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HealthSouth East Valley Rehabilitation Hospital5652 E. Baseline Road Mesa, AZ 85206
480 567-0350 Fax 480 567-0352
healthsoutheastvalley.com
HealthSouth Scottsdale Rehabilitation Hospital9630 E. Shea Blvd. Scottsdale, AZ 85260
480 551-5400 Fax 480 551-5401
healthsouthscottsdale.com
HealthSouth Valley of the SunRehabilitation Hospital
13460 N. 67th Ave. Glendale, AZ 85304623 878-8800 Fax 623 334-5360
healthsouthvalleyofthesun.com
A Higher Level of CareChoose HealthSouth:You Deserve a Higher Level of Care
rehabilitation hospital
New child restraint lawFor some time, Arizona has requiredmotorists to strap children age 4 andyounger into a child-restraint system.On Aug. 2, a new law goes into effectthat requires children ages 5 to 7, who areshorter than 4 feet 10 inches tall, to alsobe restrained in a child-restraint system.Prior to the implementation of this law,Arizona was one of only three states thatallowed a 5-year-old to use a seat beltinstead of a car seat or booster seat.
More info: Arizona Governor’s Officeof Highway Safety, azgohs.gov; ArizonaDepartment of Health Services, azdhs.gov/phs/owch/ipcfr/safekids.htm
Online caregiversupport groupDuet, a local non-profit organization,is launching an online caregivernetworking group to offer support tothose caring for an aging friend or lovedone. This free support group will meetonline on the fourth Tuesday (7–8 p.m.)and second Saturday (9–10 a.m.) of eachmonth. Nextmeetings: Aug. 11 (9–10 a.m.);Aug. 28, (7–8 p.m.) To register: duetaz.org,click on the ‘events’ tab.
Free immunizationsThe Scottsdale Unified School District(SUSD) and Scottsdale Healthcare arepartnering to offer immunization clinicsAug. 2–3 and Aug. 6–10 from 12–4 p.m.at the SUSD Education Center, 3811N. 44 St., Phoenix.
Vaccines are supplied through theVaccines for Children program. New 2012state guidelines provide immunizationsto all uninsured, KidsCare, AHCCCS,native American/Alaskan natives, andchildren of families whose insurancedoes not cover immunizations.
Immunizations will be available to anyqualified student, not just those whomay be enrolling. A parent or guardianmust accompany each child and shouldbring each child’s immunization record.
More info: susd.org or 480-484-6110
Whooping cough/pertussisThe March of Dimes is spreading theword that the incidence of pertussis,also known as whooping cough, is onthe rise. Pertussis is a highly contagious,vaccine-preventable disease that oftenresults in severe health risks and evendeath for babies and young children.
Pertussis vaccinations begin at twomonths of age, but babies may not befully protected until they’ve had at leastthree doses of DTaP (diphtheria, tetanusand acellular pertussis) vaccine. Familymembers and caregivers frequentlypass pertussis on to babies, so gettingvaccinated is a simple way for adults toprotect not only themselves, but alsovulnerable babies.
More info: Your health-careprovider ormarchofdimes.com/arizona/news_5921.html
IN THIS ISSUE:COVER/06: BACK-TO-SCHOOL INFO02: TOP TIPS FOR ORAL HEALTH03: PREVENTING FALLS04: SUPPORT GROUPS; EVENTS05: SUPPORT GROUPS; EXPERTS06: COSMETIC SURGERY 10107: TEENS & EATING DISORDERS
NEXT ISSUE:WEDNESDAY, SEPTEMBER 5
HEALTH-CARENews
It’s still summer, but another schoolyear already is underway in some Valley
school districts, while many others willstart later this month. Here’s a roundupof resources designed to help give you agreat start to the school year — nomatterthe age of your child.
A (back)pack of troubleAlthough some schools might be seeinga trend toward the use of tablets ande-readers, for the vast majority of students,backpacks and book-bags are still aninescapable fact of life.It’s important for parents to monitor
their children’s use of backpacks, saidMichael Chang, M.D., a board-certifiedspine surgeon with Sonoran Spine Center.In fact, he said, one in three studentscomplains about back pain believed tobe related to carrying a backpack. “A childof 13 or 14 doesn’t have the core spinestrength to carry around 30 pounds ormore,” he said.“If a child experiences pain that affects
sleeping, has tingling or burning in theirarms or shoulder-blades, or feels painwith lifting in the low back or shoulders,parents need to encourage their child tolighten the load,” said Mike Skowronek, P.T.,a licensed physical therapist and seniormanager of rehabilitation services atBanner Desert Medical Center in Mesa.
Chang urged students to carry theirbackpacks on both shoulders and in amanner where the bottom of the pack ispositioned at the mid-back or higher. BothChang and Skowronek cautioned studentsnot to try to stand upright against theweight of a backpack.
Brain food“A good lunch is essential for learning,”said Melissa Paton, M.S., R.D., a registereddietitian at Banner Baywood MedicalCenter in Mesa. “Hungry kids are not goingto be able to pay attention if their growlingstomach is keeping them distracted.”Jenel Day, M.S., R.D., a bariatric
coordinator at the Bridges Center forSurgical Weight Management at St. Luke’sMedical Center in Phoenix and TempeSt. Luke’s Hospital, said there are plentyof healthy and tasty alternatives for kidsto take for lunch, including sliced or stick
HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYTHE ARIZONA REPUBLIC A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vol. 2, No. 8 August 2012HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYA SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vo
wellaz-az-
12 OUNCE CAN = 140-150 CALORIES,
39-41 GRAMS OF SUGAR
MODERATION AND AWARENESS ARE KEYCOMPONENTS FOR MAINTAINING A HEALTHY DIET
Outfitted with all the must-have sports gear, backpacks and lunchbags, Sam, Lily and Claire Williams of Phoenix may not be on AbbeyRoad of Beatles fame, but they are on the road to the start of a new school year. (Photo taken outside of Desert Valley ElementarySchool in Glendale. Desert Valley is in the Peoria Unified School District.)
