fall 2011 health & wellness guide

fall 2011

a guide to healthy living in the Helena area

Want Better Health?

Get Up & Move! page 24

Preventing Chronic Disease ThroughHealthy Living page 5

HEALTH HEALTH wellness&

what is Intramuscular Manual Therapy (IMT)? page 10

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HEALTH & wellness2 Sunday, October 30, 2011

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HEALTH & wellness Sunday, October 30, 2011 3

457-4180 www.stpetes.org

Andrew Gilbert, M.D.Saint Peter’s Medical

Group Broadway

��Saint Peter’s Medical Group

Broadway

Kiley Kirksey, M.D.Saint Peter’s Medical

Group North

Cathy Lay, M.D.Saint Peter’s Medical

Group North

Plus two Urgent Care locations: Main Hospital North Clinic2475 Broadway 3330 Ptarmigan Ln.In the E.R. Entrance Behind Bob WardsOpen Daily: Mon-Fri: 8 am-6 pm��

Pediatrician Venus Villalva, M.D., joins Partners in Pediatrics on November 1

BH-20178477

Need a Doctor? Four new family physicians now available

St. Peter's MedicalGroup North

St. Peter's MedicalGroup North

St. Peter's MedicalGroup Broadway

St. Peter's MedicalGroup Broadway


3150 North Montana, Suite C • Helena • 449-5100

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CONTENTS

Preventing Chronic Disease Through Healthy Living .......5

New Hope for Patients with Spinal Fractures ..................7

How a Physician Assistant Can Work for You ..................9

Intramuscular Manual Therapy.....................................10

10 Weight Loss Tips ......................................................12

Carrot Raisin Muffin Recipe..........................................13

Recovery Home Providers ..............................................14

Addressing Common Concerns of Aging .......................17

Help for Sleep Disorders ...............................................18

Annual Diabetes Education Event.................................19

Hospice of St. Pete's .....................................................21

Techniques of Breathing Easier ....................................23

Get Up & Move! ............................................................24

MT Clean Indoor Air Act–A Public Success ...................25

Anti-Aging Secret .........................................................26

Physical Therapy Month ................................................28

health & wellness guide is published four times a year by the Independent Record317 Cruse Avenue, Helena, MT 59601 | 406-447-4003

Cover photo of John & Jenny Iverson with daughter Stella by Eliza Wiley.


More than one-third of American adults—over 60 million people—are obese. And obesity rates for young people have more than tripled. In

Montana, 61.7 percent of adults are overweight or obese. (CDC Behavior Risk Factor Surveillance System, 2008) and 22.3 percent of Montana high school students are overweight or at risk of becoming overweight. (CDC Youth Risk Behavior Surveillance System, 2009).

In communities across the country, the Y is a leading voice on healthy living. The Y brings families together, encourages good health and fosters connections through fitness, sports, fun and shared interests. As a result, millions of youth, adults and families receive the support and resources they need to achieve greater health and well-being.

In Helena, the Y is on the forefront of preventing chronic disease through our collaboration with the City of Helena on the ACHIEVE project and our own healthy living initiative. Additionally, the YMCA is the only facility of its kind in Helena to offer financial assistance to individuals and families seeking to improve their health and well-being. Programs like this help Ys find and help the people most in need in our community.

As a nation, we know that our own choices and behaviors—including physical inactivity and unhealthy eating—have contributed to rising rates of chronic disease and obesity. We also know that healthier communities are stronger communities, and Ys are working to ensure that all of the places where people live, work, learn and play support healthy lifestyles.

The Y has been listening and responding to Helena’s most critical needs for over 120 years. Whether welcoming and connecting diverse populations or preventing chronic disease and building healthier communities, the Y gives all people the care they need and the respect they deserve.

The Y offers these reminders to help you stay healthy and maintain your weight.

n Shrink Your PlateS! Control Your PortionSStudies have shown that using smaller plates can be an effective strategy for reducing the amount of food that your family eats. Our tendency when we serve food is to fill the plate, which often leads to larger portion sizes than we actually need. Consider serving your meals on the salad plates in your family cupboard instead of the larger entrée plates. When and if anyone wants seconds, it’s a better idea to be prepared to provide additional servings of fruits and vegetables instead of the typically more calorie rich entrée.

n CheCk the label–all FatS are not Created equal For children ages 5 to 12, nearly a third of the daily calories in the healthy foods we provide should come from fat. Fat is an essential part of growing and being healthy, and the NUTRITION FACTS label can help you steer clear of the fats that are not particularly healthy. Trans fat is one type of fat found in processed foods that you should avoid entirely. Saturated fat is a second type of problem fat that you can easily eat too much of if you are not careful. Low-fat dairy products, avocados, no-sugar added peanut butter or almond butter, and modest amounts of foods prepared in olive, canola or peanut oil are healthy options for kids to get the fat they need.

nh2o iS the WaY to GoOne of the simplest and most important things you can do for your health is to drink water. The human body is made up mostly of water (about 60 percent), and it relies on water to help perform every function. This means your body uses lots of water and needs you to replace it continuously. Make water your first choice every time, especially during warmer seasons and after vigorous physical activity. A good guide for most people is to try and drink 8 glasses of water each day.

n aiM For Five everY daYYour local farmers’ market or the produce aisle in your grocery store is full of interesting shapes, textures and colors inviting youthful exploration. It is also full of flavors, but you’ll have to take some of them home and try them to experience that for yourself. Make trying new things fun by building a “real foods” adventure into your trips to the market or the produce section. Bring some new fruits or vegetables home and try them raw or cooked in a variety of ways. Involve the kids in the process and watch their willingness to try new things grow and flourish. n

Right now, our country faces an epidemic of obesity and related chronic disease, fueled by years of unhealthy eating and declining physical activity.

By David SmithCEO, Helena Family YMCA

preventing chronic disease through

Healthy Living


Dr. Eugen Dolan

BH-20178395


ask the patientNew Hope for Patients with

Spinal Fractures

Elizabeth Pottinger was gardening in her backyard when one stroke of a tool to hard soil sent a sharp pain through her back and rendered her nearly

immobile. Osteoporosis had caused her bones to become so weak and brittle that everyday activities, such as gardening, became more difficult than usual. Elizabeth’s pain, she later discovered, was caused by a fracture in her spine, also known as a vertebral compression fracture (VCF).

