Living with AFib
New defibrillator offers 24/7 protection M A R C H
TRUE CALLING
2 0 1 5
Local pastor, marathoner
running for two
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Bug appetit
Unique workouts
fun ways to get in shape
Find us online
Mother of two finds peace teaching yoga
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Monique Rogers assists a student at Yoga Space.
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Publisher
Photographers
Ginger Moorhouse
Felix Adamo Ande Castaneda Casey Christie Brian Coleman Gregory D. Cook Sarah Cornejo John Davis Scott Hislop Michael Lopez Mark Nessia Carla Rivas Doug Stewart Adriana Vega Seth Wade
President/CEO Richard Beene
Editor Olivia Garcia
Assistant Editor
VOLUME 4 / ISSUE 1
MARCH 2015
Mark Nessia
Specialty Publications Coordinator Art Director
Senior Vice President of Revenue and Marketing
Glenn Hammett
John Wells
Graphic Designer
Interactive Sales Manager
Katelynn Camp
Allison Escobar
Editorial Interns Shelby Parker Lisa Ybarra
Writers Dr. Thomas Armstrong Dr. Atul Aggarwal Chelsea Brewer Elizabeth Castillo Kathryn Clowes Gregory D. Cook Sarah Cornejo Kelly Damian Diana Greenlee Dr. Jason Helliwell Dr. Siniva Kaneen Tarin Meadows Dr. Viral Mehta Logan M. Newton Shelley Peck Emily Shapiro Dr. Charles Paul Ulrich John Wells Rita White
Gunter Copeland
Advertising Lisa Whitten 395-7563 lwhitten@bakersfield.com
On the cover Photo by Casey Christie. Yoga instructor Monique Rogers helps one of her students find a pose while teaching a yoga class at Yoga Space in downtown Bakersfield. Rogers found her true calling in teaching yoga. Get to know Rogers on page 21.
B Well Magazine is published by The Bakersfield Californian. The magazine is free with home delivery of The Bakersfield Californian and published quarterly. To subscribe, please call 392-5777.
What gets your heart pumping? “My family. Employer victories. Half-marathons. Luigi’s. Hawaiian vacations. Fun neighbors. Moo Creamery. My sisters. Bible study. Jalapenos. Rockin’ girlfriends. The Golden Bears. My law partners. And, of course, champagne.” — Katy Raytis, contributor
“The Team Beachbody workout programs, like ‘Insanity’ and ‘P90X,’ get my heart pumping like no other. We have a lovehate relationship.” — Mark Nessia, assistant editor
“Brand-new experiences. My favorite recent adventure was horseback riding for the first time at Pismo Beach, which I absolutely loved. I can't wait to do it again.” — Allison Escobar, graphic designer
“Hugs and kisses from my grandkids!” — Linda Petree, advertising account executive
“Plenty! Cheering my boys at track or football. Running with my hubby and doggies. Hiking with my mom and sisters.” — Olivia Garcia, editor
“Running and playing with my kids, Ash, 8, and the 4-year-old twins Madison and Mason, gets my heart pumping. It’s fun and exercise for the whole family!” — Becky Lewis, major retail accounts executive
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B Well Magazine · March 2015
Bakersfield native
Diana Greenlee began her writing career as a student journalist, graduating cum laude from Cal State Bakersfield with a bachelor’s in both English and communications. She started freelancing with The Bakersfield Californian in 2003, receiving awards and accolades for her photos and writing. A veteran English teacher at Liberty High School, Greenlee says exercise is great for stress management, as well as the physical health and stamina needed in her busy life. “I enjoy running and yoga,” she said. “Exercise strengthens the body and mind.” The writer is married 29 years to Rick Greenlee, and the couple has two grown children.
Born and raised in Bakersfield, Chelsea Brewer has been involved in the arts since she was a child. She has written for The Bakersfield Californian and several magazines and published a collection of short stories called “Girly Stories.” A supporter of local theater, Chelsea occasionally makes her way to the stage, either behind the scenes or on the floorboards. Obsessed with movies, television and music, she’s currently finding a new obsession with cooking. She’s also a student of yoga and meditation and enjoys traveling, particularly road trips.
Dr. Thomas Armstrong is a UCLA dental school graduate and longtime Bakersfield general dentist. More recently, his practice has focused on treating many people with sleep apnea, using clinically proven oral appliances as an alternative to CPAP. He is extensively trained and board certified in dental sleep medicine and has worked with many area physicians to provide this care for over eight years. Armstrong advises that “good sleep is incredibly important to our overall heath, especially for our heart. Don’t let sleep apnea problems go untreated.” Learn more on his website at BakersfieldSmiles.com, or by calling his office.
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B Well Magazine · March 2015
From The Editor’s Desk
Editor Olivia Garcia and her husband, Julio, work to improve their heart, fitness and quality time together through regular hikes.
PHOTO COURTESY OF EVA ESTRADA
Contributors
A heart-to-heart conversation
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aking care of your heart is an important task that all of us strive do on a regular basis. For me, the best regimen is to involve my family. If I want to keep my heart healthy, then why not get the whole family involved in the process, right? My husband and I will regularly go on date runs. Then we have family hikes and walks that include our four sons, our two German shepherds, my mother and my sisters. It’s a great time to carve out of your week and spend it with those you love, especially away from all the noise that consumes our busy lives on a regular basis. In this issue, we explore themes related to
Olivia Garcia Editor 395-7487 ogarcia@bakersfield.com
taking care of our hearts. In addition, we discuss hormonal health and profile a number of local doctors in town worth knowing. And if you are concerned about how to continue to improve your health, or you want to share information that is important to local residents, then mark your calendar for the sixth annual Bakersfield Health & Fitness Expo hosted by TBC Media and sponsored by Dignity Health. This free event will be held from 10 a.m. to 3 p.m. Saturday, March 21, at the Rabobank Theater and Convention Center. For more information, booth or sponsorship opportunities, please contact Shauna Rockwell of TBC Media at 395-5716 or srockwell@bakersfield.com See inside this issue for more details.
Swift’s “1989” album release “Taylor Swift is capable of just about anything, adding to the list: worldwide pop phenomenon. I can’t stop listening to her latest album, ‘1989.’ It is the perfect soundtrack for random dance sessions, alone or with friends, and will instantly put a smile on your face. You’ll feel empowered and ready to take on the world in no time!”
— Shelby Parker, editorial intern
PINK knee-highs are the thing “When you’re at home and want to be comfy, you can't go wrong with Victoria Secret's PINK knee-high socks. You can wear them under your jeans or around the house. I love the colors and styles. They’re a nice way to add a little fun color to your look. You can find them in the PINK store inside the Valley Plaza Mall.”
— Olivia Garcia, editor
Single-speed mountain biking “A little more than a year ago, I bought a singlespeed, belt drive mountain bike. Only having one gear forces you to push harder when going uphill and spin your legs faster downhill so you get a better workout. I love the freedom of not having to worry about being in the right gear. And, with no derailleurs, cables or chains, it is virtually maintenance-free.”
— Glenn Hammett, art director
I’m feeling güd “Güd body lotion from Burt's Bees has become my absolute favorite lotion. Their fragrances are amazing and the fact that they're 97 percent natural and contain no phthalates, parabens or petrolatum is a
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— Allison Escobar, graphic designer
The outstanding Osprey Aura “I've been dreaming of owning an Osprey pack for years. Christmas 2014 I received an Osprey Aura 65-liter eggplant-purple beauty. (Thanks Mom and Dad!) My favorite feature is the LightWire alloy frame that creates more airflow between my back and the pack. The contoured hip belts and harness were specifically created for a woman's body shape, making it a perfect fit for female adventurers.”
— Katelynn Camp, specialty publications coordinator
P90X3 “The latest entry in the P90X series takes all the good from the P90X and P90X2 programs and crams it into a variety of 30minute workouts. There's a good mix of weight training, cardio, and balance and flexibility exercises designed to get you results in a fraction of the time. It's perfect for people with busy schedules who don't have time to go to a gym.”
The Heart & Hormone Health Issue
Inside March 2015 Features 22 Take heart See how local heart hospitals are using cuttingedge technology to keep your heart pumping.
26 Is hormone therapy
right for me?
Local OBGYNs give pros and cons of hormone therapy.
34 Debunking the myth Learn how hormone replacements affect the body.
28 Push your limits Challenge yourself in a whole new way with these 8 unique local workouts.
— Mark Nessia, assistant editor
Contigo AUTOSEAL West Loop travel mug “If you’re a cold-water drinker like myself, the Contigo AUTOSEAL West Loop Travel Mug is for you. It keeps beverages cold for up to 12 hours and hot for five. I fill it up every morning before I leave the house and it stays ice-cold all day long. I take it to spin class, work and school. It keeps me healthy and hydrated when I’m on the go. Find it online.”
— Lisa Ybarra, editorial intern
B Well Magazine · March 2015
PHOTO BY MARK NESSIA
Staff Picks
huge plus. They also offer other personal care products, including shampoo and body wash. Stop by your nearest Target store to grab a bottle or few.”
Get outside and involved in the community this spring.
Save the Date
16
Entertainment, runs and more.
18
Test your heart health smarts.
20 21
Quiz Smart Health Stats on heart health in Kern County.
Get to Know Local woman changes life through yoga.
Your Health 36 40 41 42 43
Defying the Odds Implantable defibrillator gives man another chance at life.
Health Watch Heart and hormones questions answered by the experts.
Holistic Health Eat bugs, improve life?
Mental Health How your heart and emotions affect each other.
Fab Finds
46
Real Success Stories
60
Your Body
62
What Happens When ...
65
Fit Foodie Check out how a local mom helps her family stay healthy.
Healthy Indulgence Italian goes light with Fit Pantry.
Local pastor runs a marathon for two.
15 interesting facts about prosthetics.
You experience irregular heart rhythms.
60
Life’s Questions Answered Help your heart with good sleep.
66 68
Living Green Environmentally friendly cloth diapers.
Gardening
70 71
44
56
Roots are important for growth.
Creating Awareness B the Cause Local organization brings hope to families with struggling newborns.
Some Kind of Wonderful Entrepreneur keeping community healthy.
Last Look
Healthy local items.
Healthy Bites 44
56
PHOTO BY MARK NESSIA
B Connected
PHOTO BY MICHAEL LOPEZ
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Wellness & Wonder
PHOTO
Out & About
BY MAR K NESSI A
Departments
72
B Seen
80
Residents Speak
82
Healthy happenings around town.
Resident makes healthy choices that keep her kicking at 60.
Life & Happiness Make the college transition easier for yourself and your college freshman.
March 2015 · bwellmagazine.com
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OUT & ABOUT / b connected
Preventing heartworms, heart disease in dogs By Dr. Charles Paul Ulrich, DVM hen we think about parasites and heart health, canine heartworms are the focus. The dog is the natural host for heartworms, which are worms that live primarily in the heart of the dog and other wild canids. This parasite is spread by mosquitoes and is found in all 50 states. Canines infected with heartworms have microscopic larvae, called microfilaria, in their blood. A mosquito bites an infected dog and then spreads the microfilaria to another dog when it takes a blood meal. These larvae then develop into mature worms that inhabit the heart and blood vessels of the heart and lungs. It takes about six months from the time of a mosquito bite for the mature worms to develop in the heart. Heartworm disease can cause disease in the heart, lungs, liver and kidneys. It causes many fatalities if untreated. Cats can get heartworm disease, but it is not as common as in dogs. Heartworm disease is very rare in people, and the parasite cannot complete its
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life cycle in a person. The treatment of this disease is difficult, expensive and can result in complications. Fatal outcomes are possible even with treatment. Signs of heartworm disease are variable. They can include persistent cough, exercise intolerance, fatigue, decreased appetite and weight loss. The disease can progress into heart failure. The good news is that prevention is as easy as giving a pill or topical medication to your pet once every 30 days. Most heartworm preventatives have additional medication included with them that treat other internal parasites and fleas. The internal parasites that may be controlled with heartworm preventatives include roundworms, hookworms, whipworms and tapeworms. The control of the other parasites is especially important in our area, as we have a higher incidence of fleas and intestinal parasites when compared to heartworm disease. Most cases of heartworm disease I have treated were from dogs that moved here from other states. As was stated earlier, heartworm disease exists all over Cali-
fornia but is especially prevalent in the foothill and coastal areas. I recommend that all dogs receive monthly preventative heartworm medication. This is especially the case if you travel with your pet. Prior to starting this treatment, a heartworm test is required to make sure that your pet does not already have a heartworm infection. By taking a monthly heartworm preventative, your pet receives the added benefit of internal parasite control.
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Natural bodybuilding championship to display sculpted, toned bodies
Dominick DiBetta
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B Well Magazine 路 March 2015
PHOTO BY MARK NESSIA
Compiled by B Well Magazine he third annual International Natural Bodybuilding Association Central California Muscle, Physique and Bikini Championships are being held at Harvey Auditorium, 1241 G St. on Saturday, March 28. The event will include bodybuilding, physique, figure, fitness, sports model, and kids and teen fitness competitions. Winners will receive a cash award. Five-time Natural Mr.Olympia Kiyoshi Moody will also be in
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attendance and perform a demonstration. Advance tickets are $20 for the main event at 6 p.m. and $30 for the all-day event. The all-day event tickets include a pre-judging show at noon and VIP seating in the first six rows. Tickets available at all Body Xchange locations, Mecca Nutrition and Strength & Health. General admission on day of show is $25 and $35 for VIP. For more information, contact Dominick DiBetta at 440-0315.
OUT & ABOUT / b connected
Bike Bakersfield to host a series of cycling events in May PHOTO BY FELIX ADAMO
Compiled by B Well Magazine ay is National Bike Month. So get on your bike and celebrate with a host of activities sponsored by local nonprofit bicycle advocacy group Bike Bakersfield.
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Full Moon Ride: May 2 Join Bike Bakersfield for its monthly Full Moon Ride with a special potluck to take place before the ride. These rides are 10 to 12 mph and are suitable for riders of all ages and skill levels. Bring an item to share at the potluck. Pedal Time: 8 p.m. Map: Riders will start at Beach Park, travel down the Kern River Parkway trail, cross through Cal State Bakersfield and finish at The Marketplace.
2nd Annual Cyclofemme: May 10 Support women’s cycling by joining La Bicicleta Boutique and Bike Bakersfield in their Cyclofemme ride. Whether you are a young lady, a mother, a grandmother or man who wants to show his support for female cyclists, this is the perfect ride for you. Pedal Time: 9 a.m. Map: Ride begins and ends at La Bicicleta Boutique, located downtown at 1820 G St. (refreshments to follow the ride).
Bike to Work Day: May 15
The annual CASA Superhero run will be held April 11.
PHOTO COURTESY OF CASA OF KERN COUNTY
Meet Bike Bakersfield volunteers and your local community leaders at the Liberty Bell to celebrate Bike to Work Day. Bike Bakersfield
Cyclists begin to gather at dusk on the bike path at Beach Park for the monthly Full Moon Ride sponsored by Bike Bakersfield.
will provide refreshments for all riders. Pedal Time: 7 a.m. Map: Stop by the Liberty Bell at the corner of Truxtun and Chester avenues on your ride to work.
Bike Bakersfield Bike Festival: May 16 To celebrate Bakersfield’s great bicycle community, Bike Bakersfield will hold the annual Bakersfield Bike Festival. This year’s vendors will include local bike shops, community groups and riding groups. There will be food, fun and activities for people of all ages.
