On the radio today: Eating disorders among athletes

Topic: Eating disorders among athletes
Guest: Joel Buffum, Memorial Sports Medicine Advantage
Chelsea Buffum, Mental health counselor
Date: Dec. 30, 2014

Organized sports offer participants many benefits, such as improved self esteem and body image and knowledge of the importance of daily physical activity. Athletic competition also can be a contributing factor to psychological stress, particularly for athletes in sports where weight and image are key roles, such as wrestling.

Historically, wrestling has had a number of issues with eating disorders, because the sport is so centered on athletes wrestling in a specific weight class.
Wrestlers have been known to drop weight quickly using a combination of food restriction and ridding themselves of excess fluid, relying on steam rooms, saunas, laxatives and diuretics. There are health risks associated with wrestling – and eating disorders is high on that list.
What are current techniques being employed to prevent eating disorders with wrestlers?
Medical trainers should conduct a preseason weight assessment, testing for hydration and weight to determine body fat and develop a progression plan.
• The plan allows for a wrestler to slowly progress weight down if he/she wants to wrestle at a lower weight class at state tournaments.

Do wrestlers try to find ways around this technique?
Yes. They often try to cut their weight lower and lower, and because wrestling is a weight dominant sport, it causes issues like eating disorders.
• A few examples of things parents should monitor: energy drinks, diuretics, magnesium citrate, which is an intense laxative, spitting and the use of sweat suits.

What kind of long-term health effects are there from eating disorders in wrestlers?
Since most colleges don’t run wrestling programs anymore, the likelihood is that these student-athletes end up with four years of athletic participation and a lifelong health issue with long-term effects.

What should parents do to prevent these problems?
Get a dietician or nutritionist involved early on in the season, and work with an athletic trainer for a progressive plan to lose weight. Communicate with your student-athletes about this issue, and if you suspect there’s a problem, make sure they’re seeing a medical provider and getting nutrition counseling. This is not something that’s fixed overnight.

As always, you also want to make sure your student-athletes are getting plenty of rest, staying hydrated and eating a well-rounded diet.

How serious is hypothermia and frostbite?

It’s definitely winter! And when exposed to cold temperatures, your body begins to lose heat faster than it can be produced. Without proper precautions, cold temperatures can leave you susceptible to hypothermia and frostbite – so it’s important to take precautions to prevent them and recognize the symptoms. Dr. Carl Olden of Pacific Crest Family Medicine offered tips to do so Dec. 23, 2014, on KIT 1280.

How serious is hypothermia?

Prolonged exposure to cold will eventually use up your body’s stored energy. The result is abnormally low body temperature, and body temps that are too low affect the brain, making you unable to think clearly or move well. This makes hypothermia particularly dangerous because a person may not know it is happening and won’t be able to do anything about it.

Hypothermia is most likely at very cold temperatures, but it can occur even at cool temperatures (above 40°F) if a person becomes chilled from rain, sweat, or submersion in cold water. Likely victims are:

  • elderly people with inadequate food, clothing, or heating
  • babies sleeping in cold bedrooms
  • people who remain outdoors for long periods – the homeless, hikers, hunters, etc.
  • people who drink alcohol or use illicit drugs

What are the warning signs?

  • In adults: shivering, exhaustion, confusion, fumbling hands, memory loss, slurred speech, drowsiness
  • In infants: bright red, cold skin, very low energy

What to Do

If you notice any of these signs, take the person’s temperature. If it is below 95 degrees, the situation is an emergency – get medical attention immediately. Otherwise, get victim into a warm room or shelter, remove wet clothing and warm the center of the body first. Give warm beverages – not alcohol – to help increase body temperature.

What are the symptoms of frostbite?

  • A white or grayish-yellow skin area
  • Skin that fees unusually firm or waxy
  • Numbness

At the first signs of redness or pain in any skin area, get out of the cold or protect any exposed skin and seek medical attention.

Frostbite most often affects the nose, ears, cheeks, chin, fingers, or toes. Frostbite can permanently damage the body, and severe cases can lead to amputation. The risk of frostbite is increased in people with reduced blood circulation and among people who are not dressed properly for extremely cold temperatures.

These procedures are not substitutes for proper medical care. Hypothermia is a medical emergency and frostbite should be evaluated by a health care provider. It is a good idea to take a first aid and emergency resuscitation (CPR) course to prepare for cold weather.

This holiday season, be smart about stomach bugs

Dec. 23, 2014—Each year, up to 21 million people get sick from norovirus, the most common cause of gastroenteritis, and suffer from symptoms like cramping, nausea, vomiting and diarrhea. Many refer to this illness as the stomach flu—although it is unrelated to the influenza virus. Winter is the prime season for norovirus, and holiday gatherings plus more time spent in close quarters can increase your risk for catching the bug.

