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Southgate Clinic Now Open!

CHAS Health has opened new clinic on Spokane’s upper South Hill to provide comprehensive healthcare services for patients of all ages. The new CHAS Health Southgate Clinic, located at 5620 S. Regal St., Suite 11, offers medical, behavioral health, and pharmacy services under one roof, with a team experienced in family medicine, pediatrics, and women’s healthcare.

 

Pediatric services include acute care, well child exams, immunizations, and sports physicals for children under 18. Women’s health includes annual gynecological exams, pap smears, family planning, birth control, and menopause management. Our midwives and providers also offer complete pregnancy care. Pharmacists work side by side with the providers to assist with medication management. The collaborative approach provides coordinated care for our patients.

 

Patients can schedule an appointment by calling 509.444.8200.

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Healthy Recipes: Instant Pot General Tso’s Chicken Lettuce Wraps

 

Ingredients
2 lbs skinless and boneless chicken breast, cut into bite size pieces
1/4 cup low sodium soy sauce
1 tsp dark soy sauce
2 Tbsp honey
2 Tbsp brown sugar
2 cloves garlic, minced
1 tsp fresh ginger, grated
3 Tbsp rice vinegar
1/4 tsp red pepper flakes
1 Tbsp tomato paste
2 Tbsp hoisin sauce
1 Tbsp cornstarch
1 Tbsp water

Directions
Turn your Instant Pot to the sauté setting. (See your manufacturer’s guide for detailed instructions on how to use your instant pot.)
Add the chicken pieces to the Instant Pot then dump the rest of the ingredients in it, excluding the cornstarch and water. Stir everything well with a spoon.
Close the lid and set the Instant Pot to the Poultry setting and set the timer to 5 minutes.
Once the Instant Pot cycle is complete, wait until the natural release cycle is
finished, about 10 minutes. Follow the manufacturer’s guide for quick release, if in a rush. Carefully unlock and remove the lid from the Instant Pot.
Switch the Instant Pot to the sauté setting (do not put the lid on). Transfer the chicken to a bowl using a slotted spoon.
In a small bowl whisk the cornstarch and water together, then pour over the sauce and stir. Cook for about 2 minutes until the sauce thickens. Add the chicken back to the Instant Pot and turn off your Instant Pot by pressing the cancel button.
Garnish the chicken with sesame seeds and green onions. Serve in lettuce leaves.
Notes:
To make this in the crockpot, add all ingredients except cornstarch and water and cook on low for 4-6 hours.
After cooking, remove the chicken, turn the crockpot to high, add the cornstarch/water mixture and allow to thicken. Add the chicken back in and serve as desired.

By Erica Baty, RD, CDE

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Healthy Recipes: Asian Noodle Salad

Ingredients

Salad:

8 ounces thin spaghetti

One 8-ounce bag julienne/fine-cut carrots (about 1 1/2 cups)
One 6-ounce bag baby sweet peppers, seeded and sliced thinly into rings (about 1 cup)
One 4-ounce bag bean sprouts (about 1 cup)
3 English cucumbers, halved,
seeds removed, and sliced
3 scallions, sliced
Up to 1 bunch fresh cilantro, chopped
1/2 head or more napa cabbage, sliced
1/2 head or more purple cabbage, sliced
1/2 bunch kale, leaves torn off the stalks
and shredded
2 cups peanuts, chopped

Dressing:
1/2 cup olive oil
1/3 cup low-sodium soy sauce
1/4 cup oyster sauce
1/4 cup rice wine vinegar
1/4 cup brown sugar
3 tablespoons chopped fresh ginger
2 tablespoons sesame oil
2 to 3 cloves garlic, chopped

 

For the salad: Bring a pot of water to a boil. Cook the spaghetti to al dente according to the package directions. Drain, rinse and let cool. Mix together the cooked spaghetti, carrots, peppers, bean sprouts, cucumbers, scallions, cilantro, napa cabbage, purple cabbage, and kale. Add the peanuts and toss together.

For the dressing: Whisk together the olive oil, soy sauce, oyster sauce, rice wine vinegar, brown sugar, ginger, sesame oil and garlic in a medium bowl.
Pour the dressing over the salad and mix together with tongs or your hands. If the salad seems a little dry, just mix up a little more of the wet ingredients of the dressing and throw it in. It’s a very organic process.

