Nova Health Welcomes Brianne J. Kanehl, FNP, to Oakridge Primary Care Clinic

Brianne Kanehl, FNP

Eugene, OR – December 30, 2020 – Nova Health, a provider of high-quality, convenient primary and urgent care services in the Western United States, has announced the addition of Brianne J. Kanehl, FNP, to its team of healthcare providers. Kanehl will begin accepting patients at Nova Health’s Oakridge clinic, located at 48134 Hwy 58, Oakridge, OR 97463 on January 11.

Kanehl brings to Nova Health over seven years of experience caring for patients with various health and wellness needs. She graduated from Jacksonville University with a Bachelor of Science Degree in Nursing and a Master of Science Degree in Nursing from Samford University.

Before moving to Oregon, Kanehl worked at Renown Rehabilitation Hospital in Reno, Nevada, and Lutheran Medical Center and Swedish Medical Center in Denver, Colorado. Most recently, Kanehl cared for patients by conducting in-home and remote comprehensive health assessments. During this time, she educated patients on their health risks, medications, how to maintain optimal health, and the value of preventative screenings.

“I could not be more pleased to join the team at Nova Health,” said Kanehl. “To be part of a rapidly growing organization that has earned such an outstanding reputation for quality and compassionate medical care is a significant career achievement. I am ready to take what I’ve learned throughout my career and offer the most attentive and collaborative care possible to the Oakridge community.”

Dr. Lyle Torguson, Nova Health Medical Director of Primary Care Services, said Kanehl’s commitment to team-based patient care allows her to put her patients at ease and earn their long-term trust and respect.

“Brianne is the perfect addition to our team,” said Dr. Torguson. “Thanks to her extensive and diversified portfolio of positions in various healthcare settings, she has earned a wealth of knowledge for diagnosing and treating complex and chronic conditions. She is well-positioned to provide long-term, collaborative care to patients and their families.”

Osteoarthritis Symptoms and Treatment Options

Osteoarthritis is a condition marked by joint pain and stiffness that affects approximately 27 million Americans. While it can impact any joints, it most commonly causes pain in the hands, knees, hips, and spine. It is a leading cause of disability and the most common form of arthritis, and the reason why millions of people struggle to accomplish day-to-day or work-related activities. While the joint damage that osteoarthritis causes can’t be reversed, lifestyle changes and careful treatment can minimize the discomfort of chronic joint pain.

What is Osteoarthritis?

Osteoarthritis is a degenerative joint disease that occurs when the protective cartilage that cushions the bones around certain joints wears down. As a result, the bones rub together, causing stiffness and pain.

What are the Symptoms of Osteoarthritis?

While osteoarthritis can impact any adult, it mostly occurs in older individuals.

What Causes Osteoarthritis?

Osteoarthritis may occur slowly over time due to general wear and tear and joint usage, especially among those who lead an active lifestyle. While age is the greatest risk factor for osteoarthritis, other causes of this degenerative joint disease include:

  • Overuse
  • Ligament issues
  • A dislocated joint or another past injury
  • Torn cartilage
  • Gender, as women are more likely to develop osteoarthritis, especially after age 50
  • Joint malformation
  • Poor posture
  • Obesity
  • A family history of osteoarthritis
  • Race, as some Asian populations have a lower risk of osteoarthritis

Symptoms of Osteoarthritis

The symptoms of osteoarthritis include:

  • Pain during movement or a grating sensation when moving that causes a cracking or popping sound
  • Stiffness that might be most severe first thing in the morning or after being inactive
  • Swelling of the soft tissue around the joint
  • Tenderness felt when you apply pressure to the joints
  • Mobility restrictions that limit the full range of motion in a joint
  • Bone spurs around the joint, which are extra bits of bone that feel like hard lumps

Osteoarthritis Treatment Options

Depending on which joints are impacted and your symptoms’ severity, your doctor will devise a treatment plan to minimize your pain and discomfort and help you maximize your quality of life. Treatment options for osteoarthritis include:

  • Pain-relieving prescription medications, which may include:
    • Acetaminophen (Tylenol)
    • Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB) and naproxen sodium (Aleve), or prescription NSAIDs
    • Duloxetine (Cymbalta), which is mostly used as an antidepressant but also approved to treat osteoarthritis
  • Physical and occupational therapy
  • Surgery or other procedures, including:
    • Cortisone injections into the joint to relieve pain
    • Injections of hyaluronic acid into the joint to add cushioning
    • Osteotomy, or a bone realignment, if the osteoarthritis is impacting your knee
    • Arthroplasty, or joint replacement surgery

When to Talk to Your Doctor

If you are experiencing chronic joint pain, stiffness, and tenderness, and it’s impacting your ability to work, care for your home, and lead a comfortable lifestyle, talk to your doctor. They can determine if osteoarthritis is causing the pain you feel and can devise a treatment plan to minimize your pain.

