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TA B L E O F C O N T E N T S4 COMMUNITY INVITED TO SHARE HAPPINESS Initiative quantifies what makes us happy / Take the survey

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

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C O N T R I B U T O R SJoe Butler, Editor/WriterS-R Media Marketing Department. Though he once made his mom cry when he first tried white bread and Twinkies and asked for more of each, Joe now loves learning new ways to prepare healthy food.

Trish Merryman, Designer S-R Media, LMP / owner l indenrüte massage. [email protected] Trish is amazed by the strength of the human spirit and people’s ability to power thru tough physical battles with pure grace. Proud beyond words of my mom. RIP Sally.

Shallan Knowles, PhotographerShallan is a web designer, photographer, yoga instructor, and owner of GlutenFreeSpokane.com , which covers gluten-free dining options around the Inland Northwest.

Holly Jones, Writeris an Emmy Award-nominated veteran of local television and

national advertising. The WSU grad enjoys motherhood and other creative

endeavors and can be reached atfacebook.com/HandmadeHollyJones

Molly Hoyle, Directory SalesMolly is happy to be home after years

on “the other side.” When her nose isn’t in a book, she enjoys gardening, hiking and kayaking. A self-proclaimed “rock

weirdo,” Molly cannot leave a beach or trail without taking some of it home

with her. She considers her 3 wonderful children her greatest accomplishments.

Renée Sande, WriterA Spokane native, Renée has spent 15 years in communications, from PR to publishing, and is currently a freelance writer and designer who enjoys traveling and the greener side of things. http: / /reneesandecom.com

Erika Prins, WriterErika writes, volunteers for Bike to Work Spokane and is on the City’s Bicycle Advisory Board. She is training for her third marathon.

Courtney Dunham, WriterCourtney is a writer, publicist, and

director of Dunham Media Publicity & Development. She believes living well

is time spent with her people, dogs, and traveling. Follow her at

nothingonpaper.blogspot.com

Julie Humphreys, WriterJulie is a longtime reporter/TV anchor. She spent 22 years with KHQ, and now writes for various publications, produces videos, and works on a local health initiative called Step UP and Go. www.stepupandgo.org

Sarah Bain, WriterSarah is a freelance writer and

nonprofit consultant. She has a special interest in end-of-life

issues, hospice and grief support.

Terry Bain, WriterTerry is the author of You Are a

Dog and We Are the Cat . He lives in Spokane with his wife, three

children, two dogs and two cats.

Bill Davidson, Sales LeadBill has worked for S-R Media for over 6 years. Graduate of WSU in

Business, he appreciates working with his advertising clients to improve

their companies. His greatest joys are his wife and 6 children.


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How happy are you? You’ll more than likely answer from the gut since most of us feel our current emotions defi ne our current happiness. But if you were to take a short survey about happiness, you’ll discover more ways to measure happiness beyond those basic feelings of joy, sadness and stress. Think overall satisfaction with life. Students and staff at Eastern Washington University are taking part in such a survey through an international project called The Happiness Initiative. While the initiative is interested in what makes individuals happy, it’s more about studying collective happiness in communities and countries. Think “If Mama ain’t happy, ain’t nobody happy.” The initiative is part of a new and growing interest in how to measure our social and economic vital signs, beginning with looking outside of ourselves. People involved in this initiative give credit to the country of Bhutan for looking for ways to link individual and group happiness to other positive things in a society. Every two years Bhutan administers a survey asking residents how happy they are. Some 40 years ago a new, very young king was asked how he planned to measure the success of the country he was now charged with leading. As the story goes, the 16-year-old replied, “By how happy our people are.” Today, the government of Bhutan uses the survey results in every major policy decision, including new roads, a power dam, or any other major expenditure that may contribute to the country’s happiness and well-being. So the tiny country of Bhutan became

the fi rst (and still only) country to measure success by what it calls the “Gross National Happiness Index,” which differs from the Gross National Product (or Gross Domestic Product), a gold standard measurement of general economic conditions. Some in the U.S. have wanted to add a happiness index to our various national metrics over the years. Even Robert Kennedy pointed out that ‘happiness’ index was missing from our GNP.

“The gross national product includes air pollution and advertising for cigarettes, and ambulances to clear our highways of carnage. It counts special locks for our doors, and jails for the people who break them…It does not allow for the health of our families, the quality of their education, or the joy of their play.” So we collectively recognize the limitations of the GNP, but we apparently haven’t been able to do much about it. The Happiness Initiative www.happycounts.org, directed by Laura Musikanski, former director of Sustainable Seattle, a project to sustain vital local economies and livable, socially just communities, would like to change that. Through the Happiness Initiative, she and others including Seattle fi lmmaker and activist John de Graaf, are working to show U.S. residents the importance of happiness in policy, business, education, and personal lives. De Graaf got involved in the happiness study 20 years ago. He produced several documentaries including “Running out of Time” and “Affl uenza” which looked at

well-being from the standpoint of time and from consumerism. Both programs refl ected movements in our country, one to take back time from overwork and the other to curb rampant consumerism. The Happiness Initiative picks up where those movements left off. “They all tie together,” says de Graaf. “We are headed in the wrong direction, we are putting what we have in front of relationships and social connections. We are working

Story by JULIE HUMPHREYSLiveWELL Correspondent

happiness SCIENCE health Global initiative tries to quantify what makes us happy

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http://www.happycounts.org


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

longer than we should because we want to consume more. Few people report they have enough time to do the things they want. The Happiness Initiative looks at what really makes us happy and healthy.” De Graaf pushed off the movement at EWU last February. Some 370 people in Cheney and the university community responded to the survey which measured 10 domains of happiness: 1) material well-being (income, employment security, debt) 2) physical health 3) time balance 4) psychological well-being (optimism, self-esteem) 5) education and learning 6) cultural vitality 7) environmental quality 8) governance (involvement, responsibility, and honesty in government) 9) community vitality 10) workplace experience (employment satisfaction, productivity, and compensation). The respondents were part of more than 29,000 people nationwide who have taken the survey since 2008. The EWU team administering the survey found similar results to other communities. In terms of psychological well-being and social support, students felt pretty good. Not a big surprise as they are in an environment with others who are able to socialize and get an education. In terms of time balance and material well-being, EWU students fell below the

national standard and felt stressed with time and money. Student Robyn Wallin explains the time crunch. “When you have to work to support yourself and pay for college, it takes away from hours to study. We are worried about if we will get jobs when we graduate.” Wallin, who used to attend the much larger University of Washington, fi nds living in the smaller campus in Cheney gives her a better sense of community between students and teachers. She had a high score on community and social support in her survey results. Recreation management professor Barbara Brock headed up EWU’s 2013 Happiness Initiative and psychology professor Nick Jackson will continue it next year. EWU staff and faculty also participated, and results were predictable – most feel they are working harder and harder with less, which equals high work stress. Brock says the beauty of the survey is not only does it fi nd areas of weakness, but can help clarify what staff and faculty really desire. Many staff and faculty commented on their lack of physical health. Brock points out there is a free fi tness and weights class at noon plus other on-campus fi tness options that employees may not be aware of. So what will be done with the local survey results? The end goal, says Jackson, is policy change. How might universities

make changes so staff isn’t so pressed for time, or so employees can take advantage of existing physical activity options? A policy change permitting or promoting these areas ultimately affects an employee’s happiness, not to mention productivity. Another goal of the initiative is individual change. In April Eastern sponsored “In the Pursuit of Happiness Week” to encourage people to be aware of what makes them happy, what doesn’t, and how to change things in their lives. Jackson is trying to walk the talk in his own life. “What this survey has enabled me to do is to see how my life is structured and identify what may not be as conducive to happiness,” he said. “It’s tempting for me to take on teaching an extra class because of extra income. But that prevents me from doing other things I want to do overall in my career. The survey reminds me not to neglect the things that are my core values.” Happiness is indeed subjective to a point. But as the Happiness Initiative points out there are also some basic parameters that add to the likelihood of happiness and well-being for many. So back to Bhutan, which celebrates Gross National Happiness!

internal and external forces cBelow: John de Graaf , a fi lmmlaunch The Happiness Initiattake the happiness take the happiness

surveysurvey www.happycounts.org

For more information on the global happiness effort and Bhutan’s role visit www.asap4all.org, a website for ASAP, the Alliance for Sustainability and Prosperity. EWU Psychology Professor Nick Jackson suggests the following books for more on happiness and simplicity:

Duane Elgin (1981). Voluntary Simplicity: Toward a Way of Life That Is Outwardly Simple, Inwardly Rich.

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

John de Graaf, David Wann, Thomas Naylor (2002). Afl uenza: The All-Consuming Epidemic. (latest edition available Dec. 1, 2013)

Lorilee Lippincott (2013). The Simple Living Handbook: Discover the Joy of a De-Cluttered Life.

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

Pursuing Happiness.


http://www.happycounts.org

http://www.asap4all.org


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Just across the river from downtown Spokane, a popular recreation trail that runs 13 miles to the west and eastward all the way into Idaho stops cold. Cyclists in the know can detour around city streets and pick up the Centennial Trail a mile later. But those who don’t know this secret short-cut are out of luck for at least a few more months, when the popular trail will fi nally extend from its current breaking point at Riverfront Park through the recently-developed Kendall Yards northwest of downtown. This effort shows what many developers and planners have been thinking -- bicycle and pedestrian infrastructure can boost the safety and economic health of nearby neighborhoods and businesses, not to mention physical health benefi ts from expanded fi tness opportunities.

Closing the Trail Gap “I think it was always a driving force of the developers of Kendall Yards to have this trail amenity,” says Grant Wencel, a planner and bike/ped coordinator at the City of Spokane. “It’s right next to ‘urban decay,’ so to speak,” He’s referring to the proximity of the new development in proximity to the generally more downtrodden section of the West Central neighborhood. “Some people would stay away from that area. Other people would say, ‘Hey, this is a chance for us to put in a signifi cant in-fi ll project in the heart of the city.’” Wencel believes the Centennial Trail can help create a sense of security in the neighborhood. “Having eyes on the trail, all kinds of people, will increase safety,” he said. The City of Spokane has recently begun to take steps toward hiring a consulting fi rm to rewrite Chapter Four – the transportation section – of its Comprehensive Plan.

This fall, city staff and consultants will seek public input on what new priorities should be refl ected in the rewrite. “I don’t think you can isolate transportation from the neighborhoods, the businesses, the destinations it serves and how we interact with that,” says Wencel. The current Comprehensive Plan, however, has been accused of separating different elements, a charge that some critics say has been the norm for planning for decades.