Location: Beach Park Ride of Silence: May 20 Bike Bakersfield invites you to ride and remember those who lost their lives while riding in our community at its annual Ride of Silence. Pedal Time: 7 p.m. Map: The ride will start in the parking lot of Bagels and Blenders, 8200 Stockdale Highway. For more information, visit bikebakersfield.org
Calling all superhero runners Compiled by B Well Magazine he 2015 CASA Superhero run is being held Saturday, April 11, at The Park at River Walk. There will be kids activities, vendors, face painting, a raffle for Disney four-pack tickets and awards for best superhero costume. Pre-registration fees are $35 for 5 and 10Ks, $25
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for adult 2K and $10 for child 2K. Day-of registration fees are $40 for 5 and 10Ks, $30 for adult 2K, and $10 for child 2K. Check-in is at 7 a.m. All races start at 8:30 a.m. and awards are presented immediately after. Register online at active.com/bakersfield. Proceeds benefit CASA of Kern County.
March 2015 · bwellmagazine.com
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OUT & ABOUT / b connected
Compiled by B Well Magazine
irque du Soleil will be performing in Bakersfield for the first time ever with “Varekai.” The traveling company started as a group of 20 street performers in 1984, but now has almost 4,000 employees from 50 different countries. It has performed for close to 150 million people and is now here in the
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PHOTO BY JOHN DAVIS
Cirque du Soleil in Bakersfield for first time with ‘Varekai’ Cirque du Soleil brings its colorful show “Varekai” to Rabobank Arena April 1-5.
Central Valley. In “Varekai,” a young man journeys through a magical forest and meets all kinds of creatures along the way. According to its website, the show “pays tribute to the nomadic soul, to the spirit and art of the circus tradition, and to those who quest with infinite passion along the path that leads to
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Varekai,” which simply means "wherever." Surely, this is something not to be missed for fantasy lovers. There will only be seven performances at Rabobank Arena, April 1-5. Tickets on sale now from $35 to $150 at ticketmaster.com. For more information, visit cirquedusoleil.com/Varekai.
Are you feeling angry, anxious, depressed, lost? Do you struggle with your relationships or perhaps are having parenting questions? Let’s work together confidentially to find some direction. Training & Experience: BS and MA in psychology, Licensed MFT, working in private practice, KMC - Medicine Dept., and adjunct professor at BC. Prior MP US Army and Civilian Police officer, CPS, AAFV, Haven Counseling center, KCMH -AB2726, and Foster Care Instructor. Contact me at (661) 487-0940 for an appointment.
Daniel Burke LMFT
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B Well Magazine · March 2015
OUT & ABOUT / b connected
Health & Fitness Expo coming to Bakersfield BC Media invites the local community out to its sixth annual Bakersfield Health & Fitness Expo. The free event will be held 10 a.m. to 3 p.m. Saturday, March 21, at Rabobank Theater and Convention Center. Over 60 vendors and sponsors will provide demonstrations and activities involving fitness, diet, eye care, even dental care. The special focus will be pediatric health care, with plenty of children's activities. There
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will be a separate area for the boomer generation and everyday adult health, and sponsors will address senior health care as well. Yoga, fitness training, nutrition, beauty and mental well-being demos will also be offered. The event, which attracts well over 2,000 local residents each year, invites Bakersfield families to get a jump-start on a healthy 2015 at the expo. For booth or sponsorship opportunities, please visit healthybakersfield.com.
Vendors at the Health & Fitness Expo will give guests tips on how to maintain a healthy lifestyle.
PHOTO BY FELIX ADAMO
By John Wells
Rally for Respiratory Health! Join the American Lung Association in California to learn more about managing and living with lung disease including lung cancer, COPD (chronic obstructive pulmonary disease), Alpha 1, and asthma from medical professionals and motivational presenters. Adults with lung disease, family members and caregivers are welcome to attend this FREE event. Thursday, May 21, 2015 10:00 AM—3:00 PM San Joaquin Community Hospital Conference Center 1524 27th Street Bakersfield, CA 93301 Registration is free, but space is limited!
Register today at action.lung.org/bakersfieldrally For more information, call the American Lung Association in California at 661.282.3306
Sponsors: March 2015 ¡ bwellmagazine.com
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OUT & ABOUT / b connected
Starlight 5K to help end childhood cancer Compiled by B Well Magazine
he second annual Starlight 5K will take place at The Park at River Walk 6:30 p.m., Saturday, March 7. Hosted by the nonprofit Second Star to the Right, the event will raise funds to help fight childhood cancer. Show your support by walking or running the path illuminated by blacklight, glow lights and more. Bring your own glow-in-the-dark gear or buy from the organization the day of the walk.
Walk or run the Starlight 5K to benefit children battling cancer.
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B Well Magazine 路 March 2015
PHOTO BY ANDE CASTANEDA
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Kids ages 12 and under can also get in on the fun with the 5:45 p.m. 1K Little Dipper Race. Registration is now open online at active.com: $30 per participant for a team of six people and $35 for individuals. Registration includes an event T-shirt, goody bag and glow wristband. The Little Dipper is $10 per child and will include an event Tshirt and glowstick. For more information, visit starlight5k.com.
OUT & ABOUT / b connected
Bakersfield’s version of the TV sensation ‘The Amazing Race’ ress up, come downtown and race for charity (and to win $2,000) in Stewards Inc.’s Bakersfield Amazing Race 2015 on March 14. The event challenges teams of two to four to solve clues and collect photos/videos as fast as they can around downtown Bakersfield. Racers should dress up, as there is an award for best costume and also best Instagram photo (#bakersfieldamazingrace2015). Regular registration is $45 per ticket and
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late is $55. For tickets, visit bakersfieldamazingrace.org. Packet pickup and check-in will be from 8 to 9:15 a.m. at the Wall Street alley in downtown Bakersfield. Race will start at (3/14) 9:26:53 a.m., the first 10 digits of pi, in honor of National Pi Day. Ticket sales will benefit Stewards Inc., a faith-based local nonprofit that manages the Social Security benefits of individuals who need financial assistance. Second place receives $500 and third place $200.
Choose your team and team outfits for the annual Bakersfield Amazing Race to be held March 14.
PHOTO BY CASEY CHRISTIE
Compiled by B Well Magazine
The Baker Family
When it matters most, count on us! Personal care or nursing care at home
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When Mom or Dad can no longer live alone, call BAKERSFIELD SENIOR PLACEMENT Darlyn Baker RN & family owned
Darlyn Baker, RN Bryon Baker and Chuck Baker
4801 Truxtun Ave.
395-1700 (661)395-1700
www.MyBakersfieldHealthcare.com March 2015 · bwellmagazine.com
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OUT & ABOUT / save the date
Can’t-miss events from
March to May Sat., March 14
Tamera Hill’s “Workplace Drama”
7:30 p.m., Fox Theater, 2001 H St. $34-$68 at the box office, vallitix.com or 322-5000.
Sun., March 15
Kern River Canyon HalfMarathon
10K and 5K held by Run 4 A Way to benefit citizens of the Kern River Valley. 9 a.m. start time, only 75 spots, Miracle Hot Springs on Old Kern Canyon Road. Registration $65 plus fees, bakersfieldtrackclub.com.
Fri., March 20
“My Big Fat Oildale Wedding”
Through May 10, Gaslight Melodrama Theatre & Music Hall, 12748 Jomani Drive. Tickets, times and pricing available at themelodrama.com.
Sat., March 21
Find more community events at bwellmagazine.com or submit yours via our Facebook page, BWell Magazine.
2nd Annual Run for Love-Water 1/5/10K
Sat., April 11
6 a.m. registration, 8 a.m. start at Yokuts Park. 1 mile, $10, 5/10K, $30 at love-water.org/runforlovewater.
Sat., March 21
7 a.m. check-in., 8:30 a.m. start. The Park at River Walk, 11298 Stockdale Highway. Preregistration: 5/10K $35, Adult 2K $25, Child 2K $10. Day-of registration: 5/10K $40, adult 2K $30, child 2K $10. Register at active.com.
‘Field n ‘Dale 612K Fun Run
7 a.m. registration, 9 a.m. start time at Panorama Vista Preserve, 901 E. Roberts Lane. Pre-registration $25, regular $35. Register at Covenant Coffee, 1700 N. Chester Ave. or online at bakersfieldtrackclub.com.
Sun., March 29
Thurs., April 16
“Sister Act” Sat., April 25
7 p.m., Rabobank Theater, 1001 Truxtun Ave. Tickets and pricing available at ticketmaster.com or 8527308.
Varekai from Cirque du Soleil
April 1, 2, 3, 7:30 p.m. April 4, 4 p.m. and 7:30 p.m. April 5, 1:30 p.m. and 5 p.m. Rabobank Arena, 1001 Truxtun Ave. ticketmaster.com or 8527309.
Mon., April 6
Fleetwood Mac
8 p.m., Rabobank Arena, 1001 Truxtun Ave. $47.50-$177.50, ticketmaster.com.
B Well Magazine · March 20152014
Pat Benatar & Neil Girado
8 p.m., Fox Theater, 2001 H St. $45-$85 at box office, vallitix.com or 322-5000.
Wed., April 1-5
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CASA Superhero Run (10K, 5K and 2K walk)
East High Poker Run 5K
6:30 a.m. registration, 8 a.m. start, 9 a.m. kids’ run (12 and under) start. Rio Bravo Ranch, BTC members $20, non-members $25, students $12 at active.com.
Sat., April 25
Merle Haggard
8 p.m. Fox Theater, 2001 H St. $47-$97 at the box office, vallitix.com or 322-5000.
Thurs., May 7
Marvel Universe Live!
Through May 10. 7 p.m., Rabobank Arena, 1001 Truxtun Ave. $25-$70, ticketmaster.com.
Sat., May 9
The Stylistics and The Dramatics
8 p.m., Fox Theater, 2001 H St. $43-$83 at the box office, vallitix.com or 322-5000.
Fri., May 15
“The Life & Times of Johnny Mojave”
Through July 3. Gaslight Melodrama Theatre & Music Hall, 12748 Jomani Drive. Tickets, times, pricing at www.themelodrama.com.
We are now offering Ultherapy! An Facelift, not a Uplift!
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March 2015 · bwellmagazine.com
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OUT & ABOUT / quiz
Fight off heart disease with a healthy lifestyle, less sodium
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By the American Heart Association
healthy diet and lifestyle are the best weapons in the fight against cardiovascular disease, the No. 1 killer of women and men alike. The American Heart Association (AHA) has seven simple steps to improve you and your family’s heart health. 1. Get active: Aim for at least 30 minutes of moderate physical activity each day, five times a week. 2. Eat better: A heart-healthy diet is low in saturated and trans fat, cholesterol, sodium and added sugars, but high in a variety of fruits and vegetables, whole grain fiber and lean protein. 3. Maintain a healthy weight: You will benefit by bringing your BMI (body mass index) below 25. 4. Do not smoke: To live a long and healthy life, it is important to break a nicotine addiction. 5. Manage blood pressure: Aim for blood pressure levels of less than 120/80. 6. Control cholesterol: Keep LDL (bad cholesterol) levels below 100 mg/dL, HDL (good cholesterol) above 40 mg/dL for men and 50 mg/dL for women, and triglycerides under 100 mg/dL. 7. Reduce blood sugar: A fasting blood sugar level below 100 mg/dL is considered ideal.
More and more studies are showing the effects of high sodium intake on the heart, another area the AHA is turning its attention to. When there’s extra sodium in your bloodstream, it pulls water into your blood vessels, increasing the total volume of blood inside. With more blood flowing through, blood pressure increases. Sodium not only adds a higher
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B Well Magazine · March 2015
risk of high blood pressure, but also of heart disease, stroke, kidney disease and other health problems – not to mention bloating and puffiness. The organization now recommends that Americans consume less than 1,500 mg/day of sodium. One estimate suggested that if the U.S. population moved to that average intake, it would reduce deaths from heart disease and stroke by anywhere from 500,000 to nearly 1.2 million over the next 10 years. You can learn more about sodium and tips on how to reduce its intake at sodiumbreakup.heart.org, where anyone can also join the “I pledge to reduce sodium I eat” campaign. You can also visit heart.org to access additional resources on heart-healthy living.
Sodium and a healthy heart 1. How does sodium affect your body? a. Excessive amounts elevate your blood pressure b. Sodium helps maintain fluid levels c. The body needs a small amount of sodium to function properly d. All of the above
2. The American Heart Association recommends that individuals consume less than: a. 2500 mg of sodium a day b. 1500 mg of sodium a day c. 5000 mg of sodium a day d. 3000 mg of sodium a day
3. Which one is not among the top six sources of sodium in Americans’ diets? a. Breads & rolls b. Pizza c. Salad d. Poultry
4. Where does most of the sodium we consume in our food come from? a. Processed Foods b. Restaurant food c. Salt shaker d. Watermelon
5. Sea salt contains less sodium than table salt. a. True b. False
6. Eating potassium-rich foods can lower the risks of eating too much sodium. Which foods do not include potassium? a. Sweet potatoes, potatoes. b. Lima beans, peas and green vegetables c. Bananas, oranges, grapefruit and cantaloupe d. Canned soup
7. In our diet, how much sodium comes from salt added at the table? a. 6% b. 75% c. 50% d. 25%
8. Eating less salt can: a. Reduce bloating b. Reduce preferences for salty tastes c. Improve heart health d. All of the above
Answers: 1. D; 2. B; 3. C; 4. A; 5. B; 6. D; 7. A; 8. D
March 2015 ¡ bwellmagazine.com
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OUT & ABOUT / smart health
Local numbers on adult cardiac patients in Kern County Three favorite hobbies
51% women
34%
66%
age 65+
50% gardening
white
Medications purchased
34% cholesterol medication 40% diabetes medication 47% high blood pressure medication
30% camping 27% volunteer work Source: Scarborough Research (September 2014)
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B Well Magazine 路 March 2015
OUT & ABOUT / get to know
Monique Rogers...
Monique Rogers From a corporate cocoon, out comes a yogi butterfly By Chelsea Brewer onique Rogers, a 39-year-old mother of two, was born in Bakersfield and raised in McFarland. After attending California State University, Bakersfield on a merit scholarship from The Bakersfield Californian, she and her exhusband started up two information technology service companies as well as a family. After a few years, the marriage dissolved, and Rogers was feeling the stress of becoming a single mother. She was also missing out on quality time with her daughter, Samantha, and son, Riley, due to high-pressure, 16hour days as a corporate executive. She was looking for a healthy stress outlet. Her counselor suggested she give yoga a try. She thought he was crazy but gave it a go. After an emotionally (and surprisingly) cathartic first practice, Monique slept better than she had in years. She attended daily classes for six months until she decided her true calling was to become an instructor. After two rounds of teaching courses in Costa Rica, she became a certified yoga instructor and found her place at Bakersfield’s downtown Yoga Space. She highly recommends anyone experiencing stress, depression, anxiety, or anyone wanting to improve their strength and flexibility, to give yoga a try.
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• Trained in anti-gravity aerial yoga by the original Ninja Turtle Donatello played by Christopher Harrison. • Was part of a recent meditation study by Deepak Chopra. • Originally thought yoga was for old ladies with gas and gout. • Constantly reads more than one book at a time. She is currently reading seven different books on various topics, such as food, health, spirituality, anatomy, yoga and biographies. • She keeps a package of sealed, wild smoked salmon in her travel bag/purse at all times. • Her sole purpose as an instructor is to provide a safe place where her students can let go and do whatever healing needs to be done. • Used to be a
competitive swimmer and a lifeguard.