Most people will recover from norovirus within a few days. But since it has no treatment and is highly contagious, the Centers for Disease Control and Prevention is stressing the importance of preventing the spread of norovirus.

How to prevent norovirus

Norovirus can be transmitted by coming into contact with contaminated foods, drinks or surfaces or by having close personal contact with someone who is already infected.

The virus spreads quickly, and it only takes a very small amount to make people sick. However, there are steps you can take to protect yourself and your family:

  1. Wash your hands often. Scrub for 20 seconds with warm, soapy water after using the toilet or changing a diaper and before eating, handling or preparing food.
  2. Wash laundry thoroughly. Immediately wash clothes or linens that may be contaminated with vomit or stool. Wear rubber gloves while handling soiled items, and wash items with detergent for the maximum cycle length. Wash your hands afterward.
  3. Disinfect contaminated surfaces. After throwing up or having diarrhea, immediately use a chlorine bleach solution with a concentration of between 5 and 25  tablespoons of bleach per gallon of water to disinfect surfaces.
  4. Avoiding prepping food while sick. Don’t prepare food for others while you have norovirus and for 2 to 3 days after you recover. Keep sick children away from food prep areas.
  5. Keep food clean. Wash fruits and vegetables before preparing or eating them, and cook oysters and shellfish thoroughly (above 140 degrees). If you suspect that food may be contaminated with norovirus, throw it out.

Dealing with norovirus

Norovirus usually isn’t serious, and most people recover within 3 days. However, it can be serious in young children, the elderly and those with health conditions, and it has the potential to cause severe dehydration. If you or someone you’re caring for has norovirus and is dehydrated, call your healthcare provider.



Reduce stress by checking email less

Dec. 17, 2014—You’ve got email, and the subject line is “stress.” Although many people believe that email helps them work more efficiently, others say the continual influx of messages is more bane than benefit on the job.

At least, that’s the message from past studies that have examined the correlation between email and anxiety at work.

The studies didn’t pinpoint why email causes stress, however. Is it because email follows employees from work to home? Is it watching the number of messages grow in the inbox? Or is it because email’s demand to Read me now! prevents workers from focusing on the task at hand? Researchers at the University of British Columbia wanted to find out and conducted a study to get the answers.

About the study

The study involved 124 adults who were randomly divided into 2 groups.

During the first week of the study, the people in group A were restricted to checking email only 3 times a day. They also were told to turn off any alerts that notified them when an email arrived.

The adults in group B were given free rein to check email as often as they wanted.

For the second week of the study, the instructions were reversed: The people in group B were restricted to 3 email checks daily, whereas group A was under no limits.

Participants filled out short surveys at the end of each day that included questions about their stress levels.

Among the study’s findings:

  • When people’s email checks were limited, they reported lower stress levels on a day-to-day basis and during the week as a whole.
  • People also said they felt less tension and more satisfaction while working on a big project when email checks were limited.
  • People found it hard to resist the urge to check email, despite lower stress levels.

The study is available to read online in the journal Computers in Human Behavior.

The take-home message
If you feel stressed out at work, you might consider checking your email less frequently—if you can. The study’s authors suggested setting aside chunks of time during the day to look at recent emails.

Here are some other tips from the National Institutes of Health and the Centers for Disease Control and Prevention for reducing stress on the job:

  • Set priorities. Decide what can be done today and what can wait until tomorrow.
  • Learn to say no. Speak up when you feel overloaded. If no isn’t an option, try to work out a compromise.
  • Take a break. When you get stressed out, take a walk—outside, if you can.


4 practical ways to avoid packing on holiday pounds

Dec. 20, 2014—Lasting happy memories—that’s what you want the holidays to bring you. Not lasting pounds. But with calorie-rich food almost everywhere you turn during the festive season, is it really possible to be a smart cookie and still smile when you step on the scale?

Absolutely, according to the Centers for Disease Control and Prevention (CDC), which is encouraging all of us to eat mindfully this holiday season. And no, that doesn’t mean you can’t enjoy the eggnog or other special treats you’ve been looking forward to for weeks.

But to stay festive and fit, some moderation is in order. To help your health stay on track through the holidays, follow these 4 tips from CDC, the American Heart Association and the Academy of Nutrition and Dietetics:

Strike a balance. Try to find that middle ground between overeating and depriving yourself. Are you headed for an evening party? Then eat small, fairly low-calorie meals throughout the day, starting with breakfast. You won’t arrive hungry, which can help you control what you eat.

At buffets, downsize your plate. Using a salad or dessert plate will help keep portions in check. And be strategic about where you socialize. Move away from the buffet when chatting to avoid repeat trips for food.