Downtown Bicycle Network Downtown Spokane’s one-way streets are proof, Wencel said, that street plans that focus solely on effi cient motor vehicle traffi c fl ow can negatively impact public health – both in terms of air quality and opportunities for physical activity – as well as surrounding businesses. The plan for a Downtown Bicycle Network will begin its fi rst phase of implementation this fall, funded by a federal traffi c mitigation and air quality improvement grant. The start of a projected six miles of new

Story by ERIKA PRINSLiveWELL Correspondent

State of cycling ‘Placemaking’ one goal of urban planners



bike routes in the downtown core, the network extending the bicycle lane on Main Avenue. Better signage and markings will improve high-traffi c intersections like the one at Main and Browne. Bike racks will be placed along the corridor. Reverting a portion of Main Ave. to a two-way street was initially slated to occur along with the rest of the project. “A lot of these one-way couplets were designed 30-50 years ago, and their main purpose was to move people through the city,” said Wencel. Businesses along Main Ave. have fought for years to revert Main back to a two-way street, arguing that the one-ways reduce their accessibility to customers – drivers, bicyclists and pedestrians alike. As it became clear the entire project would stall as a result of strong opinions about the two-way street among downtown’s decision-makers, planners chose to separate it into a separate “Phase Two” portion of the project. And yet, a four-lane, one-way corridor presents limitations for bicyclists, pedestrians and disabled people in terms of vehicle speed, non-motorized transit accessibility and atmosphere. “If the desire is to make it a – kind of like a main street – ‘Old Town Main Street Spokane,’ I think you need to think about making it facilities for everyone as best you can,” says Wencel.

Greenways Pilot Project Not all bicyclists are comfortable or ready to ride on main streets, says Betsy Lawrence, Bicycle Advisory Board member and founder of a casual women’s cycling group, Belles and Baskets. “Going on errands, going to the library, is a good place to start, and we should really be supportive of that cyclist,” she said. Another new project seeks to provide casual riders and pedestrians an alternative to arterials. The Greenways Pilot Project will create pleasant, accessible routes along less-busy streets that connect to schools, parks, shopping centers and dense housing areas. “This is an opportunity to make improvements on local streets, and connections to major destinations,” says Wencel. Last year, a committee of city staff and citizens identifi ed four priority routes and the ideal infrastructure. Wencel created a rough estimate of each project’s possible cost. Those fi ndings are now in the hands of city council members Jon Snyder and Mike Allen.

University District Bridge On the east end of downtown, a plan to build a foot bridge between the Riverpoint campus and the East Sprague business district will go forward despite controversy over its $15 million price tag. The south end of the bridge will connect to existing crosswalks, a marked bike route and a bus stop. The projected cost rivals that of recently-built bridges for cars, except this bridge will only move bicyclists and pedestrians – a point that has not been lost on its critics. “Connecting the south University District to Riverpoint is a huge economic opportunity,” says Brandon Rapez-Betty, University District Project Manager for the Downtown Spokane Partnership. The opportunity lies not just that the bridge can move people, but also in what an iconic footbridge conveys about Spokane’s culture. “Let’s make it an inspiring place where students and faculty are encouraged to come to and enjoy and not leave for Portland or Seattle or any other city that has invested in the idea of beautiful placemaking experiences,” he said. Placemaking, a term heard more often in urban planning, means creating public facilities that attract people and inspire health and well-being. “We have not invested in infrastructure that, in my opinion, inspires people to want to be in a place, since Expo ’74,” Rapez-Betty said. Like Wencel, Rapez-Betty believes bicycle and pedestrian presence makes streets

safer. East Sprague is known for “certain types of crime,” but building a stunning landmark, rather than the current bare-bones infrastructure, may be the key to revamping the area’s image. “We have to create a destination – the idea of more eyes on the street, the better off everybody is,” he said. “If we were to do the absolute bare minimum, we don’t know that that would do anything to change the area.” Although the visually impressive bridge’s design does add to its overall project cost, says Rapez-Betty, height requirements also drive the cost – the bridge must cross four right-of-ways, including the BNSF railway. Giving bicyclists and pedestrians access to the area south of the University District has already proven to be enough to attract investors, says Rapez-Betty. “We’ve already heard from developers that they want access to the campus, they want access to the medical district and they want that connectivity. If the bridge is not there, they’re not going to invest in the area.”

Photos courtesy City of Spokane Opposite: The City of Spokane is continuing its efforts to make streets more welcoming to cyclists, including rewriting part of its transportation plan and creating a Downtown Bicycle Network. Above: One of the possible projects is to create bike-friendly routes through the city but away from busier arterials. These will be useful for cyclists who may not ready for the busier congestion.



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After more than 40 years of marriage, Mary and Steve Newport remain a great team. Their devotion became clear early on when Mary was accepted to medical school and Steve quit his accounting job to stay home and raise their fi rst of two daughters. They fi gured the early sacrifi ce would be worth it after retirement when they planned to fi nally travel. Instead, at just 53 years old, Steve was diagnosed with early-onset Alzheimer’s disease. Mary, now a doctor, knew there would be no traveling in the cards since the average lifespan from Alzheimer’s diagnosis to death was just seven years. She knew she needed a miracle to keep the long-term love of her life around a little longer, but no drug she knew of had been able to reduce the symptoms of this degenerative disease. But then she learned about the healing properties in coconut oil and found a miracle for both of them.

Steve left his corporate job the day their fi rst daughter was born, enabling Mary to fi nish her medical training. Even after a second daughter came along, he still kept the books for Mary’s neonatology practice. He said he had the best job in the world. Around 2001, Steve started making mistakes. Mary fi rst noticed a $4,000 payroll error. Then came problems with quarterly taxes. She said Steve would shuffl e papers around and seemingly stall for time.

“At that point I thought maybe the practice had become a little too complicated. However when he began to have trouble remembering if he had been to the bank or post offi ce that day, I knew that was not normal,” she said. Steve also started hoarding things like the mail in the garage, and he became very depressed. Their doctor prescribed anti-depressants but his symptoms started getting worse. In 2003 the couple moved to another town where Mary could open a new neo-natal intensive care unit. Steve had problems navigating around the small town and couldn’t read maps like he used to. He also started spending hours in the garage looking for something. Mary said he’d start searching in the morning and by the time she got home from work that night, he was still looking for it. Mary decided that they should see a neurologist who did a complete evaluation of Steve and ordered an MRI. Conditions like vascular dementia or stroke were ruled out. One of the tests was called the Mini Mental Status Exam, a 30-point exam that tests for common items related to memory, such as location, time, season, following instructions, and writing a full sentence. Mary said an average person would score 30 -- Steve scored a 23. The doctor diagnosed him with dementia, with the warning that if conditions worsen, the diagnosis could be amended to Alzheimer’s. After about a year, at age 53, it was accepted that Steve had early-onset Alzheimer’s disease. The doctor prescribed

Aricept for the symptoms, but Steve’s condition still worsened. The doctor gave him another drug to which hopefully would allow the brain’s neurotransmitters to become more available and better communicate. Unfortunately, Steve still declined. Up until 2007, Steve was still able to cook for himself. But then Mary noticed he was getting thin, and discovered that he had lost 10 pounds in less than three weeks. Over the next few months, Mary saw a signifi cant tremor start, he couldn’t put words together, and said his personality began to evaporate. Steve began to put oil into the gas tank of the lawnmower and vice versa, then started taking the machine apart. He didn’t remember doing this, and thought people were stealing from him. “These are all things you see with Alzheimer’s,” Mary said. “Much less smiling and interaction, and when we’d talk, we were on a different wavelength. His answers weren’t appropriate for the conversations we

Story by COURTNEY DUNHAMLiveWELL Correspondent



were having. It all became very distressing.” Heading into 2008, both of their hopes were now diminishing, but Mary continued researching clinical trials, which would allow Steve access to the newest drugs. She found two promising ones and scheduled two back-to-back screenings. The night before the screenings, she came across a new study that indicated improvement. “You never see that with Alzheimer’s, so I was extremely curious. I found a patent for this particular treatment, and discussed was that they now call it ‘diabetes of the brain’ or ‘brain starvation,’” she said. “They have learned is that there are certain areas of the brain associated with Alzheimer’s that have diffi culty getting glucose into the cells, and glucose is the very basic energy that we use for all of the cells in our body.” Mary said Alzheimer’s is somehow connected to problems with insulin receptors, which put glucose into cells. When the receptors aren’t acting normal, the cells aren’t fed and start dying off. Researchers think this happens at least 10 or 20 years before you start seeing symptoms of Alzheimer’s. This particular study discussed medium-chained triglycerides oil or MCT oil for short. The liver metabolizes MCT oil into ketone bodies, which are simple molecules that the body can use for alternative fuel. The result is that if people eat oils containing MCT, their bodies will have more ketones circulating. However, medium-chained triglycerides aren’t found in the oils commonly used in American diets, such as canola or olive oil. One source of MCT oil can be derived from coconut oil. A pilot study she found showed that people taking coconut oil had improved scores on cognitive studies. Unfortunately, she found this information at 1 a.m. and Steve’s screening was set for 9 a.m. However, Steve didn’t end up qualifying for the trial, scoring a 14, when a 20 was required. The doctor asked Steve do a clock drawing test for Alzheimer’s, which is very common. He drew some random circles and some numbers. “It was a bit shocking for me, and I knew he was in a downward spiral. The doctor said he was on the verge of severe Alzheimer’s,” Mary said. After they left the doctor’s offi ce, Mary

went shopping for coconut oil, guessed on an appropriate dosage, and put it in his oatmeal that morning. Steve’s second screening was scheduled at 1 p.m. that day, and he scored an 18 out of 20 on the same test he had previously failed. “I didn’t know for sure at the time whether it was the coconut oil or my constant prayers that he was fi nally able to pass. Regardless, I decided to keep using the coconut oil.”

Right away, Steve became alert in the mornings. He used to wake up sluggish and not talkative. He couldn’t remember how to get water, and was confused about what utensils to use. But now he started the day with more energy and animation in his face, could fi nd the water and correct utensils. He started to joke like he used to. About the fourth day, they talked about how their life had gotten much better. Steve felt good and said it “felt like a fog had lifted.” She had her husband back. “He said to me that it was like a light bulb went on the day he started using coconut oil,”

Mary said. There have only been a few times when Steve missed his coconut oil – and noticed it quickly. One time he had to fast for blood work. He became shaky, confused, and his tremor started again. Within 20 to 30 minutes of taking coconut oil, the tremor went away and he could think clearly. “It’s literally like an energy,” Mary said.

“Like if your tank runs out of gas your car doesn’t run.” Two weeks later, Steve did the same clock drawing test, and now drew a very clear clock with numbers on it. Previous MRIs that indicated a shrinking brain appeared stable. It’s been 13 years since Mary noticed that something wasn’t right with Steve, and nine since he was diagnosed. Although Steve has improved in many memory areas, he has cognitively slipped overall, and he’s battled conditions like gout and other side effects from the medications. The couple’s dreams of post-retirement traveling most likely still won’t happen since Steve gets confused outside of his comfort zone, especially in different cities and airports. “We still have a good time together,” she said. “He knows and loves me still and holds my hand. That’s quality time that we wouldn’t have had.” Mary knows that if she hadn’t discovered the benefi ts of coconut oil, she would have lost Steve at least two years ago. Gone would be a husband, a father, and half of a long-term team that has managed to stay ahead of the nation’s fourth largest killer. To read more about Steve and Mary’s

journey and how coconut oil reduced and reversed many of Steve’s symptoms, you can read her book, “Alzheimer’s disease: What if there was a cure?”