“The pain was so bad, I couldn’t do anything,” Elizabeth said. “I couldn’t get out of bed. It was awful.”

inCreaSed riSkS For vCFSElizabeth isn’t the only one at risk for spinal fractures. A recent report issued by the Surgeon General noted that by 2020, one in two Americans over age 50 will be at risk for fractures from osteoporosis and low bone mass. The National Osteoporosis Foundation estimates that 700,000 vertebral compression fractures - more fractures than in the hip and wrist combined - occur annually due to osteoporosis in the U.S. Alarmingly, an estimated two-thirds of all spinal fractures go undiagnosed or untreated due to the absence of symptoms or difficulty determining the cause of symptoms, leading some to call osteoporosis a "silent disease."

Traditional treatments for patients with spinal fractures include bed rest, medication and back bracing. While these therapies may help to decrease a patient's pain over time, they do not treat the deformity related to osteoporotic fractures. If left untreated, one fracture can lead to others, which may create a curvature of the spine called “kyphosis,” sometimes referred to as a “dowager’s hump.” Over time, this curvature becomes more pronounced, painful and debilitating.

there’S hoPeOnce diagnosed with a spinal fracture, Elizabeth asked her physician about a procedure called Balloon Kyphoplasty that she learned about from a presentation at her senior center. Balloon Kyphoplasty is a minimally invasive procedure designed to treat spinal fractures. It can be performed under local or general anesthesia and typically takes about one hour to treat each fracture. In some cases, it may require an overnight hospital stay. To date, over 500,000 patients and 675,000 spinal fractures have been treated worldwide with Balloon Kyphoplasty.

Balloon Kyphoplasty can restore vertebral body height, significantly reduce back pain, and increase mobility--often shortly after the procedure. In addition to reducing pain, patients experience an increased ability to return to simple, everyday activities such as walking, reaching, bending and lifting. Patients also report improved and sustained mental health, vitality, social function and emotional health.

Elizabeth’s doctor realized how important this treatment option was for her. “Elizabeth’s osteoporosis caused small fractures in her spine, making her a prime candidate for Balloon Kyphoplasty,” said Dr. Michael Russell, an orthopedic surgeon in Tyler, Texas. “With proper diagnosis and treatment, spinal fracture sufferers can significantly improve their ability to perform normal activities of daily living and enjoy an overall improvement in their quality of life.”

“I feel absolutely wonderful,” Elizabeth said.

It is important to determine the underlying cause of back pain. Whereas there are many causes of back pain, a complete physical exam, x-rays, and MRI will help determine whether or not a spinal fracture is present. Be sure to consult a doctor for a discussion of the risks. n

For more information about balloon kyphoplasty or to locate a physician near you, please visit www.kyphon.com.

By Medtronic

“My pain was relieved almost immediately after the procedure,” said Elizabeth. “After 45 minutes, I could stand up straight and walk out of the hospital pain-free.”


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Over 40 years ago there was a proposal made within the medical field that would forever change the realm of healthcare and it’s providers. Back in 1965

Eugene A. Stead established the first physician assistant (PA) program at Duke University, initially developed for former Navy medical corpsman. The position was established purely as a “physician’s assistant” that could help physicians with technical procedures but also develop a degree of medical responsibility themselves. Since that time the term has matured into more than an assistant but into a mid-level provider that has improved the quality of patient-centered healthcare.

Today there are 149 accredited PA programs and over 74,000 NCCPA certified PAs throughout the nation. All PA programs are required to follow the same family practice approach to medicine in order to give each student a well rounded foundation. The first 12-14 months is referred to as the didactic year where students spend long hours in the classroom learning everything from epidemiology of medicine and public health

issues to clinical assessment courses that give them real life vignettes of current medical cases. Each student is put through vigorous practical and written exams for the first year before they are able to enter into their clinical year. This clinical year is also about 12-13 months and consists of about 8 rotations each of which cover a different specialty. Students are set up with physicians, certified PAs or nurse practitioners who specialize in family practice, obstetrics, emergency medicine, pediatrics, Internal medicine, behavioral medicine, general surgery and then a speciality of their choice. Having a basic knowledge in every field serves as a major benefit for PAs. When they graduate and are nationally certified they can choose the specialty of their liking. Although PAs are trained to veer towards a general practice they have the skill and knowledge

to learn the additional requirements needed in any specialty such as orthopaedics or cardiothoracic surgery.

As mid-level providers, PAs can diagnose and treat just as physicians do under the supervision of a medical doctor. The foundation of PAs education is designed around quality and individual patient care. A PA prides themselves on spending quality time with their patients and not just getting to know the patient’s ailments but more importantly building a relationship getting to know the person. Physician assistants work closely with physicians as a team and also have a certain

level of autonomy that allow them to develop themselves as practitioners.

Whether you see them in the operating room, the hospital floors or in the clinic, PAs are finding their place amongst all aspects of healthcare. Their patient oriented attitudes and broad knowledge base are making them a popular commodity within the medical community. As a PA our goal is to serve the community and provide the best possible care we can give. More importantly, the goal of a PA is to become a trusted healthcare provider that demonstrates our true compassion for each and every patient we see, building our relationships with the community we serve. n

By Lindsey N. Lyman, PA-C and Lena C. Phelps, PA-CHelena Orthopaedic-Prompt Care

How a Physician Assistant

can work for you

Specializing in musculoskeletal

care for those injured at work,

sport or play.

Phillip M. Steele, MD Lindsey N. Lyman, PA-C2442 Winne Ave #2 Helena

457-4105

Helena Orthopaedic Prompt Care

• Quality walk in care for aches, pains and strains

• Scheduled appointmentsDigital xray services on premises

• Diagnostic musculoskeletal ultrasound

• Fast track orthopaedic surgical referral if necessary

helenaorthoprompt.com

HelenaOrthopaedicPrompt Care

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Physician assistants have made a huge impact on the healthcare model, specifically for smaller, rural communities such as Helena, MT. Also, physician assistants are helping fill the gap with our current and expected shortage of primary care physicians in our nation.


