January 2012 Health & Wellness Guide

HEALTH free!

winter 2012

a guide to healthy living in the Helena area

TakingSteps for pedestrian safety page 20

&wellness old dogs can

learn new tricks page 12

chronic painchanges Your Brain

page 9

new year's resolution:

QuiT Tobacco pages 24-27

HEALTH & wellness2 sunday, january 29, 2012

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HEALTH & wellness sunday, january 29, 2012 3www.stpetes.org 457-4180

now available for your healthcare

Family Nurse Practitioners and Physician Assistants

Broadway Clinic2550 Broadway (across from Hospital)

Beverly Roope, F.N.P. family practice Jody Inbody, P.A. orthopaedics Theresa Vonada, P.A. orthopaedics ��rheumatologyJeannie Fahlquist, F.N.P. gastroenterology

North Clinic3330 Ptarmigan Ln. (behind Bob Wards)

Laura Bennett, P.A. urgent careLeslie Wilson, F.N.P. family practice Aaron Pitman, P.A. urgent care/ occupational medicine Inna Bordewick, P.A. urgent careSara Juers, P.A. family practice

In addition to recruiting more physicians and specialists, St. Peter’s has expanded its number of mid-level providers to give Helenans greater access to healthcare.

These experienced providers are trained to treat most urgent care and basic primary care needs.

Boulder Clinic214 S. Main225-4201

Kari DeBoo, F.N.P. family practice

c p a y ca e eeds

www.stpetes.org 457-4180











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health & wellness guide is published four times a year by the Independent Record

317 Cruse Avenue, Helena, MT 59601 | 406-447-4003

contentsGet Close To Your Teenager .....................................6Chia—A Pet For Heart Health ...................................8Chronic Pain Changes Your Brain .............................9Free Heart Health Events .......................................11Old Dogs Can Learn New Tricks.............................12Wellness: An Opportunity For All .............................14A Break-Through In Healing ....................................16Hospital Offers Help For Mental Illness ....................17Ulnar Collateral Ligament Injuries To The Thumb ......18Strengthen Your Life And Your Community ..............19Taking Steps For Pedestrian Safety ........................20Non-Surgical Cosmetic Procedures........................22Free Help With Parenting Challenges ......................23When To Quit Smokeless Tobacco .........................24Most Important New Year’s Resolution ....................26Proper Cleaning of Hearing Aids .............................29Advertiser Index .....................................................30

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By Cory Alexander, MDChild & Adolescent Psychiatrist, Shodair Children’s Hospital(Former 1970’s teenager from Pittsburgh)

For those of you raising teenagers in this digital age, I understand your fears and concerns. The problematic behaviors of teenagers has long been the subject of

much concern for parents; literature of all cultures and times is filled with dilemmas relating to teenagers. From the writings of Socrates to the plays written by Shakespeare, we can only conclude that teenagers will always present us with behaviors that make us uncomfortable, confused, and bewildered. If you are raising a teenager now, you are living this dilemma every day.

As adults, most of choose to repress, or simply try to forget, our teenage years. The reasons for this are logical: it sometimes hurts to remember. We are fine now. Those teenage feelings and events are long in our past. Yet we must also remember the words of a very famous historian: “Those who forget the past are doomed to repeat it. “ Some of you may have been fortunate to have had wonderful memories of your teenage years, but even if this is the case, I bet if you really think about it, you’ll remember those friends you had from your early childhood who got lost through their teens: lost to alcohol or drugs, pregnancy, juvenile detention, or those who literally lost their lives as a result of their risk taking behavior. If you want to understand your teenager and be the best parent you can be, I challenge you to look back, and remember how it felt.

The task of the teenager is one of separating slowly from dependence on parents. The hormones flow, the body changes dramatically, and the mind grows rapidly. Deep down, you

begin to realize some day you will be independent. Little details, such as the color and texture of your hair, become more important than anything else. The senses are on hyper-alert and who says “hi” to you in the hallway or who likes your status on Facebook can make or break your whole day. You desperately need help to understand what is going on around you, but are embarrassed to ask about it.

Adults seem so different than you -- so calm, unaware, and secure -- how can they possibly be trustworthy? And then they start to tell you your concerns don’t really matter, or worse yet, you shouldn’t be with that one person you most enjoy because they are a bad influence… and that is it, you just have to give up on asking them for help. Anger and fear comes out and all family harmony is gone. The pain is equal to both the parents and the teenager, and the tension in the air at home feels so tight you could cut it. As a parent, you become afraid your teen will do something dangerous – and they won’t even talk to you.

How do we change this desperate and painful pattern? By listening with our heart and soul. By remembering how we felt. By realizing we all were teenagers once, we can stand with our teens and help them safely negotiate this painful but exciting stage of life that is the transition from dependence on parents to independence and competence. We made it through this ourselves; now it is our job to help our kids do it.

For more information about parenting your teen, visit the American Academy of Child and Adolescent Psychiatry’s website at aacap.org or www.livesinthebalance.org. n

the NewYear–a great timeto get close to your teenager, and to remember your own inner teen


406-444-75001-800-447-6614

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psychiatric care for children

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Specializing in cataract surgery for over 10 years. Thousands of eye surgeries performed right here in Helena.

Helena Eye Clinic3116 Saddle Drive, Suite 3South Helena exit, next to Sussex building

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Chad M. Swanson, ODOptometrist

Craig L. Wilkerson, MDOphthalmologist, Eye Surgeon

Come see us at our new location, starting February 1st!

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By Deborah Jones, RD, LNDirector of St. Peter's Nutrition Services Chia – a pet for heart health

Adding 1 ounce or about two tablespoons ofchia seeds each day will provide:

139 calories 9 grams of fat 12 grams of carbohydrate 11 grams of fiber 6 grams of protein 4750 mg of Omega 3 ALA (alpha linoleic acid)

Remember the cute green chia pets of the 1980’s? Chia is back. Chia was a staple food of the Mayan and

Aztec cultures. The chia sprouts and seeds are edible nutritional powerhouses for today loaded with protein, fiber, omega 3s, vitamins, minerals and antioxidants.

Chia does contain the best plant source of omega 3. Omega 3s are the essential fatty acids that can reduce inflammation and decrease your risk for heart disease, cancer and arthritis as well as improve mood and mental focus. When compared to flax which is another plant source of omega 3 you will not need to grind chia like you must grind flax for absorption and chia has a longer shelf life.

Chia is rich in fiber which helps the average person get the needed 25-30 grams of fiber each day. Increasing fiber can help lower cholesterol and blood pressure, stabilize blood sugar and improve digestion.