Ovarian Cancer Risk Factors

This year, about 21,750 women will receive a new diagnosis of ovarian cancer, and about 13,940 will lose their life to this deadly disease, leaving their loved ones asking why. With so much still unknown about the causes of cancer, doctors and researchers are searching for factors that may put a woman at risk of developing ovarian cancer. They hope that with this knowledge, they can help the millions of women who fall victim to this disease lower their risk and lead longer, healthier lives. While some factors are known to increase a woman’s chance of ovarian cancer, scientists are still assessing some other possible theories.

Factors Known to Increase a Woman’s Risk of Ovarian Cancer

Age

Most forms of ovarian cancer develop after a woman reaches menopause. Women aged 40 and older are at greater risk of developing ovarian cancer than their younger counterparts, and 50 percent of all ovarian cancer cases occur in women aged 63 or older.

Hormone Therapy

Hormone therapy treatments such as estrogen with or without progesterone taken after menopause may increase a woman’s risk.

Obesity

Obesity has been linked to an increased risk of many forms of cancer. Researchers believe that women with a body mass index of at least 30 may be at a higher risk of ovarian cancer.

Smoking

Researchers have linked smoking to an increased risk of a type of ovarian cancer called mucinous ovarian cancer.

A Family History of Some Cancers

Women with a family history of breast, colorectal, or ovarian cancer are at an increased risk of developing ovarian cancer in their lifetime. The risk increases if the woman’s mother, sister, or daughter has had ovarian cancer. The more family members who suffer the disease, the greater the risk. Hereditary breast and ovarian cancer syndrome (HBOC), which is caused by an inherited gene mutation in the BRCA1 and BRCA2 genes, has been linked to an increased risk of ovarian, primary peritoneal, and fallopian tube cancers. Women of Ashkenazi Jewish heritage are at ten times greater risk of inheriting the BRCA1 and BRCA2 mutation than the general population of U.S. women.

A Personal History of Cancer

Women who have had breast cancer may be at greater risk of developing ovarian cancer too.

Hereditary Nonpolyposis Colon Cancer (HNPCC)

Women with this syndrome are at an increased risk of developing cancer of the colon, uterus, and ovaries. The lifetime risk of developing ovarian cancer for women with HNPCC is approximately 10 percent.

Family Cancer Syndrome

Up to 25 percent of ovarian cancer cases are linked to family cancer syndrome caused by inherited gene mutations.

Having Children After Age 35

Women who carry their first full-term pregnancy after age 35 and those who never carry a pregnancy to full term are at increased risk.

Fertility Treatment

Researchers believe that in vitro fertilization (IVF) may increase the risk of a type of ovarian cancer called “borderline” or “low malignant potential” ovarian cancer.

Peutz-Jeghers Syndrome

This rare genetic syndrome causes stomach and intestine polyps in teenagers. It also increases a person’s risk of cancer, especially of the esophagus, stomach, small intestine, and colon. Women with Peutz-Jeghers syndrome are also at an increased risk of ovarian cancer.

MUTYH-Associated Polyposis

This syndrome causes polyps in the small intestine and colon. It increases a person’s risk of colon cancer, bladder cancer, and ovarian cancer in women.

Factors that Might have a Link to Ovarian Cancer

Scientists are still researching if the following factors have a definitive link to a woman’s ovarian cancer risk:

  • Androgens, such as testosterone
  • Talcum powder
  • A high-fat diet

When to Talk to Your Doctor

If you have a known history of ovarian cancer in your immediate family or other types of cancers, you should share that information with your doctor when they ask for details about your personal and family health history. If you have any concerns about your risk of ovarian cancer after reading this list of possible risk factors, talk to your doctor. They can determine the best screening process to monitor your health and detect and treat any abnormalities early.

