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Characteristic Rehabilitation Hospital Nursing Home Frequent visits by an at- tending physician Required Not required Multidisciplinary team approach Required Not required RN oversight and availability 24 hours/day At least 8 consecutive hours/day Specialty nursing training, rehabilitation expertise 5 - 7.5 hours/day 2.5 - 4 hours/day PT, OT, and/or speech therapy level of service 3 hours/day (minimum) No minimum ©2011:HealthSouth Corporation:473726 HealthSouth East Valley Rehabilitation Hospital 5652 E. Baseline Road # Mesa, AZ 85206 480 567-0350 # Fax 480 567-0352 healthsoutheastvalley.com HealthSouth Scottsdale Rehabilitation Hospital 9630 E. Shea Blvd. # Scottsdale, AZ 85260 480 551-5400 # Fax 480 551-5401 healthsouthscottsdale.com HealthSouth Valley of the Sun Rehabilitation Hospital 13460 N. 67th Ave. # Glendale, AZ 85304 623 878-8800 # Fax 623 334-5360 healthsouthvalleyofthesun.com A Higher Level of Care Choose HealthSouth: You Deserve a Higher Level of Care +,1 /(% $)&&%-%+#% "%/1%%+ ! rehabilitation hospital !+$ ! +0-.)+’ (,*% New child restraint law For some time, Arizona has required motorists to strap children age 4 and younger into a child-restraint system. On Aug. 2, a new law goes into effect that requires children ages 5 to 7, who are shorter than 4 feet 10 inches tall, to also be restrained in a child-restraint system. Prior to the implementation of this law, Arizona was one of only three states that allowed a 5-year-old to use a seat belt instead of a car seat or booster seat. More info: Arizona Governor’s Office of Highway Safety, azgohs.gov; Arizona Department of Health Services, azdhs. gov/phs/owch/ipcfr/safekids.htm Online caregiver support group Duet, a local non-profit organization, is launching an online caregiver networking group to offer support to those caring for an aging friend or loved one. This free support group will meet online on the fourth Tuesday (7–8 p.m.) and second Saturday (9–10 a.m.) of each month. Next meetings: Aug. 11 (9–10 a.m.); Aug. 28, (7–8 p.m.) To register: duetaz.org, click on the ‘events’ tab. Questions/info: Brett Petersen, 602-753-8381 or [email protected] Free immunizations The Scottsdale Unified School District (SUSD) and Scottsdale Healthcare are partnering to offer immunization clinics Aug. 2–3 and Aug. 6–10 from 12–4 p.m. at the SUSD Education Center, 3811 N. 44 St., Phoenix. Vaccines are supplied through the Vaccines for Children program. New 2012 state guidelines provide immunizations to all uninsured, KidsCare, AHCCCS, native American/Alaskan natives, and children of families whose insurance does not cover immunizations. Immunizations will be available to any qualified student, not just those who may be enrolling. A parent or guardian must accompany each child and should bring each child’s immunization record. More info: susd.org or 480-484-6110 Whooping cough/ pertussis The March of Dimes is spreading the word that the incidence of pertussis, also known as whooping cough, is on the rise. Pertussis is a highly contagious, vaccine-preventable disease that often results in severe health risks and even death for babies and young children. Pertussis vaccinations begin at two months of age, but babies may not be fully protected until they’ve had at least three doses of DTaP (diphtheria, tetanus and acellular pertussis) vaccine. Family members and caregivers frequently pass pertussis on to babies, so getting vaccinated is a simple way for adults to protect not only themselves, but also vulnerable babies. More info: Your health-care provider or marchofdimes.com/arizona/ news_5921.html IN THIS ISSUE: COVER/06: BACK-TO-SCHOOL INFO 02: TOP TIPS FOR ORAL HEALTH 03: PREVENTING FALLS 04: SUPPORT GROUPS; EVENTS 05: SUPPORT GROUPS; EXPERTS 06: COSMETIC SURGERY 101 07: TEENS & EATING DISORDERS NEXT ISSUE: WEDNESDAY, SEPTEMBER 5 HEALTH-CARE News I t’s still summer, but another school year already is underway in some Valley school districts, while many others will start later this month. Here’s a roundup of resources designed to help give you a great start to the school year — no matter the age of your child. A (back)pack of trouble Although some schools might be seeing a trend toward the use of tablets and e-readers, for the vast majority of students, backpacks and book-bags are still an inescapable fact of life. It’s important for parents to monitor their children’s use of backpacks, said Michael Chang, M.D., a board-certified spine surgeon with Sonoran Spine Center. In fact, he said, one in three students complains about back pain believed to be related to carrying a backpack. “A child of 13 or 14 doesn’t have the core spine strength to carry around 30 pounds or more,” he said. “If a child experiences pain that affects sleeping, has tingling or burning in their arms or shoulder-blades, or feels pain with lifting in the low back or shoulders, parents need to encourage their child to lighten the load,” said Mike Skowronek, P.T., a licensed physical therapist and senior manager of rehabilitation services at Banner Desert Medical Center in Mesa. Chang urged students to carry their backpacks on both shoulders and in a manner where the bottom of the pack is positioned at the mid-back or higher. Both Chang and Skowronek cautioned students not to try to stand upright against the weight of a backpack. Brain food “A good lunch is essential for learning,” said Melissa Paton, M.S., R.D., a registered dietitian at Banner Baywood Medical Center in Mesa. “Hungry kids are not going to be able to pay attention if their growling stomach is keeping them distracted.” Jenel Day, M.S., R.D., a bariatric coordinator at the Bridges Center for Surgical Weight Management at St. Luke’s Medical Center in Phoenix and Tempe St. Luke’s Hospital, said there are plenty of healthy and tasty alternatives for kids to take for lunch, including sliced or stick Time to hop on the back-to-school bus Backpacks, brain food and more—oh my! BY DEBRA GELBART, ALISON STANTON, GREMLYN BRADLEY-WADDELL AND MICHELLE TALSMA EVERSON xxccxzzxxxc By The NUMBERS Continued on page 6 BACK TO SCHOOL HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY THE ARIZONA REPUBLIC A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vol. 2, No. 8 August 2012 HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING V w e l l az - az - 12 OUNCE CAN = 140-150 CALORIES, 39-41 GRAMS OF SUGAR MODERATION AND AWARENESS ARE KEY COMPONENTS 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 Abbey Road of Beatles fame, but they are on the road to the start of a new school year. (Photo taken outside of Desert Valley Elementary School in Glendale. Desert Valley is in the Peoria Unified School District.) RICK D’ELIA SPECIAL TOPIC BACK TO SCHOOL How long do local kids have to eat lunch at school? Copper Creek Elementary School, Glendale: 45 minutes Fremont Junior High School, Mesa: 30 minutes Gilbert Junior High School, Gilbert: 30 minutes Kyrene Akimel a-Al Middle School, Ahwatukee: 30 minutes Millenium High School, Goodyear: 29 minutes Mohave Middle School, Scottsdale: 32 minutes Peoria High School, Peoria: 33 minutes Pinnacle High School, Phoenix: 30 minutes Sources: Various school and school district websites “Children who experience back pain seem to be likelier to experience back 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
8

