BOZEMAN – Years of effort by Montana State University’s nursing college and its partners have helped increase access to cancer care in rural Montana.

A breakthrough grant from the Merck Foundation has brought oncology services to Barrett Hospital and HealthCare in Dillon, a town in southwest Montana with around 4,000 residents. With a new infusion center that opened in October, scores of rural patients can receive care close to home instead of traveling over two hours to a hospital in Bozeman.

The $1.9 million grant, awarded in 2022 to Conquer Cancer, the American Society of Clinical Oncology (ASCO) Foundation, will run through June 2027. MSU, Barrett Hospital and HealthCare and Bozeman Health receive funds to support the implementation and evaluation of a shared-care model of cancer care delivery.

Traveling for treatment has a significant impact on cancer patients, especially in a state with harsh winter weather like Montana, said Marg Hammersla, a professor in the Mark and Robyn Jones College of Nursing who is helping with logistics and conducting the evaluation for the grant.

Data show that the farther patients need to travel, the more likely they are to forgo treatment, Hammersla said. Often, patients must stay overnight before or following treatment to ensure they aren’t impacted by road closures during winter storms, or they must purchase snow tires to make it to treatment safely.

But by adding cancer care to rural areas, “Our hope is that patients will actually have better outcomes, because the financial and physical burden of receiving treatment will be decreased,” Hammersla said.

The first two years of the grant were used to solve logistical details and train staff, Hammersla said. Bozeman Health trained a nurse and physician assistant in oncology care for Barrett Hospital and HealthCare, and staff securely transferred patient medical records. Then, the hospital funded the construction of an exam room, infusion suite and offices for the new staff.

Barrett’s new infusion suite opened on Oct. 1, 2024, to high demand from patients in the Dillon area. By the end of 2024, the hospital had recorded a total of 45 clinic visits and 30 treatment visits. That has already reduced patient travel by over 38,000 miles and saved people over $10,000 in fuel costs alone, Hammersla said.

Lyndee Fogel, director of pharmacy at Barrett Hospital and HealthCare, applauded the grant’s impact. Fogel has worked for the hospital for over 30 years and recalled talking about wanting to bring oncology services to Dillon in her job interview.

Fogel said past attempts did not succeed due to a lack of resources to train the required staff. But the Merck Foundation grant provided enough funding for training and programmatic support that enabled a doctor and physician assistant to practice in the clinic multiple days a week. Fogel also received oncology-specific pharmacist training in Bozeman, too, and said the partnership between the two healthcare providers was “invaluable.”

“This is something this community has needed for a long time, and I am just so thankful to be involved,” Fogel said. “I’m so happy that we are finally seeing it happen, and that we have a program that’s going to grow and get better for our patients and our community.”

Dillon residents Grace and Bill Salada are just two of the people the new infusion center is helping. Last October, Grace was diagnosed with Stage 4 breast cancer. Aside from experiencing abrupt weight loss, she had no idea she was sick.

The couple, high school sweethearts originally from Pennsylvania, called the diagnosis a “shock.”

“When they said that she had an incurable cancer, I told the doctor, ‘God, we’ve only been married 56 years,’” Bill Salada said. “He said that’s a long time. I said, ‘Yeah, but not long enough for me.’”

Had Grace needed to travel to Bozeman and stay overnight for weekly chemotherapy, she would have chosen to go without treatment. Instead, she can receive chemotherapy at a hospital three minutes from home. Still, the Saladas wish the doctors had caught her cancer earlier.

Their story is not uncommon for residents of rural areas like Dillon. Addressing the rural cancer care gap has long been a focus of hospitals, medical associations and research institutions like MSU.

Jack Hensold, a former oncologist at Bozeman Health and chair of the ASCO Rural Cancer Care Task Force, said that compared to cities, rural areas see less screening for cancers, with patients often diagnosed in the later stages. Rural patients also have limited access to clinical trials and potentially life-saving drugs that are in development.

“The problem when we say the outcomes are worse in rural areas – there's more poverty in rural areas, there’s less health insurance coverage in rural areas, there’s limited access because of the geographic barrier to care,” said Hensold. “So the question is, is it any one of those things that are primarily responsible, or are they all working together?