Non-Hodgkin’s Lymphoma: What is it? Signs and Symptoms

Non-Hodgkin’s Lymphoma (NHL) is a dangerous and potentially deadly form of cancer that affects over 77,000 adults and children and accounts for about four percent of all cancers. As a disease that can strike nearly anyone at any age, including children and adolescents, it’s crucial that you learn how to recognize the signs of this disease so that you can seek early treatment if you believe you are experiencing symptoms.

What is Non-Hodgkin’s Lymphoma?

NHL is a form of lymphoma, or cancer of the lymphatic system, that begins in white blood cells called lymphocytes. Lymphocytes help fight infections caused by viruses, bacteria, and fungi. The Lymphatic system is a network of knotted tissues connected by vessels. It includes:

  • Lymph nodes – Bean-sized groups of lymphocytes and other cells that aid the immune system by protecting the spread of infection into the blood stream.
  • Bone marrow – Spongy tissue inside some bones where the body creates new blood cells, including lymphocytes, a type of white blood cell.
  • The spleen – The organ that creates lymphocytes and other immune system cells, stores healthy blood cells, and filters out damaged blood cells, cell waste, and bacteria.

In patients with lymphoma, lymph-node cells or lymphocytes multiply uncontrollably. The resulting cancer cells may dangerously invade other tissues throughout the body.

The Lymphatic Systems’ Role in Battling Infections

Your lymphatic system’s role in battling infections makes the potential for it to be attacked by cancer a dangerous and potentially deadly threat.

Your lymph nodes help to drain waste products and fluid from the body. In addition, lymphocytes are a crucial component in your body’s ability to fight disease and infection. The two types of lymphocytes are:

  • B lymphocytes (B cells) – Help protect the body against bacteria or viruses by creating antibodies. Most NHLs begin in the B cells.
  • T lymphocytes (T cells) – Some varieties fight germs and abnormal cells  while others boost or slow other immune system activities.

Once your doctor determines, among other factors, if your NHL originated in your B or T cells, they will be able to prescribe the most effective treatment method.

What Causes Non-Hodgkin’s Lymphoma?

While scientists do not know definitively what causes NHL, they know that it occurs when your body overproduces abnormal lymphocytes and old ones that should die continue to grow and divide, which causes swelling.

Signs and Symptoms of Non-Hodgkin’s Lymphoma

Symptoms of NHL may include:

  • Swollen lymph nodes, which you may detect in your neck, under your chin, in your groin area or armpits
  • Abdominal swelling or pain
  • Fatigue
  • Chest pain
  • Difficulty breathing, coughing
  • Fever
  • Unexplained weight loss
  • Night sweats

If you are experiencing the symptoms above, make an appointment with your doctor.

Who is at Risk of Non-Hodgkin’s Lymphoma?

Nearly anyone can develop NHL, though it most commonly develops in Caucasians, males, and people over age 60. However; there are some factors that could put you at a greater risk of an NHL diagnosis:

  • Certain medications that suppress the immune system, sometimes prescribed after an organ transplant.
  • Inherited immune deficiencies.
  • Family history of lymphoma.
  • Some immune disorders such as Sjögren’s syndrome, rheumatoid arthritis, and systemic lupus erythematosus, and their treatments.
  • Celiac disease.
  • Dilantin (phenytoin), a medication used to treat seizure disorders.
  • Psoriasis and some of its treatments.
  • Some genetic syndromes including Down syndrome and Klinefelter’s syndrome.
  • Inflammatory bowel disease, including Crohn’s disease, and some of its treatments.
  • Certain viral and bacterial infections, including HIV, Epstein-Barr infection, and the ulcer-causing bacteria Helicobacter pylori.
  • Prior chemotherapy treatment.
  • Exposure to nuclear accidents, nuclear testing, or underground radiation leaks.
  • While research is ongoing, scientists believe that some pesticides may cause NHL.
  • Diets high in fat and meat.
  • Ultraviolet light exposure.
  • Excessive alcohol consumption.

As with many forms of cancer, early detection is critical to obtaining effective treatment. If you have any concerns about your risk of Non-Hodgkin’s Lymphoma, or believe you may be experiencing symptoms, make an appointment to see your doctor.

