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The Issaquah Press
Issaquah, Washington
December 16, 2009     The Issaquah Press
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THE ISSAQUAH PRESS B4 WEDNESDAY~ DECEMBER 16, 2009 By Chantelle Lusebrlnk Issaquah Press reporter With sleigh bells jingling and merry spirits, it's likely you're ready for the holidays, but is your heart? Each year, nearly 785,000 Americans suffer a heart attack and more than 631,636 have heart disease, according to the Centers for Disease Control. High cholesterol and high blood pres- sure, causes that lead to heart attacks and heart disease, are factors people should be aware of, according to Issaquah's newest cardiologist, Dr. Elizabeth Gold. Heart health is "essential, it makes us all go," she said. "If your heart stops, that's the defini- tion of dying. "There are a lot of issues with heart health," she said. "One of the main ones is if you have a heart attack, severe enough, it could kill you. But there are other things that damage your heart muscle and can severely impact your quality of life." Those include heart disease, high blood pressure, high choles- terol and diabetes, she said.' Gold started a new rotation with Virginia Mason's Issaquah clinic Dec. 7 and has been helping patients and residents prepare to be more heart healthy this com- ing year. The rotation program was started with the hope that pa- tients would have more local ac- cess to specialists. With two suc- cessful cardiologist rotations in Bellevue and Kirldand, Gold's ro- tation to Issaquah was a natural next step, according to Alisha Mark, director of communications for the hospital. "It's really great for patients," medical assistant Kelsey Eyer said. "Dr. Gold is brilliant and she has a good sense of humor with patients, and I enjoy working with her." Gold said she realizes not everyone will come through her door, but the information she gives comes in handy for all Is- saquah residents. Q: What are the two most common reasons people are referred to you? A: One, long-term management of heart disease. Two, initial eval- uation of possible cardiac symp- toms, such as chest pain, short- ness of breath or palpitations. Q: What Is IRe most Important thing for people to know about their haart that many don ? Why Is It Important? A: The bad news is that heart disease is the No. 1 killer of both men and women. The good news is that everyone can significantly decrease their own risk of heart disease by working with their health care provider to manage their risk factors. Q: What should people know about heart disease and heart attacks? A: Heart attacks don't always present with classic "crushing chest pain." Sometimes, they present with shortness of breath, nausea or a vague chest discom- fort. When someone is having a heart attack, time is critical. Someone experiencing concerning symptoms should call 911 imme- diately. ;ii ii BY GREG FARRAR Dr. Elizabeth Gold, cardiologist at the Virginia Mason Issaquah clinic, per- forms an exam Dec. 10 on Brooks Loop, 84, of Snoqualmie. Q: What happens after you%'e exped. enced these things? How do you help? A: Heart attacks are caused by the complete blockage of an ar- tery that brings blood to the heart muscle. If the blockage is not re- moved the heart muscle will die. Cardiologists can help by opening the blocked artery with medica- tions or catheters, which saves the heart muscle. Q: Does high blood pressure affect your heart? How and why Isn't high blood pressure good? A: High blood pressure is called the silent killer, because it does not cause symptoms, but over time, can lead to heart dis- ease and strokes. People need to know their blood pressure and work with their provider to con- trol it using diet (low-salt), exer- cise and, if necessary, medica- tions. Q: What Is good and what Is bad cholesterol? What are three types of food from each? A: Good cholesterol, called HDL, carries fat out of the body. See HEART, Page B5 By Dallas Cross Our flesh water fish are not only interesting for those who value them for food or sport, but are also studied by naturalists, wildlife biologists, ecologists, public health professionals and even bio- chemists. We have a lot in common with fish. We intimately share the same water. They swim and breathe in it, and we drink it and bathe in it. Because we share water, fish be- come our aqueous mine canaries, signaling problems in the water that may adversely affect our own health. Many municipalities get their water supply directly from rivers, reservoirs or from wells supplied by surface waters. They also treat their water waste or sewage to control disease by removing bacte- ria. But treatment plants are not designed to take out all the pollu- tants, especially toxic chemicals. Downstream, treated water is collected by another town or city for domestic water. There, it accu- mulates additional chemical con- taminants, is treated and after use is dumped back into the system. Also, surface run off water from city streets, industrial and agricul- tural areas add chemical contami- nants, which accumulate in our water sources. So, let's examine some recent observations about the quality of our waters and