“What we can do moving forward is say, if we believe access to be one of the problems, let’s improve access and then see if that improves outcomes,” Hensold said.

That’s why the MSU nursing college’s work on the grant has been invaluable, he said. Hammersla’s research expertise has helped quantify and report the impacts of the grant, and she has been an invaluable “boots on the ground” resource to help streamline communication among the collaborators.

By detailing the implementation strategies, costs, challenges and successes, the aim is to establish a framework so other hospitals, particularly in rural communities, can replicate the efforts, said Janette Merrill, the grant’s project lead and senior director of care innovation for ASCO. The lessons will be detailed in a journal publication, in meetings and on ASCO’s website.

“Marg has brought her research expertise and formed the relationships to get the data that we need,” Merrill said. “She’s done a lot of mapping the systems and looking at process improvement, so we can take those lessons learned and disseminate that information. We truly couldn’t have done this without her.”

Though the Merck Foundation grant funding ends in 2027, the hospital and its partners are confident the infusion center will continue to operate into the future. Right now, the hospital has diverted patients from Bozeman, but there are conversations ongoing with other hospitals to transfer even more patient care to Barrett.

“It’s great that word is getting out this program is up and running, and patients are getting this care,” Merrill said. “It’s getting the attention of other funders and oncologists who have patients traveling to Utah or Wyoming. Now, there’s the opportunity to help anyone living in Dillon diagnosed with cancer who was going to have to travel for that care.”

You’ve seen them in magazines or perhaps in your neighbor’s yard—a gorgeous outdoor kitchen with high-end countertops, stone accents, and a fire pit to top it all off. Patio kitchens can be an amazing addition to any home, especially if you cook home meals or enjoy the wind through your hair from time to time. Homes with kids and pets may find additional value in spending more time outside, too. It’s important to note that not everyone will find value in an outdoor kitchen, and installing them can cost you a lot of time, work, and money that you may not be prepared for. To make the best decision for your home and lifestyle, you’ll want to consider the most crucial factors before taking the plunge. If you hate cooking or have a tiny yard, you may want to pay extra attention.

Deck Space and Layout

Depending on the type of kitchen you want, you’re going to need appropriate deck space for the entire layout. You want to include not just the kitchen and its features, but also a place to entertain and enjoy meals, too. If you have a pool or other amenities in your yard, you’ll need to work with or around these features to allow them to coexist stylishly and functionally. A deck is recommended for outdoor kitchens, as you’ll need a solid and level foundation for them. Consider working with a custom deck builder to allow you to create the kitchen of your dreams. Working with a contractor can cost more, but you won’t have to worry about a lack of space or oddly positioned layouts.

The Finances

Outdoor kitchens are expensive! A grill or smoker alone can set you back thousands of dollars with high-end models. Of course, there are outdoor kitchen appliances at all price ranges, but the more you spend, the more you're paying for durability and exclusive features. You'll also need to consider any deck or patio installation, counters and cabinets, and furniture. Budget for a few thousand dollars in expenses to cover all bases. If you're not prepared for an investment like that, you're going to have to take some time to prepare.

Your Current Habits and Lifestyle

An outdoor kitchen is a great feature for people who love the outdoors or want to spend more time outside in a controlled space like a backyard. If you have significant allergies with outside air, you will need to take that into consideration. You won’t be able to use an outdoor kitchen if you have an allergy attack every time you step outdoors! You'll also need to come equipped with some desire to cook or prepare drinks. You don’t need to be an expert chef—you don’t even need to be an average chef, you or your household members just need to want to learn. If you see yourself desiring and using an outdoor kitchen for any reason, go for it! If you think you’re not the right person for it, you may want to go with your gut before investing a ton of money into it.

Plumbing, Gas, and Electrical

Kitchen appliances will need electrical and plumbing hookups at a minimum, as they use electricity and water. You may even need a gas hookup. While most outdoor kitchens are easily connected to these utilities, you’ll have to know what you’re doing. Consult with professional plumbers and electricians to determine if there are any issues with the placement or layout of your future patio kitchen. Get cost estimates from multiple professionals beforehand. These connections will need to be up to code; professionals can help you with this. If you don’t adhere to local laws and regulations, you’ll look at more than just legal issues—you could cause serious injury or property damage to household members.

