FEBRUARY 2018

American Heart
Month
OMC works to improve
communtiy heart health

Understanding CPR
in high-stress situations

High blood pressure:

Knowing the numbers

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 2 February 7, 2018 Peninsula Daily News and Sequim Gazette American Heart Month 2018

Transforming sadness for a healthier heart

By Kristin Halberg, transformation guide and heart, by the pulse wave flowing through
owner of The Dream Hatchery the bloodstream and through electrical
signals broadcast through the heart’s elec-
It’s February, the month most often tromagnetic field.
associated with your heart. Guess where your heart gets much of
Although you might know that your this information? Emotions.
heart is connected to your emotions sym- In fact, any time you are experiencing
bolically, did you know that it also is con- any emotion that can be labeled “negative”
nected to your emotions physiologically? — sadness, grief, anger, fear, anxiety,
Several research studies indicate that depression — your heart rate variability
certain psychosocial factors such as anger, (HRV, the variation in the time interval
grief, sadness and depression contribute to between heartbeats) becomes erratic or
heart attack and cardiac arrest, according incoherent.
to a study from the University of Roches- It’s a little bit like driving a car with
ter Medical Center. the brake pedal down and the gas pedal
In fact, although it is commonly thought down at the same time.
that our brain is “in charge” of our body, a When your heart receives these emo-
relatively new branch of science, neurocar- tional signals and begins beating errati-
diology (the study of the conversation that cally, it sends cortisol (and 1,400 other bio-
happens between our brain and our heart) chemicals) to your brain, triggering the exhilaration, passion, joy, love, peace, grat- For best results, practice this tool three
revealed that our heart sends more sig- fight/flight or freeze mode, depleting your itude, compassion, etc. create an HRV pat- to five times a day for 30 seconds to 3
nals to our brain than our brain sends to energy, causing stress in your body and tern that is more like smooth rolling hills. minutes at a time.
our heart. interfering with your ability to think According to “Transforming Stress,” Do this for 30 days to create a habit.
According to Doc Childre and Deborah coherently, according to research con- this pattern sends DHEA (known as the •  Genuine Positive Emotion Prac-
Rozman in “Transforming Stress: The ducted by the HeartMath Institute. vitality hormone) to your brain, balancing tice: The two tools above are quite useful
HeartMath Solution for Relieving Worry, The good news is that just as negative your autonomic nervous system and for building the muscle of coherence and
Fatigue and Tension,” this happens emotions affect our heart, so do positive opening up access to the rational thinking transforming emotions.
through our nervous system, by hormones emotions. part of your brain and increasing levels of But for those of you who don’t want to
and neurochemicals produced in the Positive emotions such as excitement, intuition. feel like you’re faking it and who want to
honor your sadness or grief or depression
TRANSFORMING SADNESS or even anger, choosing and practicing a
THROUGH DAILY PRACTICE genuine positive emotion might be easier

American Heart Month Fortuitously, there are a series of tools

that can help you transform sadness and
February 2018 other potentially detrimental emotions.
•  Inner Sanctuary Tool: Drop your
an advertising supplement of awareness from your brain down to your
Peninsula Daily News and Sequim Gazette heart and breathe slightly more deeply
than usual.
peninsuladailynews.com | sequimgazette.com
Keep your awareness in your heart as
you breathe, imagining your breath is
flowing in and out of your heart area.
Do this for 5 to 10 breaths.
Notice what you’re experiencing.
Most people find that they feel more
relaxed.
Practice this new tool 15 to 20 times a
day for 10 to 30 seconds at a time for a
month, especially when you realize you
are feeling a negative emotion that you’d
like to transform.
•  Positive Emotion Practice: Now
Peninsula Daily News Sequim Gazette that you’ve experimented with the Inner
Sanctuary Tool, it’s time to take it up a
305 W. First St. 147 W. Washington St. notch.
Simply add a positive emotion to your
Port Angeles, WA 98362 Sequim, WA 98382 experience.
360-452-2345 360-683-3311 Choose a positive emotion that’s rela-
tively easy for you, such as gratitude or
love.
Terry R. Ward, regional publisher
Breathe this emotion into your heart
Steve Perry, general manager with your breath for 30 seconds.
The beauty of this tool is that you don’t
Brenda Hanrahan and Laura Lofgren, special sections editors have to actually feel this way inside; sim-
ply imagine that you do.
for you.
If you are experiencing grief for any
reason, instead of reaching for gratitude,
what if you choose to feel compassion for
yourself?
This is hard for some, so imagine how
you would show up for a friend who was
experiencing sadness.
Imagine that you can do that for your-
self. Feel into that compassion and
breathe it into your heart.
To learn more about mastering your
emotions and take this practice even fur-
ther, visit www.thedreamhatchery.com/
what-is-emotional-mastery.html or call to
schedule a personal appointment or a pre-
sentation booking for your organization or
a group of friends.
Kristin Halberg is a transformation
guide and owner of The Dream Hatchery
in Port Angeles. She guides women back to
wholeness and a life they love through the
healing power of nature, science, spiritual
awakening and the expressive arts.
For more information, visit www.the-
dreamhatchery.com or www.facebook.com/
DreamHatchery, or call 425-343-2374.
Halberg also is offering a HeArt & Soul
journaling workshop starting Wednesday,
Feb. 7.
Visit www.thedreamhatchery.com/heart-
and-soul.html.
American Heart Month 2018 Peninsula Daily News and Sequim Gazette February 7, 2018 3

