LivingWell-April2012

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

LW2:Goodnews regardingcoverage for pre-existing conditionsLW7:What should you do if youspot a rattlesnake?

LW3: Nutrition and supplementsthat support an active lifestyleLW7:What to look for in in-home fitnessequipment, includingquestions toask

LW4&5:Over 150listings coveringhealth-care support groups,classes and events

A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYTHE ARIZONA REPUBLIC Vol. 2, No. 4 April 2012

NEWS & TRENDSInnovations.News.What’s newin health-care.Important information to keep you connectedto your health-care community.

INNOVATIONSChandler RegionalMedical Center, a Dig-

nity Health Member, recently became one of the

first hospitals in Arizona to use a newly approved

medical device to open narrowed coronary arter-

ies, even in heart disease patients with diabetes.

The U.S. Food and DrugAdministration (FDA)

recently approved the Resolute Integrity Drug-

Eluting Stent fromMedtronic, which is the first

and only heart stent to be FDA-approved for treat-

ing patients with coronary artery disease who

also have diabetes. Info:MedtronicStents.com and

ChandlerRegional.org

Two surgeons fromValley Surgical Clinics –

Francisco Rodriguez,M.D., FACS, and Rick Low,

M.D., FACS – are the first in theValley and among

the first in the nation trained to perform ‘belly

button’ gall bladder removals,which they offer to

their patients utilizing the daVinci Si® Robotic Sur-

gical System at JohnC.LincolnNorthMoun-

tain Hospital. North Mountain is one of only 20

sites in the nation that have been approved for

this newest advance in robotic surgery for which

Intuitive Surgical, Inc. received FDA-approval

in December.The system enables surgeons to

reduce the traditional number of laparoscopic

incisions from about four to one that is less than

an inch in length. Info: JCL.com

NEWSBannerDesertMedicalCenter now offers

emergency neurologic treatment for stroke pa-

tients via a secured video link. Patients now have

immediate, around-the-clock access to neurolo-

gists through ‘telestroke’, a programmanaged

through a partnershipwith Specialists onCall,

Inc. (SOC), the nation’s leading provider in clinical

telemedicine.Utilizing state-of-the-art videocon-

ferencing technology and secure lines of commu-

nication, SOCphysicians interact directly with hos-

pital physicians, nurses, patients and their families

in amanner that closely resembles an in-person

bedside consultation. Info:BannerHealth.com

TheVirginiaG.Piper Cancer Center at

Scottsdale Healthcare has added a hema-

topoietic stem cell (HSC) transplant program

(commonly known as bonemarrow transplant)

through its newCancer Transplant Institute. HSC

transplants are primarily used to treat patients

with aggressive cancers such as myeloma, leuke-

mias and lymphomas.Cancer Transplant Institute

patients are referred from all over the Southwest,

and the Institute has already seen over 50 patients

and performed its first transplant. Info: shc.org

BYDEBRAGELBART

Your feet aren’t just yourmeans ofmobility. Sometimesthey can be an importantmessenger,making you awareof a significant health problem that you didn’t even

know existed. For example, brown nails can suggest skin cancer,while an acutely hot, red, painful toe joint is likely to be gout.In addition, horizontal depressions or deep grooved lines in

a toenail can be a sign of a past heart attack, said Kelley Gillroy,D.P.M., a clinical assistant professor at Glendale’s Arizona Schoolof Podiatric Medicine. Gillroy is also a practicing podiatrist attheMidwestern University Multispecialty Clinic’s Foot andAnkle Clinic.

Diabetes and feetFor people with diabetes, foot health is amajor concern.With-out proper care, diabetes can have devastating consequencesfor a patient’s feet, Gillroy said. Peripheral neuropathy (nervedamage) is the result of high blood sugar causing swellingaround the lining of nerves leading to nerve entrapment, sheexplained. Diabetes also causes a decrease in circulation to thenerve.“Together, this causes nerve damage and patients canlose feeling in their feet,”she said.“When you can’t feel your feet,you’re at greater risk for wounds and infections because youcan’t feel the high-pressure or traumatized areas of your feet.”Hannah Furst of Phoenix has adult-onset latent autoim-

mune diabetes, similar to Type 1 diabetes. To compensatefor the numbness in her feet from peripheral neuropathy,

she never gets pedicures, sees apodiatrist regularly and is vigilantwith self-care to avoid footinjuries. “I always wear shoes,” shesaid, “even in the pool. I never gobarefoot, because I may not beable to feel it if I step on some-thing. Because I’m careful, I’m ableto live a perfectly normal life.”Mark Campbell, M.D., a fellow-

ship-trained orthopedic surgeonwho specializes in foot and ankle

conditions and practices at The CORE Institute in Sun CityWest,recommends that people with diabetes always wear support-ive shoes and examine their feet daily to see if anything haschanged. Noticeable changes should be promptly reported toa health professional.

Prone to problemsEven without a diagnosis of diabetes, foot problems are fairlycommon, in part because of modern life. Gillroy said highheels, for instance, can lead to a tightening of the Achilles ten-don, overload in the ball of the foot, or can create instabilityof the ankle. “Ideally, high heels should be worn mainly whensomeone plans to be seated most of the time,” she said.“Obesity has a direct impact on foot health,”Campbell added,

“because it’s harder for your feet to support excess bodyweight.”He suggests avoiding foot injuries from exercising by adequatelystretching before aworkout.

Continued on page 7:Head toToe

APRIL IS NATIONALDONATE LIFEMONTHBy The Numbers

– PAULA HUBBS COHEN

UNDERSTAND

DISCOVER

LEARN

THIS ISSUE:Headtotoe infoaboutyour feetLookfor thenext issueofLivingWella-zonWednesday,May2,2012.Topic:Women’shealth

DIDYOU KNOW:

As ofMarch 2012,113,115patients nationwidewerewaiting for a transplant.

Every10minutes, someone’s loved one is added to thenational organ donor waiting list.

In Arizona,2,184people are waiting for a transplant.

18people in America die every day waiting for a transplant.

In 2011,28,535 transplants were performed in the U.S.

To sign up as an organ donor in Arizona,visitAZDonorRegistry.org.

SOURCES: DONATE LIFE AMERICA, DONATELIFE.NET; U.S. DEPARTMENT OF HEALTH ANDHUMAN SERVICES, ORGANDONOR.GOV; DONOR NETWORK OF ARIZONA, DNAZ.ORG

JOHNC.LINCO

LN

THINKS

TOCK

Francisco Rodriguez,M.D., third from left, andRick Low,M.D., red surgical cap, prep a patient for(belly button) surgerywith the daVinci surgicalrobot at John C. Lincoln NorthMountain Hospital.

Don’t tip-toe around problems

CORRECTION: In theMarch 2012 issue ofLivingWell a-z, the name of Dr. AnandGandhi,director of interventional painmanagementat the Scottsdale location of Laser Spine Insti-tute, was inadvertentlymisspelled beneath hisphoto.We sincerely apologize for the error.

Kelley Gillroy, D.P.M. and clinical assistant professor atGlendale’s Arizona School of Podiatric Medicine, saysthat particularly for diabetics, foot health and foot careis extremely important.

RICK

D'ELIA

Head to

toeinfo aboutyour feet

When you can’tfeel your feet,

you are at greaterrisk for woundsand infections.

2632 North 20th Street | Phoenixwww.azheart.com

Time to getheart-healthy

N Arizona Heart

602-266-2200

EXPERTSAnne-Marie Feyrer-Melk, M.D.

Dr. Feyrer-Melk focuses on preventing heart attack and stroke by finding patients’hidden risk factors and formulating a plan that can significantly decrease and evenreverse their risk.The tests she uses are simple and painless, yet they are provento be astonishingly accurate in their predictive power.