Climate and Weather

If your home is in an area that constantly floods or freezes over, an outdoor kitchen may not be usable all the time. There’s nothing wrong with using an outdoor kitchen in the winter or light rain, but it can be uncomfortable, and, with thunderstorms or heavy winds, dangerous. You should be familiar with your home’s year-round weather.

Will you get an adequate amount of usage from your outdoor kitchen? Are you fine with not being able to use the space when the weather doesn’t permit it? Will your use time be worth the cost? Answering these questions can help you decide if the outdoor kitchen investment is a good idea for you.

Conclusion

An outdoor kitchen is a luxurious addition to any home, adding value, style, and function. However, it’s not for everyone. If you hate cooking or being outside, you may be wasting your money. You’ll need to prepare or install adequate deck space for a level foundation, and your appliances will need electrical and plumbing hookups that are up to code. The climate in your area can significantly limit your use of the space. When you consider all factors, you can make the best decision for you and your home.

Timber frame homes are seeing a resurgence in popularity among folks seeking a rustic and traditional appeal. Over the years, timber frame home design trends have evolved to include smart features, energy efficiency, modern architecture, etc. From natural materials to developing technological solutions and sustainability, timber frame home builders are blending timber homes' distinct beauty and strength. The warmth of timber and natural charm foster a comfortable and welcoming environment. The article delves into the flexible design scopes and aesthetic appeal of timber frame homes, making them preferable for modern comfort and rustic appeal.
 
The Idea of Open-Concept Living
Currently, connected home space is trending, and potential homeowners love the concept of open floor plans in timber homes. The open floor plans render an interconnected and naturally spacious living space. Thanks to timbers' excellent durability and strength, architects and builders can incorporate an open and flexible design. It exhibits appealing timber details, panels, and posts while maintaining the charm of open-concept living and alluring spaces. That is the beauty of timber frame homes; homeowners are in awe of its majestic charm.

 
Energy-Efficient Construction
There is a trend in energy-efficient buildings in the construction industry, and timber frame homes are no exception. The highlight is that timber frame home builders incorporate energy-efficient construction raw materials and methods, making it naturally a favorable choice among homeowners. The trend is to include top-quality insulated and energy-efficient windows and skylights in timber frame homes. Energy-efficient construction helps to trap heat and keep the interior warm during winter. On the other hand, modern insulation technology helps windows, walls, and skylights in timber frame homes to release heat and keep the interior cool during summer. It helps to keep the utility bills low throughout the year.

Practicing Sustainability
 Modern homeowners are more environmentally conscious than ever and want to incorporate sustainable practices in construction approaches and materials. Timber frame home construction is tagged as sustainable and eco-friendly, using renewable and recyclable resources. Sustainability and green building have always been the keys to timber frame home construction. Practicing sustainability in timber homes indicates picking mindfully and responsibly sourced wood, using natural materials, and integrating energy-efficient designs. Sustainability in construction approaches and materials assures excellent durability and minimal ecological impact.

 
Contemporary Finishes
Timber frame homes have their roots in rustic and traditional appeal. Presently, there is a trend toward integrating modern facilities and finishes. It includes up-to-date lighting fixtures, contemporary kitchen appliances and designs, and intelligent bathroom features. The best part about the construction is that timber frame home builders can customize the interior décor based on the demands and needs of homeowners. As modern and minimalistic finishes, paired with conventional wood frames and panels, timber frame homes continue to gain popularity.

 
Smart Home Technological Solutions
Incorporating smart home technology is a common trend in the timber frame home industry. It includes advanced security systems and locks, thermostats, and bright lighting. Timber frame home architects and builders are known for integrating energy-efficient building raw materials like bright windows, skylights, and SIPs (Structural Insulated Panels). Designing and planning your dream home with smart home technology should be considered in the early stages.

Building a Timber Frame Home in Bozeman, Montana
Bozeman, Montana, with its breathtaking landscapes and rugged natural beauty, is a perfect place to build a timber frame home. The combination of rustic charm and modern features makes it an ideal location for those who want to embrace the warmth of timber while living in a vibrant, growing community. Bozeman offers the best of both worlds—access to the great outdoors, including skiing, hiking, and fishing, along with a strong sense of community and cultural offerings.