RICKD’ELIA
SPECIALTOPIC
BACKTOSCHOOL
How long do localkids have to eat lunchat school?
Copper Creek Elementary School,Glendale: 45 minutes
Sources: Various school andschool district websites
“Children who experienceback pain seem to belikelier to experienceback pain as adults.”
— Michael Chang, M.D.
Did you know that 1 can of ‘regular’ soda contains the equivalent of
approximately 10 teaspoons of sugar? (1 teaspoon of sugar = 4 grams)
—PAULA HUBBS COHEN
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VITAL Signs
You probably know that you shouldbe brushing and flossing your teeth
every day, and it’s likely you’re aware thatsugar is bad for your teeth. But you maynot know the ‘top 10 things dentists wishtheir patients knew’.
1 A dry toothbrush is almost aseffective as a toothbrush withtoothpaste. Ideally, said MichaelThompson, D.D.S., a dentist practicingin Scottsdale, you should brushyour teeth with toothpaste afterevery meal. But because that’s notpractical, consider carrying a portabletoothbrush with you to use afterevery meal or snack. When you get inyour car after lunch, for example, justrun your dry toothbrush over eachtooth, Thompson suggested. “It reallyhelps get rid of the lingering sugarand will keep your mouth healthier.”
2 For your mouth, the amount ofsugar you consume in a day is notas significant as the frequencywith which sugar is consumed. Ifyou chew sugared gummost of theday or sip a can of soda throughoutthe afternoon, you’d be better offhaving dessert once during the day,said Steven Call, D.D.S., an assistantprofessor and clinical care coordinatorin the dental clinic at MidwesternUniversity in Glendale. “Exposure tosugar produces acid in your mouththat can eat into teeth and gums,”he explained. “If you consume alittle bit of sugar all day long, you’reconstantly fueling the bacteria thatproduce the acid.”
3 Tooth loss is preventable. Youonly have to floss the teeth youwant to keep, Call said. “Everyoneshould have all their teeth at theend of their life.”
4 You should undergo an oral cancerscreening from your dentist at leastonce a year. At your dental checkup,Thompson said, your dentist should“examine your entire mouth and evenyour neck for signs of oral cancer. Thedentist should lift up your tongue tolook at the floor of your mouth andshould examine your pharynx (throat),too. Then, he or she should palpateyour neck to make sure you don’t haveenlarged lymph nodes.”
5 If your gums aren’t healthy, you couldbe at risk for heart disease, stroke, lesscontrolled diabetes and even havinga low birthweight baby. Unhealthygums produce an inflammatoryresponse in the body and that’s whatcan lead to other health problems.“Doctors will tell you that it’s almostimpossible to keep diabetes undercontrol if the patient doesn’t take careof their gums,” Thompson said.
6 It’s less expensive in the long runto save a tooth rather than extracta tooth. It may seem daunting tospend a lot of money for a crownwhen pulling the tooth can be muchless expensive. But later on, you’lldiscover why it’s money well spent,Call said. “The teeth that are left canlean forward without the supportof all the teeth and that weakensthose remaining teeth.” Wisdomteeth usually are an exception to thisrecommendation.
7 If you’re between 55 and 65, begin’dental retirement planning’.Individual dental insurance is veryexpensive over 65, Thompson said.Ask your dentist to identify as manyfuture potential problems in yourmouth as possible, so those issuescan be addressed now.
Sink yourteeth into this adviceDentists offer top tips for better oral health BY DEBRA GELBART
8 The fewer procedures you haveon your teeth (other than regularcleanings), the better off you are.“Every time you get a filling it takessome of the tooth with it,” Call said,so preventing cavities should be ahigh priority. “If a filling needs tobe replaced 10 years later, it willbe a more complex and expensiverestoration than the first time.” Ifyou do need a filling, choose themost durable material available.
9 A dentist can help youmanagesnoring or sleep apnea. A dentistdoesn’t prescribe a breathingmachine like a sleep specialistmight, but he or she can prescribeless bulky appliances to be wornduring sleep that can manage mildor moderate snoring or sleep apnea,Thompson said.
10 Pregnancy is tough on gumsand teeth. Because of fluctuatinghormones, a pregnant woman’sgums can bleed more easily andshe’s more prone to tooth decay.“Try to visit your dentist duringthe second trimester,” Call said.“Your dentist can advise you aboutmaintaining optimal oral healthwhile you’re pregnant or nursing.”
Oral care suggestions• Toothbrush: Start with a toothbrushwith soft or extra-soft bristles.
• Toothpaste: Any toothpaste withfluoride in it is recommended.
• Whiteners: Peroxide stripsare more effective than pastesand mouthwashes.
• Mouthwash: Antibacterialmouthwashes are effectivebut not essential.
Source: Steven Call, D.D.S.,assistant professor of dentistry,Midwestern University in Glendale
Orall care suggestions
2 | LIVING WELL A-Z | WEDNESDAY, July 4, 20122 | LIVING WELL A-Z | WEDNESDAY, August 1, 2012
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Fortnam said, “but swimming is great forpeople with joint problems. By exercisingat least three times a week, you can helpmaintain your health and independence.”