Claims have been made that chia is a weight loss aide as it expands in liquid and therefore expands in your stomach and makes you feel full. Studies have not shown weight loss. The value of adding chia into the diet is that of using it whole grain food as an healthy alternative to processed grains. Use chia in beverages, as a gel, on top of cereals or yogurt and in baked goods. n

Chia Fruity Green Tea 3 Tbsp. of fruit juice (pomegranate or any citrus juice)

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Have you heard the adage “No Pain, No Gain?” While that was believed to be true in the past when it came to exercise, we now know that pain means damage.

Furthermore, pain that has gone on for too long can truly be damaging to more than just the area involved. Chronic pain is traditionally defined by time; anywhere between three to six months, or when it extends passed the expected healing time for a given type of tissue or injury. For example, in the case of tennis elbow (inflamed tendons in the forearm), if the condition is treated within three months, the treatment and healing time are much quicker. Once however the condition has gone beyond three months, the tendons are no longer

inflamed, they have become degenerating tendons! Treatment takes longer because the healing process has stopped and the condition has worsened.

Patients often come to physical therapy reporting pain that has gone on for six to twelve months and commonly say, “Well, I just thought it would go away.” I often tell patients, if an injury has not healed or at least improved, they likely need more assistance. Patients will oftentimes then say, “Well, I have a really high pain tolerance.” However, when asked if they have changed their lifestyle because of the pain, we find that they have stopped participating in the things they used to love. The reason is pain tolerance decreases the longer a person experiences it.

If you find that you are taking more than the recommended doses of over the counter medications, and/or are limiting your activities because of pain, GET HELP! Your primary care provider can run tests to determine if any underlying condition is causing your pain. Your physical therapist can help figure out if there are mechanical components to your pain. We can answer the following questions:n Is there any joint or segment of your spine that is locked/

fixated or limitation that may be causing your muscles to spasm and/or altering the way you move?n Do you have the needed strength and flexibility, to live

the life you want without pain?n Are your muscles, tendons, and/or fascia bound up,

inflamed, torn, or weakened causing you pain?A physical therapist may help restore normal movement

of joints and/or the spine. We may use dry needling to effect muscles and tendons, and use strengthening and modalities to help relieve pain. There are more professionals in Helena that can help you, than this article has room to describe.

What you don’t want to do is let the pain continue, because your brain changes when it is constantly bombarded with chronic pain signals. Recent research has proven that the brain-on chronic pain, atrophies (becomes smaller and weaker). Chronic pain over time can lead to sleep deprivation, depression and eventually affects your relationships and social circles. Eventually the YOU before the pain, no longer resembles the YOU in chronic pain. You don’t have to suffer… we are here for you! n

By Sandra Marston, CEO/PTAdvanced Rehab, Physical Therapy & Pilates Clinic

chronic painCHANGES YOUR BRAIN

www.advancedptclinic.com495-8995

417 N. Benton Avenue, Helena

Specializing in:Traumatic injuries from auto/work related incidents, neck and back injuries, chronic pain and more.

Advanced RehabPhysical Therapy & Pilates Clinic

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


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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 and feel. Call Dr. Michael Orcutt today and find out 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

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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-20186983

All providers accepting

new patients

Dr. FritzDr. Keefe

Dr. ReynoldsDr. Palcisko

Dr. Augustine

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

St. Peter’s Hospital is offering two free community events in February for people to learn about heart disease and make healthy lifestyle choices. Those attending will receive a special “Helena HeartBeat” publication full of heart health educational materials.

At Go Red FoR Women, Friday, Feb. 3, at Macy's on North Montana Avenue, participants can receive free screenings for peripheral artery disease (blocked arteries in legs), heart rate, oxygen levels, blood pressure, Body Mass Index and take a short quiz to determine if they may have Sleep Apnea.

Interventional Cardiologist Carla Kingsley, D.O., will interpret Peripheral Artery Disease screening results; nurses, nutritionists, physical therapists and wellness technicians will also be available to discuss screenings. Additional St. Peter’s providers will offer education about sleep disorders, breast care, home health and hospice, nutrition, stress, fitness, rehabilitation and using an automatic external defibrillator. There will also be a human organ display.

“Go Red for Women” is celebrated nationally as a day to educate and empower women to take positive steps to reduce their risk of heart disease. The Helena event is sponsored by Macy’s. For more information, visit www.stpetes.org or call 444-2135.

HeaRT oF THe maTTeR, St. Peter’s annual, free heart-health event is Tuesday evening, Feb. 28, at the hospital. As part of the event, free heart disease screenings will be offered to the first 200 people.

The free screenings will be held the morning at St. Peter’s. Those interested must call 444-2128 for an appointment. A 12-hour fasting blood draw is required to test cholesterol, glucose and triglycerides. The results will be available at the evening event where doctors, nurses, and other health professionals will be available to discuss results.

The event will begin at 5:30 p.m. and include over 40 booths from St. Peter’s and the community plus free wellness screenings. Fitness and heart healthy cooking demonstrations begin at 6 p.m. A lecture on the prevention and treatment of heart disease will by presented by interventional cardiologist Kris Godlewski, M.D., beginning at 7 p.m.

The evening will include free chair massages, nail painting, healthy food samples, and door prizes. The event is free and open to the public. For more information, visit www.stpetes.org or call 444-2135. Those attending should use the Hospital’s Main Entrance off Winne Avenue.

St. Peter’s Offers free heart health events


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]

Old Dogs can learn new tricks

By Carla Williams, MDSpring Meadow Life Coaching

We all have automatic ways of being and behaviors that are designed to protect our innermost fears and emotions. I call those self-defense or survival

mechanisms. Survival mechanisms develop very early in childhood, as a result of the things that happen to us to make us believe the world is unsafe. They continue to work hard to prove the need for their own existence, i.e., that the world really is unsafe. Survival mechanisms are not inherently good or bad; they are just who shows up whenever we feel confronted. You might react to one situation by lashing out with sarcasm, and to another by retreating, watching TV, or drinking too much, and to yet another by working long hours and taking on more. For most of us, most of the time, our survival mechanisms are “driving the car.”

Learning to recognize our survival mechanisms gives us insight. What we do with that insight is our choice. Dr. Paul Ekman, a noted psychologist and researcher states that our emotional triggers and responses are difficult but not impossible to change after young adulthood.

Dictionary definitions of emotion and mood are virtually interchangeable. Behaviorists, however, make a distinction. Emotions are more acute and short lasting, more intense, and may replace each other as circumstances change. Delight and joy that your husband remembered your anniversary

with a gift might be quickly replaced by disappointment and anger when you find out the gift is a new steam iron. Anger and irritation that your teenager is not answering his cell phone, might be replaced by relief and compassion when he gets home and tells you that he stopped to help a stranded motorist. Triggers for emotions are often easily identified, but not always.