When it comes to dessert at holiday gatherings, don’t be afraid to savor some sweets. But use the buddy system and split treats with a friend. A mere taste often satisfies a craving, so you can also sample 1 or 2 small sweets all by yourself.

Go easy on liquid calories. They can add up quickly. At parties, try having a glass of water between each drink. That will help you feel full and your weight stay steady.

As for that eggnog, why not prepare it this way? Fill a glass half- or three-quarters full with low-fat or fat-free milk. Then pour in the eggnog. You’ll still get the flavor, but with far fewer calories. And remember, keeping alcohol out of the mix can reduce the number of calories as well.

Try some makeover magic. Just as you can transform eggnog into a healthier, less calorie-laden drink, you can improve upon other holiday foods through simple substitutions. When baking:

  • Replace butter by substituting equal parts cinnamon-flavored, unsweetened applesauce
  • Add flavor with extracts—such as vanilla, almond or peppermint—rather than sugar
  • Use a reduced-calorie sugar substitute
  • Substitute low-fat or fat-free milk for whole or heavy cream

And when cooking:

  • Choose low-fat or fat-free milk instead of whole milk or heavy cream
  • Bake, broil, steam or boil rather than fry

Don’t take a holiday from exercise. You owe it to yourself—and your waistline—to keep moving, so burn off holiday calories by staying active. After dinner, you might gather your family for a walk and check out all the holiday lights in your neighborhood . If it snows, take the kids sledding.


A majority of U.S. infants sleep with unsafe bedding

Dec. 16, 2014—Sudden infant death syndrome (SIDS) rates have dropped since the 1994 launch of the Safe to Sleep campaign by the U.S. Department of Health and Human Services. However, SIDS remains the top cause of death among babies between 1 month and 1 year old, and the majority of infants still sleep with unsafe bedding that can increase SIDS risk, according to new findings reported in Pediatrics.

About the study

From 1993 to 2010, nearly 19,000 infant caregivers participated in the National Infant Sleep Position Survey via telephone. The survey sought to collect data on infant sleeping practices that increase the risk for SIDS or unintentional sleep-related suffocation, such as infant sleeping position, sleeping location and use of hazardous bedding.

More than 85 percent of caregivers reported using potentially hazardous bedding—such as pillows, quilts or comforters—before the Safe to Sleep campaign launched. Though use of hazardous bedding declined in the years afterwards, nearly 55 percent of infants were still sleeping with unsafe blankets or pillows at the end of the study. Current recommendations advise placing babies on firm, safety-approved mattresses with just a fitted sheet and no loose bedding.

Despite safety recommendations, the findings suggest that many parents receive mixed messages about the best infant bedding—such as media images that portray infants sleeping in potentially hazardous bedding. Parents might also feel obligated to use blankets or quilts to keep infants warm or because they received the items as baby gifts, researchers said.

Learn more about these findings on the Pediatrics website .
The take-home message

The majority of U.S. caregivers still use potentially hazardous bedding in infants’ cribs, which can increase the risk of SIDS and other sleep-related causes of infant death. To help keep your infant safe during naps and while sleeping at night, always follow these Safe to Sleep recommendations:

Place infants to sleep on their backs. This position carries the lowest SIDS risk. Sleeping on the stomach or side is associated with the highest risk for SIDS.
Use a firm sleep surface. Place the infant to sleep in a safety-approved crib, bassinet or portable play area. Avoid soft surfaces: Sleeping surfaces like couches, pillows or waterbeds may allow the baby’s head to sink.
Keep loose bedding and soft objects out of the crib. Blankets, quilts, comforters, pillows, stuffed animals and crib bumpers can increase the risk for suffocation, overheating and strangulation.
Don’t let infants get too hot. Light sleep clothing without a blanket is usually enough to keep a baby warm while sleeping. Babies who get too warm may be unable to wake themselves up—a problem that may play a role in SIDS.
Share your room with your infant. However, your baby should sleep in his or her own crib or bassinet. Babies who sleep in adult beds have a higher risk of SIDS.
Avoid products that claim to lower SIDS risk. Wedges, positioners and other products that make this claim have not been tested for safety.

