John Muir Health Magazine December 2014 - February 2015

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JOHN MUIR

HEALTH Your Local Resource for Living Well December 2014–February 2015

Inside: Free classes and programs that promote your health John Muir Health Foundation: Your donation can make a difference

Specialized Care for Your Kids New services in your community

Last Issue of

John Muir Health see page 2 for more info

pg 4 Have a wound that won’t heal? pg 5 New hope for cancer patients pg 6 Workouts for pregnant women pg 7 Remedies for your bad knee


Did You Know? Heart Specialists at New Location These board-certified doctors have joined our Walnut Creek Outpatient Center’s expert team Promoting your family’s heart health: Welcome board-certified cardiologists Drs. Michael Brown, Richard Chang, Andrew Dublin, Gary Gershony, Paul Ho, Carolyn Lacey, Perkin Shiu and Hennessey Tseng to the John Muir

Lower Costs for X-Rays John Muir Health is committed to making top-quality care and services available to you and your family. In an effort to make medical imaging more affordable, many of John Muir Health’s costs for outpatient imaging services—such as X-rays, ultrasound tests and bone density studies—have decreased. To receive an estimate of costs (based on your insurance coverage), please call our financial counselors at (925) 941-2030.

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Health Outpatient Center at 1450 Treat Blvd., Walnut Creek. Drs. Chang, Dublin and Gershony are also boardcertified in interventional cardiology. FYI: You can also find Drs. Ayman Hosny, Susan Eisenberg and Carleton

Nibley at John Muir Medical Center, Concord, 2540 East St., Concord. Dr. Hosny is a board-certified interventional cardiologist and Drs. Eisenberg and Nibley are board-certified in cardiac electrophysiology.

Proud to Be Giving Back As a not-for-profit health organization, John Muir Health is proud to provide quality care to everyone who needs our services. Each year, we offer a wide array of community benefit services and programs. Here are some highlights from our 2013 report (the latest): School nurse visits provided by John Muir Health Community Nurses: 7,046

Visits provided to children by the Mobile Health Clinic program: 2,953

Visits provided to children by the Mobile Dental Clinic: 1,165

Women who received free breast and cervical cancer screenings through the Every Woman Counts program: 548

Free surgeries and procedures provided by doctors through Operation Access: 93

Active volunteers (doctors, RNs, clerical staff, community members) in our community benefit programs: 515

John Muir Health contributed more than $105 million in 2013 to improve health in our community. For more details, view our 2013 Community Benefit Report at johnmuirhealth.com/community.

This is the last issue of John Muir Health magazine. Stay tuned for new developments: We’ll continue to provide you with quality health care, information and resources. For details about John Muir Health services, classes and other resources, visit johnmuirhealth.com or call (925) 941-7900, option 1.


Tool Kit

Children’s After Hours Care Services Parents, this is info to keep handy Why is it that kids seem to spike a fever or take a tumble after pediatricians’ offices are closed? That’s where John Muir Health’s new Children’s After Hours Care Services come in. Start with a phone call to our advice nurses at (925) 296-9001. They’ll guide you to the care your child needs. Office Location and Hours 1450 Treat Blvd., Suite #160, Walnut Creek, CA 94597 (located in the Urgent Care Center) Open 5–9 p.m., Monday through Friday; 8 a.m.–6 p.m., Saturday and Sunday; 9 a.m.–3 p.m. on holidays Services: Treatment of minor injuries and illnesses, basic lab tests; imaging services in the same building Advice Nurse Line (925) 296-9001; available 5 p.m.–8:30 a.m., Monday through Friday; 24/7 on weekends and holidays Free service: Advice and guidance toward the right care for your child, including helping you get a same-day appointment with our pediatricians