Timber frame homes in Bozeman allow for a seamless blend of indoor and outdoor living, with large windows to capture the stunning views of the surrounding mountains and natural light. The design flexibility of timber homes is particularly appealing to those who wish to take advantage of Bozeman's wide-open spaces, creating open-concept designs that fit the area's expansive, natural environment. Whether you're looking to build a sustainable retreat or a modern family home, a timber frame construction in Bozeman offers endless possibilities for personalization while reflecting the local architecture.

Conclusion
Timber-frame home construction has existed for centuries. However, recent advancements in raw materials and technological innovations have made it a favorite among homeowners and builders. Modern technology and innovative construction techniques have made timber-frame homes sustainable, efficient, and aesthetically appealing.

The annual Bozeman Doc Series Earth Day Event, presented in association with Gallatin Valley Earth Day has become one of the headline events in Bozeman during the worldwide celebration of nature every April. Each year, the event is sponsored by local conservation organizations, and combines a reception and a screening of a brand new documentary focused on the human relationship with the natural world.

Past events have featured screenings of the critically acclaimed documentaries River, The Path of the Panther, and 399: Queen of the Tetons. This year’s event will present the Montana premiere of the brand new documentary, Folktales, one of the hits of this year’s Sundance Film Festival.

The reception before the film, beginning at 6pm in the Emerson Ballroom, is an opportunity to check in with the local conservation community. It features food, drink and music, as well as Earth Day information and opportunities from event sponsors. It also features the annual Bozeman Doc Series silent auction with items from sponsors such as Red Tractor Pizza, Bozeman Spirits, Reintegrative Massage, Plonk and many more.

In Norse mythology, the three “Norns” are powerful deities who weave the threads of fate and shape humans’ futures. Today, Pasvik Folk High School in northern Norway aims to produce a similar life-changing effect on its students. Folktales tells the timely and emotional story of teenagers who choose to spend an unconventional “gap year” learning to dog sled and survive the Arctic wilderness, in hopes of finding connection and meaning in the modern world. Guided by patient teachers and a yard full of Alaskan huskies, they discover their own potential and develop deep relationships with the land, animals and humans around them. For nearly two centuries, Scandinavian folk high schools – some of which are rooted in the lessons of Norse mythology – have emphasized the power of nature, simplicity, and community to transform young lives.

“We hope we can wake up your Stone Age brain, ” Pasvik instructor Iselin tells her students. Through intimate verité storytelling and exhilarating cinematography, Academy Award-nominated filmmakers Heidi Ewing and Rachel Grady examine humans on the cusp of adulthood, finding themselves at the edge of the world. Folktales world-premiered in January at the Sundance Film Festival to widespread critical acclaim.

 
“Visually arresting…deeply moving” -Sundance Film Festival
“A gentle film with emotional power” -Roger Ebert
“A heartwarming message about the capacity of people to discover their true selves” -Screen International

Applications are open for Sweet Pea, a Festival of the Arts annual poster design contest. This year, the winner of the poster design contest will win $1,000.

All ages and levels of expertise are encouraged to enter. The deadline for submissions is May 2, 2025, at 5pm.

For more information and submission details visit www.sweetpeafestival.org or send questions to poster@sweetpeafestival.org.

The Gallatin Solid Waste Management District (GSWMD) announces the implementation of a new safety protocol at Logan Landfill to ensure the well-being of all visitors and staff. 

Effective March 1, all people exiting their vehicles in designated areas where heavy equipment is in operation are required to wear high-visibility (hi-vis) clothing. A minimum of 400 square inches of high-visibility material is mandatory. Hats do not fulfill this requirement.  

This measure aims to enhance safety by increasing visibility in high-risk zones. 

From March 1 through March 29, reusable hi-vis vests will be provided at no cost to customers lacking appropriate attire. Starting March 31, a $3 fee will be applied for each vest issued to individuals without compliant hi-vis clothing. 

