December 2017

PROUD TO BE A MEMBER OF THE MAYO CLINIC CARE NETWORK

SensoryFriendlyHoliday

Apps for yourAppetite

Sports InjuryEvaluations

at Pepsi Rink

Trinity HealthFoundationRecognitionand Thanks

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Look Good,Feel BetterProgramWinter Safety

Prepare forFlu Season

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RECIPIENT OF THE AHA’S STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD

It’s that time of yearagain. With the beginning of the upcoming new yearcome the resolutions: anew year and a new you.

That is usually accompanied by promises of changingyour habits for the better. It could be eatingright, doing less of something you enjoy(that you know isn’texactly good for you), ormaybe taking more exercise into your life.

For the latter, why notmake good on thosepromises and work onimproving your fitness?

This can be easier saidthan done for many people. Exercise can beintimidating to a novice,leading some people tosecond guessing: Whatdo I do? How should I doit? Am I doing it right?Many may think thereare a thousand pairs ofjudgmental eyes watching them at thegym, waiting for theslightest slip-up. Whilethat isn’t usually thecase, there may be someimpediments to reachingthis healthy step.

Trinity Health’s ExercisePhysiology Department,based at the MinotFamily YMCA, can help.(Personal training services at the Y areavailable to membersand non-members for anextra fee; it is notincluded with a Y membership.) With astaff of seven, includingthree whose primaryfocus is personal training, there is sure tobe someone in ExercisePhysiology that can helpwith your fitness goals.

Personal training is theopportunity to helpthose get the start theyneed, explained NicoleMyers, BS, ISSA-FT, CF-L1, a personal

trainer with the department.

“A lot of times, peoplearen’t really sure whereto start, what to do, or ifthey are exercisingright,” Myers said,adding that personaltraining is a great wayfor people to get startedand feel comfortablewith what they aredoing, with the one-on-one attentionthey need.

The process begins oncean individual visits witha personal trainer for afree initial consultation,where the clientdescribes what theywant to achieve.

Are all personal trainingsessions the same?Absolutely not, Myerssaid. Following the consultation, a personaltrainer creates an individualized plan tailored to the client’sgoals; those goals canvary, depending on theindividual client. “I haveclients coming to mewanting something different than their regular routine,” shesaid. “They want something new; theywant something different.”

While not all sessionsare the same, personaltraining tends to lead tothe same goal: losingweight. “They want toget toned, they want tofeel better,” Myers said.For about 95 percent ofthem, “they want to loseweight but don’t knowwhere to start.”

With light, steadybreaths, Karen Walz lifts45 pounds on the benchpress before moving onto kettlebell exercises.

continued on page 2

Tanya Gillen, CPT, a personal trainer with Trinity Health’s exercise physiology department,assists Karen Walz, left, during a workout.

Personal Training for the New Year

Exercise Helps Cancer Patients Over 95 percent of cancer patients complain of fatigue while undergoingtreatment for cancer.

According to the American Cancer Society, cancer and cancer treatmentcan change normal protein and hormone levels that are linked to inflammatory processes, which can cause or worsen fatigue. Also, treatments kill cancer cells, as well as normal cells, leading to a build-up ofcell waste. The body uses extra energy to clean up and repair damaged tissue. Cancer can also cause fatigue indirectly by forming toxic substancesin the body that change the way normal cells work.

Fatigue onset can vary from person to person, explained Russell Gust, MS,CSCS, ACSM-CET, manager of Trinity Health’s Exercise Physiologydepartment. “Some people have a great amount of fatigue even beforetreatment because of their cancer,” he said. “Some people experiencefatigue after the first treatment, and some never experience any fatigue.”

Chemotherapy tends to cause fatigue more than other cancer treatments,and a combination of chemotherapy and radiation causes fatigue in a largepercentage of patients, Gust added.

To combat this cancer-related fatigue, a Cancer Exercise RehabilitationProgram, offered through the Trinity Health Exercise Physiology department, is available.

Each year, approximately 50 cancer patients participate in the program,which is held through partnership at the Minot Family YMCA.

The primary goals during the program consist of helping individuals buildmuscle mass, muscle strength and endurance, cardio-respiratory capacity,flexibility, and functional ability. The program lasts for a maximum of 12weeks, but can vary dependent upon each patient’s individual abilities.

And thanks to the annual Y’s Men’s Rodeo’s Tough Enough to Wear Pinkcampaign, as well as other fundraisers held during the latter part of theyear, financial assistance is made available so patients can partake in theexercise program.

The Tough Enough to Wear Pink campaign includes sales of shirts, hats,and other items which go to support the program by paying YMCA memberships to cancer patients. In 2017, $40,500 was raised through theTETWP campaign. Additionally, through the annual MarketPlace ProjectPink cake auction held in October, another $15,000 was raised.

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2 • DECEMBER 2017 TRINITY HEALTH HEALTHTALK

HealthTalkMarketing DepartmentTrinity Hospital – St. Joseph’s407 3rd Street SEMinot, ND 58701Toll free in ND: (800) 247-1316

Visit our website:trinityhealth.orgJoin us on Facebook:facebook.com/TrinityHealth.ND

Trinity Health’s Speaker’s BureauCall our Community Education Department at 857-5099 to check for available dates and topics.

“Keep the abs nice and solid,” advised Tanya Gillen, CPT, a personal trainer with Trinity Health’s Exercise Physiology, as Walzlifted 15-pound kettlebells. Walz almost loses her balance, butTanya steadies her. “Two more.”

As Walz exercises, Gillen nods with silent approval. Walz beganpersonal training with Gillen in January 2017, hoping to get backsome strength.

“I was out of shape,” said Walz, of Minot, adding that she wanted to get back to working out with weights. And with health issues — lumbar fusion surgery, Type 2 diabetes, and an aneurysm — she wanted to make sure she didn’t do anything toexacerbate those problems. She said she wanted to work with aprofessional “to make sure she didn’t do the wrong things.”

After retiring three years ago, Walz would go to the Minot Family YMCA to work out often — about three to five times aweek — and had lost 30 pounds and maintained her A1C below6.0. But in 2016, when new health problems surfaced, her workout routine waned. “When I found out about the aneurysm, I kind of babied myself,” she said. The pounds came back and herA1C went up.

