Living Well a-z, Nov. 2012
8
Characteristic Rehabilitation Hospital Nursing Home Frequent visits by an at- tending physician Required Not required Multidisciplinary team approach Required Not required RN oversight and availability 24 hours/day At least 8 consecutive hours/day Specialty nursing training, rehabilitation expertise 5 - 7.5 hours/day 2.5 - 4 hours/day PT, OT, and/or speech therapy level of service 3 hours/day (minimum) No minimum ©2011:HealthSouth Corporation:473726 HealthSouth East Valley Rehabilitation Hospital 5652 E. Baseline Road # Mesa, AZ 85206 480 567-0350 # Fax 480 567-0352 healthsoutheastvalley.com HealthSouth Scottsdale Rehabilitation Hospital 9630 E. Shea Blvd. # Scottsdale, AZ 85260 480 551-5400 # Fax 480 551-5401 healthsouthscottsdale.com HealthSouth Valley of the Sun Rehabilitation Hospital 13460 N. 67th Ave. # Glendale, AZ 85304 623 878-8800 # Fax 623 334-5360 healthsouthvalleyofthesun.com A Higher Level of Care Choose HealthSouth: You Deserve a Higher Level of Care +,1 /(% $)&&%-%+#% "%/1%%+ ! rehabilitation hospital !+$ ! +0-.)+’ (,*% HEALTH-CARE News S ince Type 2 diabetes, which accounts for up to 95 percent of all diabetes cases, is often linked to excessive body weight, it’s safe to say that the obesity epidemic in the U.S. is the primary cause for the dramatic increase in diagnosed and undiagnosed cases of Type 2 diabetes. But here’s the good news: the trend can be reversed with some relatively simple lifestyle changes. Type 1 vs. Type 2 First, some definitions: Type 1 diabetes used to be commonly referred to as ‘juvenile diabetes’. With this disease, which is an autoimmune disorder like rheumatoid arthritis or lupus, the patient produces no insulin. Type 2 diabetes is a metabolic disorder resulting from the body’s inability to properly use or make enough insulin, which helps regulate sugar and other foods the body uses for energy. “Type 1 strikes suddenly and makes those affected dependent on insulin for life,” said Cindy Adams, Executive Director at JDRF Desert Southwest Chapter, an organization that provides support for children and adults with Type 1 diabetes. “Type 1 is usually diagnosed in childhood, but 85 percent of Type 1 diabetics are adults,” she said. A patient is diagnosed with Type 2 when fasting blood sugar twice registers 126 mg/dL or higher or when a hemoglobin A1C test (a test that provides an index of average blood glucose for the previous three to four months) is pegged at 6.5 percent or higher. Fasting blood sugar between 100 and 125 mg/dL can suggest pre-diabetes, a condition that decreases insulin’s effectiveness in moving glucose from the blood into muscle cells. Preventing Type 2 In Phoenix, the Valley of the Sun YMCA is trying to slow the surge of diabetes. In fact, since September 2010, the YMCA has offered a year-long diabetes prevention program for those who have been diagnosed with pre-diabetes (also called ‘insulin resistance’) or who meet certain other criteria that puts them at high risk for the disease. Goals for program participants include losing 7 percent of body weight and gradually increasing physical activity to 150 minutes a week. “Participants can reduce their chances of converting to Type 2 diabetes or delay its onset,” said Sarah Shimchick, director of the program, “if they are willing to make significant lifestyle changes.” All about diabetes Growth in number of Type 2 diabetics attributed primarily to lifestyle issues BY DEBRA GELBART By The NUMBERS Continued on page 6 DIABETES HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY THE ARIZONA REPUBLIC A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vol. 2, No. 11 November 2012 37TH ANNUAL GREAT AMERICAN SMOKEOUT: NOV. 15TH Devendra Wadwekar, M.D., an endocrinologist in Gilbert, checks an insulin pump while checking in with his patient, Andrew Haws, who has Type I diabetes. Wadwekar says 15 percent of his patients use the pump and are those whose diabetes is more difficult to control with insulin injections. RICK D’ELIA SPECIAL TOPIC DIABETES TIME ELAPSED AFTER QUITTING SMOKING (source: American Cancer Society, cancer.org) 2 weeks to 3 months Circulation improves and lung function increases 1 to 9 months Coughing and shortness of breath decrease 5 years Risk of several cancers is cut in half The program is offered at about half of the 17 YMCA branches throughout the Valley as well as at some offsite locations. The cost is $150 for YMCA members and $250 for non-members; scholarships are available for those aged 65-plus who meet eligibility criteria. Undy 5000 5K Fun-Run & Walk The Arizona Chapter of the Colon Cancer Alliance (CCA) was recently honored with the Sapphire Award for the best Undy 5000 5K Run in the country, an award given by the national CCA organization. The all-ages annual fun-run/walk will be held this month on Nov. 17th in the State Capitol District at 1600 W. Washington Street in Phoenix. Participants, who are encouraged to wear family-friendly “undy- attire”, will receive a commemorative pair of Undy 5000 boxer shorts. On-site registration begins at 7:30 a.m.; the dog- and stroller-friendly fun-run/walk begins at 9 a.m. Registration ranges from $25 to $35. More info and to register: undy5000.org; 202-434-8989 Banner Desert Named Primary Stroke Center Banner Desert Medical Center recently earned the Gold Seal of Approval as a nationally certified Primary Stroke Center by the Joint Commission for Advanced Certification in Stroke. The Joint Commission’s Certificate of Distinction for Primary Stroke Centers recognizes centers that make exceptional efforts to promote better outcomes for stroke care. Achievement of certification signifies that the services a hospital provides have the critical elements to achieve long-term success in improving the stroke patient’s outcomes. More info: BannerHealth.com Lung procedure performed at Chandler Regional The first lung brachytherapy (internal radiation therapy) procedure in Arizona took place at Chandler Regional Medical Center, a Dignity Health™ Member. Gyu Gang, M.D., a cardiothoracic surgeon, performed a minimally invasive video-assisted thorascopic surgery to remove part of a lung where cancerous tissue was located. S. Eric Olyejar, M.D., a radiation oncologist, used a Cesium-131 brachytherapy mesh implant that contains radioactive seeds and applied it to the suture line. Currently, patients with stage one lung cancer who have limited lung function have less invasive surgery, and have a 16 to 20 percent chance of their cancer recurring. Targeted radiation lowers the recurrence rate and reduces the amount of damage that is done to the rest of the lung. More info: ChandlerRegional.org IN THIS ISSUE: COVER/06: DIABETES 02: FOOD & DRUG INTERACTIONS 03: PLANTAR FASCIITIS 04: SUPPORT GROUPS/EVENTS 05: SUPPORT GROUPS/EXPERTS 06: COFFEE, TEA AND CAFFEINE 07: STROKE 101 FREE HELP: Arizona Smokers’ Help Line (ASHLine.org) , 800-556-6222. Located in the Mel and Enid Zuckerman College of Public Health at the University of Arizona and funded by the state tax on tobacco products, the ASHLine offers free telephone and Web-based quitting services. —PAULA HUBBS COHEN THINKSTOCK DALE BERGERSEN at DKBPhoto@smugmug 3 startling statistics 1 Nearly 27 percent of the U.S. population age 65 and over has diabetes. 2 A total of 25.8 million adults and children in the U.S. (including 7 million who are undiagnosed) have diabetes. 3 It’s estimated that 79 million Americans have pre-diabetes. Source: American Diabetes Association; diabetes.org Runners near the finish line of a recent Undy 5000 run. 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HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY
Transcript of Living Well a-z, Nov. 2012
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
HEALTH-CARENews
Since Type 2 diabetes, which accountsfor up to 95 percent of all diabetes
cases, is often linked to excessive bodyweight, it’s safe to say that the obesityepidemic in the U.S. is the primary causefor the dramatic increase in diagnosed andundiagnosed cases of Type 2 diabetes.But here’s the good news: the trend can
be reversed with some relatively simplelifestyle changes.