BH-20178367

Advanced RehabPhysical Therapy & Pilates Clinic

Sandra Marston,Fellow in Training

Helena’s Manual Therapist with Advanced Certifi cation in

Trigger Point Dry Needling

www.advancedptclinic.com495-8995

417 N. Benton Avenue, Helena

Sa d a Ma t

Specializing in:

Traumatic injuries from auto/work related in-cidents, neck and back injuries, chronic pain and more.

When you have been somewhere else with no results...Remember “Education Matters!”

Intramuscular Manual Therapy (IMT/TDN) is an evidence based treatment performed by physical therapists that have been trained and proficiency tested in manual therapy and dry needling. The body may develop tight muscle knots or bands called trigger points in response to trauma, repetitive motion, psychological and emotional stress, and more. If there is a neurological cause for the trigger points such as disc dysfunction, compression of circulation and/or nerves such as carpal tunnel, metabolic disorders such as diabetes, or even biomechanical strain from posture, the muscles may remain tight. Muscles make joints move, so if only some muscles around a joint are overly tight while others are not, there becomes an imbalance of forces tugging on the joint which can then cause the joint to wear out unevenly; much like when the wheels of your car are out of alignment; the car gets pulled to one side thereby wearing out the tires unevenly.

IMT/Dry needling involves putting a solid, non-injectable needle into the trigger points thereby releasing the trigger points. Movement becomes easier, pain is reduced, and the forces around the joint become balanced. Research is finding that this release is often permanent, unless there is continued stress and trauma to the area. Physical therapists then follow up with strengthening, stabilization, and mobilization to help ensure the issue that CAUSED the trigger point is alleviated. Other tissue such as tendons, ligaments, and scar tissue may benefit from IMT/TDN. Research supports that IMT/TDN decreases muscle tension, aids in pain control, and helps the muscles, tendons, and ligaments recover faster.

Patients often ask the question, “Is this the same as acupuncture”? The answer is NO! Acupuncture is a system of Traditional Chinese Medicine and current Oriental Medicine and its practices for evaluation and treatment are quite different from that of the physical therapist. Physical therapy is based in Western medicine and is focused on determining if nerves, muscles, ligaments, and joints are working correctly and in concert with one another so the patient can move without pain and limitation. While both professions insert needles, the intention, techniques, areas chosen to needle, and expected outcomes are not the same.

Patients may benefit from both IMT/TDN AND acupuncture as the areas needled for the same condition may be completely different. Both techniques have been proven in peer reviewed medical journals to benefit medical conditions. Helena is blessed to have so many excellent professionals with many ways to help you heal. IMT/TDN is another great option with a sound research backing. n

what is Intramuscular Manual Therapy (IMT)?(AKA Trigger Point Dry Needling (TDN)By Sandra Marston, (abd) DScPT, COMT, IMT, CPI, Fellow in Training

The body may develop tight muscle knots or bands called trigger points in response to trauma, repetitive motion, psychological and emotional stress, and more.


BH-20178394

All providers accepting

new patients

Dr. FritzDr. Keefe

Dr. ReynoldsDr. Palcisko

Dr. Augustine

8394

1122 N Montana Ave 449-5563 www.helenapediatricclinic.comHOURS: Mon.-Fri. 8am-6pm Sat. 8am-12pm

You have a choice of quality Medicare certified

Home Health & Hospice services.

BozemanFrontier Home Health

406-586-0022

ButteFrontier Home Health

406-723-8933

KalispellFrontier Hospice

406-755-4923

in Helena406-443-4140 • 800 Front Street

also in…

BH-20178444

i H l

Sandra Marston works with a patient. Photo by Eliza Wiley


1. Have COMMITMENT to your program.

2. See your diet as an INVESTMENT in yourself.

3. Keep your diet efforts CONSISTENT.

4. Have CONFIDENCE in your will to be thinner.

5. Be patient. RESULTS take time.

6. See weight loss as a result of medical TREATMENT.

7. Remember that results follow EFFORTS.

8. Make diet CHOICES convenient for yourself.

9. Allow yourself to take PLEASURE in small weight losses.

10. Use the comparison of the old you to the new you, so that you can APPRECIATE your progress.

By Linda Winfield RNCNP-WHNP, Medical Weight Management, Inc.10

weight loss tips:

keys to SuCCeSS in weight management: Readiness, Motivation,

Expectations, Commitment, Problem Solving and Small Changes.

Receptivity to change is the first step.

REMEMBER: The scale tells you how much you’ve lost.

Only you know what's been gained!

(Courtesy of the American Society of Bariatric Physicians)

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Breast reductionBreast lift

Dr. Debra Kontny, Oncoplastic SurgeonDr. Kontny is board certifi ed by the American Board of Surgery and is a

member of the American Society of Breast Surgeons. She is the leader in the Helena

community with regard to advancedBreast Care.

http://mountainsurgicalarts.com

3130 Saddle Dr. Suite 2, Helena

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The applesauce is used in place of the traditional oil.

Ingredients:2 cups unbleached white flour1 cup whole wheat pastry flour1 teaspoon baking soda1 teaspoon baking powder1/4 teaspoon salt1 cup sugar1 teaspoon cinnamon1/2 cup raisins1 egg, whole1 teaspoon vanilla extract1 cup soy milk1/2 cup applesauce2 cups grated carrots1 egg white

Serves: 8Cooking Time: 30 minutes - one hour

Instructions:Preheat oven to 350. In a large mixing bowl, combine the dry ingredients. Add raisins. Make a well in the center. In a separate bowl, lightly beat egg and egg white, or Egg Replacer. Stir in vanilla, milk and applesauce. Fold in carrots. Add wet ingredients to dry ingredients; stir just until well blended. Pour batter into papered muffin cups.

Bake 25-30 minutes, or until toothpick comes out clean.

Low FatCarrot Raisin Muffins

Clip and Save

Recipe from Real Food Market & Deli • www.realfoodstore.com


Recovery Homes are a middle ground for people with serious and disabling mental illnesses like schizophrenia, bipolar disorder, major depression

or post-traumatic stress disorder to name a few. Recovery Home providers help them transition from institutions or incarceration to living on their own.

Karrie Bird coordinates the local Recovery Homes says the program is so important because “it gives you the ability to have your freedom, to come and go as you please along with rules that go along with the house and still lead a fairly normal life, but have structure of making sure you get meds on time and your meals” Clients held a contest to rename the program because the former name Adult Foster Care implied helplessness instead of recovery.