Transfer to a large platter and serve.

By Erica Baty, RD, CDE

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Press Release: CHAS Health Opens Clinic for People Over Age 60

Spokane, WA. December 27, 2018 – CHAS Health has opened a new clinic that offers primary care services, with an emphasis on individuals over 60 years of age. The new CHAS Health North Central Clinic located at 914 W. Carlisle Ave. in Spokane, offers medical, behavioral health, and pharmacy services under one roof, with a team that is experienced in geriatric medicine.

Some of the services available at the clinic include: age-appropriate preventive screenings; immunizations; chronic disease management; fall risk assessment and risk-reduction tools; Medicare Annual Wellness Visits; nutritional evaluations; activity and exercise evaluation; comprehensive cardiovascular risk reduction; blood clot and Anticoagulant medication care; comprehensive geriatric assessments; advance care planning; and dementia assessment and care.

There is a clinical pharmacist on-site, to work closely with patients and help them manage medications. Behavioral Health services are provided in partnership with Lutheran Community Services Northwest, to ensure coordination of care with the primary care provider. The renovation was accomplished thanks to funding support from the City of Spokane. Patients can schedule an appointment by calling 509.444.8200.

About the providers:

Dr. Jeremy Graham is a Diplomate of the American Board of Internal Medicine, and of the American Board of Clinical Lipidology. He has special interest in wellness behaviors, prevention of stroke and heart attack, and medicine based on the best evidence for older adults.

 

Amanda Bailey received her BSN from University of Alabama at Birmingham and her MSN from South University. She is an Adult Gerontology Nurse Practitioner, who recently joined the CHAS Health team. Her nursing background is in critical care medicine. She is excited to address the health needs of older adults in the Spokane community.

 

About CHAS Health

CHAS Health is a local, non-profit organization that provides high quality health care to everyone, regardless of insurance status. Our mission is to improve the overall health of the communities we serve by expanding access to quality health and wellness services. Those services include medical, dental, behavioral health, pharmacy, and health education.  Visit www.chas.org for more information.

 

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Skin Protection in the Winter

We all know that the skin is the largest organ of the body.  But sometimes we forget how important healthy skin is for a healthy body. Your skin does many jobs like helping your body control its temperature and protecting you from germs like bacteria that might make you sick.  A way to think of your skin is like a strong concrete wall.  Skin cells form a good barrier when they have strong connections to each other, just like concrete blocks need cement to keep them stuck together.  And just like any good wall, if we don’t care for it the wall might start to crack and fail – with our skin that might mean infection or inflammation.

So, let’s review skin health, which is especially important during the winter when the air doesn’t hold as much moisture and dry weather makes it easier for our “strong wall” of skin cells to crack and weaken.

Signs that our skin might be starting to weaken:

  • Chapped lips
  • Dry, itchy arms and legs
  • Cracked hands and feet
  • Small white patches on the cheeks

Skin Moisture – Our goal is to combat the dry air.  Here are a few tips:

  • Use a moisturizer
    • Find a moisturizer that you like – the best moisturizers are thick and do not have fragrances or other additives, especially for those of us with sensitive skin.
    • Some options that I like to use: CeraVe, Cetaphil, coconut oil, or even ointments like petroleum jelly (as long as we can keep it from staining your clothes!)
    • If a lotion has a pump it might mean that water was added to the lotion, which can actually dry the skin.
      • Better to find a tub or squeeze tube.
    • Apply 1-2 times every day, especially after baths or showers when the water washes away natural skin oils
      • Overuse of hand soap can also remove natural oils
    • Moisture comes from the inside too!
      • Drink water throughout the day whenever you are thirsty and more often when you are exercising, spending time outside or sick.

Skin care can be quick and simple! Even if you do not have obvious signs of skin dryness, having a daily routine will keep your skin happy and healthy.