Now, she wants to get back to a regular training routine. “I knowthe stronger I get, the fewer issues I will have with my back,” Walzsaid. “And regular exercise will help me control my blood sugarlevels.”

Personal trainers are willing to help with anything, Myers said,noting that they all possess different scopes of practice and knowledge — something that personal training clients should takeadvantage of.

Since Walz began personal training with Gillen, she has indeedgained the strength she hoped to recoup. In fact, Gillen noted thatWalz is her fastest progressing client, even though she sees heronce a week.

“I try to get here between sessions,” Walz said. She admitted thatshe needs to be more responsible when it comes to exercising.Having Gillen as a personal trainer helps keep her accountable,Walz said. “It’s harder to procrastinate when you have someone toanswer to.”

The length and frequency of personal training sessions also varies:some participate for a half hour, others for 45 minutes. Somecome for two days a week and others for three. “I fit it into theirschedule because they have other things going on,” Myers said,noting that a lot of her clients are high school students involved inschool sports. “I balance their training at school with my training.”

Myers noted that some clients see her for a total of 12 weeks —long enough for them to get started and more comfortable. “A lotof times, I think it turns into a routine, and once they start, theysee us for something new and something different, to keep itinteresting.”

As for Walz, who has been seeing Gillen for a year, she said shedoesn’t “see an end in sight” to personal training.

“There’s always more that I can learn with Tanya,” she added.

Personal training is offered through the Trinity Health ExercisePhysiology Department at the Minot Family YMCA. To set up anappointment for a free consultation, please call 857-2950.

Personal Training continued from page 1

Trinity Sports Medicine is providing enhanced support forathletes at its Sports MedicineCenter located at the Pepsi Rinkin Maysa Arena.

A certified athletic trainer is onhand week days from 3 to 6p.m. in the Center to offer freeinitial sports injury evaluations,explained Trinity SportsMedicine Manager Robyn Gust,MS/ATC. The assessments willbe offered on a no-appointment basis toany athlete regardless of age, school, orsport.

“We’re excited about the opportunity to increase our support for our communities byoffering this service at the PepsiRink,” Gust said. “Jon Sandy, acertified athletic trainer recentlyemployed by us for this position, has over 20 years ofexperience providing athletictraining services to the physically active population. He also has an extensive hockeybackground which makes this

position the perfect fit to better expandour care to the youth hockey and skatingprograms in the area.”

The region’s leader in the diagnosis andtreatment of sports injuries, Trinity SportsMedicine has served teams throughoutNorthwest North Dakota for over 30 years.Certified Athletic Trainers stay currentwith the latest protocols and practices,working in collaboration with DawnMattern, MD, board certified with a fellowship in Sports Medicine.

Trinity Health Associates receive Eagle AwardTwo Trinity Health associates recently received the Minot Area Chamber ofCommerce’s Eagle Award for Excellent Customer Service.

Desiree Herzig, a nurse with Disa Awah, MD, Internal Medicine, was “a caring andwonderful nurse to have,” stated the nomination letter for her. “My husband had togo to Dr. Awah and it didn’t take Desiree long at all to get appointments and all histests and heart doctor appointment made,” the letter said. “She does her job well.”

Tricia Nechodom, AuD, an audiologist with Trinity Health, was able to assist apatient, who had “had very poor results” with his first hearing aid.

“We tried, then she assured me they would keep on trying until they found hearingaids that would be more comfortable with my hearing loss,” the nomination letterstated. “She went above and beyond for helping me, and she has been true to herword.”

Receiving the Eagle Award is validation of the pursuit of the mission of Trinity Health, which values exceeding professional qualitystandards.

If there is a Trinity Health employee you would like to nominate, please visit: www.minotchamber.org/about/chamberawards.

Desiree Herzig Tricia Nechodom, AuD

Jon Sandy

Trinity Sports Medicine Enhances Service atPepsi Rink

HEALTHTALK TRINITY HEALTH 3 • DECEMBER 2017

It’s December. If winterweather isn’t alreadyhere, it will be soon.With the cheerful holiday atmosphere andplacidity of freshly fallensnow, this time of yearcan also bring accidentsand other incidents thatcould be harmful to aperson’s health.

Walking

Taking that first stepoutdoors can be a hazardif the weather conditionsare slippery.

During the wintermonths, one of the mostcommon causes of injuryis related to falling afterslipping on ice or snow,explained LaurieRamsey, RN, BSN, leadtrauma registrar andinjury prevention coordinator with Trinity Health.

“Some injuries may beminimal and only resultin a simple bump orbruise, but very seriousinjuries do occur,”Ramsey said, noting thatfrom January to March2017, over 80 percent ofpatients with snow- orice-related falls seen atTrinity Health’s emergency departmentresulted in a brokenbone or fracture.

As odd as it sounds, ithelps to walk like aduck:

• Keep your feet flat andslightly spread apart.

• Point your toes slightlyoutward.

• Take slow, short steps.Keep your center ofbalance under you.

• Make wide turns atcorners.

• Keep your arms atyour sides. This givesadditional balance andkeeps your arms available for support ifyou fall.

It also helps to wearproper footwear in iceand snow conditions.

Driving

In snowy or icy conditions, more “fenderbender” types of collisions occur, simplyfrom the inability to stopin time.

Although the injuriesfrom fender benderstend to be less severe innature, many do requiremedical attention,Ramsey said.Additionally, if youexperience car troubleduring travel, having awinter kit accessiblecould reduce the severityof weather-relatedinjuries, like hypothermia and frostbite.

Here are some tips tohelp drivers in the snow:

• Check the weatherbefore you go. If thereis a storm approaching,try to wait to travel.

• If you do travel andbecome stranded, DO

NOT leave your car.Light flares outsideyour car and ensurethe exhaust pipe is notblocked by snow toprevent carbonmonoxide poisoning.

• Prepare your car forwinter by checkingyour tires, brakes, battery, antifreeze levels, fuel, and allwires and hoses, to besure everything is inproper working order.

• DO NOT use cruisecontrol in wintery conditions.

• Accelerate and decelerate slowly.