Providers are licensed and paid through a contract with the state. The state provides a thorough step by step guide and inspections. Training is provided by the Center for Mental Health through shadowing a current provider. The whole process to become a provider takes 2 to 4 months. In addition to a provider offering support and care, clients are assigned a case manager.

Paul Wear is a Recovery Home provider. His previous experience in the mental health field helped expedite his training process and made him feel very comfortable and prepared to take on this

job. He speaks highly of the shadowing process saying “you'll see a person who's trained that's already doing it and get a good synopsis of what it all involves”.

Many people with chronic mental illness do not have family support. That's why Recovery Homes are so special, they provide a surrogate family. Wear says, “I just like being able to help somebody realize a little more of their own potential”. He explains, “it gives them an opportunity to be an equal person in the community”.

Experience with mental illness is preferred, but not required. The majority of clients entering the program are coming out of Montana State Hospital and need some intensive services. Providers monitor medications, attend all medical, dental, and psychiatric appointments. Providers are on-call 24 hours per day. They teach daily living skills such as cleaning, cooking, hygiene, social skills, and become mediators between clients. They attend all treatment team meetings and follow the

recommendations on the treatment plan to assist the client to gain more independence. It is not an easy job, but a job that will make a very important difference in someone's life, including the provider's. n

to learn more about the recovery homes program in the helena area contact karrie bird at 443-7151.

Recovery Home Providers Needed to Help the People with Serious Mental Illness

By Rick Henson, Center for Mental Health Southern Services Director

live a better life

pCompassionate?

pSupportive?

pEmpty nest?

pLike the idea of helping others develop

life skills?

Consider working at home as a

Recovery Home provider.

More Recovery Home Providers Needed(formerly known as Adult Foster Care)

Call a coordinator nearest you.More info:

n Colleen Kuhn 761-2104 (Great Falls)

n Suzanne Berger 265-9639 (Havre)

n Karrie Bird 443-7151 (Helena)


900 N Jackson • Helena • 406.443.7151

Empty Nesters Needed

Recovery Home providers needed

(Formerly Adult Foster Care)work at home & change a person’s life

Call 443.7151 for info

center4mh.org

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n iSolation: Many seniors have spent a considerable portion of their lives in the company of others, whether in the workplace or raising a family. Upon reaching retirement age, and with children leaving the house, the opportunities for socialization often decrease.

ndiet: Many seniors prefer not to cook when preparing food just for themselves while others may be limited physically. Poor eating habits and malnutrition can lead to a myriad of other health problems.

ndrivinG: It can be a significant challenge when seniors can no longer safely operate a vehicle and are forced to surrender their keys. This often signals the end of their independence and adds stress to primary care givers, who must take on the role of chauffer.

n SaFetY: Most homes are not designed to meet the needs of seniors and living independently can be a detriment, leading to increased falls and hospital visits. Basic home maintenance and routine chores may also be taxing.

Fortunately, there are more senior living options available today than ever before. Families and seniors are no longer resigned to facing these obstacles on

their own or making a premature move to a nursing home or assisted-living community.

Seniors capable of living independently now have the option of independent retirement living communities. Pioneered by Holiday Retirement in 1971, independent retirement living communities provide a more carefree lifestyle in the safety of a larger community.

Hunter’s Pointe, located at 2801 Colonial Drive, has helped many seniors and families address the burdens of aging.

The community, which features 115 private apartments, provides three nutritious chef-prepared meals daily served in a restaurant-style dining room that promotes socialization among residents. Enriching, daily activities also help keep residents mentally and physically engaged.

For those no longer able to drive, or simply wishing not to, Hunter’s Pointe provides complimentary shuttle service to scheduled appointments, to errands and on community outings.

Housekeeping and linen service is also provided and residents avoid strenuous and expensive home maintenance tasks while enjoying a community with a senior-friendly design. Those

who require additional support are welcome to acquire outside home health care services*.

Another unique aspect of Hunters Pointe is the safety of live-in managers available 24/7. These compassionate managers get to know residents on a personal level and provide invaluable security by monitoring the emergency call systems that are located in each apartment.

In case of emergency, residents can pull the cord and a member of the management team will arrive within minutes, alerting emergency personnel if necessary. Managers are often described as “part best friends, part guardian angels.”

Hunters Pointe has helped many seniors overcome the worries of aging by providing a carefree independent lifestyle. Tours are available daily by calling 406-443-4222. More information is available at www.hunters-pointe.com. n

*Hunters Pointe is not affiliated with any home health care provider.

Hunters PointeI n d e p e n d e n t R e t i r e m e n t L i v i n g

2801 Colonial Drive, Helena, MT 59601406-443-4222 | hunters-pointe.com

Retirement living... the way it should be!

All-inclusive, month-to-month rent

Around-the-clock live-in managers

Three chef-prepared meals daily

Life enriching programs & activities

Pets warmly welcomed

Exclusive travel program

Complimentary shuttle service

So much more!

Discover all-inclusive and affordable independent retirement living at Hunters Pointe. Visit us today to take a tour and learn more! Welcome to Holiday. Welcome home.

©2011 H

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MA

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ME

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B, LLC

15149

BH

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784

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Addressingcommon concerns of aging Aging brings uncertainty for many seniors and their families. When physical capabilities diminish, healthy habits can often be difficult to maintain.

Common concerns include:

By Hunters Pointe

Sylvia is a resident at Hunters Pointe


help for sleep disorders

& Andrew M. Malany, MD, PC

Specializing in Obstetrics and Gynecology • Examination • Diagnosis • Prevention and Treatment of Women’s Health

45 Medical Park Dr.

442-1914www.obgynoffi ces.com

We Welcome New Patients of All AgesAndrew M. Malany MD, PCBoard Certifi ed

Jack W. McMahon, Jr., MDBoard Certifi ed

Lynne Bryant, CNPCertifi ed Nurse Practitioner

Susan Ditchey-Hellems, MSNCertifi ed Nurse-Midwife

Denise Smigaj, FNPFamily Nurse Practitioner

The Sleep Center of St. Peter’s Hospital has been serving the Helena Community since 1995 and provides diagnostic services for a wide range of

sleep disorders including Obstructive Sleep Apnea, Periodic Limb Movement Disorder, and Narcolepsy. The Center is accredited by the American Academy of Sleep Medicine and strives to give patients the best care and understanding a team can offer.