WEAR APPROPRIATE SHOES. “Shoes witha greater sole surface, like well-fittingtennis shoes, significantly lower the riskof falling,” Fortnam said, adding thatslip-on sandals or flip-flops can be riskyfor older people.
TAKE CARE OF ANYTHING ‘TRIPPABLE’AND ‘SLIPPABLE’. Eliminate and/or secureitems such as rugs and electrical cords.
USE ASSISTIVE DEVICES. Whether youneed to rely on an item such as a caneor walker after surgery or an injury, orif you likely will need it the rest of yourlife, it’s important to use it. Additionaldevices, including stair railings andgrab/safety bars in bathrooms, canliterally be lifesavers.
BE AWARE OF MEDICATION SIDE EFFECTS.“Many meds can make you feellightheaded or dizzy due to a drop inblood pressure or heart rate,” Koner said.“If you experience these kinds of sideeffects, make sure you stand up slowlyfrom a sitting or reclining position.”
KEEP TRACK OF PETS. Small pets can behazardous if people begin to experiencechallenges with vision, coordination andagility, Koner said. Knowing where yourpet is situated in a room can preventaccidentally tripping over or bumpinginto your beloved furry companion.
BE VIGILANT ABOUT NUTRITION ANDHYDRATION. Lack of proper nutrition canincrease lightheadedness or weakness,Koner pointed out. Also, be sure youmaintain adequate hydration; dehydrationis well-known to cause lightheadedness.
SIGN UP FOR ALERT-TYPE BUTTONS.Especially if you live alone, considersubscribing to a service that gives youan alert button to wear as a necklace orbracelet so that you can easily summonhelp if you fall or otherwise need medicalassistance. These services can oftenbe set up to call either a family memberor an emergency medical service,whichever you choose.
PULSE
ResourcesAmerican Academy of OrthopaedicSurgeons: orthoinfo.aaos.org/topic.cfm?topic=A00135
Arizona Fall Prevention Coalition:azstopfalls.org; 602-264-HELP (4357)
Mayo Clinic:mayoclinic.com/health/fall-prevention/HQ00657
Falling is a justifiable worry for lotsof people for lots of reasons, but
especially for the 40 million Americansage 65 and over. However, the good newsis that there are plenty of simple lifestyleadjustments and modifications that canprevent a significant percentage of theseoften-devastating trips and tumbles.Along with accidents, the leading causes
of falls, according to Annie Fortnam, P.T.,the director of rehabilitation at ParadiseValley Hospital in Phoenix, are gait andbalance disorders, as well as muscleweakness, dizziness, syncope (fainting)and confusion. “If you or a loved onehas fallen without an apparent reason,”she said, “it’s a good idea to have ahealth-care provider assess flexibility,strength, gait, posture and coordination.It’s also important to evaluate the homeenvironment to determine if there arehazards such as area rugs not securelyplaced or insufficient lighting.”
Ways to reduce/prevent fallsIf you or a loved one is susceptible tofalling, it’s best to plan ahead and beproactive. Indeed, there are a numberof easy things that can be done that willreduce the chance of a fall, said bothFortnam and Sue Koner, R.N., who iscare manager for Banner Sun HealthCare Transitions. Here are some of theirsuggestions:
STAY ACTIVE. “Walking is better thanswimming to build bone strength,”
I’m (not) falling for youPreventing and reducing falls BY DEBRA GELBART
“One out of three adultsage 65 years or olderin the U.S. will suffera fall each year.”
— Arizona Fall Prevention Coalition
THINKS
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WEDNESDAY, August 1, 2012 | LIVING WELL A-Z | 3
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YOGA FOR RECOVERYAug. 2 & 16, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
BOSOM BUDDIES/WEST VALLEYAug. 2, 6:30–8:30 p.m.La Quinta Inn & Suites16321 N. 83 Ave., Peoria623-979-4279
BREAST CANCER SUPPORTAug. 4, 10 a.m.–noonCo-sponsoredbyTheWellnessCommunityBanner Good Samaritan1111 E. McDowell Rd., Phoenix602-712-1006
THRIVE YOUNG SURVIVORS(Ages 40 and younger)Aug. 7, 6–8 p.m.Co-sponsored by TheWellnessCommunity and Southwest AmbulanceJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
YOUNG SURVIVAL COALITIONAug. 8, 6–8 p.m.John C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
LEARN & SUPPORT GROUPAug. 9 & 23, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
All groups and events are believed,but not guaranteed, to be free unlessotherwise stated. Every effort has beenmade to verify accuracy, but please callbefore attending to confirm details.