You and Your Primary Care Doctor Building a good relationship is key to your overall health According to the American Academy of Family Physicians, patients who regularly visit primary care doctors experience more improvements in their health and have lower overall health care costs. Primary care doctors (family medicine, internal medicine, pediatricians, OB-GYNs) often represent your first line of defense when it comes to your overall health. Unlike specialists, your primary care doctor treats your entire body, from infancy to old age. That long-term relationship is at the heart of what makes your doctor so important: You can develop a connection and feel confident in the care you receive. What’s more, that relationship is just as important for your doctor: It allows him or her to see health changes as they develop, monitor chronic issues and medication, and prevent illness. Remember, you can help your doctor deliver the best care by actively participating in your appointments. Come prepared to share personal information about your and your family’s health history. Bring info about any medications you take. Ask questions about anything you don’t fully understand. Take notes. And be sure to follow up with your doctor’s office if you begin to feel worse or have any continuing health concerns.

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Looking for a new doctor? Video introductions are a great way to find a good match. Visit

johnmuirhealth.com/findadoctor to check out primary care doctors at John Muir Health who have new videos.

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Tool Kit

When Your Wound Won’t Heal John Muir Health’s Wound Care Center brings relief to many— including those battling diabetes and certain heart problems Do you have a sore that’s not getting better? “If a wound has not healed in 30 days, we encourage you to ask your primary care doctor about wound care, or call us for a specialized consultation,” says Mandy Mori, John Muir Health’s director of wound care and hyperbaric medicine services. “The science of wound care can help people who've had wounds from infections after surgery or undergone treatment that compromises their body's ability to fight infections. It can also help people with diabetes and other conditions that slow down healing and can save limbs—with the addition of hyperbaric oxgyen treatment, which involves breathing pure oxygen in a pressurized chamber.” How does oxygen therapy work? Whether wounds are caused by an injury or an ongoing condition, there is less blood supply to the tissues, which reduces oxygen levels. Hyperbaric oxygen therapy jump-starts healing by supplying two to three times more concentrated oxygen to the entire body. Treatment in John Muir Health’s hyperbaric unit is state of the art and patient-friendly, featuring comfortable, clear acrylic chambers with TVs and movies. John Muir Health’s program emphasizes innovative and customized treatment of challenging wounds and nonwound conditions, says Dr. Peter Benson, medical director of hyperbaric medicine services and Dr. Steven Young, medical director of wound care services. “The center is known for comprehensive care," adds Benson, "and is one of the few facilities in the nation providing 24/7 hyperbaric medical treatment.”

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therapy aids diver’s disease, carbon monoxide poisoning, late effects of radiation and more. Visit johnmuirhealth. com/services for details.

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The ABCs of CCTA Simply amazing: Leading-edge technology available at John Muir Health can produce three-dimensional pictures of your moving heart and great vessels (aorta, arteries, veins in the lungs). It’s called CCTA (cardiac computed tomography angiography). Like other CT scans, it uses a computer to combine multiple X-ray images into a 3-D image of your heart. Doctors can use CCTA to reveal problems in your heart’s structure and how it pumps blood, especially fatty or calcium deposits that have built up blockages in the arteries in your heart. This powerful technology is very useful in the ER to figure out exactly what’s causing chest pain in many patients. CCTA isn’t invasive and it’s quick to perform. What’s more, the CT images it provides of internal organs, soft tissue and blood vessels typically are in greater detail than conventional X-rays. “We can know within an hour if it is cardiac disease or not,” says Linda Womack, executive director of Imaging Services at John Muir Health. “Patients can be admitted sooner or they can avoid additional unneeded tests and go home.”

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For more information about imaging and cardiovascular

services at John Muir Health, visit johnmuirhealth.com/services.


