emergency and surgery departments will be larger, and will also be within close prox-imity to nursing and specialist

care. For those patients with handicaps, new room will be developed that are handicap-accessible, as well as acute rooms that will allow family members to have a greater level of involvement with the care of their loved one.

Bertsch does not foresee any issues with the construction plan going forward, but for now the SMC must play the waiting game. He spoke about his new realization of the level of regula-tion hoops that structures like a hospital must go through to gain approval.

Bertsch praised Neenan Archistruction, which is doing both the design and construc-tion of the new hospital.

Speidel said that the new hospital design lends itself to dealing with wellness-related issues. “I think when the new clinic is attached, wellness will be in the hospital,” she said.

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of calmness, while if they use something like lemon or wild or-ange, they will feel energized.

Peppermint is a wonderful oil to inhale for anyone who has allergies or a cold.

“Use that in the winter time, when people are kind of stuffed up, or when they’re having allergy issues,” said Walcker. “They’ll be able to breathe and they won’t be congested any-more. They’ll be uplifted and energized.”

Melaleuca is an oil that has terrifi c healing effects, noted Walcker.

“It has healing properties for cuts and abrasions on the skin,” she said.

Brooklyn Schaan recently started using essential oils, and has found they are wonderful with helping with teething pain.

She uses the roller-ball method, where she just rolls a little bit of the oil along her child’s jaw, and pretty soon the fussiness from the teething pain has stopped.

“You have to apply it more often versus medication, but I do feel it’s safer than giving her Tylenol,” said Schaan.

Cypress and lavender oils have been shown to decrease cholesterol. Several different oils have been shown to bring down blood pressure and blood sugar.

The fact that the oils can become a substitute for medi-cations is appealing to a lot

of people, said Schaan and Walcker.

However, they both agreed, before trying essential oils, particularly for a medical issue, people should defi nitely consult their physician fi rst.

Often the oils can be used in combination with medications, said Walcker.

Eventually, though, many people are able to get complete-ly off of the medication and treat or stave off their medical issue with the essential oils.

Schaan has found that in the short time her husband has been using essential oils to com-bat his allergies, he has already shown a lot of improvement.

Schaan is not a big fan of chemicals. She is always look-ing for natural ways to improve her and her family’s lives.

She uses On Guard in a spray bottle to spray her children’s toys and other things

around the house. She believes using essential

oils is one of those easy, natural things she can do for her family.

One of her older family members is also a big propo-nent of essential oils, and has been using them for years.

“She’s in her 80s, and she rarely ever goes to the doctor because she uses oils,” said Schaan.

Essential oils are often used by chiropractors and mas-sage therapists as part of their treatments of the patients and clients, said Walcker.

There are so many health benefi ts to essential oils, said Walcker.

There are also blends that can work on multiple issues at the same time. And since every person is different, the essential oils may work differently on one person than the other.

The best way to fi nd out if

they will help you is to just give one a try.

Walcker carries the doTER-RA line of essential oils at Let’s Face It. She has several of them on-hand at the spa, and can order others and get them in just a few days, she said.

She has seen many times how a someone is complaining of being tense and having no

energy, use the essential oils and have a terrifi c turn-around. And they feel even better than they had anticipated.

“Sometimes when you’re tense, and then you relieve that tension, you do get more energy,” she said. “If you relieve your tension, you realize, okay . . . I do feel better.”

ESSENTIAL OILS continued from page 8

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foot, a problem with your jaw. Any joint in the body. I even work on work on people’s sinuses,” Isaak said. “Any mus-culoskeletal problem is a chiro problem. Most people don’t realize that.”

Isaak uses a toolkit of de-vices to treat his patients, but also relies heavily on his hands other times to correct any areas where joints or bones are out of place and causing discomfort.

“My job is to go in and fi nd those areas where those mis-alignments exist, apply a force in the opposite direction - I do that with my hands sometimes, or with a tool, depending on what’s appropriate - to correct that and shut down the infl am-matory response of the body,” Isaak said.

How, and with what tools, he treats a patient all depends on the problem and the person - or, sometimes, the pet.

“I’ve been working on animals for years. the biggest difference is animals can’t tell you if something is wrong. But if i put my hand on someone’s spine, you can tell if you have something going on right there,” Isaak said. “So whether I put my hand on your spine and feel that, or put my hand on a dog’s spine and feel that, it’s the same.”

In some states, efforts are

CHIROPRACTOR continued from page 7

being made to make it illegal for anyone but a veterinarian to treat animals. This means an animal with a joint problem or other musculoskeletal issue wouldn’t be able to be treated by a trained chiropractor. Isaak said he is fi rmly against that idea.

“I would much rather take my dog, and I do have a dog, to a chiro-practor who has no proper train-ing in animal chiropractic, but who has been practic-ing chiroprac-tic on people for 20 years,” Isaak said.

“I’d rather have them work on my dog than a doctor of veterinary medicine who took some weekend course and were told how to do it but have never really had the experience of

doing it enough to know what's normal and what isn’t.”

Isaak said the most rewarding part of his job is be-

ing able to help people fi nd a solution to their problems and improve their quality of life.

“To me, the biggest thing about chiroprac-

tic is the abil-ity to change somebody’s

y psaid he is fi rmly against that idea.

“I would much rather take my dog, and I do have a dog, to a chiro-practor who hasno proper train-ing in animal chiropractic, but who has been practic-ing chiroprac-tic on people for20 years,”Isaak said.

g gwhat's normal andwhat isn’t.”