Type 1 vs. Type 2First, some definitions: Type 1 diabetesused to be commonly referred to as‘juvenile diabetes’. With this disease, whichis an autoimmune disorder like rheumatoidarthritis or lupus, the patient producesno insulin. Type 2 diabetes is a metabolicdisorder resulting from the body’s inabilityto properly use or make enough insulin,which helps regulate sugar and otherfoods the body uses for energy.“Type 1 strikes suddenly andmakes
those affected dependent on insulin forlife,” said Cindy Adams, Executive Directorat JDRF Desert Southwest Chapter, anorganization that provides support forchildren and adults with Type 1 diabetes.“Type 1 is usually diagnosed in childhood,but 85 percent of Type 1 diabetics areadults,” she said.
A patient is diagnosed with Type 2when fasting blood sugar twice registers126 mg/dL or higher or when a hemoglobinA1C test (a test that provides an index ofaverage blood glucose for the previousthree to four months) is pegged at 6.5percent or higher. Fasting blood sugarbetween 100 and 125mg/dL can suggestpre-diabetes, a condition that decreasesinsulin’s effectiveness in moving glucosefrom the blood into muscle cells.
Preventing Type 2In Phoenix, the Valley of the Sun YMCAis trying to slow the surge of diabetes. Infact, since September 2010, the YMCA hasoffered a year-long diabetes preventionprogram for those who have beendiagnosed with pre-diabetes (also called‘insulin resistance’) or who meet certainother criteria that puts them at high riskfor the disease.Goals for program participants include
losing 7 percent of body weight andgradually increasing physical activity to150 minutes a week. “Participants canreduce their chances of converting toType 2 diabetes or delay its onset,” saidSarah Shimchick, director of the program,“if they are willing to make significantlifestyle changes.”
All about diabetesGrowth in number of Type 2 diabetics attributedprimarily to lifestyle issues BY DEBRA GELBART
By The NUMBERS
Continued on page 6DIABETES
HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYTHE ARIZONA REPUBLIC A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vol. 2, No. 11 November 2012
37TH ANNUAL GREAT AMERICAN SMOKEOUT: NOV. 15TH
Devendra Wadwekar, M.D., an endocrinologist in Gilbert, checks an insulin pump while checking in with his patient, Andrew Haws,who has Type I diabetes. Wadwekar says 15 percent of his patients use the pump and are those whose diabetes is more difficultto control with insulin injections.
RICKD’ELIA
SPECIALTOPIC
DIABETES
TIME ELAPSED AFTER QUITTING SMOKING (source: American Cancer Society, cancer.org)
2weeks to3months Circulation improves and lung function increases
1 to9months Coughing and shortness of breath decrease
5 years Risk of several cancers is cut in half
The program is offered at about halfof the 17 YMCA branches throughout theValley as well as at some offsite locations.The cost is $150 for YMCAmembers and$250 for non-members; scholarships areavailable for those aged 65-plus whomeet eligibility criteria.
Undy 5000 5KFun-Run & WalkThe Arizona Chapter of the Colon CancerAlliance (CCA) was recently honored withthe Sapphire Award for the best Undy 50005K Run in the country, an award given bythe national CCA organization.
The all-ages annual fun-run/walk will beheld this month on Nov. 17th in the StateCapitol District at 1600W.WashingtonStreet in Phoenix. Participants, who areencouraged to wear family-friendly “undy-attire”, will receive a commemorative pairof Undy 5000 boxer shorts.
On-site registration begins at 7:30 a.m.;the dog- and stroller-friendly fun-run/walkbegins at 9 a.m. Registration ranges from$25 to $35.
More info and to register: undy5000.org;202-434-8989
Banner Desert NamedPrimary Stroke CenterBanner Desert Medical Center recentlyearned the Gold Seal of Approval asa nationally certified Primary StrokeCenter by the Joint Commission forAdvanced Certification in Stroke. The JointCommission’s Certificate of Distinction forPrimary Stroke Centers recognizes centersthat make exceptional efforts to promotebetter outcomes for stroke care.
Achievement of certification signifiesthat the services a hospital provides havethe critical elements to achieve long-termsuccess in improving the stroke patient’soutcomes.
More info: BannerHealth.com
LungprocedureperformedatChandlerRegionalThe first lung brachytherapy (internalradiation therapy) procedure in Arizonatook place at Chandler Regional MedicalCenter, a Dignity Health™ Member.
Gyu Gang, M.D., a cardiothoracicsurgeon, performed a minimally invasivevideo-assisted thorascopic surgery toremove part of a lung where canceroustissue was located. S. Eric Olyejar, M.D.,a radiation oncologist, used a Cesium-131brachytherapy mesh implant thatcontains radioactive seeds and appliedit to the suture line.
Currently, patients with stage one lungcancer who have limited lung functionhave less invasive surgery, and have a 16 to20 percent chance of their cancer recurring.Targeted radiation lowers the recurrencerate and reduces the amount of damagethat is done to the rest of the lung.
More info: ChandlerRegional.org
IN THIS ISSUE:COVER/06: DIABETES02: FOOD & DRUG INTERACTIONS03: PLANTAR FASCIITIS04: SUPPORT GROUPS/EVENTS05: SUPPORT GROUPS/EXPERTS06: COFFEE, TEA AND CAFFEINE07: STROKE 101
FREE HELP: Arizona Smokers’ Help Line (ASHLine.org), 800-556-6222. Located in the Mel and Enid Zuckerman College of Public Health at theUniversity of Arizona and funded by the state tax on tobacco products, the ASHLine offers free telephone and Web-based quitting services.
—PAULA HUBBS COHEN
THINKSTOCK
DALEBERGERSENatDKBPhoto@smugmug
3 startlingstatistics
1 Nearly 27 percent of the U.S.population age 65 and overhas diabetes.
2 A total of 25.8 million adultsand children in the U.S.(including 7 million who areundiagnosed) have diabetes.
3 It’s estimated that 79 millionAmericans have pre-diabetes.
Source: American DiabetesAssociation; diabetes.org
Runners near the finish line of a recentUndy 5000 run.
HSPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING
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be toxic to the stomach and may resultin internal bleeding.
Grapefruit and dairyAccording to Susan Moravec, PharmD,director of the pharmacy department atJohn C. Lincoln North Mountain Hospital,food and drug interactions typically occuras a result of changes in the stomach’s pHor acidity level and the liver’s inability toproperly metabolize medication. That’sbecause, like food and drinks, most drugsare metabolized by the liver.
“When we eat or drink something thatis not intended to be taken with a specificmedication, there’s a good chance thetwo will compete for the liver’s attention,”Moravec said. “Ultimately, only one getsmetabolized. In the case of something likegrapefruit juice and cholesterol-loweringmedications, the grapefruit juice wins.”