Tool Kit

Safe—and Sober— Over the Holidays The holidays aren’t all fun and games for everyone— people who are in the early recovery stages of alcohol addiction find this time of year especially difficult. There are ”more get-togethers and more opportunities to abandon a healthy routine,” says Nina Ferraris, director of John Muir Health’s Drug and Alcohol Addiction Recovery Services. Before hitting the party, plan ahead. “Imagine yourself eating appetizers, chatting with friends and avoiding the bar area,” Ferraris says. "Come up with a time frame for leaving.” Resist the temptation to indulge in festive drinking by keeping a nonalcoholic beverage in hand. Strategize a plan for managing any midparty cravings—steering clear of food made with alcohol, since the taste or smell can be a trigger. “Some people carry a little card in their pocket that

has the 12 steps or the serenity prayer on it,” Ferraris says. “If you have a sponsor, you can use texting to have a conversation while you’re in the middle of it all.” (If you need someone to talk to, call the AA hotline at (925) 939-4155.) Even if you show up with a companion, Ferraris advises bringing your own car. “If you’re worried you might drink, leave early and go to a 12-step meeting. Many plan 12-step meeting attendance before and after the event.” Finally, don’t feel obligated to attend every event. Ferraris suggests avoiding temptation by doing something different for the holidays. A great choice: traveling with your spouse or sober friends. Learn more about John Muir Health’s Drug and Alcohol Addiction Recovery Services at johnmuirhealth. com/chemicaldependency or (925) 674-4100. We offer a free assessment and a positive, holistic program.

NEW HOPE FOR CANCER PATIENTS Good news: Women with specific gynecologic cancers are getting the benefit of a state-of-the-art treatment option and technology offered by the Gynecologic Oncology Program at John Muir Health. The procedure is known as HIPEC (hyperthermic intraperitoneal chemotherapy), says Dr. Babak Edraki, the program’s medical director.

HIPEC is a two-part treatment in the operating room that begins with removal of as many cancerous tumors as possible. Directly after the tumor removal, Edraki explains, chemotherapy is circulated throughout the abdominal cavity at a temperature of 107 degrees Fahrenheit. Heat boosts chemotherapy’s effectiveness and minimizes exposure of

healthy tissues to chemo’s toxic effects, says Edraki. “Having this combination therapy available is invaluable to patients with recurrent disease who may otherwise have limited options.”

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For information on our Gynecologic Oncology

Program, visit johnmuirhealth.com/ cancer.

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A Closer Look

Exercise for Moms-to-Be For many pregnant women, working out is just what the doctor ordered Track star Alysia Montano crossed the finish line to enthusiastic applause earlier this year when she ran an 800-meter race at the U.S. Track and Field Championships—while nearly eight months pregnant. Without a doubt, this Olympian’s activity level isn’t recommended for everyone, but in most cases, exercise is not only safe during pregnancy but offers a wealth of benefits. According to researchers, it can boost energy and mood; help prevent diabetes during pregnancy (gestational diabetes); and reduce backaches, constipation and bloating. Active women also tend to have an easier labor. What’s more, exercise during pregnancy might even help protect a baby from diabetes and other health problems later in life. The best way to figure out what exercise and level are best for you is to check with your doctor. Generally speaking, though, experts recommend getting 30 minutes of exercise that gets the heart pumping most days to reap the benefits. Someone who hasn’t been active in a while might start with five minutes of exercise daily and then tack on an additional five minutes each week until working up to 30 minutes. Walking, swimming, cycling and aerobics can all be great forms of exercise during pregnancy. (Note: If your body temperature gets too high, it can affect your baby’s development. So don’t get overheated when exercising in hot weather.) Pregnant women are advised to avoid activities that come with a high risk of falling like skiing (on water or snow), horseback riding and contact sports like basketball and soccer. Those who ran, played a racket sport or lifted weights before getting pregnant can likely continue but should talk to their doctor first. Experts caution women entering their third trimester to avoid overly rigorous activities. Most important, experts say, pay attention to your body. Stop exercising if you feel dizzy or faint, experience chest pain or increased shortness of breath, have vaginal bleeding or leakage, or notice decreased fetal movement. Sources include American Congress of Obstetricians and Gynecologists, Office on Women’s Health, American Pregnancy Association, American Council on Exercise, time.com

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John Muir Health offers exceptional programs, services and classes to promote your healthy pregnancy. To find out

more, visit johnmuirhealth.com/classes. To find an OB-GYN at John Muir Health, visit johnmuirhealth.com/findadoctor.