822047851
 4 February 7, 2018 Peninsula Daily News and Sequim Gazette American Heart Month 2018

OMC: IMPROVING COMMUNITY HEALTH

Spotlight on chronic disease management, rehabilitation, wellness
By Olympic Medical Center OFFERINGS BY OMC IN SEQUIM
Olympic Medical Center (OMC) has long LEAD TO BETTER HEALTH
been known as a provider of excellent medi- Many activities that are good for our
cal care and treatment. body also are great for general heart and
Rightly so, hospitals and specialists are vascular health.
known for screening, diagnosing and Olympic Medical Center’s wellness ser-
treating ailments and illnesses; however, vices offer three programs to meet certain
the best health care includes wellness and needs of our community.
prevention.
Thankfully, many evidence-based prac- Tai Ji Quan: Moving for Better Balance
tices exist to improve the opportunity for Tai Ji Quan (tai chi) teaches partici-
wellness by preventing people from pants techniques to help improve balance
becoming ill or injured. and prevent falls.
Recently, Olympic Medical Center part- Endorsed by the Centers for Disease
nered with the Olympic Peninsula YMCA Control and Prevention (CDC), the state
to bring wellness services to Sequim. Department of Health and the National
Programs focus on a wide spectrum of Council on Aging, this research-supported
services — supervised, community-based program is adapted for all ages and abili-
cardiac and pulmonary rehabilitation ties.
maintenance classes; post-physical ther- Tai Ji Quan is fun and an effective way
apy maintenance classes; chronic disease to improve balance; improve muscle
management; and a growing number of strength, posture, flexibility and mobility
wellness programs. to help with daily tasks; and reduce risk Ji Quan is $125 for a 12-week (twice a improve running efficiency; prevent
All programs and classes take place in of falls and fall-related injuries. week) program. injury; and reduce pain or discomfort.
OMC’s wellness services facility within Taught by experienced physical thera- No prior experience is necessary. A single running assessment costs $75.
the YMCA of Sequim, 610 N. Fifth Ave. pists and physical therapy assistants, Tai For more information or to register, call A running assessment and two follow-
360-582-5050. up visits is $150.
All ages and experience levels can
Running Assessment obtain an assessment.
Many community members are active For more information or to register, call
runners and joggers, and others are inter- 360-582-5050.
ested but are concerned about pain and
discomfort. Traditional Gym Program for
Olympic Medical Center offers a run- Physical Therapy Patients
ning assessment, which is a full biome- This is a supervised, small-group exer-
WHAT…is MELT®?! chanical assessment from a licensed phys- cise program for recently discharged phys-
ical therapist who uses slow-motion video ical therapy patients who are not ready to
INTERESTED IN LEARNING HOW TO LIVE A and other screening tools to evaluate an
individual’s running movements and, of
exercise on their own.
Licensed staff members help partici-
MORE ACTIVE, PAIN-FREE, HEALTHY LIFE? course, their shoes. pants meet their function and fitness
Through the assessment, a plan can be goals.
MELT® Method a self-treatment, soft tissue technique developed to improve running mechanics; Call 360-582-5050 for more information.
using small balls and a soft foam roller may be the answer.
Learn how these easy and simple self-care techniques can
give you the results of manual therapy. Relieve aches and
pain brought on by aging, stress and daily active living.
Reduce inflammation, ease chronic neck and low back strain,
improve alignment to keep your body functioning efficiently
every day. Stay active, healthy and pain-free for life!