On the flip side, some antibiotic drugclasses, particularly tetracyclines andquinolones that are used to treat everythingfrom acne to urinary tract infections, canbe rendered ineffective if taken with milkor other dairy products. Mixing dairywith these medications can also lead to
ResourcesArizona Poison and DrugInformation Center:pharmacy.arizona.edu
Banner Good SamaritanPoison and DrugInformation Center:bannerhealth.com
Food and Drug Administration:fda.gov
U.S. Department of Healthand Human Services:healthfinder.gov
When it comes to taking medication,what’s on the menu matters.
How and what you take with medicationscan have a big impact on the way theywork in the body. Indeed, the Instituteof Medicine, an independent non-profitorganization that works outside of thegovernment to provide unbiased adviceto the public, reports that more than twomillion adverse drug reactions occur eachyear, with interactions between food andmedication being a key contributor.
Some foods, beverages and over-the-counter vitamins, herbals and supplementscan have unintended and potentiallyharmful consequences, including delayed,decreased or enhanced medicationabsorption. In addition, what we eat anddrink can alter medication side effects.
Alcohol a key culpritFrank LoVecchio, M.D., a medicaltoxicologist and co-medical director of theBanner Good Samaritan Poison and DrugInformation Center, explained that alcoholis known to interact with most pain reliefand fever-reducing medications.
“Consuming alcohol with these drugscompounds and intensifies their side effects,”he said. “If drowsiness is a known side effect,then drinking alcohol will increase sleepiness.The effects of alcohol are also heightened,making a person become unpredictablyinebriated or drunk quicker.”
He warned that taking mind-alteringmedications and those that affect thecentral nervous system with alcohol can
Eat, drink andmind yourmedsFood and drug interactions can poseserious health risks BY KRISTINE BURNETT
VITAL Signs
“Medications that are notmetabolized stay in the body.Over time, this can cause adangerous and possibly toxicbuildup of the drug.”Source: Frank LoVecchio, M.D.
unpleasant side effects like nausea, diarrheaand vomiting. “Calcium binds to the drugand inhibits absorption so that you getnone of the drug benefits, but most of theside effects,” LoVecchio stated.
Know the guidelinesWith many medications posing uniquerisks for interaction, it is important to knowthe guidelines and recommendations foryour prescription and over-the-countermedications. Parents also must take intoaccount that baby formula is considered afood and should be treated accordingly.
“Always read drug labels and ask yourdoctor or pharmacist if medications willinteract with food and whether theyshould be taken with food or on an emptystomach,” Moravec suggested.
When in doubt about potential druginteractions, contact the local poisoncenter at 800-222-1222.
A division of The Arizona Republic.200 E. Van Buren St., Phoenix, AZ 85004
Look for Livingwell a-z on thefirst Wednesday of each month!Each month, we bring you local health information you can use to keep you and yourfamily living well. From A to Z, we tackle a broad range of health issues and offer tips forkeeping your health-care costs in check. This publication is produced by Republic MediaCustom Publishing. For questions concerning any content included in this publicationplease contact: Editor Paula Hubbs Cohen, [email protected] or call 602-444-8658.
General Manager:CAMI KAISER, [email protected]
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Editor: PAULA HUBBS COHEN, [email protected]
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Advertising: RHONDA PRINGLE, 602-444-4929,[email protected]. For generaladvertising inquiries, contact Republic Media at602-444-8000.
3 commonfood-druginteractions
Moravec cautioned that evenseemingly harmless foods can leadto adverse drug reactions. Foods thatare most commonly associated withmedication interactions include:
1 DAIRY products like milk,cheese and yogurt whenconsumed with antibiotics.
2 FRUITS AND VEGETABLES,including grapefruit anddark leafy greens rich inVitamin A, for those takingblood thinners and othermedications used to preventheart attack and stroke.
3 CHOCOLATE, which hasa natural caffeine-likeeffect and can increasethe stimulant effect ofmedications like Ritalin.However, since Ritalin has theopposite effect in childrenand is generally prescribedto help them slow downand stay focused, chocolatecounteracts the intended
calming purposeof the drug.
2 | LIVING WELL A-Z | WEDNESDAY, November 7, 2012
YOGA &MEDITATIONNov. 21, 9–11 a.m.Co-sponsoredbyTheWellnessCommunitySun Health Grandview14505W.Granite Valley Dr., Sun CityWest602-712-1006
ORAL, HEAD & NECKNov. 21, 4:30–6:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
SURVIVE & THRIVENov. 27, 2–4 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-5799
BREAST CANCER
LEARN & SUPPORT GROUPNov. 8, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
BOSOM BUDDIES/AHWATUKEECHANDLERNov. 10, 10 a.m.–noonMorrison Building1875W. Frye Rd., Chandler480-893-8900
YOUNG SURVIVAL COALITIONNov. 13, 6–8 p.m.John C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
BOSOM BUDDIES/EAST VALLEYNov. 13, 6:30–8:30 p.m.BaywoodMedical Center6644 E. Baywood Ave., Mesa480-969-4119
BREAST CANCER SUPPORTNov. 14, 5:30–7 p.m.Co-sponsoredbyTheWellnessCommunityBanner Good Samaritan1111 E. McDowell Rd., Phoenix602-712-1006
YOGA &MEDITATIONNov. 15 & Dec. 6, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006
All groups and events are believed,but not guaranteed, to be free unlessotherwise stated. Every effort has beenmade to verify accuracy, but please callbefore attending to confirm details.