Moods are longer lasting, typically hours or days. You may wake up feeling blue and find that the feeling has changed by the afternoon or evening. You might be able to identify the reason for the change as the fact that you had coffee

our survival mechanisms are strong and persistent micromanagers, but we can disempower them with the following process:

Name and define them 1. and give them a funny face.Acknowledge them and 2. the work they have done for you.Get some humor and 3. lightness around them. Recognize when they 4. will show up for you and choose what voice, if any, they will have in your behavior.


with your best friend, or you might find no obvious reason. Temperament is an overriding way of being, more of

a personality trait. People may be basically optimistic or pessimistic, calm or excitable, angry or easygoing. Emotions and moods play out on the surface of our temperaments. Temperaments may be less noticeable to us than emotions or moods, and therefore more difficult to change.

In short, emotions are more reactive than moods, which are more reactive than temperaments. Like emotions, our survival mechanisms are also reactive, most often to our emotions. And like our survival mechanisms, our emotions are neither good nor bad; they simply are.

Meeting your survival mechanisms face to face is a powerful way to take on your life and make the forever transformations you are seeking. Just as you wouldn’t let your small children run your life, you don’t need to let your survival mechanisms continue to run your life.

Partnering with a professional life coach is a compelling way to take charge of your life. Please contact me if you are interested in exploring your options for moving your life forward, either individually or in a group setting. n

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.

Health & Wellness Exhibits

Health Products

Health Screenings

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BROADWATER HEALTH CENTER

Improving Health.p gTTouching TT LL ves.LL

& Wellness Clinic

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Ben Lindeman PA-C 110 N Oak St, Townsend

266-3186 Call for appointment: 266-4670

In the last few decades healthcare of the United States has undergone transition from traditional allopathic medical care to a blended focus of healthcare that includes focus on wellness.

Wellness care is a credible means for reducing chronic disease, patient suffering, and the related financial burden. No one type of health care should exclude any other legitimate type of health care. Each of the many different systems of health care, when applied within their given limitations, offers benefit to individuals active within the system.

What is wellness? Wellness is an individualized state of maximum potential for well being. Wellness cannot be magically found at a certain body weight, or activity level. Wellness is not for sale at any particular grocery counter, natural substance bar, or even at the latest fad kiosk. Pharmaceuticals both prescribed, over the counter, and natural in origin, are not always the pathway to wellness. Wellness cannot be generalized among the population. Each individual may be required to attain their maximum state of wellness through multiple different pathways.

Each individual has responsibility to assess his or her own health status openly and honestly. They need to embrace those types of care that meet their individual health needs. A focus on wellness offers each participant the ability to customize a program to maximize his or her benefit. Wellness focus does not preclude a naturalistic approach anymore than it precludes active traditional medical care. Wellness offers each individual opportunity to

embrace changes within their own lifestyle. The embrace of wellness and the changes made toward wellness reduces exacerbation of chronic disease.

Individuals can make significant contributions toward improving their personal wellness. Active participation by individuals reduces the incidence and severity of chronic diseases. Diseases which can be modified by wellness activity include but not limited to: high blood pressure, lung disease, chronic pain, weight issues, thinning of the bones (osteoporosis), high cholesterol or triglycerides (hyperlipidemia), elevated blood sugar syndromes (insulin resistance and diabetes), degenerative joint disease (osteoarthritis), and mental health disease (anxiety and depression).

What activities contribute to wellness? Life changes starts with one small thought. By embracing the concept that there is power in making a choice, we can begin to make a difference. The differences made may be as little as maintaining a positive attitude, or as radical as a total dietary make over. Even reading this short rendering on wellness may have a positive effect on some. Rather than falling prey to commercialized wellness, from both traditional and naturalistic sources, we each should seek out our own pathway to improved health. Consulting reputable, educated, and wellness-centered professionals can help shorten the pathway to your optimal level of wellness. Go prepared to face the music, embrace change, and bring along a dance step. Before you know it, you will see positive motion toward your goals for wellness. n

Wellness: An Opportunity for All By Dr. Benny L. Lindeman, DHSc., PA-C, Broadwater Health Center


The da Vinci® Surgical System provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy, putting a surgeon’s hands at the controls of a state-of-the-art robotic platform.

The da Vinci® enables surgeons to perform even the most complex and delicate procedures through very small incisions with unmatched precision. And, the patient recovers more quickly, has less scarring and a lower incidence of side effects.

With da Vinci® Robotic Surgery, you’ll get the most effective, least invasive surgical treatment available. For our surgeons, it’s like having an extra set of hands in the operating room.

To learn more about surgery with da Vinci®, visit our website at www.benefis.org

da Vinci®

gives physicians a helping hand.

From left to right: OB/GYN Dr. Sandra Bailey and Dr. Daren Braget; Urologists Dr. Mark Seal and Dr. Brian Malloy.


By Metro Creative Connection

BH-20187066

Cutting�edge�technologymeets�Chiropractic�with�the� �

Experience�pain�free�treatments�with�scientifically�proven�results.��

Complex�technology,�simple�solution.�

See�why�we’re�different�at�parchiro.com��

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A Reputation of Excellence

�PARLIAMENT

CHIROPRACTIC

Dr.�Matthew�Parliament��442�47771075�N.�Rodney�St�Ste�104�

Imagine 30 years ago that doctors would use robotic arms to perform surgeries, that vision correction would be done with a laser, or that knee surgery would be an out-patient

procedure–you probably would not have believed it. Today, would you believe that chiropractic treatments can be done comfortably and painlessly without any twisting or sudden movements with results that you can actually see?

So what changed? Breakthroughs in technology are continually being made in the medical profession. Recently, the chiropractic realm has made astounding advancements that make treatments painless and scientifically valid.

Introducing the ProAdjuster.The ProAdjuster is a state-of-the-art instrument that removes

the fear in chiropractic treatment because it is painless. It uses frequency rather than force, so you get the results without the jolt. Also, the ProAdjuster shows you the change that happened during the “adjustment” through a special computerized program. It removes the mystery for the patient and gives visual proof of what happened.