Above: courtesy photo. Mary and Steve Newport show the clocks Steve was asked to draw to assess his mental and spatial abilities. The quality improved as he began adding coconut oil to his diet.

Left: Dr. Mary Newport wrote “Alzheimer’s Disease: What if there was a cure” detailing her research and personal experiences with her husband’s decline.

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Mary Newport learned a lot about Alzheimer’s disease and possible ways to reduce its symptoms as her husband Steve struggled with it. During her research, she ran across a study of the brain’s insulin receptors which concluded that ingredients in certain natural oils could lead to possible benefi ts. “I researched

coconut oil again and did kind of a biochemistry 101 refresher. I was able to fi nd a fatty acid analysis breakdown and fi gured out that coconut oil is almost 60 percent medium triglycerides” she said. Ongoing Alzheimer’s research shows that

something is going on with the patient’s insulin receptors. Humans need insulin to get glucose into a cell, and you need the receptors to act normally for that to happen, she said. When receptors aren’t acting normal, brain cells start dying off. Researchers think this may actually happen as early as 10 or 20 years before symptoms of Alzheimer’s become noticeable. It has also been known since the 1960s that the liver metabolizes MCT oil into ketone bodies, which are very simple molecules that the body can use for alternative fuel. The result was that if people eat more MCT oil, they would have more ketones circulating. In the U.S., we mainly use oils without medium-chained triglycerides, such as canola or olive oils. Mary learned that MCT oil is derived from coconut oil, and decided to offer it to Steve, starting with 2 tablespoons in his morning oatmeal. Immediately he began showing improvement in his mental faculties so she has continued the supplement. She’s become a proponent, as have others who credit it not just with mental health but with weight loss. Newport suggests adding it to hot foods like she did. Others use it in place of butter, since it can be heated to a high temperature and blended with other

foods. Spokane resident Michelle McDermott started adding two tablespoons of coconut oil to her coffee each morning instead of creamer, and has lost almost 50 pounds. Although she’s not suffering from any memory loss at 51 years old, she did say that she feels much sharper than before she started adding the oil to her diet. “I have a family of four and work full-time, so you imagine that I get very tired,” McDermott said. “I noticed that I feel much sharper and don’t feel as hungry as I used to in the afternoon.” Studies have shown that because coconut oil is a medium chained fat, which means it’s converted into energy, (sugar) it ends up speeding up the metabolism. Because it’s considered a healthy fat, it fi lls you up longer than carbohydrates do. Although McDermott does use coconut oil for cooking, she’s found that she likes the taste of it in her coffee and loves the jump-start feeling she gets after drinking it. For people wanting to learn more about coconut oil, it can be found at Huckleberry’s Natural Market, most health stores and Amazon.com.

Story and photo by COURTNEY DUNHAMLiveWELL CorrespondentCoconut oil available locally

Coconut oil can be found at most area health food stores and some grocery stores.



It started when they decided to replace the elevator. Two years ago, Community Health Association of Spokane (CHAS) needed to move the elevator in the Maple Street Clinic, which ultimately led to the addition of several thousand square feet and a complete renovation of the building. “It’s still our largest clinic physically,” said Peg Hopkins, CHAS CEO. “It’s all disciplines running out of that site.” The Maple Street Clinic features medical, dental, pharmacy, behavioral health, and an expansion of the OB-pediatric services. “We’ve always done lots of deliveries, prenatal care and postnatal care, but we’re seeing a big increase in that line of work for us over this last year, so we’ve carved a special place out for that,” Hopkins said. More important than the growth in size and services is the role that the CHAS clinic plays as an anchor in the community. “It’s not just pills and diagnoses; it’s about building community energy about health,” Hopkins said.

CHAS also opened the Latah Community Health Clinic in Moscow, Idaho, this June, where the CHAS mission of outreach is going strong. CHAS has put an emphasis on providing fresh socks for local homeless, and Hopkins was excited to see how quickly that culture spread to the new location. “We made it to Latah!” she said. Right away, she said providers in the new location started passing out socks to new patients. The next focus for CHAS is education. Changes to the way we access healthcare in America are beginning with a major expansion to Medicaid this fall, and CHAS wants to help educate the public about how it works and what it means. “Our focus is helping people sign up and be aware. Letting people know that they’re eligible for this, how to become eligible, how to get attached to a medical home,” said Hopkins. No matter what your situation, CHAS clinics throughout the region are prepared to answer questions and even to help with sign-ups when expansion begins in October. Also on the horizon is expansion in the area of urgent care. CHAS has found that the need

for urgent care access has grown, and that there are more people looking for an “arm’s-length” approach to the patient-provider relationship, which allows patients to feel they have greater control over their health care experience. But the expansion doesn’t stop at urgent care, Hopkins says. “You’ll continue to see physical expansion, because placing a health care home in a neighborhood is our model,” she said. CHAS always welcomes donations and volunteering. “Any cash donation goes straight to patient care,” said Hopkins. Another way people can help is through the “Healthy Living” program, which teaches chronic disease management to the person who spends the most time with the patients: the patients themselves. After going through the class, participants are encouraged to then lead another class, and so on. “That’s a big way that people can help and volunteer. Take a Healthy Living class and teach a Healthy Living class,” Hopkins said. You can learn more about CHAS, by visiting www.CHAS.org.

Story by HOLLY JONESLiveWELL Correspondent

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WHY TAKE YOUR CHILD TO A PEDIATRIC DENTIST? Does the place have video games in the waiting room, fun Facebook contests, movies in the ceiling of the exam room, or friendly smiling faces of staff, ready to make the experience more fun for a kid than a dentist visit should really be? Possibly. But the real benefi t to children and parents is the specialized care that pediatric dentists provide. CAN’T ANY DENTIST SEE KIDS? Yes, just like general practitioners or family practice doctors can treat children. But like pediatricians, a pediatric dentist has received additional training in working with kids on top of his or her standard general dentistry training. “When I was in dental school, I had four weeks of pediatric rotation, out of four years of dental school,” said Dr. Erin Johnson, DDS, a Pediatric Dentist and a board-certifi ed Diplomate with the American Board of Pediatric Dentistry, who works alongside Dr.

Becky Coombs, DDS, at South Hill Pediatric Dentistry. “The time I spent with kids in my (pediatric) residency was 2 ½ years.” The extra training that pediatric dentists receive includes advanced diagnostic and surgical procedures along with child psychology and clinical management, oral pathology, child-related pharmacology, radiology, child growth and development, management of orofacial trauma, care for patients with special needs, conscious sedation and general anesthesia. Without this training, pediatric dentists and their staff may have a more sensitivity to the unique needs of younger patients. Johnson said the mom of a patient once shared why she made the switch to a pediatric dentist. “She loved her dentist, but she overheard some of the staff complaining about having to see a child,” she said. In a pediatric dental offi ce, the entire staff knows that they’re going to see only kids all day, so even if a “meltdown” does happen, they’re prepared. “That’s another advantage that I think specialists have – we see kids every day,” said Johnson. “We may see 45-50 kids in a day, as opposed to a general dentist who may see two or three. When the whole offi ce is geared toward children, you’re never going to have that staff member who doesn’t like to see kids.” Dr. Christopher Herzog, DDS, MS, of The Children’s Choice Pediatric Dental Group in Spokane, said not all children’s dental offi ces feature board-certifi ed pediatric dental specialists. Herzog, who has Diplomate status with the American Board of Pediatric Dentistry, is a board-certifi ed pediatric dentist and on the board of directors of the Washington State Dental Association. He’s passionate about the distinctions between general dentistry and pediatric dentistry. In 1994, he said the Spokane District Dental Society, the University of Washington School of Dentistry and Washington State Medicaid created the “ABCD” program, which

increased reimbursement for dental treatment for children under age 6. This increased the number of children within that age group eligible for dental care, prompting several national chains and private “general dentistry for kids” offi ces to set up shop to take advantage of the program’s payout. However, Herzog says, “the pediatric dental community was willing and able to treat the pediatric population before any ‘general dentistry for kids’ offi ces arrived in Spokane.” Dr. Andrew Garabedian, DDS, who also practices at The Children’s Choice and is a board-certifi ed pediatric dentist, said a good pediatric dentist can benefi t patients for a lifetime. “We are continuously raising our patients to be comfortable and confi dent dental patients,” said Dr. Garabedian. “We want them to grow up having positive dental experiences so they can settle in as adults and have no dental fears. Unfortunately, so many of the parents of patients in our practice have anxiety because no one raised them this way in their dental history.” Spokane has several board-certifi ed pediatric dentists. Even Johnson, who is originally from Michigan, has come to enjoy the dental community. “When I moved here, I learned that right away. There are a lot of really great pediatric dentist offi ces. Even if patients aren’t coming to us, there are some really great offi ces – access to care here is amazing,” she said. You can fi nd South Hill Pediatric Dentistry at 2020 E. 29th Avenue, or online at www.southhillpediatricdentistry.com. The Children’s Choice has an offi ce on the South Hill, on North Nevada, and in Medical Lake. Visit them online at www.childrenschoicedental.com. Parents can also visit www.aapd.org for a list of all of the residency-trained pediatric dentists in Spokane and elsewhere.

Baby TeethPediatric dentists go beyond basics

Story and photo by HOLLY JONESLiveWELL Correspondent

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


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Breathing Easier About BRACES

Some parents hear the word “braces” and automatically fear that big metal appliances will be crammed into the mouths of their little ones. What may be surprising to some is that modern orthodontics has signifi cantly reduced the need for a lot of these torture-like devices from the past. In fact, Spokane is leading the way in a trend of much less metal, something that Kathleen Bayn of Damon Orthodontics equates to Microsoft. “Spokane is to orthodontics what Redmond is to computers,” said Bayn. “Spokane is the home of the Damon-Smile system, created here, perfected here. Orthodontists worldwide have been using this system for over 10 years.” This system reduces the use of headgear, expanders, permanent tooth extractions and removable appliances from the past. The American Association of Orthodontics recommends an orthodontic screening

exam at, or around, the age of seven. However, parents concerned about jaw or tooth development in their child can visit an orthodontist earlier. Dr. Diane Paxton of Ellingsen Paxton Johnson Orthodontics said a common misconception about orthodontics is that early treatment can lead to the child needing to go through it all again as their teeth grow and move. “When a child has a second set of braces, it’s not that the fi rst set didn’t work. Early treatment is meant to correct problem that if not addressed at an earlier age would lead to a less-than-ideal fi nal outcome. The goal of the second round is to address the fi nal bite fi t of the permanent teeth,” she said. Sometimes orthodontic treatments can take more than one phase to achieve desired results, and it has little or nothing to do with how early treatment begins. Early evaluations can actually help reveal problems like missing or impacted teeth. While a lot of people may think orthodontia is all about creating straight smiles, there are other health issues it addresses, such as

improving the airway, chewing, and speech, making room for teeth that have not yet erupted, or even avoiding the extraction of permanent teeth. “Orthodontia is about health, an enhanced smile is a side benefi t,” said Bayn. Paxton said straighter teeth make it easier to keep them clean, and can keep your teeth from wearing down so much. “People can keep their teeth until they’re 90 years old or longer, now,” she said “Plus, you can’t help but achieve the aesthetic and psychological benefi ts of having a beautiful smile while gaining the functional improvements.” Many Spokane orthodontists offer free initial exams, and don’t require a referral from a dentist. “It’s important for parents to understand is that a trip to the orthodontist is as much about learning about your child’s mouth, good and bad – it’s more like an education,” Paxton said, adding that there’s nothing to fear and plenty to learn. For more info visit www.epjortho.com or www.damon-orthodontics.com.