WELLNESS
WEIGHT LOSS SURGERY SEMINARSVarious dates, times & locations.By Scottsdale HealthcareRegister: bariatricsurgeryaz.com;480-882-4636
I CAN’T SLEEP!Nov. 7, 7–8 p.m.By Scottsdale Healthcareat Barnes & Noble10500 N. 90 St., ScottsdaleRegister: shc.org/events; 480-882-4636
MANAGING BLOOD PRESSURENov. 8, 1–2 p.m.By Scottsdale Healthcareat Civic Center Library3839 N. Drinkwater Blvd., ScottsdaleRegister: shc.org/events; 480-882-4636
BONEMEDICATIONSNov. 14, 1–2 p.m.By Scottsdale Healthcareat Appaloosa Library7377 E. Silverstone Dr., ScottsdaleRegister: shc.org/events; 480-882-4636
SNORING & HEALTHNov. 20, 6:30–7:30 p.m.ByMidwestern Univ. at Foothills Library19055 N. 57 Ave., Glendale623-930-3868
SEIZURES: AN OVERVIEWNov. 29, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)
PROSTATECANCER
US TOO: PROSTATE CANCERNov. 12, 7 p.m.St. Joseph’s350W. Thomas Rd., Phoenix602-242-3131
PROSTATE SUPPORT GROUPNov. 26, 7–9 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
HEART/STROKE
CONGESTIVE HEART FAILURENov. 7, 14, 21 & 28, 6:30–7:30 p.m.Chandler Regional1955W. Frye Rd., Chandler480-728-5414
STROKE SUPPORT GROUPNov. 8, 1:30–3 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4790
STROKE SUPPORT GROUPNov. 12, 2:30–4 p.m.Chandler Regional1955W. Frye Rd., Chandler480-728-3828
STROKE SUPPORT GROUPNov. 14, 6 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450
HEART-HEALTHY EATING CLASSNov. 20 & Dec. 4, 11 a.m.Banner Heart Hospital6750 E. Baywood Ave., Mesa480-854-5401
MENDED HEARTSNov. 21, 6:30 p.m.Banner Heart Hospital6750 E. Baywood Ave., Mesa480-854-5070
HEART CARENov. 27, 9:30 a.m.Banner Boswell13180 N. 103 Dr., Sun City602-230-2273
STROKE SUPPORT GROUPNov. 27, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)
DIABETES
TAKING CONTROLMon., Wed. & Fri., 10 a.m.–noonPastoral Care Associates2040W. Bethany Home Rd., PhoenixRegister: azhealthyhours.com;855-292-9355
TAKING CONTROLNov. 8, 15 & 29, 2–3 p.m.Paradise Valley Hospital3815 E. Bell Rd., PhoenixRegister: 602-923-5813;[email protected]
SUPPORT GROUPNov. 12, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)
MY DIABETES PATHNov. 14, 1 p.m.Humana Guidance Center5943 E. McKellips Rd., Mesa480-325-4707
WHAT YOU NEED TO KNOWNov. 15, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)
DIABETES SUPPORTNov. 20, 3–4 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4578
SUPPORT GROUPNov. 29, 1–2 p.m.St. Luke’s1800 E. Van Buren St., Phoenix877-351-WELL (9355)
FEET & DIABETESNov. 30, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)
ALZHEIMER’S/DEMENTIA
CREATINGMEANING, HAVING FUNNov. 9, 10:30 a.m.–noonBy Banner Alzheimer’sat AZMuseum of Natural History53 N. MacDonald, MesaRegister: 602-230-CARE
COMPASS FOR CAREGIVERSNov. 15, 10–11:30 a.m.,Nov. 29, 4–5:30 p.m.Banner Alzheimer’s Institute901 E.Willetta St., PhoenixRegister: [email protected];602-839-6850
FREE MEMORY SCREENINGNov. 16, 9 a.m.–1 p.m.Banner Alzheimer’s Institute901 E.Willetta St., PhoenixAppointments: 602-230-CARE
SUPPORT GROUP(lunch provided)Nov. 18, 11 a.m.–12:30 p.m.St. Joseph’s Huger Mercy Living Center2345W. Orangewood Ave., Phoenix602-406-5600
CAREGIVERS SUPPORT GROUPNov. 26, 1:30–3:30 p.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City623-832-5328
ALZHEIMER’S & SAFETY ISSUESNov. 27, 1–2 p.m.By Alzheimer’s Associationat Granite Reef Senior Center1700 N. Granite Reef Rd., ScottsdaleRegister: 602-528-0545
MEMORY LOSS, DEMENTIA &ALZHEIMER’SNov. 29, 12:15–1 p.m.By Alzheimer’s Associationat Surprise Senior Center15832 N. Hollyhock St., SurpriseRegister: 602-528-0545
SENIORS
GRANDPARENTS RAISINGGRANDCHILDREN (DUET)Various dates, times & locations.602-274-5022
GUARDIANSHIP CLINIC (DUET)Nov. 9, 3–5 p.m.Church of the Beatitudes555W. Glendale Ave., PhoenixReservations: 602-274-5022
TAI CHI FOR SENIORSNov. 16, 9–10 a.m.Humana Guidance Center5943 E. McKellips Rd., Mesa.480-325-4707
ALL ABOUT CATARACTSNov. 28, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)
WOMEN&CANCER
GYNECOLOGICNov. 13, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
GYNECOLOGICNov. 13, 5:30–7 p.m.Co-sponsoredbyTheWellnessCommunityCancer Center at St. Joseph’s500W. Thomas Rd., Phoenix602-712-1006
YOUNGWOMEN’S SUPPORTNov. 13, 6:30 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450
CANCERSUPPORT
CAVE CREEKNov. 10, 10 a.m.–noonBy Scottsdale Healthcareat Good Shepherd Episcopal Church6502 E. Cave Creek Rd., Cave CreekRSVP: 480-488-3283
LUNGNov. 10, 1–3 p.m.BySt. Joseph’sat TheWellnessCommunity360 E. Palm Lane, Phoenix602-712-1006
LOOK GOOD, FEEL BETTERNov. 12 & 19, 4 p.m.Co-sponsoredbyAmericanCancerSocietyIronwood Cancer & ResearchNov. 12: 3645 S. Rome St., GilbertNov. 19: 6111 E. Arbor Ave., MesaRegister: 480-855-2224
TAI CHINov. 13 & 20, 4:30 p.m.Ironwood Cancer & Research3855 S. Val Vista Dr., GilbertRegister: 480-855-2224
COLORECTAL, GASTRIC& PANCREATICNov. 13, 5:30–7 p.m.By TheWellness CommunityBanner MD Anderson2946 E. Banner Gateway Dr., Gilbert602-712-1006
COPINGWITH CANCERNov. 14 & 28, 6:30 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450
CREATIVITY TO COPENov. 15, 2:30–4 p.m.Ironwood Cancer & Research6111 E. Arbor Ave, MesaRegister: 480-981-1326;[email protected]
ABOUT LUNG CANCERNov. 15, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityParadise ValleyMethodist Church4455 E. Lincoln Dr., Paradise ValleyRSVP 602-712-1006
ESOPHAGEALNov. 15, 6–7:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-4970
NEW DISCOVERIESNov. 15, 6–8 p.m.TheWellness Community360 E. Palm Lane, PhoenixRSVP: 602-712-1006
ORAL, HEAD & NECKNov. 15, 6:30–8 p.m.Virginia G. Piper Cancer Center10460 N. 92 St., Scottsdale602-439-1192
LUNG CANCERSURVIVORSHIP SEMINARNov. 17, 9–11 a.m.St. Joseph’s350W. Thomas Rd. PhoenixRegister: 877-602-4111
SUPPORT GROUPNov. 20, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
COLORECTALNov. 20, 6 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450
KIDS CAN COPENov. 20, 7 p.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5450
BOSOM BUDDIES/SCOTTSDALENov. 17, 10 a.m.–noonScottsdale Healthcare Thompson Peak7400 E. Thompson Peak Pkwy,Scottsdale623-236-6616
YOUNG SURVIVORSNov. 17, 10 a.m.–noonDynamic Life Coaching Center1701 S. Mill Ave., Tempe480-326-7023
BLACKS AGAINST BREAST CANCERNov. 18, 3–5 p.m.TheWellness Community360 E. Palm Lane, Phoenix602-320-0502
SUPPORT GROUPNov. 26, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)
BREAST CANCER SUPPORTNov 27, 5:30–7 p.m.By TheWellness CommunityBanner MD Anderson2946 E. Banner Gateway Dr., Gilbert602-712-1006
TRIPLE NEGATIVENov. 28, 5:30–7 p.m.Co-sponsoredbyTheWellnessCommunityBanner Good Samaritan1111 E. McDowell Rd., Phoenix602-712-1006
PARKINSON’S
EXERCISE; TAI CHI; YOGA; DANCEVarious dates, times & locations.ByMuhammad Ali Parkinson Center602-406-6903
WESTSIDE TREMBLE CLEFS(singing program)Nov. 7, 14, 21 & 28, 10 a.m.–noonByMuhammad Ali Parkinson CenterShepherd of Desert Lutheran Church11025 N. 111 Ave., Sun City602-406-3840
EASTSIDE TREMBLE CLEFSNov. 8, 15 & 29, 4–6 p.m.ByMuhammad Ali Parkinson CenterGranite Reef Senior Center1700 N. Granite Reef Rd., Scottsdale480-991-0451
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.