PHOTO BY CASEY CHRISTIE
“Yoga changes the way you see your body, your relationships, the world. It requires you to look at yourself, and it’s not always fun to look in that mirror. Yoga is an excavation of the person that needs to come out, an excavation of the soul.” — Monique Rogers
March 2015 · bwellmagazine.com
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Bakersfield Heart Hospital
Take
Heart Plenty of cutting-edge options for heart disease patients, those at risk
B
Stents
BHH introduced drug-eluting stents to the community and helped revolutionize the minimally invasive approach to heart surgery. These stents, coated with drugs that help pre-
PHOTO COURTESY OF BAKERSFIELD HEART HOSPITAL
Compiled by B Well Magazine
akersfield resident Joe Martinez received annual physicals with normal results; however, those results were not telling him enough about his heart. After a simple 45-minute screening at the Women’s Heart Center of Bakersfield Heart Hospital (BHH), Martinez found that he was unknowingly living with heart disease. A screening, coronary calcium scan and angiogram revealed multiple blocked arteries, which led to quadruple bypass surgery. Without the detection services provided by BHH, Martinez may not be with us today. Over the past 15 years, BHH has been adding to a long list of pioneering interventions in heart disease treatment to keep Bakersfield residents healthy.
Dr. Brij Bhambi performs a procedure in the BHH Cath Lab.
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B Well Magazine · March 2015
PHOTO COURTESY OF DIGNITY HEALTH
vent further blockages, are thought to be a better option than metal stents, because they last longer and lead to fewer complications. The hospital participated in multiple clinical trials during the development of carotid artery stenting, including the development of embolic protection devices that capture debris released during stent placement. This helps minimize stroke risk. Nearly 80 percent of heart attacks can be prevented, and BHH is doing all it can to use tools and techniques that will prevent cardiac failure. For patients with severely damaged hearts and no other alternatives, BHH adopted and introduced the Impella heart assist device to improve safety during very complex stent interventions. At BHH in 2014, Dr. Brij Bhambi was the first interventional cardiologist in the world to use a newly developed balloon catheter, a tool that optimizes stent implantation and outcomes in larger arteries. BHH is also the only hospital in the community using the PFO closure device, which treats patients with holes in
their heart.
Raising awareness
BHH saw a need in the community to raise awareness of how to prevent heart attack and stroke among women. To that end, the hospital developed the Women’s Heart Center in 2013 – a first in the community and among fewer than 50 in the nation at the time. An appointment at the center is the first step in identifying heart disease risk. Responding to community requests, screenings for men were added. Since its opening, the center has screened over 1,000 men and women, and many heart attacks have been averted due to early detection. This year, The Women’s Heart Center program at BHH became the only SHAPE/Heart Health Certified Center of Excellence in Kern County. The accreditation is given to a limited amount of medical centers committed to preventing a person’s first heart attack through
Dr. Lee speaking at the opening of the bi-plane interventional suite at Memorial Hospital’s Sarvanand Heart and Stroke Center.
“The Women’s Heart Center at Bakersfield Heart Hospital saved my life.” — Joe Martinez, patient
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Continued from PAGE 23
rigorous interventional strategies. BHH was recognized due to its coronary calcium score, determined by a CT scanner that identifies heart disease in its earliest stages. “The Women’s Heart Center at Bakersfield Heart Hospital saved my life,” Martinez said. And the hospital will continue saving Bakersfield residents’ lives through early detection.
Dignity Health’s Mercy and Memorial Hospitals
Prevention inside, outside the hospital ercy and Memorial Hospitals are caring for Bakersfield residents’ hearts within their walls and beyond. Bobbie Unsell, 46, started Memorial Hospital’s Cardiac Rehab program after experiencing a heart attack in January 2014. Through a stent procedure performed at Memorial’s Sarvanand Heart and Stroke center, Unsell’s left anterior descending artery was successfully opened, and through the hospital’s Cardiac Rehab program, Unsell has become a much healthier, happier person. “I have the best cardiac rehab team ever,” Unsell said. “My diet has changed 100 percent. I’ve lost about 30 pounds since my heart attack. I’m no longer a diabetic, only slightly in pre-diabetic stage and still improving. I eat fruits and veggies and have made drastic changes to eliminate stress from my life. I find solo walks help a lot.”
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ing state-of-the-art technology to diagnose and treat heart problems, there are processes in place that ensure patients experiencing chest pain are rapidly evaluated and receive appropriate treatment in adherence to strict criteria set by the Society of Cardiovascular Patient Care. The hospital continually evaluates its practice to provide the highest standard of care. “When it comes to saving lives, we’re committed to looking at ways we can be even better,” said Dr. Tommy Lee, cardiologist and medical director of the chest pain program at Memorial.
Community programs
Mercy and Memorial offer unique programs to help residents stay heart healthy beyond the hospital walls. One example is an exclusive partnership with the American Heart Association to bring Go Red Por Tu Corazon to the community. Go Red Por Tu Corazon is an empowering program for Latina women that promotes a heart-healthy lifestyle. Heart disease is the No. 1 cause of death for Latinas, and the hospitals want to raise awareness in the community to prevent this life-threatening disease. For more information, visit choosemercymemorial.org. Diet and exercise are an important part of maintaining a healthy heart, and the hospitals offer free fitness classes open to the public like Zumba and yoga as well as seminars on nutrition and healthy cooking. For more information on these classes, call the Community Wellness Program at 861-0852.
Sarvanand Heart and Stroke Center
Cardiac services are based at Memorial Hospital’s Sarvanand Heart and Stroke Center, although patients may begin a hospital stay at any of the three Dignity Health hospitals in Bakersfield. The Center features a cardiac catheterization laboratory, cardiovascular operating rooms, cardiovascular intensive care unit, cardiac telemetry unit and the Southern Valley’s first bi-plane interventional suite. The bi-plane interventional technology, according to Jon Van Boening, president/CEO of Memorial Hospital, “offers specially trained neurologists the ability to place wires in the brain to treat stroke-causing clots and blockages.” The device can be used for adults and children.
Chest Pain Center
Memorial Hospital is an accredited Chest Pain Center, meaning that in addition to hav-
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San Joaquin Community Hospital Open-heart surgery to SmartTouch catheters
rom complex cardiac surgery to emergency heart attack procedures, San Joaquin Community Hospital’s commitment to top-notch heart care spans decades. More than 40 years ago, SJCH was the first hospital in Bakersfield to perform open-heart surgery. The legacy continued in 2014 when SJCH became the first hospital in Kern County – and only the second in all of California – to be accredited as a National Mission Lifeline Heart Attack Receiving Center, an award given to a medical institution that exhibits exemplary heart care after rigorous evaluation by the American Heart Association.
F
PHOTO BY SETH WADE
PCI
Most recently, SJCH introduced high-risk percutaneous coronary intervention (PCI) as an alternative to open-heart surgery. During PCI, a cardiologist feeds a catheter from an artery up through blood vessels until it reaches the site of blockage in the heart. At the blockage, a device or balloon is inflated to open the clogged artery, allowing blood to flow, in many cases, avoiding surgery for faster recovery and fewer complications. “San Joaquin Community Hospital has taken a leadership role to improve cardiac care in Kern County,” said interventional cardiologist Dr. Viral Mehta. “When it comes to heart problems, every second counts. Creating better outcomes really helps San Joaquin Community Hospital stand apart from other providers in the community.” Before SJCH performed PCI, patients had to go out of town for the procedure or suffer through a poorer quality of life.
SmartTouch catheter
SJCH has also taken the lead by becoming the only hospital in Kern County to have a
device called a SmartTouch catheter. This device is used when doctors are fixing an abnormal heartbeat. The SmartTouch catheter shows doctors a digital readout, while mending a beating heart. Because of the digital readouts, it takes guesswork out of the procedure, leading to safer and more successful patient outcomes.
Dr. Todd Peterson, DO, explains patient symptoms to the cardiac team at SJCH.
Chest Pain Center
In the hospital’s Emergency Center – as part of the nationally accredited Chest Pain Center – a 24/7 on-call Cardiac Alert Team is always ready to respond with quick diagnosis and life-saving treatment, often providing lifesaving intervention within minutes of arrival. Not only does early recognition reduce the risk of death, it also minimizes the long-term damage that can drastically affect a person’s quality of life. For more than four decades, SJCH has been a leader in providing the communities of Bakersfield and Kern County with cutting-edge heart care. The hospital has been the site of numerous community firsts and advancements and has also received national awards in multiple areas throughout the hospital.
“When it comes to heart problems, every second counts.” — Dr. Viral Mehta, SJCH
March 2015 · bwellmagazine.com
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Is it right for me?
Benefits, risks, options of hormone therapy treatments By Dr. Jason Helliwell, MD, FACOG, FACS, FAACS and Dr. Siniva Kaneen, MD, FACOG
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ormone therapy for women has been touted as a magical way to avoid aging, but is it really? The popular 1960s book “Feminine Forever” said that synthetic estrogen was the way to youth and femininity. But a decade later, the age-defying treatment was overshadowed by deadly risks, namely endometrial and uterine cancers. In the ’80s, hormones were linked to preventing osteoporosis and heart disease. Since then, hormone therapy use has increased; however, the seesawing popularity of hormone therapy still hasn’t leveled. The 2002 Women’s Health Initiative showed that hormone therapy led to a lack of cardiac protection and increased the risk of breast cancer and blood clots that could lead to stroke. With such mixed reception, it’s no wonder women have a hard time choosing the treatment. Experts in menopausal hormone therapy, OB-GYNs have found that starting progesterone treatments helps decrease the risk for endometrial cancer and that hormone therapy can prevent osteoporosis and possibly heart disease. Still, risks and benefits must be weighed carefully. Most OB-GYNs will now treat each patient interested in hormone therapy on a case-by-case basis, weighing the risks and benefits for that particular person. The basic use of hormone therapy in women is to treat menopausal symptoms – hot flashes, fatigue, insomnia, depression, decreased libido, etc. – and a good OB-GYN will explain that even though these symptoms may disappear with hormone therapy, the risk of blood clots that may end up in the heart or brain goes up, along with breast cancer. Patients with a strong personal history of any of the risks, especially a family history of breast cancer in a close family member, may need to reconsider hormone therapy. Newer treatments involve antidepressant therapies, blood pressure medications or vitamin therapies. A more natural treatment method is over-the-counter, plant-based medications that contain plant estrogens. These have not been directly studied, but the medical community does not believe plant estrogens cause the same risk as human hormones. B6 and B12 vitamin therapies can combat fatigue and malaise. In some situations, an antidepressant called Wellbutrin can help with decreased libido.
Drs. Siniva Kaneen and Jason Helliwell
PHOTO COURTESY OF DR. JASON HELLIWELL
H
For menopausal symptoms, a new therapy called bioidentical compound may be a better option. For this treatment, hormones are compounded by local pharmacists with an FDA-approved hormone into a cream or oil form that can be applied topically in pills or by other methods. It’s not a perfect solution, as the FDA-approved hormone may be regulated, but the compounded form made by the pharmacist is not. Therefore, there can be variations in the dosing in different pharmacies, even between prescriptions. Still, the benefit of compounding allows individual preparations in response to each patient, so specific doses can be made based on the prescriber's prescription versus the FDAapproved formulations or set doses. Patients should always seek counseling with a physician before starting hormone therapy and receive the pros and cons before starting it. Doctors should then follow up on patients routinely because side effects can occur and things can change quickly. The true test of whether to receive hormone therapy is checking how you feel on the treatment. If patients feel better and the physician is able to monitor them closely, then using hormone therapy may be the answer for many women. Drs. Helliwell and Kaneen, husband and wife, are both OB-GYNs at Advanced Women’s Health Center, Inc.
March 2015 · bwellmagazine.com
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Marcos Castro, head route setter at the Action Sports Vert rock gym, makes his way up the 31-foot wall.
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B Well Magazine 路 March 2015
Take on a new challenge with these 8 unique local workouts Compiled by B Well Magazine
Vert gym
Climb to strengthen the mind
The regimen: Scaling a wall requires intense focus. You cling to small holds while planning your next move, all before your muscles give out. Gym instructors guide your first three climbs and are always there to call out instructions. Seasoned pros can try the inverted climbs and changing routes. The gym also offers bouldering, climbing that involves scrambling up boulders without a belay or harness. ROI: Euphoria will meet you at the top of a difficult climb, and in the process, you’ll strengthen muscles you forgot you had. The space: The vert gym has a 31foot-high ceiling sheltering 3,700 square feet of walls and 600 square feet of center boulder. The wall angles range from 90 degrees to highly inverted. There are usually 10 fresh routes put up every week. Try it: $10 base package includes gear, three climbs with on-the-rope instruction and three auto-belay climbs. Action Sports; 9500 Brimhall Road; 833-4000; teamactionsports.com
The space: The Yoga Space studio’s design makes you feel at ease. Heated rooms, props, mats, practice towels and showers for post-practice are available. Try it for free: First-time students receive a free session. Yoga Space; 2611 F St.; 323-9642; bakersfieldyogaspace.com
RushFit powered by Terrio A fitter you is just a hop, skip and a jump away
Regimen: No pain, no gain, right? The RushFit aerobics class screams, Continued on PAGE 30
Hot yoga
Regimen: Treat yourself to a mindful, transformative yoga experience as you connect with what is occurring in your mind and body and practice accepting it. “Do what you can with what you have where you are,” said Monique Rogers, instructor. The 100degree heated room amps up the challenge while detoxing your body. The powerful, de-stressing routine focuses on strength, flexibility, alignment and personal transformation. Every level of practice is welcome, from beginner to advanced. ROI: Increase your strength, gain new flexibility and maybe even experience the "yoga glow” in your skin. More importantly, decrease stress, get better sleep and maintain a sense of calm.
Yoga instructor Monique Rogers and Christina Lee hold a pose together at Yoga Space in downtown Bakersfield.
March 2015 · bwellmagazine.com
PHOTO BY CASEY CHRISTIE
PHOTO BY MARK NESSIA
Heat up to calm down
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PHOTO BY MARK NESSIA
RushFit powered by Terrio is a combination of strength and cardio exercises that utilizes Rush Air's trampolines for a workout that is challenging and fun.
Continued from PAGE 29
“Wrong!” with its trampolines, balance beam, foam pit and various courts. The trampoline provides the cardio component, but remember, fun isn’t always easy. The class follows a high-intensity interval-training format with bouts of cardio mixed in with various resistance exercises. ROI: The advanced classes can burn 1,000 calories per hour, and while the basic class burns fewer, you will still lose fat and tone up. You will leave feeling great – tired, but great. The space: It’s 40,000 square feet of awesome! Rush Air Sports is a gigantic playground for adults (although kids like it too). After a workout, de-stress in the lounge featuring free Wi-Fi and big-screen TVs. Try it: Classes are $10 plus socks. Rush Air Sports; 3200 Buck Owens Blvd.; 679-4502; rushairsports.com
CrossFit Frenzy
Crisscross workouts to improve everything
Regimen: CrossFit focuses on three domains: cardio, gymnastics and Olympic weight lifting. The workout was designed to make you actually enjoy fitness. What?! “We want to stay away from rou-
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tine, make it fun and allow our members to get the best fitness results,” said owner Angie Guijarro. ROI: You’ll be amazed when you can finally do a pull-up or snatch that Olympic-sized weight. Consistency, hard work and proper nutrition will leave you a strong, lean fitness machine. The space: Classes are held in a 6,000-square-foot warehouse with no mirrors, but plenty of space for your WOD (“Workout of the Day” in CrossFit speak). It features pull-up rings, rowing machines, barbells and plenty of bumper plates. And you aren’t alone. Frenzy’s CrossFit community is dedicated to everyone’s improvement. Try it for free: See if CrossFit fits you with a free entry class. CrossFit Frenzy; 5416 Woodmere Drive; 703-7051; crossfitfrenzy.com
Poise Pilates + Barre Raise your workout Barre
Regimen: Get rid of that Popeye arm with these classes. Pilates and barre will develop your body uniformly with low-impact classes that help create long, lean muscles. In the 50/50 class, you will build a strong, stable core and burn fat with interval training and muscle-shaping isometrics. Classes engage your body and mind.
