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Issaquah, Washington
July 15, 2009     The Issaquah Press
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July 15, 2009

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at, B4 WEDNESDAY JULY 15, 2009 THE ISSAQUAH PRESS HEhI, TH h ............ LIQUID LiIBIAR  The Travel Medicine clinic in Issaquah can inform vacationers of the health risks of visiting popular tourist destinations, like the Ganges River in India. I Include a stop a|, travel .medicine00 ,00l,nlc In y c,ur globe-trotting plans : BY DAVID HAYES ,. hotter you're tO- / ing a vacation / south of the border, are being sent over- seas to work in a developing economy or are head- ing to a Third-World country to do God's work, make sure you include Michelle Vierra in your plans. Vierra is the head of Travel Medicine at the University of Washington Medicine Issaquah Clinic. She said when planning a trip, one of the first things you 'should do is set up an appoint- ment with a health care provider, either your regular doctor or a travel medicine specialist. Stop by Xrlerra's office, tell her where you're going and with two clicks of a mouse button, she can pull up on her computer screen everything you need to know about your destination regarding your health. There are four basic areas of information Vierra shares with her clients, between 50 and 70 people per week: Food and water precautions -- "The standard is boil it, peel it, cook it or forget it," she said. Insect precautions -- On top of which to avoid and what to do if bitten, Vmrra said even what you wear is a factor. "Khaki attracts less than pink or blue, and keep in mind what fragrance you're wearing, such as perfumes or cologne," she said. Rabies -- Few people know that as many as 40,000 people a year die of rabies in India. "We Americans, without a second thought, pet strange dogs, when people in India know you should- n't do that," Vierra said, pointing out that most dogs in developing countries do get shots for rabies. Traffic accidents -- The No. 1 hazard to tourists or anyone new to many developing Countries are traffic accidents. "Places like Brazil consider red lights as merely a suggestion," she said. "They do not stop for pedestrians." Once past the generalities, Vierra pinpoints shots for each country that are requirements, See CLINIC, Page B5 SOLID ROCK COUNSELING CENTER Compassionate, Convenient, Competent Christian Counseling that WORKS! Counseling available for all emotional and mental health needs, for all ages In office, telephone, and internet sessions ............................................................... available REBECTA TURNER. LLC. "Rebecca literally saved my life/In a very short amount of time she 425.454.3863 accomplished what other counselors could not do after 20+ years of therapy.,." Lake Sammamish Physical Therapy & Athletic Rehabilitation SPECIALIZING IN... * Neck and Back Injuries - Sports Injuries Post-Surgical Rehabilitation * Pool Therapy Rebecca Duda, PT, OCS Board Certified Clinical Specialist Orthopedic Physical Therapy 425.391.5594 Servig Issaquah since 1988 6520 226th PI. SE, Suite 201, Issaquah Meadow Creek Professional Center I Gretchen Allen ,8otter Hornes& 6arden Real Estate Executives Greater Eastside (206) 427-5553 Barbara Andersen John L Scott Greater Eastside (425) 392-1211 Laurie Ashbaugh Lorraine Ficken Cindy Hamman Steve Honnen , Coldwell Banker Bain Coldwell Banker Bain RE/MAX Integrity Coldll Banker Bain Greater Eastside Greater Eastside Greater Eastsde & Seattie Greater Eastside & Sammarnish (425) 450-5287 (425) 961.5354 , (425) 442-4942 (6) 8196166 Prepare well, train smart to make summertime fitness cycling easier ummer is a great time to start cycling, and there's nothing like the goal of an organized ride for a good cause to get you pumped, and keep you pumping. The National Multiple Sclerosis Society, Greater Washington Chapter, is offering riders and would-be riders a wealth of cy- cling tips and summer training opportunities in advance of its 2009 Bike MS Ride, presented by Point B, Sept. 12 and 13 at the Sk- agit County Fairgrounds in Mount Vernon. Proceeds from.the ride support research and people living with or affected by MS in Western and Central Washington, including King County "Cycling is a great exercise that most everyone can do to improve strength, cardiovasc,ular fitness and balance. Plus, it s cooling in hot weather and relatively easy on the joints,' said Maureen Manley, a former world-class competitive cyclist who now works as an in- spirational speaker and life coach for people with MS. ,Setting a goal like the Bike MS Ride can give you the extra incen- tive you need to get into shape and into cycling for the long haul," she adds. Here are some tips for training and making this a terrific two-' wheeled summer: Assess your fitness level before you start any training program, and consult your doctor if you are older than 65, have been seden- tary or have any health condi- tions, including multiple,sclerosis, that might affect your ability to safely ride. If you have MS - a neurological disease that can cause numbness, fatigue, paraly- sis and other symptoms - you supervz""droani that haeets yos. Mksure your bike fits your body, adjusting seat and handle- har heights so that you achieve the proper riding position, sure, take your bike to a bike shop that offers professional fittingS. The service could cost about $35, but would be well worth the cost if it prevents you from developing back or knee problems. ONTHEWEB Learn more about cycling tech- nique, safety, building fess, sports nutrition and other impor tant topics, in the "Official MS Training Guide, at www.bikeMSwashington.org. Also register or get information about the Bike MS Ride, as well as train- ing opportunities and advice, there or call 800-344-4867 toll-free. If you plan on doing long rides or are training for one, consider getting slick or treadless tires. Off-road tires with knobby treads, like those on a mountain bike, are very ,inefficient, requir- ing lots more pedaling energy per mile. To outfit yourself for long rides, you will need a snug, but comfortably fitting helmet; cy- cling shorts (to minimize chafing and other discomforts); a sum- mer cycling jersey with three rear pockets for carrying snacks and other essentials; short-fin- gered cycling gloves to absorb sweat, reduce shock and prevent blisters; and dedicated cycling shoes, either for road riding, or mountain biking. Ideally; you should start riding regularly at least eight weeks be- fore any big ride. While training, your main objective should be to ride your bike five tiules a week, with two well-spaced days off. Hold your week-to-week buildup to 10 percent to 15 percent (whether recording miles or time). Stretch to keep your muscles from getting tight and to prevent overuse injuries. Lower back pain is the most comm.cplaim- amg#gTcdists, b [: hthiled-over positi0fi tain. Do strengthening/rod: I : stretching exercises for the lower back, as well as strengthening ex- ercises for the abdomen to reduce strain. " : : " * To stay motivated duringyour training, ride with others, keep a riding journal, change your routes and workouts, and get Objective feedback by timing your ride to see progress. i Dental Care available when you are Open Monday to Saturday with evening appointments aSrailable Reach 15,000 homes in Issaquah with your advertising message Call Jody Turner for a free, no obligation consultation. 425.392.6434 ext. 231