• Keep your gas tank atleast half full.

• Increase following distance as it may takelonger to stop.

• Know if you have anti-lock brakes as thatsystem will “pump” thebrakes for you.

• Keep a winter kit inyour vehicle at alltimes. This shouldinclude items like ashovel, jumper cables,tow strap, bag of salt or kitty litter (non-clumping style), flashlight and batteries,matches, ice scraper,and first aid kit; nonperishable, high-energy foods suchas unsalted cannednuts, dried fruits, andhard candy; and blankets, mittens andsocks.

Carbon Monoxide

Carbon monoxide (CO)is a colorless, odorless gasthat interferes with thedelivery of oxygen in theblood to the rest of thebody. It is produced bythe incomplete combustion of fuels,which can be emitted byheaters, furnaces, woodstoves, gas stoves, or autoexhaust.

Problems occur whenthose things are notinstalled properly orthere is inadequate ventilation. Healtheffects include fatigue,headache, weakness,dizziness, confusion, andeven death. To preventcarbon monoxide poisoning, chimneys,fireplaces and otherareas should be cleanedand inspected by a certified technician. Do not use ovens or gasranges to heat yourhome. Do not leave yourcar running in anenclosed space, such as agarage. Have a carbonmonoxide alarm in yourhouse, and if it alarms,check for poisoningsymptoms and clear out immediately if someone is experiencingsymptoms. If not, thoroughly ventilateyour home. If you orsomeone is experiencingsymptoms, get to freshair immediately. Opendoors and windows, turn off combustionappliances, and leave the

house. Go to an emergency room and besure to tell them yoususpect carbon monoxide poisoning.

Snow

The thought of movinghundreds of pounds ofsnow is not only emotionally straining,but it can put a bigstrain on your heart andbody. The cold is also afactor, as it can increaseyour heart rate andblood pressure. The coldcan also make blood clotmore easily and constrictarteries, which candecrease blood supply.Pushing heavy snow or asnow blower can alsocause strain to the backand other areas of thebody. Here are somesafety tips that can helpto ease that strain:

• Do not shovel aftereating or while smoking.

• Take it slow andstretch outbefore youbegin.

• Shovel only thefresh powderysnow, as it islighter.

• Push snowrather than lifting it.

• If you do haveto lift it, use asmall shoveland only partially fill theshovel to prevent injury.

• Lift with yourlegs, not yourback.

• Do not work tothe point ofexhaustion.

• If you haveheart disease,make sure totalk to yourdoctor aboutshoveling.

• Stop shovelingimmediately ifyou have chesttightness, dizziness, orchest pain.

If you are using asnow blower,please rememberto follow theseguidelines forsafety:

• If the blowerjams, turn it offprior to tryingto reach in andunjam it.

• Keep hands

away from all movingparts.

• Refuel the snow blower only when it is off.

• Do not drink alcoholand use the snowblower.

• Be aware of the carbonmonoxide risk of running a snow blowerin an enclosed space.

Frostbite

When you are enjoyingthe winter weather, it iseasy to forget aboutfrostbite.

The wind chill – or the “real feel” temperature – plays alarge role, Ramsey said.“The colder the ‘realfeel’ temperature, thefaster frostbite can occur.When temperatures drop below 0 degreesFahrenheit, it is possiblefor frostbite to occurwithin five minutes toexposed skin. It is best to

be prepared. Coverexposed skin with wintergear, even when you’renot expecting to be outside long, such aswhen walking to themailbox or across a parking lot. A fall on theice could prevent yourability to get backindoors quickly.”

Remember that evencovered skin can getfrostbite. It is the mostcommon injury resultingfrom exposure to severecold and usually occursin fingers, toes, nose,ears, cheeks and chin. If caught early, it is possible to prevent damage, but if not, frostbite can lead toamputation.

Superficial frostbiteaffects the skin surface,while the underlying tissue remains soft. Theskin will appear white,waxy or grayish-yellowand is cold and numb. As it progresses to theunderlying tissue, theskin may become completely numb, andblisters may form.Eventually, the skin tissue will die and turnblack.

If you suspect frostbite,you should move indoorsimmediately. Removeconstrictive clothing andjewelry that couldimpair circulation. Youshould also seek medicalattention immediately.

Winter Safety to Remember

Snow Blower SafetyAs winter approaches, serious snowfall can’t betoo far away. That meansan increase in emergencyrooms visits for snow-blower-relatedinjuries. According to theAmerican Society forSurgery of the Hand, themost common of theseinjuries is amputation ofthe tips of the fingers. Thebest outcome is to avoid the injury all together.

Snow-blowing injuries are more likely to occur whensnow is heavy, wet, or has accumulated several inches.The snow clogs the exit chute or blades and the person using the machine tries to clear the clog usingher/his hand. The following safety tips are designed tokeep you safe and intact throughout the upcoming wintermonths.

How to keep your snow blower from clogging:

• Work at a brisk pace. The faster the blades and thepace, the less likely snow will stick.

• If heavy, wet snow is anticipated, consider snow blowingseveral times during the snowfall.

• A spray-on lubricant – cooking spray or oil – applied tothe blades may prevent clogs.

If your snow blower clogs:

• Turn it off!

• Disengage the clutch

• Wait 10 seconds after shutting the machine off to allowthe impeller blades to stop rotating.

• ALWAYS use the provided tool or a stick to clearimpacted snow.

• NEVER put your hand down the chute or around theblades.

• Keep all shields in place. DO NOT REMOVE the safety devices on the machine.

• Keep your hands and feet away from all moving parts.

Remember:

• Stay focused while blowing snow.

• Wear boots with traction to avoid slipping.

• Do not drink alcohol or use narcotics before using yoursnow blower.

4 • DECEMBER 2017 TRINITY HEALTH HEALTHTALK

The holiday seasoncan be a stressfultime for all families, but canbe especially overwhelming forchildren with sensory processingissues. Here aresome tips to makethis holiday seasona success for allchildren!

• Kids who struggle withchanges in dailystructure androutine do bestwhen preparedwell in advance.Discuss whatwill happenbefore, during,and after specialoccasions andwhat the expectations are for the child.

• During vacation fromschool, try to stick toas normal of a schedule as possible,with wake up and bedtimes the same.