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Ask Our Experts

New Knee, Fresh Start If you have chronic knee pain, knee replacement surgery might be a good option. For details, check this Q&A with Dr. John Kronick, an orthopedic surgeon at John Muir Health. Who can benefit from knee replacement surgery? Someone who has advanced arthritis in the knee (the joint is inflamed, usually painful and swollen, often with changes in structure), verified by X-ray. First we give medicines, injections, tips on modifying activity, a brace and physical therapy. If those things fail, we often recommend surgery. Can a partial knee replacement work for some patients? Partial knee replacement is suited for people who have arthritis on a portion of their knee, either the inside (medial) or outside (lateral) part. The procedure is less invasive, and people recover faster. But it may not take away all of the problem and may only last seven or eight years.

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How does a patient’s weight figure in the surgery and afterward? If you’re lighter, it’s technically easier to do the knee replacement, and most likely, you’ll have fewer complications. Your recovery will also be easier if you’re more fit. There’s no research that demonstrates that being lighter helps the replacement last longer, although that’s the general belief. If you lose 10 pounds, your knees will have 30 or 40 pounds less pressure when you walk. How has knee replacement surgery changed in recent years? The replacement’s bearing surface, a plastic, has gotten better, so they wear better. Surgical instruments have also improved, so we can place the knee in better alignment. One of the newer things we’re doing at John Muir

Health has to do with pain control. Patients get a nerve block—injection of local anesthesia near nerves—that controls the pain very well. They also get medications to attack different points of the pain pathway and pain relievers they can give themselves through an IV by pushing a button. How long does it take to recover after surgery? A nurse visits you at home for the first two weeks, and you initially use a walker. After two weeks, most people are using a cane. From two to about eight weeks, you go to outpatient physical therapy. By six to eight weeks, most people are doing most of the activities they want to do. Most people are walking long distances in three to four months, but everybody’s different.

John Muir Medical Centers in Walnut Creek and Concord are recognized by Blue Cross and Blue Shield as Centers of Excellence in knee joint replacement surgeries. For more information on our orthopedic services,

visit johnmuirhealth.com/services.

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Caring for the Sickest Kids Our new Pediatric Intensive Care Unit makes specialists readily available, at times of your family’s greatest need

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FOR YOUR CHILD: OUTPATIENT AND INPATIENT SPECIALISTS Specialties now available at John Muir Health (full- and part-time), offered in partnership with Stanford Children’s Health, include pediatric orthopedics, neurology, gastroenterology, general surgery, urology, rheumatology and pulmonary medicine. Says Lannon, “We have some of the best pediatric specialists in the world.”

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For more information about Children’s Spe-

cialty Services, including Child Life Services, at John Muir Health, visit johnmuirhealth.com/children.

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nnouncing the early 2015 opening of an exciting new service at John Muir Health: a Pediatric Intensive Care Unit (PICU) that puts top-quality care for critically ill children right on the third floor at John Muir Medical Center, Walnut Creek—and right in your neighborhood. It means that very sick kids won’t have to travel long distances by ambulance or helicopter to another facility to receive the specialized care they need. “We now have a wide array of pediatric specialists here in our community, including those who are specially trained to care for kids in intensive care [pediatric intensivists]. This leading-edge facility has advanced technology but is also designed to make the patient and family feel at home,” says Beth Lannon, executive director of Children’s Specialty Services at John Muir Health. “Parents can stay overnight, with a foldout bed in each room, and there is a sitting room, pantry, and private space for care providers and families to meet.” If you’re the parent of a child with a chronic illness, this can be “life-changing,” Lannon adds. “It means you won’t have to spend time traveling to meet with doctors, arrange child care or stay with your child outside your community. We are really supporting family-centered care.” The PICU will be staffed by pediatric intensivists from the Stanford University School of Medicine, through John Muir Health’s partnership with Stanford Children’s Health. “The partnership has also been instrumental in helping us design the PICU,” says Lannon. "Even more important," she adds "the partnership enables us to provide local families with more specialists right here in our community. Approximately one in three children must travel 40 miles or more for outpatient specialty care. Now these families can get great care close to home." An additional benefit of John Muir Health’s Children’s Specialty Services is its certified Child Life specialist, Shana Hammers, who offers kids emotional support, activities for self-expression, therapeutic play and education related to the medical procedures they will face. “Most children’s hospitals have Child Life specialists,” says Lannon. “We are lucky to have one in our community hospital. They’re really a critical part of today’s patient care.”