How does the ProAdjuster work?The ProAdjuster consists of a piezoelectric sensor connected

to a computer. A gentle force is applied through the sensor into the vertebra to test motion; it is then reflected back to the sensor, which measures the reflective force. This signal is then sent to the computer for interpretation, all before the muscle can respond in its normal way. This is the same sensing technology that NASA subcontractors have used in the space program in order to evaluate the integrity of the ceramic cooling tiles on the outside of the space shuttle. With the readings produced, the doctor is able to view several details about each vertebra, including where there is a fixation or, in other words, a vertebra that is “stuck”. The ProAdjuster computes the most efficient force to mobilize the vertebra. The sensor is applied to the fixated vertebra, gently pressed and the sensor uses rapid frequency, rather than force to adjust the area. The sensor automatically stops the adjustment once it senses the vertebra has regained mobility. In other words, the ProAdjuster is “unsticking” the joint. Have you ever seen a woodpecker tapping on a tree? It is hard to believe, but you can watch them bore right through the hardest wood! The ProAdjuster taps in much the same way but uses soft tips that are comfortable and result in a change to the joint or tissue.

a break-throughin HealingBy Dr. Matthew Parliment

Parliament Chiropractic


BH-20187063BH-20187063

fi nd us in the Sussex Building

3130 Saddle Dr. Suite 2, Helena • 513-1962

mountainsurgicalarts.com mm

if experience is the difference,then we’re the difference

Dr. Debra KontnyBoard Certifi ed Surgeon. Member American College of Phlebology.Dr. Kontny is the leader in the Helena community with regard to Vein Therapy.

Mountain Surgical Arts provides all vein procedures in the comfort of an offi ce setting with a knowledgeable team of support staff.

In addition, Dr. Kontny’s team provides laser facial rejuvenation, laser hair removal, Botox and medical grade skin health products. Come in and relax with a therapeutic massage or rejuvenating facial.

Hospital Offers Help forMental IllnessBy Michael A. Ell, Community Education ManagerSt. Peter’s Behavioral Health Unit

Do you or someone you care about suffer from a mental illness? One of the most common treatment methods for it involves inpatient stays within a hospital. The good news is St. Peter’s has a behavioral health unit which helps people in need of acute psychiatric care. Unfortunately, the stigma of psychiatric treatment prevents people from seeking it. To help ease these concerns, this is what someone can expect when they are admitted to the St Peter’s Behavioral Health Unit.

A physician or nurse practitioner will visit with you •every day. They will evaluate which medications work best for your illness. We utilize modern medical technology, including telemedicine, to achieve the best outcomes possible. There are always two nurses available on the unit to assist with care.You will be assigned a clinical social worker as a •case manager during your admissionPatients participate in group therapy programs •offered throughout the day. Patients and their families work together with the •treatment team to develop an appropriate follow up plan. Our goal is to help maintain the progress upon discharge from the hospital.

Remember, the Behavioral Health Unit is open 24/7 and someone is always available to answer your call. For more information, call 495-6576 during regular business hours or 495-6560 at anytime to reach nurses. n

But I’m more than just a spine!We have hundreds of joints in our bodies,from shoulders and elbows to knees and toes,all of which can cause pain and health issues.The alignment of the joints in our extremitiescan prevent sports injuries, diminish arthriticchanges, and even improve your golf game! The ProAdjuster easily adjusts these joints as well giving almost instantaneous relief to most people.

Welcome to the new world of Chiropractic.For more information or to find a ProAdjuster doctor in your

area visit: http://www.proadjusterlifestyle.com n


Specializing in musculoskeletal

care for those injured at work,

sport or play.

Phillip M. Steele, MD Lindsey N. Lyman, PA-C

2442 Winne Ave #2 Helena

457-4105

Helena Orthopaedic Prompt Care

helenaorthoprompt.com

HelenaOrthopaedicPrompt Care

l l k l l

Quality walk in care for aches, pains and strains.

Scheduled appointments digital xray service on premises.

Diagnostic musculeskeletal ultrasound.

Fast track orthopaedic surgical referral of mecessary.

Commonly called a “skiers thumb” or “gamekeeper’s thumb,” injury to the Ulna Collateral Ligament (UCL) of the thumb is frequent during contact and collision

sports. The injury occurs when falling on to an outstretched hand with the thumb extended. On examination, there will be swelling and tenderness over the metacarpalphalangeal joint (MCP) near the web space insertion between the first and second fingers. The UCL provides stability to the MCP during gripping and pinching (holding a pencil).

A careful examination of the thumb is important. With any thumb injury examine for extension and flexion strength to the thumb at each joint, nerve function and joint motion. Loss of motion to the joints, crepitation, and or mal-position should necessitate a radiographic evaluation. If pain is isolated to the MCP joint, ligament stressing to the radial and ulna sides of the joint should be done. The UCL is located to the side of joint nearest the second finger. Whereas, the radial collateral ligament is towards the outside of the MCP joint. If pain is focal to the ulna side of the MCP, stressing of the joint should be done both at full extension or “0” degrees, and at 30° of flexion. The MCP joint is stressed by gently applying radially directed force to the thumb while stabilizing the metacarpal. At 0 º there is natural stability to the joint, while in the 30° flexed position, the UCL is isolated and essential for joint stability. Feel for increased laxity, a consistent firm (intact) or soft and nonexistent end point (torn). Ligament comparison to the non-injured thumb is essential.

Determining between a partial tear and a full-thickness tear on examination can be challenging. If no laxity is felt, and the athlete has good strength to pinch grip between the first and second finger (holding a pen) the athlete may be returned to play with protective taping or an orthoplast splint. If any laxity is felt, or unsure diagnosis, the athlete should be withheld from play and evaluated by a certified athletic trainer or physician.

An athlete that has increased laxity and a soft endpoint,

may require a stress radiographs comparing the injured and uninjured side. A complete tear is diagnosed when greater than 30° of difference exists. MRI are not routinely ordered unless the diagnosis is in question after stress radiographs.

If a UCL injury is suspected, immobilization of the thumb in a spica splint is the standard of care. PRICE management consisting of Protection, Rest, Ice, Compression and Elevation and a non-steroidal anti-inflammatory drugs such as Ibuprofen or Naproxin for the first 24 to 48 hours. After the acute period, the athlete should be re-examined for laxity and if present, referral to a hand specialist. Athletes with persistent laxity and gaping of the MCP joint with stressing may require surgical repair if a complete tear is present.

Return to play is individual as the athlete may return to play once there is no tenderness and no MCP laxity. Athletes should return to play with a protective splint for 4-6 weeks. n

ulnar collateral ligament injuries to the thumb

By Phillip M. Steele, MDHelena Orthopaedic Prompt Care


The New Year is a time for new beginnings! For the Y – a leading nonprofit that strengthens community through youth development, healthy living and social

responsibility – one of the most important resolutions is to resolve to make positive changes that strengthen individuals as well as entire communities. Following are five New Year’s Resolutions the Y recommends for 2012:

1Live Healthier – Achieving greater health and well-being is all about taking small steps. Take care of your health

by eating nutritious foods and being physically active each day – experts recommend 30 minutes of daily physical activity for adults and 60 minutes for kids. This can be achieved throughout the day by incorporating physical activity into your daily routines (i.e., taking stairs instead of elevators, walking instead of driving, etc.) The Y offers many fun opportunities for individuals and families to be active. Visit www.helenaymca.org to learn more.