Logan Landfill, managed by GSWMD, is dedicated to maintaining a safe environment for both visitors and employees. It is currently open for summer hours:  

• Monday – Friday: 7 a.m. – 5 p.m. 

• Saturday: 7 a.m. – 4:30 p.m. 

For more information on the hi-vis clothing policy or other services, please contact GSWMD at 406-582-2495 or visit our website at www.gallatinsolidwaste.com.  

About Gallatin Solid Waste Management District: 

The Gallatin Solid Waste Management District is committed to providing efficient, environmentally sound, and cost-effective waste management and recycling services to the residents of Gallatin County. Through continuous improvement and community engagement, GSWMD strives to promote sustainability and public safety. We serve the areas of Amsterdam, Belgrade, Big Sky, Bozeman, Four Corners, Gallatin Gateway, Manhattan, Three Forks, and West Yellowstone (part of Hebgen/West Yellowstone Refuse District). 

Bozeman, MT— March 2025 – Blue Collar Restaurant Group is raising the bar for healthier and tastier dining in Bozeman by consciously shifting away from seed oils in favor of beef tallow and other natural fats. This transition impacts Sidewinders, Tanglewood, Hachi, Liberty Burger, Merry Piglets, and the Auto Inn.

While some seed oils may still be present in certain ingredients, such as premade French fries, the company is committed to minimizing their use and prioritizing high-quality fats like beef tallow, butter, olive oil, and avocado oil. This decision reflects BCRG’s dedication to providing better-for-you meals without compromising on flavor.

“Our goal is to be intentional about the ingredients we use,” said Mikey Lawrence, Head Chef at Tanglewood. “By incorporating more nutrient-dense fats like beef tallow and butter, we’re enhancing the natural flavors of our dishes while making a healthier choice for our guests.

”This shift aligns with Blue Collar Restaurant Group’s dedication to wellness and high-quality dining experiences for Bozeman residents and visitors.

Diners are invited to experience the difference at any of BCRG’s Bozeman locations, where focusing on better ingredients means better meals.

HELENA – Don’t wait to apply for deer and elk permits. The application deadline is April 1. Hunters can buy licenses and apply for permits on the FWP website; click on “Buy and Apply.”  

Montana Fish, Wildlife & Parks offers several tools to help hunters navigate the application process. The application process is different for residents and nonresidents, but FWP has created instructional videos to help with both kinds of customers.

Hunters and anglers can also take advantage of the MyFWP mobile app. The app holds and displays licenses, permits and E-Tags, which can be downloaded and used in the field without cell service. To create a My FWP account, visit the MyFWP login page.  

FWP also has convenient resources for understanding bonus points and how they work.

Applicants have the option to reapply for the same offerings as last year with just a simple click, eliminating the need to search through previous applications.

Most FWP offices will be open from 8 a.m. to 5 p.m., Monday through Friday. The licensing call center will be open from 7 a.m. to 7 p.m. through April 1; after April 1, the hours will return to 8 a.m. to 5 p.m. The call center can be reached at 406-444-2950. 

Hunters and anglers can also take advantage of the MyFWP mobile app. The app holds and displays licenses, permits and E-Tags, which can be downloaded and used in the field without cell service. To create a My FWP account, visit the MyFWP login page.  

 Application deadlines  

• Deer and Elk
  • Permits – April 1
  • B Licenses – June 1  
• Nonresident combination licenses – April 1
• Bighorn Sheep – May 1  
• Bison – May 1  
• Moose – May 1  
• Mountain Goat –May 1  
• Antelope – June 1  
• SuperTags-
  • Antelope, Bighorn Sheep, Bison, Deer, Elk, Moose, Mountain Goat, and Mountain Lion – June 30
• Mountain Lion Special Licenses – Aug 1 

For more information on Montana hunting licenses and permits, go to fwp.mt.gov/buyandapply/hunting-licenses.

Every parent looks forward to the delight of bringing their baby into the world. Birth injuries may cloud this moment and might be rather damaging for the child and their parents. Most usually, medical neglect during labor causes impairments ranging from cerebral palsy to Erb's palsy. Families dealing with these injuries must pay an excessive emotional and financial toll. Under such circumstances, you, as an unhappy parent, must be aware of your rights and alternatives. Here is how a birth injury can impact a parent's lives.