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Your John Muir Health

FIND GREAT CLASSES & PROGRAMS AT JOHN MUIR HEALTH MOST ARE FREE, UNLESS OTHERWISE NOTED—SIGN UP TODAY! JOHN MUIR HEALTH OFFERS A VARIETY OF HEALTH-PROMOTING CLASSES, PROGRAMS AND EVENTS FOR PEOPLE OF ALL AGES. FOR MORE INFO IN THE FUTURE ABOUT TOPICS AND LOCATIONS OR TO REGISTER, VISIT JOHNMUIRHEALTH.COM/CLASSES OR CALL (925) 941-7900.

Check highlighted boxes for upcoming special events.

CANCER Bowel Management for Colon and Rectal Cancer WHEN: Fifth Wednesday, 4–5:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Brain Tumor Support Group WHEN: Second Wednesday, 7–8:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Breast Cancer Support Group

Colorectal Cancer Group WHEN: Second Wednesday, 4–5:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Gynecologic/Ovarian Cancer Support Group WHEN: First and third Thursdays, 11 a.m.–12:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Head and Neck Cancer Support Group WHEN: Fourth Wednesday, 4–5:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

WHEN: Second Thursday, 11 a.m.– 12:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Kids Circle and Teen Talk Cancer Support Group WHEN: Second Saturday, 10 a.m.–1 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Leukemia, Lymphoma and Multiple Myeloma Support Group WHEN: First Thursday, 7–8:30 p.m. WHERE: John Muir Medical Center, Walnut Creek You must call (925) 947-3322 before coming to the group.

Life After Cancer WHEN: Second and fourth Wednesdays, 6–7:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Living Well Beyond Cancer WHEN: Third Thursday, 10–11:30 a.m. WHERE: Breast Health Center Please call (925) 947-3322 to register.

Lung Cancer Group

Most of These Won’t Cost a Dime Classes and programs are free of charge, unless Fee is noted. 10

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WHEN: Second Wednesday, 4–5:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.


Class Locations – Wellness Services (Walnut Creek) 1656 N. California Blvd., Suite 100, Walnut Creek – Behavioral Health Center, John Muir Medical Center, Concord 2720 Grant St., Concord – John Muir Health Breast Health Center 133 La Casa Via, Suite 140, Walnut Creek – John Muir Medical Center, Walnut Creek 1601 Ygnacio Valley Road, Walnut Creek – John Muir Medical Center, Concord 2540 East St., Concord – John Muir Health Outpatient Center, Brentwood 2400 Balfour Road, Brentwood – John Muir Health Outpatient Center, Tice Valley/Rossmoor 1220 Rossmoor Parkway, Walnut Creek – John Muir Health Outpatient Center, Walnut Creek 1450 Treat Blvd., Walnut Creek – Cancer Support Community 3276 McNutt Ave., Walnut Creek, and various locations; for details, call (925) 933-0107 – Growers Square Parking Garage 1676 N. California Blvd., Walnut Creek

Lymphedema Support Group WHEN: Please call for date and time. WHERE: John Muir Medical Center, Concord Please call (925) 674-2125 for more info or to register.

Metastatic Prostate Cancer Group WHEN: Fourth Thursday, 11 a.m.– 12:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

Pediatric Oncology Support Group WHEN: Please call for date and time. WHERE: Cancer Support Community Call (925) 947-5272 for more information.