WELLNESS
BARIATRIC INFO SESSIONSVarious dates & timesBanner Gateway1900 N. Higley Rd., Gilbert480-543-2606
WEIGHT LOSS SURGERY SEMINARVarious dates, times & locationsSt. Luke’s, PhoenixTempe St. Luke’s, Tempe800-248-5553
EXERCISE FOR LOW BACK PAINAug. 9, 1–2 p.m.By Scottsdale Healthcareat Civic Center Library3839 N. Drinkwater Blvd., ScottsdaleRegister: shc.org/events; 480-882-4636
HEARING TESTSAug. 14, 15 & 16, 8 a.m.–4 p.m.John C. Lincoln Audiologistat TatumHealth Center18404 N. Tatum Blvd., PhoenixAppointments: 602-494-6237
PHOENIX EARLY-STAGESUPPORT GROUPAug. 9 & 23, 9–10 a.m.By The Alzheimer’s Associationat Parkway Community Church1752 E. Maryland Ave., PhoenixRegister: 602-528-0545
SUN LAKES EARLY-STAGESUPPORT GROUPAug. 9 & 23, 9–10 a.m.By The Alzheimer’s Associationat Sun Lakes UnitedMethodist Church2958 E. Riggs Rd., Sun LakesRegister: 602-528-0545
AVOIDING ARGUMENTS &IMPROVING COMMUNICATIONSAug. 10, 10:30 a.m.–noonBy Banner Alzheimer’sat AZMuseum of Natural History53 N. Macdonald, MesaRegister: 602-230-CARE (2272)
LINE DANCE LESSONSAug. 8, 15, 22 & 29, 11 a.m.–noonHumana Guidance Center5943 E. McKellips Rd., Mesa480-325-4707
HEARING PRESENTATION& SCREENINGAug. 10, noon–1 p.m.St. Luke’s1800 E. Van Buren St., PhoenixRegister: 877-351-WELL (9355)
MEDICATION CHECKSAug. 14, 10–11 a.m.Tempe St. Luke’s1500 S. Mill Ave., TempeRegister: 877-351-WELL (9355)
LEARNING ABOUTMEDICAREAug. 22, 1 p.m.CareMore Care Center5225 N. Scottsdale Rd., ScottsdaleRSVP: 480-429-3422
HEARING PRESENTATION& SCREENINGAug. 24, noon–1 p.m.Tempe St. Luke’s1500 S. Mill Ave., TempeRegister: 877-351-WELL (9355)
AGING INTOMEDICAREAug. 29, 5 p.m.CareMore Care Center8435 E. Baseline Rd., MesaRSVP: 480-429-3422
BREASTCANCER
METASTATIC SUPPORT GROUPAug. 1, 11:30 a.m.–1 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412- HOPE (4673)
BOSOM BUDDIES/AHWATUKEE CHANDLERAug. 11, 10 a.m.–noonMorrison Building (next to ChandlerRegional Medical Center)1875W. Frye Rd., Chandler480-893-8900
SUPPORT GROUPAug. 11, 10 a.m.–noonVirginia G. Piper Cancer Centerat Scottsdale Healthcare10460 N. 92 St., ScottsdaleRegister: 480-323-1990;[email protected]
EAST VALLEY YOUNG SURVIVORS(age 40 and under)Aug. 18, 10 a.m.–noonDynamic Life Coaching Center1701 S. Mill Ave., Tempe480-326-7023
BLACKS AGAINST BREAST CANCERAug. 19, 3–5 p.m.TheWellness Community360 E. Palm Lane, Phoenix602-320-0502
Take advantage of over 100 opportunities for youto meet others with similar issues and learn moreabout various aspects of your health – from A to Z.
Aug. 10Guardianship ClinicWHAT: Obtain help completingcustody paperwork for yourgrandchild orminor relative.WHERE: Church of the Beatitudes,555W. Glendale Ave., PhoenixSPONSORED BY: Duet and theChildren’s Law CenterTIME: 3–5 p.m.COST: FreeRSVP: 602-274-5022, x44
August is National Immunization Awareness Month. More info: cdc.gov/vaccines/events/niam/default.htm
TOP Events
THINKS
TOCK
Aug. 11National Health CentersWeek Health FairWHAT:Health screeningsincluding glucose, blood pressure,body fat, cholesterol checks,etc. Also pregnancy testing,dental checks, hearing and visionscreenings, resource booths andimmunizations for children.WHERE: ComprehensiveHealthcare Centerat MaricopaMedical Center,2601 E. Roosevelt St., PhoenixTIME: 9 a.m.–noonCOST: FreeINFO: 602-344-1841
Aug. 13–17Pathway toWellnessWHAT: Learn how tomanagelife after a cancer diagnosis.WHERE: Banner Desert,1400 S. Dobson Rd., MesaTIME: 4–5:30 p.m.TOPICS: Aug. 13, Yoga, relaxation& visualization; Aug. 14, Tai Chi&managing sleep difficulties;Aug. 15, Livingwell with cancer(includesmini-massage); Aug. 16,Cancer-fighting nutrition; Aug. 17,My Journey jewelry projectCOST: FreeINFO: 480-412-HOPE (4673)
Aug. 21Total HipReplacement SurgeryWHAT: An orthopedic expertwill discuss the latest surgicaladvancements in treating hippain, including the less invasiveanterior approach to total hipreplacement.WHERE: Scottsdale HealthcareThompson Peak, 7400 E.Thompson Peak Pkwy, ScottsdaleTIME: 6–7:30 p.m.COST: FreeRSVP: shc.org/events;480-882-4636
Aug. 30Breast Cancer CareWHAT: Discussion and Q&Asessionwith Jamie Sellar, MA, LPC,program director, andMargie Tate,registered dietician, from TheWellness Community-AZ.WHERE: John C. Lincoln DeerValley, Medical Office Building 1,19841 N. 27 Ave., PhoenixSPONSORED BY: John C. Lincolnand TheWellness Community-AZTIME: 6–8 p.m.COST: FreeRSVP: [email protected];602-712-1006
4 | LIVING WELL A-Z | WEDNESDAY, August 1, 2012
COOKING FORWELLNESSAug. 21, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
CIRCLE OF HELP/ADVANCEDBREAST CANCERAug. 23, 6–8 p.m.By Bosom Buddiesat John C. Lincoln Breast Center19646 N. 27 Ave., [email protected];623-236-6616
SUPPORT GROUPAug. 28, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
LUNGAug. 11, 1–3 p.m.By St. Joseph’sat TheWellness Community360 E. Palm Ln., Phoenix602-712-1006