The facility uses state-of-the-art digital equipment for the collection of data used for diagnosis. At the Sleep Center, patients have a private room with a full size bed, an attached handicap accessible bathroom, and a television. Patients can relax by reading or watching favorite television programs. If a hospital bed or recliner is required to sleep in, a patient may call ahead of time and arrangements will be made.

Sleep disorders are medical conditions that can be very serious and need medical solutions. They can contribute to health problems like heartburn, high blood pressure, heart

attack and stroke. Some symptoms of sleep disorders may include: loud

snoring, gasping, apnea, morning headaches, high blood pressure or fluctuating blood pressures, drowsy driving, frequent kicking at night, aching or crawling sensations in legs, weak knees or a weak feeling when laughing or upset. Patients should discuss these symptoms with a physician.

Most health insurance plans cover the majority of the cost of sleep studies and the Sleep Center of St. Peter’s Hospital accepts assignment on most. Studies at the Sleep Center of St. Peter’s Hospital are very private and painless. If a patient prefers a tour of the Center prior to the study, that can be arranged. Many patients feel that this eases the stress of having the study. n

Call the SleeP Center oF St. Peter’S hoSPital at 447-2656 For More inForMation.

By Joe Boule, Polysomnographic TechnicianSt. Peter’s Sleep Center


Recharge your relationships

Improve your work environment

Change careers or up your game in your current career

Enhance your lifeLearn to operate from your true essence

Forever transformations start here!

Spring Meadow Life CoachingCarla Williams, MD, Life Coach

461-6621 [email protected]

People living with diabetes and those affected by the disease are invited to attend St. Peter’s Diabetes Dialogue free community health and

wellness event on Tuesday, Nov. 8, at St. Peter’s Hospital.

This year’s keynote speaker is Endrocrinologist Dr. Barry Cohan who will make a presentation at 6 p.m. covering the latest information and techniques for managing diabetes. From 4:30 to 6 p.m., there will be a health and wellness fair featuring free health screenings including body fat and blood pressure. Various booths from St. Peter’s and the community will have free diabetes educational information. Healthy refreshments will be offered. Diabetes is the sixth leading cause of death and in the United States, however, research shows that when managed properly, other serious health complications from diabetes can be prevented or delayed. diabeteS dialoGue iS SPonSored bY novonordiSk and MedtroniC. For More inForMation, viSit WWW.StPeteS.orG or Call 444-2116.

Diabetes Education Event is November 8

annual

BH-20178370BH-20178370

Richard P. Sargent, MD, PC820 North Montana Avenue | 443-7733

Offi ce hours Monday-Friday 8am-5pmSage Medical Clinic

Specializing in the Care of your Family

Seven Best Habits for Healthy Living#1. Get and Keep Tobacco Out of

Your Life - Gain 10-14 years#2. Always Buckle Your Seat Belt -

Gain 10 years#3. Exercise Regularly (5 Days Weekly) -

Gain 3 years#4. A Diet That Lowers Your

Cholesterol Level - Gain 2½ years

#5. Floss Your Teeth Every Day - Gain 1½ years#6. Limit Alcohol to 2 Drinks Daily

or Less #7. Take 1000 IU Vitamin D Daily

(More if you are Pregnant or Nursing)

BH-20178397


We’ll make your legs feel and look beautiful.

It’s easy to see who made the decision to visit us.

There’s no longer any reason to be uncomfortable with how your legs look andfeel. Call Dr. Michael Orcutt today and findout how easy it is for your legs to feel and look beautiful again.Michael B. Orcutt, MD, FACS, RVTFellow American College of SurgeonsMember American College of Phlebology

Great Falls Center: 406.727.8346Helena Center: 877.390.8346

www.cavc.com

Varicose and spider veins are not only painful, but unattractive as well. With the latest in safe and effective treatments, you don’t have to suffer any longer. Michael Orcutt, MD, an expert in vein therapy, offers the most advanced, painless and affordable office-based procedures that promote a rapid recovery time.

The expert care your legs deserve™

BH-20178442


www.rmssmontana.com

2831 Fort Missoula Road, Building 2, Suite 104Missoula, Montana 59804Phone: 406-728-0285 Fax: 406-728-0613

Timothy B. Richards, MD, FACS

Reclaim YourActive Lifestyle

Before After

Regional leader in comprehensive vein care.

Board certifi ed surgeon specializing in vein treatment.

Offering VenaCure™ Laser Treatment and RF-Radiofrequency (VNUS) Closure® for the treatment of varicose veins.

Also offering Microphlebectomies, Ultra Sound guided Sclerotherapy, Standard Sclerotherapy and treatment of facial veins.

Hospice of St. Peter’s was started by volunteers in the 1970s and is one of the first hospices in Montana. In 1985, when the legislature recognized hospice

as a Medicare benefit, Hospice of St. Peter’s hired staff and began operations as a not-for-profit department of St. Peter’s Hospital.

Hospice of St. Peter’s remains the only not-for-profit hospice in Helena and serves patients in Helena and all the surrounding communities. Hospice of St. Peter’s employs 18 staff consisting of Registered Nurses, Licensed Practical Nurses, Certified Hospice Aides, Social Workers, Bereavement Staff, a Chaplain, two Medical Directors and a Volunteer Coordinator who oversees 60 volunteers.

Hospice of St. Peter’s serves any patient who qualifies for hospice services; regardless of ability to pay or insurance

coverage. St. Peter’s Hospital Foundation raises funds for hospice patients to cover un-reimbursed care and other services such as travel expenses for families. Hospice provides all medication related to the terminal illness, as well as oxygen supplies, medical supplies and any necessary equipment needed as beds, wheelchairs, walkers, or LifeLine. n

A Hospice professional is available at any time to consult with patients and families about available services at 444-2244.