Have you ever considered the connection between bacteria in your mouth anda potential heart attack?With a simple saliva test, patients can learn if they harbora certain bacterium that boosts their heart attack risk nearly 14 times comparedto people who don’t have the germ. And the bacterium can be easily wiped outwith appropriate care. Yet without the test---which most doctors don’t provide---patients don’t ever find out they carry the germ and thus never learn abouttheir increased risk for heart attack and stroke.

Dr. Feyrer-Melk, a concierge cardiologist, performs a specialized ultrasound testfor her patients (called a CIMT) that measures the thickness of the carotid arteryin the neck. A slight elevation in the thickness of this artery---often in the absenceof plaque deposits---is a better indicator of the risk for a heart attack or strokethan either an EKG or an echocardiogram traditionally used to evaluate patients.If the CIMT reveals an abnormal finding, simple blood and urine tests can identify“inflammatory biomarkers” linked to even a tiny elevation in carotid artery thickness.

Amazingly, this inflammation can be completely reversed through over-the-countersupplements and prescription medicines, leading to peace of mind for the patientas the risk of heart attack and stroke is drastically reduced.The key is discoveringthe problem in the first place, and that’s what Dr. Feyrer-Melk emphasizes.

CARDIOLOGY

Heart of Arizona7700 E. Indian School Rd

Ste 2 • Scottsdale480-941-0800

www.heartofarizona.com

ArizonaER.com

1-877-924-WELL (9355)

For information about wait times or to downloadour free mobile app, visit ArizonaER.com.

1-877-351-WELL (9355) 1-877-351-WELL (9355)

3 things to consideraboutPCIPeligibilityAccording to Glen Spencer,benefits assistance programdirector for the Area Agencyon Aging, Region One, to beeligible for enrollment in PCIP,an applicant:

1.Must be a U.S. citizen or alegal resident

2.Must submit a signed physician’sstatement attesting that they havea pre-existing medical condition

3.Must not have had other healthinsurance for at least six monthsprior to applying for PCIP

General Manager: CAMI KAISER, [email protected] Creative Development: ISAAC MOYA, [email protected]: PAULA HUBBS COHEN, [email protected] Editor: JIM WILLIAMS, [email protected] Art Director: TRACEY PHALEN, [email protected]: SW!TCH s t u d i o Republic Media Intern: JESSICA RUSHAdvertising: RHONDA PRINGLE, 602-444-4929, [email protected] general advertising inquiries, contact Republic Media at 602-444-8000.

Look for Livingwell a-z on the first Wednesday of each month!Each month, we bring you local health information you can use to keep you and your family living well.From A to Z, we tackle a broad range of health issues and offer tips for keeping your health-care costs incheck. This publication is produced by Republic Media Custom Publishing. For questions concerningany content included in this publication please contact: Editor Paula Hubbs Cohen, [email protected] call 602-444-8658.

A division of The Arizona Republic.200 E. Van Buren St., Phoenix, AZ 85004

Good news regardingpre-existing conditionsAffordable Care Act offers important coverage optionsBY DEBRA GELBART

Until about a year and a half ago,it was nearly impossible forAmericans with a pre-existing

medical condition to obtain individualhealth insurance without any restrictions.But since then, the Affordable Care Acthas given millions of Americans with apre-existing condition who have beenuninsured an important option.The pre-existing condition provisions of

the Affordable Care Act, which went intoeffect in September 2010, address twopopulations: those under age 19 and thosewho are over age 19.

‘Guaranteed issue’For those under age 19, privatehealth insurance is now considered‘guaranteed issue,’meaning that noone under 19 can be denied a privatehealth insurance policy because ofa pre-existing medical condition.“Before this part of the law took effect,”

said Janis Raynak, associate general coun-sel at Blue Cross Blue Shield of Arizona,“many insurance companies would requirea waiting period for someone to receivebenefits for a pre-existing condition. Butnow a company no longer can impose anykind of waiting period.”

Pre-Existing ConditionInsurance ProgramFor anyone age 19 and over, the governmenthas set up PCIP, or the Pre-Existing ConditionInsurance Program, a temporary programdesigned as a bridge until all of the provi-sions of the Affordable Care Act take effecton Jan. 1, 2014, assuming the legislation isupheld by the U.S. Supreme Court. The U.S.

Department of Health and Human Services(HHS) runs PCIP in the District of Columbiaand 23 states including Arizona. In 27 states,a state or nonprofit entity runs it.On the first day of 2014, PCIP will cease to

exist and in its place will be health insuranceexchanges, whichwill enable individuals andsmall businesses to get federal subsidies tohelp purchase private health insurance. Atthat point, private insurance companies willnot be able to deny coverage to anyonewitha pre-existingmedical condition. Also onthat date, those with pre-existing conditionswhose incomes are at or below 133 percentof the federal poverty level will be eligiblefor AHCCCS coverage in Arizona. If they don’tqualify for AHCCCS today, PCIP is an optionfor them.

Enrollment climbingHHS has reported that PCIP enrollmentclimbed nearly 400 percent betweenNovember 2010 and November 2011 and

the program received about 8,000 newapplications per month from August 2011through November 2011. In Arizona, “therehas been a significant increase in enroll-ment so far this year,” said Glen Spencer,benefits assistance program director forthe Area Agency on Aging, Region One.The premiums are considered competi-

tive, ranging from $157 a month for ages19 to 34 to as much as $450 a month forthose 55 and over. The medical deductibleis approximately $2,000 per individual peryear, Spencer said, depending on the planyou choose.“Before these provisions took effect,

there were some Americans who wereunable to get health insurance because ofpre-existing conditions,”Raynak said. “Nowthey can, and no matter how someonefeels about the rest of the Affordable CareAct, it’s hard to debate that people with apre-existing medical condition should beable to have access to health insurance.”

For more information:• Enrolling in PCIP: pcip.gov

• Health insurance coveragefor those under 19:cciio.hhs.gov/resources/files/factsheet.html

THINKS

TOCK

.COM

2 | LIVING WELL A-Z | WEDNESDAY, April 4, 2012

VITAL SIGNS

BY ALISON STANTON

According to Rosanna Thill, Hi-Health Director of Education, thefoundation of a healthy lifestyle

consists of three key aspects:

1. good nutrition

2. a daily exercise routine

3. taking selected nutritional supplements

Gauging what you eatJenel Day, RD,MS, bariatric coordinatorat the Bridges Center for SurgicalWeightManagement at St. Luke’sMedical Center inPhoenix and atTempe St. Luke’s Hospital inTempe, said the new‘MyPlate’, which recentlyreplaced the food pyramid, clearly showspeople howmuch protein and healthycarbohydrates, fruits and vegetables, lowfat dairy or soy alternatives, and other foodsthey should have in a 24-hour period.“It really helps take the guessing work

out of what we should be eating,” she said.

People also need to be mindful aboutbeverages and their effect on health, Daynoted. She urges everyone to be sure todrink enough liquid, starting out withgood old-fashioned H2O.“In general, people often are drinking a lot

of soda and other sweetened beverages likesweetened coffee drinks, juices and energydrinks, but not just plainwater,”she said.“Drinking eight glasses a daywill help themfeel better and help prevent dehydration.”