DRUMMING CIRCLEAug. 13, 6–7:30 p.m.Virginia G. Piper Cancer Centerat Scottsdale Healthcare10460 N. 92 St., ScottsdaleRegister: shc.org/events; 480-882-4636
US TOO: PROSTATE CANCERAug. 13, 7 p.m.St. Joseph’s350W. Thomas Rd., Phoenix602-242-3131
GYNECOLOGICAug. 14, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
JOURNEY TOWELLNESS(bone health & balance)Aug. 15, 4 p.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141
ORAL, HEAD & NECKAug. 15, 4:30–6:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
ESOPHAGEALAug. 16, 6–7:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., PhoenixFree valet parking; dinner provided602-839-4970; 602-527-3776esophagealcancersupportphoenix.com
CANCERAug. 21, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
COOKING FOR HEALTHAug. 21, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityBanner Good Samaritan1111 E. McDowell Rd., PhoenixRSVP: 602-712-1006
PARENTING/KIDS
OB ORIENTATIONVarious dates & timesBanner Gateway1900 N. Higley Rd., Gilbert602-230-2273
OB ORIENTATION TOURVarious dates & timesBanner Good Samaritan1111 E. McDowell Rd., Phoenix602-230-2273
MAKE YOUR OWN BABY FOODAug. 1, 10:30–11:30 a.m.Maryvale Hospital5102W. Campbell Ave., PhoenixRegister: 602-304-1166
OSTOMYAug. 19, 2–4 p.m.First Presbyterian Church161 N. Mesa Dr., Mesa480-812-0324
HUNTINGTON’SAug. 20, 6–8 p.m.St. Joseph’s350W. Thomas Rd., Phoenix602-406-4931
MULTIPLE SCLEROSIS (WOMEN)Aug. 25, 10 a.m.St. Joseph’s350W. Thomas Rd., Phoenix480-829-6563
BIRTH PARENTAug. 28, 6–8 p.m.St. Joseph’s350W. Thomas Rd., Phoenix888-818-4454
BRAIN TUMORAug. 28, 6–8 p.m.St. Joseph’s350W. Thomas Rd., Phoenix623-205-6446
CAREGIVERS
CAREGIVERSAug. 1, 10:30 a.m.–noonDesert Mission NeighborhoodRenewal OfficeJohn C. Lincoln NorthMountain9229 N. Fourth St., Phoenix602-870-6374
LGBT CAREGIVER GROUP (DUET)Aug. 6, 9–10 a.m.One Voice Community Center4442 N. Seventh Ave., Phoenix602-274-5022
CAREGIVERS SUPPORT GROUPAug. 8, 2:30–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)
CAREGIVERS SUPPORT GROUPAug. 13St. Joseph’s Outpatient Rehabilitation114W. Thomas Rd., PhoenixCall for time: 602-406-6688
CAREGIVERS SUPPORT GROUPAug. 22, 2:30–3:30 p.m.St. Luke’s1800 E. Van Buren St., PhoenixRegister: 877-924-WELL (9355)
PRESENTEDIN SPANISH
CHILDBIRTH EDUCATION(2-WEEK CLASS)Aug. 7 & 14 or Aug. 21 & 28,6:15–9:30 p.m.Maryvale Hospital5102W. Campbell Ave., PhoenixRegister: azhealthyhours.com;855-292-WELL
CANCER SUPPORT GROUPAug. 14, 6–7:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
UNA REUNION(Latino Cancer Outreach Task Force)Aug. 21, 6–7:30 p.m.St. Joseph’s Cancer Center500W. Thomas Rd., Phoenix602-567-7640
Question:What causes shingles?ANSWER: Shingles is caused bythe varicella-zoster virus. Whenwe are first exposed to this virus,we get chicken pox. Most peopleget chicken pox or the chicken poxvaccine in childhood. After thisexposure, through the infection orvaccine, the varicella-zoster viruslives dormant in our bodies.The reactivation of this dormant
virus causes shingles to occur. Thisoften happens when our immunesystem is weakened, which occurswith aging but can also be caused bya stressful event in our life. At times,there is no obvious reasonwhy thevirus was reactivated.Shingles leads to a rash, typically
on one side of the body, which canbe quite painful. The rash oftenlooks like grouped blisters withredness in the skin surrounding it.A characteristic feature of this rash isthat it does not cross themid-line ofthe body. Rarely, the varicella-zostervirus can cause pain of the skin anddeep tissuewithout causing a rash.Occasionally the pain can precedethe rash by several days.You cannot ‘catch’ shingles by
being exposed to someonewith theactive virus. However, if a person hasnot had chicken pox and they arearound a personwith shingles, theycan get chicken pox.Ask your doctor if you are a good
candidate for the shingles vaccine.You can still get shingles followingthe vaccine, but the incidence of thisoccurring is greatly reduced.BETTY DAVIS, M.D.,DERMATOLOGY, BANNERHEALTHCENTER, SUN CITYWEST
Question:Whenwill noiseaffect my hearing?ANSWER:We live in aworld full ofnoise, butmost people don’t realizewhat all that noise is doing to theirhearing. In fact, excessive noisedamages the delicate hair cells in theinner ear, resulting in hearing loss.Dangerous levels of noise can come
fromworking in noisy occupationsor engaging in loud recreationalactivities. In fact, when exposed toany noise, whether work-relatedor recreational, be sure to wearhearing protection such as foamplugs ormuffs. Better yet, there arespecialized custom ear-protectionsthat can be fitted by your audiologistor hearing instrument specialist.So how loud does noise have to be