ROI: Lose fat, tone your arms, waist and legs, develop a stronger core, increase your flexibility and have better posture. As Joseph Pilates said, "In 10 sessions you feel better, 20 sessions you look better, 30 sessions you have a completely new body.” The space: Poise’s light and open studio is warm and inviting at any time of day. Classes can run simultaneously in the split-level space, and the studio is equipped with Pilates machines, ballet barre and accessories. Try it for free: Newbies’ first Barre class is free. Poise Pilates + Barre; 1800 21st St.; 661-343-1007; http://poisepilatesbarre.com
Spinning
Build a better body, from spinning legs up
The regimen: To some, spinning class sounds old-fashioned, but don’t be fooled, spinning burns more calories per hour than any other cardio class. You can add resistance, bump up your metabolism and increase bone density, all at low-impact. Your joints will thank you. Accomplished cyclist Joe Peterson, winner of thousands of bike races, teaches the packed-out classes and will take you through a Continued on PAGE 32
THE 6TH ANNUAL
CrossFit Frenzy of Bakersfield is filled with equipment meant to get you stronger.
PHOTO BY SCOTT HISLOP
IS COMING
to RABOBANK THEATER SATURDAY MARCH 21, 2015 10AM-3PM presented by
FREE TO THE PUBLIC!
Try out a Pilates + Barre combination class to tone and lengthen muscles.
PHOTO COURTESY OF POISE PILATES + BARRE
Something for the entire family! • Free Health Screenings • Child ID Cards by the Kern County Sheriff Dept. • Visit with Marley’s Mutts • Live Demos: Zumba, Hot Hula, Spinning, Personal Defense, Healthy Cooking • Ronald McDonald Stage Show and more For more information contact
Shauna Rockwell 661.392.5716 srockwell@bakersfield.com www.healthybakersfield.com
Building Better Bodies Fitness’ spin classes will improve cardiovascular fitness and tone muscles.
PHOTO BY DOUG STEWART
sponsored by
March 2015 · bwellmagazine.com
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Continued from PAGE 30
choreographed routine that covers a variety of terrains, a closing sprint and cool down. Return on investment: Spin the pounds away with this high-calorieblasting metabolic booster. You will improve your cardiovascular fitness and tone muscles. It’s all out, pedal-foryour-life fitness. The space: Building Better Bodies Fitness’ spin studio is decked out with several bikes, a sound system, a big screen showing inspiring cycling videos and several cycling awards to motivate you. Try it: $5 per class, period. Building Better Bodies Fitness; 2204 E St.; 661-699-2854; buildingbetterbodiesfitness.com
GRAVITY class
Transforming machine transforms your body
Regimen: Total Woman’s GRAVI-
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TY machine incorporates a unique glide board and pulley system with several attachments that offer a never-ending variety of exercises. Instructors take the class through a series of exercises that engage the core, while working individual muscle groups. The workout is personalized to each participant’s bodies and goals. ROI: Change is the only constant here, which improves your cardiovascular health and increases your muscles’ strength and stamina. The space: GRAVITY classes happen in a private room for a maximum number of 10. The motivating music is a huge plus. To make it even more personal, Total Woman offers GRAVITY to individuals for personal training or for private groups of two to four. Try it for free: First-timers can try it for free, and if you mention this article, Total Woman will provide a oneweek free club membership and three free GRAVITY classes. Total Woman; 5329 Truxtun Ave.; 325-0508; twfitness.com
X-treme Fat Loss Program Annihilating the fat
Regimen: Want a structured routine that focuses on your flab? This class, combined with the X-treme Fat Loss meal plan, will lower your BMI fast. The key is interval training. The class will get your heart rate up with a set of exercises and allow for short rest periods before repeating the process. Tip: don’t hold your breath. ROI: If you show up four days a week, you’ll slim down. Added benefits are toned muscles and more energy. The space: The Fit for Life facility can accommodate large groups at various stations. Traditional equipment is interspersed with kettlebells, TRX systems, tractor tires, sleds and much more. Try it for free: Shed some pounds by trying the first session free. Fit For Life Gym; 701 19th St.; 3250900; fitforlifegym.com
{
I am unhappy with my cosmetic breast surgery results. What are my options?
}
CAPSULAR CONTRACTION A capsule is an envelop of fibrotic tissue that forms around the implants. The capsule is normally soft; however, in certain cases it becomes thicker, harder and contraction of the capsule occurs. When this happens the implant feels hard, and it’ s squeezed in a tighter space so it looks deformed. This condition will cause asymmetry of the breasts, and it progressively gets worse with time, even to the point of having breast pain. Fortunately, a relatively simple surgery can treat this problem, and Dr. K’ s office has been successful in getting coverage through most health insurance’s.
LEAKAGE OR RUPTURE OF IMPLANTS This condition can happen with either saline or silicone implants, and can be a sudden deflation or slow and gradual. It is recommended that correctional surgery be performed as soon as leakage or rupture of the implant is diagnosed to prevent asymmetry. Most implants have warranties, and Dr. K’ s staff is experienced in finding out your type of warranty and trying to cover the cost of your surgery through the manufacturer’s insurance.
CHANGING THE SIZE/STYLE OF IMPLANT Some patients desire to have a bigger size due to loss of their breast tissue with aging, and others may want to go with smaller implants because theirs is heavy and causing them back and shoulder pain as well as limiting their physical activities. Then there are patients who wish to remove the implant completely without replacement.
“BOTTOMING-OUT” OR MAL-POSITION OF IMPLANT Bottoming-out refers to cases when gravity has stretched the skin in the lower portion of the breast, and the implant is positioned too low in relation to the nipple. Other times the implant may be placed out of the ideal position. These cases can be corrected by capsulorrhaphy — a minor surgery in which the pocket where the implant is located is fixated to keep the implant in ideal position.
Dr. Farzin Kerendian has more than a decade of experience performing revision breast surgery procedures for women who are not satisfied with their original breast augmentation, breast lift, breast reduction or other breast enhancement procedures.
The recovery time for these surgeries is usually very easy and quick. Dr. Kerendian offers complimentary consultations to discuss the patient’ s condition and treatment options in detail so they can achieve their “desired beauty.”
We accept all PPO Insurance for medically necessary procedures.
Desired Beauty 2080 Century Park E. Suite 607 Century City, CA 90067
(310) 274-4900
SURGICAL & MEDICAL CENTER
desiredbeauty.com
2020 21st Street Bakersfield, CA 93301
(661) 327-4400
Debunking the
MYTH Hormones promote health in men, women By Diana Greenlee
im Grombly was starting to choke, and, at one point, he couldn’t breathe. With no other obvious symptoms, Grombly went to the doctor and tests revealed thyroid cancer. The medical team swiftly removed the organ and the Lennar Assistant Land Manager Grombly was given the hormone replacement, Synthroid. That was almost 40 years ago, and the drug is still part of his regimen. Without it, he’s dragging. “I have to take it (Synthroid) for the rest of my life,” he said. Kaiser Permanente endocrinologist Roxanne Aquino, 59, said fatigue is typical of hormone deficiency and synthetic medications, such as Synthroid, offer more purity over the alternative, Armour Thyroid, which can have potency inconsistencies “Armour Thyroid is from pig thyroid glands,” she said. “They dry them up, grind them, and make them into pills.” Hormones interact with and support vital organs, and negative symptoms develop when systems get out of whack. Aquino said thyroid conditions and diabetes are the two most common problems her patients face. Diabetes results when the pancreas fails to
J
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B Well Magazine · March 2015
produce sufficient insulin to maintain blood sugar levels. Diet and lifestyle choices can play a role in preventing and overcoming the disease, but the doctor said change is a hard sell. “They (patients) would rather have the shot than lose weight,” she said. “Lifestyle is difficult.” Obesity has also been linked to low testosterone levels, according to Aquino. Men with “Low T” may experience decrease in libido, erectile dysfunction and fatigue, and they may benefit from hormone replacement. Cheri Gillis, 44, office manager at Advanced Health Care of Bakersfield, Inc. said they offer hormone injections and bio-identical progesterone, estrogen and testosterone pellets administered as implants. She said doctors use blood tests to determine patients’ appropriate hormone levels and a compounding pharmacy creates the pellets, which trump injections for longevity. “Pellets last four months for women and three months for men,” she said. “Injections – about a month.” AHCB Assistant Manager Nicole White, 35, said the majority of their patients are men, and although some are resistant and struggling with ego, others are distraught and just want
to feel better. “Some (patients) come in and say, ‘I don’t need it,’” she said. “But when it starts to wear off, they call again.” Although the managers say there are fewer female clients seeking hormones in their office, they caution women not to rule out the treatments. Hormones may provide relief from irritability, anxiety and depression. “You don’t realize your hormones can jack (you) up so much,” said Gillis. Two years ago, insurance companies began covering transgender hormone treatments and in some cases surgery, allowing patients to change from their biological gender to the one desired, according to Aquino. She said interest has intensified in the procedures. “I used to be able to count the transgender patients on one hand,” she said. “Now there are dozens of people locally.” Grombly, 57, has been cancer-free since his thyroid-removal surgery, but doctors continue to monitor his medication. “Twice a year I have to go off (Synthroid) for 30 days,” he said. “Within a week, I’m exhausted.” Without the hormone replacement, it can be a long month.
March 2015 路 bwellmagazine.com
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Y O U R H E A LT H / d e f y i n g t h e o d d s
Wired life insurance Implantable defibrillator gives AFib patient new lease on life
Phil and Vicki Inglis look out at the ocean from the pier at Pismo Beach. After experiencing congestive heart failure in 2014, Phil received an implanted defibrillator that allows him the mobility and peace of mind to continue to enjoy an active retirement.
Y
By Gregory D. Cook
ou wouldn't know it to look at him, but Phil Inglis' heart could fail again at any moment. “It's not if it happens,” he explained. “It's when.” That's a pretty heavy threat to live with, but Inglis, a Bakersfield native and Vietnam War veteran who had a 43-year career as a heavy equipment operator, and his wife, Vicki, haven't slowed down much. The couple just recently relocated to Pismo Beach and is enjoying a normal, active retirement. According to Phil, “life is good.” That's because he has an insurance policy in the form of a small box implanted underneath his left arm and a couple of feet of wire just under the skin in his chest. In 2010, a treadmill stress test discovered that Phil’s heart rate didn't return to normal as fast as it should. He was referred to a car-
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diologist for an angiogram, and while the test showed nothing abnormal, Phil’s wife mentioned that his heart sometimes raced and the doctor took note. Like many of the 2.7 million Americans living with atrial fibrillation, Phil didn’t know he was living with a potentially serious medical condition. “I'd just be sitting, watching TV or something, and my heart would just take off,” he said. “It would just race for a while and then calm back down.” Atrial fibrillation, or AFib, is a condition caused by a problem with the body's electrical impulses, which regulate the heart's rhythm. It reduces the heart's ability to deliver blood and greatly increases a person's chances of having heart failure or stroke. When Phil mentioned his racing heart, the doctor immediately brought in Dr. Jared Salvo of Dignity Health, a board-certified cardiologist who specializes in managing heart rhythm disturbances.
• Personal Care • Bathing Services • Homemakers Service • Care Management • Meal Preparation • Transportation • Alzheimer’s & Hospice Care • Emergency Monitoring • Hospital Attendant • Bonded & Insured
PHOTO BY GREGORY D. COOK
We personally match our caregivers to each client and their needs.
After outfitting Phil with a heart monitor for a week, Salvo diagnosed him with AFib. Through monitoring and medication, Salvo managed to control the AFib for a few years. But the drug's side effects often left Phil feeling dizzy and lightheaded and, eventually, he stopped taking them – a fact that didn't go unnoticed by Salvo. “I told him, ‘I quit taking everything,’” said Phil. “It was like kicking a sleeping dog. He came out of his corner chewing on me and letting me know that if he was going to save my life, I was going to have to listen to him.” While stern at the time, that ultimatum was downright polite compared to Phil’s next wake-up call. “In March of last year I had congestive heart failure,” he said. Congestive heart failure occurs when the heart is unable to pump enough blood through the body and often results in the
Our dependable caregivers are experienced, drug-alcohol screened, background checked, bonded and insured. 24 -Hour Service Call today for your FREE In-Home consultation!
(661) 631-2036 2029 21st Street • Bakersfield, CA 93301
Established by Jeanne Schamblin in 1990 • Serving Bakersfield for over 21 years. Continued on PAGE 38
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PHOTO COURTESY OF BOSTON SCIENTIFIC
Continued from PAGE 37
The subcutaneous implantable defibrillator is implanted under the arm and operates via a wire just under the skin.
lungs filling with fluid. Phil was resistant to seek treatment, but his wife finally convinced him to go to the emergency room. “Really I went just to prove her wrong,” said Phil. “But they had me in a bed before she was done with the paperwork.” Over the next four days, Salvo, through medication and multiple defibrillation shocks, was able to bring Phil’s heartbeat back to a normal rhythm, but irreparable damage had already been done. He would have to wear a defibrillator at all times that could deliver an electrical shock to his heart and reset its rhythm in case it should fail again and result in full cardiac arrest. In August 2014, Phil was implanted with a newly developed subcutaneous implantable defibrillator. Although implantable defibrillators have been around for a number of years, Salvo pointed out that traditionally, they operate by running a wire through a vein directly into the heart, which can run a higher risk of complications, such as infection, and can be difficult to repair or replace. “Now, we have the technology to accurately and precisely monitor the heart and deliver a shock with a wire that runs just under the skin,” he said. While Phil’s defibrillator hasn't had to shock him yet, just knowing it is there gives him peace of mind. “It's really an insurance policy,” he said. “When I need it, it will be there.”
Anti-Aging Medicine is a clinical/medical specialty in the field of scientific research aimed at the early detection, prevention, treatment, and reversal of age-related decline.
Benefits of Bioidentical Hormone Replacement
• Increase metabolic rate at a youth level • Improve sleep • Prevent memory loss / Alzheimer’s • Improve insulin sensitivity • Increase sexual interest • Decrease risk of colon cancer, and more. Biofeedback Therapy is a key to a relaxing stress free lifestyle! • Stress Related Disorders • Improvement in immune system • Detoxification • Depression • ADD •Chronic Pain and more
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B Well Magazine · March 2015
Fast-Track ER. It’s About Time.
Most visits to hospital emergency rooms are for minor emergencies such as sprains, bruises, sore throats and ear infections. But the waiting times are anything but minor. That’s why Bakersfield Heart Hospital has introduced “Fast-Track ER.” Our Fast-Track ER Team is trained to treat minor emergencies quickly and effectively – without the long wait. If your injury is more severe, the specialized physicians of our Primary ER Team are always on hand. So what are you waiting for? When you need help fast, Fast-Track ER at Bakersfield Heart Hospital will be waiting for you.
Fast-Track ER services are available 1:00 PM avail to 9:00 PM, 7d days a week. 3001 SILLECT AVE, • BAKERSFIELD, CA 93308 THE HOSPITAL IS PARTIALLY OWNED BY PHYSICIANS
BakersfieldHeartHospital.Com • 316-6000
Y O U R H E A LT H / h e a l t h w a t c h
Q&A with local experts in their medical fields Q: Can you use weight loss surgery as a way to help solve a hormonal imbalance, such as diabetes?
Dr. Nirav Naik Bariatric Surgeon Valley Advanced Surgical Services
A: Weight loss surgery can certainly improve the body's response to hormone imbalances, the most notable of which is adult-onset diabetes. Weight loss surgery of all types can markedly decrease fasting blood sugar levels and Hemoglobin A1C measure-
Q: How can women treat menopausal symptoms naturally?