Isaak said the most rewarding part of his job is be-

ing able to help people fi nd a solution to their problems and improve their quality of life.

“To me, thebiggest thing about chiroprac-

tic is the abil-ity to changesomebody’s

life. Somebody who says, ‘I've been to this doctor and I’ve been to this doctor and noth-ing.’ Sometimes they’ve been to several chiropractors before they come see me,” Isaak said. “But when someone comes in and they’ve had a problem for

years, and you’re able to totally change their life, that is the most rewarding thing.”

Issak is in his offi ce by ap-pointment. To talk to Dr. Isaak or book an appointment, call 701-462-3504.

Dr. Chad Isaak uses an activator to correct a misalignment in a patient’s back in his offi ce on Main Avenue in Washburn.

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HEALTHY HABITS 2015 15

BY: KATE JOHNSON

Bouncey castles and houses were fi lled last week with the squeals of young children as they fl ew through the air. August 12-13 were two days of free food, prizes, and jumping activity to help create awareness for parents and children on health and wellness.

Obesity is an ever-growing battle in the United States. Thirty percent of Mercer County falls under the obesity label.

How do we stop this? Where do we make changes?

Coal Country Community Health Care Director of Patient Care and Innovation Chastity Dolbec believes they may have found the answer to get the ball rolling. The Jump Start to Wellness campaign is a campaign designed to educate kids, as well as, parents on the importance of physical activity and nutrition.

“We want to get out to the community, rather than the community coming to us,” says Dolbec. She and Human Resources Director/Administrative Assistant Kandi Olson are dedicated to the importance behind health, prevention, and wellness.

The Jump Start to Wellness activity that occurred last Wednesday and Thursday was focused on children ages of three to six and getting them their well-child check.

“Parents will bring their kids in up until two years of age and then they stop,” says Dolbec. “They don’t bring their kids in again for a wellness visit until they go to school at 6 years of age.”

Dolbec stressed the importance behind those few years in between visits, and having a watchful eye on younger children may prevent illnesses that may arise in

Jump Start toWellness

later years. Educating the parents as well as the kids on the importance of health and physical activity gives children a better chance at missing those colds here and there, as well as major illnesses later in life.

Children who hadn’t had their wellness check yet this calendar year were sent a voucher in the mail to come in to Beulah, enjoy a fun day with free prizes and food, and also the chance to sign up for a wellness check. If the parent did sign up their child for a wellness check, they received a free water bottle, backpack, and oral health kit.

Doblec says they are “trying to think of some fun, innovative things that we can do to get kids to come in and not think that the doctor is a scary place to come but that it’s some place that is [welcoming].”

The Jump Start to Wellness campaign is funded through a grant from Blue Cross Blue Shield, supporting the health and wellness of children, as well as Coal Country Community Health Center. CCCHC received a quality supplemental funding reward this last calendar year for reaching good patient outcomes.

“We are using some of those funds to reinvest into the kids and to our population to basically improve overall population health, making our entire community healthier,” Dolbec said.

The bouncy houses event was tailored to the younger kids; however, the wellness program also holds events for older children and teens. The community will begin to see these events throughout the year, as well as their booths at community activities and events.

The next activity to be

hosted by the Jump Start to Wellness campaign will be Octoberfest on October 31.

Dr. Jessica Weiss

Beulah Dental200 W Main St. | Beulah873-2259| Hours: Mon.-Fri. 8 a.m.-5 p.m.

Dr. Weiss grew up and graduated from High School in Beulah. She’s a graduate of Creighton University School of Dentistry and she welcomes patients of all ages. Dr. Weiss will begin seeing patients Monday, June 8th.

To make an appointment with Dr. Weiss, Dr. Alison Just or

Dr. Kevin Lee, call 873-2259. We off er complete family

dental care.

Beulah Dental Is Proud To Introduce Our New AssociateDoctors D.J. Erickson

and Travis Voegele provide a range of

chiropractic treatments for children to adults.

To sTo schedule an appointment call chedule an appointment call

701-873-7677701-873-7677Open: 8:30 a.m. to 5 p.m. Open: 8:30 a.m. to 5 p.m.

Monday thru FridayMonday thru Friday“Get adjusted to your life”

212 W Main St. Beulah873-7677

Got Pain?Got Pain?Get Relief

16 HEALTHY HABITS 2015

“Building Community”

INVESTMENT ININVESTMENT IN

IS SOARING!BEULAHBEULAHOVER $14,000,000OVER $14,000,000

Contact Beulah At: Beulah City Hall

873-4637

People are choosing to invest in Beulah’s future and their own. Beulah is pleased to say “Thank You” for choosing our city. We want to express our appreciation to all those folks for choosing Beulah, seeing opportunity and turning that into a successful partnership. Local and out-of-community progressive attitudes are making Beulah bigger, and more welcoming. Darrell Bjerke, Mayor City of Beulah

Including Dairy Queen, New York Life & State FarmOthers not included in the amount are Challenger Industries, Corval Group,

Dakota Properties, Herner Custom Homes & Kent Kerns and Sons

• Prairie Hills Addition (3rd Avenue) Perazim, LLC c/o Owen Voigt

• Barton Estates c/o Brett Charvat, Charvat Custom Homes

• Cobblestone Hotel & Suites