before it starts to affect hearing?(dB=decibel, a unit ofmeasurementrelated to the volume of sounds):30dB: Whisper88dB: Lawnmower; hearingdamage can occur in four hours94dB: Electric drill; hearing damagecan occur in one hour97dB: Motorcycle; hearing damagecan occur in 30minutes100dB: MP3 players; hearingdamage can occur in 15minutes120dB: Rock concert, ambulancesiren; hearing damage can occurin eight seconds140dB: Jet engine at take off,gunshot; immediate dangerto hearingROBERT BABER, BOARD-CERTIFIEDHEARING INSTRUMENT SPECIALIST ANDOWNEROF 21MIRACLE-EAR CENTERSLOCATED THROUGHOUT ARIZONA
Question:What causesoveractive bladder?ANSWER:While sometimesdisease or infection is involved,the causes of overactive bladder(OAB) can often only be relatedto age, hormonal status, previouspelvic surgery or childbirth,processes that canmake thebladdermuscle unstable whichcan lead to symptoms.Once any potential underlying
diseases are ruled out, themainstays of treatment aremedications targeted at calmingthe bladdermuscle tomakeit less spastic and irritable.Additionally, biofeedback andphysical therapy techniques canbe taught to give the patientmore bladder control.Correction of underlying pelvic
support defects through physicaltherapy or even surgerymay alsoplay a role in correcting OAB. Ifthesemeasures fail to improvesymptoms, then a treatmentcalled neuromodulationmaybe in order. This is accomplishedby applying electrical energyto nerves running throughthe pelvis.CHRISTOPHERWOLTER,M.D.,UROLOGIST ANDASSISTANTPROFESSOR OF UROLOGY,MAYOCLINIC IN ARIZONA
ASK An Expert
LivingWell a-z invites readers to submit questions to a panel of health-care experts. The shortquestions and answers will offer readers a little more information about hot topics in medicine andrefer you to other resources where you can learn more. Responses will also arm you with informationso you know what to ask your own health-care providers. If you would like your question to beconsidered for the September 5, 2012 issue of LivingWell a-z, please write to editor: Paula Hubbs [email protected] or c/o The Arizona Republic, 200 E. Van Buren St., CA22 Phoenix, AZ 85004
HEALTHSOUTH REHABILITATION:healthsouth.comJOHN C. LINCOLN HEALTHNETWORK: JCL.comLASER SPINE INSTITUTE:laserspineinstitute.comMAYO CLINIC:mayoclinic.comMERCYGILBERTMEDICALCENTER:MercyGilbert.orgMIRACLE EAR:miracle-ear.comMOUNTAIN VISTA MEDICALCENTER:mvmedicalcenter.com
ABRAZO HEALTH CARE(AZ Heart Institute and AZ Heart,Arrowhead, Maryvale, ParadiseValley, Phoenix Baptist andWestValley hospitals): abrazohealth.comBANNER HEALTH:bannerhealth.comBARNET DULANEY PERKINS:goodeyes.comCARDON CHILDREN’S MEDICALCENTER: bannerhealth.comCHANDLER REGIONAL MEDICALCENTER: ChandlerRegional.org
NORTH VALLEY PLASTICSURGERY: nvpsaz.comPHOENIX CHILDREN’S HOSPITAL:phoenixchildrens.comSCOTTSDALEHEALTHCARE: shc.orgST. JOSEPH’S HOSPITALAND MEDICAL CENTER:stjosephs-phx.orgST. LUKE’S MEDICAL CENTER:stlukesmedcenter.comTEMPE ST. LUKE’S HOSPITAL:tempestlukeshospital.com
INFOOnline
WEDNESDAY, August 1, 2012 | LIVING WELL A-Z | 5
Strategies for Communicatingwith people with DementiaAZ Natural History Museum,
53 N. McDonald, MesaFriday, August 1010:30 a.m.- 12 p.m.
Call 602-814-0072www.Miracle-Ear-Phoenix.comNot a medical exam.Audiometric testto determine proper amplification needs only.Good only from participating Miracle-Earproviders. See store for details.
Visit mayoclinic.org/arizona
All of my big plans were put on holdwhen I thought I had a bad cold andit turned out to be heart failure.After a heart transplant, I feel lucky tobe here. My answer was Mayo Clinic.
Adam Janusz
At Mayo Clinic, Adam was diagnosed with giant cell myocarditis, a devastating disease thatoften affects young, otherwise healthy people. He was outfitted with a Bi-Ventricular AssistDevice (BVAD) and was able to go home to wait for his new heart. For more information or toschedule an appointment, visit mayoclinic.org/arizona or call 1-800-446-2279.
A division of The Arizona Republic.200 E. Van Buren St., Phoenix, AZ 85004
Look for Livingwell a-z on thefirst Wednesday of each month!Each month, we bring you local health information you canuse to keep you and your family living well. From A to Z,we tackle a broad range of health issues and offer tips forkeeping your health-care costs in check. This publicationis produced by Republic Media Custom Publishing.For questions concerning any content included in thispublication please contact: Editor Paula Hubbs Cohen,[email protected] or call 602-444-8658.
Advertising: RHONDA PRINGLE, 602-444-4929,[email protected]. For general advertisinginquiries, contact Republic Media at 602-444-8000.
cheese, rolled up deli meat slices, slicedfruit and whole wheat crackers.For kids who are devoted to their peanut
butter and jelly, Paton said the ‘P’ portionof the sandwich is an excellent source ofprotein, but the ‘J’ is where the nutritionalvalue can get into trouble since jellies aremostly sugar. Paton suggested looking forbrands of nut butters without added sugaror vegetable oils. “And don’t be dismayedby the layer of oil on the ‘natural brands’ —you just need to stir before using,” she said.