Nov. 8Managing StressSeminarWHAT: Dr. Sanford Silvermanwill discuss stress, the impact ithas on your mental well-being,and how you can manageit more effectively.WHERE: Center for AttentionDeficit and Learning Disorders,10229 N. 92nd St. Suite 101,ScottsdaleTIME: 7–8 p.m.INFO: 480-609-1798REGISTER: centerforadd-az.com
Nov. 27Coping withHoliday StressWHAT: For grandparents raisinggrandchildren; learn how to getthrough the holidays happily.WHERE: Care 1stAvondale Resource Center,328 W. Western Ave., AvondaleTIME: 5–7 p.m.RSVP/INFO: duetaz.org;602-274-5022
November is American Diabetes Month, diabetes.org; Alzheimer’s Disease Awareness Month, alz.org;COPD Awareness Month, lungusa.org; Lung Cancer Awareness Month, lungcanceralliance.org
TOP Events
Events/Activitiesin Spanish
CancerWHAT: Cancer Support GroupWHEN: Nov. 13, 6–7:30 p.m.WHERE: Banner Desert,1400 S. Dobson Rd., MesaINFO: 480-412-HOPE (4673)
WHAT: Grupo de Apoyo EmocionalWHEN: Nov. 27, 6–8 p.m.WHERE: Cancer Centerat St. Joseph’s,500 W. Thomas Rd., PhoenixCO SPONSORED BY:The Wellness CommunityINFO: 602-712-1006
ChildbirthWHAT: Childbirth Education(2-week class)WHEN: Nov. 13 & 27,6:15–9:30 p.m.WHERE:Maryvale Hospital,5102 W. Campbell Ave., PhoenixREGISTER: azhealthyhours.com;855-292-WELL
Parkinson’s DiseaseSPONSORED BY:MuhammadAli Parkinson CenterINFO: 602-406-2453
WHAT: El Arte del MovimientoWHEN: Nov. 10, 17 & 24;9:30–10:30 a.m.WHERE: Church of theBeatitudes, 555W. Glendale Ave.,Phoenix
WHAT: Groupo Musical“Voces Unidas”WHEN: Nov. 10, 17 & 24;10:30 a.m.–noonWHERE: Church of theBeatitudes, 555W. Glendale Ave.,Phoenix
WHAT: Comadres/CompadresWHEN: Nov. 15, 3–5 p.m.WHERE: Pyle AdultRecreation Center,655 E. Southern Ave., Tempe
WHAT: Comadres/CompadresWHEN: Nov. 16, 9:30–11:30 a.m.WHERE: Church of theBeatitudes, 555W. Glendale Ave.,Phoenix
4 | LIVING WELL A-Z | WEDNESDAY, November 7, 2012
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RECENTLY DIAGNOSEDNov. 9, 10 a.m.–noonByMuhammad Ali Parkinson CenterHealthSouth Scottsdale9630 E. Shea Blvd., Scottsdale602-406-3840
DEEP BRAIN STIMULATIONNov. 9, 10:30 a.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City623-832-5328
PARKINSON’SNov. 12, 10–11:30 a.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City602-942-9008
PD 101: PARKINSON’S INFONov. 12, 19, 26 & Dec. 3, 1–3 p.m.ByMuhammad Ali Parkinson CenterFountain View Village16455 E. Avenue of the Fountains,Fountain HillsRegister: 800-227-7691
PARKINSON’S SUPPORT GROUPNov. 13, 1–2 p.m.HealthSouth Valley of the Sun13460 N. 67th Ave., Glendale623-878-8800
PARKINSON’S CAREGIVERS (DUET)Nov. 14, 1:30–3 p.m.Church of the Beatitudes555W. Glendale Ave., Phoenix602-274-5022
PARKINSON’S & PARTNERSNov. 26, 10–11:30 a.m.Banner Sun Health Research10515W. Santa Fe Dr., Sun City602-942-9008
BREASTFEEDING
BREASTFEEDING SUPPORTNov. 7 & 14, 10–11 a.m.Phoenix Baptist Hospital2000W. Bethany Home Rd., PhoenixRegister: azhealthyhours.com;855-292-WELL
BREASTFEEDINGNov. 7, 14, 21 & 28, 11 a.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414
BREASTFEEDING SUPPORTNov. 8, 15 & 29, 1–2:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-3035
BREASTFEEDINGNov. 9, 16, 23 & 30, 10 a.m.Mercy Gilbert3555 S. Val Vista Dr., Gilbert480-728-5414
LACTATION SUPPORTNov. 12, 19 & 26, 1–2 p.m.Banner Estrella9201W. Thomas Rd., Phoenix623-327-8001
SUPPORT GROUPNov. 13 & 27, 10 a.m.Banner Ironwood37000 N. Gantzel Rd., San Tan Valley480-394-4000
NURSINGMOMS SUPPORTNov. 14, 10:30 a.m.–noonBanner Del E. Webb14502W.Meeker Blvd., Sun CityWest602-230-2273
BREASTFEEDING SUPPORTNov. 19, 6–7:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-3502
PARENTING
POSTPARTUM DEPRESSIONNov. 7, 14, 21 & 28, 1–2:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414
CHILDBIRTH EDUCATION(2-WEEK CLASS)Nov. 7 & 14 ORNov. 28 & Dec. 5, 6:15–9 p.m.Maryvale Hospital5102W. Campbell Ave., PhoenixRegister: azhealthyhours.com;855-292-WELL
PREGNANCY, PARENTING & PLAYNov. 8, 15 & 29, 7–9 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4455
POSTPARTUM DEPRESSIONNov. 13, 20 & 27, 10–11:30 a.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5292
POSTPARTUM SUPPORTNov. 13 & 27, 11 a.m.Banner Thunderbird5555W. Thunderbird Rd., Glendale602-865-5908
NEWBORN PARENTINGNov. 13, 2–3:30 p.m.Banner Baywood6644 E. Baywood Ave., Mesa480-321-4455
SHARING DOWN SYNDROME AZNov. 15, 7–9 p.m.Mesa Student Services Center1025 N. Country Club, Mesa480-926-6500; sharingds.org
CIRCLE OF MOTHERSNov. 20, 5–7 p.m.Banner Estrella9201W. Thomas Rd., Phoenix623-327-4000
GASTRO-INTESTINAL
CELIAC DISEASENov. 7 & Dec. 5, 7–9 p.m.Paradise Valley Retirement Center11645 N. 25 Place, Phoenix623-587-8885
RAISING OUR CELIAC KIDSNov. 8, 6 p.m.Arabian Library10215 E. McDowell Mountain Ranch Rd.,[email protected];facebook.com/PHX.ROCK
OSTOMYNov. 18, 2–4 p.m.First Presbyterian Church161 N. Mesa Dr., Mesa480-812-0324
RESPIRATORY
RESPIRATORY SUPPORT GROUPNov. 8, 1:30 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-832-5708
BETTER BREATHERSNov. 21, 2–3 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414
BRAIN
APHASIANov. 8, 15 & 29, 10–11 a.m.HealthSouth Scottsdale9630 E. Shea Blvd., Scottsdale480-551-5481
BRAIN INJURYNov. 12, 7–8:15 p.m.BarrowNeurological350W. Thomas Rd., Phoenix602-406-3333
APHASIANov. 13 & 27, 10–11 a.m.Banner Boswell13180 N. 103 Dr., Sun City623-972-4263
SYRINGO & CHIARINov. 15, 11 a.m.–1 p.m.St. Joseph’s Outpatient Rehab114W. Thomas Rd., Phoenix623-561-9606
BRAIN TUMORNov. 27, 6–8 p.m.St. Joseph’s350W. Thomas Rd., Phoenix623-205-6446
ADDITIONALSUPPORTGROUPS
DIABETES & ASTHMACardon Children’s Medical Center1400 S. Dobson Rd., MesaCall for dates & times: 480-412-4557
PAINNov. 8 & 22, 6–8 p.m.HealthSouth Valley of the Sun13460 N. 67th Ave., Glendale623-334-5437
LUNG TRANSPLANTNov. 13, 11:45 a.m.–1 p.m.St. Joseph’s350W. Thomas Rd., Phoenix602-406-7009
AMPUTEENov. 13, 6–7 p.m.HealthSouth Valley of the Sun13460 N. 67th Ave., Glendale623-334-5358
VESTIBULARNov. 15, noonBanner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-2317