2Volunteer – Doing good feels good, and giving back to support neighbors benefits everyone involved. Volunteering

also provides individuals the opportunity to meet new people and to develop new relationships. Find an opportunity in your community that you may enjoy, such as cleaning your neighborhood park, distributing food at our local food bank, or coaching a youth soccer team.

3Help Inspire Children and Teens, Be a mentor – Children and teens often need caring adults to look up to and seek

guidance. By nurturing our youth, we can help them strive to accomplish success and reach their full potential. Whether a relative or neighbor, use your experience and talent to help youth realize who they are and what they can be.

4Learn Something new – Step out of your comfort zone, have fun and grow by exploring personal interests. Is there

a swimming, Zumba® or painting class you’ve always wanted to take? Try something new that you’ve always wanted to do, to build your spirit, mind or body. Find opportunities at the Helena Family YMCA.

5Spend Time with Family and Friends – Socializing is good for your well-being and spending time with the

people you care most about really helps strengthen meaningful relationships. It also helpful to have a community of people

you can reach out to during times of need. So, try to carve out time each month, depending on your schedule, to connect with family and friends, and to get involved with community organizations, such as the Helena Family YMCA.

Good luck in the New Year!

By David Smith, CEOHelena Family YMCA

HELENA FAMILY YMCA

VISIT US AT HELENAYMCA.ORG

FEEL GREATChoose the membership thatmakes a difference

set new Year’s resolutions tHat

strengthen your life and your community


In communities across the world, there is a growing need and responsibility to provide options that give people the opportunity to walk—to walk more often, to walk to more

places, and to feel safe while doing so. The positive consequences of walking as a healthy mode of

transportation, or as a purely recreational activity, span across many aspects of our lives. They can be expressed in terms of the health of the environment, as well as the health of individuals who are more physically active.

The benefits of walking—whether for utilitarian or recreational purposes—are many, but before you head out on foot for a stroll, power walk, or errand, there are important safety tips to remember.

Safety is a shared responsibility for all road users, including drivers and pedestrians. The following are some tips to improve road safety for everyone.

SaFeTy TIpS FoR pedeSTRIanSBe safe and be seen: make yourself visible to drivers:• Wearbright/lightcoloredclothingandreflective

materials. • Carryaflashlightwhenwalkingatnight.

• Crossinawell-lit area at night.

• Standclearofbuses, hedges, parked cars or other obstacles before crossing so drivers can see you.

Be smart and alert: avoid dangerous behaviors:• Alwayswalkonthesidewalk;ifthereisnosidewalk,walk

facing traffic. • Staysober;walkingwhileimpairedincreasesyourchance

of being struck by a car. • Don'tassumevehicleswillstop;makeeyecontactwith

drivers, don't just look at the vehicle. • Don'trelysolelyonpedestriansignals;lookbeforeyou

cross the road. • Bealerttoenginenoiseorbackuplightsoncarswhenin

parking lots and near on-street parking spaces. Be careful at crossings: look before you step:• Crossstreetsatmarkedcrosswalksorintersections,if

possible. • ObeytrafficsignalssuchasWALK/DON'TWALKsigns.• Lookleft,right,andleftagainbeforecrossingastreet.• Watchforturningvehicles;makesurethedriverseesyou

and will stop for you. • LookacrossALLlanesyoumustcrossandvisuallyclear

each lane before proceeding. Just because one motorist stops, do not presume drivers in other lanes can see you and will stop for you.

• Don'twearheadphonesortalkonacellphonewhilecrossing.

SaFeTy TIpS FoR dRIVeRSScan the road and the sides of the road ahead for potential

pedestrians:• Beforemakingaturn,lookinalldirectionsfor

pedestrians crossing. • Don'tdrivedistractedorafterconsumingalcoholor

other drugs. • Bealert:watchforpedestriansatalltimes.• Lookcarefullybehindyourvehicleforapproaching

pedestrians, especially small children before backing up. • Formaximumvisibility,keepyourwindshieldcleanand

headlights on. Be responsible: yield to pedestrians at crossings:• Yieldtopedestriansincrosswalks,whethermarkedor

unmarked. • Yieldtopedestrianswhenmakingrightorleftturnsat

intersections. • Donotblockorparkincrosswalks.

Lewis & Clark City-County Health Department 457-8924 • lewisandclarkhealth.org [email protected]

Walk Your Way To Good Health

But ... Be Smart Be Seen Be Careful Be Safe

Safety is a responsibility shared by all who use our streets — drivers and pedestrians alike. Do your part: Be alert!

Walk This Way! taking steps for pedestrian safety


Be patient: drive the speed limit and avoid aggressive maneuvers:

• Neverpass/overtakeavehiclethatisstoppedforpedestrians.

• ObeyspeedlimitsandcometoacompletestopatSTOPsigns.

• Useextracautionwhendrivingnearchildrenplayingalong the street or older pedestrians who may not see or hear you.

• Alwaysbepreparedtostopforpedestrians.

SpeCIaL SaFeTy TIpS FoR CHILdRenTeach safe behaviors: • Lookleft,rightandleftagainbeforecrossingthestreet.

Cross when the street is clear, and keep looking both ways while crossing. Walk, don't run.

• Understandandobeytrafficsignalsandsigns.• Walkfacingtraffic,onsidewalksorpaths,sothatyoucan

see oncoming cars. If there are no sidewalks, walk as far to the left as possible.

practice safe behaviors: • Don’tallowachildunderage10tocrossstreetsaloneas

he may not be able to fully anticipate the speed of cars on the road.

• Requirechildrentocarryaflashlightatnight,dawnanddusk. Add reflective materials to children’s clothing so that a child can be seen by motorists, even in the dark.

• Don'tletkidsplayindriveways,unfencedyards,streetsor parking lots. Drivers may not see or anticipate children playing.

• Walkwithyourchildtofindthesafestpath.Lookforthemost direct route with the fewest street crossings.

SaFeTy TIpS FoR WInTeR WaLkInG

• BEALERT!Youareparticularlyatriskfromleft-turningtraffic as some drivers have a restricted view of the roadway because of improperly cleared windows or a non-working defroster that narrows their field of vision.

• LookLeft,LookRight,LookLeftAgain,LookBack,Look Ahead, Look Through The Intersection and Keep Looking when crossing the roadway. When it is cold we tend to just watch our feet when walking but remember to keep looking.

• Hoodsoncoatscanbewarmbuttheysometimesrestrictyour vision as a pedestrian, meaning you really have to turn your head when looking.

For more information, contact the Lewis and ClarkCity-County Health department at 457-8924.