the health of the fish that swim in them. Having been a biochemist, I focus on the contamination of water supply with estrogenic chemicals. These are organic chemicals that affect the health of animals in imitate estrogen. Estrogenic chemicals polluting our water come from birth control pills containing synthetic estrogen, some insecticides, plastic used for food and drink containers, plastic water pipes, and many industrial and household products. A promi- nent estrogenic contaminant is bisphenol-A or BPA, a compound used to harden plastic. PeA leaches out of virtually all plastic, including polycarbonate food and drink containers. So, what are fish telling us about these chemical additions to our shared water environment? Wildlife biologists report that the ability for salmon and trout to re- produce are adversely affected by the increase in estrogenic chemi- cal pollutants in the Columbia River system. There appears to be a hormone-induced sex reversal of salmon males to females, with subsequent offspring becoming ge- netically abnormal males. Levels of estrogenic chemicals have been measured to be in- creasing in Puget Sound and its tributary rivers and streams. Lev- els are high enough to not only change the reproductive ability of trout, but are cited as being able to affect frogs, river otters and other fish. Some adverse effects of estro- genic compounds in humans are increased incidence of breast can- cer and interference with natural sexual development. A recent re- port found that young girls who drank water from plastic bottles were more aggressive than those who did not. PeA is linked to these problems and is found to be re- tained in humans a long time after ways similar to that of natural es- ingestion, in females more than trogen, a hormone responsible for males. development of female traits in animals. Thus, they are called es- Woman Decorates Three City :Blocks trogenic, because they biologically SeeWATER, Page B5 After Using Thera-Gesic , [ BEXARCOUNTY-MaD'W'appliedThera-Gesic~thersreshulder ~e ~eed~ a~~-~~l of the holidays, When asked if she had each homeowner's pemfission to create her magic, she painlessly replied: / Stress Patty Groves, M.A. [ "None of your dang business!" ~ / Depression Issaquah Creek Counseling Center / / Life Transitions 545 Rainier Blvd. N., Issaquah / Go painlessly with Thera-Gesic~ i / Loss and Grief www.issaquahcreekcounseling.com ] - L Relationship Problems 42 5 898-1700 ] OF CHIROPRACTORS Klahanie Chiropractic Dr. Ken Lichtenwalter, B.A., D.C. Dr. Benjamin Britton, D.C., C.C.S.P. Located in the Klahanie Village Shopping Ctr. (425) 391-5050 www.ynhealthcare.com COUNSELING & MENTAL River Valley Psychological Services 5837 221st P1. S.E. Issaquah, WA 98027 (425) 391-0887 Sharon Pellegrini, Clinic Manager Kevin Connolly, Ph.D. David Forrest, Ph.D. John Gibson, DSW Marisol Hanley, Ph.D Mary Hendrickson, Ph.D. Elizabeth Irwin, Ph.D Thinagara S. Jayakumar, M.D. "Dr. Jay" Beatrice Joe, LMFT Maria Elena Lara, Ph.D. Heidi Summers, M.D. John Sutton-Gamache, Ph.D Launi Treece, Ph.D. Janyce Vick, LMFT, Psy.D. DENTISTS Barry Feder, D.D.S., P.S. Mark Grmack, D.D.S. Family Dentistry 450 NW Gilman Blvd., Suite 103 Issaquah, (425)392-7541 Jonathan A. Levey, D.D.S. Pine Lake Dental/Medical Center 22725 SE 29th Street, #B Sammamish, (425) 391-5511 ISSAQUAH OPTOMETRISTS Dr. Walter V. Cassidy Dr. Stephan L. Cassidy Issaquah Vision Clinic 450 NW Gilman Blvd., Suite 104 Issaquah, (425) 392-8756, (425) 74%8283 NewVision EyeCare Kerry J. Moscovitz, O.D. Pine Lake Dental-Medical Center 22741 SE 29th Street Sammamish, (425) 392-2196 www.newvision-eyecare.com PHYSlCIASS Mark F. Bressler, M.D. Issaquah Dermatology Issaquah Professional Center 85 NW Alder PI., Suite A Issaquah, (425) 391-5533 VIRGINIA MASON ISSAQUAIt 100 NE Gilman Blvd. (425) 557-8000 Primary Care Family Practice Internal Medicine Pediatrics Care Audiology/Hearing Aid Services Gastroenterology General Surgery Ophthalmology Cataract Surgery Laser Refractive Surgery Corneal Transplants Optometry Contacts & Glasses Otolaryngology (Ear, Nose, & Throat) Occupational Therapy Podiatry Urology BUILDING F: SITIVE IMPRESSIONS ONE SMILE AT A TIME. CHRfi~IAN P, MAIqI_EY D,OAI., M.IL, PAl. Om'HODOm'ICS INGZNTlVE IqNkl4! If'OR IgD6 ~mmmrLY ~'rmm N~ =u~ I001 A Pediatric I)entist is trained to provide primary and spe- cialty oral health care to infants, children, adolescents and patients with special health care needs. ) A I: ediatric ate fi'om an School as well as a two-year Pedian'ic Dental Program. l)entist is a gradu- accredited l)entat A Pediatric Dentist may elect to become Board Certified, which requires that they un- dergo an additional examina- tion process by the American Board of Pediatric Dentistry. ~x. Liu, Lombardi and Qh, inby are "~trd Ccrtihed Pediatric Dentists committed to pn,vidittg the brst possibh' demal care for their patients. Eastside Pediatric d ,- lllllll Dr.John IL Liu I DentaIGroup __ -0r . OilllllllI Dr. Sa, ySuo M. Lo,nbardi I | Dr. l)om~a J. Quinby I Sl~cializlr~g in I)e:m~t~v tbr InLmts, ( : ~ dwu ~ Ad~k~eal* f'~.~.. ;',lrmb,~* &m.vi,:~) A a e y :l~'diank I ~u im'v I I '~pr.,ai':~m'6,;Ner,(>i,,Ci'.ikhcal,,.,,talik.,kh(3,t:~kups '~,~