A hospice library with books, pamphlets and videos related to death and dying and bereavement is available for anyone who may need them at St. Peter’s Hospice office, 201 S. California.

hospiceServes Any Patient Who Needs AssistanceBy Sheila Cotter, R.N., St. Peter’s Hospice Director


50 S. Last Chance Gulch, in the Guardian BuildingCaring for Helena Since 1981

Acne • Botox® • Facials • Laser Hair Reduction • Rosacea • Restylane • Spider Veins

FREE Cosmetic Consultation324-7447

Clear healthy skin possible with

BROADBAND LIGHT®

SKIN TYTE™

for fi ne lines & wrinkles

Firm • Smooth • YouthfulBEAUTIFUL HEALTHY SKIN

Linda Burgess, LPNLaser Technician & Certifi ed Aesthetic Consultant

Karen Rowan, LPN Licensed Esthetician & Certifi ed Aesthetic Consultant

22 Years Combined Skin Care Experience

TOUCHMARK ON SADDLE DRIVE Saddle Drive Helena, MT

Touchmark.com116326 © 2011 Touchmark Living Centers, Inc., all rights reserved

It’s ALL right here! Independent Living Single-family homes Assisted Living

A new name ...with the same great residents,

staff, and ownership.(formerly Waterford on Saddle Drive)

FOR PEOPLE WITH HEARING LOSS

2626 Winne Ave Helena www.comphearing.com

Hearing technology is more discreet and fl exible than ever in improving communication.

Call Today to Schedule Your Complimentary Consultation and Demonstration with audiologist Dr. Hillary Carter266-7038

3660 North Montana Ave406-495-8600

Specialized Medical, Inc.

• WHEELCHAIRS (MANUAL AND POWER)

• POWER SCOOTERS • WALKERS

• VEHICLE LIFTS • LIFT CHAIRS

• STAIR LIFTS • HOSPITAL BEDS

• RAMPS • BATH REMODELS

• DURABLE MEDICAL EQUIPMENT

Specialized Medical Offers Personalized Professional Service in the Mobility and Accessibility Field for the

Entire State of Montana.

We are Fully Licensed, Certifi ed and Insured. You Can Be Sure Our Services Rank Top in the State!

Chris & John Nichols, Owners

BH-20178475


® ®

Breathe easy.Announcing the joining of 2 Great Names

&HomeOxygen 2-U

LINCARE - HomeOxygen 2-U responds to your individual needs by providing the oxygen system most appropriate for your lifestyle.Oxygen concentrators, liquid oxygen systems and home fi ll cylinders are provided according to your physician’s prescription and with consideration for your unique activity level.Our expert service representatives and clinical staff are always available when you need them.

For more information please call your local LINCARE-HomeOxygen 2-U Center

3330 Colton Dr. Suite B • Helena, MT(406)449-2253

BH-20178487

474 Highway 282 • Clancy • 406-933-8311

Respect Rebuild Restore

Elkhorn Healthcare & Rehabilitation, LLC, located in Clancy, Montana provides the following services: Nursing Home, Short Term Care: Rehabilitation, and Skilled Nursing Facility.

ElkhornHealth & Rehabilitation, LLC

We are all experts at breathing. Some of us, however, will develop shortness of breath, sometimes

due to exercise or exertion, and sometimes due to disease processes.

An important component of breathing air out is that the lung “rebound” after we take a breath. This is due to the elastic properties of the lung, and to the upward movement of the most important muscle in breathing: the diaphragm. In chronic obstructive lung disease (COPD), the lungs lose their elasticity and the diaphragm

no longer moves upward as rapidly as it should.

The end result of these losses is that the work of breathing increases due to the extra effort needed to get the air out of the lung during exhalation. For most of us, the diaphragm – located in the abdomen, is our most important breathing muscle. It does about 65% of the work during normal breathing. During times of exertion, we utilize the backup breathing muscles,

most of which are located in the upper chest and shoulder areas. People with COPD have a tendency to stop using the most efficient respiratory muscle – the diaphragm – and use the back-up muscles instead. These backup breathing muscles are inefficient when compared to the diaphragm.

The diaphragm is also an important muscle for coughing. Because it becomes flattened in COPD, it is no longer as effective as it should be for coughing up mucus, and breathing full complete breaths.

In order to help you overcome the shortness of breath and the difficulty in coughing up mucus you be experiencing, oxygen therapy and nebulizer medication treatments are a good way to minimize the effects of COPD. Please consult with your physician for relaxation techniques, walking and coughing exercises. n

All of us take breathing for granted for most of our lives. It is something we do 12-20 times a minute with little or no thought.

techniques for

breathing easierBy Scott Anderson, Sales RepresentativeLincare/Home-Ox


We all know that being physically active is good for our bodies and minds, and yet…

We are an increasingly sedentary population. As a result, the percentage of Americans who are obese has doubled in the past two decades.

Among children, rates have tripled.

Being overweight or obese, combined with a lack of physical activity, increases the risk of many chronic diseases, including diabetes, heart disease, some cancers and stroke. These diseases are costly both to our quality of life and to our pocketbooks. In the United States, health-care costs related to low levels of activity, overweight, and obesity have reached an estimated $117 billion.

In Lewis and Clark County, almost 60 percent of our adult population is obese or overweight.

Health experts agree that inactivity is one of the primary culprits. One out of five adults in Lewis and Clark County say that they are not physically active in their leisure time.

One reason for the rise in inactivity is that many communities are built to accommodate drivers, not walkers or bicyclists. Outdoor recreational activities are increasingly being replaced by indoor activities, like watching television and playing computer games.

We have "engineered" physical activity out of our lives, and the results are not healthful.

Physical activity is a key factor in achieving and maintaining a healthy weight. It reduces symptoms of anxiety and depression and promotes healthy bones and joints.

For school children, exercise is associated with improved academic outcomes and reduced anxiety, depression, and disruptive behavior.

We must find new ways to build physical activity into our daily routines. We must build communities where people are intrinsically more active.

Studies show that people are happier and healthier in places where physical activity is integrated into daily life.

Encouraging and promoting active transportation is one way to incorporate physical activity into our daily routines. But we also must support community planning and design that provides safe travel options for all transportation users. We have to make active transportation the easy choice. We need to make it more convenient, more fun, and safer than the alternative. n

Integrating activity into our daily lives and living in environments where that is easy to do makes good health more accessible to everyone.

For more information, please contact the Lewis and Clark City-County Health Department at 457-8924.

Want Better Health?