Story by HOLLY JONESLiveWELL Correspondent

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Advertising Supplement to S R Media/The Spokesman Review • Sunday, September 22, 2013 • Online and Mobile at www.spokesman.com/liveWELL 23



Story by LiveWELL staff

Even if the fi rst teeth haven’t yet cut, there’s a lot of information that a dentist can pass along about oral development, proper hygiene and diet. Plus, getting a child used to the dental offi ce experience is something that should start early. A physician or pediatrician may also be able to check your child’s teeth during a wellness check-up. A physician typically sees a young child as many as eight times in the fi rst three years of life and can discuss the importance of baby teeth and oral health. The Washington Dental Service Foundation has been training physicians statewide how to check for early signs of tooth decay, assess risk, share oral health tips with families, apply fl uoride varnish and make dental referrals when needed. If caught early, dental decay can be stopped and even reversed, and early intervention can lead to improved oral health for a lifetime.

“From the time the fi rst tooth appears, parents need to know how to take care of their baby’s teeth. This is one reason early screenings are so important,” said Dianne Riter, program manager for the WDS Foundation. “We’re engaged in helping to prevent the most common disease among children.” In Spokane County, she said 57 percent of third graders have experienced tooth decay, and nearly 40 percent of kindergartners have as well. “This means 4 out of 10 kids have a preventable disease, and through early intervention, it’s possible to reduce or reverse this,” she said. About 300 primary care medical providers from the Spokane area have already received the training, which continues to be offered. For more tips on caring for baby teeth or to inquire about training visit KidsOralHealth.org.

The American Association of Pediatric Dentists recommends that

children have their fi rst dental appointment by their

fi rst birthday.

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

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



You may be wearing the latest sunscreen or the trendiest shade of nail polish, but the laws governing what’s in these products may be older than your parents or even your grandparents. U.S. laws regarding ingredients in cosmetic and personal beauty items haven’t been updated substantially since 1938, even though medical knowledge of how detrimental some of these ingredients can be to human health has grown by leaps and bounds. “If you care what goes into your body, you need to read your labels and be an educated consumer,” says Abby McChesney, natural living specialist at Huckleberry’s Natural Market, considered Spokane’s largest retailer of healthy and organic personal care products. While Huckleberry’s carries only 100 percent natural and organic products, including six make-up lines, the potential to fi nd discrepancies in seemingly fi tting brands still happens as the FDA exercises little to no regulation on personal care items and cosmetics. McChesney said even if a product says “All Natural,” the phrase can sometimes be meaningless since, unlike the certifi cation to be called ‘organic,’ companies rarely are required to demonstrate whether something is truly natural. “If we’re looking at purchasing a product, it may look good until we get to the bottom of the ingredients, and then we say ‘Wait. Parabens? That’s not going on our shelf,’” she said. “Also, if we or a customer have questions about a product we carry, we do our research and call the company.” According to the Campaign for Safe Cosmetics web site, loopholes in federal law allow the $50 billion cosmetics industry to put unlimited amounts of chemicals into personal care products with no required testing, inadequate labeling requirements and no monitoring of health effects—even though many of the chemicals are known to mutate DNA, cause cancer, or mimic estrogen. “These ingredients are very appealing to cosmetics manufacturers as they are

inexpensive and effective. But they’re not easily eliminated from our body and can build up to harmful levels,” said Amber Doyle, local creator of Zaki Organics, an organic skin, hair and makeup line which she sells at her store, Bombshell Boutique, in Liberty Lake. While other countries have set strict guidelines and reinforcements in the cosmetic industry in recent years, the U.S. remains stagnant. The European Union has banned 1,328 chemicals from cosmetics to the U.S. FDA’s 11. Canada restricts chemicals like formaldehyde, triclosan, selenium and nitrosamines—all of which are allowed in U.S. products. “For some reason, we [the U.S.] have always taken the cheap way out,” said Doyle.Chemical compounds which can cause special concern are synthetic preservatives known as parabens, which are often preceded by the words methyl, propyl, and butyl. They can often be found in common cosmetic products such as deodorant, shampoo, makeup, lotions and oral care. “Since they aren’t breaking any rules, the FDA skates by, claiming the amount of toxic chemicals used in beauty products is too minimal to cause damage,” Doyle said. “Then a study comes out that shows parabens are found in 99 percent of breast tumor tissue.” The study Doyle mentioned, published in the January 2012 Journal of Applied Technology, concluded that 99 percent of tissue samples from women participants contained at least one paraben, and 60 percent contained at least fi ve parabens. Other major offending ingredients include phthalates, found in soft plastics, cosmetics and skincare. These are stored in fat cells and have been proven to be carcinogenic and mutate DNA. They sometimes are listed

as the generic “fragrance” or “aroma,” which can actually encompass up to 500 different chemicals in one product. Bonnie Gow, owner and creator of BonLogic Bath and Beauty Products, realized just how toxic some ingredients were when she began using anti-aging face and eye creams. “I started reading the labels and thinking, ‘Do I really want to put this on my skin?’ I quickly realized that I wanted healthier products and control over the products I used and what went into them.” Gow started by creating soap, and then added face and eye cream, then hand and body lotion. She has a day job but spends nights and weekends in her commercial kitchen in Airway Heights creating new products. She loves giving people healthy choices and educating them on the health benefi ts. “I’m still learning, it’s an ongoing process, but it’s fulfi lling,” she said.

Downsides of looking good “All-natural” beauty regimen may have HEALTH RISKSStory by RENÉE SANDELiveWELL Correspondent

Photos by Shallan Knowles, LiveWELL Correspondent Below: After being frustrated about the unhealthy ingredients in cosmetics, Amber Doyle decided to make her own products, which she called Zaki Organics. Right: BonLogic is a local provider of healthy soap.



• Acetaldehyde a fruity odor but is also a human carcinogen.• Acetonitrile can cause weakness, headaches, tremors, numbness,and nausea. At high concentrations, can cause convulsions and death.• Ceteareth: human carcinogen• DMDM hydantoin: skin, eye, and lung irritant. Can trigger immune response to include burning, itching, blistering, or scaling of skin.• Diazolidinyl urea & Imidazolidinyl urea: can cause allergies and immunotoxicity.• Musk tetralin (AETT) has been shown to cause brain cell and spinal cord degeneration.• Polyethylene glycol (PEG): petroleum product which can cause premature aging.• Styrene oxide skin and eye irritation, and in animal studies, is known to cause depression.• Toluene (also known as methyl benzene) neurotoxin and is largely sourced from petroleum. Can cause lung, liver, kidney, heart, and central nervous system damage. Can cause headaches, loss of muscle control, brain damage, memory loss, problems with speech, hearing and vision, and even death.

Common ingredients to avoid:

Federal law does not require companies to list the chemicals in fragrance mixtures such as perfumes or even laundry soap. Instead, “fragrance” becomes a catch-all term, which can include up to 500 chemicals in one product, many of which contain may impurities that are carcinogenic or act as hormone disruptors. Some common fragrances, such as those in shampoo, air fresheners, or eye

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

For information on local producers: www.huckleberrysnaturalmarket.com

www.ZakiOrganic.com www.BonLogic.com

Safe Cosmetics Act (safecosmetics.org/ or www.govtrack.us/congress/bills/113/hr1385) To fi nd out how your personal care products rate: www.ewg.org/skindeep • More than 500 products sold in the U.S. contain ingredients banned in cosmetics in Japan, Canada or the European Union.• Nearly 100 products contain ingredients considered unsafe by the International Fragrance Association.• A wide range of nanomaterials whose safety is in question may be common in personal care products.• 22 percent of all personal care products may be contaminated with the cancer- causing impurity 1,4-dioxane, including many children’s products.• 60 percent of sunscreens contain the potential hormone disruptor oxybenzone that can easily penetrate the skin.• 61 percent of tested lipstick brands contain residues of lead.• The average woman uses 12 cosmetic products containing 168 different ingredients daily. Source: Environmental Working Group’s website, SkinDeep Cosmetics Database, http://www.ewg.org/skindeep

ScentsScents Good smelling but sometimes bad for youGood smelling but sometimes bad for you


http://www.ewg.org/skindeep/

http://www.huckleberrysnaturalmarket.com

http://www.ZakiOrganic.com

http://www.BonLogic.com

http://www.ewg.org/skindeep

http://www.ewg.org/


Salute our Veterans

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

Ten percent of the proceeds will beDonated to

Inland Northwest Honor Flight,helping transport war

veterans to Washington, D.C., to visit memorials

dedicated to their service and sacrifices!

Honor our heroes with a tribute advertisement.

Please contact Sarah at (509) 459-5117 or

[email protected]

A SPECIAL SECTION PUBLISHING VETERANS DAY, NOVEMBER 11, 2013PUBLISHING VETERANS DAY, NOVEMBER 11, 2013




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select locations nationwide• Pets warmly welcomed• And so much more!

Call 509-590-1968 to schedule your personal visit and receive a free lunch!

Welcome to Holiday. Welcome home.

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©2013 HARVEST MANAGEMENT SUB LLC 20674

WE ARE OPENING A BRAND NEW ACUTE REHABILITATIONHOSPITAL IN POST FALLS, ID IN THE FALL OF 2013!

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

Each one of our eligible Inpatient Rehabilitation Facilities (IRFs) has been recognized in the Top 10% of 791 Inpatient Rehabilitation Facilities in the United States, Cited for Care That Is Effective, Effi cient, Timely and Patient-Centered.

We are currently hiring for the following positions:

Director of PharmacyEnvironmental Services/Housekeeping Supervisor

Clinical Compliance Specialist - RNDirector of Case Management/PAI Coordinator

Food Services ManagerWe are currently accepting applications for the following future openings:

If you are interested in applying for any of these positions, please visit our

construction trailer at 3372 E. Jenalan, Post Falls, ID, or email your

resume to [email protected], or fax to 208-457-1316.