Prostate Cancer Support Group WHEN: Fourth Thursday, 1–2:30 p.m. WHERE: Cancer Support Community Please call (925) 933-0107 to register.

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Your John Muir Health

CONTINENCE Taking Back Control WHEN: Jan. 20, 5:30–7 p.m. WHERE: John Muir Health Outpatient Center, Walnut Creek

GENERAL HEALTH AND PREVENTION Insulin Pump Support Group WHEN: Please call (925) 941-5076. WHERE: John Muir Medical Center, Walnut Creek

Smoking Cessation— One Day Class WHEN: Jan. 17, 9 a.m.–noon WHERE: John Muir Medical Center, Concord Fee

HEART HEALTH Blood Pressure Screening WHEN: Monday–Friday, 9 a.m.–5 p.m. WHERE: Wellness Services (Walnut Creek)

Blood Pressure Screening (for Seniors)

Don’t Let Diabetes Deflate Your Holidays Having diabetes shouldn’t keep you from having a great time at holiday celebrations. With a little planning and preparation, you can stick with your healthy habits and enjoy meet-ups with friends and family. What: Diabetes Education for You: Preparing for the Holidays When: Dec. 12, 3:30–4:30 p.m. (This session is part of John Muir Health’s ongoing, free classes to support you in your care.) Where: John Muir Medical Center, Concord For more info or to register: Visit johnmuirhealth.com/classes or call (925) 941-7900, option 1. For Spanish, call (925) 363-7588.

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WHEN: Dec. 18, 11 a.m.–noon WHERE: Alcosta (San Ramon) Senior Center WHEN: Dec. 15, 10:45–11:45 a.m. WHERE: Ambrose Community Center WHEN: Dec. 15, 10–11 a.m. WHERE: Antioch Senior Center WHEN: Dec. 18, Dec. 19, 9:30– 10:30 a.m. WHERE: Concord Senior Center WHEN: Dec. 1, Dec. 15, 10–11 a.m. WHERE: Danville Senior Center WHEN: Dec. 9, 10 a.m.–noon WHERE: First Presbyterian Church


WHEN: Dec. 9, 10–11 a.m. WHERE: Golden Crane Senior Center—Alamo Women’s Club WHEN: Dec. 15, 10–11:30 a.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor WHEN: Dec. 8, 9–10:30 a.m. WHERE: Martinez Senior Center WHEN: Dec. 17, 10:30–11:30 a.m. WHERE: Pittsburg Senior Center WHEN: Dec. 1, Dec. 10, 9:30–11 a.m. WHERE: Pleasant Hill Senior Center WHEN: Dec. 10, 9:30–11 a.m. WHERE: Walnut Creek Senior Center

Heart Healthy Nutrition

Mended Hearts Support Group WHEN: Second Thursday, occasionally on Saturdays, 7–8:30 p.m. WHERE: Alternates between John Muir Medical Centers in Concord and Walnut Creek Call (925) 947-5206 for more information.

Stroke Support Group WHEN: Second Monday, 7–9 p.m. WHERE: John Muir Medical Center, Walnut Creek Call (925) 947-3300 for more information.

MIND & BODY WELLNESS Banishing the Blues WHEN: Dec. 15, 6:30–8 p.m. WHERE: John Muir Health Outpatient Center, Walnut Creek

Managing Insomnia WHEN: Jan. 20, 6:30–8:30 p.m. WHERE: John Muir Health Outpatient Center, Walnut Creek

NUTRITION AND WEIGHT MANAGEMENT Weight Loss Surgery Seminar WHEN: Check online for seminar dates and times.

WHEN: Dec. 1, 5–6 p.m. WHERE: John Muir Medical Center, Concord

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Your John Muir Health

OLDER ADULT Advance Health Care Directives WHEN: Dec. 9, 10 a.m.–noon WHERE: John Muir Health Outpatient Center, Brentwood Please call (925) 941-7900, option 1, to register.