When streets are designed for all users, they provide people the opportunity to choose more active ways to get around, such as walking and biking.

&Move!Get Up

BH-20178488


October marks the sixth anniversary of the Montana Clean Indoor Air Act, a law that recognizes everyone’s right to breathe clean air by requiring

all indoor public places and workplaces to be smoke-free. Compliance with the law continues to be high among workplaces and businesses in Broadwater and Lewis and Clark Counties.

Secondhand smoke is an important health issue, because when people choose to smoke they can negatively impact the health of those around them.In fact, when nonsmokers are exposed to secondhand smoke at home or work, their risk of developing heart disease jumps 25%. Secondhand smoke contains more than 4,000 chemical compounds, many of which are cancer-causing agents. According to the Centers for Disease Control and Prevention, for every eight smokers who die from tobacco use, one nonsmoker also dies. Each year, an estimated 175 Montanans who never smoked die from breathing someone else’s tobacco smoke.

A growing number of local organizations-- including the Lewis and Clark City-County Health Department, St. Peter’s Hospital, Blue Cross and Blue Shield of Montana, and Helena Food Share-- have gone a step farther to protect their employees and visitors from secondhand smoke and to encourage and support tobacco-free lifestyles. They have adopted tobacco-free campus policies.The Lewis & Clark County Tobacco Use Prevention Program has partnered with many organizations in the past several years to promote tobacco-free outdoor events in Helena as well. These include Alive at 5, Symphony Under the Stars, Chalk-Up Helena, and Shakespeare in the Park.

Broadwater County is a statewide leader in tobacco use prevention and protection by implementing a County-wide Tobacco Free Grounds policy and have also provided tobacco-free venues for their outdoor community events such as the recent Townsend Fall Fest.

The Montana Tobacco Use Prevention Program (MTUPP) continues to promote other important smoke-free and tobacco-free policies in Montana. It is working with public housing authorities, hospitals, medical facilities and colleges and universities to consider, develop, and implement campus-wide tobacco-free policies. These policies help protect vulnerable, at-risk Montanans, including children and seniors. n

FREE and low-cost help is available for Montana residents who wish to quit using tobacco. Contact the Montana Tobacco Quit Line at 1-800-QUIT-NOW. For more information, call the Lewis & Clark County Tobacco Use Prevention Program at 457-8924.

Montana Clean Indoor Air Act-

A Public Health SuccessBy the Lewis & Clark City-County Health Department


Redox signaling molecules are the molecules that work with antioxidants to boost the immune system, increase athletic conditioning, and provide improved endurance. Antioxidants can’t work without them and yet, the antioxidants get all the good press.

It is the Redox signaling molecules that enable the body to maintain proper chemical balance. Maintaining this balance helps maintain good health, fight off infection, and fight visible and internal signs of aging. They enable you to look and feel younger than you have in years. It may not be the fabled Fountain of Youth but it is definitely the next best thing!

Aging and Redox Signaling Molecules

Since Redox signaling molecules are produced naturally in the body, there hasn’t been a lot of information published about their importance for fighting aging or the important role they play in making antioxidants work better.

The problem is that as you age, your body produces fewer and fewer of these molecules. This is why it takes longer to heal from injuries as you age and why you begin to wear the signs of aging more prominently on your face. Your skin is no longer able to repair the damage of the elements that it has quickly repaired in the past by using reactive agents that are produced naturally in the body.

Until recently, there was no way to reproduce the Redox signaling molecules outside the body. Once they were gone, they were gone. There was no way to create or invent more. Today, that has changed with ASEA™.

Who Stands to Benefit?

babY booMerS – this is the generation that is feeling the pangs of aging and are fighting, kicking, and screaming every step of the way. You aren’t ready to go down and give up on living life on your own terms. You resent the signs of aging that are slowly creeping up on you and are ready to do whatever it takes to take back your youth, good health, and vibrancy.

YounG adultS – you aren’t ready to give up on your youth and beauty. You work hard and you play hard and there is little time left over to take it easy on your bones and joints. You want to get the most out of life and don’t feel like making excuses for it.

older adultS – you’re already feeling many of the signs of aging and want relief from some of the aches and pains that go along with growing old. You want to enjoy the spark of youth once again and live a life that is free of many of the aches and pains that may have plagued you for years.

athleteS – you want to improve any edge you have. You want better athletic conditioning and improved endurance to help you gain an edge

The Better Question to Ask May Be “Who Can’t Benefit ?”

To the individual who believes that how you look, act, and feel should not be limited by age, ASEA is the world’s first and only stable and bioactive solution that slows aging at the cellular level through the power of Redox Signaling, allowing you to live younger longer. n

By Sandy Sands Independent ASEA Associate

Redox Signaling Molecules ~ Anti-Aging Secret Revealed!

A quantum leap in science

Boosts the cell’s communication functions restoring body balance

Antioxidant activator and enhancer

Increases athletic endurance and speeds recovery after exertion

For the sickest of the sick to the fittest of the fit

Buy a case, do your own “case study”

Info? Contact Sandy & Mary Sands Independent ASEA Associates

(406) 461-6284 [email protected]

www.resolute.teamasea.com

BH-20178373


301 Saddle Drive • Helena, MT • (406) 443-4040

Helena’s Only Comprehensive Eye ClinicOffering Both Ophthalmology and Optometry in One Convenient Location

ADVANCED TECHNOLOGY LENSESMAY JUST CHANGE THE WAY

YOU SEE THE WORLD.

Craig L. Wilkerson, MD Ophthalmologist, Eye SurgeonHelena’s only advanced technology cataract surgeon.

Chad M. Swanson, OD Optometrist• Cataract Surgery: Traditional & Advanced Technology Lenses

• Eyelid Surgery

• Complete Eye Exams

• Certified Opticians for Professional Fittings Contact Lens Fitting

• Full Optical Services

• Hundreds of Frames to Choose From Specializing in cataract surgery for over 10 years.

Thousands of eye surgeries performed right here in Helena

During Surgery your eye’s cloudy natural lens will be replaced with an artificial lens.

Today's advanced technology lenses give you more options than ever before.