Nonsurgical cosmetic procedures such as: Botox, dermal fillers, dermabrasion, hair laser, chemical peels, and intense pulsed light photorejuvination have become increasingly popular in the last few years. In fact, the American Society for Aesthetic

Plastic Surgery reported in 2008 there were over 10 million cosmetic procedures performed in the U.S., most of which were nonsurgical. Just as there are a variety of anti-aging therapies available, there is also a variety of settings from which you can choose from. Beauty spas, medical spas, and medical clinics are the more common sites to visit when shopping for the latest in non-invasive cosmetic therapies. And more importantly, there is also a variety of training, background, and scope of practice among the individuals who are providing and delivering these services to you. Aestheticians, medical assistants, nurses, physician’s assistants, nurse practitioners, and physicians have all been known to provide varying levels of non-surgical cosmetic procedures to the public. With all these choices, it’s important to be a savvy consumer to get the biggest bang for your buck, but more importantly, choose safely and wisely so that your health is not sacrificed for beauty.

Why do we get wrinkles, sagging skin, and those pesky brown spots? The basic answer is twofold: first, the normal physiologic process of aging involves loss of collagen and elastin that help keep the skin plump and firm, the second is normal wear and tear from our environment specifically the SUN. UV rays from the sun (or tanning bed) quicken the breakdown of elastin and stimulate the skin to make brown spots and uneven pigment. The important concept to remember is that although the aging process puts you at risk for wrinkles and brown spots, it also puts you at risk for skin cancer. That’s right; the big C. Skin cancer can masquerade as one of those unattractive brown spots. Therefore, in order to be a savvy consumer of the cosmetic world one should also be

up on skin cancer prevention too. You should be aware of what the risk factors are for basal cell, squamous cell, and melanoma skin cancer. You should also know what to be looking for on your skin too. When was the last time you saw your primary care provider or dermatology provider?

The other important factor to consider is who you choose to perform your procedure. This will depend greatly on what you are looking at having done. Aestheticians, nurses, and physicians are just some of the people who can help you in your quest of cosmetic procedures and therapies. But, just as there are a variety of personnel, there are also a variety of backgrounds and training. As a savvy consumer, be educated on where and how your provider obtained their training. Was it a two-day workshop or years of formal training? Certain cosmetic procedures, such as intense pulse light therapy, require extensive training and physician supervision. Also, be aware of your expectations. A certified aesthetician can help even out your skin tone, but they are not responsible for noticing the subtle changes of skin cancers. A dermatologist can help reduce those unwanted brown spots on your face, but they may also be responsible for the rest of your skin as well. Medical providers of cosmetic procedures should put your health first before beauty. So, be prepared if your medical provider asks you to see a dermatology provider first before providing your requested cosmetic service.

There is so much available and so many choices when considering a cosmetic procedure. Educating yourself about the cosmetic options that are available as well as expertise needed to provide those services can help ensure that your expectations are met and most importantly, that your health is not sacrificed for the price of beauty. n

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

Linda Burgess, LPNLaser Technician & Certifi ed Aesthetic Consultant

Karen Rowan, LPN Licensed Esthetician & Certifi ed Aesthetic Consultant

22 Years Combined Skin Care Experience

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

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non-surgical cosmetic procedures: What you should know By Lindsay McCarthy, FNP-C, Associated Dermatology


Free Parenting Advice & ExpertiseRight in Your Own Home!

��

Call the Lewis & Clark City-County Health Department to learn more!

457-8921

HoW We Can HeLpFor pregnant women:

Pregnancy testing•Help finding insurance coverage•Nutrition, exercise, and other •preparation for birthHelp with pregnancy-related health •issuesPreparation for baby’s arrival•Help to quit smoking•

For parents of newborns:Breastfeeding help (our nurses are •certified breastfeeding experts)Baby health checks in your own •homeInfant nutrition, whether you’re •breastfeeding or bottle-feeding

Soothing baby•Helping baby sleep•

For parents of older babies and toddlers:Advice on what developmental •behaviors to expectHaving fun while promoting •healthy developmentEncouraging good behavior•Managing tantrums, potty training, •and picky eatingUnderstanding and managing the •“no” stage

For parents of children 2 months to 5 years old:

Developmental screening:•Ideas to aid your child’s •

developmentReferrals to help your child with any •developmental weaknesses

Parent support/parenting classes:Weekly “Parenting from the Heart” •support group offered year-roundCircle of Security parenting •courses to put more joy into your childrearing

For parents of kids with asthma, from birth to age 17:

Nurse asthma specialist•Free asthma-friendly mattress and •pillow covers

To learn more, call the health department at 457-8921. n

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

free help withparenting challenges

Babies: those sweet bundles of joy. And toddlers: so cute and active. We parents love our children deeply, but sometimes they can be a huge challenge.

They present lots of questions: How do I get this baby to sleep? Why won’t she eat? What do I do about his tantrums? Why isn’t he talking like other kids his age? How do I get her potty trained?

Experts agree that the first three years of a child’s life are crucial. They set the stage for everything that comes after. In fact, one study has found that trauma in childhood can impact not only behavioral outcomes later in life, but physical health, too.

That’s why it’s so important to give your child the best chance possible to reach his potential and live a healthy, happy life.

And that’s why the Lewis and Clark City-County Health

Department offers free expertise on parenting, right in the comfort of your own home if you choose.

Registered nurses and parent educators at the health department’s Parents as Teachers program are available to answer your questions. They’ll work side by side with you to help make your time as a parent more enjoyable. If you’re pregnant or have a baby or toddler, just call 457-8921 to talk with a nurse or arrange a visit. n


Chew or Brew Tea

Alfalfa Chew

Healthy and Tobacco Free U S A

SAVE TIME & ORDER ONLINE, SHIPPING PAID FOR 1 ROLL OF 5 AT:

HOLT 406-287-3005PO Box 265, Whitehall, [email protected]

Perfectly balanced nutrients for the whole body.

HOT TEA RECIPE1/2 teaspoon chew1/2 teaspoon honeyAdd boiling water and stir...Delicious! KEEP CHEW FROZEN FOR FRESHNESS!!

AVAILABLE AT THESE LOCAL STORES!Montana City StoreThe Man StoresRocky Mountain Supply, TownsendBoulder GroceryDave’s Exxon HelenaBob’s Valley Market HelenaGreen Meadow Market

1You might want to consider quiting tobacco when the Cancer center tells you congratulations your tests are positive!

2You might want to consider quiting tobacco when your heart Doctor schedules you for open heart surgery tomorrows!

3You might want to consider quiting tobacco when your wife or girl friend suggests that your breath is so bad you might consider not breathing!

4You might want to consider quiting tobacco when your banker tells your

bank account is so bad that you can't draw any money and you may not want to draw a deep breath!

5You might want to consider quiting tobacco when you see a can of

(HOLT CHEW) and you realize there is a healthy alternative available ! Happy

New Year from the Holt Chew Folks!