For information about Ernest Health and Rehabilitation Hospital Northwest

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Pharmacy Technicians

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Registered Nurses

Patient Care Technicians (CNAs)

Unit Secretary

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Maintenance Mechanic

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Central Supply Clerk



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Making your fi nal arrangements yourself isn’t just wise for you, it can be good for your loved ones. It can reduce their stress so that they have more time to grieve, and will ensure that your

wishes are known and understood by family and friends. Nancy MacKerrow, 76 years old and a retired City of Spokane library employee, started to think about end-of-life decisions around the time that her mother died in the late 1980s. In the early 1990s, she found a library book describing information that was useful for heirs, and ended up photocopying the whole book so it could be a roadmap for her own planning. In November 2002, MacKerrow’s brother died. At that time, MacKerrow and her sister-in-law needed to search through their home for fi nancial records and other paperwork that wasn’t readily available. “My sister-in-law knew where the checkbook was, but she didn’t know where any other records were,” MacKerrow said. This effort lead to MacKerrow deciding she didn’t want her children to go through these same tedious and awkward tasks when her end comes. That’s the same message from the funeral industry. “Talk to your children or your spouse about their wishes,” says Theresa Sullivan, funeral director for Hennessy-Smith in Spokane. “You know that your aging parents are probably thinking about death. But parents don’t want to bring it up with their children, and kids are worried to bring it up with their parents.”

She said sometimes either party has to start that conversation. “Be blunt about it. Ask them questions.” Many funeral homes and online resources offer excellent checklists and questionnaires for people to fi ll out about their own end-of-life decisions. A simple litmus test to how you could answer these questions for your own parents or loved ones, could make even the biggest skeptic realize that getting some basic things taken care of early on relieves you from the pressure of making those choices alone later. Carol Hunter, an estate planning attorney at Eymann Allison Hunter Jones, P.S., says that protecting your family’s assets and planning your legacy is not only smart but can save families a great deal of money. “There are a lot of misperceptions about probate in Washington State,” Hunter explains. “We have very stringent rules on probate, and it’s a very simple process.” But make sure your documents are in order, Hunter continues. She cautions residents that while online forms are readily available, they are not always tailored to Washington law. You have to make sure that your power of attorney is durable. “A good will should outlast your children growing up,” Hunter says. She recommends looking at your will every fi ve to 10 years or when a major event in your life occurs. This doesn’t necessarily mean it has to be changed, just reviewed. “It is truly circumstantial when to review your will,” Hunter says. Experts agree that a durable power of attorney for medical and fi nancial matters is essential, along with a will and a Living Will or Health Care Directive.

MacKerrow gets together annually with her children now to go over her affairs. Since they live in different cities across Washington, they plan a weekend in Spokane in late spring or summer. While most of it becomes a social weekend, her children perform a brief assessment of MacKerrow’s state of mind, how well she can drive, her hearing, simple things like that. They and her all agreed that this was a good idea for them to look for any changes that she might not see on her own. MacKerrow admits that for her it’s also a chance to watch her two adult children begin to bond after some previous family estrangement. The children go off in the evenings together after spending the day with MacKerrow. The best part of their weekend gathering? MacKerrow says “when we sit down to play Story Cubes, and the kids begin to plot my murder. It’s great fun.” Sullivan offers great tips for those uncertain about how to broach the subject of death. “I tell people to start by saying you met a funeral director at a party, or use your doctor,” she explains. Then dive in to some generic questions about death wishes such as cremation or burial, things that may not be as emotionally charged. Ultimately having a conversation before it’s too late is a gift for the family members who are still living. And that may be reason enough.

Story by SARAH BAINLiveWELL Correspondent

Final PlansPre-planning your estate helps your

family’s emotional health



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

In 2007, Leona Helmsley turned more than

a few heads when she left the bulk of her estate, $12 million, to her dog Trouble. While certainly an extravagant gesture, it shows the importance of making sure any loved ones, furry or otherwise, remain in good hands if you’re not around anymore.While many pet owners may assume someone will take good care of their pets if they’re no longer able to do so themselves, there is simply no guarantee unless specifi c plans are made ahead of time. Even the Queen of Mean knew this to be true, hence the nice trust fund for her beloved Maltese. According to The American Society for the Prevention of Cruelty to Animals, between 5 and 7 million companion animals enter shelters each year nationwide, many of them simply because their owner couldn’t take care of them anymore, due to illness, injury, or death. Of that number, between 3 and 4 million pets were euthanized. The good news is that you don’t have to be a millionaire hotelier to make solid, legal, and humane plans for your pets. You don’t have to spend a lot of money. Mostly all it takes is a bit of foresight. The fi rst thing you have to do is fi nd someone (or, even better a succession of people) willing to take care of your pet. But don’t just assume someone will do so automatically. Talk to your planned caregiver, and update them regularly to remind them that you’ve named them as the responsible parties. Depending on your situation, you may choose to make either formal or informal arrangements for the care of your pet. Informal arrangements tend to be those that are not legally enforceable, but are still important for the care of your companion, such as grooming, feeding, and general care issues. The more unusual the pet or their care, the more important it may be to outline their care in the form of a “dossier,” which may include things like routines, veterinary records, or unusual diets.

Formal arrangements may be legally binding documents such as a Pet Trust. Though pet arrangements may be included in your will, ASPCA does not recommend this. Directions included in a will only take effect when the will is executed, and until such a time your pet may be in a kind of legal limbo. Furthermore, if the caregiver named in the will does not work out, the court is under no obligation to name another caregiver.It is never too early to make arrangements for your pets. Nicole Currier, 30, says her dogs are both rescues. She says she made a promise when she adopted them that even if she’s no longer around to provide for them, “it is my responsibility to make sure they continue to have stable, healthy, happy lives.” Currier has made informal arrangements so far with two people who are familiar with her dogs and their care, but she also plans to make those arrangements formal as soon as possible. The ASPCA has an extremely detailed section of its website detailing how to plan for your pet’s future, including information on both informal and formal options, and how to do so affordably. For more information, visit ASPCA.org and search for “pet trusts” or www.aspca.org/pet-care/planning-for-your-pets-future.

Story by TERRY BAINLiveWELL Correspondent

�

Smart Things to do to

Prepare for Death1. Talk with your loved ones about your personal wishes.

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

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

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

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

6. Live well! Enjoy the

time you have.

Estate instructions for your pets


http://www.aspca.org/pet-care/planning-for-your-pets-future




When Washington Gov. Jay Inslee signed a bill in May requiring all high school students be trained in CPR (cardiopulmonary resuscitation), advocates of AEDs (automated external defi brillators) cheered alongside CPR backers. That’s because CPR is only the fi rst step in saving the life of someone who has suffered a sudden cardiac arrest. Without using an AED to shock a stopped heart back into service, CPR efforts can be lost. Shocking the heart is a way to interrupt the chaotic electrical activity that has caused a cardiac event and restore the normal heartbeat. The new law also calls for appropriate instruction in AED use. You don’t have to explain the importance of an AED to Steve Jantz, athletic director at Wilbur High School. “It saved my life,” he says without hesitation. In October 2010 Jantz was announcing a volleyball line-up in the school gym when he suddenly collapsed. The school had just purchased an AED and placed it right outside the gym. Within a minute-and-a-half, bystanders performed CPR to keep the blood fl owing to his heart, then located the AED and administered shocks. Those initial minutes were critical because as time passes, a person’s chance of surviving a cardiac arrest decreases rapidly. Had an AED not been available, the 10 minutes it took emergency medical responders to get to the high school might have been Jantz’s fi nal minutes. It’s stories like that that fuel urgency for a high school AED distribution and training effort called Project ADAM. This national program has nine affi liates including one in Spokane under Sacred Heart Children’s Hospital. The project is named after Adam Lemel, a Wisconsin high school basketball player who died on the court after suffering a sudden cardiac arrest. Adam’s parents started Project ADAM (Automated Defi brillators in Adam’s Memory) to bring awareness to the importance of on-site AEDs

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

“Additionally, schools that had AEDs had little medical direction to use the devices. There was no outreach to local emergency medical personnel or health care providers on how to implement an AED program,” said Schaefer, a driving force behind Project ADAM. Tragically, the Inland Northwest has its own share of stories similar to Adam Lemel’s. One was a student athlete at Northwest Christian named Josh Wright who died in 2010 after collapsing during a cross-country run. Efforts to launch Project ADAM here were already under way and shortly after the student’s death, the local Project ADAM implemented its fi rst AED program at that school in Wright’s honor. Funding from the Sacred Heart Children’s Foundation still funds the AED program at area schools. Today 75 schools in the Inland Northwest have AEDs and/or program implementation through Project ADAM.Many stories like Adam Lemel’s and Josh Wright’s are being replaced with stories of students being saved because of AEDs on school property.

But Schaefer is quick to point out, it’s not the actual device itself that saves lives, it’s bystanders who are appropriately trained in how to use the device and are willing to administer CPR to shock someone. “There are plenty of cases where a cardiac tragedy happens and there’s an AED on site that wasn’t used,” he said. That’s why Schaefer and a dedicated group of community advocates continue the work of educating people about proper AED use. They are partnering with schools not only to provide the $1,400 AED training package but to educate entire communities. AEDs will not only save the lives of students, but of staff, parents, and others. “Statistics show on any given day 20 percent of the American population can be found at schools. Since schools are increasingly used as community gathering places, it’s a natural place to put a life-saving AED” says Schaefer. Increasingly, more and more people agree.

Story by JULIE HUMPHREYSLiveWELL Correspondent

Project ADAM advances State requires AED training with CPR

For more information on the local Project ADAM contact Providence Health Care Public Relations at (509) 474-3081. The Moses Lake School District is an example of a community collaboration which funds its own AED program. The district has raised $36,000 to put AEDs in all of its schools and will work with Project ADAM to implement the program this fall.

Photo by Shallan Knowles, LiveWELL Correspondent Ryan Schafer from Providence Sacred Heart is helping educate the community about proper use of AEDs, especially in schools.



One of these women is terminally ill.The other is 84.

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In a world where health care is more competitive than ever, three providers are fi nding common ground. Earlier this year, Cancer Care Northwest, Providence Health Care and Kootenai Health signed a Memorandum of Understanding to create a cancer alliance. In effect, they’re combining their resources to benefi t patients, without losing any of their individual identities. “Patients will have access to the same equipment and staff,” said William Fisher, chief fi nancial offi cer of Cancer Care Northwest. “It makes things much more seamless.” Traditionally, when a patient begins cancer treatment, he or she works with the providers in a particular group or facility. If the patient decides to switch to other facilities or physicians, they’ll likely need to start from scratch and create a new treatment plan. Once this alliance gets off the ground, it will be signifi cantly easier to coordinate coverage and offer additional access to

providers in Idaho and the Spokane area. “We looked at equipment, construction, and asked ourselves if we wanted to continue to duplicate services and further divide the marketplace, which would increase costs and fragment health care,” Fisher said. “Or fi nd ways to bring things together as a single entity.” Representatives from all three institutions hope to have all the procedural details in place by the beginning of 2014. The fi rst coverage area that will be part of the new alliance

will be radiation therapy. There will be 39 providers, including 27 oncologists and 12 advance practice professionals such as nurse practitioners and physician assistants. Dr. Joni Nichols, medical oncologist for Cancer Care Northwest, said once the collaborative radiation program is ironed out, there’s potential for coordinating care in several other areas. “We imagine sharing research, palliative care and more,” she said. She said she and her fellow oncologists already discuss patient’s treatment options and prognosis. Now, with the new memorandum, this potentially brings more area cancer experts to the table, sometimes literally in the case of tumor conferences, which are when providers discuss treatment courses for specifi c cancers. Surgical, primary care, pulmonary specialist, ENTs, and researchers can all be part of the discussions, including those who previously would have had to stay within their

own groups. “This is going to be an amazing collaboration,” Nichols said. “Some of it has already been there unoffi cially, but now we hope there will be even more of a multidisciplinary approach.” Fisher said the idea of collaboration isn’t particular new, but sometimes requires more formal mergers or acquisitions to happen. “We’ve been approached in the past, but we’ve decided to fi nd ways to remain independent and maintain our identity,” he said. “But this opportunity brings together everything well.” Fisher doesn’t expect any resistance or opposition to the plan, especially from insurance companies. “We think these efforts will lower the rates for patients, will offer better care, and we’re banking we can increase effi ciency,” he said. “We’ve already invested a lot into this.” Jeanne Atha, executive director of Kootenai Health’s Kootenai Clinic, said there have always been efforts to share services between Idaho and Washington, but this new alliance will be especially helpful. “We’ve had a long history of joint ventures with Sacred Heart for radiation therapy,” she said. “But we’ve been discussing other ways to enhance this.” Radiation therapy is an area where there is duplication between several area providers, so it makes sense to fi nd ways to share resources when possible. It also could allow some Idahoans to receive treatment locally instead of having to go to a specialist in downtown Spokane. “We want to start looking at bigger programs, collaborating on research, and giving patients access to more clinical trials,” she said. “We want to work together to optimize existing pathways and provide quality care at low costs.” She said even though there’s still work to do to formalize the alliance, it’s exciting to be at this point. “There’s really an intent to bring