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Page 1: Living Well - Aug2012

Characteristic RehabilitationHospital

Nursing Home

Frequent visits by an at-tending physician

Required Not required

Multidisciplinaryteam approach

Required Not required

RN oversight andavailability

24 hours/day At least 8 consecutivehours/day

Specialty nursing training,rehabilitation expertise

5 - 7.5 hours/day 2.5 - 4 hours/day

PT, OT, and/or speechtherapy level of service

3 hours/day(minimum)

No minimum©2011:HealthSouth Corporation:473726

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.

Questions/info: Brett Petersen,602-753-8381 or [email protected]

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

Time to hop on theback-to-school bus

Backpacks, brain food and more—oh my!BY DEBRA GELBART, ALISON STANTON, GREMLYN BRADLEY-WADDELL ANDMICHELLE TALSMA EVERSON

xxccxzzxxxcBy The NUMBERS

Continued on page 6 BACK TO SCHOOL

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

Fremont Junior High School,Mesa: 30 minutes

Gilbert Junior High School,Gilbert: 30 minutes

Kyrene Akimel a-Al MiddleSchool, Ahwatukee: 30 minutes

Millenium High School,Goodyear: 29 minutes

Mohave Middle School,Scottsdale: 32 minutes

Peoria High School,Peoria: 33 minutes

Pinnacle High School,Phoenix: 30 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

Page 2: Living Well - Aug2012

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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.”