• Provide a schedule ofevents to help withtransitions.

• Make or use a largecalendar to place significant events tohelp the child knowwhen things are happening, such asGrandma and Grandpavisiting, school holidayparty, Christmas Eve,etc.

• Holiday gatherings canbe quite loud. If yourchild is sensitive tonoise, provide themwith ear plugs, headphones playing softrelaxing music, and/oropportunities forbreaks.

• Wash new clothingbefore wearing. Letyour child wear whatis comfortable forthem, even if it is a bitmore casual. Also be

creative! Instead of anecktie, purchase ashirt that has oneprinted on it or find aninexpensive iron-ondecal.

• If your child has foodsensitivities or is apicky eater, bring thechild’s favorite foodswith you so he or shehas something to eatduring meal time.Holidays are a greattime to explore newfoods, but not a greattime to force feedingissues.

• If you attend an eventwhere people are unfamiliar with yourchild, provide theminformation ahead oftime about your child.For example: theydon’t like to behugged, but they loveto give high fives; ifthey become too overwhelmed, theymay go hide or find aplace to be by themselves and this isokay; don’t pressurethem to return to thegroup until they areready, they are working with a

therapist on tolerating new foods,one way we are working on this is totouch and play withfood; please don’t discipline them fordoing this, it is a partof their learning.

• If you plan to takeyour child to visitSanta, find a timewhere the event is lesscrowded such as aweekday, call ahead oftime to see if there is await time, attend asmaller event ratherthan going to a busymall. Follow yourchild’s lead and don’tforce an interactionwith Santa. If theydon’t want to sit on hislap, maybe standingnext to him would do.If the child doesn’twant to talk withSanta, maybe theycould write him a letter or draw him apicture. Social storiesprior to visiting Santaand for all holidayevents may be helpful.For example: “I amgoing to visit Santa.Santa is a very happyman who smiles a lot

and says ‘Ho, Ho, Ho.’He wears a red suitand has a white beard.Many boys and girlswant to visit withSanta, like me, to tellhim what presentsthey want forChristmas. I will haveto wait for my name tobe called to visit Santabut I will patientlywait my turn and thinkabout what I am goingto tell Santa I want forChristmas. I can sit onSanta’s lap or standnext to him. I will lookat the camera andsmile really big so mymom and dad can havea photo of me withSanta. Santa may askme what I want forChristmas, so I will tellhim what I want. I willwave goodbye to Santaand say ‘Thank you’and let the next boy orgirl enjoy time withSanta!”

• Limit decorationsplaced in thehome/child’s room tohelp them have acalmer place to comehome to.

• If traveling by plane,

practice carrying baggage, goingthrough security, fastening seatbelts, etc. Ifpossible, visitthe airportahead of timeto do a practice runwith securitypermission.Wear comfortableclothes, try toscheduleflights arounddaily routines, provide visual schedules andsocial storiesabout air

travel, and bring sensory calming toyson the plane andfavorite snacks.

• If traveling by car,practice short tripsahead of time, plantravel around dailyschedule, provide lotsof opportunities forbreaks, reward andpraise good behavior(think stickers orM&Ms!), bring sensorycalming toys, and buylots of new, inexpensive toys toplay with. CheckPinterest™ for lots ofactivity ideas.Hopefully these tipshelp you ease yourstress during the holiday season, andhelp you and yourfamily to enjoy thiswonderful time of the year.

For further informationon sensory processingconcerns or to ask questions, please feelfree to contact TrinityHealth’s PediatricOccupational Therapistsat 857-5286.

Having a Sensory-Friendly Holiday Season

Join us for a

FRAME TRUNK SHOWDecember 18, 2017 • 8:00 a.m.-5:00 p.m.

50% Off Every Frame

Shop from a wide range of thelatest styles, all onsite.

Featuring:• Vera Wang • Dana Buchman• Zac Posen • Lilly Pulitzer • And more

WINTER SALE50% OFF All Frames*

Men • Women • Children ~ Latest StylesDecember 18-29, 2017

Vision Galleria staff are available to help you select quality eyewear

that best fits your lifestyle

*No other discounts apply. Maui Jim, Vision Value, Safety Glasses excluded. Some restrictions apply.

Durable Medical Equipment (DME)

Home Medical Equipment

Home Respiratory Care

Custom Orthotics/Prosthetics

Women’s Health Products

CPAP Sleep Apnea Aids

Main Showroom530 20th Ave. SW

Mon-Fri 8:30 a.m.-5 p.m.

Satellite ShowroomHealth Center – Medical Arts

Mon-Fri 9 a.m.-6 p.m.

(701) 857-7370(800) 598-1207

Treat yourself to a fresh new look

this holiday season!

2815 16th Street SWSuite 102

Minot

HEALTHTALK TRINITY HEALTH 5 • DECEMBER 2017

The ladies walked into the room, one by one, most with scarves covering theirheads. They were all cancer patients and, with radiation or chemotherapy treatments, their hair had either fallen out or it was beginning to thin.

As they walked in, they were greeted by Baelee Reiter and Myndi Johnson,licensed cosmetologists and volunteers with the Look Good Feel Better program.

“Are you a light or a medium?” Johnson asked, in regards to makeup tone, beforeshe fetched a bag of makeup — free for participants — which includes severalmakeup items from top-name brands.

The women marveled over how much makeup the kits contained as they emptied what appeared to be a bottomless bag of cosmetic goodies. With themakeup, Reiter and Johnson — as well as licensed cosmetologist Laura Mihalick,who offers classes the first Thursday of the month; Reiter and Johnson’s classesare the second Monday of the month — gave tips on administering the basics:foundation, blush, and mascara, as well as the use of an eyebrow pencil to drawon eyebrows.

While hair loss can happen during chemotherapy, many believe that it’s just thehair on the top of your head that falls victim. This is false: eyelashes and eyebrows, as well as other body hair, can fall out.

That is the purpose of the program: to help make women feel better aboutthemselves as cancer treatments can change a person’s appearance. That appearance could be hair, which falls out or thins, or skin, which can changecolor or texture, after radiation or chemotherapy treatment. According to theAmerican Cancer Society, hair loss and skin changes are among the commonside effects one will face while going through chemotherapy treatment. Hair lossis also common for patients undergoing radiation treatment, although hair isonly lost in the area being treated.