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and workshops for many different conditions. Give us a
822050379

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American Heart Month 2018 Peninsula Daily News and Sequim Gazette February 7, 2018 5

Foundation to host 11th annual heart luncheon

By Bruce Skinner, executive director of
the Olympic Medical Center Foundation
The Olympic Medical Center Founda-
tion will host the 11th annual Red, Set,
Go! Heart Luncheon at 11:30 a.m. Friday,
Feb. 23, at Vern Burton Community Cen-
ter, 308 E. Fourth St. in Port Angeles.
This event is presented by the James-
town S’Klallam tribe.
Persons interested in sponsoring or
attending the event can contact the foun-
dation office at 360-417-7144.
Individual tickets are $60.
“We encourage you to attend this won-
derful event,” said committee chair Karen
Rogers. “To date, we have raised almost
$300,000 for the OMC Heart Center for
the event, and we hope to significantly
add to that.”
Ann Kennedy will be a special honoree
at the event. She will deliver her “survi-
vor” story.
Also speaking on heart health education
will be Dr. Kara Urnes from Olympic
Medical Heart Center and Dr. Debleena
Dutt from Swedish Medical Center.
EDUCATION AWARENESS
In 2008, OMC Foundation launched a
Red, Set, Go! committee member Jen Gouge, left, and luncheon attendee Alexis Sorensen
converse at Red, Set, Go! luncheon in 2017.
three-year campaign to raise awareness
about the critical issue of heart health for
women on the Olympic Peninsula.
The campaign was so successful that the cation.
“The purpose of our event is to inspire
women to become more educated to
improve their heart health,” Dr. Urnes
said.
“Many women are surprised to learn
that heart disease is the number one
killer of women.”
In the first nine years, the event has
raised money to benefit patients through
Olympic Medical Center’s cardiac program
and save lives, according to OMC officials.
Proceeds from the events also have
allowed the foundation to partner with
local agencies to launch a community-
wide Automated External Defibrillator
(AED) program.
All proceeds raised at the educational
luncheon will once again benefit local
patients with heart disease issues.
“We invite all the women (and men) in
our community to join us at our inspiring
luncheon,” Rogers said.
This year, funds from the luncheon will
go toward the purchase of devices that
give immediate feedback on the quality of
compression and ventilator support dur-
foundation decided to host an annual event. ing a code blue situation.
This educational lunch promotes that “Once again, we are raising money for
the key to eradicating this disease is edu- something that will save lives,” Rogers
added.

There’s never a shortage of things to enjoy!

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 UNDERSTANDING CPR
6 February 7, 2018 Peninsula Daily News and Sequim Gazette American Heart Month 2018