ResourcesAmerican Dental Association:ada.org/2624.aspx#faq

Arizona Dental Association:azda.org

Sesame Street:sesamestreet.org/parents/topicsandactivities/toolkits/teeth

WebMD:webmd.com/oral-health/default.htm

THINKS

TOCK

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

Page 3: Living Well - Aug2012

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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

TOCK

WEDNESDAY, August 1, 2012 | LIVING WELL A-Z | 3

Page 4: Living Well - Aug2012

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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

GLUCOSE & CHOLESTEROLSCREENINGSAug. 3, 8–11:30 a.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

BONEMEDICATIONS: PROS & CONSAug. 8, 1–2 p.m.By Scottsdale Healthcareat Appaloosa Library7377 E. Silverstone Dr., ScottsdaleRegister: shc.org/events; 480-882-4636

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

BETTER BREATHERSAug. 15, 2–3 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

GOODNESS OF GRAINSAug. 15, 7–8 p.m.By Scottsdale Healthcareat Barnes & Noble10500 N. 90 St., ScottsdaleRegister: shc.org/events; 480-882-4636

MEDICAL QI GONGAug. 16, 1:30–2:30 p.m.By Scottsdale Healthcareat Desert Foothills Library38442 N. Schoolhouse Rd., Cave CreekRegister: shc.org/events; 480-882-4636

MINIMALLY INVASIVESPINE SURGERYAug. 16, 6 p.m. & Aug. 18, 10 a.m.Laser Spine Institute8888 E. Raintree Dr., ScottsdaleRegister: SpineSeminar.com;866-811-3275

MINIMALLY INVASIVESPINE SURGERYAug. 17, noonBy Laser Spine Instituteat Renaissance Glendale Hotel & Spa9495W. Coyotes Blvd., GlendaleRegister: SpineSeminar.com;866-811-3275

FISH OIL & DIETARY SUPPLEMENTSAug. 21, 6:30–7:30 p.m.ByMidwestern Universityat Glendale Foothills Library19055 N. 57 Ave., Glendale623-930-3868

FOOT & TOENAIL FUNGUSAug. 22, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

BETTER BREATHERSAug. 23, 1:30–3 p.m.John C. Lincoln NorthMountain9229 N. Fourth St., Phoenix602-870-6060, x5793

EYE INFECTIONSAug. 29, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

NATUROPATHIC MEDICINE 101Aug. 29, 7–8 p.m.By Scottsdale Healthcareat Barnes & Noble10500 N. 90 St., ScottsdaleRegister: shc.org/events; 480-882-4636

HEART/STROKE

CONGESTIVE HEART FAILUREAug. 1, 8, 15, 22 & 29, 6:30–7:30 p.m.Chandler Regional1955W. Frye Rd., Chandler480-728-5414

ABC’S OF CARDIOLOGYAug. 2, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

STROKE SUPPORT GROUPAug. 2 & Sept. 6, 5:30–6:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-3667

COMPRESSION-ONLY CPRAug. 4, 9–10:30 a.m.Banner Desert1400 S. Dobson Rd., Mesa602-230-CARE (2273)

HEART-HEALTHY EATINGAug. 7 & 21, 11 a.m.–noonBanner Heart Hospital6750 E. Baywood Ave., Mesa480-854-5401

STROKE SUPPORT GROUPAug. 8, 2:30–4 p.m.Chandler Regional1955W. Frye Rd., Chandler480-728-3828

WINE & DINE YOUR HEARTAug. 15, 5:30–7 p.m.Banner Thunderbird5555W. Thunderbird Rd., GlendaleRegister: 602-230-2273

MENDED HEARTS SUPPORT GROUPAug. 15, 6:30 p.m.Banner Heart Hospital6750 E. Baywood Ave., Mesa480-854-5070

STROKE SUPPORT GROUPAug. 22, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