Regina Cunningham
Certified Holistic Health Coach/Energy Medicine Practitioner
A: Treating menopause naturally starts with a diet rich in nutrient-dense foods. A good source of healthy, hormone-friendly fats, such as fish oil, along with adding flax seeds to your diet, can help relieve a wide range of menopausal symptoms. Secondly, introducing “quiet” time into your schedule helps mit-
ments. The improvements can be dramatic enough such that patients no longer need their dia-
Dr. Richard Alexan-Shirabad, MD Neurologist
A: The most common and serious complication of cardiac surgery is stroke due to migration of clots or calcium deposits to the brain or prolonged hypotension in patients with pre-existing narrowing of the vessels. Another serious but rare complication is anoxic brain injury. If cardiac surgery lasts too long, the brain may suffer from diminished
Dr. Richard Alexan MD, Inc.
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Cheryl M. Garone Registered Dietitian Dignity Health at Bakersfield Memorial Hospital
betes medications at all, or need a fraction of those medications. Other imbalances, such as estrogen, in obese patients can lead to polycystic ovarian syndrome and infertility in women of childbearing age, but with weight loss surgery, many women can finally conceive children after years of difficulty.
Dr. Ravi Patel Oncologist Comprehensive Blood & Cancer Center
igate the unwanted effects of menopause. Meditation and other relaxation techniques help menopausal women focus on their own needs and less on the
Dr. Dana L. Yeoman Dentist Second Smile Denture Care
needs of others. Lastly, I recommend Bioenergy healing, which uses the body’s electromagnetic field to enhance its own innate healing abilities. I have had great success in addressing the negative effects of menopause with Bioenergy.
Trinity Wellness Solutions
Q: What are the neurological effects of undergoing heart surgery?
Our other experts
Dr. Farzin Kerendian Plastic Surgeon Desired Beauty
blood flow, causing significant cognitive impairment. Significant confusion and alteration of consciousness after cardiac surgery lasting weeks and sometimes longer are common but usually reversible.
Dr. Kristal D. Shropshire Chiropractor Shropshire Chiropractic
Rib cage stretching during surgery may cause associated mechanical injury to the nerves going to the arm causing unilateral numbness and weakness of the hand. This is usually reversible but may be permanent.
Dr. Bernard Maristany Neuroradiologist Kern Radiology
Y O U R H E A LT H / h o l i s t i c h e a l t h
Bug appetit! Local tests the weevil treatment By Kelly Damian Photos by Casey Christie
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tanding at his kitchen counter, Sal Brito reviews his blood test results. In the past six months, his good cholesterol, iron and HDL levels have increased, while his bad cholesterol has decreased by 13 points. His blood sugar level has remained stable at 5.7. Next to his printout is a plastic tray that seems to be filled with gently writhing grains of wild rice. A soft crackle – similar to the sound Rice Krispies make when covered with milk – emanates from the tray. It is filled with thousands of weevils, known scientifically as Ulomoides dermestoides, and they are Brito’s secret weapon in his battle against diabetes.
Sal Brito eats bugs called Chinese weevils each day to maintain his immune system.
Chinese weevils eat the bread that Sal Brito is holding. Brito eats these bugs on a daily basis.
Since August 2014, Brito has followed a regimen called coleotherapy. On Aug. 1, he swallowed one live weevil. On the second day, he swallowed two, and he continued in this way until day 70 when he swallowed 70 weevils. (Squeamish readers take heart: He places the weevils in a capsule first.) He then took a two-week break and repeated the process starting at one. The insects, Brito explained, cannot by chewed. They must be swallowed alive so when they encounter the stomach’s gastric fluids they can release a chemical that stimulates the body’s immune system. Adherents to the therapy report that the bugs can be used to treat cancer, asthma, diabetes, psoriasis and Parkinson’s. “Some say there’s no medical proof that they help, but I’ve seen nothing to say that they are bad,” explained Brito. Indeed, the science behind the healing powers of weevils is scant at best. Since 2010, there have been three small studies that showed that extracts from Ulomoides dermestoides have anti-inflammatory effects on inflamed cells, but no medical studies have verified users’ self-reported benefits. The treatment became popularized in Argentina in 1992 by Arnoldo Rosler, who claimed swallowing weevils cured his skin cancer. Word spread about the curative effects of the insects and eventually people from around the country came to him to get a handful of their own weevils. The Internet helped Rosler’s word-of-mouth efforts, and coleotherapy is now a phenomenon throughout Latin America with websites touting the effects of the bugs and offering free weevils to anyone who wants them. As for Brito, he was skeptical at first, but for him, the proof of the weevils’ effectiveness is in the numbers. “I don’t know that I’ll do it forever,” he said. “But if I can get my blood sugar below pre-diabetic range, I’ll be happy.” March 2015 · bwellmagazine.com
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Y O U R H E A LT H / m e n t a l h e a l t h
Heart and mind Emotional health affects our hearts By Dr. Viral Mehta, MD, FACC, FSCAI
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very year, approximately 1.5 million Americans experience a heart attack – some of them had no clue something was wrong with their heart. While common cardiac risk factors, such as diabetes, high blood pressure and smoking, do contribute to the problem of heart disease, they are not the sole culprits. Research has shown that, in some patients, poor emotional health is associated with heart disease, and it runs a more aggressive and recurring course in these patients. Individuals who frequently experience hostility, cynicism, anger and depression are particularly susceptible to poor cardiovascular health. Individuals who feel emotionally and socially isolated also perceive the world to be a very hostile place, contributing to their chronic stress. Type A personalities can also be at an increased risk of heart disease. Type A behavior is often fiercely competitive, overly self-critical, easily wound up and more prone to hostility and anger. Not surprisingly, Type A’s experience chronic stress that makes them more vulnerable to cardiovascular problems. Recent research has also suggested that individuals who exhibit Type D personality traits are also more prone to developing coronary heart disease. They not only tend to experience negative emotions, but they suppress their emotions and avoid social contact with others. How do emotions affect heart health?
There are two major ways emotions can affect heart health: biologically and behaviorally. When people get emotionally overwhelmed, they tend to indulge in unhealthy behaviors like overeating, smoking and drinking. Obviously, if emotional issues remain unresolved and become chronic, unhealthy lifestyle becomes the norm with all the adverse health consequences. The biological effects of poor emotional health are even more damaging. Chronic stress leads to increased levels of various stress hormones including cortisol, epinephrine, insulin and several others known to cause serious damage to the heart. Other consequences
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include vascular inflammation, damaged endothelium (lining of blood vessels), increased blood pressure and tendency to form blood clots triggering heart attacks and strokes. Individuals with chronic stress also have lower levels of "good” cholesterol (HDL) and tend to develop more blockages in their arteries. What steps can I take to improve emotional and, thereby, heart health?
The first crucial step to improving emotional health is simply recognizing our poor emotions and changing the way we respond to them. The source of stress is not our environment, rather it is how we perceive and respond to these “stressful” situations. While we cannot always change the people and the world around us, we can certainly change how we see and react to our world. According to Dr. Dean Ornish, guru of preventive cardiology and a champion of the "Opening Your Heart" program, anything that leads to real intimacy and connection with other human beings has healing effects on the heart. A number of scientific studies have also shown that activities such as support groups, yoga, meditation or any faithbased prayer activity have long-lasting benefits for the heart. Thus, Dr. Viral Mehta making conscious efforts to release all negative emotions and cultivating forgiveness have tremendously positive health benefits for your heart. —Dr. Viral Mehta specializes in interventional cardiology and is clinical assistant professor of medicine at UCLA.
Y O U R H E A LT H / f a b f i n d s
Local gifts & treats Get fit with Fitbit
Introducing R+Co! Created by forwardthinking stylists, these hair styling products are treatment-oriented and formulated without parabens, sulfates, mineral oil and petrolatum, and they are all crueltyfree, UV protective and color-safe. Available at Privato Salon and Spa, 9500 Brimhall Road, Suite 306. 581-2566.
Are you getting enough sleep? Walking or exercising enough? If you aren’t sure, then consider the Fitbit Flex Wireless Activity and Sleep Wristband. This cool band, which comes in various colors, can keep track of your active time, sleep time and other key information and syncs it with your mobile device or computer. Best Buy, $99.99.
Workout to your favorite music Tired of dealing with the headphone cord as you workout? Check out the new Yurbuds Leap Wireless Secure Fit Earphones. These handy headphones are wireless and Bluetooth® compatible, compliments of Yurbuds® Leap. You can get about six-plus hours of music and talk time, and they are sweatproof. The snazzy TwistLock® technology is great to make earbuds stay put so you can focus on your workout and not fumbling with headphones. Sports Authority, $99.99.
Sunny skies and a clear face Keep that T-zone shine-free with Clean & Clear’s oil absorbing sheets. These sheets soak up all of the excess oil built up on your face over the day, and they won’t smudge makeup. Walgreens, Target and other local retailers, $5.
Bat time Softball and baseball season is here. Make sure your young athlete is equipped with all the right gear, such as a full-grain leather and shell glove. The Mizuno USA 12.5 Varsity Series Glove is a lightweight, comfortable and versatile glove with great shock absorption and strong security. Big 5 Sporting Goods, $49.99 (regular $69.99).
March 2015 · bwellmagazine.com
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H E A LT H Y B I T E S / f i t f o o d i e
By Shelby Parker Photos by Mark Nessia
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atie Kirschenmann, a mother of three, is a big fan of the healthy eating lifestyle. Balancing a healthy diet with kids can be tricky, but she explains that it can be done, with a bit of extra planning. “Stocking the fridge and pantry with easy, healthy options takes thinking out of the loop,” said Kirschenmann. “Taking the time to pre-measure containers of veggies, lean, all-natural deli slices and Greek yogurt will make snacking and eating meals throughout a busy day less stressful.” Her 6-year-old, Chase, is a bit pickier than her twin girls, Annabelle and Clara, who will try everything from kale smoothies to spinach and yogurt, but the little guy is starting to experiment more the older he gets. Katie’s day begins at 5:30 a.m., as she mindfully prepares herself for what is to come. All the kids are up by 6:30. After she takes them to school, she’ll either go for a run or head to the gym. As for meals throughout the day, it’s all about finding a balance. My philosophy on a healthy life
Living healthy begins every morning. I’ve found that if the start of my day is hurried, stressful and unnourished, the rest of the day will follow suit. I try (operative word being try) to begin my morning before the house is awake with a light breakfast, usually a green smoothie or fruit. When the day begins mindful and healthy, it’s far easier to stay on track.
My favorite healthy culinary destination in Bakersfield
Katie Kirschenmann mashes chick peas in preparation for her chick pea and avocado smash.
Katie Kirschenmann Planning and balance are keys to a healthy family
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Hands down, Moo Creamery. Moo has many healthy options like generous salads, roast salmon, and fresh, coldpressed juices and smoothies. Whenever the day has gotten the better of us, and hiking up Everest seems easier than cooking dinner, we order takeout from Moo.
Dream workout partner
I already have my dream workout partner: my friend, Sally Baker. She is
Katie Kirschenmann's daughters Clara, left, and Annabelle help her make a raspberry smoothie.
kind, motivating and understanding. She pushes and holds me accountable, yet doesn’t let me beat myself up or create unrealistic goals. My workout soundtrack
My soundtrack changes with my mood. Some days I blare Bjork, the Pixies or Radiohead. Other days, The Black Keys, First Aid Kit and Jack White set the running pace. One thing I’ve found is that changing your music up is just as
important as changing your workout. No. 1 healthy cooking tip
Vegetables! Veggies are our friends. Raw, steamed, sauteed or roasted, vegetables should take up over a third of our plates. Veggies fill you up without fattening you up!
Inspiration for my healthy lifestyle
My family. I want to stay active and
Katie Kirschenmann and her daughters Clara, left, and Annabelle.
fit to enjoy many years of activity alongside my children. I want to be a role model for my young girls, giving them a healthy perspective on self-esteem and food. As women, we can fall prey to unrealistic expectations set by outside forces that have nothing to do with our own lives or happiness. I want to instill within my children the knowledge that being healthy, fit and active is far more beautiful than an airbrushed image on a magazine cover.
Katie’s Go-To Chick Pea and Avocado Smash Avocados are a wonder food. They are packed with good fat and provide great fuel for a workout or a post-run snack. I smear a few spoons of this recipe onto whole-grain toast or a rice cake for a quick and healthy lunch or snack.
Ingredients 1 can chick peas, drained, rinsed and smashed with a spoon 2 avocados, diced into large pieces 1 small shallot, minced Juice of 1 lime Pinch of red chili flakes Salt and pepper to taste.
Directions Combine the ingredients in one bowl and fold together until just combined. Be careful not to oversmush the ingredients.
Katie's chick pea and avocado smash combines avocados, chick peas, shallots, lime juice, red chili flakes, salt and pepper mixed in a bowl and served on whole-grain toast or a rice cake.
March 2015 · bwellmagazine.com
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H E A LT H Y B I T E S / h e a l t h y i n d u l g e n c e
Spring ahead to a healthy you with fresh recipes
By Sarah Cornejo and Tarin Meadows
Zucchini Ravioli Start to finish: 45 minutes Servings: 4 ravioli
Zucchini ravioli
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pring is upon us and it’s time to reflect on our progress toward the 2015 goals we set for ourselves back in January. Some of us may be right on track, while others may have fallen behind. Remember, it is never too late to make a fresh start. This year, you can eat healthy, be fit and live happy. Living a healthy lifestyle begins with giving your body the nutrients it craves. Every time you eat, you have the chance to nourish your body and invest in your health. Invest well and reap life-giving rewards, like increased energy, reduced stress, boosted self-confidence and, ultimately, an enhanced quality of life. 46
B Well Magazine · March 2015
PHOTO BY SARAH CORNEJO
1 zucchini 1 ½ pounds lean ground turkey 2 cups chopped fresh spinach ½ large yellow onion 2 cloves garlic 2 teaspoons Montreal Seasoning (salt-free) 1 cup tomato marinara sauce
Healthy eating leads to happiness, and we live happy by creating new, flavorful, filling and, more importantly, fun meals. It’s always exciting to switch things up in the kitchen, so here is our pasta-less take on the Italian staple – ravioli. Sarah Cornejo and Tarin Meadows are the coowners of Fit Pantry, a meal delivery service that provides fresh, fit meals to individuals or families who lead busy lives but do not want to sacrifice their health. Orders may be placed through their online ordering system at fitpantry.com where you can choose from 15 signature dishes or customize your own meals.
Heat oven to 350 F. Thinly slice zucchini with a peeler. Set slices aside. In a medium pan, combine lean ground turkey, chopped fresh spinach, yellow onion, garlic cloves and seasoning. Cook until ground turkey is browned. Piece together the ravioli using four zucchini strips and two tablespoons of ground turkey mixture. Fold all sides so that ground turkey mixture is no longer visible and place face down in baking dish. Top with marinara sauce and bake for approximately 30 minutes. ENJOY!
Nutritional information per serving: 232 calories; 27 g protein; 15 g carbohydrate; 9 g fat; 9 g sugar; good source of vitamins A and C.