By Trish Tisdale, Clallam 2 Fire-Rescue

I remember the first time I took a CPR

course. I was a freshman in high school,
and we all sat in the bleachers of the gym
and watched an outdated video, thankful
that we didn’t have to change into gym
clothes that day.
I passed the written test, performed
CPR on mannequins and received my
card.
Over the years, I had to maintain my
certification for my job.
While I could spout off the breath-to-
compression ratio and continued to pass
the test each year, did I really know CPR?
Did I have confidence in my skills and
knowledge to actually perform CPR if
needed? Absolutely not.
I never appreciated how vital CPR
skills were until becoming an EMT.
During my first few years as an EMT,
my partner and I responded to a CPR call
for a college student who had overdosed
on drugs.
When we asked the bystanders if any-
one knew CPR, a couple people sheepishly
say, “Well, I took the course,” implying
that while they were technically trained
in CPR, they either didn’t remember the
skills or didn’t have confidence to perform
CPR.
News stories and articles constantly
stress the importance of CPR.
While people will agree that CPR is an
important skill to know, how many of
them actually understand why it is so
important?
During cardiac arrest, “CPR is the only
thing you can do to help keep the person
alive,” said Teresa DeRousie, an EMT with
Clallam 2 Fire-Rescue in Port Angeles and
an American Heart Association first aid/ You must perform 30 seconds of hold compressions and circulation from Since a CPR incident will be a high-
CPR instructor. compressions to build up blood perfusion someone in cardiac arrest. stress situation, DeRousie tries to make
CPR alone isn’t enough, but better CPR to the heart. And what about reports of broken ribs? her practice scenarios reflect this.
will increase coronary perfusion, which Within three seconds of stopping CPR, Broken bones can heal; death is perma- “The class is still fun, but I try to make
will help the medical interventions per- you lose that coronary and brain perfusion. nent. it stressful because it will be a stressful in
formed by EMTs, paramedics and doctors When you resume CPR, you have to Once I really understood CPR, I real- real life,” she said. “If you can handle CPR
be more effective. perform another 30 compressions to ized that I’m not actually that good at it. in my class, you are better prepared to
“Good CPR sets everything up,” DeRou- rebuild that perfusion. To get the correct compression depth at perform CPR in life.”
sie said. “Compressions are the most important the correct rate uses all my strength. To say, “I have my CPR certification”
If you are uncomfortable giving rescue part of CPR,” DeRousie said. “You have to After two minutes of effective CPR, I’m only means that you passed a test.
breaths, or afraid about doing the “wrong” get that blood flowing.” exhausted. By understanding the importance of
compression-to-breath ratio, then simply What about possibly hurting someone Good, effective CPR is tiring. That’s why CPR in the chain of survival, you’ll
do compressions. by doing compressions when their heart is it is important for so many people to know improve your ability to perform it.
Compressions are the most important still beating? CPR — then you can switch out as And just remember, when in doubt, do
component in CPR. According to the University of Arizona’s needed. compressions.
There is usually enough oxygen in the Sarver Heart Center, the chances that a But even if you don’t think you are very
blood to supply the heart and the brain bystander could harm a person by doing proficient at CPR, you should still attempt Trish Tisdale is a volunteer EMT with
for several minutes following cardiac compressions on a normal working heart it. Clallam 2 Fire-Rescue in Port Angeles. She
arrest; however, chest compressions are are slim. If you’re the only person there and do has been an EMT since 2003 and also has
needed to circulate and distribute the It is better to perform a few unneces- nothing, the person will likely die; some served as a firefighter, rescue diver, fire
oxygen. sary chest compressions rather than with- CPR is better than nothing. investigator and wildland firefighter.
American Heart Month 2018 Peninsula Daily News and Sequim Gazette February 7, 2018 7

CPR/AED training slated in PA

By Trish Tisdale, Clallam 2 Fire-Rescue
Clallam 2 Fire-Rescue holds first
aid and CPR/AED training each
month on Saturdays.
Trainings are held at the fire dis-
trict’s administrative offices, 1212 E.
First St. in Port Angeles.
First aid classes are held from
8 a.m. to noon.
CPR/AED classes are held after-
ward from 1 p.m. to 5 p.m.
Participants can enroll in both the
first aid/CPR classes, or sign up for
them individually.
Note: Classes might end earlier
than 5 p.m., depending on how the
class progresses through the mate-
rial.
All classes are certified under the
American Heart Association.
The cost for the combined first aid
and CPR/AED classes is $40.
The cost for a half-day class (first
aid only or CPR/AED only) is $30.
Participants will receive a district- UPCOMING CLASSES
issued certification card upon suc-
cessful completion of the course. •  February 17
(If an AHA-issued card is required, •  March 17
there is an additional $25 charge for
the card.) •  April 14
Registration and payment must be •  May 12
received prior to class. •  June 9
Classes are limited to 10-12 stu-
dents.
•  July 7
Online training also is available. •  August 18
The course and test can be com- •  September 22
pleted online, but the practical skills •  October 20
must be performed in person.
The online option requires an addi- •  November 17
tional fee, and the practical skills test •  December 8
must be scheduled in advance.
For more information or to register,
contact Heather Catuzo at admin@ classes, volunteering as a volunteer
clallamfire2.org or 360-457-2550, firefighter or EMT, district informa-
ext. 200. tion, outdoor burning permit infor-
For further information about mation and more visit www.clallam
Clallam 2 Fire-Rescue, first aid fire2.org.