Aging Gracefully WHEN: Feb. 20, 9:30–11 a.m. WHERE: John Muir Health Outpatient Center, Walnut Creek

ALS (Lou Gehrig’s Disease) Support Group WHEN: Third Saturday, 1–3 p.m. WHERE: John Muir Medical Center, Walnut Creek Call (415) 9042572, ext. 307, for more information.

Brain Health: Setting the Stage for Cognitive Health WHEN: Dec. 19, 9:30–11:30 a.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor

Catch Yourself—Preventing Falls WHEN: Four-session series, Dec. 8, 10, 18, 19, 11 a.m.–noon WHERE: John Muir Health Outpatient Center, Walnut Creek WHEN: Four-session series, Feb. 2, 9, 23, and March 2, 11 a.m.–noon WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor

Eating Well: The Anti-Inflammatory Diet WHEN: Dec. 18, 2:30–4 p.m. WHERE: John Muir Health Outpatient Center, Walnut Creek

Grief Awareness Support Group WHEN: Second and Fourth Mondays, 6:30–7:45 p.m. WHERE: John Muir Medical Center, Concord Call (925) 674-2132 for more information.

How Will You Know When It’s Time to Stop Driving? WHEN: Dec. 16, 2:30–4 p.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor WHEN: Jan. 13, 2:30–4 p.m. WHERE: John Muir Health Outpatient Center, Walnut Creek

Osteoporosis: Preventing Falls & Fractures WHEN: Jan. 16, 9:30–11 a.m. WHERE: Wellness Services (Walnut Creek)

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Understanding Options for In-Home Care WHEN: Jan. 8, 9:30–11 a.m. WHERE: John Muir Medical Center, Concord

Welcome to Medicare WHEN: Dec. 10, Jan. 14, Feb. 11, 7–9:30 p.m. WHERE: John Muir Medical Center, Walnut Creek

PREGNANCY TO NEWBORN Anesthetic Options for Labor and Delivery WHEN: Dec. 4, 6:30–7:30 p.m.; Feb. 3, 6:30–7:30 p.m. WHERE: Wellness Services (Walnut Creek)

Breastfeeding Your Infant WHEN: Dec. 6, 9:30–11:30 a.m.; Jan. 8, 6:30–8:30 p.m.; Jan. 24, 9:30– 11:30 a.m.; Feb. 5, 6:30–8:30 p.m.; Feb. 28, 9:30–11:30 a.m. WHERE: Wellness Services (Walnut Creek) Fee

Breastfeeding Support Services WHEN: Limited availability. Please call. WHERE: Wellness Services (Walnut Creek) Fee

Breastfeeding Latch Clinic WHEN: Every Thursday, 11:30 a.m.– 1 p.m. WHERE: Wellness Services (Walnut Creek) Registration required. Please call (925) 941-7900, option 1, to register.

Car Seat Checkup WHEN: Weekly on Fridays WHERE: Growers Square Parking Garage—Walnut Creek Appointment required. For an appointment call (925) 941-7900, option 1, or go online.

Childbirth: Convenience Class WHEN: Dec. 2, Jan. 22, 6–9 p.m. WHERE: Wellness Services (Walnut Creek) Fee

Childbirth: Low Intervention Childbirth WHEN: Four-session series, Thursdays, Jan. 15–Feb. 5, 6:30–9 p.m. WHERE: Wellness Services (Walnut Creek) Fee

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Your John Muir Health

Childbirth: Prepared Childbirth WHEN: Dec. 13, Jan. 10, Feb. 7, 9 a.m.–4 p.m. WHERE: Wellness Services (Walnut Creek) Fee

CPR: Infant and Child CPR and Safety WHEN: Dec. 1, 6:30–9:30 p.m.; Jan. 17, 9:30 a.m.–12:30 p.m.; Feb. 2, 6:30–9:30 p.m.; Feb. 21, 9:30 a.m.– 12:30 p.m. WHERE: Wellness Services (Walnut Creek) Fee

CPR: Infant and Child CPR and Safety for Grandparents WHEN: Jan. 17, 1–4 p.m. WHERE: Wellness Services (Walnut Creek) Fee

MuirMommies: Back to Work (working moms and babies 3–12 months) WHEN: Semimonthly, second and fourth Wednesdays, 6:30–7:30 p.m. (Note: Starting in January, this group will only be offered on the second Wednesday of the month.) WHERE: Wellness Services (Walnut Creek) To register, call (925) 941-7900, option 1, or go online.