Connecting With Your Child Can Be Tough

Because your baby cannot detect emotion or engage with you the way you usually would with an infant, you could be hesitant to handle him or feel aloof. The unintentional rejection could make you feel resentful.  

Though you did not influence the situation that resulted in a birth injury, you could also feel guilty about what your child would encounter. Some parents can even go through psychological trauma. This would make it difficult for them to bond strongly with their child. Just remember that counselors can help you through this.

Financial Impact 

Taking care of a child with a birth impairment may put significant financial restrictions on parents. From first medical bills to ongoing therapy and specialized equipment, the costs of raising a child with special needs may quickly build up.

Many parents who choose to take full-time care of their child may also have to take time off from work or perhaps resign, therefore forfeiting income and chances for professional development.  Some illnesses, like cerebral palsy, may require lifelong care and support, adding to the financial burden on families. A cerebral palsy lawyer can help families navigate the legal aspects of securing financial compensation for their child's condition, which can help alleviate some of the financial strain. 

Your Family and Marriage May Strain

The emotional upheaval of raising a child with an unforeseen disability can quietly infiltrate all your relationships. The relentless mental and physical fatigue wears you down, and when multiple people are under strain, it can either forge stronger bonds or drive you apart. 

Overnight, you become more than just parents to a baby, you’re caregivers to a child who will rely on you for nearly everything, even into adulthood. Even ties with extended family can fray as they offer unsolicited opinions or drift away, feeling neglected when your time and energy are stretched thin.

Your Other Children Might Feel Overlooked

Introducing a child into your home who requires most of your focus can negatively impact the emotional and psychological health of your existing children. They might struggle to comprehend why you’re no longer available for extended video game sessions or afternoon park outings. Even more challenging, they may find it difficult to connect with a new sibling with disabilities, perceiving them as diverting their parents’ attention and love.

Diminished Quality of Life

Due to their disabilities and the psychological effects they have, those who have had birth injuries may suffer from a generalized loss of pleasure in life or a reduced quality of life.  

For example, a victim who has a chronic impairment might not be able to work or enjoy their favorite pastimes and activities. Parents who have to provide care for a kid with severe injuries may experience complex emotions of their own and feel emotionally exhausted as caretakers.

Endnote 

Should your child have a birth injury diagnosis, discuss your rights with a family lawyer. If your child's harm was avoidable, you might seek a medical malpractice lawsuit and be entitled to substantial financial recompense for the long-term consequences of their diagnosis.

HELENA – Each spring, Montana Fish, Wildlife & Parks receives calls from people who have picked up baby wildlife they’ve found in town, their yards, or in the wild. It’s often done out of concern for the animal, but almost always does more harm than good. Remember, if you care, leave them there.

Wildlife care for their young much differently than humans. They have strategies to provide the highest chance of survival for their young and those strategies frequently involve leaving them alone for periods of time. This is common with deer and rabbits – two animals also common in towns around Montana.

As an example, fawns are born with very little scent, excellent camouflage and an instinct to stay put. Their mothers feed away from their fawns to avoid attracting the attention of predators. Humans can attract the interest of predators just by lingering around baby animals, revealing their hiding spots.

Wild animals thrive better in the wild where they have plenty of natural habitat (food, water, shelter, space). Additionally, it’s safer for humans to leave wild animals alone. Baby ground squirrels, racoons and rabbits can carry zoonotic diseases, which means diseases that are infectious for humans. Examples include plague, hemorrhagic diseases and tularemia.

If you see a baby animal, whether a duckling or a fawn, keep your distance and leave it alone.

What can you do? 

• Leave It There. It’s natural for deer and elk to leave their young alone for extended periods of time.

• Control Your Dog. Keep your dog under control, especially in the spring when newborn wildlife is most vulnerable. Pet owners can be cited and dogs that harass or kill wildlife may by law have to be destroyed. 
• Keep in Mind. It is illegal to possess and care for a live animal taken from the wild. 

Should someone bring a deer or elk to FWP, they'll be asked to take the animal back to the site where it was found.  If the animal can't be returned, it may need to be humanely euthanized.