SIGNS OF A HEART ATTACK

The most common signs of a heart attack include:
•  Chest pain — this can include uncomfortable pressure,
squeezing, fullness or pain in the center of the chest that last more
than a few minutes or that goes away and comes back
•  Feeling pain or discomfort in the neck, arms, stomach, back,
jaw or between the shoulder blades
•  Shortness of breath (with or without chest discomfort)
•  Light-headedness or sudden dizziness
•  Sweating or clammy skin
•  Vomiting and nausea
•  Heart flutters or palpitations (especially in women)
•  Heartburn (especially in women)
Heart attack symptoms vary in type and severity.
Symptoms can be mild and come on slowly over the course of
several hours, or they might be more intense and sudden.
While sudden chest pain may be the most common heart attack
symptom, not all people experience chest pain during a heart
attack.
According to the National Institutes of Health, one-third of peo-
ple with heart attacks had no chest pain.

WHAT TO DO DURING A HEART ATTACK no signs of a stroke, have the person chew and swallow one adult
•  Make sure the person stays calm and rests. Call or have some- or two low-dose aspirins.
one call 9-1-1. •  If the person becomes unresponsive, be prepared to give CPR.
•  Ask someone to get the first aid kit and AED, if available.
•  If the person has no allergy to aspirin, no serious bleeding and Information courtesy of the American Heart Association
 8 February 7, 2018 Peninsula Daily News and Sequim Gazette American Heart Month 2018

Olympic Medical Center takes health to heart

By Olympic Medical Center
OMC CARDIOLOGY PROVIDERS From their board-certified
Olympic Medical Heart Center cardiologists to their car-
has a comprehensive team of spe-
cialists in Sequim and Port Ange- diac and pulmonary reha-
les, from board certified clinical bilitation programs, Olym-
cardiologists, advanced practice pic Medical Heart Center
clinicians and nurses, to skilled offers comprehensive care
diagnostic imaging technologists, for one’s heart, including
exercise physiologists and many
other skilled professionals. the following local services:
The difference between being a •  Heart monitors/Zio Patch
James Emery Robert Gipe Robert Henson Alexander Pan Kara Kurtz Urnes Tracy Zaher-Lee
patient at Olympic Medical MD MD MD MD MD, FACC ARNP •  Myocardial Perfusion
Heart Center versus a large Stress Testing (exercise and
urban medical center or group is cise regimen. as your physician recommends. pressure or if you have heart dis- pharmacological)
that the entire health care team Olympic Medical Center also Also, be sure to get your rec- ease in your family.
is right here, focused on provid- partners with YMCA of Sequim ommended screening tests. •  Blood pressure: Have your
• EKGs
ing the highest level of inte- to offer follow-up care are for Screening tests can find dis- blood pressure checked at least •  Resting echocardiogram
grated and personal care, and patients who want to continue eases early and when they are every year. •  Trans-esophageal echo-
striving to make the patient their rehabilitation journey but easier to treat. Talk to your phy- The goal for blood pressure cardiogram
experience a positive one. who might need assistance to sician about which tests apply to should be 130/90 or less. •  Simple treadmill test
In addition to the services bridge to a community gym envi- you and when and how often you •  Blood glucose: Have your
offered locally, an affiliation with ronment. should be tested. blood glucose tested for diabetes
•  Treadmill with echocar-
Swedish Heart and Vascular These specific programs or pre-diabetes, particularly if diogram
Institute also gives patients include patients graduating from KNOW THE NUMBERS you have high blood pressure, •  Pacemaker insertions
direct access to a vast array of hospital-based cardiac and pul-
During a heart check-up, your high cholesterol, are overweight, •  Cardiac and pulmonary
highly specialized procedures. monary rehabilitation programs.
doctor takes a careful look at suffer or have suffered from ges- rehabilitation
Call 360-582-5050 for more
your “numbers,” including your tational diabetes or if you have •  Pacemaker checks
WHEN THE HEART information. cholesterol and triglyceride lev- diabetes in your family.
NEEDS SOME WORK els, your blood pressure and To get an overview of numbers •  ICD checks
Olympic Medical Heart Center YOUR HEART HEALTH more. you need to know and the goals •  Implanted loop recorder
has a comprehensive cardiac Heart disease is one of the Knowing your numbers is an you need to reach, visit www. checks
rehabilitation services in Sequim leading causes of death of men important part of keeping your tinyurl.com/PDN-HeartNumbers.
and Port Angeles, and these pro- and women. heart healthy. Call 360-565-0500 for
grams include exercise, risk fac- Proper heart health requires It can help you and your doctor BACK ON THE ROAD more information.
tor education and lifestyle modi- that we evaluate risk factors that know your risks and mark the TO A HEALTHY HEART
fications. might contribute to heart disease progress you’re making toward a Talk to your physician about
Individual treatment plans are and participate in activities that healthier you. your level of risk. physician to create reachable
based on risk stratification, medi- lead to a healthier lifestyle, •  Obesity: Have your body If you have or are at risk for goals to improve your health.
cal history and goals. including proper exercise and mass index (BMI) calculated to heart disease or diabetes, Olympic As a team, we counsel patients
Participants come to cardiac nutrition, smoking cessation and screen for obesity. Medical Heart Center will help in developing a healthy fitness
rehabilitation under the supervi- techniques to lower stress. •  Lipid profile (LDL, HDL- you on your path to wellness. level and appropriate eating hab-
sion of hospital staff and work The most important thing you cholesterol): Have your choles- Olympic Medical Heart Cen- its, as well as maintaining a
approximately three times a can do for your heart is to main- terol checked regularly starting ter’s cardiac and pulmonary healthy weight.
week for up to 12 weeks to learn tain a healthful lifestyle; live at age 35. rehabilitation programs are If your physician determines a
how to take care of their heart — tobacco-free, be physically active, If you are younger than 35, designed to provide you with one- visit to a specialist, such as a car-
and themselves — in the process. eat a healthy diet, maintain a talk to your doctor about check- on-one guidance. diologist or pulmonologist, is in
Participants receive coaching healthy weight and, when appro- ing your cholesterol if you smoke, We closely monitor your heart order, ask to be referred to a local
to guide them to a lifetime exer- priate, take preventive medicines have diabetes, have high blood and lungs and work with your specialist.