DIABETES

DIABETESWORKSHOPVarious dates, 10 a.m.–noonPhoenix Baptist Hospital2040W. Bethany Home Rd., PhoenixRegister: azhealthyhours.com;855-292-WELL

DIABETES SUPPORT GROUPAug. 9, 1–2 p.m.St. Luke’s1800 E. Van Buren St., Phoenix877-351-WELL (9355)

DIABETES SUPPORT GROUPAug. 13, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)

ALZHEIMER’S/DEMENTIA

MAKINGMUSIC &MEMORIESAug. 3, 10–11:30 a.m.By Banner Alzheimer’sat Pyle Adult Recreation Center655 E. Southern Ave., TempeRegister: 602-839-6850;[email protected]

PLANNING AHEADCLASS FOR CAREGIVERSAug. 6, 4–6 p.m.Banner Alzheimer’s901 E.Willetta St., PhoenixRegister: 602-839-6850;[email protected]

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)

COMPASS FOR CAREGIVERSAug. 16, 10–11:30 a.m.;Aug. 27, 4–5:30 p.m.Banner Alzheimer’s901 E.Willetta St., PhoenixRegister: 602-839-6850;[email protected]

ALZHEIMER’S CAREGIVERSAug. 16, 1:30–3 p.m.Tempe St. Luke’s1500 S. Mill Ave., Tempe877-351-WELL (9355)

ALZHEIMER’S SUPPORT GROUP(lunch provided)Aug. 19, 11 a.m.–12:30 p.m.St. Joseph’s Huger Mercy Living Center2345W. Orangewood Ave., Phoenix602-406-5600

SENIORS

GRANDPARENTS RAISINGGRANDCHILDREN (DUET)Various dates, times & locations602-274-5022

HEALTHY COOKINGAug. 1, 10–11 a.m.Humana Guidance Center5943 E. McKellips Rd., Mesa480-325-4707

TAI CHIAug. 3 & 17, 9–10 a.m.Humana Guidance Center5943 E. McKellips Rd., Mesa480-325-4707

ARTHRITIS FOUNDATIONEXERCISE PROGRAMAug. 7, 14, 21 & 28, 9–10 a.m.Tempe St. Luke’s1500 S. Mill Ave., Tempe877-351-WELL (9355)

MEDICATION CHECKSAug. 7, 10–11 a.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-351-WELL (9355)

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]

BOSOM BUDDIES/EAST VALLEYAug. 14, 6:30–8:30 p.m.Women’s Centerat BaywoodMedical Center6644 E. Baywood Ave., Mesa480-969-4119

BOSOM BUDDIES/SCOTTSDALEAug. 18, 10 a.m.–noonScottsdale Healthcare Thompson Peak7400 E. Thompson Peak Pkwy,Scottsdale623-236-6616

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

Page 5: Living Well - Aug2012

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)

CANCERSUPPORTGROUPS

LOOK GOOD, FEEL BETTERAug. 1, 6–8 p.m.Banner Thunderbird5555W. Thunderbird Rd., GlendaleRegister: 602-865-5450

MORNINGMEDITATIONSAug. 6, 13, 20 & 27, 9:30 a.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

CHAIR YOGAAug. 6, 13, 20 & 27, 10 a.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

COLONAug. 7, 5:15–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)

HEAD & NECKAug. 7, 5:30–7:30 p.m.St. Joseph’s500W. Thomas Rd., Phoenix602-406-6621

COLORECTALAug. 7, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityBanner Good Samaritan1111 E. McDowell Rd., Phoenix602-712-1006

FACING FORWARD (WOMEN)Aug. 8, 1–3 p.m.Virginia G. Piper Cancer Centerat Scottsdale Healthcare10460 N. 92 St., ScottsdaleRegister: shc.org/events; 480-882-4636

GENTLE YOGAAug. 9, 16, 23 & 30, 4 p.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

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

BREASTFEEDINGAug. 1, 8, 15, 22 & 29, 11 a.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

POSTPARTUM DEPRESSIONAug. 1, 8, 15, 22 & 29, 1–2:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

CHILDBIRTH EDUCATION(2-WEEK CLASS)Aug. 1 & 8 or Aug. 15 & 22,6:15–9:30 p.m.Maryvale Hospital5102W. Campbell Ave., PhoenixRegister: azhealthyhours.com;855-292-WELL