Combining Care: Providers pooling resources to

help cancer patientsStory by JOE BUTLERLiveWELL Editor



Earlier this summer, Kootenai Health announced a new name and a new logo as part of a goal to become a premier regional medical referral center in the next decade. “Our real focus is on the future,” said Jon Ness, CEO of Kootenai Health. “Over the last couple of years, we’ve made a signifi cant commitment to add new programs and services for our patients. We are evolving from being a good community hospital to becoming a growing regional medical center.” In the past, individual properties in the Kootenai organization had separate names, such as Kootenai Medical Center and the North Idaho Cancer Center. Now, they will be all carry the same Kootenai Health brand, including the main facility in Coeur d’Alene. Other services, such as 77 physician practices, cancer programs and outreach will be consolidated under the name Kootenai Clinic. Other recently-added features include a special care nursery for premature babies, an electrophysiology lab for heart rhythm issues, and a second linear accelerator for cancer programs. Plans are also under way for the 2014 opening of a family medicine residency program to

help graduating physicians fi nish their training locally. “Some of the best health systems in the country operate using this model,” said Walt Fairfax, M.D., Chief Medical Offi cer of Kootenai Health. “Mayo Clinic and Cleveland Clinic are both based on a similar model.” The new logo, Kootenai Health’s “spark” was designed to visually represent a reaching out to others and bringing everyone together for the benefi t of patients. It incorporates Kootenai’s signature blue with the addition of greens to represent healing and growth. The linking pieces symbolize the connecting of multiple service lines to create a unifi ed whole. Kootenai Health is the largest employer in North Idaho, with a payroll of more than $72 million and an annual economic impact of more than $200 million. “I can’t imagine our community without the strong, local presence of Kootenai Health,” said Steve Griffi ts, president of Jobs Plus, a business recruiting organization. “You provide hope and assurance, and brings our community together in so many marvelous ways.” Information: www.kootenaihealth.com

A regional health care alliance is good news for the whole Inland Northwest, but especially those who live east of Spokane. That’s part of the reason Kootenai Health was invited to be part of the discussions. Cancer Care Northwest also is using the opportunity to move into a new building in Spokane Valley. “The Valley was the only area that doesn’t offer radiation therapy,” said Loralee Laramie, physician liaison for Cancer Care Northwest. “So we’re bringing more imaging and integrated care – patients will be able to see more people all in one visit.” This fall, the organization will move into a 38,000 square feet building that will include a 21,000-square-foot clinical area, effectively doubling the current size. The administrative offi ces, which are currently at another spot in the Spokane Valley, will also move. “This is going to be huge for North Idaho and Spokane Valley people, who won’t have to travel as far for treatments,” she said.

Kootenai Health launches new brand Idaho medical center says good-bye to ‘The big K’

things together,” Atha said. “This is a unique opportunity.” At Providence, the collaboration fi ts perfectly with the company’s philosophies of quality and affordable delivery of care. And, according to Scott O’Brien, chief strategic offi cer, it’s been great working with other providers who have the same outlook. “As we’ve come to know each other, we’ve come to appreciate everyone’s different missions and histories, but everyone has the same commitment to patients,” he said. “We like this willingness to fi gure what’s best for patients from within the entire health community vs. one set of doctors.” O’Brien said the health care industry has

been seeing more partnerships and resource sharing. In some cases, this model is within an organization, such as a number of facilities or staff under one corporate owner. Here, however, he said Providence was interested in exploring new areas for partnerships that may not be as integrated. Cancer care was a smart area to start with. It’s a growing need and a place where there are already many experts and facilities. Many oncologists also are familiar with each other, even if they work for different companies. “We hope this will help patients achieve better outcomes,” O’Brien said. “Our next step is to bring more members of our teams together.”

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

Top Right: Courtesy photo. This fall, Cancer Care Northwest plans to relocate its clinical and administrative offi ces to a new 38,000-square-foot building in Spokane Valley. Bottom Right: Courtesy photo. Kootenai Health CEO Jon Ness announces plans to rebrand the North Idaho medical center and related properties as Kootenai Health.


http://www.kootenaihealth.com


Cancer is never a party, but two regional breast health organizations are trying to add some fun into prevention efforts. Inland Imaging’s Every Woman Can and an organization called Check Your Boobies both focus on education and the power of early detection through self-checks and mammograms. With more than 250,000 women diagnosed with breast cancer annually in the U.S., there are many organizations that promote better health and self-screenings. But more can be done. “Awareness hasn’t led to action,” said Kayla Driscoll, a Spokane native and program manager for the Seattle-based Check Your Boobies. “Eight out of 10 women said they don’t perform breast self-exams regularly. They don’t know how to check properly. They are not in tune with normal monthly changes in their breasts, and they are scared they might fi nd something, so they just don’t do it.”

Check Your Boobies got its unique, catchy name from the 2-year-old daughter of

founder Heike Malakoff. In 2003, at age 34, Malakoff was diagnosed with breast cancer. The mother of three didn’t have any history of breast cancer and wasn’t in any of the risk groups, but discovered a lump while nursing her daughter. During her cancer battle, she said her daughter Maia would often ask, “Have you checked your boobies?” Malakoff created CYB to educate women about the importance of breast health. One of its unique outreach efforts is the “Check Your Boobies” party, which educates women about breast health in “a fun, frank, and fear-free way.” Parties take place in cities and college campuses nationwide, and in the last year, have occurred in Spokane and Pullman, Driscoll was fi rst introduced to CYB when her sorority at Washington State University partnered with the group to raise awareness for breast cancer on campus. After graduation, she was further compelled to help out after watching her 53-year-old aunt Peggy fi ght – and lose – a battle with an aggressive form of breast cancer. According to the National Comprehensive Cancer Network, women must check their breasts frequently enough to note changes. Checking them at the same time every month gives a baseline to note signifi cant changes. Following up with a doctor is also vital. Breast self-exams are important for women under 40 since mammograms are not widely available for that age group, and they may not be accurate due to the density of younger breasts.CYB hopes to change the way health information is delivered. “Breast health education needs to happen more than once a year in a doctor’s offi ce,” Driscoll said. “We want to help women to know their body, know their breasts, and

demystify the breast so that they are not afraid or embarrassed to touch them and talk about them, and take action if they need to.”She said the CYB Parties are fun, engaging and non-threatening ways to learn about breast health. “Our Check Your Boobies parties are similar to many other women’s gatherings including book clubs, Tupperware parties, purse parties, or other community gatherings,” she said. Party hosts also share details about diet and exercise’s roles in breast cancer prevention and CYB representatives show guests how to perform proper breast exams. “In a familiar, comfortable environment with their girlfriends, we give women all the information to become familiar with their breasts and teach them to check their boobies frequently enough so that they can note any changes,” Driscoll said. “The most important thing is for every woman to be familiar with her breasts and note any signifi cant changes. We also provide a free online email reminder which provides women with a monthly reminder to check.”

The parties also can include a short presentation from a breast cancer survivor. At a recent

Spokane-area party was Debra Minkove, who was diagnosed with breast cancer at age 32. Her paternal grandmother on died from ovarian cancer, and she carries the gene called BRCA 1, which increases the chances she’ll get ovarian cancer later in life. She continues to get ultrasounds on her ovaries. After fi nding a lump, Minkove started treatment right away with a double mastectomy and chemo. She also continues to get regular ultrasounds on her ovaries. She has made it her mission to educate women about breast health, especially younger women who don’t think they’re at risk. The American Cancer Society states that one in seven women will develop breast

Story by COURTNEY DUNHAMLiveWELL Correspondent

BREAST CANCER PREVENTION can be funTwo area organizations promote education through parties and social visits

“To encourage more people to receive screenings, this year EWC is offering after-hour accommodations

for parties of 20 or more.”



cancer in her lifetime. Early detection makes a huge difference in survival. According to the American Society of Clinical Oncology, up to 97 percent of women diagnosed with early stage breast cancer will survive fi ve years after diagnosis. “Our hope is that if someone does fi nd a cancerous lump that they will have found it as early as possible,” Driscoll said. “We’re about more than discovering or avoiding a cancer diagnosis. We’re about empowering ourselves to be pro-active about our own health. It’s about knowing your boobies; knowing that if you do fi nd something, you know what to do and if found early, you have many options. The campus visits are catching on, she said. CYB has come to 16 campuses nation-wide, sometimes annually. Recent visits have included WSU, Harvard, UCLA, Berkeley, University of Arizona, UW, and University of Oregon “I want women everywhere to be checking their boobies and ensuring for themselves the gift of health,” she said.

Every Woman Can is a similar fun-focused campaign which hopes to empower and encourage women over 40 to have annual mammograms. One of its outreach methods is

“Mamm Parties” which are relaxing ways for groups of friends to get annual mammograms taken care of while enjoying beverages, beauty consultations and massages. To encourage more people to receive screenings, this year EWC is offering after-hour accommodations for parties of 20 or more. Participants must be eligible for their annual screening mammogram. Inland Imaging will work with a group hostess to help plan the party. All participants are asked to bring insurance cards or payment options, and the name of their physician. “We know that early detection can greatly improve chances of survival from breast cancer,” said Chief Operating Offi cer Kathleen Wilson. “Screening mammography is still the best tool we have to diagnose this disease. The radiologists and staff of Inland Imaging want to do our part to help every woman who should have a mammogram receive one this year.” Free mammogram days are also available for any woman over age 40 who is uninsured, underinsured, or has a high deductible and no known breast health issues. For more details visit www.everywomancan.org or www.checkyourboobies.org

Every Woman Can recently funded three $10,500 grants to organizations helping to increase the Spokane area’s access to mammograms, especially for the uninsured. One of these was Community Health Association of Spokane, which in 2012 provided more than 650 breast exams for uninsured women. Nearly half were eligible for mammography services at little or no cost. The other recipients were The Native Project and Spokane Regional Health District’s Breast, Cervical and Colon Health program. The 2013 EWC grant funds will provide 35 screening mammograms for uninsured, low-income patients in Spokane County. “Each organization’s grant is focused on at least one of the specifi ed grant priorities and will aid area women in at-risk populations,” said EWC Marketing Director Pam Prye. EWC also has a group of volunteers eager to help with awareness and fund-raising efforts. At a recent EWC Benefi t Yard Sale, volunteers raised $2539.67, which will help nearly nine women and their families. One of those volunteers was Lekseea, who lost her aunt to breast cancer and started a lemonade stand in her honor and donated all her proceeds to EWC.