Stay heart
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American Heart Month 2018 Peninsula Daily News and Sequim Gazette February 7, 2018 9

Fruits and veggies might lower risk of PAD

By Metrocreative
Pain in the lower extremities might be
indicative of a condition called peripheral
artery disease, or PAD.
The National Heart, Lung and Blood
Institute says PAD occurs when plaque
builds up in the arteries that carry blood
to the limbs, head and organs, contribut-
ing to atherosclerosis, or a hardening of
the arteries.
Blocked blood flow and eventual limited
oxygen supply to these areas can cause
pain and numbness.
When severe enough, PAD might lead
to tissue death.
Discomfort due to PAD usually occurs
when a person is walking or exercising,
because the muscles are not getting
enough blood during these activities to
meet their needs, according to the Ameri-
can Heart Association.
Those with diabetes might confuse pain
with neuropathy, and the elderly might
think pain from PAD is a normal sign of
aging and stiffness.
When undiagnosed, PAD can lead to
further complications, including increased
risk for heart attack, stroke and coronary
artery disease. Even amputation of a limb
may be necessary.
However, PAD is preventable when tak-
ing a few steps to improve diet.
According to new research published by
the American Heart Association, eating
more fruits and vegetables might reduce
the risk of developing PAD, which affects
an estimated 8.5 million people in the
United States alone.
Researchers examined dietary data
from roughly 3.7 million men and women,
with an average age of 65.
Approximately 6.3 percent of the sub-
jects had PAD, and 29.2 percent indicated
they ate three or more servings of fruits
and vegetables each day.
The discovery was those who reported
eating three or more daily servings of
fruits and vegetables had an 18 percent
lower risk of PAD than those who
reported eating less of these foods.
The association between fruit and vege-
table consumption and lower PAD risk
remained even after accounting for age,
gender, race, smoking status and various
cardiovascular risk factors.
Saturated fats, trans-fats and sodium
can contribute to the formation of plaques
that lead to PAD.
Replacing these foods with more vegeta-
bles and fruits that are naturally lower in
saturated fats can help, as can increasing
dietary fiber consumption.
One way to incorporate these types of
foods is to adhere to a Mediterranean diet,
which offers high proportions of legumes,
fruits and vegetables; moderate amounts
of fish and dairy; and limited meat and
meat products.
Peripheral artery disease can be a
warning sign of cardiovascular trouble.
Altering one’s diet may help naturally
prevent or treat this condition.