MEN’S DISABILITY ISSUESNov. 15, 5:30–7 p.m.Disability Empowerment Center5025 E.Washington St., Phoenix602-980-3232; [email protected]
LARYNGECTOMYNov. 20, 4–5 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-832-5349
MULTIPLE SCLEROSIS (WOMEN)Nov. 24, 10 a.m.St. Joseph’s350W. Thomas Rd., Phoenix480-829-6563
CAREGIVERS
SUPPORT GROUPS (DUET)Various dates, times & locations.602-274-5022
ONLINE NETWORKING (DUET)Nov. 10, 9–10 a.m.; Nov. 29, 7–8 p.m.Register: DuetAZ.org (Events tab)602-274-5022
CAREGIVERS SUPPORTNov. 12St. Joseph’s Outpatient Rehab114W. Thomas Rd., PhoenixCall for time: 602-406-6688
CAREGIVERS SUPPORTNov. 16, 2:30–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)
CAREGIVERS SUPPORTNov. 28, 2:30–3:30 p.m.St. Luke’s1800 E. Van Buren St., PhoenixRegister: 877-351-WELL (9355)
BEHAVIORALHEALTH
‘ANONYMOUS’ MEETINGSObsessive-Compulsive; Alcoholics;Al-Anon; Cocaine; Heroin; DepressionVarious dates & times.Banner Behavioral Health7575 E. Earll Dr., ScottsdaleInfo: BannerHealth.com
AL-ANON & ALCOHOLICSANONYMOUSNov. 10, 17 & 24, 7 p.m.Banner Thunderbird5555W. Thunderbird Rd., GlendaleInfo: BannerHealth.com
ASK An Expert
Living Well a-z invites readers to submit questions to a panel of health-care experts. The shortquestions and answers will offer readers a little more information about hot topics in medicine andrefer you to other resources where you can learn more. Responses will also arm you with informationso you know what to ask your own health-care providers. If you would like your question to beconsidered for the December 5, 2012 issue of Living Well a-z, please write to editor: Paula Hubbs Cohen,[email protected] or c/o The Arizona Republic, 200 E. Van Buren St., CA22, Phoenix, AZ 85004.
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
MIRACLE EAR:miracle-ear.com
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
MOUNTAIN VISTA MEDICALCENTER:mvmedicalcenter.com
NORTHVALLEYPLASTICSURGERY:nvpsaz.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:tempestlukeshospital.com
INFO Online
Question:Can bariatric surgeryhelp with diabetes?ANSWER: A study reported in theNew England Journal ofMedicinecompared people enrolled in astudy to assess their developmentof Type 2 diabetes 15 years afterstarting interventions. One grouphad bariatric surgery (1,658 people)and the other (1,771 people) had theinterventions of diet and exercise.At the end of the study period, 392people in the control group haddeveloped Type 2 diabetes comparedwith 110 in the bariatric-surgerygroup. The authors concluded that“bariatric surgery appears to bemarkedlymore efficient than usualcare in the prevention of Type 2diabetes in obese persons.”During a different trial, a group of
diabetes patients had gastric bypass,sleeve gastrectomy ormaximalmedical therapy. Those who hadsurgery showed a remarkableimprovement in glucose control anda significant number were able to gooff their glucose-lowering therapy.Also important was the fact that
someweight loss was demonstratedin the control group (maximalmedical therapy), proving thosepatients were compliantwith therapy.DAVID PODKAMENI, M.D., IS ABARIATRIC SURGEONAND THEMEDICAL DIRECTOR OF BANNERGATEWAY BARIATRICS
Question:What is ‘beautyparlorstroke’?ANSWER: Case reports havedemonstrated that hyperextensionof the neck (head hanging back)during hair shampooing in ahairdressing salon is a risk factorfor stroke.Warning signsmayinclude the sudden onset of vertigo,dizziness, headache, nausea,vomiting, double vision, weaknessor numbness on one or both sidesof the body, unsteadiness, or lossof consciousness.Themost probablemechanism
of beauty parlor stroke syndromeis stenosis (narrowing) or occlusion(blockage) of the vertebral arterycaused by compression at theatlanto-occipital junction (at thebase of the skull). This leads todamage of the intimal layer of theartery, thrombus (clot) formation,further stenosis of the artery byfibrosis (scarring), or embolism(dislodged clot traveling in artery),followed by ischemic stroke in thebrain stem or cerebellum.Education of beauty parlor clients
and personnel should lead toavoidance of the hyperextensionposition during hair washing andother hair treatments. Assumingother head postures during suchtreatments is advisable to preventsuch attacks.BART DEMAERSCHALK,M.D.,IS A NEUROLOGIST ATMAYO CLINICIN ARIZONA
Question:Can untreated hearingloss lead to dementia?ANSWER: Seniors who haveuntreated hearing lossmay be atan increased risk for developingdementia. This is the finding of astudy conducted by researchersfrom the Division of Otology atJohns Hopkins University Schoolof Medicine. Over the span of18 years, researchers found thatstudy participants who hadhearing loss at the beginning ofthe studywere significantlymorelikely to develop dementia by theend of the study.Howmight hearing loss
and dementia be connected?Investigators aren’t sure, butthink a common pathologymayunderlie both conditions, orpossibly the strain of decodingsounds over the yearsmayoverwhelm the brains of peoplewith hearing loss, leaving themmore vulnerable to dementia.The article concludes that these
findingsmay offer a startingpoint for further research as towhether interventions, even assimple as hearing aids, coulddelay or prevent dementia byimproving hearing.ROBERT BABER IS ABOARD CERTIFIED HEARINGINSTRUMENT SPECIALIST
WEDNESDAY, November 7, 2012 | LIVING WELL A-Z | 5
FREEHEARING TEST
26 Arizona Locations
Call 602-814-0072www.Miracle-Ear-Phoenix.com
Not a medical exam.Audiometric testto determine proper amplification needs only.Good only from participating Miracle-Earproviders. See store for details.
Girls’ Night OutFood, Fashion & Friendship
Pebble Creek Resort, GoodyearWednesday, Nov. 28
Val Vista Lakes Club, ChandlerWednesday, Dec. 5
RSVP to (602) 230-CAREwww.BannerHealth.com/Events
I taught my three children tonever give up. After my breastcancer diagnosis I followed myown advice and got a secondopinion. There’s always hope.My answer was Mayo Clinic.