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Getting to know your doctors
William F. Baker Jr., MD, FACP William F. Baker Jr., MD & Associates Where did you earn your degree? I received my medical degree from the University of California at Irvine in 1975, graduating as a member of Alpha Omega Alpha, National Medical Honors Society. I then completed my residency in internal medicine in 1978 and immediately entered into private practice in Bakersfield. What do you specialize in? I specialize in the management of patients with complex medical problems, including thrombosis, hemostasis and vascular medicine. Where do you practice medicine? I have practiced medicine
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in Bakersfield for about 40 years. I currently have an office in central Bakersfield. I am currently director of cardiac rehabilitation at Memorial, where I also received a Lifetime Achievement Award. Tell us a little about your personal life: I have been the Bakersfield College football team doctor since 1978 and I’m a member of the BC Alumni Herb Loken, Bob Elias and Foothill High School halls of fame. I received a Lifetime Achievement Award from the Bakersfield College Foundation. I am an author and editor and have published more than 30 articles and book chapters. In my free time, I enjoy fishing and running marathons. I cherish the time my wife and I spend with my eight wonderful grandchildren.
Milan Shah, MD Beautologie Cosmetic Surgery and Medspa How long have you been practicing medicine?
I graduated from medical school in 1999. Thereafter, I completed my residency training at KERN/UCLA. I have been practicing aesthetic medicine with Beautologie since 2005.
gery, laser and wellness center. Our entire team works as a cohesive unit to give each one of our clients an exceptional and individualized level of care that ensures the very best, ultimate outcome. What are your goals?
Where did you earn your degree and practice medicine?
Medical School: AUC School of Medicine General Surgery Internship: KERN/UCSD Medicine Residency: KERN/UCLA
What inspired you to practice cosmetological surgery and provide aesthetic treatments?
To make direct, positive change in someone’s life. In my mind, it is the most rewarding and gratifying experience.
Why did you want to practice medicine in Bakersfield?
I began my internship training at Kern Medical Center in general surgery almost 15 years ago. Since then, Bakersfield has really grown on me. I love the small-town atmosphere in a relatively big city.
What does your job entail?
I am the medical director of Beautologie medical spas. I supervise our wonderful team of aesthetic nurses and patient care coordinators as well as perform a multitude of cuttingedge laser therapies and facial and body contouring procedures on a daily basis. What do you enjoy most about your work?
I love that I am able to perform hands-on procedures on a daily basis that produce relatively immediate results. Again, it’s a very rewarding experience to provide my clients with a positive change on a very individual and personal basis.
What makes your practice special?
Beautologie is an all-inclusive cosmetic sur-
My goals are to always make sure Beautologie clients are treated as true VIPs at each and every encounter they experience at our office. We want to always make sure our patients receive the very best treatments by providing the latest and greatest technologies and world-class injectable technique to them, right here at home. When you aren’t hard at work at your office, what do you do to relax?
I unwind with the family, although it may not be considered relaxing, it is fun to cook with my wife and experience the world whenever I get the chance. How do you practice living a happy, healthy life?
By exercising regularly, eating a low-glycemic, vegetable-enriched organic diet and loving every fellow human being. Tell us a little about your personal life:
I have three little kids I adore very much, as well as a super extended family. I really enjoy nature and adventure and make sure my family and friends enjoy these with me. March 2015 · bwellmagazine.com
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William Nyitray, MD, FACC Central Cardiology Medical Clinic
How long have you been practicing medicine? I have been practicing medicine for 25 years and specialize in cardiac and vascular intervention, nuclear cardiology, consultative and general cardiology. Where did you earn your degree and practice medicine? I studied at New York University School of Medicine. My fellowship in cardiology was performed at the University of Michigan Medical Center. I also serve as assistant clinical pro-
fessor of medicine at UCLA. I am board certified in interventional cardiology, cardiovascular disease and internal medicine. How do you practice a healthy lifestyle? New experiences are the best medicine and my wife and I live by this, constantly meeting new people and seeing new places around the world. I am also actively engaged with martial arts, scuba diving and photography.
Sanjiv Sharma, MD, FACC, FSCAI Central Cardiology Medical Clinic How long have you been practicing medicine? I have been practicing medicine for 20 years and specialize in cardiac and vascular intervention, consultative and general cardiology and nuclear cardiology. Where did you earn your degree and practice medicine? I completed my cardiology fellowship at UCLA and a second fellowship in interventional cardiology at Cedars-Sinai Medical Center. I am the director of research at Central Cardiology Medical Clinic and the director of research and education
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B Well Magazine · March 2015
for interventional cardiologists at the Bakersfield Heart Hospital. I am board certified in interventional cardiology, cardiovascular disease and internal medicine. I am married and my wife is also a family physician. What makes your practice special? At Central Cardiology Medical Clinic, we are dedicated to bringing the latest technology and medicines to Bakersfield. We currently have five clinical trials in progress. How do you practice living a happy, healthy life? I am always trying to seize the day when I’m living my life, but keeping a conscience mindset keeps me humble. I maintain a vegetarian diet and exercise regularly as to not take life for granted.
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Peter C. Nalos, MD, FACC, FACP Central Cardiology Medical Clinic How long have you been practicing medicine? I have been practicing medicine for 25 years and specialize in clinical cardiac electrophysiology, pacemaker and automatic defibrillator implantation, as well as clinical follow-up. Where did you earn your degree and practice medicine? I completed two fellowships: In the first, I was chief cardiology fellow, and in the second, I was chief electrophysiology fellow at Cedars-Sinai Medical Center. I continue to serve as assistant clinical professor of medicine at UCLA. I am also board certified in clinical cardiac electrophysiology, cardiovascular disease and internal medicine. What makes your office special? I established the first electrophysiology practice in Kern County. We continue to serve more than
5,000 pacemaker and implantable defibrillator patients in Kern County alone. I enjoy working in a practice where we can still be pioneers in our field. Tell us a little about your personal life: My wife and I like to travel to Africa, and through our many visits, we have established two schools in Ethiopia. Philanthropy is my biggest passion. Whether I’m in Ethiopia helping curb a down slope of a child’s life or here in Kern County, I’m happiest when helping others.
Kirit Desai, MD, FACC Central Cardiology Medical Clinic
How long have you been practicing medicine? I have been practicing medicine for 37 years and specialize in interventional cardiology, consultative and general cardiology. Where did you earn your degree and practice medicine? I completed my fellowship in cardiology at Columbus Hospital in Chicago. I also completed fellowships in invasive and non-invasive cardiology.
What do you specialize in? I am board certified in cardiovascular disease, internal medicine and cardiovascular computed tomography, which is an excellent non-invasive tool for evaluating coronary stenosis. How do you practice living a happy, healthy life? I maintain my cardiac health by bicycling. Tell us a little about your personal life: Sharing my life with the woman I call my wife, a fellow physician, is all I can ask for. But medicine runs throughout my family, and it is so fulfilling when we can all learn, collaborate and grow with each other.
March 2015 · bwellmagazine.com
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Brijesh Bhambi, MD, FACC, FSCAI Central Cardiology Medical Clinic
How long have you been practicing medicine? I have been in practice with Central Cardiology Medical Clinic for 22 years. I also serve as chief medical officer and director of the cardiac cath lab at Bakersfield Heart Hospital. I specialize in cardiac and vascular intervention, nuclear cardiology, consultative and general cardiology. I am board certified in interventional cardiology, cardiovascular disease and internal medicine. Where did you earn your degree and practice medicine? I did my internship and residency at New York Med-
ical College in New York City. I did further studies in molecular cardiology, including a fellowship in cardiology at Michael Reese Hospital in Chicago. I also did a second fellowship in interventional cardiology at Cedars-Sinai Medical Center, where I served as chief cardiac cath lab fellow. In fact, several of my associates at Central Cardiology Medical Clinic also came from Cedars-Sinai Medical Center, where we maintain a relationship. Cardiologists from Cedars-Sinai Medical Center see patients in our offices at Central Cardiology Medical Clinic. How do you practice living a happy, healthy life? I maintain a balanced lifestyle through weight training and running. I run every morning and participate in marathons regularly.
Denis E. Maddox, MD Central Cardiology Medical Clinic
What do you specialize in and where did you get your degree? I am an invasive cardiologist and have practiced medicine in Bakersfield for more than 26 years. I studied cardiology and did clinical research at Harvard Medical School. What inspired you to become a cardiologist? I knew before starting school that I wanted to be a doctor, but cardiology became my interest after I learned of my two uncles who had birth defects in their hearts. What makes your practice special? The heroes that I have met. My patients are the
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heroes. The veterans of wars whom we have honored have moved me greatly by their sacrifice and bravery. Their stories provide the richest possible insight into the true greatness of our nation. Tell us a little about your personal life: It is easy to talk about skiing, or sailing or family tailgating at NFL football games. But these are just hobbies – temporary escapes from a career that can dominate your life. The real interest consuming me now is how to be a loving husband and father.
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Rasham Sandhu, MD, FACC Central Cardiology Medical Clinic
How long have you been practicing medicine? I have been practicing medicine for 11 years. I specialize in cardiac and vascular intervention, general cardiology, echocardiography and nuclear cardiology. I am board certified in echocardiography, interventional cardiology, cardiovascular disease, nuclear cardiology and internal medicine. Where did you earn your degree and practice medicine? I earned my medical
degree from Government Medical College Amritsar, in Punjab, India, where I was responsible for several rural health clinics. I served as a chief cardiology fellow at New York Medical College. I have been practicing at Central Cardiology Medical Clinic for four years. Tell us a little about your personal life: I am married and have three small children, a girl and twin boys. My mornings in the gym help create a balanced lifestyle and make me ready for the day ahead. My wife was based here in Bakersfield long before I came, and that’s what brought me here.
Sarabjeet Singh, MD Central Cardiology Medical Clinic How long have you been practicing medicine? I have been in practice with Central Cardiology Medical Clinic for four years and I specialize in cardiac and vascular intervention, general cardiology, structural heart disease and echocardiography. Where did you earn your degree and practice medicine? My postdoctoral training was a fellowship in interventional cardiology at Cedars-Sinai Medical Center. I am board certified in interventional cardiology, cardiovascular disease and internal medicine. What makes your office special? We have been bringing exciting new technologies to Bakersfield. For example, we have the abili-
ty to do abdominal aortic grafts without the use of general anesthesia and many patients are able to return home the same day of the procedure. This used to be a major surgery that required weeks or months of recovery before we started using this new procedure. How do you practice living a happy, healthy life? Trading parental duties with my wife, who is an endocrinologist, is vital to our children’s development and being an example for them is of the utmost importance. That’s why I always try to be outdoors and stay active. I also maintain a healthy lifestyle by working out at the gym.
March 2015 · bwellmagazine.com
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Raj A. Patel, MD Preferred Family Care Where did you earn your degree and practice medicine? I received my medical degree from Veer Narmad South Gujarat University, Surat, India. I finished my residency at University of Illinois, Chicago. I have been practicing internal medicine for 25 years. Why did you want to practice medicine in Bakersfield? After three years of harsh winters in Chicago, I moved my family to Bakersfield for the warmer weather and the family friendly community. What do you enjoy most about your work as a physician? I enjoy interacting with my patients and getting to know them. I like to call and make sure the patient is comfortable and understands what to
expect before a procedure, and I will call afterward to deliver results. When you aren’t at work, what do you do to relax? I enjoy walking, running, listening to music, reading books and listening to the news. John Grisham is my favorite author and I also like to read magazines and medical journals. Tell us a little about your personal life: I met my wife when we were teenagers and we’ve been married for 35 years. We have a daughter who is a UCLA graduate and a son who is a UC Davis graduate.
Geetanjali Sharma, MD Preferred Family Care
Where did you earn your degree and practice medicine? Having completed my residency in the family practice program at Kern Medical Center in 2004, I have been taking care of Bakersfield families for over 10 years. I joined Preferred Family Care in 2014. I have admired Dr. Raj Patel for years and was thrilled to get the opportunity to practice medicine with him. What inspired you to practice medicine? My parents, both of whom were in the medical field, inspired
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me. I chose family practice for the simple reason that it allows me to take care of patients ranging from newborns to grandparents. My nurturing approach and concern for my patients’ well-being makes it easy for me to become an extension of their families. When you aren’t hard at work, how do you relax? I enjoy spending time with my family, sketching still life, reading, listening to classical music and nature. I also love to travel and meet new people and experience new cultures. My husband, also a physician, and I have lived in Bakersfield since 2001 and have two children.
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Alpha J. Anders, MD, FCCP Comprehensive Pulmonary and Critical Care Associates rewarding. Please visit our website, bakersfieldlungdocs.com, for more information.
Where did you earn your degree and practice medicine? I graduated from Cornell University Medical College in 1980 and completed my residency in Denver, followed by a pulmonary fellowship at USC. I’ve been proud to call Bakersfield home since 1991. I’m also proud to be triple-board certified. I’m a diplomat of the American Board of Internal Medicine in critical care, pulmonary and internal medicine. I’m currently serving as the chief of staff at Mercy Hospitals of Bakersfield.
What does your job as a physician entail? I take care of some of the sickest patients who require advanced life support. I listen to the family and the patient’s wishes, and use my experience and knowledge to help people with some of the most difficult moments of life.
What makes your practice special? My office practice is centered on treating a wide variety of lung ailments. Helping our patients achieve their optimal state of health and maintaining a good quality of life has been tremendously
How do you practice living a happy, healthy life? I exercise daily and I love our bike path. Spending time with my wife and kids makes me absolutely the happiest.
Vin T. Dang, OD Empire Eye and Laser Center How long have you been practicing optometry? I’ve been practicing optometry since 2007. I started at LensCrafters, then joined Empire Eye and Laser Center in 2009. Where did you earn your degree and practice optometry? I earned my Doctorate of Optometry at the Southern California College of Optometry in Fullerton. What inspired you to practice optometry? I attended a health professional career day during my sophomore year, where a panel
explained what they loved about their profession. I felt that the optometrist was most genuinely happy about his job and didn’t feel overly tired. What makes your practice special? Our practice strives to provide the best eye care. Our motto is, “Dr. Daniel Chang will make you see better, Dr. Joseph Chang will make you look better, and I will take care of everything else.” What do you enjoy most about your work as an optometrist? The satisfaction I get from helping a child see for the first time is why I love my job. Optometry is a very gratifying occupation. What does your job as optometrist entail? As the primary care optometrist at Empire Eye and Laser Center, I am responsible for seeing everyone that has any visual and medical/non-surgical complaints.
March 2015 · bwellmagazine.com
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WELLNESS & WONDER / real success stories
Running for two
Pregnant, Valerie Carlson ran the Catalina Eco Marathon in 5 hours, 29 minutes.
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By Diana Greenlee
alerie Carlson is comfortable taking the path less traveled. Carlson, a pastor at Emmanuel Lutheran Church, participated in the Catalina EcoMarathon Nov. 8, 2014. But she didn’t go it alone. Carlson was 16 weeks into her first pregnancy, and she was eager to share the news about her precious cargo with the world. “I made a tank top that said, ‘Running for 2,’” she said.
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“The baby won her age group – she was the only in utero runner.” The baby wasn’t the only winner. Carlson, 34, ran the 26.2-mile marathon in 5:29:46, finishing second in her age group. With bright blue eyes and an infectious laugh, the pastor recounted her training days. She started off last July, learning soon after that she was carrying the baby. Carlson, who was a top-five cross-country runner in high school, made a pact with a training partner, Isobel MacAulay, at the onset and she vowed to continue with her growing belly. MacAulay, Chevron health and safe-
PHOTO BY MICHAEL LOPEZ
Pastor, marathoner, soon-to-be mom
ty adviser, said the pair held each other accountable for preparation. They attended the event together, along with Carlson’s husband of almost three years, Dan Carlson, 31. MacAulay, 28, hailing from Australia, said she viewed the experience as an opportunity to see more of California, but even she found the marathon “very hard.” “The steepness of the hills and the heat caught me off guard,” she said, “For her (Carlson) to finish in that time is amazing.” Once Valerie learned of the baby, she checked with her physician, Dr. Jacqueline Williams-Olango, to get the green light to continue her training regimen. With doctor’s blessing, the mom-to-be headed for the hills to train in cooler weather and cleaner air. Valerie ran as many as 18 miles on the steep, wooded terrain of Mount Pinos, attempting to emulate marathon conditions. To rev up her endurance, she alternated her longer sessions with shorter treadmill runs. “We did the long training runs up in Frazier Park,” she said. “We knew the marathon had elevation change, and Continued on PAGE 58
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Valerie Carlson prepares to run for two at the Catalina Eco Marathon.