Working Together to Serve Our Community With Care One on One Coaching—Wilderness Retreats—Groups & Workshops

The Dream Hatchery

7 Heart Healthy
1st Place
Best
Rehabilitation
Facility
Be YOU tiful!
Tips for Seniors
Clallam Co

Guiding you back to wholeness and a life you love.

Sometimes something happens in life, and there’s no way to be the person
QUIT SMOKING If you do smoke, it’s time to quit. Best
Finalist you were before. Most of the time you feel like you’ve moved on and put the
Rehabilitation whole thing behind you. But sometimes, maybe late at night when your
EAT A HEART-HEALTHY DIET Load up on fresh fruits and vegetables. Facility
Clallam Co defenses are down, you acknowledge that there is a part of you that still feels
WATCH YOUR NUMBERS Get regular check-ups. wounded, or even broken. And you don’t
REDUCE YOUR ALCOHOL INTAKE Excess alcohol consumption can even know if it’s possible to feel whole again.
worsen health conditions.
MINIMIZE STRESS IN YOUR LIFE Stress can compound many heart disease risks. If this is you, I can help.
WATCH YOUR WEIGHT Too many pounds can add up to increased heart disease risk. I call what I do “Practical Magic.”
GET ENOUGH EXERCISE At least 30 minutes of exercise almost every day.
Be sure to check with your doctor before beginning a new exercise regimen. If you should happen I teach you tools to help you:
to injure yourself, Sequim Health & Rehab is ready to help you get back on your feet with our
—Get lasting peace, and relief from
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seven-day-a-week therapy department and outpatient therapy services. —Improve your relationships (with yourself
and others)
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 10 February 7, 2018 Peninsula Daily News and Sequim Gazette American Heart Month 2018

HIGH BLOOD PRESSURE: KNOW THE NUMBERS

By Amy Yaley,
director of marketing
and communications
of Jefferson Healthcare
High blood pressure —
also known as hyperten-
sion — affects millions of
Americans and is the most
common health issue fac-
ing seniors today.
Blood pressure can fluc-
tuate, and that’s normal.
High blood pressure that
persists for weeks, months
or years is not.
In seniors, blood vessels
become stiffer with age,
H AROLD H UFF DPM
B OARD C ERTIFIED S URGERY
M EMBER P ODIATRIC S PORTS A CADEMY
• Treatment of sport or non-sport
injuries of foot and ankle
• Orthotic prescription and evaluation
• Diabetic foot care
• Surgical treatment of foot conditions
and high blood pressure
adds more stress by dam-
aging blood vessels in the
heart.
Left untreated and unde-
tected, high blood pressure
is the most common risk
factor for heart attack and
stroke.
It also can lead to kidney
failure, damaged blood ves-
sels in the eyes and vascu-
lar dementia (the second
leading cause of memory
loss and thinking problems).
The good news is if high
blood pressure is detected
early, it can be managed
812049271
through simple exercise
and diet.
WHAT IS BLOOD
PRESSURE?
Blood pressure is the
force exerted on the arter-
ies by a wave of blood pro-
pelled from the heart.
It is given as two num-
bers, each measurement
recorded in millimeters of
mercury (mm Hg), such as
122/78.  year to quit.
Systolic pressure (the top
number of a blood pressure
reading) gauges the pres-
sure in the arteries at sys-
tole, the instant when the
heart contracts and pushes
a wave of blood along the
arterial tree.
Diastolic pressure (the
bottom number of a blood
pressure reading) is the
pressure during diastole,
the brief period of relax-
ation between beats.
The American College of
Cardiology and the Ameri-
can Heart Association
recently released new blood
pressure guidelines for the
detection, prevention, man-
agement and treatment of
high blood pressure.
The new guideline are as
follows:
•  Normal: Less than
120/80 mm Hg;
least 140 or diastolic at
least 90 mm Hg
•  Hypertensive crisis:
Systolic over 180 and/or dia-
stolic over 120, with
patients needing prompt
changes in medication if
there are no other indica-
tions of problems, or imme-
diate hospitalization if there
are signs of organ damage.
These numbers are
important to know and to
keep under control.
The new guidelines also
encourage using the proper
technique to measure blood
pressure and recommend
the use of proper home
monitoring.
Most importantly, these
new guidelines allow for
early intervention of high
blood pressure.
Primary care physicians
can work with patients to
define an effective plan to
reduce and eliminate high
blood pressure when
detected early.
Lowering your salt
intake and limiting caf-
feine and alcohol can help.
Exercise will help with
stress and weight manage-
ment.
If you smoke, 2018 is the
If you take medication,
be sure to check in with
organ involved in the regu- your provider to be sure
lation of blood pressure your dosage is correct.
therefore kidney disease High blood pressure is
can be a cause of high known a silent killer, but it
blood pressure. doesn’t have to be.
•  Hormones produced With early detection,
through the adrenal glands prevention and monitoring
regulate blood pressure, and proper treatment it
adrenal gland disease can can be managed effectively
affect proper regulation. without medication or hos-
•  Stress can be a signifi- pitalization.
cant contributor to elevated Schedule an annual phys-
blood pressure. ical today with your pri-
•  Increased salt and mary care provider, learn to
low water intake can cause properly measure your
rise in blood pressure. blood pressure and practice
•  Diseases of the thyroid a heart healthy lifestyle.
and parathyroid glands
affect heart function. Amy M. Yaley is the
•  Untreated heart dis- director of marketing and
ease, atherosclerosis and communications of Jeffer-
narrowing of the main son Healthcare. She is a
artery affect blood pressure. graduate of the University
•  Diabetes, excessive of California San Diego.