Keeping young athletes safeWhile a sports physical covers much ofthe same material as an annual exam, saidManisha Thakkar, M.D., of Advance CarePediatrics in Chandler, it’s not necessarilya good idea to combine the two in a singlevisit, especially if you’re seeing a new care-provider and don’t yet have an establishedrelationship. She recommends that parentscheck first with their physician’s officeto see if it’s acceptable to do so.Javier Cárdenas, M.D., a St. Joseph’s
Barrow Neurological Institute neurologistwho specializes in brain injuries and servesas chair of the Arizona InterscholasticAssociation’s Sports Medicine AdvisoryCommittee, said any student planningto play sports in high school or play ona club sports team is required to havea pre-participation physical evaluationand be cleared to play. Some junior highor middle schools may also require thepre-participation exam. Along with theactual exam, the family’s overall health isalso addressed, something that Cárdenassaid is just as important, if not more so,than the rest of the exam.
VaccinationsParents today don’t see what parentsused to have to deal with, such as childrendying from some of the diseases that kidsare now vaccinated against, said KarenLewis, M.D., medical director of the ArizonaImmunization Program Office.The reason behind requiring
vaccinations for all children in daycare orschool is to create a “wall of protection”around those who cannot be vaccinated,Lewis explained. “For example, measlesis very contagious and needs animmunization rate of around 95 percentin order to prevent its spread.”While some parents may be concerned
about the safety of immunizations, Lewisnoted that vaccines are “some of themost studied medicines in the world andare very safe. The autism claim [against
also recommends that patients share theirentire medical history when completingthe necessary forms at the first doctorvisit. “Depending on the patient’s historyand current medical status, an electiveprocedure may not be appropriate,” shesaid. For example, she added, diabetesand uncontrolled high blood pressurecan increase the risk of complicationsduring surgery.
Recent trendsSimilar to any field, cosmetic surgeryhas trends in popular procedures.Remus Repta, M.D., co-author of
The Atlas of Abdominoplasty, said thatthe procedure known as the ‘mommymakeover’ is actually a combination ofclassic surgeries (like a tummy tuck orbreast augmentation) that are uniquelycombined for each patient’s individualneeds.“A mommymakeover is any surgery to
regain— or potentially improve— howa patient looked before having children,”Repta said. “It’s all about skin. You cannotexercise skin and we don’t have thetechnology to shrink it yet, so you haveto remove it.”For women considering a mommy
makeover, Repta suggests waiting anappropriate amount of time after havingchildren and also making sure theprocedure will be a welcome additionto your life, not something you stressover or can’t afford financially.Cohen noted that a positive trend is
that patients want to look natural. “Theywant to look like themselves, only better,”he said. “Patients aren’t coming into myoffice wanting to look like celebrities.”Many surgeons have also noticed
an upswing in male patients seekingcosmetic surgery. “Men are getting morecomfortable with cosmetic surgery, maybebecause it’s becoming more sociallyacceptable,” Prichard said.
Pablo Prichard, M.D., the medicaldirector of plastic and reconstructive
surgery at John C. Lincoln Hospital, canthink of plenty of reasons that patientsshould not have cosmetic surgery. “Itshould not be done to change your lifeor to save a relationship,” he said. “I don’toperate on everyone who comes throughmy door.”
Cosmetic vs. plastic surgeryCosmetic surgery is not the same as plasticsurgery, according to the American Boardof Cosmetic Surgery. Cosmetic surgeryfocuses on enhancing appearance throughsurgical and medical techniques and ispracticed by doctors from a variety ofmedical fields including dermatologists,plastic surgeons, general surgeons,gynecologists, oral and maxillofacialsurgeons, ophthalmologists andotolaryngologists.Meanwhile, plastic surgery is a surgical
specialty that focuses on repairing andreconstructing abnormal structuresof the body caused by birth defects,developmental abnormalities, trauma,infection, tumors or disease. Most plasticsurgeons perform cosmetic surgeryas well.
Healthy lifestyle important“For those who are looking for someimmediate motivation,” said Robert Cohen,M.D., a board-certified plastic surgeon andmedical director of the Scottsdale Centerfor Plastic Surgery, “it [cosmetic surgery]can help you with problems that cannotbe corrected with diet and exercise. Butyou still need to stay on track with yourhealthy lifestyle.”Prichard agreed, stating that cosmetic
surgery by itself is not going to make youhealthier. “You need to work on your body,nutrition, exercise and mental health,”he said. “I’ll often refer patients to anutritionist or personal trainer because allkinds of people help in the ultimate goalof somebody looking better and feelingbetter. It’s about all facets of health.”
Do your researchIf you’re considering cosmetic surgery,Heidi Regenass, M.D., a board-certifiedplastic surgeon with North Valley PlasticSurgery, advises the following:• Educate yourself about the procedureand its risks
• Research the surgeon’s qualifications,previous work and accreditation by theAmerican Board of Plastic Surgery
• Be healthy and in good physical shapebefore surgery
• Have realistic expectations• Quit smoking if you’re a smoker• Opt for a natural look“Make sure you meet with the surgeon
before the procedure is performed,” shesaid, “to feel comfortable not only with thedoctor but also with the office staff.” She
Cosmetic surgery 101Experts stress the importance of research and safetyBYMICHELLE TALSMA EVERSON
vaccinations] is a myth. Multiple studieshave failed to prove any link betweenvaccinations and autism,” she emphasized.