Supportive nutritionfor an active lifestyleSupplements can often help, too

Maintaining a balanceWhile recent dietary trends have urgedpeople to severely curtail or eliminatecarbohydrates or other types of foods,Day said that when it comes to nutrition,it’s important to have a balance.“Completely restricting food groups will

not work. For example, we just cannotmaintain a diet where all we can eat is aseverely restricted list of allowable foods.A diet like that is too hard to maintainlong-term,” she said. “We also want tobe sure we are choosing healthy snacksthroughout the day. Foods like low-fatcheese, whole grain crackers and fruitsand vegetables are great and they help usto not overeat later on.”

For additional information or nutritionaltips,Day suggested visiting the U.S.Department of Agriculture’s website:choosemyplate.gov.

Diabetes:“Dietary fibers such asglucomannan or psylliumare ideal to supplementyour diet. Chromium isa mineral that has been

shown to improve overall glucose tol-erance in people with diabetes.”

High cholesterol:“Water soluble fiberslike glucomannan, 30grams of soy, 1.6 gramsof plant sterols, 1.2 to 2.4

grams of red yeast rice and 200 to500 mcg of chromium are some of thenutritional supplements that can helplower cholesterol.”

High bloodpressure:“Taking fish oil can help,as canCoQ10.Also,lookatways to lower cortisollevels,watch sodium intakeandget enoughexercise.”

Arthritis:“In a double-blind studyof 50 patients with severerheumatoid arthritis,re-searchers from theDepartment ofMedicineat Temple Beth IsraelHospital found a decreasein the number of swollen

joints after the patients tookType II col-lagen for twomonths.There is also thestandard combination of glucosamvineand chondroitin sulfates that can helppeoplewith osteoarthritis.”

Weight loss:“Unfortunately, there isnomagic pill for weightloss.There are severalnutritional supplements

that can help your efforts of eating rightand exercising.Many of these supple-ments have been talked about by Dr.Oz, including raspberry ketone,Africanmango,7-Keto,coleus forshkoli,CLA,safflower oil, saffron andmany others.”

SOURCE: ROSANNA THILL, HI HEALTHDIRECTOR OF EDUCATION

“One of the bestthings people cando to increasetheir overallwellness is tomake sure theyare gettingenough water.”

JENEL DAY, RD, MS, BARIATRICCOORDINATOR AT THE BRIDGES CENTERFOR SURGICAL WEIGHT MANAGEMENT

Certain nutritionalsupplements mayhelp with somehealth conditions:

WEDNESDAY, April 4, 2012 | LIVING WELL A-Z | 3

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DIABETESApril 12, 1-2 p.m.St. Luke’s1800 E.Van Buren St., Phx877-351-WELL (9355)

DIABETESApril 16, 3-4 p.m.MountainVistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)

DERAILING DIABETESApril 18, 1-2 p.m.By Scottsdale Healthcare atDesert Foothills Library38442N. Schoolhouse Rd., Cave CreekRegister: shc.org/events; 480-882-4636

DIABETESApril 18, 7-8:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5195

MANAGING DIABETES,MEETING GOALSApril 19, 9:30-10:30 a.m.By SunHealth at La LomaVillage14154 Denny Blvd., Litchfield ParkRegister: tinyurl.com/SHCommEd2012;623-455-5633

ALZHEIMER’S/DEMENTIA

LIVINGWITH DEMENTIAApril 4 & 11, 10 a.m.-noonPresented by theMuhammadAliParkinson Center at St. Joseph’sShepherd of the Hills UnitedMethodist Church13658W.Meeker Blvd., Sun CityWestRegister: 877-602-4111

ALZHEIMER’S CAREGIVERSApril 5 & 19, 1:30-3 p.m.Tempe St. Luke’s1500 S.Mill Ave., Tempe877-351-WELL (9355)

ALZHEIMER’S SUPPORT GROUP(lunch provided)April 15, 11 a.m.-12:30 p.m.St. Joseph’s HugerMercy Living Center2345W. Orangewood Ave., Phx602-406-5600

ALZHEIMER’S CAREGIVERSApril 17, 12:30-2 p.m.By Duet at Church of the Beatitudes555W. Glendale Ave., Phx602-274-5022

LIVINGWITH DEMENTIA:CAREGIVER BOOT CAMPApril 19, 9 a.m.-noonPresented by theMuhammadAliParkinson Center at St. Joseph’sDesert Palms Presbyterian Church13459W. Stardust Blvd., Sun CityWestRegister: 602-406-4266

CAREGIVERS

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

CAREGIVERSApril 4, 10:30 a.m.-noonJohn C. Lincoln NorthMountain9202N. Second St., Phx602-870-6374

BRAIN INJURY & CAREGIVERApril 5, 6:30-7:30 p.m.Sponsored by Brain Injury Assoc. of AZHealthSouth Rehabilitation13460N. 67 Ave., Glendale602-508-8024

CAREGIVERS SUPPORT GROUPApril 9St. Joseph’s BarrowNeurologicalInstitute114W.Thomas Rd., PhxCall for time: 602-406-6688

CAREGIVERSApril 11, 2:30-4 p.m.MountainVistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)

CAREGIVERSApril 25, 2:30-3:30 p.m.St. Luke’s1800 E.Van Buren St., Phx877-351-WELL (9355)

SUPPORT GROUPS

BRAIN INJURY SURVIVORSApril 9, 7-8:15 p.m.St. Joseph’s350W.Thomas Rd., Phx602-406-3333

YOUNG ADULT BRAIN INJURY(survivors age 18-35& caregivers)April 11, 6-7:30 p.m.St. Joseph’s350W.Thomas Rd., Phx602-508-8024

PAINApril 12 & 26, 6-8 p.m.HealthSouth Rehabilitation13460N. 67 Ave., Glendale623-334-5437

INTERSTITIAL CYSTITISApril 15, 2-4 p.m.John C. Lincoln NorthMountain250 E. Dunlap Ave., Phx623-349-4611

HUNTINGTON’SApril 16, 6-8 p.m.St. Joseph’s350W.Thomas Rd., Phx602-406-4931

BETTER BREATHERSApril 18, 1-2 p.m.HealthSouth Rehabilitation5652 E. Baseline Rd., Mesa480-477-7163

BETTER BREATHERSApril 18, 2-3 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

SYRINGO& CHIARIApril 19, 11 a.m.-1 p.m.St. Joseph’s BarrowNeurological Institute114W.Thomas Rd., Phx623-561-9606

BIRTH PARENTSApril 24, 6-8 p.m.St. Joseph’s350W.Thomas Rd., Phx888-818-4454

BRAIN TUMORApril 24, 6-8 p.m.St. Joseph’s350W.Thomas Rd., Phx623-205-6446

BETTER BREATHERSApril 26, 1:30-3 p.m.John C. Lincoln NorthMountain9202N. Second St., Phx602-870-6060

CENTRAL PHOENIXBRAIN INJURYApril 26, 6-7:30 p.m.St. Joseph’s350W.Thomas Rd., Phx602-508-8024

WOMENWITHMULTIPLESCLEROSISApril 28, 10 a.m.St. Joseph’s350W.Thomas Rd., Phx480-829-6563

PARKINSON’S

MOUDALL PARKINSON’SWORKSHOP($10, includes lunch)April 4, 9:30 a.m.-1:30 p.m.ByMuhammadAli Parkinson Centerat St. Joseph’sShiloh Community Church19021N. 32 St., PhxRegister: 602-406-4921

WESTSIDE TREMBLE CLEFS(singing program)April 4, 11, 18& 25, 10 a.m.-noonByMuhammadAli Parkinson Centerat St. Joseph’sShepherd of the Desert Lutheran Church11025N. 111 Ave., Sun City602-406-3840

PARKINSON’S DANCEApril 5, 12, 19& 26, 1:30-3 p.m.ByMuhammadAli Parkinson Centerat St. Joseph’sBrick’s Studio4550 E. Indian School Rd., Phx602-406-6903