•  Elevated: Systolic
between 120-129 and dia-
stolic less than 80
•  Stage 1: Systolic
360 582 2651 between 130-139 or dia-
777 N FIFTH AVE • SEQUIM MEDICAL PLAZA stolic between 80-89
•  Stage 2: Systolic at
Early intervention can
mean that lifestyle change
is your best advantage for
improved outcomes.
Causes of high blood
pressure:
•  Kidneys are the main
alcohol and certain medi- Yaley has spent 25 years
cines can all contribute to working in sales and mar-
high blood pressure. keting, with the last 10
Most of these conditions years working with busi-
are easily treatable through ness owners to maximize
simple lifestyle changes, their marketing efforts and
such as diet and exercise. generating sales leads.

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 heartHEALTH
American Heart Month 2018 Peninsula Daily News and Sequim Gazette February 7, 2018 11

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 WELLNESS SERVICES
OMC AT THE YMCA
610 N. 5TH AVENUE IN SEQUIM • (360) 582-5050

Olympic Medical Center and the YMCA are working together to improve the health of our community.
Programs focusing on rehabilitation, chronic disease management and wellness are available from Olympic
Medical’s certified professionals at OMC’s Wellness Services facility at the YMCA of Sequim.

FOLLOW-UP CARE FOR PATIENTS

Phase III Cardiac and Pulmonary Rehabilitation – The Phase III exercise program helps cardiac and pulmonary
rehabilitation patients continue their progress from Phase II, serving as a bridge to a community gym environment
where they can transition to an independent exercise maintenance program under staff supervision.
Phase IV Health Maintenance Program – This independent exercise class is intended for Phase II and/or Phase III
graduates who would like continued staff guidance in a community gym setting. Participants and staff will create
an exercise plan to facilitate transition to independent community-based exercise.
Transitional Gym Program – This supervised, small-group exercise program is for recently-discharged physical
therapy patients who are not ready to exercise on their own. Licensed staff members help participants meet
their function and fitness goals.
WELLNESS PROGRAMS OPEN TO ALL
Running Assessment – Using video motion analysis, our licensed physical therapists will
help you improve your running dynamics and address concerns regarding performance,
mechanics and injury risk reduction.
Tai Ji Quan: Moving for Better Balance – Participants will learn techniques to help
improve balance and prevent falls. The program is endorsed by the Centers for
Disease Control and Prevention (CDC), the Washington State Department of Health
and the National Council on Aging.
Diabetes Prevention Program – Join our trained lifestyle coach and a group of like-
minded peers for a 16-week, CDC-recognized lifestyle change program to lose weight,
eat healthy and be more active. Participants receive a discount on YMCA membership.

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