Dorm dos and don’tsA lot has changed since many of us wentto college, starting with the term ‘dorm’.It’s been replaced by ‘residence hall’,
explained Gretchen Wesbrock, associatedirector for residence life staffing atNorthern Arizona University, stating that‘dorm’ really refers to a physical structurewhile ‘residence hall’ focuses beyond thestructure to the community.Whatever you call student housing, a lot
of students bring too many possessionswith them. “If a student is planning to renta truck for the move, he or she is bringingtoo much,” said Kendra Hunter, director ofresidence life at Arizona State University.Wesbrock recommends bringing a
couple of items of sentimental value,such as small framed photos, so studentscan personalize their space, adding thatstudents are sometimes surprised to findout they can’t bring candles or incense.“Those present a real fire hazard andthey’re not allowed.”Wesbrock and Hunter recommend
reading the college’s guidelines thencreating a personalized list. When indoubt, consult the university ResidenceLife office before arriving on campus.
HER Story
“Cosmetic surgery is stillsurgery. The risks arequite low, but there arestill risks involved.”
— Robert Cohen, M.D.
“Many school districtsprovide information ontheir website with detailson vaccinations for eachage group.”
— Danielle Airey, spokeswoman,Peoria Unified School District
THINKS
TOCK
6 | LIVING WELL A-Z | WEDNESDAY, August 1, 2012
Anorexia, bulimia, and binge eatingdisorder are all illnesses— serious
mental illnesses— that can cause lifetimecomplications and lifetime psychologicalissues,” said Dena Cabrera, Psy.D.,C.E.D.S., a licensed psychologist withRosewood Centers for Eating Disordersin Wickenburg, where she also serves asclinical director of adolescent services.“But, if identified and treated early, asuccessful outcome is possible.”
Startling statisticsRachel Brogan, M.S., R.D., C.E.D.R.D., aregistered dietitian with Doorways LLC,a clinic in Phoenix that offers counselingand psychiatric services for adolescentsand young adults, said the statistics arestartling. Approximately 95 percent ofthose struggling with an eating disorderexperience the onset between the agesof 12 and 25, and one out of every 100adolescent girls will struggle with anorexia.
“It’s the third most common chronicillness among adolescent girls,” she saidof the condition more formally known asanorexia nervosa, “and it has the highestmortality rate of any mental illness.”
Risk factorsWhile anorexia and bulimia morecommonly affect girls, these potentiallylife-threatening diseases are notuncommon in boys. Cabrera said it’simportant to realize that teens of either sex
don’t set out to havean eating disorder,but because of theirage and vulnerability,things can get outof control fasterthan they can withadults. And whilethere are a lot ofreasons why eatingdisorders arise in thefirst place, includingpoor body image, lowself esteem, mediapressure to look acertain way, familyissues and bullying(all of which may contribute and actas stressors), she wants to spread themessage that an eating disorder is notcaused by one single thing.“It is a combination between genetics
and environment, which makes it socomplicated,” she said. “No one is toblame, and we need to work together asa society to bring awareness, preventionand treatment to these deadly illnesses.”
Warning signsSome of the telltale signs that a teen mayhave an eating disorder include:• increased isolation• a rapid weight change (up or down)• changes in mood that are abnormal• low self esteem• extreme perfectionism• frequent bathroom visits after meals• varied excuses not to eat• increased anxiety and/or depressionIf a parent, friend or loved one sees
warning signs, experts indicate it istime to make sure that the lines ofcommunication are open. “Some kidswant help but may not act like it,” Brogansaid. “Tell them that you’re concernedand listen to what they have to say.”
Get help quicklyAlthough parents and/or guardians willprobably encounter resistance, theyshould make an appointment with aschool counselor, a pediatrician or atherapist (preferably an adolescent eatingdisorder specialist) if their teen’s weighthas been compromised in any way.Most importantly, don’t wait. “I see so
many parents wait until the end of a sportsseason or the end of a semester,” Broganadded. “At that point, your adolescent’shealth could have greatly diminished.”
“A teenager with anorexianervosa is typically aperfectionist and a highachiever in school.”
— American Academy of Childand Adolescent Psychiatry
National Association of AnorexiaNervosa and Related DisordersArizona support groups: anad.org/get-help/support-groups/arizona/
National Institute of Mental Health:nimh.nih.gov/health/publications/eating-disorders/complete-index.shtml/index.shtml
DefinitionsANOREXIA NERVOSA: An intensefear of gaining weight or becomingfat. A person with anorexia maypractice unhealthy behaviors suchas restricting calories, only eatingspecific foods or skipping mealsfrequently.
BULIMIA NERVOSA: Also an intensefear of gainingweight or becoming fat.Someonewith bulimiamay eat largeamounts of food in a short period oftime and then eliminate the food bymaking themselves vomit or by usinglaxatives, diuretics or diet pills.
BINGE EATING DISORDER: Frequentepisodes of eating very largeamounts of food rapidly to the pointof feeling sick or uncomfortable.When binge eating, a person feelslike they cannot stop eating orcontrol what or howmuch is eaten.
Source: Condensed from anad.org/get-information/about-eating-disorders/general-information (National Associationof Anorexia Nervosa and AssociatedDisorders)
While anorexiaand bulimiamore commonlyaffect girls,thesepotentiallylife-threateningdiseases arenot uncommonin boys.
THINKS
TOCK
WEDNESDAY, August 1, 2012 | LIVING WELL A-Z | 7
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