EASTSIDE TREMBLE CLEFS(singing program)April 5, 12, 19& 26, 4-6 p.m.ByMuhammadAli Parkinson Centerat St. Joseph’sGranite Reef Senior Center1700 N. Granite Reef Rd., Scottsdale602-406-3840

PARKINSON’SMOVEMENT GROUPApril 5, 10, 12, 17, 19, 24& 26,4:30-5:30 p.m.HealthSouth Rehabilitation5652 E. Baseline Rd., Mesa480-477-7141

PARKINSON’S DANCEApril 6, 13, 20& 27, 10-11:30 a.m.ByMuhammadAli Parkinson Centerat St. Joseph’sElizabeth KeithMovement Education16620N. 40 St., Phx602-406-6903

MOUDALL PARKINSON’SWORKSHOP($10, includes lunch)April 7, 9:30 a.m.-1:30 p.m.ByMuhammadAli Parkinson Centerat St. Joseph’sSt. Joseph’s GoldmanAuditorium&OnlineWebcast350W.Thomas Rd., PhxRegister: 602-406-4921

PARKINSON’S CAREGIVERSApril 11, 1:30-3 p.m.By Duet at Church of the Beatitudes555W. Glendale Ave., Phx602-274-5022

COMADRES/COMPADRES(Hispanic Parkinson’s support group)April 12 & 26, 3-4:30 p.m.By theMuhammadAli Parkinson Centerat St. Joseph’sDesert Cross Lutheran Church8600 S.McClintock Dr., TempeRegister: 602-406-4921

COMADRES/COMPADRES(Hispanic Parkinson’s support group)April 13 & 27, 10-11:30 a.m.By theMuhammadAli Parkinson Centerat St. Joseph’sChurch of Beatitudes555W. Glendale Ave., PhxRegister: 602-406-4921

PARKINSON’S SUPPORT GROUPApril 13, 10 a.m.-noon.ByMuhammadAli Parkinson Centerat St. Joseph’sHealthSouth Rehabilitation9630 E. Shea Blvd., Scottsdale602-406-3840

PARKINSON’S CAREGIVERSApril 20, 10:30 a.m.-noonByMuhammadAli Parkinson Centerat St. Joseph’sHealthSouth Rehabilitation5652 E. Baseline Rd., Mesa602-406-4921

SENIORS

ARTHRITIS FOUNDATION EXERCISEPROGRAMVarious dates & timesMountainVistaMedical Center, MesaTempe St. Luke’s, Tempe877-924-WELL (9355)

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 confirmdetails.

WELLNESS

BARIATRIC INFO SEMINARVarious dates & timesBanner Gateway1900N. Higley Rd., Gilbert480-543-2606

WEIGHT LOSS SURGERY SEMINARVarious dates & timesSt. Luke’s, PhoenixTempe St. Luke’s, Tempe800-248-5553

ENDOCRINOLOGY/THYROID NEWSApril 4, 7-8 p.m.By Scottsdale Healthcare atBarnes &Noble10500N. 90 St., ScottsdaleRegister: shc.org/events; 480-882-4636

YOGA FOR PERSONSWITH DISABILITIES(first class free)Apr. 5 & 19, 1:30-2:15 p.m.Sports & Fitness Center5031 E.Washington St., Phxspofit.org; 602-386-4566

JR.WHEELCHAIR TENNISApr. 5, 12, 19& 26, 4:30-5:30 p.m.Sports & Fitness Center5031 E.Washington St., Phxspofit.org; 602-386-4566

ADULTWHEELCHAIR TENNISApr. 5, 12, 19& 26, 5:30-6:30 p.m.Sports & Fitness Center5031 E.Washington St., Phxspofit.org; 602-386-4566

RELIEF FOR LEG & FOOT CRAMPSApril 5, 6-7 p.m.MountainVistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

STRESS REDUCTION: TAI CHI,AROMATHERAPY & LAUGHTERApril 11, 11 a.m.-noonBy SunHealth atThe ColonnadeRecreationVillage19116 ColonnadeWay, SurpriseRegister: tinyurl.com/SHCommEd2012;623-455-5633

EPILEPSY:WHAT YOUNEED TO KNOWApril 11, noon-1 p.m.MountainVistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

EXERCISE FOR OSTEOPOROSISApril 11, 1-2 p.m.By Scottsdale Healthcareat Appaloosa Library7377 E. Silverstone Dr., ScottsdaleRegister: shc.org/events; 480-882-4636

HEALTHY CONVERSATIONS ABOUTLIFE & DEATHApril 12, 1-2 p.m.By Scottsdale Healthcareat Civic Center Library3839 N. Drinkwater Blvd., ScottsdaleRegister: shc.org/events; 480-882-4636

HEARING TESTSApril 17, 18& 19, 8 a.m.-4 p.m.John C. Lincoln Audiologist atTatumHealth Center18404N.TatumBlvd., PhxAppointments: 602-494-6237

IS IT MENOPAUSE OR IS IT HOT INHERE?April 18, 7-8 p.m.By ScottsdaleHealthcareat Barnes &Noble10500N. 90 St., ScottsdaleRegister: shc.org/events; 480-882-4636

AMPUTEE CLINICApril 19, 10 a.m.-noonHealthSouth Rehabilitation5652 E. Baseline Rd., Mesa480-477-7141

COLONOSCOPY:WHAT TO EXPECTApril 23, noon-1 p.m.MountainVistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

PERIODONTAL DISEASE& SYSTEMIC HEALTHApril 24, 10-11 a.m.By SunHealth at FairwayRecreation Center10600W. Peoria Ave., Sun CityRegister: tinyurl.com/SHCommEd2012;623-455-5633

LASER SPINE INSTITUTE: MINI-MALLY INVASIVE SPINE SURGERYApril 25, 6 p.m. & April 28, 10 a.m.Laser Spine Institute8888 E. Raintree Dr., ScottsdaleRegister: SpineSeminar.com;866-811-3275

BRAIN FITNESS: A TALKWITH APERSONAL TRAINERApril 26, 10-11 a.m.By SunHealth at Sun CityWestRecreation Center19803 RH Johnson Blvd, Sun CityWestRegister: tinyurl.com/SHCommEd2012;623-455-5633

LASER SPINE INSTITUTE: MINI-MALLY INVASIVE SPINE SURGERYApril 26, noon12545W. Bell Rd., SurpriseRegister: SpineSeminar.com;866-811-3275

AMPUTEEApril 30, 6-8 p.m.HealthSouth Rehabilitation5652 E. Baseline Rd., Mesa480-477-7141

HEART/STROKE

ATRIAL FIBRILLATION: NEW&OLDMEDICATION THERAPYApril 4, 10-11 a.m.By SunHealth at Sun CityWest PORA13815 Camino del Sol, Sun CityWestRegister: tinyurl.com/SHCommEd2012;623-455-5633

CONGESTIVE HEART FAILUREApril 4, 11, 18& 25, 6:30-7:30 p.m.Chandler Regional475 S. Dobson Rd., Chandler480-728-5414

APHASIA/STROKEApril 5, 12, 19& 26, 10-11 a.m.HealthSouth Rehabilitation9630 E. Shea Blvd., Scottsdale480-551-5481

STROKEApril 5, 5:30-6:30 p.m.HealthSouth Rehabilitation13460N. 67 Ave., Glendale623-334-5437

MENDED HEARTS SUPPORT GROUPApril 11, 6:30-8 p.m.John C. Lincoln DeerValley19841N. 27 Ave., Phx623-879-5765