Additionally, the Look Good Feel Better program offers assistance with wigs andhead wraps, as well as giving the participants information on what to expectwhen it comes to skin changes and hair loss.

“I didn’t know what to expect,” said Barbara Spooner, a program participant. “I was wondering ‘Should I have come?’, but they made me feel at home andwelcomed us real nice.”

After she got settled in and began to talk to the other participants, Spooner’snervousness melted and she began to feel more comfortable.

The classes were previously offered at the Trinity CancerCareCenter and instructed by a trainer from the American CancerSociety, but after the trainer stepped down, the program fell bythe wayside. “The program wasn’t offered for a good year becausethey didn’t have anyone to run the class,” said Carol Mohagen,LSW, a social worker with the CancerCare Center.

But then, three volunteers came forward. Reiter became involvedwith the program after she heard about it and that there wasnobody running it. “I thought it could be something I could doand a way to give back,” she said, noting that cancer has hit herpersonally through her friends and family members. Reiter, whomanages Evolution Salon in Minot, told Johnson, the salon’s co-owner, and the two decided to volunteer.

The classes are a great way for women “to get together with others who may be at different stages of their treatment, andknow they’re not in it alone,” said Mihalick, who speaks fromexperience as a cancer survivor.

Mohagen noted that the Trinity CancerCare Center is blessed tohave volunteers who give their time to help so the Look GoodFeel Better program can continue to help cancer patients inMinot.

If you are interested in the class, you can sign up at the frontdesk at the Trinity CancerCare Center, 831 South Broadway,Minot, or call Carol Mohagen at 857-2829.

Monday – Friday 8:00 am – 8:00 pmWeekends & Holidays9:00 am – 5:00 pmAccepting patients of all agesNo appointment needed

Open 7 days a week

Walk-In Clinic

WALK-IN CARE THAT PUTS YOU FIRST.

Health Center – Medical Arts, 400 Burdick Expy – East, Minottrinityhealth.org/FirstCare

Open Christmas Day.

Trinity FirstCare Walk-In Clinic puts you first by providing walk-in care with no appointment needed. At FirstCare Walk-In Clinic, we’re ready to treat adults and children of all ages. Staffed by Trinity Health providers, we provide access to pharmacy, lab, and imaging services. FirstCare Walk-In Clinic is here to help you feel better, faster.

Trinity Health FirstCare. The first name to turn to for walk-in care.

Non-Emergency vs Emergency Care

For problems that are non-life threatening, FirstCare Walk-In Clinic is your best option when your primary doctor cannot see you or their office is closed.

For life-threatening illnesses or injuries, you should always call 911 or visit the emergency room.

Barbara Spooner, of Minot, serves as a demonstration model while cosmetologist and Look GoodFeel Better volunteer Myndi Johnson shows how to draw on eyebrows.

Donation to CancerCare CenterThe Trinity CancerCare Center received a $500donation on November 13 from a local salon.

“We did a raffle in the salon; for five dollars, theyreceived an entry to win a $150 gift certificate,”explained Kamie Richardson, co-owner ofEvolution, a Minot salon. While fundraising inthe past during October, in honor of BreastCancer Awareness Month, the salon decided “tojust keep it local” this year and donate to theCancerCare Center.

This was a way to support “friends and lovedones,” said Evolution co-owner Myndi Johnson,who presented the check to Shane Jordan, director, and Carol Mohagen, social worker, bothwith the Trinity CancerCare Center, and AlEvon, director, and Cody McManigal, donor relations coordinator, with the Trinity HealthFoundation.

The salon’s clientele is mostly female, Richardsonnoted. “Cancer has touched so many of them.They sit in our chairs and tell us what they’regoing through. We feel it is important to giveback to the community.”

In addition to this recent donation, Evolutionhelps the community – especially those in thecommunity affected by cancer – in other ways.Johnson, and Baelee Reiter, a cosmetologist withEvolution, volunteer with the American CancerSociety’s Look Good Feel Better program.

Jordan said the money donated will go into theCancerCare Center’s Patient Assistance Fund,which offers direct financial assistance or otherprojects that directly benefit patients at theCancerCare Center.

Cody McManigal, donor relations coordinator, Trinity HealthFoundation; Shane Jordan, director of the Trinity CancerCareCenter; Myndi Johnson, Evolution; Carol Mohagen, socialworker with the CancerCare Center; and Al Evon, director ofthe Trinity Health Foundation.

Program Helps You Look Good, Feel Better

Visit our website at trinityhealth.org

Join us onfacebook.com/TrinityHealth.ND

6 • DECEMBER 2017 TRINITY HEALTH HEALTHTALK

Apps for your Appetite Italian meals need not be heavy, or starchy (yet, let’s admit it, delicious). They can be light, appetizing, and low in calories.

Take the Caprese skewer, for example. Caprese skewers are an off-shoot of the Caprese salad, a simple Italian salad madeof sliced fresh mozzarella, tomatoes, and sweet basil, and seasoned with salt and olive oil. In this case, it is a salad on astick, so to speak.

These handy appetizers are not only tasty, but they are simple to make! All you need are grape tomatoes, basil, mozzarella,balsamic vinegar, and olive oil – and an appetite!

Preparation isn’t long, explained Kayla Cole, a clinical dietitian with Trinity Health. Between washing the tomatoes, pullingthe basil leaves, and taking the mozzarella out of the plastic, it takes about “ten minutes, maybe” to prep, and then about 15to 20 minutes to assemble, depending on how many batches you make.

Caprese skewers have a good flavor and low sodium and are indeed a healthy appetizer, Cole said. With these, “you getyour vegetables.” Additionally, you can do what Cole does and add strawberries. Or you can add meat, such as salami orprosciutto.

The process of threading the ingredients onto the skewers can be repetitive, but the overall yield is worth it – especiallywhen you bite into the soft cheese, the crisp basil, and the plump tomatoes mingled together in a harmonious collection ofantipasto. (Also, the collection of red and green would make a welcome addition to your holiday platter!)