Gastroenterology Physician Jobs in Yakima

Job Details: Physician- Gastroenterology


Yakima Gastroenterology Associates is a dynamic, full service gastroenterology practice comprised of 8 gastroenterologists and 3 midlevel providers. Our beautiful 21,000sqft gastroenterology clinic is equipped with state of the art equipment and has an attached free-standing endoscopy center which is capable of doing 45 endoscopies per day. Over 11,000 procedures are completed annually (including ERCP, EUS, Colonoscopy and EGD). We receive over 730 new referrals on a monthly basis. This is an ideal opportunity for a physician that enjoys a stimulating practice environment with flexibility for doing all GI procedures. Enjoy a four day work week and a light call schedule. We offer competative compensation with comprehensive benefit package including malpractice, CME, Medical/Dental/Vision, LTD, Life/AD&D and more…


  • Completion of an Accredited Residency and Fellowship
  • BC/BE in Gastroenterology

Yakima Valley Memorial Hospital’s Family of Services

For more than 60 years, Memorial has provided and responded to the healthcare needs of the community.  Memorial has built a network of support encompassing primary health care and health education that’s second to none for a community of our size. As the region’s leading health care provider and Yakima’s largest employer, we believe that by improving health, we will transform Yakima.

Live the good life…

In the Yakima Valley community, you’ll discover abundant opportunities to enjoy a lifestyle that’s comparable to few other places.  It’s all here, in a climate with four beautiful seasons, 300 days of sunshine and blue skies.

You’ll find it ready-made for families with excellent public and private schools, thriving secondary educational facilities, and cultural breadth and diversity.

No matter what you do for fun, recreational opportunities are everywhere.  Downhill and cross country skiing, world-class fly fishing and gorgeous hiking trails are within an hour’s drive of Yakima.

Wines from Yakima Valley vineyards have developed an international reputation that rivals Napa Valley.  The region is becoming known as one of the finest wine-grape growing areas anywhere.

Seattle, Portland, and Spokane are only two to three hours away by car- close enough to enjoy without having to deal with a grid-locked life.

If you’re ready to live the good life, the Yakima Valley is the place to call home.

Dr. Gabriel Lascar talks about Cornerstone’s new clinic.

Memorial Cornerstone Medicine has been treating Yakima Valley patients for more than 30 years and has a rich history of serving this community. Cornerstone is excited to be located at a new clinic, designed to better serve patients. Dr. Gabriel Lascar appeared on KIT 1280 on Dec. 16, 2014, to talk more about the new clinic.

How has the patient population at Cornerstone changed?

Cornerstone’s patients tend to be older. It’s a population that tends to have many chronic conditions, and caring for these patients requires a great deal of “behind the scenes” coordination. As health care changes, we need to be better situated to address the needs of these patients, as well as those who require less coordination.

How will this clinic enable you to do that?

We are very excited to be moving to a new clinic that has been built to allow us to better serve our patients into the future. It’s a purpose-built facility – meaning that it is designed to better meet the needs of our patients. The design allows for services to be brought directly to the patient.

  • The building is all on one floor – no elevator and no stairs.
  • There’s more parking and close to a bus stop right outside.
  • The new clinic is all about convenience for our patients.  We literally counted the steps from the clinic entry to the exam room to minimize the number of steps a patient takes once they come into the clinic.  Patients will receive care that is integrated, more efficient and comfortable.
  • In patient satisfaction surveys, one frequent complaint we heard was that patients don’t like having to wait in crowded, noisy waiting rooms.  To address this, we downsized the space in the waiting rooms and created exam rooms that are 40 percent larger to accommodate wheelchairs, walkers and family members or caregivers. From the check-in process to check-out, all of the services will occur in the exam room.
  • In addition, there are additional on-site services to better serve patients.

What are some of the services that will be offered at the new clinic that patients currently don’t have?

Services being offered at the new clinic will include:

  • Full service retail pharmacy, including a drive-through pharmacy that serves Cornerstone patients
  • Anti-coagulation management clinic
  • Lab draw station
  • Dietitians on site
  • Behaviorist on site
  • Diabetes education program also on site.

Dutch Bros. Coffee of Yakima donates $1,723.85 to Children’s Village

On Friday we had the pleasure of meeting Chris Hodge, Regional Manager of Dutch Bros. who presented Children’s Village with a check for $1,723.85! These funds were raised on December 5th during Dutch Bros. annual “Buck for Kids Day.” For ever drink sold, they donated $1 to Children’s Village.   Thank you Dutch Bros. Coffee of Yakima and thank you to our community for drinking coffee AND supporting Children’s Village at the same time!

Dutch Bro Donation

Also, Chris has  agreed to serve on the Parent to Parent Advisory Board. He is a huge supporter of Parent to Parent and is very excited to be a part of the board.



Hospice appreciated

Hospice appreciated – From the Yakima Herald
Elna Iseminger

To the editor — My husband recently passed away from Alzheimer’s disease. In September, he was referred to Yakima Valley Memorial Hospital’s Hospice team. I had no idea what to expect. Everyone was compassionate and worked hard to keep my husband comfortable in his final weeks and days.

I will be forever grateful for the care they provided that allowed me to keep him at home with me. Thanks so much.