Nova Health Physical and Hand Therapy Services are Relocating in Eugene

Nova Health physicl and hand therapy services relocating to Eugene OR

To better serve our patients and continue to offer the highest quality patient care, we are excited to announce that we are centralizing our physical and hand therapy services in Lane County. Starting December 28th, we invite all our physical and hand therapy patients to meet with their therapist and collaborative recovery team at our clinic at 89 Centennial Loop, Suite A, in Eugene.

The hand and physical therapists you know and trust and that are part of your care team will all be available at our Lane County therapy clinic. Our promise to our patients is that our service relocation will not impact or disrupt your treatment plan or recovery. Rather, by coordinating all our therapy services from one location, our therapists will be better able to collaborate with one another, share best practices, education, and resources, strengthening the effectiveness of every treatment plan.

Physical Therapy Services in Lane County

Our physical therapists are experts in treating a wide range of conditions, including fractures, sprains, postoperative rehabilitation, and pain. They remain dedicated to educating our patients in managing their condition at home to support a full recovery. Physical therapy services available in our Lane County location include:

  • Physical treatments designed to improve your flexibility, such as myofascial release and instrument-assisted soft tissue mobilization
  • Customized exercises to produce pain relief, improve strength, stability, balance, and endurance
  • Manual therapy
  • Electrical and ultrasound modalities
  • Heat and cold therapy
  • Pain management strategies
  • Education

Hand Therapy Services in Lane County

Our team of certified hand therapists (CHT)understands how to customize treatment plans to rehabilitate patients suffering from conditions affecting the hands and upper extremities. Our CHTs combine their scientific background in biophysics, kinematics, neurology, and orthopedics with the art of healing to customize your treatment plan to include such approaches as training, coaching, education, the practice of specific motions, or the use of custom-crafted orthotics. No matter the cause or severity of your injury, we are committed to easing your pain and discomfort.

Our Collaborative Pain Management Team

Whether your needs involve managing chronic pain, rehabilitating after an accident or injury, or recovering from surgery, our physical and hand therapists will work with you to devise the safest and most effective treatment plan to restore you to optimal health. Our therapists are available and accepting new patients to provide restorative treatment for your neck, back, or pelvic pain or attend to joint injuries involving your shoulder, elbow, or hand.

For patients with recent surgery, we work closely with your surgeon to build an early post-surgical treatment plan to return you to optimal wellness quickly. We also collaborate with other referring providers such as licensed physicians, podiatric physicians, naturopathic physicians, chiropractors, dentists, physician’s assistants, and nurse practitioners as part of our commitment to ensuring you receive comprehensive care.

Make an appointment with our physical and hand therapists at our Lane County clinic today. 

Nova Health Welcomes R. Alden McEwen III, MD to its Practice

R. Alden McEwen III, MD

Eugene, OR – December 14, 2020 – Nova Health, a comprehensive provider of quality urgent care, primary care, physical therapy, and musculoskeletal services in Oregon and Montana, has announced the addition of R. Alden McEwen III, MD to its team of healthcare providers. Dr. McEwen will begin accepting patients at Nova Health’s Coburg Road clinic, located at 1800 Coburg Road, Eugene, OR 97401, on December 14th, 2020.

Dr. McEwen earned his medical degree at the Louisiana State University School of Medicine in New Orleans, Louisiana. He spent a year training for general surgery and two years in training for anesthesiology. Dr. McEwen then completed a Family Medicine residency specializing in rural healthcare. While training for Family Medicine, he also spent two years providing solo coverage in emergency rooms in rural Louisiana, where he applied his skills in communities in need of quality medical care.

Today, Dr. McEwen brings to Nova Health his passion for caring for his patients at all phases of their lives.

“My extensive exposure to critical care medicine, in addition to providing me valuable expertise in comprehensive healthcare, has made me focused on quaternary prevention via continuous, informed, shared decision making with my patients,” said Dr. McEwen. “I am excited to bring my experience and collaborative approach to care to a team of Nova Health providers that share these values.”

Dr. Lyle Torguson, Nova Health Medical Director of Primary Care Services, said Dr. McEwen’s charm, compassion, and generosity of time make him a valued and valuable member of the Nova Health team.

“We could not be more pleased to add Dr. McEwen to our team at Nova Health – Willamette,” said Dr. Torguson. “His approach to caring for his patients is one of collaboration and elevating treatment protocols by starting with the least invasive and medicated options, an approach that we know aligns with the treatment plan hopes of our patients. He is an ideal addition to our care team.”