Kim Loving
Like Kim, thousands of patients come to Mayo Clinic every year for cancertreatment, diagnosis or a second opinion. Our team approach to care meansyou have a compassionate group of specialists - all working together for you.We work with many insurance companies and are an in-network providerfor many people, most of whom don’t need a physician’s referral.Find your answer at Mayo Clinic.
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that consuming very high amounts ofany source of high-dose caffeine carriesthe risk of precipitating heart rhythmproblems.“I tell my patients to try and drink
[just] one cup of caffeinated coffee a day,especially those who are bothered bypalpitations which can be precipitatedby high intake,” he said.
What about decaf?While drinking decaffeinated coffee andtea is one way to cut back on the amountof caffeine that people are getting,Morstein suggests that people first doa little research on the beverages.“It’s important to look at how it is
processed,” she said. ‘Do they decaffeinateit with hexane or water? Preferably it isdone without any chemical solvents.”
How much is too muchIn regards to howmuch caffeine is toomuch, Ganem said this can really varyfrom person to person.“Everyone has different tolerances
and there is no absolute limit, however,moderation and avoidance of overdoingit is best. Your body will let you know,”he said.Keeping accurate track of howmuch
caffeine is actually being consumed on adaily basis is also important, Morstein said.“People may say ‘I drink one or two
cups of coffee’, but they don’t mentionthe 32 ounces of iced tea and other thingsthey drink during the day, like energydrinks, that might also have caffeinein them,” she said.
Overall perspective“Caffeine can cause us to lose bone, cancause heartburn and our adrenals to burnout, and can cause a feeling of urgencyin the bladder,” Morstein said. “So when Ilook at people in toto and they are havingthese issues, it could be the one or twocups of coffee they are drinking a dayplus all of the iced tea.” Resources
American Diabetes Association:diabetes.org
Mayo Clinic:mayoclinic.com
National Institutes of Health:nlm.nih.gov/medlineplus
Valley of the Sun YMCA:valleyymca.org
As far as Mona Morstein, ND, chairmanof nutrition at Southwest College
of Naturopathic Medicine is concerned, ifher patients can sleep through the nightand don’t wake up thinking ‘I need coffee’,then she doesn’t care if they drink it. “Also,if they can not drink it and then not haveheadaches or other signs of withdrawal,then I’m okay with it,” she said.
Effects on heart rhythmJames Ganem, M.D., a cardiologist andthe medical director of the cardiaccatheterization lab at Banner DesertMedical Center in Mesa, said that themedical community has gone back andforth for years over the subject of caffeine.
“Certainly coffee and tea bring pleasureand can help start one’s day,” he said,adding that the effects of stimulants suchas caffeine are mostly dose-related.To that end, Ganem advises that people
practice moderation, noting that while onerecent study showed a possible benefitin preventing congestive heart failurein coffee drinkers, it is his experience
Need a java jolt to getmoving in themorning?Seewhat the experts sayabout coffee, teaand caffeineBY ALISON STANTON
Risk factorsRisk factors for Type 2 diabetes, in additionto excessive weight, include a sedentarylifestyle, family history and an age of 45or older.Another risk factor for women is having
been diagnosed with gestational diabeteswhich can predispose those patients toType 2 diabetes later on, said RichardBlumrick, M.D., a high-risk obstetricianwith Dignity Health in Phoenix. Blumricknotes that up to 60 percent of pregnantwomen who develop gestational diabetesgo on to develop Type 2 diabetes 10 to20 years later.
Genetics an influence“Genetics has a strong influence ondevelopment of Type 2 diabetes,” saidRosalie Leman, a nurse and certifieddiabetes educator at Banner BaywoodHospital in Mesa. “Someone with a first-degree relative who has Type 2 has a40 percent chance of becoming diabetic.”Leman added that people who work
hard to avoid diabetes and then still getthe disease should not be made to feelguilty for not trying hard enough, whenthere is nothing they can do about theirgenetic makeup.
Successful managementFortunately, there are a number of waysto successfully manage the disease,Leman said.First, one of the best things to do to
thwart insulin resistance, Leman said, isexercise. Moderate to vigorous activity isvery effective in forcing insulin to attach tomuscle cells, thereby facilitating transportof blood glucose (sugar) into the muscletissue, she said.For non-insulin-dependent diabetics,
prescribed oral medication helps to controlthe amount of glucose in the blood. Whenoral medication no longer controls bloodglucose and the patient can’t maintain anA1C of 7 percent or less, insulin may beprescribed.Devendra Wadwekar, M.D., an
endocrinologist in Gilbert, said that inhis practice, about 15 percent of patientsuse an insulin pump instead of a needle.“Patients put on the pump are those whosecontrol is very difficult with injections,”he said. “Patients on an insulin pump
Continued from coverDIABETES
ResourcesHarvard Health Publications:health.harvard.edu
Mayo Clinic: mayoclinic.com
Science Daily: sciencedaily.com
From left: Stefania Done, Ph.D.; Elena Eddy, research associate; and Lucrecia Alvarez,Ph.D., discuss their diabetes research at the Translational Genomics Research Institute(TGen) in Phoenix. Researchers at TGen are studying a number of issues in tryingto better understand diabetes.
RICKD’ELIA
“People with diabetes canbe very healthy if they’rewilling to take care ofthemselves.”
— Rosalie Leman, nurse andcertified diabetes educator,Banner Baywood Hospital
If caffeine is addedto a food, it must beincluded in the listingof ingredients requiredon food product labels.
Source: Food and Drug Administration,fda.gov
Know your tea to a TGREEN TEA, which is the major teain Asia, is unfermented.
OOLONG TEA is partially fermented.
BLACK TEA, which is the major teain European and Western countries,is fermented and contains themost caffeine.
Source: Mona Morstein, ND
must be very compliant with checkingtheir blood sugars and eating their mealsappropriately.”Leman emphasized that patients who
transition to insulin dependence shouldn’tview that step as a failure to managetheir diabetes. “Insulin is simply anothertool to control blood sugar,” she said.“Unfortunately, it’s a myth that if you takeperfect care of yourself after a diagnosis ofdiabetes, you’ll avoid insulin dependence.”
Weight loss surgeryFor individuals who are consideredmorbidly obese, one treatment forpre-diabetes or diabetes is bariatricweight loss surgery.“With surgery, a pre-diabetic patient
likely will never become diabetic,” saidHilario Juarez, M.D., a bariatric surgeonat Bridges Center for Surgical WeightManagement. “A diabetic patient has an80 percent chance of no longer needingoralmedications. Among insulin-dependentpatients, the majority will no longer haveto take insulin after weight loss surgery.”To qualify for weight loss surgery, Juarez
said that most patients must be at least100 pounds overweight.
On-going researchSome diabetes research centers onenhanced treatment strategies for Type 2.For example, at the Translational
Genomics Research Institute (TGen)in Phoenix, Johanna DiStefano, Ph.D.,director of the diabetes research unit,is investigating strategies to preventthe development and progression ofType 2 diabetes.“We are also focused on preventing
secondary kidney complications fromthe disease,” she said. “Our researchon complications is relevant to bothTypes 1 and 2.”