Opposite page: Photo by Courtney Dunham

Lekseea gave proceeds from her summer lemonade stand to Every Woman Can, a program that promotes breast health and cancer prevention. Left: Courtesy photo

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


http://www.everywomancan.org

http://www.checkyourboobies.org


WATCH FOR THIS LOCAL SPECIAL SECTION

TUESDAY, OCTOBER 15

6 Ways to 6 Ways to Reduce Breast Reduce Breast Cancer RiskCancer RiskPPreventativereventativeMastectomies: Mastectomies: Right for you?Right for you?

How to Support Your Loved One’s Fight

9 Best Prevention FoodsChange Your Life,1 Habit at a Time



Suzanne Bassett, a microbiology instructor at Spokane Community College, never expected her interest in viruses and biology to ever hit home so personally. But in summer 2011, her 4-week-old daughter Abby came down with pertussis, also known as whooping cough. Abby was admitted to Sacred Heart Medical Center’s pediatric ICU where she struggled to breathe and coughed uncontrollably, frequently turning blue. Her heart rate plunged each time she coughed and the nurses initiated an emergency response and CPR to get Abby breathing again. Her parents watched Abby suffer, hooked up to breathing tubes and sometimes too weak to cry even as the nurses drew blood. They knew she could die. “It was heartbreaking,” Suzanne Bassett recalls. Even after receiving antibiotics, Abby remained in the hospital for fi ve weeks. She still coughed in fi ts and turned blue. She couldn’t eat, and required therapy to learn how to drink from a bottle, nurse and catch up on developmental milestones. Abby is now 2 years old and is safely at home. However her parents still worry about chronic lung disease, and she must take medication to avoid severe respiratory infections. “I want people to know it’s so much better to prevent whooping cough through immunization instead of treating after the infection,” says Suzanne Bassett.Last year Washington state experienced a major pertussis epidemic with more than 4,000

cases. Nationwide it has reached its highest level in 50 years. As Abby’s pediatrician, I’ve witnessed fi rst-hand the terror that families experience when their child is sickened by pertussis. The illness affects the lungs and respiratory system and spreads easily by coughing and sneezing. Children can have severe coughing spells that make it hard for them to eat, drink, breathe and sleep. These children often gasp for air between coughs, making a ‘whoop’ sound. The illness can lead to pneumonia, seizures, brain damage, and death. What parents don’t know is that babies usually catch whooping cough from parents, grandparents and siblings who believe they have just a mild cough and don’t realize they are infected. By July of this year, Washington’s Department of Health had already reported 405 cases and one child had died. The best way to protect yourself and your child is to get a Tdap vaccination. Vaccines

are encouraged for pregnant women, adults and teens, as well as children and babies 8 weeks and older. Because pertussis spreads easily within homes, daycares, schools and neighborhoods, family members and friends should get the vaccine too. A recent national poll from the University of Michigan shows that 60 percent of adults don’t know when they last received the vaccine. Only 20 percent reported getting it in the past 10 years. If you don’t know your vaccine status, talk to your doctor about getting a booster. Here in Spokane, Group Health Cooperative, Providence Health, and the Spokane Regional Health District are sponsoring the Silence Whooping Cough campaign to provide all the latest information on pertussis and how to prevent it. For more information visit www.silencewhoopingcough.org. Families can enter to win free diapers for

a year when they ask their friends and families to get vaccinated. To enter, visit the campaign website and send an e-card that reminds your loved ones to get a booster shot.“In the United States we don’t take vaccine-preventable illnesses as seriously because we don’t see how terrible the suffering really is,” said Bassett. “I encourage adults to get the booster shot to protect the babies in our community. As adults, we can take the lead in protecting our children from pertussis. Your individual act benefi ts our entire community. Kimberly Grandinetti, MD, is a pediatric hospitalist who practices at the Group Health Riverfront Medical Center in Spokane.

Story by KIMBERLY GRANDINETTI, M.D.Special to LiveWELL

Adults can help whip whooping cough with a booster shot


http://www.silencewhoopingcough


Acupuncture

SHEN TANG ACUPUNC-TURE & WELLNESS CLINIC1616 E. Seltice Way, Suite 213Post Falls208-262-6698 [email protected]

Allergy & Asthma TreatmentSPOKANE ALLERGY & ASTHMA CLINIC508 W. 6th Ave509-747-1624www.spokaneallergy.com

ChiropracticBACK IN HEALTH CHIROPRACTICwww.backinhealth.com208-665-7158 1801 Lincoln Way, #4Coeur d’ Alene1525 Main St Maries

GENTLE TOUCHCHIROPRACTIC608 W GarlandSpokane509-924-1942 [email protected]

29TH AVE CHIROPRACTIC3144 E 29TH [email protected]

Consulting

PROTEUS CONSULTING, LLC10323 N Strahorn [email protected]

Counseling/Mental HealthPOSITIVE VIBES COUNSELING2702 N. Perry St.Spokane509-879-3499 [email protected]

REIKI HEALING ARTS1042 W. Mill Ave. # 103Coeur d’Alene208-665-5862 [email protected]

SPOKANE MENTAL HEALTH-ELDER SERVICESA Dept of Behavioral Health5125 N Market509-458-7450www.smhca.org/elder.aspx

Dental/Oral HealthCARNELL FAMILY DENTISTRY4610 N Ash St #[email protected]

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

DR. DAVID ENGEN & DR. RUDOLF HAHN6817 N. Cedar Suite #202Spokane509-326-4445 www.DrEngen.com

OLA J. ENGLUND, D.D.S.ROBERT DESROCHES, D.D.S.4817 N. Cedar # 201Spokane509-326-817 [email protected]

INLAND CENTER FOR CONTEMPORARY DENTISTRY1717 First [email protected]

JEFFREY L LOCKWOOD, DDS FACP6817 N Cedar Road # 102 Spokane509-327-4469

LOVE FAMILY DENTISTRY 9723 E Sprague Ave. Spokane Valley509-928-0505 www.lovefamilydentistry.com [email protected]

MANITO FAMILY DENTISTRY3615 S. Grand BlvdSpokane509-456-8676 [email protected]

MEDICAL LAKE DENTAL CLINIC123 N Brower St. Medical Lake www.medicallakedc.com509-299-5171

STEVEN MILLS, DDS3201 S. Grand [email protected]

MT BALDY DENTAL CENTER1305 Highway 2 W., Bldg A, Suite ASandpointwww.mtbaldydental.com208-263-6806

NORTH IDAHO DENTAL GROUP2165 N Merritt Creek LoopCoeur d’[email protected]

RANDY E. OTTERHOLT, DDS6817 N Cedar Rd., #102Spokane509-327-4469 www.drotterholt.com

JOSEPH J. PAWLUSIAK, DDS, MS 15 E. Central Ave Ste D Spokane509-483-2080


http://www.acupuncturecoeurdalene.com


http://www.spokaneallergy.com

http://www.backinhealth.com

http://www.gentletouchspokane.com


http://www.proteusid.com


http://www.positivevibescounseling.com


http://www.reikihealingarts.com


http://www.smhca.org/elder.aspx


http://www.ChildrensChoiceDental.com

http://www.DrEngen.com

http://www.yourdentalfamily.com


http://www.roccanovadds.com


http://www.lovefamilydentistry.com


http://www.manitofamilydentistry.com


http://www.medicallakedc.com


http://www.mtbaldydental.com

http://www.nidentalgroup.com


http://www.drotterholt.com


MICHAEL READEL, D.D.S.6227 N MonroeSpokane509-326-2291 [email protected]

JEFFREY REGELIN, DDS902 West 14thSpokanewww.regelindmd.com509-838-4137 [email protected]

ROBERT R SHAW, DDS2700 S Southeast Blvd, Suite 101Spokane509-747-8779

SLEEP DENTISTRY OF SPOKANE3143 E 29th AveSpokane509-536-5900www.sleepdentistryspokane.com

SPOKANE ORAL & MAXILLOFACIAL SURGERY602 N Calgary Ct., #202Post Falls 208-667-8282 www.spokaneomfs.com

WASHINGTON DENTAL SERVICE FOUNDATIONP.O. Box 75688 Seattle206-528-2337 [email protected]

Denture ClinicsPRECISION DENTURE CLINIC1720 N. Ash St.Spokane509-328-5300www.precision-dentureclinic.com

Disk and SpineDISK AND SPINE NORTHWEST 1341 N Northwood Center Ct. Ste B.Coeur d’Alene208-215-3261 www.diskandspinenorthwest.com

Ear, Nose & Throat

SPOKANE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS1424 N McDonald, Suite 101Spokane 509-928-7272

Education

COMMUNITY COLLEGE SPOKANE ACT 22917 W. Fort George Wright Dr., Spokane509-279-6027 www.iel.spokane.edu/LNB/[email protected]

EndocrinologyENDOCRINE ASSOCIATES OF SPOKANE910 W 5th Ave #570Spokane,509-777-5000

Family MedicineRICHARD H BALE, M.D.404 W 15th AveSpokane509-838-8538

COLUMBIA MEDICAL CENTER1003 E Trent Ave., #150Spokanewww.columbiamedicalassociates.com509-838-4491

FAMILY MEDICINEFAMILY MEDICINELIBERTY LAKELIBERTY LAKE23801 E. ApplewayLiberty Lake [email protected]

Fitness/WellnessDESIGNER FITNESS LLCSpokane509-230-1100 designerfi tnessnw.comsandra@designerfi tnessnw.com

SANDPOINT WEST ATHLETIC CLUB1905 Pine St.Sandpoint208-263-6633 [email protected]

SPOKANE RACQUET CLUB1903 S. Dearborn St. 509-535-1239 [email protected]

WHITWORTH AQUATICS300 W. Hawthorne Rd.www.whitworth.edu/aquatics-center509-777-4246

FloristRIVERPARK FLOWERS & GIFTS8605 E Trent AvenueSpokane Valleywww.riverparkfl owersandgifts.com509-928-0950

Furniture

WALKERS FURNITURESee Website for locations near youwww.walkersfurniture.com

Hearing AidsHUSTON HEARING6 West Joseph Ave509-483-1221Fax - 509-483-0105www.hustonhearing.com [email protected]