STROKEApril 13, 2:30-4 p.m.Chandler Regional475 S. Dobson Rd., Chandler480-728-3828

LIVINGWITH HEARTVALVE DISEASEApril 21, 9 a.m.-noonSt. Joseph’s350W.Thomas Rd., PhxRegister: 877-602-4111

STROKE SUPPORT GROUPApril 24, 5:30-6:30 p.m.HealthSouth Rehabilitation5652 E. Baseline Rd., Mesa480-477-7141

STROKE CLINICApril 26, 10 a.m.-noonHealthSouth Rehabilitation5652 E. Baseline Rd., Mesa480-477-7141

ATRIAL FIBRILLATIONApril 28, 9 a.m.-noonSt. Joseph’s350W.Thomas Rd., PhxRegister: 877-602-4111

DIABETES

MANAGING DIABETES,MEETING GOALSApril 9, 1-2 p.m.By SunHealth at Banner OliveSenior Center11250N. 107 Ave., Sun CityRegister: tinyurl.com/SHCommEd2012;623-455-5633

INSULIN PUMPERSSUPPORT GROUPApril 10, 6:30-8:30 p.m.John C. Lincoln NorthMountain9202N. Second St., Phx602-870-6060

Be sure and take advantage of our expanded Calendarlistings,which includes over 150 opportunities foryou to meet others with similar issues and learn moreabout various aspects of your health – from A to Z.

April is National Donate LifeMonth, donatelife.net and organdonor.gov

4 | LIVING WELL A-Z | WEDNESDAY, April 4, 2012

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

HEALTHY COOKINGApril 4, 10-11 a.m.Humana Guidance Center5943 E.McKellips Rd., Mesa480-325-4707

FALL PREVENTIONApril 4, noon-1 p.m.MountainVistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

BALLROOMDANCEApril 5, 12, 19& 26,11:30 a.m.-12:30 p.m.Humana Guidance Center5943 E.McKellips Rd., Mesa480-325-4707

TAI CHIApril 6 & 20, 9-10 a.m.Humana Guidance Center5943 E.McKellips Rd., Mesa480-325-4707

MEDICATION CHECKSApril 10, 10-11 a.m.MountainVistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)

MEDICATION CHECKSApril 10, 10-11 a.m.Tempe St. Luke’s Hospital1500 S.Mill Ave., Tempe877-351-WELL (9355)

MEDICATION SAFETYApril 10, 12:30-2:30 p.m.Humana Guidance Center5943 E.McKellips Rd., Mesa480-325-4707

HOWDIET AFFECTS YOUR FEETApril 12, noon-1 p.m.MountainVistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

HEART ATTACKS:WHAT YOUNEED TO KNOWApril 18, noon-1 p.m.MountainVistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

SPRING FLING ICE CREAM SOCIALApril 20, 2:30-4 p.m.MountainVistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

GOODBYE VARICOSE VEINSApril 24, noon-1 p.m.St. Luke’s1800 E.Van Buren St., Phx877-351-WELL (9355)

PREVENTING SLIPS & FALLSApril 26, 10-11 a.m.By SunHealth at Grandview Care Center14505W. GraniteValley Dr.Sun CityWestRegister: tinyurl.com/SHCommEd2012;623-455-5633

GOODBYE VARICOSE VEINSApril 26, noon-1 p.m.Tempe St. Luke’s1500 S.Mill Ave., Tempe877-351-WELL (9355)

CANCER SUPPORT

RELAXATION &VISUALIZATIONApril 4, 9:15-10 a.m.By SunHealth at Grandview Care Center14505W. GraniteValley Dr.Sun CityWestRegister: tinyurl.com/SHCommEd2012;623-455-5633

TEA PARTY(for womenwith cancer)April 4, 2-4 p.m.By Face in theMirror Foundationat St. Joseph’s350W.Thomas Rd., Phx480-443-1344

GENTLE YOGAApril 5, 12, 19& 26, 4 p.m.BannerMDAnderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

CANCERApril 5, 12, 19& 26, 2-3:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

YOGA FOR RECOVERYApril 5 & 19, 6-8 p.m.Co-sponsoredbyTheWellness CommunityJohn C. Lincoln DeerValley19841N. 27 Ave., Phx602-712-1006

CAVE CREEK SUPPORT GROUPApril 6, 10 a.m.-noonTopic: In-home care: Be a smart consumerBy Scottsdale Healthcare at Good Shep-herd of the Hills Episcopal Church6502 E. Cave Creek Rd., Cave Creek480-488-3283

MORNINGMEDITATIONSApril 9, 16, 23& 30, 9:30 a.m.BannerMDAnderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

CHAIR YOGAApril 9, 16, 23& 30, 10 a.m.BannerMDAnderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

PROSTATEApril 9, 7 p.m.St. Joseph’s350W.Thomas Rd., Phx602-242-3131

LIVING & COPINGWITH CANCERApril 10, 4 p.m.BannerMDAnderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

SPANISH-SPEAKINGApril 10, 6-7:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-4073

GYNECOLOGICApril 10, 7-8:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5578

COOKING FOR HEALTHApril 11, 9-11 a.m.By SunHealth at Grandview Care Center14505W. GraniteValley Dr.Sun CityWestRegister: tinyurl.com/SHCommEd2012;623-455-5633

ORAL, HEAD &NECKApril 12, 5:30-7:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

THYROIDApril 12, 6:30-8:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

CAPS FOR THE CURE(knit/crochet caps for patients)April 16, 1-3 p.m.Humana Guidance Center5943 E.McKellips Rd., Mesa480-325-4707

PROSTATEApril 16, 4-5:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

UNA REUNION(Latino Cancer OutreachTask Force)April 17, 6-7:30 p.m.UA Cancer Center at St. Joseph’s500W.Thomas Rd., Phx602-567-7640

WRITING FORWELLNESSApril 18, 9-11 a.m.By SunHealth at Grandview Care Center14505W. GraniteValley Dr.Sun CityWest

Register: tinyurl.com/SHCommEd2012;623-455-5633

EXERCISE TO IMPROVE FATIGUEApril 18, 4 p.m.BannerMDAnderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

ORAL, HEAD &NECKApril 18, 4:30-6:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-3627

LEUKEMIA & LYMPHOMAApril 18, 6-7:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

ESOPHAGEALApril 19, 6-7:30 p.m.Banner Good Samaritan1111 E.McDowell Rd., Phxesophagealcancersupportphoenix.com;602-839-4970; 602-264-0240

CANCERApril 19, 7-8:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-4073

PROSTATEApril 23, 7-9 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-4073

BREAST CANCER

NEWLY DIAGNOSEDApril 5 & 19, 6-8 p.m.Co-sponsoredbyTheWellness CommunityJohn C. Lincoln19646N. 27 Ave., Phx602-712-1006; [email protected]

YOUNG SURVIVAL COALITIONApril 10, 6-8 p.m.John C. Lincoln19646N. 27 Ave., Phx602-712-1006; [email protected]

BREAST CANCER SUPPORT GROUPApril 10, 7-8:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5578

COALITION OF BLACKS AGAINSTBREAST CANCERApril 15, 3-5 p.m.TheWellness Community360 E. Palm Lane, Phx602-320-0502

MULTIDISCIPLINARY APPROACHApril 17, 6 p.m.By BannerMDAndersonat Banner Gateway1900N. Higley Rd., Gilbert602-230-2273

EAST VALLEY (EV) YOUNGSURVIVORS(age 40 and under)April 21, 10 a.m.-noonDynamic Life Coaching Center1701 S.Mill Ave., Tempe480-326-7023

CIRCLE OF HELPApril 26, 6-8 p.m.John C. Lincoln19646N. 27 Ave., Phx623-434-2784

PARENTING/KIDS

BREASTFEEDINGApril 4, 11, 18& 25, 11 a.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

POSTPARTUMDEPRESSIONApril 4, 11, 18& 25, 1-2:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

BREASTFEEDING SUPPORT GROUPApril 5, 12, 19& 26, 1-2:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-3035

BREASTFEEDINGApril 5, 6-9 p.m.Banner Good Samaritan1111 E.McDowell Rd., Phx

WOMEN’S SERVICESUNIT TOURSApril 5 & 19, 7 p.m.MountainVistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)

BREASTFEEDINGApril 6, 13, 20& 27, 10 a.m.Mercy Gilbert3555 S.ValVista Dr., Gilbert480-728-5414

OB ORIENTATIONApril 9, 17, 21& 30, 6 p.m. & 7 p.m.Banner Gateway1900N. Higley Road, Gilbert602-230-2273

BABY CARE CLASSApril 9, 6-8:30 p.m.Banner Good Samaritan1111 E.McDowell Rd., Phx

POSTPARTUMDEPRESSIONApril 10, 17& 24, 10-11:30 a.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5292

NURSINGMOMSApril 10, 10:30 a.m.-noonBanner Del E.Webb14502W.Meeker Blvd.Sun CityWest800-230-CARE (2273)

PRENATAL CLASS - SERIESApril 10, 17& 24, 6-9 p.m.Banner Good Samaritan1111 E.McDowell Rd., Phx

OB ORIENTATION - TOURApril 21, 5:30-7 p.m.Banner Good Samaritan1111 E.McDowell Rd., Phx

PRENATAL CLASS – ONE DAYApril 28, 9 a.m.-4 p.m.Banner Good Samaritan1111 E.McDowell Rd., Phx

WEBSITES FOR MORE INFORMATION• Abrazo Health Care (Arizona Heart Hospital, Arizona HeartInstitute, Arrowhead Hospital, Maryvale Hospital, ParadiseValley Hospital, Phoenix Baptist Hospital,WestValleyHospital): abrazohealth.com

• Banner Health: bannerhealth.com

• Cardon Children’s Medical Center: bannerhealth.com

• Chandler Regional Medical Center: ChandlerRegional.org

• Duet, Partners in Health & Aging: duetaz.org

• HealthSouth Rehabilitation: healthsouth.com

• Humana: humana.com• John C. Lincoln Hospital: JCL.com• Mercy Gilbert Medical Center:MercyGilbert.org• MountainVistaMedical Center:mvmedicalcenter.com• Scottsdale Healthcare: shc.org• St. Joseph’sHospital andMedical Center: stjosephs-phx.org• St. Luke’sMedical Center, Phoenix: stlukesmedcenter.com• Tempe St. Luke’s: tempestlukeshospital.com• TheWellness Community-AZ: twccaz.org

AMAZINGWOMAN:BEYOUR BEST SELFAPRIL 5What: Speakers, food andbreakout sessionsWhere: U.S. Airways Center,201 E. Jefferson St., PhoenixTime: 5-8:30 p.m.Cost: $15; free parkingTickets: 877-602-4111Sponsored by: St. Joseph’sHospital and Medical Center,Phoenix Suns & MagellanHealth Services

TOBACCOCESSATION CLASSESAPRIL 5 (8-WEEK SESSION)What: Tobacco cessation classestaught by registered nurse andregistered respiratory therapistwho are trained tobacco treat-ment specialistsWhere: Scottsdale HealthcareOsborn Medical Center, 7301 E.Fourth St., Scottsdale

Time: Thursdays, 5-6 p.m.Cost: FreeRegister: 480-882-4636; shc.org;[email protected]

CAREGIVER RETREATAPRIL 14What: Relaxing activities, foodand presentationsWhere: Sponsored by Duet atFranciscan Renewal Center,5802 E. Lincoln Dr., Paradise ValleyTime: 10 a.m.-4:30 p.m.Cost: $12 includes lunchRegister: 602-274-5022, Ext. 43

ALCOHOLISM &TREATMENTApril 17What: How can you tell if someoneis abusing alcohol?What treat-ments are available for alcoholism?Where: Glendale Foothills Library,19055 N. 57 Ave., GlendaleTime: 6:30-7:30 p.m.

Info: [email protected]; 623-930-3868Presented by: Presented byPamela Potter, Ph.D., Chair,Pharmacology, Arizona College ofOsteopathic Medicine

INFANT CPR CLASSAPRIL 21What: Learn how to treatforeign-body airway obstructionof an infantWhere: St. Joseph’s Learning Insti-tute, 3115 N. Third Ave., PhoenixTime: 10 a.m.-noonCost: $20Register: 877-602-4111Facilitated by: United Phoenix FireFighters Association using AmericanHeart Association curriculum

TOP Events

COMMUNITYCARDIACHEALTHSCREENINGAPRIL 21What: Screening for peripheral artery diseaseWhere: Gavilan Peak Family Practice, Anthem Health Center,3648W. AnthemWay, AnthemTime: 10 a.m.-2 p.m.Cost: First 27 appointments at no charge; additional screenings $55Also: Screenings for carotid artery disease or abdominal aorticaneurysm, $55 eachAppointments: 602-368-0458

WEDNESDAY, April 4, 2012 | LIVING WELL A-Z | 5

Breast Cancer:A Multidisciplinary ApproachLearn the latest about breast

cancer diagnosis and treatment.Tuesday, April 17; 6 pm

Banner Gateway Medical CenterRSVP: (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

I thought I was healthy and fit. WhenI learned I had a two-inch hole in myheart, my world turned upside down.Today I’m training for a marathon.My answer was Mayo Clinic.

Monica Harlow, Maricopa, AZ

Monica Harlow led an active life despite being born with a serious heart condition.When a checkup showed that she might need a transplant, she was referred toMayo Clinic. Monica’s team was able to close the hole in her heart using herown natural tissue. For more information or to schedule an appointment, visitmayoclinic.org/arizona or call 800-446-2279.

BARIATRIC PROGRAMHear aboutmedical& surgical

treatments for obesity.

THURS., APRIL 5:6-6:45PM

TUES., APRIL 17:6-6:45PM

(480) 301-4533MayoClinic.org/Arizona

EXPERTS

CATARACT & REFRACTIVE SURGEON

Scott A. Perkins, MDAs a nationally recognized ophthalmologist with Barnet Dulaney Perkins EyeCenter, Dr. Perkins has performed more than 50,000 cataract surgeries and morethan 10,000 vision correction procedures such as LASIK and Implantable ContactLenses (ICLs).As an innovator in the field of ophthalmology, he has participated inover 25 clinical trials for both pharmaceutical and ophthalmic devices.

In addition, Dr. Perkins serves on the Board of Directors for Arizona Visionaries,a donor driven non-profit organization providing cataract surgery and eyeglassfittings in third world countries. He is not only trusted for his surgical talents andmodest nature, but is also well known for his compassion and ability to connectwith and comfort patients.

Board Certified by the American Board of OphthalmologyMember of the American Society of Cataract and Refractive SurgeryFellow of the American Academy of Ophthalmology

Locations throughout Arizona(800) 966-7000 / www.GoodEyes.com

David Glassman, D.O

With a special interest in laproscopic surgery, Dr. Glassman offers all aspectsof gynecologic care. He earned his medical degree at the Arizona Collegeof Osteopathic Medicine of Midwestern University in Glendale, AZ, beforecompleting his internship and residency at Banner Good Samaritan MedicalCenter in Phoenix.A board certified gynecologist, Dr. Glassman is activein a number of professional organizations and continues to teach medicalstudents at his alma mater.

GYNECOLOGY

Banner Health ClinicSpecializing in Gynecology4444 N. 32nd Street • Phoenix602.747.7026 • www.BannerHealth.com/BMG-32ndStreetGyn

Minh-Hoang N. Le, M.D.

Dr. Le is a family practice physician who provides personalized health careto patients of all ages.A graduate of the University of Kansas School ofMedicine, he came to Phoenix to complete his residency at St. Joseph’sHospital and Medical Center. Board certified by the American Board ofFamily Medicine, Dr. Le is a member of the American Academy of FamilyPhysicians and the Arizona Academy of Family Physicians.

FAMILY MEDICINE

Banner Health ClinicSpecializing in Family Medicine1300 N. 12th Street • Ste 312 • Phoenix602.839.0444 • www.BannerHealth.com/BMG-12thStreetFamily

Take time for your health and join usfor Healthy Hours.

To register and viewthe complete HealthyHours schedule, visitazhealthyhours.comor call 1.855.292.WELL(855.292.9355)

Time to get healthy!

Mondays, April 2, 9 & 16, 1:00 - 2:30 pmWest Valley Hospital13677 W. McDowell Rd., Goodyear

Wednesdays, April 4, 11, 18, 1:00 - 2:30 pmParadise Valley Hospital3929 E. Bell Rd., Phoenix

Every Monday, Wednesday, and FridayPhoenix Baptist Hospital2000 W. Bethany Home Rd. Phoenix

DIABETES CLASSES

$10 HEART SCREENINGSaturday, April 21. 7:00 a.m. - 9:00 a.m.Arizona Heart Hospital1930 E. Thomas Rd., PhoenixScreening includes, Blood pressure, Total cholesterol, Bloodsugar and Coronary risk factor assessment. For accurate resultsavoid food and drink (other than water) 6 to 8 hours prior.

Search for doctors inover

30 medical specialties

The Most RespectedPhoenix Physicians

Shoes often the culpritGillroy said shoes with a narrow toe-boxthat confines the forefoot can worsentendencies toward two foot conditions:bunions and neuromas.A bunion, which can be genetic, is a bony

protrusion around the big toe joint nearthe base of the toe. The deformity can beespecially pronounced and surgery mightseem like the only option. But Gillroy saidpatients don’t need surgery unless they’resuffering from significant pain. “Customorthotics can prevent over-pronationwhile walking and that may be enough toprevent progression of the bunion,” shesaid. Additionally, shoes may be able tobe stretched in the area of the bunion toaccommodate the misshapen bone.A neuroma is a thickening of nerve tissue.

Anything that causes compression or irrita-tion of the nerve can lead to the develop-ment of a neuroma. Themost common typeis calledMorton’s neuroma and it occursbetween the third and fourth toes. Symp-toms include tingling, burning, numbnessor pain, and a feeling that something isinside the ball of the foot itself or inside theshoe near the toes.It ismost often treated conservatively

with shoe padding, ice application, orthoticdevices, activitymodification, anti-inflamma-torymedications, notwearing high heels andensuring that shoes have awide toe-box.

Additional issuesAnother problem in feet isplantar fasciitis,which can affect up to 10 percent of theU.S. adult population each year. It’s causedby overly flat feet or high-arched feet andfrequently presents as pain on the bottomof the heel. It is oftenmanagedwith exerciseand lifestylemodification, according tothe American College of Foot and AnkleSurgeons. Exercises that stretch out the calfmuscles can help, as can avoiding goingbarefoot.When youwalkwithout shoes, youput undue strain and stress on your plantarfascia, the College’s website says.Icing your heel several times a day and

resting feet as much as possible helpsreduce inflammation, said Gillroy.Wearingsupportive shoes with good arch supportand a slightly raised heel reduces stress onthe foot, she noted.A cortisone injection at the site of the pain

can be especially effective against persis-tent discomfort, Gillroy said, adding that a

long-term solution for plantar fasciitismay beprescription orthotics that“force the foot tofunction in amore neutral position”insteadof in a pronated (turned-out) position.Hammertoe is a bending of one or both

joints of the second, third, fourth or fifthtoes. This abnormal positioning can putpressure on the toes whenwearing shoes.Hammertoesmost commonly are causedby either amuscle or tendon imbalance.The problem often can bemanagedwiththe same conservativemeasures used forplantar fasciitis and bunions. However, if thehammertoe becomesmore rigid or painful,or when an open sore develops, surgerymaybe needed, Gillroy said.

A patient’s adviceDiagnosed with Type 2 diabetes nearly 50years ago, Glendale resident RalphWydrahas had challenges with his feet due to thedisease, and admits that, for decades, heignored his doctor’s advice about healthyliving. In 2000, he was diagnosed with Char-cot arthropathy, where the bones in the footbecomeweakened and can fracture easily,even without major trauma.Whether patients confront minor,

moderate or severe foot issues,Wydra isconvinced it’s vital to listen to your doctor.“If I had followedmy doctor’s advice backwhen I was first diagnosed with diabetes,”he said, “I might have been able to avoidthe problems I’ve had with my feet. Butsince I’ve gotten better at following doc-tor’s orders, I’ve been able to improve mysituation and have even been babysittingmy granddaughter for the past four years.You just have to make up your mind thatyou’re going to take care of yourself.”

If you find yourself needing foot surgeryfor bunions, hammertoes, an Achil-les tendon rupture or something morecomplex, should you seek help from aqualified podiatrist (a doctor speciallytrained to treat the foot and ankle) or aqualified orthopedic surgeon who spe-cializes in foot and ankle surgery?

It’s a question that can be daunting forpatients who aren’t familiar with theparticulars of each specialty.

Doctor of PodiatricMedicine (D.P.M.)A doctor of podiatric medicine (D.P.M.)attends podiatric medical school forfour years and then completes anextensive three-year residency pro-gram that focuses on foot and anklesurgery. Today all graduating podiatrystudents are surgically trained, saidKelley Gillroy, D.P.M., a clinical assis-tant professor at Glendale’s ArizonaSchool of Podiatric Medicine, part ofMidwestern University. Many years ago,it was optional for podiatry students tocomplete surgical training.

Orthopedic SurgeonAn orthopedic surgeon who specializesin foot and ankle surgery is a medicaldoctor (M.D.) or doctor of osteopathy(D.O.) who has graduated from medicalschool, completed a multi-year surgicalresidency and completed fellowshiptraining in foot and ankle surgery.

“The majority of podiatrists are ex-tensively trained in foot and ankletrauma and reconstructive surgery,”said AnthonyWill, D.O., chair of osteo-

pathic medicine at the Arizona Collegeof Osteopathic Medicine in Glendaleand a board-certified family medicinepractitioner at Midwestern Univer-sity’s Multispecialty Clinic.“If a patientprefers an orthopedic surgeon, I alwaysrecommend that the patient choosesomeone who specializes in foot andankle surgery, rather than a generalorthopedic surgeon.”

Ask plenty of questionsWhether you choose a podiatrist or anorthopedic surgeon, don’t hesitate toask plenty of questions, advises MarkCampbell,M.D., a Sun CityWest ortho-pedic surgeon who is fellowship-trainedin foot and ankle surgery. After a treat-ment plan has been presented to you,ask the doctor how often he or she hasperformed the specific procedure youneed and how often the procedure hasbeen successful, and make sure you feelcomfortable with the answers.

Don’t be shy about letting the doc-tor know you want a second opinion.“Ask the doctor for names of col-leagues who you can consider for asecond opinion,” Campbell said. “Ifthe doctor recommends against asecond opinion, the patient should notstay in that doctor’s care. A reputable,confident doctor always welcomes asecond opinion.”

More info• Arizona Podiatric MedicalAssociation: apma.org

• American College of Foot and AnkleSurgeons: foothealthfacts.org

Grandpa reaps benefits

After being diagnosed with Charcotarthropathy, Glendale resident RalphWydra underwent extensive surgeryon his right foot. He recovered, butlater developed several wounds, oneof which didn’t heal properly. Ad-ditional surgery was required, andsince then,Wydra has lost nearly 100pounds and has been able to avoidbecoming insulin-dependent. Takingbetter care of himself has allowedhim to spend quality time with his4-year-old granddaughter.

Continued from COVER:Head toToe

RICK

D'ELIA

Which specialist should you choose?

6 | LIVING WELL A-Z | WEDNESDAY, April 4, 2012

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QUESTION:Whatshould I do if I spota rattlesnake?Answer: Staying aware ofyour surroundings is thebest defense in avoiding arattlesnake confrontation,especially outdoors. Keepdistractions to a minimum; ifyou’re doing yard work, payattention to your work areaand avoid listening to musicon headphones or talkingon your cell phone. Keepa phone nearby, however,in case you need to call forhelp. Also, wear long pantsand closed-toe shoes forextra protection. If you dosee a rattlesnake, simplywalk away. Do not approachthe snake or try to steparound or over it. Generally, arattlesnake will only bite if itfeels threatened, so puttingdistance between you andthe snake is a safe measure.If you are bitten, move

away from the snake asquickly as possible and donot attempt to capture it. Donot apply ice or try to cut thebite or suck out the venom.Keep blood-flow to the areaunrestricted and removeany jewelry near the bite,since the bite area will swellsignificantly. Call either 911or Poison Control at 800-222-1222. While rattlesnake bitescan be extremely painful andmay cause some illness, withprompt medical attentionthey are rarely fatal.

MICHAEL LEVINE, M.D., IS AMEDICALTOXI-COLOGIST AT BANNER GOOD SAMARITANMEDICAL CENTER IN PHOENIX

QUESTION: How canI ensure I select thecorrect hearing aid?Answer: I believe youwill haveamore fulfilling hearing aidexperience if you dig deep tocomprehend the impact yourhearing loss has had on yourlife emotionally, behaviorally,mentally and socially.Write theissues downbecause theywillbecome a roadmap for bothyou and your hearing health-care professional. Many hearinghealth-care professionals haveassessment scales designed tohelp you understand problemscaused by your hearing loss.Once you know your problems,you and your provider can bet-ter identify the best hearing aidfor you and your lifestyle.

ROBERT BABER IS A BOARD-CERTIFIEDHEARING INSTRUMENT SPECIALIST ANDOWNER OF 21MIRACLE-EAR CENTERSLOCATEDTHROUGHOUT ARIZONA

QUESTION: Are anxi-ety and panic attackshereditary?Answer:Fairly often, panicdisorder seems tobe inherited,ormore specifically shared, bysiblingswhogrewup together.Bothgenetics andenvironmentplay a role inmakingapersonsusceptible topanic attacks.Researchdone inpairs of twinsame-gender siblings shows thatforpanicdisorder andgeneral-izedanxietydisorder, familyhis-tory is considerablymorepower-ful thanaperson’s life experience.Theexactgenes involvedhavenotbeen identified.

LOIS E. KRAHN, M.D., IS A PSYCHIATRIST ATMAYO CLINIC IN ARIZONA

ASK AN EXPERTHealth-care advice

BYBRIANSODOMA

Bathing suit seasonmaymeanagymmembership for somepeople, but a lotof folksmight opt for an in-homegym

instead.Theupside to today’s tough times isthat prices onnewandused fitness equip-ment tend tobe very reasonable. But there isplenty to learnbefore youbuy.

Lots of optionsIf you’re on abudget, you can findways tomeet your exercise needswithout breakingthebank. Simplicity is key according toKrisBirkeland, a sports chiropractor andowner oftheValley’s twoAthletic Republic locations.Birkeland said dumbbells and an exercise

ball are great starters that, with a littlecreativity and just a couple hundred dollars,can help someone safely and inexpensivelytargetmanymuscle groups.“Machines tendto limit your range ofmotion, whereaswithfreeweight, you can engage your core (mid-section),”he added.Birkelandalso likesdoorway-mountedpull-

upbars anddipbars for upper-bodyexercises.Theyare low-maintenance, low-cost anddon’ttakeupmuch space. If you’re lucky andhap-pen tohavea few thousanddollars to spend,he recommendsadual-cablecrossover system,or a functional trainer.The stand-upmachinesoffer virtually any resistanceexercise that cantarget the chest, back, armsandeven legs.

Doyour homeworkAndrewFodge, owner of Fitness byAndrewLLC in Scottsdale, suggested that consumersfirst check-out brands and styles of equip-ment at a local gymbefore buying their own.Themachines at gyms are commercial-gradeand canbe found throughonline dealersor other online services, often at a discount.These brands tend to also sell higher-graderesidential equipment too, Fodge explained.JustinHumpal, ownerofSports andFitness

Exchange inPhoenix, saidusedcommercial-gradeequipment like freeweightsandcablemachinesareagoodvalue.Butwhen it comesto treadmills andelliptical trainers, ormachineswithmotors, electronicsandmovingparts, con-sumers shouldbecautious.“If it’sbeen inagym,it’sprobablygottena lotofuseandyoudon’tknowhowmuch life is left in it,”hewarned.

Costs varyHumpal said thatmost new treadmills andelliptical trainers cost between $500 and$1,000, whereas used equipment, depend-ing on condition, tends to sell at roughly40 percent of new retail pricing. He notedthatmany treadmill and elliptical trainermanufacturers offer one-year frame andmotor warranties and only 90 days onparts and labor. Better brands often offerone year on the latter and also an option toextend thewarranty.While usedequipment comes at a deep

discount,warranties don’t transfer to thenewowner, Humpal cautioned.The equip-ment expert also advises checking ausedtreadmill’smileage. A simplephone callor loggingonto amanufacturer’swebsitecan instruct a buyerwhere to look for theinformationona specificmodel.“It’s oneof the first things I showpeople

when they look at amachine.Theyneed tobe comfortablewithwhat they’re getting,”Humpal said.

In-home fitness equipmentBig results possible at low cost

4questionsto ask yourself

before you buy:1. Is it a reputable brand?

2.Does the warranty include partsand labor?

3. If it’s a used treadmill or ellipticaltrainer,what is the mileage?

4. If used, does the price seemreasonable compared to the priceof comparable new machines?

Considera trainerAndrew Fodge,owner of Fitnessby Andrew LLCand a personaltrainer for 16years, believesthat a session ortwo with a trainercan help you getthe most out ofcable crossovermachines as wellas free weights.

“People callme out to showthem newexercises. It’sreally fun togo back laterand see theimprove-ment,” he said.“A personaltrainer doesn’tneed to besomeoneseeing youthree timesa weekand holdingyour hand.”

Andrew Fodge

LivingWell a-z invites readers to submit questions to a panel of health-care experts.The short questions and answers will offer readers a little more information abouthot topics in medicine and refer you to other resources where you can learn more.Responses will also arm you with information so you know what to ask your ownhealth-care providers.If you would like your question to be considered for theMay 2, 2012 issue of LivingWell a-z, please write to editor:

Paula Hubbs Cohen, [email protected] c/o The Arizona Republic, 200 E.Van Buren St., CA22 Phoenix, AZ 85004

WEDNESDAY, April 4, 2012 | LIVING WELL A-Z | 7

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