Typical symptoms• Increased thirst• Frequent urination• Fatigue• Blurred vision
Source: American Diabetes Associationdiabetes.org
6 | LIVING WELL A-Z | WEDNESDAY, November 7, 2012
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“the worst headache you’ve ever had inyour life,” Carter said, to a loss of balanceor weakness and numbness on oneside of the body. Facial weakness andclouded vision are typical, as is confusionor difficulty speaking or understandinglanguage.One way to discern if you are or if
someone else is experiencing a strokeis to “act F-A-S-T,” she said. Carter saidto think of it like this:F (FOR FACE): Ask the person to smile.If the smile’s asymmetrical, that’sabnormal.
A (FOR ARMS): Ask the person toraise both arms. If one arm falls, orthe person cannot raise one, that’sabnormal.
S (FOR SPEECH): Ask the person to saya sentence. If speech is slurred or theperson is confused, that’s abnormal.
T (FOR TIME): Note the time when youfirst notice potential stroke symptomsand call 9-1-1 immediately. Emergencypersonnel have a 3- to 4.5-hour windowof time in which to administer tPA,or tissue plasminogen activator, atreatment that can help reverse theeffects of stroke.“If we get you to the ER and can treat
you,” she said, “we might be able to getyou back home.”
Study holds hopeAs for the future, researchers at MercyGilbert Medical Center are among thosetrying to make it a brighter one forstroke survivors. In August, the hospitalenrolled its first patient in a study that willevaluate the use of adult stem cells in thetreatment of stroke victims.At present, there is no specific
treatment for the chronic neurologicalsymptoms brought on by stroke, saidNabil Dib, M.D., M.Sc., F.A.C.C., directorof cardiovascular research at bothMercy Gilbert and Chandler RegionalMedical Centers and the study’s principalinvestigator. But the intent is, he said,to learn if adult stem cells will eitherregenerate or repair cells harmed by theeffects of stroke.Dib said that stroke is fairly similar to a
heart attack, in that both occur when theblood supply to the brain is interrupted.In early clinical research studies, adultstem cells have been shown to decrease
Stroke doesn’t fight fair. Thisdevastating condition causes very
little pain— you might even sleep throughone, in fact — and occurs seemingly outof the blue.“Stroke hits suddenly,” said Jacqueline
Carter, M.D., stroke director at BannerDesert Medical Center in Mesa. “It’s likea thunderclap. All of a sudden, it’s there.”Stroke occurs when there’s an
interruption of the oxygen-rich bloodsupply to the brain and the brain cellsdie, often leading to a loss in memory,speech or mobility. A staggering 800,000Americans suffer a stroke each year, shesaid, and— not including the possibleneed for a nursing home— it can costthose who survive it tens of thousands ofdollars in terms of lost wages, a hospitalstay and rehabilitation assistance. Inaddition, stroke is also the fourth-leadingcause of death and the top cause ofadmittance to nursing homes.“Strokes don’t kill you,” Carter said.
“They disable you.”
Hardening of arteriesStroke is classified in one of two ways.Ischemic stroke affects approximately85 percent of patients and is brought onby a clot that forms in a blood vessel, shesaid. The other type, hemorragic stroke,occurs in about 15 percent of patients andis caused by a blood vessel that rupturesand spills blood into the brain or ontothe surface of the brain.Stroke affects people from all walks
of life, regardless of age, ethnicity orgender, and typically, it’s brought onby hardening of the arteries, which is abuildup of plaque or cholesterol, which inturn can cause a clot. Thanks to our diet,Carter added, most Americans’ arteriesbegin hardening around age 12.“By and large, stroke is a function of
lifestyle,” she said, noting many modifiablerisk factors include high blood pressure,diabetes, smoking, obesity, inactivity,illicit drug use and elevated LDL, the ‘bad’cholesterol. Two other factors that don’tget as much attention, she said, are theuse of oral contraceptives and havingbreast implants.
Warning signsWhen a stroke occurs, the warning signsappear suddenly and can range from
Stroke 101Act fast at first sign of symptoms BY GREMLYN BRADLEY-WADDELL
inflammation and repair tissue damage,so the hope is that the adult stem cellswill do the same for stroke patients.Jonathan Hodgson, D.O., medical
director of Mercy Gilbert’s Stroke Centerand sub-investigator for the study, says thehospital is “actively recruiting” volunteersto take part in the research, which issponsored by San Diego-based StemedicaCell Technologies, Inc.Hodgson said that the criteria are fairly
specific. To be considered as a volunteer,a patient should:• be 18 years of age or older• have experienced a stroke six monthsago or longer
• be experiencing chronic neurologicalcomplication from a stroke
• require assistance or a wheelchairFor more information about the study,
or to learn how to become involved asa research volunteer, call 480-728-5414or visit ChandlerRegional.org/ResearchorMercyGilbert.org/Research.
Info and Support GroupsThere are many support groupsoffered for stroke survivors and theirfamilies, a number of which are listedin the calendar of events on pages4 and 5 of this issue. One such groupis offered at Banner Good SamaritanMedical Center.
Melinda May-Cowgill, R.N., patienteducation advocate and strokecoordinator, said topics like riskfactors and symptoms are discussedat meetings because one of thegroup’s goals is stroke prevention.Indeed, statistics indicate that one inthree stroke victims will have anotherstroke. “We want to improve theirquality of life, get their questionsanswered and address theirconcerns,” May-Cowgill said.
Banner Good Samaritan’s StrokeSupport Group meets from 5:30to 6:30 p.m. on the first Thursdayof each month at the hospital,1111 E. McDowell Road in Phoenix.Registration is not necessary. Thegroup’s next meeting is Dec. 5.For more info, call 602-839-3667.
F. A. S. T. THINKSTOCK
WEDNESDAY, November 7, 2012 | LIVING WELL A-Z | 7
EXPERTS
Robert Fintelmann, MD
Dr. Fintelmann is a board certified Ophthalmologist by theAmerican Board ofOphthalmology and a fellow of theAmericanAcademy of Ophthalmology.Heprovides excellence in care of corneal disease, as well as cataract and visioncorrection surgery. Besides cataract surgery and vision correction (includingLASIK and ICL), he performs a range of procedures including corneal transplants,partial thickness corneal transplants (DSAEK), and laser surgery to implantintracorneal segments for keratoconus (Intacs).He has presented at national andinternational meetings and has published multiple peer-reviewed articles.
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Dr. Dale is an obstetrician/gynecologist who is dedicated to all aspects ofwomen’s health. She specializes in menstrual disorders, contraception andminimally invasive and vaginal surgery. Dr. Dale received her medical degreefrom the University of Arizona College of Medicine and completed herresidency at the University of California Medical Center in Los Angeleswhere she received the Outstanding Research Presentation Award. Hercare philosophy is to give her patients both education and care in a way thatprovides understanding and comfort to women through all stages of their lives.
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Banner Health ClinicSpecializing in Obstetrics and Gynecology6553 E. Baywood Ave. Suite 210, Mesa480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN
Pooja Shah, MD
Dr. Shah specializes in low and high risk pregnancies, contraceptive options,in-office procedures and reproductive care. She enjoys providing education,treatment and continuity of care to both adult and adolescent women andbelieves in working in cooperation with them to provide compassionatehealth care. She completed her medical education and residency at theUniversity of Illinois School of Medicine in Chicago and is a member ofAmerican College of Obstetrics and Gynecology.Dr. Shah has been inpractice since 2009.
GYNECOLOGY/OBSTETRICS
Banner Health ClinicSpecializing in Obstetrics and Gynecology6553 E. Baywood Ave. Suite 210 • Mesa480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN
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