Multiple Sclerosis: What Causes This Life-Threatening Condition?

Multiple Sclerosis (MS) affects approximately 400,000 Americans and 2.1 million people worldwide. It is a chronic inflammatory and neurodegenerative disease that can slowly take away a person’s ability to walk, communicate, and live. What causes this debilitating disease? Can anything be done to minimize your risk? And what should you do if you or a loved one starts experiencing symptoms?

What is MS?

For patients with MS, the body’s immune system attacks and damages the central nervous system (CNS), slowing or stopping nerve transmission.

What Causes MS?

Unfortunately for the millions of people suffering from this dangerous condition, scientists have not identified a definitive cause. They believe that it may be triggered by a combination of factors such as:

  • Immunology: Patients with MS experience an abnormal immune system response that damages their CNS. When MS occurs, the body’s T-cells are activated in the lymph system and travel via blood vessels to the CNS. Once they arrive, T cells release the chemicals that cause inflammation and ultimately damage myelin, the cells that make them, and nerve fibers. Researchers are studying this phenomenon to understand what triggers these actions—so that they can learn how to stop them.
  • The Environment: By identifying trends in locations where MS patient cases are high, researchers wonder if they will identify an environmental factor that triggers the condition. For example, MS is more common in areas farther from the equator. Some studies indicate that people with low vitamin D levels are at an increased risk of MS. For this reason, sun exposure, and thus being close to the equator, might reduce one’s risk. Studies have shown that when someone is born in a high-risk area and moves to a low-risk area before age 15, their risk lowers accordingly. This trend might indicate that exposure to some environmental factor at a young age might increase one’s risk of developing MS.
  • Infection: Scientists have investigated viruses and bacterial infections to determine if there is a link to MS. They have studied measles, canine distemper, human herpes virus-6, and Chlamydia pneumonia. Epstein-Barr virus (EBV) is under particular curiosity to researchers.
  • Genetics: While MS is not an inherited disease, there is a genetic risk factor that could increase one’s chance of developing MS in their lifetime. The risk of someone in the general population developing MS is 1 in 750 to 1000; however, in identical twins, the risk is one in four. The risk also increases among first-degree relatives such as parents, children, and siblings.
  • Smoking: Tobacco use might contribute to an increased risk of MS and a more rapid disease progression. When one quits smoking, it may slow the progression of the disease and its debilitating symptoms.
  • Obesity: Particularly for young women, childhood and adolescent obesity might increase the risk of MS. Obesity might exacerbate inflammation, which leads to disease progression.

When to Talk to Your Doctor

Talk to your doctor if you develop the following symptoms, which may indicate the presence of MS:

  • Numbness or weakness in the limbs, often on one side of the body, the legs or trunk
  • Electric-shock sensations when moving the neck forward
  • Tingling sensations
  • Tremor, lack of coordination, or unsteady gait
  • Vision problems, particularly a partial or total loss of vision one eye at a time accompanied by eye movement pain, double or blurry vision
  • Slurred speech
  • Fatigue
  • Dizziness
  • Problems with sexual, bowel, and bladder functions

Looking to the Future for a Possible Cure

Scientists are researching MS’s cause, evaluating such factors as immunology, infectious agents, epidemiology, and genetics. They hope that by identifying MS’s cause, they can expedite creating a cure or effective treatment for this condition that damages so many lives.

Nova Health Welcomes Ferich Regunan, FNP-C to Family Medicine Team

Ferich Regunan, FNP-C

Eugene, OR – December 3, 2020 – Nova Health, a comprehensive provider of quality urgent care, primary care, physical therapy, and musculoskeletal services in Oregon and Montana, has announced the addition of Ferich Regunan, FNP-C to its team of healthcare providers. Regunan will begin accepting patients at Nova Health’s Patterson clinic, located at 598 E. 13th Avenue, Eugene, OR 97401, on December 7th, 2020.

Regunan began her medical career working as a charge nurse at a hospital in Manila, Philippines. Upon moving to the United States, she spent several years leveraging her clinical coordination and leadership experience as a charge nurse in Southeastern Texas. Regunan earned her Master of Science Degree in Nursing in 2018 from Walden University in Minneapolis, Minnesota. She spent a year interning as a family nurse practitioner at a family clinic in Edinburg, Texas, where she cared for patients ranging from pediatric to geriatric, including maternal care.