To advertise in the next issue of theIndependent Record

Health & Wellness GuideCall Michelle Edmunds at 447-4021

Next issue publishes April 22. CAll NoW To ReseRve youR spACe.

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)

when to quit smokeless tobacco?

Tips To sTarTDay 1 through 7, mix 50/50 with what ever you are chewing, this will stop cravings, withdrawal systems,

headaches and moods swings. good luck, today is the first day of the rest of your life, make it a good one!


NO APPOINTMENT NECESSARY

513-1052 39 Neill Ave HelenaAcross from Starbucks Downtown

VISIT US ONLINE: www.UrgentCarePlus-Helena.com

BORN IN 1960 and raised on a sheep and cattle ranch in Eastern Montana, I've been addicted to nicotine since the age of 13, almost 40 years! All past attempts to quit have failed.

We lived 20 miles out in the country and I clearly remember, as a teenager, running out of Copenhagen while swathing alfalfa. That day, I went to the house for lunch and caught my mother before she departed for town (Circle) to buy groceries. I implored her to purchase a can of Copenhagen for me. I had never before made such a request. She was mortified and refused. I insisted, stressing the seriousness of my plight. (I was "jonesing" quite badly.) She insisted that I "quit that filthy habit", but finally relented and reluctantly agreed to return home with a can.

Upon returning back to my duties in the alfalfa field I proceeded to roll up alfalfa blossoms and tuck them between my cheek and gum, just to pacify my uncontrollable addiction.

So, you might say I conceived your idea 30 some years ago, but just didn't know it. Ha!

When I read about your great product in a local paper, I immediately purchased a can and haven't looked back since.

I am pleased and proud to say I am NICOTINE-FREE now for 78 days, thanks to Holt Herbal Snuff (and some new-found will power).

I wouldn't even attempted to quit had it not been for your chew. It's brilliant. The pinch of Cayenne Pepper gives every chew a much anticipated kick. My family says my breath smells

a whole lot better too!God bless you for creating such a fantastic alternative.Sincerely yours, Brian M

*****I HAD CHEWED Copenhagen for 14 years. I had tried to

stop several times with no success. On December 2, 2010, I went into the emergency room with constant vomiting and was so sick I couldn't hardly get out of bed. After the doctors ran tests and couldn't tell me what was wrong, The doctor then said they were going to run some test to see if I had signs of cancer. If they found anything the figured it would be stomach cancer due to my chewing. I had never been more scared in my life at that moment I decided I was done with Copenhagen. Long story short all the tests came back negative. It was still enough to make me want to quit. A friend of mine had introduced me to Holt a few weeks before and had tried it but it wasn't Copenhagen so just brushed the idea aside. Well the next day I bought my first can of Holt and have never looked back. December 12, 2011 it will be one year that I have not had a single dip if Copenhagen and without Holt it would be impossible to be where i am today. When all this started I lived in Helena, MT but now I live in Kansas and still order Holt Chew On-line. I would like to thank Dave and everyone at Holt for helping me be where I am at today. Thank you so much!

Your Very Very Happy Customer, Elmer Cahoon

test

imon

ials


The New Year is a symbol of renewal and can be a time to prepare for new beginnings. It is a time to set goals and make them public so that you can get support and

encouragement from friends and family. Many smokers use the New Year’s holiday as motivation to

quit. For some, this is the first time they've tried to quit; for others, they may have tried before.

Regardless, this may be the most important resolution a smoker ever makes. Free help is available by calling the Montana Tobacco Quit Line at 1-800-QUIT-NOW (784-8669).

you Can QuITQuitting smoking can be challenging and may require

multiple attempts. But you can quit, and it’s important to keep trying. Don’t give up! You learn something new every time you try.

Almost 50 million smokers have successfully quit. In fact, since 2002, the number of former U.S. smokers has exceeded the number of current smokers.

In the last seven years, more than 46,000 Montanans have called the Montana Tobacco Quit Line for help. People who use the Montana Tobacco Quit Line are up to 10 times more successful than those who try to quit on their own.

WHy QuITImprove your health and protect the health of others.

Cigarette smoke contains more than 7,000 chemicals and chemical compounds, many of which are toxic or carcinogenic (i.e., cause cancer.)

People who stop smoking can greatly reduce their risk for disease and premature death. And the younger you are when you quit, the better your chance for avoiding these problems. So don’t wait!

Quitting smoking:Lowers your risk for lung and other types of cancer. •Reduces your risk for coronary heart disease, stroke, and •peripheral vascular disease. Reduces respiratory symptoms, such as coughing, •wheezing, and shortness of breath. Reduces your risk of developing chronic obstructive •pulmonary disease (COPD), one of the leading causes of death in the United States. Reduces your risk for infertility among women during •their reproductive years. Women who stop smoking during pregnancy also reduce their risk of having a low birth-weight baby.

If you quit smoking, you will also help protect your children, family, and friends from exposure to secondhand smoke, which can cause immediate harm to the nonsmokers who breathe it.

When others are exposed to secondhand smoke from cigarettes, platelets in their blood get sticky and may form clots, just like in a person who smokes. This exposure increases their risk for heart attack and death. Secondhand smoke can also cause lung cancer.

If babies and children are exposed to secondhand smoke from cigarettes, they may suffer from bronchitis, pneumonia, and ear infections. Exposure may make them wheeze and cough more often. If they have asthma, breathing in secondhand smoke from cigarettes can trigger an attack that may be severe enough to send them to the hospital. Secondhand smoke also causes Sudden Infant Death Syndrome (SIDS).

There is no safe amount of secondhand exposure. Breathing even a little secondhand smoke can be dangerous. Quitting smoking will improve your health and protect others.

Themost important new year’s resolution

You May Ever Make


BH-20186996

As a former smoker, I know how hard quitting can be. And there are people at the Montana Tobacco Quit Line who understand. That’s why we offer:

Cessation Coaching and Personalized Quit Plans

Gum, Patches or Lozenges

Cessation Medications

Call today:

HoW To QuITn The most important thing is to try! Although no single

approach works best for everyone, many effective quit methods are available.

n Talk to your doctor or health care provider about quitting. n Call the Montana Tobacco Quit Line at 1-800-QUIT NOW

(784-8669) or visit www.smokefree.gov for free information and support.

n Get ready by setting a quit date in the next few days and by changing your environment (e.g., get rid of ALL cigarettes and ashtrays in your home, car, and place of work and don't let people smoke in your presence).

n Think about your past attempts to quit. Think about what worked and what did not. And once you quit, don’t smoke—NOT EVEN A PUFF!

n Get support and encouragement. Studies have shown that you have a better chance of success if you have help. Tell your family, friends, and coworkers that you are going to quit and want their support. Ask them not to smoke around you or leave cigarettes out where you can see them.

n Get individual, group, or telephone counseling. Counseling doubles your chances of success. The more help you have, the better your chances of quitting.

n Try to distract yourself from urges to smoke. • Talktosomeone,goforawalk,orgetbusywithatask.• Changeyourroutine.