PHOTO BY DANIEL CARLSON
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March 2015 · bwellmagazine.com
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PHOTO BY MICHAEL LOPEZ
Valerie Carlson kept hydrating throughout the Catalina Eco Marathon as the temperature soared to 100 degrees.
Continued from PAGE 57
that’s difficult to do in Bakersfield.” Valerie said her training paid off. Although much of the marathon offered views of the ocean, she was surprised at the heat and arid climate. There weren’t many trees, but there were bison close enough to touch. She said they appeared so calm she had to do a double take, thinking they might be animatronics. At one mountain peak, the mercury registered 100 degrees. “It was so stinking hot,” she said. “When I got there I thought, ‘It’s not like Bakersfield,’ but then after I got going I thought, ‘Holy cow – it’s just like Bakersfield.’” of snack and hydration stands “Marathons, metPlenty the runners at points throughout the for me, are a marathon, and Valerie said she’d assess her condition at each point, taking pains constant to stretch and catch her breath. conversation “My doctor said to listen to your body,” she said. with God.” After she crossed the finish line, — Valerie Carlson Valerie said she was “tired, but really happy.” She found comfort from God every step of the way. Said Valerie, “Marathons, for me, are a constant conversation with God.” She will soon be conversing with her little one, too, as she is due in April.
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EXPERT CONNECT
Can a veteran get help in home so they don’t have to relocate to a facility? What about their surviving spouse?
T
he answer is YES! The Department for Veterans Affairs has an underutilized program for veterans and their living or surviving spouses that will reimburse some of the costs of home care. This allows them to remain living independently in their homes while receiving the assistance they need to do so safely. They don't have to leave their homes due to needing a little help in the home! Surveys show that 1 in 4 seniors qualify and since applying will cost nothing, there’s no risk in looking into this option.
How much home care is available and for how long? The Aid and Attendance pension will reimburse up to $2,120 a month. This is available for the rest of their lives. It doesn't have a cap and it doesn't run out! What does it cost to file the paperwork? Nothing! This is a benefit available to all wartime veterans and it cost nothing to file. In fact, it is illegal for a company to charge a veteran to file the paper work in his or her behalf. Few home care companies will assist with all of the paperwork, deliver it to the St. Paul Pension Management Center and follow up regularly on the status of the claim to help get the application approved at no cost like Ally Senior Care does. How long does it take to start getting reimbursed? What if I can't afford to pay for home care until reimbursements start? Our average client starts receiving reimbursements in 30-60 days and we have a 98 percent approval rating. We do our part to make sure all the needed paperMike McWilliams work is gathered, submitted properly CEO/President Ally directly to the pension management cenSenior Care, Founder of ter, skipping over the local and state VeterSenior Veterans ans Assistance office, which cuts months Benefit Advocates off of the time it takes to have the claim processed. Many are not using this pension benefit since they often cannot afford to cover the costs of home care during the approval process. There are ways we can help with this. Just give Ally Senior Care a call to discuss our unique options available due to their partnership with the Senior Veterans Benefit Advocates.
“Quality In-Home Care That Improves Lives” (661) 397-ALLY (2559) www.allyinhomecare.com
“Proudly Serving Those Who Honorably Served Our Country”
WELLNESS & WONDER / your body
15 interesting facts about prosthetics By Logan M. Newton, CP, BOCO at Achilles Prosthetics and Orthotics A prosthetic, or prosthesis is an artificial limb that is made to replace a missing body part following an accident or disease.
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Nearly 75 percent of amputations are caused by diabetes and cardiovascular complication.
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The most common type of amputation is a below-knee amputation.
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Most prosthetics are constructed with lightweight carbon fiber, aluminum and titanium components.
A vacuum socket with an élan microprocessor foot. The ankle of the foot is computerized to mimic how a normal foot would function.
The average prosthetic lasts three to five years.
All prosthetics are custommade to each individual patient, taking several factors into consideration, such as health, lifestyle, age and weight. Most amputees wear a stump shrinker, which is a compression sock that keeps the limb from swelling when the prosthesis is not on their limb.
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PH OT O
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BY
MA RK
NE
There are many ways to hold a prosthetic leg on the limb including suction, locking and elevated vacuum.
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Most amputees wear a silicone gel liner that helps to cushion and protect the limb during walking.
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The “socket” is the custommade carbon fiber cup in which the residual limb is seated into.
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SS IA
The use of elevated vacuum systems in sockets helps in healing the limb, maintaining size and decreasing weight of the prosthesis.
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The oldest known prosthetic was found in Cairo, Egypt in 2000. It was estimated that the wood and leather prosthetic toe was nearly 3,000 years old.
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Phantom limb sensation is the feeling of the missing limb still being attached to the body.
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Most patients begin the process of getting a prosthetic when the residual limb has fully healed following surgery.
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In the U.S., it is estimated that one in every 200 people have suffered from limb loss.
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EXPERT CONNECT
What is an elevated vacuum prosthetic socket?
A
sk any amputee what the most important aspect of their prosthetic limb is, and most will tell you their prosthetic socket. The socket is an intimate fitting connection between the patient and the prosthesis and has to fit perfect to the residual limb to function optimally for the patient. A poor fitting socket can lead to pain, skin breakdown and the feeling of an extremely heavy prosthesis. With new advances in socket technology, we are making prosthetics that are more comfortable and lightweight than ever before. Elevated vacuum socket technology utilizes a vacuum pump to draw the residual air out of the socket. In doing so, it creates a negative pressure environment within the socket, which completely eliminates movement within the prosthesis. Eliminating movement decreases the risk of blisters, reduces the amount of fluctuation of size of the patient’s residual limb and makes the prosthesis feel much lighter than non-elevated vacuum sockets. This technology works very well with both above-knee and below-knee prosthetics. In many cases, utilization of vacuum can allow for more liberal trimlines, which can offer greater range of motion of the residual limb. Furthermore, placing wounds inside a sealed vacuum environment has been used for years in hospital settings to aid in faster healing. Clinical evidence has shown that amputees who have wounds that are placed into elevated vacuum sockets heal quicker. This is important, especially for diabetic and vascular patients who have long healing times. If you or someone you know is interested in this exciting new technology, contact Logan M. Newton, CP, BOCO Achilles Prosthetics and Certified Prosthetist/Orthotist Orthotics for a free evaluation. Achilles Prosthetics & Orthotics
What does Achilles have to offer me? Achilles Prosthetics and Orthotics offers the widest selection of prosthetic components to meet the needs and challenges of all types of amputees. Our American Board certified prosthetists are highly skilled and constantly trained in all of the latest techniques and methods. At Achilles, our goal is for you to feel completely comfortable and confident while wearing your prosthesis and achieving your goals. We are here to be a continuous source of support and a resource for your ongoing care.
2624 F Street · (661) 323-5944 · ACHILLESPO.COM March 2015 · bwellmagazine.com
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WELLNESS & WONDER / what happens when...
You experience irregular heart rhythms How to handle abnormal heart beats
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By Dr. Atul Aggarwal, MD, FACC, FAHA, FSCAI
eople may sense their heart beating rapidly, missing a beat or fluttering. Due to these problems, they may feel dizzy, lightheaded, or experience chest pain or shortness of breath.
Slow heart rate
Heart rhythm problems may arise due to a slow heart rate. The pacemaker that God has given us resides in the heart’s upper-right chamber. It generates an electrical impulse that travels to the upper chambers, then through a small window, called the AV node, to the lower chambers. Any problem with the generation of a heartbeat from our natural pacemaker, or a block in this AV nodal window, can necessitate implantation of an artificial pacemaker.
Fast heart rate
Heart rhythm problems may arise due to a fast heart rate. An abnormal electrical circuit may set up in the upper heart chambers and give rise to common rhythm problems, like atrial fibrillation (this is present in greater than 1 percent of the population).
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Atrial fibrillation is more common as people get older and may also occur after consuming too much alcohol (some call it “holiday heart syndrome”). This may lead to upper chambers not beating in synchronous fashion, which can lead to a blood clot forming in the upper-left chamber. This may call for a blood thinner called warfarin. Patients may need a host of medications or an ablation treatment to prevent the heart from racing too fast or to get them back to normal rhythm. Another fast heart rhythm problem is called SVT (supraventricular tachycardia) that can occur in young and healthy people as well as older people. A heart rhythm specialist may need to evaluate this with an ablation procedure to “burn out” the abnormal electrical circuit. Skipping beats
People may also feel their hearts missing a beat; they may describe their experience as a “skip and a jump” or a “jolt” in the chest. Very often, these symptoms may be
due to isolated premature beats from the upper heart or lower heart (called PVCs). These may get worse during stress or with the intake of too much caffeine. These are usually a nuisance problem only, but they may signify an underlying heart problem and a weak heart. They are usually dealt with by avoiding stimulants and may need the addition of a medication called a beta blocker. Any of the above symptoms should be reported to your primary physician who can decipher these problems with a simple electrocardiogram (ECG) or a longer-term heart rhythm monitor. If needed, you may need to see a cardiologist who can evaluate these symptoms and offer appropriate treatment. Dr. Atul Aggarwal specializes in interventional cardiology at Atul Aggarwal MD Cardiology Clinic and also provides inpatient services at Mercy Southwest, Bakersfield Memorial and San Joaquin Community hospitals.
W E L L N E S S & W O N D E R / l i f e ’s q u e s t i o n s a n s w e r e d
Hearty sleep
How sleep affects your heart and vice versa
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By Dr. Thomas Armstrong, DDS
verybody knows how it feels to wake up after a good night’s sleep. You’re refreshed, full of energy and ready to take on a new day. Unfortunately, this wonderful feeling is the exception for many, and poor sleep can affect much more than our daytime energy – it can also damage our hearts. With the National Sleep Foundation reporting at least one-third of adults having sleep problems and more than 10 percent having chronic insomnia, there are a lot of people starting the day without the benefits of a good night’s rest. Numerous studies link poor sleep with heart problems. Even a single night of inadequate sleep can increase blood pressure levels in people who are already hypertensive. If you’re sleeping fewer than six hours a night, your chances of developing or dying from heart disease increase by 48 percent and risk of a stroke increases by 15. People getting less sleep were more likely to develop calcium deposits in their coronary arteries. Medical researchers have shown that a particular sleep breathing disorder, obstructive sleep apnea (OSA), leads to many problems with high blood pressure, heart attack, stroke and atrial fibrillation. This is of particular concern to physicians because sleep apnea often goes undiagnosed for many years, yet has so many negative effects on health. With sleep apnea, a person can stop breathing over and over, sometimes hundreds of times a night, while they’re asleep. This causes a lack oxygen in the blood, which affects our heart along with the brain and rest of the body. The person is out of breath and struggles to breathe again. It’s like repeatedly running up a flight of stairs without rest. No wonder sleep apnea is so
hard on the body. And each time this happens, the person is pulled out of the deep sleep they need. Poor sleep from apnea conditions raises levels of active inflammation in the entire body. Not only that, but disturbed sleep leads to the release of stress hormones in the blood, further increasing the strain on the heart and damaging arteries. Don't forget, if one person isn't sleeping well, neither is their bed partner. They're often kept awake waiting and wondering if the apnea sleeper will start breathing again. With this in mind, the American Heart Association now recommends that a sleep assessment be part of a patient’s evaluation for heart disease. Don't ignore these symptoms in yourself,
spouse, family or friends. Snoring, daytime tiredness and poor sleep are key signs of possible sleep breathing problems. As part of your goals for 2015, do your heart a big favor by making sure you are getting good sleep. If you have any symptoms of sleep apnea, discuss it with your physician. Get your sleep properly tested and if you have sleep apnea, find a treatment that works for you. Dr. Thomas Armstrong Your heart will love you for it. Dr. Thomas Armstrong, Bakersfield dentist, has extensive training in sleep medicine and treating sleep apnea with oral appliances. March 2015 · bwellmagazine.com
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WELLNESS & WONDER / living green
Reduce, reuse, rediaper Cloth diapers take care of our environment, local families
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By Lisa Ybarra
iving green doesn’t end with recycling plastic bottles; Bakersfield moms are headed to Planet Bambini to reinforce living eco-friendly. Owner Stefanie Bye decided to open Planet Bambini after seeing a need in the community for better “green” products for children, including her own. She wanted to make
Four-year-old Allison Bye practices putting on a cloth diaper on a doll during a Cloth Diapering 101 class taught by her mom, Stefanie, at Planet Bambini, located at 3903 Patton Way, Suite 100.
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cloth diapers and natural products easily accessible for families in town. According to realdiaperassociation.org, 27.4 billion diapers are consumed every year and 92 percent of those single-use diapers end up in landfills. Not only do cloth diapers help the environment, but as Bye has experienced, they can also help families save money. Some critics argue that cloth diapers aren’t eco-friend-
ly because of the amount of water used to wash them. Bye, however, disagrees. “More water is used to make disposable diapers than washing cloth diapers,” she said. Planet Bambini offers a variety of cloth diapers made from different materials, including cotton, hemp and bamboo. They also offer a Cloth Diapering 101 class to teach families how to use and wash them. The class is $10 to hold a spot, but it is given back to the attendee in store credit after taking the class. All products in the store are all-natural and nothing is disposable. Bye not only wants to save the environment through cloth diapers, but offers families additional support with sign language classes, breast-feeding support and bilingual story time. Visit Planet Bambini at 3903 Patton Way, Suite 100, or call 5448484 to sign up for a class.
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March 2015 · bwellmagazine.com
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WELLNESS & WONDER / gardening
Getting to the root of the matter
Chemical Fertilizer - NPK, 20-20-20
Pro: Plant reacts quickly. Easy to apply. Con: Only feeds plant through the roots. Releases quickly (no control on release), plants only utilize approximately 20 percent, so 80 percent is lost to runoff (not good for the environment) or flows past the root zone. Adds more salt to the soil (plants don’t like this). Slowly kills the microbiology in the soil. A chemical fertilizer can be beneficial to existing microbiology if it has a “controlled release.” This type will actually help feed existing microbes rather than kill them.
Bringing balance back to soil, plants
Organic Fertilizer - NPK, lower ratio
White Forest Nursery offers various fertilizers to help balance out the soil ecosystem.
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By Rita White, co-owner of White Forest Nursery
o, you think you are a lifetime member of the “Brown Thumb Club?” You fertilize and fertilize and still, plants don’t grow. Sometimes, it’s not all about the fertilizer. We must think of the complete soil food web. As long as this stays out of balance, you will forever be a Brown Thumb Club member. To get plants growing again, we must balance the soil food web. The plant and its roots, in connection with the soil food web interface, are extremely complex. Destroy or interfere 68
B Well Magazine · March 2015
PHOTO COURTESY OF RITA WHITE
Pro: Adds microbiology to the soil, expanding a vigorous soil food web. Promotes root growth, healthier plants. Con: Not all are created equal. No food to maintain microbes.
with any of the processes, and you throw the soil ecosystem out of balance and begin to have problems with your plants. Chemical fertilizers began as a mixture of nitrogen, potassium and phosphorus (NPK) at an 8-to-8-to-8 ratio that basically fed the plant directly through the roots. Over the course of 50-plus years, the fertilizer’s chemical balance grew stronger and stronger. Now, our NPK fertilizer is at a 20to-20-to-20 ratio. Until recently, we didn’t realize that as we flood these fertilizers over the soil, they are slowly killing the microbiology in the soil, thus creating a huge imbalance, which has a direct impact on plant health.