MuirMommies: Best Beginnings (0–3 months) WHEN: Six-part series on Tuesdays or Thursdays, 9:15–10:15 a.m., 10:30– 11:30 a.m., 11:45 a.m.–12:45 p.m. or 1–2 p.m.

Banishing the Blues

Need help handling the holidays? Get easyto-learn tips in this John Muir Health class. The holidays can bring more than their share of stresses, mixed memories and unmet expectations. For busy adults, episodes of depression are often a problem during this season. In this class, learn the causes of depression and methods to help you feel better or stop feeling down altogether. You’ll also explore practical tips and techniques to improve the lives of others in a similar situation. Note: This class doesn’t address mental illness or clinical depression (serious, persistent symptoms—mental and physical—that require clinical treatment). When: Dec. 15, 6:30–8 p.m. Where: John Muir Health Outpatient Center, Walnut Creek, 1450 Treat Blvd. Who: Alan Brast, Ph.D., CCHT, CSA Get info: Visit johnmuirhealth.com/classes or call (925) 941-7900, option 1.

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WHERE: Wellness Services (Walnut Creek) Please call (925) 941-7900, option 1, to register.

MuirMommies: Mommy and Me (3–12 months) WHEN: Every Thursday WHERE: Wellness Services (Walnut Creek) Please register online or call. Fee


Newborn Care WHEN: Dec. 6, 12:30–2:30 p.m.; Jan. 15, 6:30–8:30 p.m.; Jan. 24, 12:30–2:30 p.m.; Feb. 19, 6:30– 8:30 p.m.; Feb. 28, 12:30–2:30 p.m. WHERE: Wellness Services (Walnut Creek) Fee

When Your New Baby Comes Home

We can help you learn what to expect— and be prepared New parents face new challenges—sleepless nights, fatigue, communication problems and more. This class will help you prepare for the transition into parenthood and not only survive, but thrive during those first crucial weeks with your new baby. What: Surviving Your First Weeks at Home With Your Baby When: Feb. 26, 6–8 p.m. Where: Wellness Services (Walnut Creek), 1656 N. California Blvd., Walnut Creek Who: Kim Koppenhaver-Klute Cost: $50 For more information: Visit johnmuirhealth.com/classes or call (925) 941-7900, option 1.

Shopping for a Car Seat

Tours: Family Birth Center Tour

WHEN: Jan. 8, 6:30–7:30 p.m. WHERE: Wellness Services (Walnut Creek)

WHEN: Dec. 13, 9 a.m.–1:15 p.m.; Jan. 10, Feb. 14, March 14, 9 a.m.–1:20 p.m.; Dec. 16, Jan. 27, Feb. 24, March 24, 5–7:40 p.m. WHERE: John Muir Medical Center, Walnut Creek

Sibling Celebration WHEN: Jan. 17, 10:15–11:15 a.m. WHERE: Wellness Services (Walnut Creek) Fee

Surviving Your First Weeks at Home With Your Baby WHEN: Feb. 26, 6–8 p.m. WHERE: Wellness Services (Walnut Creek) Fee

You’re Pregnant, Now What? WHEN: Jan. 17, 9–10 a.m. WHERE: Wellness Services (Walnut Creek)

WOMEN’S HEALTH The Wig Source WHEN: Second and fourth Fridays, 9:30 a.m.–12:30 p.m. WHERE: Wellness Services (Walnut Creek) