LivingWellAz-Feb.2013

HEALTHCARENews

WHO should you trustwhen it comes to

your health: your “gut” oryour doctor? Answer: Both.“I encourage my patients to trust both

their intuition about their own body andtheir doctor,” said Jennifer Hartmark-Hill,M.D., a Phoenix family medicine physicianand assistant professor at the Universityof Arizona College of Medicine-Phoenix.For example, if you’re worried that

something is wrong medically, but testsshow everything is normal, “it’s wiseto have a discussion with your primarycare physician, who can guide youthrough an analysis of other factors thatimpact likelihood of illness and the mostappropriate course of action and timelinefor follow-up,” Hartmark-Hill said. In somesituations, she said, such as a concernabout breast health where no problemis found on imaging, your doctor cantell you changes to watch for and reportimmediately.“The bottom line is that you know

your body and what’s normal for you,”she said. “No test is 100 percent accurate,so sometimes repeat testing at a laterdate or a referral for further evaluationis appropriate.”

WHAT effects dopregnancy and

the early months of mother-hood have on your health?Answer: More than you thought.Most of us know about nausea and

vomiting in the early weeks, but did youknow that pregnancy can cause nasalcongestion, nosebleeds and slightlyblurry vision?Nasal congestion is caused by extra

estrogen that makes nasal membranesswell, explained Lisa Jaacks, M.D., a GlendaleOB-GYN. Thebloodvessels in your noseexpand during pregnancy,making nose-bleedsmore likely, while vision changesare caused by a swelling of the lens.In addition, blood pressure drops during

pregnancy, putting you at risk for dizzinessand fainting. Pregnancy hormones alsocause relaxation inmuscles and ligaments,making youmore prone to back andknee injuries, Jaacks said. Pregnancy andchildbirth are themost common causes ofpelvic prolapse, she added, which can leadto urinary incontinence.Heart volume changes, stemming from

increased blood volume, can result inan irregular heartbeat, said Mike Foley,M.D., chair of the OB-GYN department at

Women’s wellness:Thewho, what, when, where, why and howLearning the basics, journalism style BY DEBRA GELBART

Continued on page 8WOMEN’SWELLNESS

HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYTHE ARIZONA REPUBLIC A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vol. 3, No. 2 February 2013HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYA SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vo

wellaz-az-

University of Arizona breast cancer study looking for participants

Women face a variety of health issues specific to their gender. Experts advise staying in tune with your body, following your doctor’sadvice for screenings and understanding your specific risk factors.

RICKD’ELIA

Banner Good Samaritan Medical Center inPhoenix. The “mask of pregnancy”—a rash around the mouth and on the chinor dark coloring on the face— is alsocommon, he said.The good news? Pregnancy reduces

your lifetime risk of colon, uterine andovarian cancers, Foley said.

WHEN should you bemost concerned

about cancer?Answer: For most cancers,beginning in middle age.The risk of cancer increases with age,

said Gerry Kato, M.D., a Scottsdale medicaloncologist, but regular screeningscan catch cancer early, when it’s mosttreatable. Breast and uterine cancer seemto be more prevalent in the decade of the60s, he said, but ovarian cancer incidencejumps in the mid-50s.Screening recommendations include

a colonoscopy at least every 10 yearsbeginning at age 50, Kato said, noting thatcolon cancer is the third-leading causeof cancer in women, behind lung andbreast cancer.

Flu fightingThe best defenseis a good offenseBY KRISTINE BURNETT

When it comes to the flu, Ben Franklinwas right: an ounce of prevention really isworth a pound of cure.The nation — and Arizona — has been

hit hard by the flu this year. And whilethe number of confirmed cases continuesto rise, Cara Christ, M.D., chief medicalofficer for the Arizona Department ofHealth Services, said that’s just the tipof the iceberg.“Reports of people affected by the flu

only reflect those individuals who havebeen seen by a physician and whose labtests confirm flu,” she said. “Most peoplecope without seeking medical attention,so the actual incidence of flu is likelymuch higher.”If you have already had your flu vaccine,

whether in the form of an injection or nasalmist, you have a solid layer of protection tohelp ward off infection. But if you haven’tbeen vaccinated, rest assured that it’snever too late to fight the flu.Following are some facts about the flu

and tips for protecting yourself and thosearound you.

Q: What is the flu?A: Christ describes influenza virus,commonly known as the flu, as a complexand somewhat tricky viral infection of thelungs, throat and/or sinuses that causes anarray of symptoms ranging from coughing,sneezing and a runny nose, to sore throat,fever andmuscle and body aches.

Q: When is flu season?A: The Centers for Disease Control andPrevention determines the official startof flu season, which typically begins thefirst week of October. In Arizona, the peakusually hits between February and March;however, a recent influx of cases put thisyear’s season ahead of schedule.

Q: How can I avoid getting the flu?A: Vaccination is by far the most effectivemeans of preventing the flu. Other tipsinclude washing your hands regularlywith warm soapy water, coughing andsneezing into your arm rather than yourhands, and staying home when sick.

Q: When is the best time to get a flu shot?A: The ideal time to get vaccinatedagainst the flu is between September andNovember; however, getting vaccinated

Continued on page 8 FLU FIGHTING

IN THIS ISSUE:COVER/08: WOMEN’S WELLNESS,

FLU FIGHTING02: COLORECTAL CANCER03: CHILD-PROOFING YOUR HOME04: FOOD SAFETY05: MENTAL HEALTH06: SUPPORT GROUPS/EVENTS07: SUPPORT GROUPS/DEALS09: DEEP VEIN THROMBOSIS

GOAL: See if a naturally occurringcompound found in broccolican improve the effectivenessof tamoxifen in women at riskof developing breast cancer orpreviously treated for early-stagebreast cancer.

ACTIVITIES: Take supplementor placebo for 18 months; studyvisits; more.

ELIGIBILITY: Female 18 or older;planning to take tamoxifen fornext 20months; survivor of early-stage breast cancer or at high risk

for developing breast cancer; notinvolved in other research studies.

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INFO: Dianne Parish, 602-264-4461or Patti Blair, 480-461-3772

Suzanne Sorof, M.D., a cardiologist in Mesazazazannnnnneee SoSoSoSoororororof,f,f,f, MMMM.DDD.D.D..,.,., aaa ccccararararddidididiollololologogogogogiisisisisi tttt iininin MMMMMesesesese aaaaSSuSuSuSuuzzzSuzanne Sorof, M.D., a cardiologist in MesaLisa Jaacks, M.D., an OB-GYN in GlendaleLLiLiLiisasasa JJJJaaaaaa kckckckcks,s,ss, MMMMM.D.DD.D.D.,.,., aaaannn OBOBOBOBOB-G-G-G-GGYNYNYNYN iiiinnn GGlGlGlGlenenenddadadadaleeleleleleLisa Jaacks, M.D., an OB-GYN in Glendale

Gerry Kato, M.D., a medical oncologist in ScottsdaleGGeGeGeGeGerrrrryyyyy KKaKaKaKatotototot ,,, MM.M.M.M.D.D.DD.D ,,, aaa memememedididididicacaccallll onononncocoollolololo igigigigigiststststs iiiinn ScScScSccotototottstststsddadadadaleeleleleleGerry Kato, M.D., a medical oncologist in ScottsdaleLinda Greer, M.D., a radiologist and medical director of the

John C. Lincoln Breast Health and Research Center in PhoenixLLiLiLiLi ddndndndndaaa GGGrGrreeeeeerr,r, MMMMM DDD.D.D. .,., aaaa rrr ddadadaddiiioioolllloloo iiigigigi ttststs aaa ddndndnd mmm ddedededdiiicicic llalalal dddddiiiririrecece tttototorrrr fofofof tttheheeheheh

JJJoJoJooohnhnhnn CCCC.. LiLiLiL ncncncolololnnn BrBrBrB eaeaeaststst HHHeaeaealtltltlthhh ananana dddd ReReReReR sesesearararrchchchch CCCenenene teteteerrr ininin PPPPhohohoh enenenixixxxixLinda Greer, M.D., a radiologist and medical director of the

John C. Lincoln Breast Health and Research Center in Phoenix

We recently asked several Valley physicians to answer a half-dozen questions that zero in onthe essence of managing a woman’s health. (Note to men: we’ll do the same for you in a

future issue of Living Well.)

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VITAL Signs

unexplained anemia and weightloss. He recommends that anyoneexperiencing these symptoms,regardless of age, talk with theirphysician immediately.While the risk for colon cancer

is higher with age—more than90 percent of cases happen inpeople who are age 50 or older,cites the CDC— other risk factorscan include a family history ofcolon polyps or cancer, lifestylecomponents like obesity and poordiet, and other gastrointestinalissues such as inflammatorybowel disease.

Screeningmethods“While there are many screeningmethods available, traditionalcolonoscopy remains the‘golden standard,’” said TomislavDragovich, M.D., Ph.D., division chief ofhematology and oncology at Banner MDAnderson Cancer Center, and a specialistin gastrointestinal malignancies.During a colonoscopy, a thin, flexible

tube called a colonoscope is insertedinto the colon so physicians can look forpolyps or other abnormalities. Medicalexperts advise that people begin havingcolonoscopies at age 50 or soonerdepending on their individual risk factors.While the procedure is slightly invasive,Dragovich stresses that it can save lives.“People feel that it [a colonoscopy] is

more invasive than it really is,” he said.“Colorectal cancer is highly curable whendetected early. It’s all about educatingthe public; we’re still missing a lot ofopportunities to screen people at risk.”While a colonoscopy remains the gold

standard, there are other ways to check forthe disease. Reed said that other detectionmethods can include:• Virtual colonoscopy: uses CT scanningbut may lead to a colonoscopy

• Fecal immunochemical test:detects blood in stool

• Flexible sigmoidoscopy: a scopeviews only the lower colon. (It shouldbe performed in conjunction witha barium enema to view the restof the colon.)

• Air contrast barium enema: a typeof X-ray that outlines the colon wall

Treatments“Colorectal cancer is treated differentlydepending on the location of the tumor,”said Luci Chen, M.D., a practicing partnerat Arizona Radiation Oncology Specialists.“A treatment plan is not a cookbook—there are guidelines, but it depends onthe diagnosis, stage of the cancer and thepatient’s needs.”Treatments can have varying side

effects, including fatigue, diarrhea, nauseaand more. In some cases, a patient mayneed a colostomy— a way to make a newpath for waste by creating an opening inthe abdomen— either permanently ortemporarily.Overall, Chen emphasized that the goal

of treatment and advancing medicine is toeither cure the disease or help it becomea chronic, manageable condition.

ResourcesCenters for Disease Controland Prevention: cdc.gov

Colorectal Cancer Alliance(CCA), Central Arizona:ccalliance.org/centralaz

TheWellness Community:twccaz.org

Colorectal cancer, which is cancer ofthe colon or rectum, is the second

leading cause of cancer-related deathsamong cancers that affect both menand women, according to the Centers forDisease Control and Prevention (CDC).The disease most often affects people

over 50 but can be found in youngerpatients, too. Proper screenings can lead toa higher cure rate or even prevent cancerin certain cases if polyps are detected andremoved during a typical screening exam,such as a colonoscopy.

Signs and symptomsColorectal cancer, often called coloncancer for short, affects the colon(the large intestine) or the rectum, thepassageway that connects the colon tothe anus, according to the ColorectalCancer Alliance (CCA).

The disease shows varying symptomsand is treated differently depending onits location (whether it is in the colon orrectum), said Darrell K. Reed, M.D., a board-certified gastroenterologist practicingat Mountain Vista Medical Center andMountain Vista Gastroenterology.Reed said the symptoms of colorectal

cancer are few until the disease isrelatively advanced. Common symptomscan include abdominal pain, change inbowel habits, rectal bleeding, weakness,

SurvivorsstressimportanceofscreeningsRamona MacKenzie was diagnosedwith colon cancer in 2009. Since then,the former teacher has dealt withdebilitating physical problems thatoften leave her homebound. As asurvivor, she advises others to explicitlyfollow screening guidelines.“If I had gone in at age 50 when

it was recommended, the polyp wouldprobably not have been cancerous,”MacKenzie said. “My only symptomwas a little blood in my stool. Aftermy diagnosis, both of my sisters weretested and one had three polyps.”Another survivor, Betty Rose

DeCarlo, an Arizona Ambassador forthe Colorectal Cancer Alliance, wasdiagnosed in 2005. She originallythought she had hemorrhoids.“I thought I was just fine, but I waitedtoo long— I was diagnosed with stage3 colon cancer,” DeCarlo said.Over the past eight years, DeCarlo

has experienced surgery, radiation,chemotherapy, the cancer spreading,numerous hospital stays and beingupgraded from stage 3 to stage 4cancer. From her experiences withother survivors, she suggests thatage 50 may be too long to wait if yoususpect something is wrong.She’s currently receiving treatment

for cancer spots on her lungs andcredits her faith for keeping her going.“I’ve experienced many miracles andlook forward to more,” DeCarlo said.“Colon cancer can be prevented ifscreened and found early…preventionis the whole story.”

“Colorectal cancerscreenings should bepart of your generalhealth maintenance.Any kind of screening isbetter than ignoring it.”

— Tomislav Dragovich, M.D., Ph.D.,division chief of hematologyand oncology, Banner MD AndersonCancer Center

THINKS

TOCK

Colorectal cancerEducation and screenings save livesBY MICHELLE TALSMA EVERSON

2 | LIVING WELL A-Z | WEDNESDAY, February 6, 2013

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• Kitchen and bathroom cabinets:Both experts advocate using goodcabinet latches like a two-piece latch,magnetic locks or push-down swivellocks. Watkins, however, does notrecommend using swivel latches ina home with young children, dueto the risk of leaving the lock in theunlocked position.

• Stairs: Stairways should have a hard-mounted, stairway-rated safety gate atthe bottom and the top of the stairs,but never on the steps. Also, a pressuregate should never be used at the topof the stairs because small hands couldpry it away from the wall and the forcecould send a child hurtling to thebottom of the stairs in seconds.

• Electrical outlets:Many well-meaningfolks use the simple, plastic prong-style electrical outlet covers, which arefine, but they really only are effective,according to Dastrup and Watkins, if

outlets. These, as well as cords, are amongcommon household items that might needto be relocated, said Watkins, who offersfree, in-home consultations and same-dayinstallation, as does Arizona Childproofers.Watkins also suggests that you look

around your house and study any largepieces of furniture, since while thefurniture might be sturdy, once you openup all the drawers, which a child maydo, the piece may tip due to the drasticweight shift.

Typical areas of concernBoth Dastrup and Watkins said there area few areas around the house that mosthomeowners can always make safer fortheir kids or grandkids and, in some cases,for the elderly and/or pets as well.

HER Story

ResourcesAmerican Academyof Pediatrics: aap.org

American Academyof Pediatrics, Arizona chapter:azaap.org/healthychildren

Arizona Childproofers:azchildproofers.com

Baby Safe Homes:babysafehomes.com

International Associationfor Child Safety: iafcs.org

Safe Kids USA: safekids.org

Parents obviously don’t intentionallycreate dangerous environments

for babies and toddlers. Often, expertssay, they just don’t recognize theimminent threats a typical householdposes for children.

Lifesaving advice“We feel like every time we walk into ahome, we save a life,” said Nancy Dastrup,a mother of five and grandmother of sevenwhose family owns Scottsdale-basedArizona Childproofers.Todd Watkins, owner of the Phoenix-

based Baby Safe Homes and the father oftwo young children himself, agreed andnoted that creating a safe environmentfor children to learn, grow and exploreoften just means using common sense.

Baby’s eye levelWatkins recommends getting down at ababy’s eye level to see what a tyke mightsee: electrical outlets, doorstops withrubber knobs and unprotected electrical

Childproofing your homeBetter safe than sorry – take precautions to ensure little ones’ safety BY GREMLYN BRADLEY-WADDELL

“Watching yourchild supersedes anybaby-proofing.”

— ToddWatkins, Baby Safe Homes

KIDS’ Korner

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General Manager: CAMI KAISER,[email protected] Creative Development:ISAAC MOYA,[email protected]: PAULA HUBBS COHEN,[email protected]

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 healthcare costs in check. This publication isproduced by Republic Media Custom Publishing. For questions concerning any content included in this publicationplease contact: Editor Paula Hubbs Cohen, [email protected] or call 602-444-8658.

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they are left in the outlet. Once they’reout, they pose a choking hazard. BothArizona Childproofers and Baby SafeHomes, therefore, prefer self-closing(springing slide action) outlet covers.

WEDNESDAY, February 6, 2013 | LIVING WELL A-Z | 3

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Robert Fintelmann, MDDr. Fintelmann is a board certified Ophthalmologist by theAmericanBoard of Ophthalmology and a fellow of theAmericanAcademy ofOphthalmology.He provides excellence in care of corneal disease,as well as cataract and vision correction surgery. Besides cataractsurgery and vision correction (including LASIK and ICL),he performsa range of procedures including corneal transplants,partial thicknesscorneal transplants (DSAEK), and laser surgery to implant intracornealsegments for keratoconus (Intacs).He has presented at national andinternational meetings and has published multiple peer-reviewedarticles.

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be corrected at a time agreed to andspecified by the regulatory authority, butno later than 90 days following inspection.“In some instances, failure to correct animminent health hazard may lead tosuspension of a facility’s operating permit,”Diloné said.

Making the gradeWhile food safety inspections are required,the grading or rating of restaurantsand other food service establishmentsin Maricopa County is voluntary. Foodservice operators are given the option ofparticipating in the grading process at theonset of an inspection. Those that chooseto participate are awarded a letter graderanging from A to D, determined by thenumber of Priority, Priority Foundationand Core violations.Inspection reports, which are a matter

of public record, serve as an indication of arestaurant or food service establishment’sability to meet and abide by food safetyrequirements. Inspection reports andgrades also give consumers an opportunityto make informed decisions about whereto dine. You can view restaurant inspectionreports at esd.maricopa.gov.

utensil and other physical facilities; food-handler licensing; health and hygienepractices; and more.

Prioritized violationsIn accordance with the 2009 Food andDrug Administration Food Code, violationsare categorized as either Priority (directlyrelated to foodborne illness); PriorityFoundation (items or behaviors that leadto or enable priority violations); or Core(sanitation violations not directly relatedto or considered causal factors offoodborne illness).Johnny Diloné, public information

officer with the Maricopa CountyEnvironmental Services Department,explained that Priority and PriorityFoundation violations must be correctedat the time of inspection or within 10days of inspection, based on complexityof the violation. Core violations must

ResourcesArizona Department of HealthServices Office of EnvironmentalHealth: azdhs.gov/phs/oeh

Centers for Disease Control andPrevention: cdc.gov/foodsafety

Food and Drug Administration:fda.gov/food/foodsafety

Maricopa County EnvironmentalServices Department:esd.maricopa.gov

For many families, eating out affordsthe opportunity to bond over good

food and great conversation. But if properfood safety practices are not followed,your order may pack a little more punchthan you bargained for.The Centers for Disease Control and

Prevention estimates that one in sixAmericans becomes sick and 3,000 peopledie annually from foodborne illnessescaused by bacteria, parasites and virusesfound in food and beverages. Since amultitude of pathogens like botulism,salmonella and E. coli can lead to morethan 250 serious and potentially deadlydiseases, restaurants and other foodservice establishments must remainon high alert.

Restaurant inspectionsAccording to Sherry Gillespie, governmentrelations manager at the ArizonaRestaurant Association, Arizona’srestaurant industry is a $10.5 billionbusiness comprised of 8,500 restaurantsthroughout the state. Each restaurantis required to follow strict operatingguidelines and remain under the watchfuleye of health inspectors. Food serviceworkers, including those who handle,prepare, serve, sell or give away food inrestaurants, hospitals, school cafeteriasand other food service venues, arerequired to be licensed.With authority from the Arizona

Department of Health Services,county health departments like theMaricopa County EnvironmentalServices Department conduct required,unscheduled food safety inspections toensure safe food-handling procedures andpractices are in place. Inspections takeinto account how food is stored, thawed,cooked and cooled; the maintenance,operation and cleanliness of kitchen,

Food safety when dining outRegulations and inspections help keep food illness in check BY KRISTINE BURNETT

THINK

STOC

K

SchoolcafeteriasmaintainvigilanceLike restaurants, school cafeteriasundergo inspections by the countyhealth department, but the sheerdaily volume of students, staff andfaculty who dine in school cafeteriasincreases the stakes when it comesto food safety. For example, thePeoria Unified School District (PUSD)has nearly 4,000 employees andmore than 36,000 students in 32elementary schools, seven highschools and one alternative school.PUSD’s facilities are located in boththe cities of Peoria and Glendale.Sandra Schossow, director of food

service for PUSD, said that to keepfood service employees educatedabout all facets of food safetyand ensure standard operatingprocedures produce the bestoutcomes, the district takes part in avoluntary food safety program fromthe Maricopa County EnvironmentalServices Department called TheCutting Edge. While participationentails additional inspections, theprogram provides an extra layerof protection.“It all comes down to constant

documentation and continuoustraining,” Schossow said. “Weconduct our own internalinspections and also bring in a third-party vendor to perform inspections.You can never be too safe.”

6 symptomsof foodborneillnesses

Symptoms of foodborne illnesses,which can appear within minutesor take weeks to surface, include:

1 Upset stomach

2 Abdominal cramps

3 Dehydration

4 Diarrhea

5 Fever

6 Nausea and vomiting

Source: National DigestiveDiseases Information Clearinghouse,digestive.niddk.nih.gov

4 | LIVING WELL A-Z | WEDNESDAY, February 6, 2013

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• Severe mood swings• Individuals may appear to othersto be acting “out of control”

• Inability to sleep or not feelingthe need to sleep

SchizophreniaSchizophrenia often appears whensomeone is in their early 20s, Chaneynoted, adding that common indicators ofschizophrenia can include hearing voicesand being paranoid.“It [schizophrenia] might be missed; if

you suspect you might have symptoms ofit you need to get help quickly,” she said.

Schizoaffective disorderAnother mental illness that is often under-diagnosed is schizoaffective disorder, saidTara Peyman, N.D., a naturopathic doctorat the Arizona Natural Health Centerin Tempe.According to the U.S. National Library of

Medicine, schizoaffective disorder involvesa loss of contact with reality (known aspsychosis) and mood problems. Some ofits symptoms can include:• Problems with moods• Issues with daily functions such assleeping, concentrating and a lack ofconcern for personal hygiene

• Disorganized, illogical speech• Delusions and paranoia

Treatment optionsTreatment outcomes formental illness vary perpatient and with theseverity of thedisease. Forexample, if aperson stays in apsychiatric hospital,they would leave witha treatmentplan thatmightinclude aday program orintensive group counseling. Other times,patients can simply integrate their newmedication into their daily lives.For those who shy away from

conventional medicines, Peyman said thatthere are homeopathic treatment options.“With homeopathy, there are no sideeffects, no interactions and it doesn’t addanything to your system,” Peyman said.“It [homeopathy] works with your body tohave a balancing and stabilizing effect.”

The next stepFor those who may suspect they are or aloved one is affected by a mental illness,the next step is often to meet with aprimary care physician to discuss anyconcerns. There are also resources suchas Magellan of Arizona’s Crisis Hotline(800-631-1314) where you can call to askgeneral mental health questions.Just like a physical illness, treatment

plans for mental disorders vary perpatient. Some of the most commontreatments include medication andindividual or group therapy. “Forextreme situations, being admitted toan in-patient psych hospital or mentalhealth [facility] may be the best option,”Espinoza said.

ResourcesArizona Natural Health Center:aznaturalhealth.com

Family Involvement Center:familyinvolvementcenter.org

Magellan Health Services:magellanofaz.com

National Alliance onMental Illness,Arizona: namiaz.com

St. Luke’s Behavioral Health Center:stlukesbehavioralhealth.com

RemovingthestigmaWhile awareness of mental disordershas improved, many professionals inthe mental health arena admit thatthere are still misconceptions aboutmental illness.“We’d like to take the stigma out of

mental illness; it’s no different thana physical illness, it just happensto involve one’s brain,” said KarenChaney, M.D., the medical director ofadult services at Magellan of Arizona.

Commonmental illnessesSigns, symptoms and treatment options BY MICHELLE TALSMA EVERSON

“Like other diseases,there is no cure formentalillness, but you canmanage and control it.”

— Brian Espinoza, M.D., P.C.,board-certified psychiatrist,St. Luke’s Behavioral Health Center

THINK S

T OCK

On average, one in four adultsexperiences a mental health

disorder in a given year, according to theNational Alliance on Mental Illness. Withstatistics like this, chances are you knowsomeone dealing with mental healthconcerns or you are grappling with amental illness yourself.

Types of mental illnessSome of the most commonmentalillnesses include depression, anxiety, stressand insomnia, said Brian Espinoza, M.D.,P.C., a board-certified psychiatristat St. Luke’s Behavioral Health Center.Other recognizedmental health illnesses

include bipolar disorder, schizophreniaand schizoaffective disorder.

DepressionWhile each mental health disorder has itsown symptoms, there are some commonindicators that something might be amiss.For example, Espinoza said that some of

the signs of depression can be:• Changes in emotions• Lack of interest in normal activities• Inability to perform in the workplace• Depressed, ongoing moods that affecta person’s home or social life

• Lack of appetite• Restlessness and fatigue

Bipolar disorderKaren Chaney, M.D., is themedical directorof adult services at Magellan of Arizona,an organization that manages a publiclyfunded behavioral healthcare deliverysystem for Medicaid, non-Medicaid andTitle XXI (KidsCare)-eligible residents incentral Arizona. For those concerned aboutbipolar disorder, she said some signsto be aware of are:• Episodes where the person mayhear voices or be delusional

WEDNESDAY, February 6, 2013 | LIVING WELL A-Z | 5

LUNG CANCERFeb. 9, 1–3 p.m.BySt. Joseph’sat TheWellnessCommunity360 E. Palm Ln., Phoenix623-712-1006

LOOK GOOD, FEEL BETTERFeb. 11, 5:30–7:30 p.m.Ironwood Cancer & Research1432 S. Dobson Rd., MesaRegister: 480-855-2224

TAI CHIFeb. 12 & 19, 4:30 p.m.Ironwood Cancer & Research3855 S. Val Vista Dr., GilbertRegister: 480-855-2224

COPING WITH CANCERFeb. 13 & 27, 6:30 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450

LIVING & COPING WITH CANCERFeb. 19, 5:30 p.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

KIDS CAN COPEFeb. 19, 7 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450

JOURNEY TO WELLNESSFeb. 20, 4 p.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

ORAL, HEAD & NECKFeb. 20, 4:30–6:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412–4673

COLORECTALFeb. 21, 6 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450

ESOPHAGEALFeb. 21, 6–7:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-4970

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 MEETINGSVarious dates & timesBanner Gateway1900 N. Higley Rd., Gilbert480-543-2606

WEIGHT LOSS SURGERY SEMINARSVarious dates, times & locationsSt. Luke’s Medical CenterRegister: 800-248-5553

WEIGHT LOSS SURGERY SEMINARSVarious dates, times & locationsScottsdale HealthcareRegister: bariatricsurgeryaz.com;480-882-4636

ALL ABOUT ALLERGIESFeb. 6, 7–8 p.m.By Scottsdale Healthcareat Barnes & Noble10500 N. 90 St., ScottsdaleRegister: shc.org/events; 480-882-4636

TOTAL JOINT REPLACEMENTFeb. 13, 20 & 27, 9 a.m.Banner Gateway1900 N. Higley Rd., Gilbert602-239-2273

MAKOPLASTY PARTIAL KNEEREPLACEMENT SEMINARFeb. 13, 6-7 p.m.Arrowhead Hospital18701 N. 67 Ave., GlendaleRegister: azhealthyhours.com;855-292-9355

TOBACCO CESSATION PROGRAMFeb. 21, 6–7 p.m.Scottsdale Healthcare Osborn7301 E. Fourth St., ScottsdaleRegister: shc.org/events; 480-882-5761

DEALING WITH EATING TRIGGERSFeb. 21, 7 p.m.Chiro-Med Center, Dr. Sophia Fountis14269 N. 87 St., ScottsdaleInfo: 480-443-0778

MEDICATION SAFETY SEMINARFeb. 27, 1–3 p.m.Humana Guidance Center5943 E. McKellips Rd., Mesa480-325-4707

LEG & FOOT CRAMPSFeb. 27, 6–7 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

PROSTATECANCER

US TOO SUPPORT GROUPFeb. 12, 7 p.m.St. Joseph’s350W. Thomas Rd., Phoenix623-242-3131

SUPPORT GROUPFeb. 25, 7–9 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-4673

HEART/STROKE

HEART HEALTH FOR HEART MONTHVarious dates, times & locationsBy John C. LincolnRegister: [email protected]; 623-434-6265

CONGESTIVE HEART FAILUREFeb. 6, 13, 20 & 27, 6:30–7:30 p.m.Chandler Regional1955W. Frye Rd., Chandler480-728-5414

PREDIABETES/DIABETESFeb. 14, 1–2 p.m.By Scottsdale Healthcareat Civic Center Library3839 N. Drinkwater Blvd., ScottsdaleRegister: shc.org/events; 480-882-4636

DIABETES SUPPORTFeb. 19, 3–4 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4578

ALZHEIMER’S/DEMENTIA

CAREGIVER SUPPORTFeb. 7, 1:30–3 p.m.Tempe St. Luke’s Hospital1500 S. Mill Ave., TempeRegister: 877-351-WELL (9355)

DISCUSSIONS & DECISIONSDURING DEMENTIAFeb. 8, 10:30 a.m.–noonBy Banner Alzheimer’s Instituteat Banner Sun Health Research10515W. Santa Fe Dr., Sun CityRegister: 602-230-2273

PLANNING AHEADFOR CAREGIVERSFeb. 11, 10 a.m.–noonBanner Alzheimer’s Institute901 E.Willetta St., PhoenixRegister: [email protected];602-839-6850

SUPPORT GROUPLunch providedFeb. 17, 11 a.m.–12:30 p.m.St. Joseph’s Huger Mercy2345W. Orangewood Ave., Phoenix623-406-5600

MEMORY SCREENINGFeb. 19, 9 a.m.–3 p.m.Banner Alzheimer’s Institute901 E.Willetta St., PhoenixRegister: [email protected];602-230-2273

CAREGIVER SUPPORT (DUET)Feb. 19, 12:30–2 p.m.Church of the Beatitudes555W. Glendale Ave., Phoenix602-274-5022

COMPASS FOR CAREGIVERSFeb. 21, 10–11:30 a.m.Banner Alzheimer’s Institute901 E.Willetta St., PhoenixRegister: [email protected];602-839-6850

CAREGIVER SUPPORTFeb. 21, 1:30–3 p.m.Tempe St. Luke’s Hospital1500 S. Mill Ave., TempeRegister: 877-351-9355

CAREGIVERS SUPPORTFeb. 25, 1:30–3:30 p.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City623-832-5328

COMPASS FOR CAREGIVERSFeb. 25, 4–5:30 p.m.Banner Alzheimer’s Institute901 E.Willetta St., PhoenixRegister: [email protected];602-839-6850

SENIORS

CALLUSES & CORNSFeb. 7, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

PREVENTION & TREATMENTOF HEART DISEASEFeb. 11, noon–1 p.m.St. Luke’s Medical Center1800 E. Van Buren St., PhoenixRegister: 877-351-WELL (9355)

MEDICATION CHECKSFeb. 12, 10–11 a.m.Tempe St. Luke’s Hospital1500 S. Mill Ave., TempeRegister: 877-351-WELL (9355)

MATURE VISIONFeb. 19, 6:30–7:30 p.m.ByMidwestern Universityat Foothills Library19055 N. 57 Ave., Glendale623-930-3868

BRONCHITIS & PNEUMONIAFeb. 28, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-9355

WOMEN& CANCER

GYNECOLOGICFeb. 12, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-4673

YOUNG WOMEN’S SUPPORTFeb. 12, 6:30 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450

FACING FORWARDFeb. 13, 1–3 p.m.Virginia G. Piper Cancer Center10460 N. 92 St., ScottsdaleRegister: shc.org/events; 480-882-4636

CANCERSUPPORT

YOGA FOR CANCER PATIENTSVarious dates & timesBanner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

CAVE CREEK CANCER SUPPORTFeb. 9, 10 a.m.–noonBy Scottsdale Healthcare atGood Shepherd Episcopal Church6502 E. Cave Creek Rd., Cave CreekRegister: 480-488-3283

STROKEFeb. 7, 1:30–2:30 p.m.Banner Boswell Rehab10601W. Santa Fe Dr., Sun City623-832-7000

HEART DISEASEPREVENTION & TREATMENTFeb. 11, noon–1 p.m.By St. Luke’s Medical Center1800 E. Van Buren St., PhoenixRegister: 877-351-9355

BENEFITS OFPEER-TO-PEER SUPPORTFeb. 12, 9:30 a.m.Banner Boswell13180 N. 103 Dr., Sun City602-230-2273

CHOLESTEROL MANAGEMENTFeb. 13, 1–2 p.m.By Scottsdale Healthcareat Appaloosa Library7377 E. Silverstone Dr., ScottsdaleRegister: shc.org/events; 480-882-4636

STROKE SUPPORT GROUPFeb. 14, 1:30–3 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4790

STROKE SURVIVORFeb. 14, 2:30–4 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

HEART-HEALTHY EATINGFeb. 19 &March 5, 11 a.m.Banner Heart Hospital6750 E. Baywood Ave., Mesa480-854-5401

MAINTAIN HEART HEALTHFeb. 19, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-9355

LIVING WITH HEART DISEASELearn about new treatmentsfor aortic valve diseaseFeb. 23, 9–11 a.m.Mayo Clinic Hospital5777 E. Mayo Blvd., PhoenixRSVP: 480-301-0019;[email protected]

STROKE SUPPORT GROUPFeb. 26, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-9355

STROKE CAREGIVERFeb. 28, 2:30–3:30 p.m.Mercy Gilbert3420 S. Mercy Rd., Gilbert480-728-5414

DIABETES

DIABETES SUPPORT GROUPCardon Children’s Medical Center1400 S. Dobson Rd., MesaCall for dates & times: 480-412-4557

TAKING CONTROL (3-CLASS SERIES)Various dates & timesParadise Valley Hospital3815 E. Bell Rd., PhoenixRegister: 602-923-5813;[email protected]

TAKING CONTROLVarious dates & timesPastoral Care Associates2040 W. Bethany Home Rd., PhoenixRegister: azhealthyhours.com;855-292-9355

DIABETES SUPPORT GROUPFeb. 11, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-9355

DIABETES SUPPORT GROUPFeb. 14, 1–2 p.m.St. Luke’s Medical Center1800 E. Van Buren St., PhoenixRegister: 877-351-9355

ORAL, HEAD & NECKFeb. 21, 6:30–8 p.m.Virginia G. Piper Cancer Center10460 N. 92 St., Scottsdale602-439-1192

I CAN COPEFeb. 25, 6 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450

LIVING WITH LYMPHEDEMAFeb. 25, 6:30–8:30 p.m.Virginia G. Piper Cancer Center10460 N. 92 St., ScottsdaleRegister: shc.org/events; 480-882-4636

COLON CANCERMarch 5, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-4673

COLORECTAL CANCERMarch 5, 6 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-4970

BREAST CANCER

BOSOM BUDDIES SUPPORT GROUPSVarious dates, times & locationsAhwatukee/Chandler: 480-893-8900East Valley: 480-969-4119Scottsdale: 623-236-6616West Valley: 623-979-4279

YOGA FOR RECOVERYFeb. 7 & 21, 6–8 p.m.John C. LincolnMedical Office19841 N. 27 Ave, Phoenix602-712-1006

SUPPORT GROUPFeb. 9, 10 a.m.–noonVirginia G. Piper Cancer Center10460 N. 92 St., ScottsdaleRegister: 480-323-1990;[email protected]

LEARN & SUPPORTFeb. 13, 5:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., PhoenixRegister: 602-712-1006

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.

Please call to confirmreservations and cost (if any).

Feb. 9OralMedications forCancerWHAT: Learn about the latestin oral chemotherapy andadvancements from a panelof Arizona-based healthcareproviders.WHERE: SkySong at ASU,1475 N. Scottsdale Rd., ScottsdaleTIME: 10:30 a.m.–2:30 p.m.COST: FreeSPONSORED BY: The Leukemiaand Lymphoma SocietyREGISTER: 602-567-7588or facebook.com/llsaz/events

FebruaryTOP Events

Feb. 16–March 10Arizona Senior OlympicsWHAT: Join seniors age 50and older from across the stateand compete in more than 30sports ranging from archeryto pickleball. See website forregistration info and schedules.WHERE: Locations throughoutthe state, depending on eventTIME: VariousCOST: $24 per sportSPONSORED BY: HumanaREGISTER: seniorgames.org

Feb. 16Walk in the WildWHAT:Walk or run a one-milecourse at the Phoenix Zoo.WHERE: Phoenix Zoo,455 N. Galvin Pkwy, PhoenixTIME: 7:30 a.m.COST: Varies for membersand non-membersREGISTER: 602-914-4333or phoenixzoo.org

Feb. 23Heart-Healthy DayWHAT: Health screenings,cooking demos, seminarsand more.WHERE:Mountain VistaMedical Center,1301 S. Crismon Rd., MesaTIME: 8–11 a.m.COST: FreeREGISTER: Required forscreenings; call 877-924-9355INFO:mvmedicalcenter.com

March 5Chest-Compression-Only CPR ClassWHAT: Learn chest-compression-only CPR,considered easier to rememberthan traditional CPR.WHERE: Banner Desert MedicalCenter, 1400 S. Dobson Rd., MesaTIME: 6–7:30 p.m.COST: FreeREGISTER: 602-230-2273

THINKSTO

CK

6 | LIVING WELL A-Z | WEDNESDAY, February 6, 2013

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LEARN & SUPPORTFeb. 14 & 28, 6–8 p.m.John C. Lincoln Breast Center19646 N. 27 Ave, Phoenix623-786-4673

COOKING FORWELLNESSFeb. 19, 6–8 p.m.John C. Lincoln Breast Center19646 N. 27 Ave, Phoenix623-786-4673

SUPPORT GROUPFeb. 26, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-4673

TRIPLE NEGATIVEFeb. 27, 5:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., PhoenixRegister: 602-712-1006

METASTATIC SUPPORTMarch 6, 11:30 a.m.–1 p.m.Banner Desert1400 S. Dobson Rd., Mesa.480-412-HOPE (4673)

PARKINSON’S

DANCE, EXERCISE, YOGA & TAI CHIVarious dates, times & locationsByMuhammad Ali Parkinson CenterRegister: 602-406-6903;supportthroughotherparents.org

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

DEEP BRAIN STIMULATIONFeb. 8, 10:30 a.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City623-832-5328

GOLF FOR PEOPLEWITH PARKINSON’SFeb. 11, 18 & 25, 9 a.m.–noonSun City Country Club9433 N. 107 Ave., Sun CityByMuhammad Ali Parkinson CenterRegister: 602-406-6903

PARKINSON’SFeb. 11, 10–11:30 a.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City602-942-9008

PARKINSON’S SUPPORT GROUPFeb. 12, 1–2 p.m.HealthSouth Valley of the Sun13460 N. 67 Ave., Glendale623-878-8800

PD 102: PARKINSON’S INFOFeb. 18 & 25, 1–3 p.m.Desert Palms Presbyterian Church13459W. Stardust Ave., Sun CityByMuhammad Ali Parkinson CenterRegister: 800-227-7691

PARKINSON’S & PARTNERSFeb. 25, 10–11:30 a.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City602-942-9008

BREAST-FEEDING

BREASTFEEDINGFeb. 6, 13, 20 & 27, 11 a.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

BREASTFEEDINGFeb. 8, 15 & 22, 10 a.m.Mercy Gilbert3555 S. Val Vista Dr., Gilbert480-728-5414

BREASTFEEDINGFeb. 11, 18 & 25, 10–11:30 a.m.St. Joseph’s350W. Thomas, Phoenix602-406-4954

LACTATION SUPPORTFeb. 11, 18 & 25, 1–2 p.m.Banner Estrella9201W. Thomas Rd., Phoenix623-327-8001

BREASTFEEDINGFeb. 12 & 26, 10 a.m.Banner Ironwood37000 N. Gantzel Rd., San Tan Valley480-394-4000

BREASTFEEDINGFeb. 14, 21 & 28, 1–2:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-3035

BREASTFEEDING SUPPORTFeb. 18 &March 4, 6–7:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-3502

NURSINGMOMS SUPPORTFeb. 28, 5:30 p.m.Banner Del E. Webb14502W.Meeker Blvd., Sun CityWest602-230-2273

PARENTING

POSTPARTUM DEPRESSIONFeb. 6, 13, 20 & 27, 1–2:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

SUPPORT THROUGH OTHERPARENTS (STOP)Feb. 7, 14, 21 & 28, 7–9 p.m.First Presbyterian Church161 N. Mesa Dr., Mesa623-846-5464;supportthroughotherparents.org

GRANDFAMILIES OUTINGFeb. 9, 11 a.m.By Duet at Mesa SouthwestNatural Museum53 N.MacDonald, Mesa602-274-5022

PREGNANCY & POSTPARTUMFeb. 12, 19 & 26, 10–11:30 a.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5292

POSTPARTUM SUPPORTFeb. 12 & 26, 11 a.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5908

NEWBORN PARENTINGFeb. 12, 2–3:30 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4455

SUPPORT THROUGHOTHER PARENTS (STOP)Feb. 12, 19 & 26, 7–9 p.m.Larkspur Christian Church3302W. Larkspur Dr., Phoenix623-846-5464

PREGNANCY, PARENTING & PLAYFeb. 14, 21 & 28, 7–9 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4455

CHILDBIRTH EDUCATION(2–WEEK CLASS)Feb. 20 & 27, 6:30–9:30 p.m.Maryvale Hospital5102W. Campbell Ave., PhoenixRegister: 855-292-9355;azhealthyhours.com

BIRTH PARENT SUPPORTFeb. 26, 6–8 p.m.St. Joseph’s350W. Thomas Rd., Phoenix888-818-4445

PREGNANCY & INFANT LOSSMarch 4, 7 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412–3595

GASTRO-INTESTINAL

CELIAC DISEASEFeb. 6 &March 6, 7–8:30 p.m.Paradise Valley Retirement Center11645 N. 25 Pl., Phoenix623-587-8885

RESPIRATORY

ASTHMA SUPPORT GROUPCardon Children’s Medical Center1400 S. Dobson Rd., MesaCall for dates & times: 480-412-7902

LUNG TRANSPLANT SUPPORTFeb. 12, 11:45 a.m.–1 p.m.St. Joseph’s350W. Thomas Rd., Phoenix623-406-7009

RESPIRATORYFeb. 14, 1:30 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-832-5708

BETTER BREATHERSFeb. 20, 2–3 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

BRONCHITIS & PNEUMONIAFeb. 28, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

BRAIN

BRAIN INJURY & CAREGIVERFeb. 7, 6:30–7:30 p.m.HealthSouth Valley of the Sun13460 N. 67 Ave., Glendale602-508-8024

BRAIN INJURY SURVIVORSFeb. 11, 7–8:15 p.m.St. Joseph’s350W. Thomas Rd., Phoenix602-406-3333

APHASIAFeb. 12 & 26, 10–11 a.m.Banner Boswell13180 N. 103 Dr., Sun City623-972-4263

SYRINGO & CHIARIFeb. 21, 11 a.m.–1 p.m.St. Joseph’s Outpatient Rehab114W. Thomas Rd., Phoenix623-561-9606

BRAIN TUMORFeb. 26, 6–8 p.m.St. Joseph’s350W. Thomas Rd., Phoenix623-205-6446

ADDITIONALSUPPORTGROUPS

OSTOMYFeb. 7, 2–4 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-935-7514

CHRONIC PAINFeb. 8 & 22, 6–8 p.m.By American Chronic Pain Assoc.at Catholic Outreach Center12301W. Bell Rd., Surprise602-532-2981

AMPUTEEFeb. 12, 6–7 p.m.HealthSouth Valley of the Sun13460 N. 67 Ave., Glendale623-334-5358

CHRONIC PAINFeb. 13 & 27, 6:30–8 p.m.By American Chronic Pain Assoc.at Via Linda Senior Center10440 E. Via Linda, Scottsdale480-314-2330

PAIN SUPPORT GROUPFeb. 14 & 28, 6–8 p.m.HealthSouth Valley of the Sun13460 N. 67 Ave., Glendale623-334-5358

KIDNEY & LIVER TRANSPLANTFeb. 19, 3–4 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-7000

LARYNGECTOMYFeb. 19, 4–5 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-832-5349

Discounted classes at the Body LabPilates+, home to 50-minute, small-group classes that are a hybrid ofpilates, cardio and weight training.THE DEAL: Three classes for $49; first class is always free for a totalof four classes for $49 (value $120)DATES VALID: ThroughMarch 1, 2013HOW TO GET THE DEAL: Call 602-840-2885 or visit thebodylabaz.comWHERE:4414E.CamelbackRd.,Phoenix;or20511N.HaydenRd.,Scottsdale

Join Dr. Angela DeRosa’sweight management program inFebruary and receive introductoryappointment, supplements(including appetite suppressant),vitamin cocktail injection withfat-burner andmore.THE DEAL: Above for $190 ($60 savings); then $75 ($25 savings)for weekly follow-up appointmentsDATES VALID: Join through February 2013HOW TO GET THE DEAL: Call 480-619-4097 or visit derosamedical.comWHERE: 9377 E. Bell Rd., Scottsdale; or 1727W. Frye Rd., Chandler

Free in-home assessment forpeople experiencing frequent fallsor a decline in the ability to walkor perform self-care activitiesdue to illness or injury.THE DEAL: FreeDATES VALID: OngoingHOW TO GET THE DEAL: Call your nearest HealthSouth hospital;locations can be found by visiting HealthSouthAZ.comWHERE: Valley-wide locations

Morrison Vein (morrisonvein.com) isoffering a discount on compressionhose for preventative care, duringtreatment and for long-term therapyafter treatment.THE DEAL: 10 percent offDATES VALID: Through February 28, 2013HOW TO GET THE DEAL: Call 480-860-6455 or 866-GRT-LEGSWHERE: 8575 E. Princess Dr., Scottsdale; or 4515 S.McClintock Dr., Tempe

HEALTHCARE Deals

FOOT SOLUTIONS:footsolutions.com

HEALTHSOUTH REHABILITATION:healthsouth.com

IRONWOOD CANCER ANDRESEARCH CENTERS:IronwoodCRC.com

JOHN C. LINCOLN HOSPITAL:JCL.com

LASER SPINE INSTITUTE:laserspineinstitute.com

MAYO CLINIC:mayoclinic.com

MERCYGILBERTMEDICALCENTER:MercyGilbert.org

ABRAZO HEALTH CARE(AZ Heart Institute and AZ Heart,Arrowhead, Maryvale, ParadiseValley, Phoenix Baptist andWestValley hospitals): abrazohealth.com

BANNER HEALTH:bannerhealth.com

BARNET DULANEY PERKINS:goodeyes.com

BARROWNEUROLOGICALINSTITUTE:thebarrow.org

CARDON CHILDREN’S MEDICALCENTER: bannerhealth.com

CHANDLER REGIONAL MEDICALCENTER: ChandlerRegional.org

MORRISON VEIN INSTITUTE:morrisonvein.com

MOUNTAIN VISTA MEDICALCENTER:mvmedicalcenter.com

PHOENIX CHILDREN’S HOSPITAL:phoenixchildrens.com

SCOTTSDALEHEALTHCARE: shc.org

ST. JOSEPH’S HOSPITAL ANDMEDICAL CENTER: stjosephs-phx.org

ST. LUKE’S MEDICAL CENTER,PHOENIX: stlukesmedcenter.com

TEMPE ST. LUKE’S HOSPITAL:tempestlukeshospital.com

INFOOnline

VESTIBULARFeb. 21, noonBanner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-2317

MEN’S DISABILITY ISSUESFeb. 21, 5:30–7 p.m.Disability Empowerment Center5025 E.Washington St., Phoenix602-980-3232; [email protected]

MULTIPLE SCLEROSIS (WOMEN)Feb. 23, 10 a.m.St. Joseph’s350W. Thomas Rd., Phoenix480-829-6563

CAREGIVERS

SUPPORT GROUPSINCLUDING LGBT (DUET)Various dates, times & locations602-274-5022

SUPPORT GROUPFeb. 8, 2:30–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-351-9355

SUPPORT GROUPFeb. 11St. Joseph’s Outpatient Rehab114W. Thomas Rd., PhoenixCall for time: 602-406-6688

CAREGIVER SUPPORTFeb. 27, 2:30–3:30 p.m.St. Luke’s Medical Center1800 E. Van Buren St., PhoenixRegister: 877-351-WELL (9355)

BEHAVIORALHEALTH

‘ANONYMOUS’ MEETINGSAl-Anon; Alcoholics; Cocaine; Depression;Heroin; Obsessive-CompulsiveVarious dates & timesBanner Behavioral Health7575 E. Earll Dr., ScottsdaleInfo: bannerhealth.com

AL–ANON & ALCOHOLICSANONYMOUSFeb. 9, 16 & 23, 7 p.m.Banner Thunderbird5555W. Thunderbird Rd., GlendaleInfo: bannerhealth.com

WEDNESDAY, February 6, 2013 | LIVING WELL A-Z | 7

I’m a daughter. Awife. Amother.And I have a gene that puts meat risk for breast cancer. WhenI got sick, I was determined towin. For me, and for them.My answer was Mayo Clinic.

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Mayo Clinic Cancer Center specialists worked together to ensure Monique received a timely,accurate diagnosis and the most effective treatment. If you are diagnosed with breast cancer,you deserve the best as well. Mayo Clinic patients with breast cancer have substantially higherfive-year survival rates compared to the U.S. National Cancer Database. We are an in-networkprovider for most people and a physician referral is rarely required. To schedule anappointment, call (480) 301-8000 or call our Breast Clinic directly at (480) 301-4000.

Visit mayoclinic.org/breastcancer

BARIATRIC PROGRAMHear aboutmedical& surgical

treatments for obesity.

THURS., FEB 7:6-6:45PM

TUES., FEB 19:6-6:45PM

(480) 342-2869MayoClinic.org/Arizona

Living withHeart Disease series:Hear about new treatments for

aortic valve disease.No charge

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Mayo Clinic Hospital5777 East Mayo Boulevard

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9-11 a.m.RSVP to: (480)[email protected]

Day of Dance forHeart HealthHealth ScreensDance InstructionHealth Education

Saturday, February 2311 a.m. – 2 p.m.

Superstition Springs CenterArrowhead Towne Center

only take so much pressure before theblockage begins traveling up the leg. Thehigher the clot goes, the more worrisomethe condition.

Causes varyMuch like the symptoms, causes ofDVT vary. Damage sustained from atrauma or surgical procedure, medicalconditions like congestive heart failure,oral contraceptives, obesity and asedentary lifestyle have been linked to thecondition. In addition, extended periodsof immobility such as long drives or flightsthat don’t include rest breaks to stretchand move around can trigger leg swelling,fluid buildup and ultimately, DVT.

Diagnosis and treatmentThough DVT can be easily diagnosedthrough an exam and ultrasound of thevenous system, treating it can be tricky.For decades, blood-thinning medicationslike Coumadin and the use of compressionstockings have been treatment standards,but they don’t work for everyone.

Thrombolysis is a treatment approachthat entails injecting a special “clot-busting” agent into the vein via a catheterto break up a clot before it can be suckedout. Similarly, a thrombectomy usinga device known as an AngioJet® canmechanically remove a clot by loosening itwith medication before using a specializedhigh pressure device that Wittenberg

compares to a water hammer to pulverizeit and then syphon it out.

Since manipulating a clot increasesthe risk that a piece will break free andtravel to the lungs, safeguards, includingspecial filters, are put in place to catchclot fragments that may break off duringtreatment.

Seek immediate careAs with everything, there are limitations totreatment, most notably the time betweenclot formation and medical intervention.Starling expressed the urgency of seekingimmediate treatment for DVT saying, “Thewindow to rid the venous system of a clotand achieve the best results is only aboutseven to 14 days.”

ResourcesBanner Health:bannerhealth.com

Centers for Disease Controland Prevention: cdc.gov

John C. Lincoln Health Network:jcl.com

MedlinePlus:nlm.nih.gov/medlineplus

PubMed Health:ncbi.nlm.nih.gov/pubmedhealth

Society of InterventionalRadiology: sirweb.org

WebMD:webmd.com

L eg pain, swelling and tightnessare sometimes painful reminders

of an overzealous workout, but thesebothersome symptoms can also indicatethat veins in the legs aren’t pumpingblood quite like they should.

The legs are home to hundreds of veins,many of which are superficial and restfairly close to the skin, but one main or“deep” vein is responsible for pushing thevast majority of blood from the legs backto the heart.

According to Aaron Wittenberg, M.D.,an interventional radiologist on staff atJohn C. Lincoln Hospital, when a veinbecomes blocked and blood pools in theleg, a clotting condition known as deepvein thrombosis (DVT) can set in andserious health risks can loom.

“Since a clot can’t go away on its own,symptoms continue to worsen and canbecome debilitating if left untreated,”Wittenberg noted. While there are severalrisks associated with DVT, pulmonaryembolism poses the greatest threat.

Dangerous blood clotsCaused by a piece of blood clot breakingloose and traveling through the veinsto the heart before ultimately settlingin the lungs, pulmonary embolism canresult in such symptoms as chest pain ordiscomfort, shortness of breath, low bloodpressure and passing out. In extremecases, it can lead to cardiac arrest oreven death.

Mark Starling, M.D., F.A.C.P., F.A.C.C.,chief medical officer at Banner HeartHospital, cited a correlation betweenthe severity of pulmonary embolismwith the amount of clot breakoff saying,“The bigger it is, the more profound thesymptoms.”

Starling also highlighted the significanceof a clot’s location when it comes to riskof pulmonary embolism, explaining thata clot can occupy a small portion of thedeep vein below the knee or it can extendabove the knee. Ultimately, the vein can

“There’s a reason in-flightmagazines include tipsand recommendationsfor leg stretches like calfraises and ankle rolls.”

— AaronWittenberg, M.D.,interventional radiologist,John C. Lincoln Hospital

Deep Vein ThrombosisAdangerous link between your legs and lungs BY KRISTINE BURNETTAd li k b t l d lDeep Vein Thrombosis

WEDNESDAY, February 6, 2013 | LIVING WELL A-Z | 9

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Wednesday, February 27, 2013Join us for a health fair and program on heart health!

FREE EVENT!

Health Fair 6:00 - 7:00 pm• Blood pressure checks• Body fat testing• Free educational materials• Health care professionals availableto answer questions

NEW Location:Westin Kierland Resort & SpaKierland Ballroom6902 East Greenway Pkwy.Scottsdale, AZ 85254

Presented by:

Register for this FREE event by calling1-855-292-9355 or visitabrazohealth.com/publicforumSeating is limited so register today!

Program 7:00 - 8:30 pmSee surgical procedures transmitted live from theoperating suites at the Arizona Heart Hospital,and have a Q&A session with the area’s leadingcardiovascular specialists.

On Your Cardiovascular Health

The advantages of endoscopicsurgery at Laser Spine Institute:• No lengthy recovery*• No open back procedures• Less than 1-inch incision• Outpatient procedure• 97% of patients recommend

the procedures

Learn more by attending our

on neck and back surgery options.

Laser Spine Institute8888 E. Raintree Dr.Scottsdale, AZ 85260

Saturday, February 16 at 11 a.m.

To register, call:

or visit SpineSeminar.com

Medicaid currently not accepted.*As each patient is different, results may vary.

FREE MEDICAL SEMINAR

We are experts in treatingconditions such as:• Spinal stenosis• Sciatica• Herniated disc• Degenerative disc disease• Bone spurs• Other chronic conditions

1-855-333-7854

Just two weeks ago I had back surgery.Thank you Laser Spine Institute.

If you’ve been putting off neck or back surgery, come learn about a proven technique that’sminimally invasive. Bring your MRI or CT scans and meet one-on-one with our physicians whowill review them and discuss treatment for your specific condition.

Not an actual patient of Laser Spine Institute

Wednesday, February 20 at 6 p.m.