There are thousands of ingredients needed for robust plant growth. Different plants have different nutritional needs. The soil changes from area to area and varies both horizontally and vertically throughout the soil profile. If the elements or microbiology needed for that particular plant are not in the soil, or not made available, the plant cannot perform to its potential. Biochemical engineer Jere White, a Stanford graduate and a native of Bakersfield, set out to solve this problem and to regain the “balance” between the soil and plants that Mother Nature intended. White developed GardenMax , TurfMax and ProGro365, to provide the full complement of microbiology (beneficial bacteria, fungi and mycorrhizae), nutrition and minerals that the soil or plant needs to grow to its full potential and health. All the needs of your plants and soil are provided for, and since the fertilizers feed microorganisms, they continue to multiply, making it a sustainable purchase. As Mother Nature returns to balance, so does the health and nutrition of all your fruits, vegetables, flowers and trees. You may just earn your first green thumb award! To learn more, contact White Forest Nursery for a list of upcoming seminars or visit greenasitgets.com
EXPERT CONNECT
Is LASIK for me?
Daniel H. Chang, MD
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Ginger and Roger Spradlin, left, Geoff and Stephanie Kallenberger, center, and Geoff's mother, Loraine Kallenberger, right, prepare gift coffee cards as part of the "Christmas Cause," gift packages to be sent to hospitals remembering their three-month old son, Austin Kallenberger that Geoff and Stephanie lost. A portrait of Austin hangs over the fireplace above the Christmas stockings.
Spreading hope one gift at a time
Action for Austin brings awareness, help to area NICU and PICU patients
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By Emily Shapiro
imple acts of kindness speak the loudest. On Mother's Day 2012, Stephanie Kallenberger was in the Neonatal Intensive Care Unit (NICU) at Cedars-Sinai with her son Austin. Born April 11, 2012, he had several complications, including the inability to suck, swallow or gag. He couldn’t even move his joints. That day, the group "Good Beginnings" gave the desperate mother a 70
B Well Magazine · March 2015
small mother’s bracelet. "I still have that. It meant a lot that someone acknowledged the fact that we were spending the holiday in the hospital fighting for our son," said Kallenberger. On July 18, 2012, Austin passed away in his mother's arms. "My pastor said to me, ‘How you move forward from this loss will determine your son's legacy,’” Kallenberger recount-
PHOTO BY CASEY CHRISTIE
C R E AT I N G AWA R E N E S S / b t h e c a u s e
ed. “I wanted my son's legacy to be bringing hope to others in similar situations. ... It's never over until God says it is.” In her son’s rememberance, Kallenberger and her best friend, Lynn Bradshaw, started the Action for Austin Foundation." The 501(c)(3) nonprofit foundation aims to bring hope and help to NICU, PICU and Ronald McDonald House families (RMH) via gifts during the holidays. This past Christmas, 366
NICU, eight PICU, and 20 pediatric unit (PEDS) and RMH families were helped. The foundation gave NICU families handmade ornaments with HOPE written across them along with the Action for Austin ribbon and business cards. Stuffed animals and bubbles for the PICU, PEDS and RMH families were distributed as well. The cards serve as a resource line for the families. Kallenberger wants families to know they are not alone when at the hospital with a severely struggling baby. The gifts are something the families can use to remember the journey with their child. "It (complications at birth) can happen to anyone. We all can help these families get through it," said Kallenberger. The foundation has covered every Easter, Halloween and Christmas since Halloween 2012, as well as a special basket for a mom or dad on Mother’s and Father’s Day. Followers are able to nominate parents to receive gifts on the foundation’s Facebook page. Those who would like to help can volunteer at one of the packing parties where gifts are tagged and packed for delivery, or they can donate via the website. Johasee Rebar of Bakersfield, owned by Mike and Sadie Hill, donated to the foundation this past Christmas. “They reached out and wanted to help, and (they) will touch so many families with their donation. We are so grateful," said Kallenberger.
Hospitals and houses served Action for Austin serves families in the NICU, PICU and PEDS at Memorial, Kern Medical Center, San Joaquin, Mercy Southwest in Bakersfield, Henry Mayo, CedarsSinai, UCLA, and the Children's Hospital of Los Angeles and Central California Madera. The nonprofit also serve families staying in the Bakersfield, Los Angeles and Madera Ronald McDonald Houses. For more information and a complete hospital list, visit austinkallenberger.com.
C R E AT I N G AWA R E N E S S / s o m e k i n d o f w o n d e r f u l
Stacia Guzzo, founder of Handcrafted Honeybee.
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By Elizabeth Castillo
tacia Guzzo of Handcrafted Honey Bee, is creating quite a buzz with her do-it-yourself skin care kits. Guzzo, 34, began creating skin care products when she ditched her small city apartment to move to Tehachapi. She and her husband, Robert, moved to the quiet town five years ago so they could live closer to the source of their food and find a place with a greater sense of community. Once in Tehachapi, Guzzo began keeping bees and stumbled upon homemade bee products. With the excess wax from the bees, she began to create lip balm. Her recipe became popular among friends and locals, and she began creating lotion bars, soaps and deodorants as well. In 2012, Guzzo began teaching others how to make soap and lip balm. She loved how excited her students became once they learned how easy it was to make these products. It was the beginning of Handcrafted Honey Bee. “I began considering how I might be able to expand my ability to teach people to make their own skin care (products),” she said. “At the end of our first year of business, we have sent kits to 32 states and six different countries.” Guzzo’s company continues to flourish and her kits appeal
The secret to great skin care is a 'handcrafted' touch
PHOTO COURTESY OF STACIA GUZZO
BEE-autiful
to different people because they come in a variety of skill levels. Customers can create their own lip balms, deodorants and clay masks with hand-picked ingredients. Guzzo enjoys helping her customers create memories and bond with loved ones through use of the kits. “You can spend 15 minutes with your 7-year-old making lip balm from scratch, using colors and flavors that she chooses,” she said. Prior to creating skin care products and moving to Tehachapi, Guzzo was a teacher. Once in Tehachapi, she became a stay-at-home mom and took care of her sons, Eli and Isaac. Although Guzzo did not specifically pursue teaching, her skills were still able to shine with Handcrafted Honey Bee. “I suppose my business did eventually lead me back to teaching, but not in the traditional sense,” she said. Handcrafted Honey Bee is not her only business. Guzzo also sells finished products through Tehacha-Bee Farm, a brand she also owns. She loves to create ready-made, quality skin care products for customers and families. Whatever the business, Guzzo enjoys learning more about skin care and creating connections through her products. “These kits really do bring people together in a very special way,” she said. March 2015 · bwellmagazine.com
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LAST LOOK / b seen
Rio Bravo Rumble Jan. 17 Held at Rio Bravo Ranch Photos by Casey Christie
Alex Asuncion and Joe Rivas
Amanda Barrett and Sarah Wilder
Kelly Ayers and Anthony Hilario
Dustin Adona and Sara Perales
Lili Sosa and Janie and Tom Dyer
Sandra Castruita and Chanett Franco
Greenacres Community Center Mon, Wed 5:30pm
Riverlakes Community Center Tues, Thur 9:00am Sat, 8:30am
Uniglobe Travel Tues, Thurs 5:30pm
For more info:
589-8950 or Jazzercise.com Drew Balsa, Melissa Ramirez and Kai Balsa
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LAST LOOK / b seen
26th Annual Fog Run Jan. 10 Held at Lake Ming Bethel Mathews and Angie Genova
Jeanne Ross, Brianna Ortega, Luz Ortega, Debbi Shetrone and Marty Murphy
Fernando, Cynthia, and Joaquin Machado
Tina Pola, Michelle and Kevin Blankenship and Jay and Kathy Lockridge
Photos by Carla Rivas
John Moore and Alexandra Dzikowski
Mayra Sanchez and Patricia Bonilla
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Robert and Isaac Rodriguez
March 2015 路 bwellmagazine.com
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LAST LOOK / b seen
CSUB’s PEAK Club Valentine Run Feb. 14 Held at CSUB
Debbie Arnold, Chris Brannon, Janet Lynch, Sheri Phillips, Susan Aranda and Dawn Thompson
Stu and Carrie Allen
Photos by Brian Coleman
Shawna Manning, Janelle Ashbaugh and Sherri Pacheco
Margarita and Dominic Gamier
April Dela Rama-Rogers and Michael Rogers
Jill Cawthon, Debbie Chambers, Mike Sutherland, Simona Othart Rhoten, Tatum Navejas, Laurie Cagle and Donna Johnson
Kristen Marguez, Lola Ramirez, Karmen Sumlin and AllieMae Perkins
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B Well Magazine · March 2015
Althea Newhouse and Barbara Stowe
LAST LOOK / b seen
Cyclocross Jan. 24-25 Held at Hart Park
Angela Lacopetti and Megan Rury
Parker and David Rous
Celeste Vaquero, Belinda Amavisca and Kenneth Pearson
Eric and Jude Bailey
Cory, Scarelete and Rich Hodgson and Freda Chapman
Elizabeth and John Rouf
Photos by Adriana Vega
Richard David and Richard Smith
Melanie, Ezra and Judie Stevenson
March 2015 路 bwellmagazine.com
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LAST LOOK / b seen
Furry Paws & Foggy Nights Feb. 27 Held at The Petroleum Club Kathleen Bruce, Adam and Breann Patten and Thelma Au
Matt Primicerio and Erin Munchalfen
Photos by Carla Rivas
Cathy Haberman and Mitch and Kristi Townsend
Jane and Milt Burford
Marleen Ray and Carol Montsinger
Katy, Laura, Julie and Danny Owens
Reducing Depression Insight, tips, suggestions and encouragement about how to possibly reduce emotional distress or depression to anyone suffering or dealing with it.
Rachel, Ryan and Trey Fowler
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LAST LOOK / b seen
Lung Force Walk Kickoff Feb. 26 Held at The Mark Photos by Carla Rivas
Tamira Smith Lopez and Maria Jaime
Donna Hollingsworth, Chris Lowe, Jessica Davidson and Beverly Wagner
Ashley Baker and Arvin Joves
Brenda Turner and Amber McCombs
Pearl Urena and Patricia Ramirez
Lisa Burgess, Jessica Stahler, Tonya Sterling, Susanne Campbell and Donna Jacobsen
Brittney Lumsden-Ross, Jillian Wellwood and Sadie Carlon
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Jill and Mark Hahs
LAST LOOK / b seen
Super Cruise Car Show Feb. 28 Held at Kern County Fairgrounds Jeff and Olive Hill
Lisa Sandoval, Annie Bailey and Brandon Wren
Photos by Greg Nichols
Don Maxwell and Cherie Napoleon
Jacob, Bobby and Joshua Blackmon
Salina and Eva Perez
Juan and Claudia Murga
Susan Vance and Thomas Keehbauch
Patrick O’Neill and Andrew and Amy Vicent
March 2015 · bwellmagazine.com
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LAST LOOK / residents speak
Shelley Peck leads a healthy lifestyle, which includes loving on her Tibetan terrier, Tammy.
PHOTO COURTESY OF SHELLEY PECK
I
Skipping to my 60s Resident makes fit happen throughout her life By Shelley Peck
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never thought much about eating correctly as a youngster. Our family had what was considered average American meals: meat and potatoes, good home cooking, homemade pies and desserts. Mom was waiting for us with cookies and a glass of milk when we arrived home from school. It was good food, but it might not have been the healthiest way to keep eating into my adult years. The study of different foods and nutrients suddenly became fascinating to me when I left home and started life on my own. I wanted to live a long life and I wanted to be healthy – to enjoy my golden years when they eventually came. I didn’t quite know where to begin, so I read books on nutrition, joined a gym, drank lots of water and never drank sodas. Two trendy books I studied back then were “Let’s Eat Right To Keep Fit” and “Let’s Get Well” by Adelle Davis. She was my guru for a time and I tried to follow all her suggestions. I bought seaweed powder and made drinks out of it and sprinkled it on my food (it was ghastly). I bought all the vitamins M’s Davis advised, but discovered I had allergies to some. The books did help me and I was getting fit. I got additional exercise doing fun things like rock climbing, hiking and taking dance lessons. To keep my heart healthy, I cut way back on sugar and unhealthy fats. I ate lots of vegetables, fruits and other foods to get all the vitamins I needed. This way of eating, along with lots of walking and continuing to drink plenty of water kept my weight at a healthy level. Along the way I discovered another book with a program that I enjoyed, “Fit For Life” by Harvey and Marilyn Diamond. Their idea of proper food combining and specific times to eat certain foods definitely left me feeling very cleaned out on the inside, and I had more energy! These have remained my favorite books on nutrition. I always try to get some fresh air every day and at least 20 minutes of sunshine, and I try to keep negative influences out of my life. There’s one more thing that keeps my heart healthy: the love of my friends and my family, including my little fur babies. When my family isn’t around, I always have my pets to love and love me every day. That keeps my heart happy. This has been my “journey,” as they say. I have stumbled at times but have always kept my goal in mind: stay healthy. I hope to keep going for a long time. Shelley Peck is a mother of four and grandmother of 10. She moved to Bakersfield in 1977, and has lived a few other places, but calls this town her home. She loves spending time with her family and continues to study healthy eating and good health practices.
LAST LOOK / life & happiness
Emptying the nest Seven tips for making the college transition easier
N
By Kat Clowes
othing can make one suddenly reflect on the past 18 years more than the thought of sending a son or daughter off to college. Here are a few tips for parents to keep the anxiety level down this spring and summer and to make the transition to college life easier (for both of you).
Map out deadlines
College admissions packets, housing packets, orientation and financial aid awards can come in the mail or over email, each with its own set of deadlines. Add all of these dates to your master calendar, setting reminders before each. Don’t forget to add tuition deadlines for the upcoming year to avoid late-night, panicked phone calls.
Keep records accessible
Keep pertinent information in one place, be it scanned in a shared folder that you and your student can access or a physical folder. Health insurance information, medications, financial/bank account information and school information (like school ID number) should be easily accessible.
Talk finances
Most students entering college know just enough about money to get themselves into trouble. Start the financial conversation now, discussing credit card debt, student loans, interest, savings and budgeting.
Encourage involvement
The days of simply going to class, getting good grades and landing an incredible job are history. Activities, internships and volunteer work give students an edge in the job market. Encourage them to get involved.
Discuss safety
Freshman year is by far the most risky. Have a candid talk with
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your student about safety, including complicated situations like underage drinking, narcotics and consent. Encourage your student to help his or her friends and fellow classmates stay safe. Be aware of counseling available on campus
Talk to your son or daughter about the pressures of college and make them aware of the counseling services offered by their university. Discuss signs of depression and encourage them to talk to someone if they’re having problems with a relationship, roommate, anxiety, etc.
Stay positive
Remember throughout the summer that your son or daughter is going through a major transition, too. Try to keep them accountable while keeping in mind that they’re anxious about this change as well. Don’t reflect that anxiety; instead, emphasize the future’s opportunities. Letting go can be the hardest part of the college transition. But with communication, preparation, assurances of support and effective organization, you can say your goodbyes knowing that your family is ready. Kat Clowes Kat Clowes, MBA, is the author of the upcoming book “Make College Count” and the CEO of March Consulting, a Bakersfield-based college admissions and career planning firm serving high school and college students and young professionals. Kat’s mission is to help millennials create their own opportunities in a changing economy.
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