1. Who will do my surgery?2. Where will my surgery be performed?3. What lens best fits my lifestyle?

NEAR

INTERMEDIATE

DIST

ANCE

Multifocal LensMost lenses can only correct vision at one distance—these advanced technology lenses correct vision near, far and in-between, for your best chance at freedom from glasses!

Astigmatism-Correcting Monofocal Lens

These advanced lenses are designed to correct both cataracts and astigmatism at the time of surgery, for clear distance vision without the need for glasses. However, you will likely still need glasses for reading.

Monofocal LensThese advanced lenses are designed to correct both cataracts and astigmatism at the time of surgery, for clear distance vision without the need for glasses. However, you will likely still need glasses for reading.

ASTIGMATISM

O nce you’ve made the decision to have cataract surgery, you still have important choices ahead of you.


OCTOBeRis physical therapy month

By Marjean Heisler,

St. Peter's Rehabilitation Director

Fall is here and activities often shift for the cooler

weather. If you find that you are having difficulty or pain with activity you may want to consider a

visit to a Physical Therapist. Physical Therapists are experts

at analyzing the body’s structure, alignment and movement.

Your first visit should include an evaluation by a licensed Physical Therapist. They will take a thorough history and then look at any limitations you have in movement, areas of muscle weakness, and identify potential problem areas. Together with you, they will develop a plan to address those problems. You should always feel comfortable asking questions and learn as much as you can about your body structure and ways to prevent future problems.

Montana is one of many states where Physical Therapists can see patients without a physician’s prescription. Insurance policies, however, have varied requirements. You should first be aware of the particular requirements of your policy related to coverage of this service. Medicare is one type of insurance that requires a physician’s prescription to cover PT costs. Co-pays will vary also by policy rules.

Today entry level Physical Therapists earn a doctorate in Physical Therapy. They complete an undergraduate course

of study including specific pre-requisites and then continue on through an intense 3-year focused study of the body. Education does not stop there however, as there is much to continue learning about specific treatment techniques, and new information is always on the horizon. Many therapists will go on to specialize in specific areas such as manual therapy, women’s health, neurological therapy, orthopedics, acute care, wound care, or pediatrics. n

St. Peter’s Physical Therapy has PT staff with many specialties as well as advanced certifications.

There are two locations; at St .Peter’s hospital campus East Entrance and in the Capital City Health Club on North Montana Avenue.

ph

oto

by E

liza

Wile

y

Anderson Orthotics & Prosthetics Linda Roberts, Certifi ed Orthotist, Certifi ed Mastectomy Fitter

Tues-Thurs 9-5, Mon & Fri by appointment

2121 Euclid Ave 443-7743

• Now Offering Wigs• Breast prosthesis & bras• Post-mastectomy leisure wear & products• Diabetic shoes • Compression stockings

For the beautiful you!Products for your comfort

BH-20178368

November Health ObservancesAmericAn DiAbetes month•Lung cAncer AwAreness month•nAtionAL heALthy skin month•coPD AwAreness month•

Nov. 17greAt AmericAn smokeout


Improving Health.Touching Lives.

BROADWATER HEALTH CENTER& Wellness Clinic

www.broadwaterhealthcenter.com

Ben Lindeman PA-C 110 North Oak St., Townsend

266-3186 Call for appointment: 266-4670

BH-20178379

UrgentCare-Plus.com • 513-1052 • 39 Neil l Ave Across from Starbucks Downtown

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��BH-20178483


Advanced Rehab ........................... 10

Anderson Orthotics & Prosthetics .. 28

ASEA ............................................. 26

Associated Dermatology & Skin .... 22

Broadwater Health Center ............. 29

Center for Mental Health ............... 15

Centers for Advanced Vein Care .... 20

Comprehensive Hearing Services .. 22

Dinners Done Right ..........................4

Doctor’s Weight Loss Clinic ........... 19

Elkhorn Health & Rehabilitation ..... 23

Frontier Home Health & Hospice .... 11

Heart & Soul Naturopathic ............. 16

Helena Denture Clinic .......................8

Helena Eye Clinic ........................... 27

Helena Family YMCA ........................4

Helena Ob\Gyn .............................. 18

Helena Orthpaedic Prompt Care .......9

Helena Pediatric Clinic ................... 11

Helena Surgi Center ...................... 31

Hunters Pointe ............................... 17

L & C Obesity Prevention ............... 24

L & C Tobacco Use Prevention ....... 25

Lincare/Home-Ox .......................... 23

Medical Weight Management ........ 12

Medtronic .........................................6

Mountain Surgical Arts .................. 13

New West Medicare ...................... 16

Nightingale Nursing & Caregiving .....8

Richard P. Sargent, MD, PC ............ 19

Rocky Mountain Surgical ............... 21

Shodair Children’s Hospital ............ 30

Sound Health Imaging ......................2

Specialized Medical, Inc. ............... 22

Spring Meadow Life Coaching ....... 19

St. Peter’s Medical Group .................3

The Real Food Market & Deli ......... 32

Touchmark .................................... 22

Urgent Care Plus ........................... 29

Advertiser Index

406-444-75001-800-447-6614

2755 Colonial Drive Helena, MT 59601

115Years of Caring• Residential and acute

psychiatric care for children

• Clinical and laboratorymedical genetic services for people of all ages

www.shodair.org

Proud to be Montana’s only Children’s Miracle Network Hospital

BH-20178402

To advertise in the next issue of theIndependent Record

Health & Wellness GuideCall Michelle Edmunds at 447-4089

Next issue publishes JANUARY 16. CAll NoW To ReseRve YoUR spACe.


MANAGED BY PHYSICIANS FOR PATIENTS

A PERSONALIZED, MULTI SPECIALTY

OUTPATIENT SURGICAL CENTER

Offering full service outpatient orthopedic surgery for the Helena community since 1998. Montana orthopedic surgeons taking care of Montana people.

Comfortable, caring environment

Professional, compassionate and friendly staff

Efficient and cost effective care

Consistently high patient satisfaction

Passed Medicare/Medicaid health survey in June with no deficiencies

2440 Winne Ave • Suite 100 Helena • 457-4200

��OPEN: Monday-Saturday 8 AM - 8 PM; Sunday 9 AM - 7 PM ��

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How do you feed your dreams?

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Nutrition is not the only organic advantage. In addition to the personal

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BH-20178480

fall 2011 health & wellness guide

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