BREASTFEEDING SUPPORT GROUPAug. 2, 9, 16, 23 & 30, 1–2:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-3035

WOMEN’S SERVICES UNIT TOURSAug. 2 & 16, 7 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

BREASTFEEDINGAug. 3, 10, 17, 24 & 31, 10 a.m.Mercy Gilbert3555 S. Val Vista Dr., Gilbert480-728-5414

CHILDREN’S IMMUNIZATION CLINICAug. 4 & 18, 8 a.m.–noonScottsdale Healthcare Osborn3634 N. Drinkwater Blvd., Scottsdale480-882-4317

POSTPARTUM DEPRESSIONAug. 7, 14, 21 & 28, 10–11:30 a.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5292

SUPPORTGROUPS

BRAIN INJURYAug. 13, 7–8:15 p.m.St. Joseph’s BarrowNeurological Institute350W. Thomas Rd., Phoenix602-406-3333

LUNG TRANSPLANTAug. 14, 11:45 a.m.–1 p.m.St. Joseph’s350W. Thomas Rd., Phoenix602-406-7009

SYRINGO & CHIARIAug. 16, 11 a.m.–1 p.m.St. Joseph’s Outpatient Rehabilitation114W. Thomas Rd., Phoenix623-561-9606

MEN’S DISABILITY ISSUESAug. 16, 5:30–7 p.m.Disability Empowerment Center5025 E.Washington St., Phoenix602-980-3232; [email protected]

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.

RSVP: (602) 230-CARE (2273)www.BannerHealth.com/events

FREEHEARING TEST26 Arizona Locations

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.

BARIATRIC PROGRAMHear aboutmedical& surgical

treatments for obesity.

THURS., AUG 9:6-6:45PM

TUES., AUG 21:6-6:45PM

(480) 301-4533MayoClinic.org/Arizona

Page 6: Living Well - Aug2012

BACK TO SCHOOLContinued from cover

Resources

Backpack safety:American Physical TherapyAssociation: apta.org

WebMD:webmd.com/parenting/features/kids-backpacks-101

Exams & sports physicals:Arizona InterscholasticAssociation: aiaonline.org

Your pediatrician or schoolhealth office

Healthy school lunches:Food Safety.gov: foodsafety.gov/blog/school_lunch.html

U.S. Department of Agriculture:healthymeals.nal.usda.gov/resource-library/food-safety/packing-food-safely

Vaccinations:Arizona Department of HealthServices: azdhs.gov/phs/immun/back2school.htm

Baby Shots program(free immunization clinics):phoenix.gov/fire/babyshots.html

Community Informationand Referral Services(free/low cost immunizations):cir.org/immunizations

Maricopa County Departmentof Public Health:maricopa.gov/publichealth/Services/immunizations/child/locations.aspx

Dorm dos and don’ts:ASU: asu.edu/housing/handbook/housingPolicies.html

NAU: nau.edu/Residence-Life/Life-on-Campus/What-to-Bring

UA: life.arizona.edu

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.

General Manager:CAMI KAISER, [email protected]

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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

ResourcesAmerican Board ofCosmetic Surgery:americanboardcosmeticsurgery.org

American Board of MedicalSpecialties: abms.org

American Board of Plastic Surgery,Inc.: abplsurg.org

American Society of PlasticSurgeons: plasticsurgery.org

10 nutritiouslunch/snackideas

1 Air-popped popcorn

2 Applesauce

3 Baby carrots

4 Celery sticks

5 Cherry tomatoes

6 Fruit slices

7 Hummus

8 Low fat cheese

9 Pre-packaged nuts

10 Pretzels

Sources: Melissa PatonM.S., R.D.and Jenel Day, M.S., R.D.

nutritious

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

Page 7: Living Well - Aug2012

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

ResourcesEating Disorders Anonymous:eatingdisordersanonymous.org/meetings.html#AZ

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)

Teens andeating disordersPotential life-long consequencesBY GREMLYN BRADLEY-WADDELL

KIDS’ Korner

fi iti

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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8 | LIVING WELL A-Z | WEDNESDAY, August 1, 2012

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