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41 REASONS TO VISIT BOZEMAN DEACONESS PHARMACY AT BIG SKY. Fill a prescription. Refill a prescription. Shop for over-the-counter remedies for head colds, heartburn, and whatever else ails you. Quickly. Conveniently. Right here in Big Sky at Meadow Village Center across from the Big Sky Chapel. Hours: Monday-Friday, 10:00 am-6:00 pm; Closed 2:00-2:30 pm for lunch Meadow Village Center | 36 Center Ln, Suite 2 406-993-9390 | www.bozemandeaconess.org/pharmacy It was 1 a.m., and Jesse Coil couldn’t sleep. His emergency medicine residency in Pennsylvania was nearly complete, and he couldn’t stop thinking about returning to his native Montana. biG sky health “My wife Eileen had suggested I check in with Dr. Daniels, because then we could live in Big Sky. I was up wondering how I might approach him for a job.” Coil got up, pulled up the Big Sky Medical clinic’s website, “and lo and behold, I saw the advertisement that he was looking for a new doctor.” Coil had done a month-long rotation in Daniels’ clinic as a fourth-year med student in 2007, and had volunteered there in winter of 2001/2002 after graduating from MSU. That February, when the couple came to Big Sky for their annual week of skiing, they “met with Daniels and his wife, and he agreed to hire me starting this summer.” So, Coil jokes, Eileen likes to take the credit for landing them in Big Sky. Since returning in June, the 33-yearold Bozeman native has “been taking advantage of the things I took for granted when I used to live here… I went to Ousel Falls for the first time two weeks ago, we hiked Lava Lake, and the North Fork, and mountain biked Porcupine. I’ve been kayaking the Gallatin pretty much every day.” Dr. Coil starts in the Big Sky clinic July 18. did you ski at big sky or bridger as a kid? I grew up ski racing with Bridger Ski Foundation, so I was diehard Bridger and only came to Big Sky for races. One of my earliest memories of skiing at Big Sky was when [we were 12], we tried to dismantle the safety feature on the door of the gondola and hang out as it was traveling. Have you lived in big sky before? When I was 16 I started spending summers in Big Sky to work. I started out taking photos for Faith Malpelli [for the Big Sky Weekly] of the rafts for Yellowstone Raft Company. I did that three summers, big sky weekly a new doc in town dr. Jesse Coil joins the Medical Clinic of big sky by eMily stiFler Jesse and Eileen enjoying Big Sky [then] I guided for seven summers for the raft company. The first winter after college I got my EMT certification at the Big Sky Fire Department, then did volunteer ski patrol at Big Sky and volunteered in Daniels’ clinic. I was interested in med school and was checking it out, seeing if I wanted to jump in. I got to talk to all the students he had there, which really helped. That was the first place I met a D.O. (Doctor of Osteopathy), and that led me to go to D.O. school. What was it like working in big hospitals in Pennsylvania? Busy, stressful – any residency is like that though. Long hours and stress and pressure because you’re [learning] how to be a physician. I figured out during those four years working in a big ER is not really what I wanted. I like the idea of being in a small town or small clinic environment. One surprising thing about emergency medicine is it’s a lot of people with multiple medical conditions that need to be in the hospital but end up coming through the ER. It’s not all exciting trauma and [life]saving experiences. I enjoyed the orthopedic stuff, which is one of the things I’m looking forward to [in Big Sky]. How was the skiing there? We skied at Blue Mountain. It’s the largest vertical drop in the state of Pennsylvania, at 600 feet. The snow tubing side of their business is probably bigger than their skiing business. Their double black diamond runs are groomed and about like Silverknife. How do you like being back in big sky so far? It’s been phenomenal, already better than we’d hoped. We went to a concert last night and ran into [friends] I knew from [raft company] days. Everyone was very welcoming.
cornfields to Mountains altitude awareness by derek Meyer I’m from a cornfield south of Chicago – about 600 feet above sea level. Like many of our patients, I felt the altitude at Big Sky my first week. Altitude related illnesses were very rarely discussed in my Midwestern medical education. But it’s different story at 6,000 feet above sea level, where altitude can wreak havoc on unsuspecting tourists. In late June, a patient on a road trip from a California coastal city came to the clinic complaining he couldn’t catch his breath. He said this started a few days earlier and at lower altitude. He’d been on a strenuous hike in Yellowstone when he began to feel nauseated, dizzy and short of breath. At a local hospital, the patient’s blood oxygen level was found to be severely low. After close observation, with oxygen provided, the patient recovered and was discharged. Unfortunately, his travel plans for the next day sent him 2,000 feet higher, to Big Sky. In the clinic here, his blood oxygen was again low, and he was huffing and puffing up a storm. We provided oxygen, ran a few tests, and recommended he either take an oxygen machine back to the condo and rest, or altitude sickness commonly occurs in people ascending more than 8,200 feet and is a result of the body’s faulty response to low blood oxygen. descend to Bozeman – wisely, he chose the latter. Altitude sickness commonly occurs in people ascending more than 8,200 feet and is a result of the body’s faulty response to low blood oxygen. The three main altitude sickness syndromes include: · Acute mountain sickness (AMS) · High-altitude cerebral edema (HACE) · High-altitude pulmonary edema (HAPE) In most cases, a mild form of AMS occurs 6-12 hours after reaching high altitude, and one may experience headache, nausea or vomiting. Fortunately, AMS will usually resolve by stopping INTERIOR PAINTING We bring quality and value to the simplest jobs as well as some of the most demanding projects. There are a lot of important details involved in painting and finishing a home, and we love sweating the details! further ascent and taking an ibuprofen for the headache. HACE and HAPE are much more severe and can lead to coma and death if left untreated. In HACE (which typically follows AMS), the brain begins to swell, leading to changes in a person’s level of consciousness. In HAPE (which may occur after two to four days at altitude), the lungs become leaky, causing coughing and shortness of breath. For both of these conditions, immediate descent with oxygen and drug therapy is lifesaving. Luckily, Dr. Daniels only sees a case of HAPE about every two years around here. Mountain Village - 995-2797 Located next to Big Sky Ski Patrol explorebigsky.com So what advice can you give your visiting cousin from Miami who has ambitions to hike the Spanish Peaks this summer? Tell him to take it easy! The best strategy for avoiding altitude sickness is gradual ascent with plenty of rest. For someone with a history of mild AMS, a physician may recommend taking a medication called Diamox. Avoiding alcohol isn’t a bad idea, either. Derek Meyer is a forth year medical student at the University of Illinois College of Medicine. He did a rotation at the Medical Clinic of Big Sky in 2011. Medical clinic Of Big Sky Physicians available after hours for emergencies The Mountain Village Clinic is open 7days a week throughout ski season 10am - 5pm Meadow town center - 993-2797 Located at the corner of Ousel Falls Rd. & Hwy. 64 The Meadow Village Clinic is open Mondays ONLY 10:00am - 5:00pm Jeffery a. daniels M.d. Expertise in Internal Medicine, Sports Medicine, Family Care & Well Woman Health Care **X-Ray machine on the premises** We are well equipped to handle your medical problems promptly No appoinments necessary, walk-ins always welcome Blue Cross/Blue Shield, Medicare, & Workers Compensation Insurance, Cash, Checks, Credit Cards accepted - Payment due at time of service EXTERIOR PAINTING We excel at exterior painting, staining, and log home renovation. 406-580-0331 | email: cboyd@montanapaintinc.com Check out www.montanapaintinc.com for all the juicy details! 10+ YEARS OF LOCAL EXPERTISE July 15, 2011 35
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