Caprese SkewersIngredients:- 2 pints of cherry or grape tomatoes- 1 pound fresh mozzarella- 1 bunch fresh basil- Olive oil- Balsamic vinegar- Salt and pepper

Directions: 1. Thread ingredients onto skewers. You can opt for long shish-kabob

style skewers, which can comfortably accommodate two series oftomatoes, basil, and cheese, or you can stick to toothpicks for a smaller offering.

2. Drizzle with a little olive oil and balsamic vinegar. 3. Sprinkle each skewer with salt and pepper.

Cranberry and Pistachio Goat Cheese LogIngredients:- Roasted pistachios, chopped- Drained cranberries, chopped- 8- to 10-ounce log of fresh goat cheese- Crackers or bread, for serving

Directions: 1. On a large plate, combine the pistachios and cranberries2. Roll the goat cheese in the fruit-and-nut mixture to coat.3. Serve with the crackers or bread.

4. Enjoy!

Here is another quick and easy (and delicious) recipe to serve during the holidays. In fact, “you can’t even call it cooking,”Cole said, adding that preparation “is a snap,” provided the pistachios are already shelled.

FirstCare Walk-In Clinic Now OpenHealth Center – Medical Arts • No Appointments Necessary

KDU Patients can Benefit from GenerosityFor many patients at the Trinity Kidney Dialysis Unit, traveling hundreds of miles a week for dialysis treatments is just another partof life for those with chronic kidney disease. It can also be expensive, and vital for survival.

To help aide these patients, the Trinity KDU is designing a program to help.

Like the Trinity CancerCare Center, the Trinity Kidney Dialysis Unit will begin to collect gas stamps from MarketPlace Foods, whichwill help those patients who must travel from out of town for dialysis treatments. Gas stamps can be dropped off at the KDU, located on the fourth floor in Trinity Hospital-St. Joseph’s, 407 3rd Street SE, Minot; or in drop boxes in the cafeterias at TrinityHospital and Trinity Hospital – St. Joseph’s, as well as collection boxes around the facility. (Additionally, the Trinity HealthFoundation has a designation where if you donate to the Foundation, you can opt that funds go to help the Trinity KDU, notedKathy Larson, RDN, LRD, a clinical dietitian with the KDU.)

Glasses • Contacts • Frames

Plaza 162815 16th St. SW

Minot, ND 857-7440

Trinity Health – Western Dakota1321 West Dakota Parkway

Williston, ND774-8785

Let our staff assist you in selecting a health care provider right for you. Please feel free to leave a message after hours and your call will be returned the next

regular business day, or email us anytime at DR4U@trinityhealth.org.

HEALTHTALK TRINITY HEALTH 7 • DECEMBER 2017

BIRTH CENTERFlorence Nyberg

CANCER EXERCISE REHABFlorence Nyberg

In memory of Gloria SchmidtHarley Schmidt

CANCERCARE CENTERBernice Galusha EstateCornerstone Presbyterian ChurchFlorence NybergJim GroteMarlene MarquardtSouris Valley Care CenterSouth Prairie School District

In memory of Cheryl LaneBetty LewisClara Sue & Gary PriceJudy RossJudy TeetsSandra Krueger

In memory of Cindy RubbelkeAlan & Cheryl EkbladCelia & Robert JohnsonGarvin & Cheryl OsteroosKathy & Rodney KallestadLarry Huizenga

In memory of Clifford & Marie Eggen

Gary & Jane Nutz

In memory of Fred & Linda Nutz

Gary & Jane Nutz

In memory of Gary VichaDel & Carol Lougheed

In memory of Gladys AndersonDel & Carol Lougheed

In memory of Linda WardJudith Deaver

In memory of Loren ButgereitKaren & Hjalmer Carlson

In memory of Missy NewburyCleo SlaaenLois & Robert Ellis

In memory of Sula BruinsDeb & Brian BoppreLila & Chet ReichSharon & Joe Crider

In memory of Sylvia KickertDel & Carol Lougheed

In memory of Tammy PinnowDee Dee & Terry Kraft

In memory of Wendell HansonKaren & Hjalmer Carlson

CANCERCARE CENTERENDOWMENTIn memory of Jerica IrmenShane & Tara Jordan

In memory of Sula BruinsMaynard Kuebler

CANCERCARE COTTAGEIn memory of

Conrad ChristiansonArdien & Carolyn TandbergDiane SnustadJohn & Cheryl WallenLynn & Judy StevensMary & Lyle LavachekNancy StevensonWesley & Marlene Tossett

In memory of Evelyn HollarnLynn & Judy StevensWesley & Marlene Tossett

In memory of Jerroll EricksonJohn & Cheryl WallenLynn & Judy Stevens

In memory of Olive OlsonJohn & Cheryl Wallen

In memory of Robbie ConwayLynn & Judy Stevens

In memory of Ruth HallJohn & Cheryl WallenLynn & Judy Stevens

In memory of Sula BruinsThe Water Lillies YMCA Water

Aerobics Class

CANCERCARE PATIENTASSISTANCEAimee MuusDr. Frank & Pam ShipleyJill McLemoreLoretta PorterPamela HolwegnerSamantha WagnerSandra HarbortStephanie VelimirovichTires Plus EmployeesXiaocheng Yang

In memory of Missy NewburyJames & Leatha CampbellLeAnn & Evan Hanson

CARDIOPULMONARYDale & Mari Louise OpdahlPatricia VannettStewart Selid

In memory of Barb KobleDr. Jeffrey & Janelle Verhey

In memory of Gladys Cederstrom

The Cederstrom Family

In memory of Mike HemphillDoug & Carrie FrancisToni & Allan Kremer

In memory of Ronald DahlienKaren & Hjalmer Carlson

CHILDREN'S FUNDAllie's Friends FoundationConfection ConnectionStarlight Children’s Foundation

EMERGENCY TRAUMACENTERIn memory of Eloise MonsonRuth Ann & Butch Rexine

GENEROSITY CARDIn memory of Ernie SellandAlbert & Helen Klein

GOLF FOR LIFEBuffalo Wild WingsCoca-Cola Bottling Company

High CountryDenny'sExecutive Air Taxi Corp.Financial Healthcare Resources,

Inc.HighAir Ground Trampoline

ParkLonghorn SteakhouseMichael EadeMinot Junior Golf Association,

Inc.Napa Auto PartsNorthern Bottling CompanyOlive GardenScheelsW. G. Yates & Sons Construction

Co.