Today, Regunan brings to Nova Health over twenty-five years of dedicated, compassionate health care experience. She is passionate about providing quality patient care and committed to continually expanding her clinical experience, skills, and knowledge.

“I joined Nova Health not only to provide curative services as a healthcare practitioner, but also to incorporate my nursing background to deliver genuine care for patients in all diversities as a family nurse through effective communication, empathy, and compassion,” said Regunan. “I am thrilled to begin the next phase of my career caring for patients and their families here at Nova Health.”

Dr. Lyle Torguson, Nova Health Medical Director of Primary Care Services, welcomed Regunan to the Nova Health Care Team, adding that her open and collaborative communication style and sensitivity make her the right fit for Nova Health.

“We knew the moment we met Ferich that she was destined to be part of Nova Health,” said Dr. Torguson. “Her ability to hear what her patients say and listen to what they’re not quite sure how to put into words is a skill that too few people learn. We are excited to have her at Nova Health and know her patients will gladly welcome her to their care team too.”

Better Pain Management During the Holidays

Even as we remain a nation practicing social distancing this winter, our holiday to-do list is still miles long. There’s shopping, card creating, cooking, planning, and the added stress of possibly being separated from loved ones and missing out on annual traditions. Stress can take many forms in the body, including physical pain. If you feel worn out, achy, or are experiencing headaches, stomach aches, or any of the other physical symptoms of stress and anxiety this holiday season, continue reading to learn how to put your mind and body at ease.

  1. Pace Yourself. If you have a long list of holiday to-dos, make a scheduled, coordinated plan for achieving your goals. If you plan, you can avoid the stress-inducing, last-minute moments that can exacerbate pain. Such moments may include wrapping gifts well into the night, standing at your kitchen counter baking for hours, or sitting at your desk addressing one hundred holiday cards. Pace yourself and give your body a break from long sessions of physically exhausting activities.

  2. Ask for Help. If you’re a can-doer, then this tactic may be challenging for you—but also crucial. No one should expect to balance work, homeschooling, chores, and holiday preparations alone. Ask for help when you need it. Ask your spouse to help your kids create their classroom holiday craft assignment, ask a friend to help you with your baking, and invite some neighbors to help you prepare meals for charity. Whatever it is that will require more time than you have in a day, ask for help before your body does so in the form of pain.

  3. Don’t Quit Your Fitness Routine. It can be easy to give up your yoga class or running group when something needs to give to make up extra time for your holiday responsibilities. Resist the temptation to sacrifice the feel-good, stress-relieving, endorphin-boosting benefits that you get from working out. Too much sedentary time or not enough sleep can cause headaches, body aches, or exacerbate symptoms of conditions associated with chronic pain.

  4. Reimagine Some Traditions. Perhaps, when you were in your twenties, you started a tradition of cutting down a Christmas tree, dragging it through the woods, strapping it onto your car’s roof, and setting it up in your house. It’s a tradition you’ve loved for decades, but now the aches and pains that naturally come with age are making it hard to complete the task easily—or maybe even dangerous. Accept that it’s okay to make the switch to an artificial tree. Reimagine your tradition by still gathering your immediate family together and decorating the tree together. The event may be different, but what matters is that you’re with your loved ones—people who don’t want to see you hurting over the holidays.

  5. Eat Clean. If your chronic pain comes from inflammation, treat your body with kindness by limiting your intake of those items that can exacerbate inflammation and trigger pain, including alcohol, dairy, gluten, and artificial substances like preservatives.

  6. If You’re Depressed, Know When to Ask for Help. Depression can manifest into physical pain. If you’re separated from loved ones and feeling isolated this holiday season, your sadness may cause body aches, fatigue, headaches, and other physical symptoms. If your depression begins to interfere with your ability to complete your daily responsibilities, you begin to practice self-harm, or you have suicidal ideations, seek professional help immediately.

The holidays can be a wonderful time of the year for the warmth and happiness of friends and family. Just remember that the holidays are about who you’re with, not how many tasks you can check off your list. Don’t let your enthusiasm for the holidays take its toll on your body. Commit to celebrating this season, feeling happy and healthy.