Home Health Care

ABILIA HEALTHCARE3704 N. Nevada www.AbiliaHC.com509-228-3646 for appointment

ALL VALLEY HOME CARE1312 N. Monroe509-448-7400 [email protected]

PANHANDLE HEALTH DISTRICT – HOME HEALTH DIVISION8500 N Atlas RdHayden208-415-5160 www.phd1.idaho.gov


http://www.spokanecosmeticdentistry.com


http://www.regelindmd.com


http://www.sleepdentistryspokane.com

http://www.spokaneomfs.com

http://www.KidsOralHealth.org


http://www.precision-dentureclinic.com

http://www.diskandspinenorthwest.com

http://www.iel.spokane.edu/LNB/ACT2


http://www.columbiamedicalassociates.com


http://www.SandpointWest.com


http://www.spokaneracquetclub.com




http://www.whitworth.edu/aquatics-center509-777-4246



http://www.riverparkfl

http://www.walkersfurniture.com

http://www.hustonhearing.com


http://www.AbiliaHC.com

http://www.vidaseniorresource.com

http://www.phd1.idaho.gov


Hospice Care

HOSPICE OF SPOKANE121 S Arthur St Spokanehospiceofspokane.org509-456-0438

Hospitals

Deaconess Medical Center800 W 5th AveSpokane509-473-5800www.deaconess-spokane.org

Valley Hospital and Medical Center12606 E Mission Ave Spokane Valley509-924-6650www.valleyhospital.org

Rockwood Clinic400 E 5th AveSpokane509-838-2531www.rockwoodclinic.com

HypnosisDR. JANE HELLEClinical HypnotherapistSpokane509-993-5811

Medical Supply

PEAKS & PLAINS MEDICAL, INC.6326 E. Trent Ave. Ste ASpokane Valley1-800-585-4201 www.peaks-plains.com

NaturopathCOEUR D’ALENE HEALING ARTS520 E. Coeur d’Alene Ave, #100Coeur d’Alene208-664-1644 www.cdahealingarts.com

INTEGRATIVE MEDICINE ASSOC3424 S. Grand BlvdSpokane509-838-5800

OB/GYN

OB/GYN ASSOCIATES OF SPOKANE601 W 5th Ave #301 Spokane 509-455-8866www.obgynspokane.com

Occupational MedicineKOOTENAI OCCUPATIONAL MEDICINE700 Ironwood Dr. Suite 202 Coeur d’Alene208-292-2959 [email protected]

Organic & Hydro-ponic SupplySPOKANE ORGANIC & HYDROPONIC SUPPLY Valley - 509-534-4055North - 509-468-4800 [email protected]

Orthodontics/Periodontics/Implants

DAMON ORTHODONTICSSouth HIll - 509-448-2600www.damon-orthodontics.comNorth - 509-484-8000www.damonanddamon.comValley - 509-924-9860www.damon-smiles.com

ELLINGSEN-PAXTON-JOHNSON ORTHODONTICS12109 E. Broadway Ave. Bldg. BSpokane Valley2020 E. 29thSpokane509-926-0570 [email protected]

Pharmacy

INTERLAKE PHARMACY700 Ironwood Drive Coeur d’Alenewww.interlakepharmacy.net208-664-6664

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

Physical TherapyADVANCE PHYSICAL THERAPY1905 W Pine St.Sandpoint208-263-7998

APEX PHYSICAL THERAPY, PLLCSpokane 509-465-1749 Cheney 509-559-5038Airway Heights 509-244-9968www.apexpt.com

B&B PHYSICAL THERAPY6415 North Monroe StreetSpokane509-327-4867 [email protected]

LAKEWOOD PHYSICAL THERAPY1401 N. Lincoln Way Coeur d’Alene208-676-1424 [email protected]

MOMENTUM PHYSICAL THERAPY4305 E. Trent Ave, #100Spokane509-535-6050 www.momentumindustrialrehab.com

PHYSICAL THERAPYASSOCIATES2507 E. 27th Ave. Spokane509-456-6917 www.ptassociates.net


http://www.deaconess-spokane.org

http://www.valleyhospital.org

http://www.rockwoodclinic.com

http://www.peaks-plains.com

http://www.cdahealingarts.com

http://www.obgynspokane.com

http://www.kootenaioccmed.net




http://www.damonanddamon.com

http://www.damon-smiles.com

http://www.epjortho.com


http://www.interlakepharmacy.net

http://www.medicineshoppe.com

http://www.apexpt.com

http://www.bbptspokane.com


http://www.lakewoodphysicaltherapy.org


http://www.momentumindustrialrehab.com

http://www.ptassociates.net


Podiatry/Shoes

COEUR D’ALENE FOOT & ANKLE101 W. Ironwood Drive, Suite 131Coeur d’Alene208-666-0605 [email protected]

SOLE SOLUTIONS15319 E Indiana Ave # 3Spokane Valley 509-252-0633 [email protected]

Senior Housing

COURTLAND PLACE1309 N. Evergreen Rd.Spokane Valley 509-928-9197 [email protected]

WILLOW GROVE1620 E Mead St Spokane509-795-5606 www.willowgrovehome.com

GOOD SAMARITAN SOCIETY SPOKANE VALLEY17121 E. 8th Ave.Spokane Valley509-924-6161 [email protected]

HARVARD PARK HARVARD PARK RETIREMENT1616 E 30th AvenueSpokane509-747-2703 [email protected]

TOUCHMARK ON THE SOUTH HILL2929 S. Waterford Dr.Spokane509-536-2929 [email protected]

Senior Services / Elder Care

AGING AND LONG TERM CARE OF EASTERN WASHINGTON1222 N. Post, Spokane509-458-2509 [email protected]

ELDER SERVICESA Dept of Behavioral Health5125 N MarketSpokane509-458-7450 www.smhca.org/elder

Spas

COEUR D’ALENECASINO SPA855-232-2772 www.cdacasino.com/spa

GREEN SALON & DAY SPA227 West Riverside Ste ASpokane 509-868-0538 www.greensalonanddayspa.com

PURE SKIN SPALiz Horgan, LMP; 509-220-1510Tracy Langford, ESTI; 509-844-4376216 W. Pacifi c, Spokane [email protected]

Sporting GoodsTRI-STATE OUTFITTERS6275 Sunshine StreetCoeur d’Alene208-772-0613 [email protected]

Therapeutic-Retail

HEADACHE HAMMOCK3735 Selkirk RdSandpoint208-265-5758

TravelEDWARDS LALONE TRAVEL502 W. Riverside Ave, Suite 203Spokane 509-747-3000/800-288-3788 www.edwardslalonetravel.com

Urgent Care-MedicalKOOTENAI URGENT CARE700 Ironwood Dr. Suite 170 E Coeur d’Alene208-667-9110 [email protected]

Vision CareEMPIRE EYE PHYSICIANS1414 N. Houk Rd., Ste. 103Spokane Valley509-928-8040 www.empireeye.com

LAKESIDE EYE CARE 312 N. 4th St. Coeur d’[email protected]

LITTLE MO’S OPTICAL1720 Lincoln WayCoeur d’Alene208-664-4011

Weight Loss

CONSCIOUS CHOICE WELLNESS COACHING509-953-9097consciouschoicewellness@gmail.com208-664-4011

This business directory is a sampling of Spokane and North Idaho health and wellness resources. To be included in a

future issue, please call 509.459.5272.


http://www.cdafootankle.com


http://www.sole-solutions.com


http://www.courtlandplacespokane.com


http://www.willowgrovehome.com

http://www.good-sam.com


http://www.harvard-park.com


http://www.touchmarkspokane.com


http://www.altcew.org


http://www.smhca.org/elder

http://www.cdacasino.com/spa

http://www.greensalonanddayspa.com

http://www.pure-skin-spa.com


http://www.t-state.com


http://www.edwardslalonetravel.com

http://www.kootenaiurgentcare.com


http://www.empireeye.com




EVENTS CALENDARseptember

2-30 “Soup for the Soul,” Participating Spokane area restaurants will sell soup and offer proceeds to Arts in Healing, a program at Providence Sacred Heart Medical Center & Children’s Hospital.

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

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

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

11-12 18-19 25-26 Haunted Zombie Hike, Riverside State Park Equestrian Area. Get some fi tness while being scared. $5 adults, 3 and under free. (509) 465-5064 or Spokaneparks.org.

19 The Pumpkin Ball, 5:30 p.m. Spokane Convention Center, annual fund-raiser benefi ts medical programs, and 2013 recipient is the Sacred Heart Children’s Hospital and Vanessa Behan Crisis Nursery. $150 per person http://thepumpkinball.org.

24 “Embracing Hope: Explore the Spiritual

Impact with Chronic Mental Illness,” 7 p.m. St. Joseph’s Family Center. Marian Beaumier, LICSW, will facilitate presentation about spirituality and mental illness. Suggested donation $10. (509) 483-6495.

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

26 Day hiking slideshow with Craig

Romano, 7 p.m. REI, free. Local author will share info about a diverse array of trails through the region. (509) 328-9900 or www.rei.com/spokane.

27 Stop Violence Against Women Day and

Women’s Resource Fair, 11:30 a.m.-8 p.m. Coeur d’Alene Casino, Worley. Speakers and activities will focus on domestic violence and prevention efforts, including spotlighting local resources. $75. (509) 928-9664 or (208) 686-0601.

Caring for Kids Luncheon, 11:30 a.m.-1 p.m. DoubleTree Hotel, Spokane. Proceeds benefi t Morning Star Boys’ Ranch and St. Anne’s Family Children and Family Center. Features Gonzaga Coach Kelly Graves. $100. (509) 358-4254.

28 “Simplify Life, Magnify Life: Bike Riding

as a Contemplative Practice,” 10 a.m.-3 p.m.St. Joseph Family Center, Spokane. Sr. Patricia Novak, OSF, will facilitate retreat day that includes prayer, refl ection and bike riding. Registration required by Sept. 23. $25. (509) 483-6495 or www.sjfconline.org/simplify_life_magnify_living.html.

National Public Lands Day. Visit any Washington State Park for free. Free access days also take place Oct. 9-11. www.parks.wa.gov.

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

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

october


http://www.spokesman.com/health/calendar

http://www.sidsrun.eventbrite.com

http://www.sidsrun.eventbrite.com

http://thepumpkinball.org

http://www.rei.com/spokane

http://www.sjfconline.org/simplify_life_magnify_living.html

http://www.parks.wa.gov

http://www.parks.wa.gov

http://www.SCRAPShopefoundation.org

http://www.SCRAPShopefoundation.org


ARE YOU CARING FORA LOVED ONE?

Are you caring for a spouse or other adult,raising a grandchild, niece, nephew, sibling, cousin, or other relative child?

FOR INFORMATION & SUPPORTCall

ELDER SERVICES(509) 458-4750

AGING & LONG TERM CAREOF EASTERN WASHINGTON

Funded by Aging and Long Term Care of Eastern Washington


Health care and health coverage working together.

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

To get started, visit ghc.org/onegoal.

© 2013 Group Health Cooperative

Livewell, september 22, 2013 indd

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Transcript of Livewell, september 22, 2013 indd