GUEST HOUSEStephanie Hovland

In memory of Ray SosinskiBrad & Liz Sosinski

In memory of Wendell HansonMildred SatherSherry Braaton

HOME HEALTH & HOSPICEJulianne Bonner

In memory of Betty BloomArchie & Elaine Kress

In memory of Dean SerrMarilyn NehringSteven & Jeanette Hoff

In memory of Duaine FugereDiane Fugere

In memory of Ernie SellandBecky HauserBuzz & Linda SyriaDarlene & Darrell DenichDavid & Nancy LiffrigDiane & F. Bruce WalkerDorothy AndersonEunice FarstadJ. Patrick & Peggy SchmittJudy Ross

Kristi MouselPhil LeerProhealth Home CareStan & Linda BromleyThe Family of Ernie Selland

In memory of Henry AndersonClaryce EricksonDick & Judy WinjeJim Welch

In memory of Jack HoevenTom & Cathy Henderson

In memory of Janelle WheelingDorothy Grace

In memory of Kathryn Papineau

Leo Clark & Lindsey Papineau

In memory of Linda KaljotLouise Heidorn

In memory of Linda WardJudith Deaver

In memory of Lorraine KleinJanette Timmreck

In memory of Marilyn SellandEunice Farstad

In memory of Nita KontosDr. Jeffrey & Janelle Verhey

In memory of Ruth Rauschenberger

Dr. Jeffrey & Janelle VerheyJane & Craig Nelson Louise & Gary Eriksmoen

In memory of Sula BruinsMuriel Rostad

In memory of Tammy PinnowDanny & Debora Seright

In memory of Warren HelstedtAvis MathisBeverly HelstedtColleen ShervenDeb FauskeHelen ZablotneyJeff & Sandee MichalenkoKatherine GanjeLila & Chet ReichMarlys FandrichRebecca & Brian Schatz

In memory of Wendell HansonLando & June Vix

KENMARE COMMUNITYCLINIC & HOSPITALComputershare Trust Company

of CanadaCrescent Point Energy U.S. CorpFlorence NybergPetro-Hunt, L.L.C.

KIDNEY DIALYSIS UNITStewart Selid

NEW TOWN COMMUNITYCLINICSlawson Exploration Company,

Inc.

NURSING SCHOLARSHIPENDOWMENTAlyce & George KillmerDanny & Debora SerightEllen & John McVayFlorence & Wayne ArnoldLaural & Gene AndersonLola FosterLucille BuelowLynne & James KennedyMarcia NordmarkMary GreenNicola & Dale RoedThe Estate of Dr. Rose Morgan

In memory of Cyndi KlausBrenda Lokken

In memory of Ernie SellandMike & Pam Uran

In memory of Geraldine SchatzMike & Pam Uran

In memory of Gladys AndersonMike & Pam Uran

In memory of Jerome McFarlenAgnes Brandt

In memory of June HolmesClaryce EricksonThe Irwin Family

In memory of Katie IsaacsonKaren Krebsbach

In memory of Linda WardJudith Deaver

In memory of Regina KleinMary Klein

In memory of Ruth Rauschenberger

Mike & Pam Uran

In memory of Scott AndesMike & Pam Uran

In memory of Sula BruinsMike & Pam Uran

RUTH BODIENENDOWMENTPamela Lambert

TRINITY HEALTHFOUNDATION FUNDBernice GouldThe Estate of Ernie SellandGale & Elaine DahleJim & Diane DignanJoanna MonceraJohn & Nicole KutchJoseph SengerLloyd JohnsonLyle & Esther OplandMary Ann & Marvin MichelsonNeil ThorpeRebecca ArmstrongSamuel Onuigbo

In memory of Ernie SellandDavid & Cheryl BakerGene & Cathy NealXcel Energy

In memory of Jerold OlsonCarol Olson

In memory of Lyle AndersonViola Anderson

In memory of Marvy MarinerMarvin & Arliss Godejohn

TRINITY HOMESApplebee'sCountry Inn & SuitesDavid PopeDr. Jeffrey & Janelle VerheyDr. Joe & Shawn SmothersG & P Commerical Sales Inc.Hampton Inn & SuitesI. Keating Furniture WorldKathy & Doug LarsonMowbray & Son Plumbing &

Heating, Inc.Northern Bottling CompanyParadiso Mexican RestaurantThompson-Larson Funeral Home,

Inc.Total NutritionUS FoodsValerie Quintoa

In memory of Ernie SellandDr. Kimberly Krohn &

Dr. John Fishpaw

In memory of Marilyn Luchsinger Butler

The Family of Marilyn Luchsinger Butler

In memory of Richard PriessValerie Priess

TRINITY TURKEY DRIVEAshley BuschCarol & Don MohagenCarol & Rodney WalthCindy & Dennis NordquistConnie & Ed SundbyDave BoshDr. C. Etta TabeDr. David & Jane Uthus

continued on page 8

\Ç exvÉzÇ|à|ÉÇ tÇw g{tÇ~áAAATrinity Health Foundation is proud to list the names of individuals, organizations, and businesses whose gifts were received from August 1 through October 31, 2017. These contributions illustrate a generous and caring community, striving to bring the highest quality care to those we serve. We want to thank these contributors for their generous support of Trinity Health’s mission, “to excel atmeeting the needs of the whole person through the provision of quality healthcare and health related services.” For more informationon honoring the memory of a loved one through philanthropic giving, contact Trinity Health Foundation at 857-5432.

8 • DECEMBER 2017 TRINITY HEALTH HEALTHTALK

C A L E N D A RPrepared Childbirth ClassesLearn about exercise and breathing techniques, labor/delivery,newborn care, newborn feedings, etc. Enrollment is limited.

SATURDAYSDecember 16, January 6, 2018, February 3, 20189 a.m.-4 p.m., in the Prepared Childbirth Classroom, HealthCenter – Riverside Education Center, 1900 8th Ave. SE.