What’s a good present that we can all give to ourselves this winter season? Answer: A big tub of moisturizing skin cream!

by Dr. Marcus Baca

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Black Bean & Avocado Brownies

Ingredients:
1 can black beans, rinsed and drained
1/2 cup unsweetened cocoa powder
3 eggs
1/4 cup coconut oil, melted
2/3 cup coconut sugar or
substitute with brown sugar
1/4 tsp. salt
1 tsp. baking powder
1 tsp. vanilla
1 medium avocado
Dark chocolate chips, enough to
cover top of batter when in pan,
about 1/2 cup-3/4 cup

Directions:
Preheat oven to 350 degrees F. Mix all ingredients in a food processor (except the chocolate chips) until smooth.
Grease an 8×8 inch baking pan with nonstick spray or oil and scoop brownie batter into pan. You can mix in some chocolate chips in at this point too. Sprinkle enough chocolate chips to cover the top of batter.
Cook for 38-40 minutes or until you poke the brownies with a toothpick and it comes out clean.
Let sit for 20 minutes before you cut. Store in fridge and enjoy!

Notes:
Flourless + Gluten Free
Drizzle with peanut butter if desired

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Festive Fruit Kabobs

Ingredients:
A variety of seasonal fruit:
kiwi, star fruit, persimmon, oranges, pears, apples, pineapple
Mini skewers
1 cup low fat plain yogurt
2-3 Tbsp. honey
1/2 tsp. vanilla
Pinch cinnamon

Directions:
1. Cut the fruit into equal sized pieces and thread onto skewers.
2. Whisk together the yogurt, honey, vanilla and cinnamon.
3. Serve skewers with the yogurt sauce.

Notes:
Nutrition facts vary depending on type of fruit and yogurt used.

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Pumpkin Pie Parfaits

Ingredients:
10 oz. pumpkin yogurt
1 cup 100% Pumpkin Pie Puree
1 Tbsp. honey
1 cup heavy cream
2 Tbsp. powdered sugar
1 tsp. vanilla extract
15 Ginger Snap Cookies
garnish: sprinkle of cinnamon and white chocolate shreds

Directions:
In a small bowl, whisk together the pumpkin, yogurt and honey. In a food processor, pulse the cookies until well blended and turn into a crumb.
In a stand mixer, add the heavy cream. Using the whip attachment, beat the cream until stiff peaks form. Blend in the sugar and vanilla extract. (You will have extra whipped cream)
In a glass of choice for the parfaits, layer the pumpkin mixture first followed by 1 tablespoon ginger snap crumbs and then 2 tablespoons whipped cream. Layer until glass is full or desired amount is added. You can serve with a sprinkle of cinnamon on top and shaved white chocolate. Enjoy immediately—if you try to make this too far in advance, the crumb layer may get soggy!

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Winter Weather Safety

Winter is here and kids are excited to get outside and play in the snow. Parents know that the cold temperatures can also bring potential dangers. Fortunately, there are several steps you can take to keep your family safe this time of year.

 

Dress for the Weather:

-Dress children in layers when they go outside to help them stay warm and dry. This should include a hat, gloves or mittens, warm socks and waterproof boots. Make sure to remove and replace any wet clothes right away.

– Remember that sun sunscreen and sunglasses are important this time of year because the snow reflects the sun’s UV rays.

-Give your child a snack before they go outside. It’s also a good idea to have children come inside about once every hour to warm up and drink fluids.

 

Use Caution when Participating in Winter Sports:

-Children and teens should wear a properly fitted helmet for skiing, snowboarding and sledding.

-Avoid sledding on steep hills or areas where there are trees, large rocks, or busy streets nearby.

-The American Academy of Pediatrics advises that teens younger than 16 should not operate snowmobiles and children younger than 6 should not ride on them.

 

Be Aware of Signs of Danger:

-Signs of frostbite are pale, grey or blistered skin. Frostbite most commonly occurs on the ears, nose, fingers, and toes. If you think your child has frostbite, seek medical care.

-Signs of hypothermia are shivering, slurred speech, clumsiness and confusion. If you suspect your child has hypothermia, call 911 immediately.

 

Keep Your Family Safe Inside the Home:

-Make sure that smoke and carbon monoxide alarms are installed and in working order on every level of the home and in all sleeping areas.

-Be careful around fires. Put a protective gate around the fireplace if there are small children in the house.

-Keep an emergency kit at home and in the car. Stock the kit with extra blankets and clothes, flashlights, batteries, matches, a first aid kit, bottled water, and non-perishable food.

 

Washing hands frequently and keeping your family’s immunizations up to date are also important ways to stay healthy this winter.