• Useadifferentroutetowork.• Eatbreakfastinadifferentplace.

n Do something to reduce your stress. Take a hot bath, exercise, or read a book.

n Plan something enjoyable to do every day.

n Drink a lot of water and other fluids.n Talk to your doctor about

medications that can help you stop smoking and lessen the urge to smoke.

SuppoRT To QuITFor support to quit, call the Montana Tobacco Quit Line at

1-800-QUIT NOW (784-8669).Beginning January 1, the Quit Line will offer 4 weeks of free

nicotine replacement therapy (gum, lozenges or the patch), up from the 2-week supply that is routinely offered. In addition, the Quit Line is also offering Chantix for $50 per month (for up to 3 months) and Bupropion for 3 months for $5 per month.

Callers who enroll receive free guidance from specialists who help each caller set a quit date, develop a personalized quit plan, and participate in five proactive calls with a quit coach who will guide the them through the quitting process.

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

BH-20186978

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


Riding horses, camping, hunting. These outdoor activities are just a few of the things Jami Ellis loves to do. But with the extra weight she carried, she found they were too difficult to do.

As a surgical technician, Jami has seen how a person’s lifestyle choices can affect their overall health. Because of her weight she, too, was living with health issues of her own—high blood pressure, bone and joint pain, and sleep apnea. Even with the help of a dietitian, Jami found that she couldn’t lose the weight she needed to. So her doctor recommended she visit Benefis Bariatric Institute where she was scheduled for gastric bypass surgery for weight loss.

“This was a life-changing surgery,” says Jami. “At Benefis I received excellent care, and now that I’ve lost more than 114 pounds, my health has improved and I can do anything I want. I can actually get on my horse again!”

Benefis Bariatric Institute in Great Falls is a Center of Excellence for Weight Loss Surgery. To see how they can help you, call 406.455.2840 today or log onto www.benefis.org/bariatrics

No longer saddled by her weight, she’s riding high again.

Live well.


By Hillary Q. Carter, Au.D.Comprehensive Hearing Services

FOR PEOPLE WITH HEARING LOSS

2626 Winne Ave Helena www.comphearing.com

FREEClean & Check

of your hearing device, no matter

where you bought it!Expires 4/01/12

S Hearing technology is more discreet

and fl exible than ever in

improving communication.

Call today!266-7038

Today’s hearing aids are tiny electronic computers – complete with wires, circuits, and sophisticated sensors. For all their complexity, we put them to work

in a very hostile environment. In or behind a person’s ear, a hearing aid can encounter moisture and debris from hair, skin, and ear wax. As you might imagine, then, they require some maintenance to continue working their very best!

A basic hearing aid maintenance kit should include a soft cloth and a small brush. Your hearing care provider may give you these things when you are fit with your hearing aid. Other helpful items may be wires, pipe cleaners, or replaceable filters that may be specific to your hearing aid. Some cleaning tools also have a metal loop at one end to help remove large pieces of debris that may be in the holes that go into your ears.

Daily maintenance should include wiping down the hearing aid with a dry cloth or tissue to remove any debris on the outside. It is easier to do this in the morning before you put the hearing aids on since the wax will be dry.

Use a soft brush to clean the hearing aid’s more sensitive areas. Pay special attention to the microphone opening, as well as the end that goes into the ear. Do this at least weekly to keep the microphone and speaker clear of debris that may block or muffle sound.

There are hearing aid drying devices that are available to remove moisture from the hearing aids. These devices may cost from $10 to $110. If you decide to purchase one, it is good to use it nightly to “refresh” the hearing aids as you sleep.

By completing these tasks, you are not only keeping your device clear of debris that can interfere with your communication, but you are also reducing the need for repairs. The most common reason that hearing aids need to be repaired is due to moisture and earwax buildup.

In addition to the home cleaning, there is nothing better than having your hearing aids professionally cleaned at least once every sic months. Our office has specialized tools to get to the hard-to-reach places. Regular maintenance of hearing aids is essential for good hearing.

Find our coupon at the right for a free hearing aid Clean and Check. No matter where you bought your hearing aids, our staff would be happy to give them a good once-over and ensure they are functioning properly! n

proper cleaning of hearing aids


ADVANCED REHAB ................................................ 9

ANDERSON ORTHOTICS & PROSTHETICS ........ 23

ASSOCIATED DERMATOLOGY ............................. 22

MONTANA ORAL SURGERY ................................... 5

BENEFIS HEALTHCARE/da Vinci .......................... 15

BENEFIS HEALTHCARE/Bariatrics ....................... 28

BROADWATER HEALTH CENTER ........................ 14

COMPREHENSIVE HEARING ............................... 29

CENTER FOR ADVANCED VEIN CARE ................ 10

ELKHORN HEALTHCARE CLANCY ...................... 28

FRONTIER HOMEHEALTH AND HOSPIEC ............. 4

HELENA EYE CLINIC .............................................. 7

HELENA OBGYN ASSOCIATES ............................ 30

HELENA ORTHOPAEDIC-PROMPT CARE ........... 18

HELENA PEDIATRIC CLINIC ................................. 11

HELENA SURGICENTER ...................................... 31

HOLT ..................................................................... 24

INDEPENDENT RECORD HEALTH FAIR ............... 13

L & C TOBACCO USE PREVENTION ................... 27

L & C HEALTH DEPARTMENT ............................... 23

L & C OBESITY PREVENTION PROGRAM ........... 20

MEDICAL WEIGHT MANAGEMENT ........................ 8

MOUNTAIN SURGICAL ARTS, .............................. 17

NIGHTINGALE NURSING ...................................... 21

PARLIAMENT CHIROPRACTIC ............................. 16

RICHARD P SARGENT MD ................................... 24

ROCKY MOUNTAIN SURGICAL SOLUTIONS ...... 13

SHODAIR CHILDREN'S HOSPITAL ........................ 7

SOUND HEALTH IMAGING ..................................... 2

SPECIALIZED MEDICAL INC .................................. 7

SPRING MEADOW LIFE COACHING .................... 12

ST PETER'S MEDICAL GROUP .............................. 3

THE REAL FOOD MARKET & DELI ....................... 32

TOUCHMARK [formerly Waterford] ......................... 4

URGENT CARE PLUS ........................................... 25

YMCA .................................................................... 19

Advertiser Index

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Lynne Bryant, CNPCertifi ed Nurse Practitioner

Susan Ditchey-Hellems, MSNCertifi ed Nurse-Midwife

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January 2012 Health & Wellness Guide

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Transcript of January 2012 Health & Wellness Guide