Breastfeeding BasicsDecember 13, January 10, 2018, February 14, 2018Offered by Laureen Klein, RN, BSN. Meets from 7-8 p.m.,Health Center – Riverside Education Center, 1900 8th Ave. SE.

These classes are offered free of charge as part of Trinity’scommunity benefit mission, but registration is typicallyrequired. To sign up for classes go online at http://trinityhealth.org/familybirth_registration or call 857-3607.

Family Birth Center ToursExpectant mothers are invited to attend a formal grouptour/education/Q&A session at Trinity Hospital’s Family Birth Center. This opportunity allows every expectant motherto hear and see valuable information in a relaxed environment. We will also provide information on self-care,infant safety, and what to expect during your delivery. See trinityhealth.org/familybirth_SVS or call 857-5380 for adetailed schedule.

For the latest updates, check online at trinityhealth.org

C O M M U N I T Y

Mobile Mammogram ScheduleDecember 4 .................................................Crosby Clinic, 965-6349

December 12..................................................Tioga Clinic, 663-3368

December 13 ..Mountrail County Medical Center, Stanley, 628-2505

December 20.............Trinity Community Clinic – Mohall, 756-6841...............................Trinity Community Clinic – Kenmare, 385-4296

December 21 ...............Trinity Community Clinic – Velva, 338-2066

Calendar of EventsDecember 12 – Grocery Store Tour

What does the food label tell me anyway? Navigate the aisles of the grocery store (the original MarketPlace Foods, located at 1930South Broadway), on December 12, from 2 to 3 p.m., and learn thedifferent parts of the food label and what they mean to you? Thisgrocery store tour is free, but space is limited, so please RSVP bycalling 857-5268.

Dr. Jeffrey & Janelle VerheyDr. Thomas CarverGeraldine StewartJerry Ray

Jill & Jerry AarsethJohn & Nicole KutchJudy GullicksonKara Gjerde

Karen & Jay ZimmermanKaren & Robert HolteMark & Bonita LeierRobert Franca

Terri & Scott TranbyThomas & Dana Warsocki

In Recognition and Thanks continued from page 7

Prepare for the Flu Season

As of mid-November, there was one caseof flu reported in Ward County, althoughthere were only 42 in the state of NorthDakota.

Pam Remington, RN, a nurse with TrinityHealth’s Infection Prevent and Controldepartment, noted that it is good thatthere hasn’t been a lot of flu activity inWard County. “We still encourage everyone to go in and get their flu shotbefore it hits.”

However, while that number doesn’t seemlike much now, that number could grow,especially with projected figures that showthe flu season could be big. The AmericanCouncil on Science and Health has suggested that Australia’s recent numberof reported influenza cases – about 2.5times more than in 2016 – could be a precursor to what the United States maysee. The Centers for Disease Control andPrevention reported that as of early-to-midNovember, the majority of the nation –including North Dakota and the upperMidwest – had estimates of sporadicinfluenza activity, while states in the southand some in New England, had local andregional activity; at the same time lastyear, almost every state, except for a few,

reported sporadic activity. (Last year, theCDC states, influenza became morewidespread in late December and throughMarch.)

Should the influenza patterns repeatthemselves this year, it would be important to get vaccinated as soon as possible. Terry Altringer, clinical coordinator of Trinity Health’s pharmacydepartment, noted that flu shots do have a “lag time” so if an outbreak hits, thosewho have not been vaccinated run a risk of contracting the flu. Getting vaccinatedbefore an outbreak can decrease the likelihood of contracting the flu, or at bestmaking it less severe, he said.

“Typically, the flu hits hardest betweenDecember and February, but can last intoApril and even May,” Altringer said.“That’s why we want people to get it bythe end of October to obtain maximalprotection.”

Flu vaccinations are available at the following Trinity Health clinics: FirstCareWalk-In Clinic, located at Health Center –Medical Arts; Trinity Health South Ridge;Health Center – Town & Country, Suite104; pediatrics department, located atHealth Center – Medical Arts; your primary care provider’s office; and TrinityHealth’s rural clinics.

“I would say we are at least on par or evenslightly ahead of previous years as far asthe number of vaccines administered inthe clinics,” noted Altringer. “We have hadto order more vaccine in, so we are definitely moving it out of here, which is agood indication people are serious aboutprotecting themselves against the flu.”

Flu vaccinations can help reduce flu illnesses and prevent flu-related hospitalizations. The North DakotaDepartment of Health urges everyone sixmonths of age and older to get vaccinatedagainst the flu. “Flu can be particularlysevere for children, the elderly, pregnant

women, and people with a compromisedimmune system, but the flu can make anyone very sick,” the NDDoH stated in apress release from December 2016.

According to the Centers for DiseaseControl and Prevention, the flu can bequite serious for people 65 years of ageand older. It is estimated that 71 to 85 percent of seasonal flu-related deaths haveoccurred in people 65 years and older, andbetween 54 to 70 percent of seasonal flu-related hospitalizations have occurredamong that same age group.

A weakened immune system – somethingthat happens as you age – is the culprit forsevere cases among those 65 and older,said Dr. Casmiar Nwaigwe, an infectiousdisease provider with Trinity Health. “Also,they tend to have comorbid conditions,like COPD, respiratory issues, heart disease, or diabetes, that weaken theimmune system,” he added. “Those diseases tend to get worse and difficult tocontrol once they get the flu.”

Children under three years of age areadvised to make an appointment withtheir pediatrician. Adults also may schedule an appointment with theirprovider’s office to receive a flu shot.Trinity Health will bill all verified insurances, and people are asked to bring acopy of their insurance cards.

The flu season tends to go through April,with flu activity peaking in Minot in “thelate season,” or February or March, Dr.Nwaigwe said.

If a person has yet to be vaccinated, “theyshould make sure they do and not let thewarmer temperatures give them falsesense,” Altringer said.

For more information on the flu, as well asthe availability of when and where flushots are available at Trinity Health, visitwww.trinityhealth.org/influenza.

On behalf of Trinity Health’s

Board of Directors, Providers, Employees and Volunteers,

we wish you a very Merry Christmasand

a Happy & Healthy New Year!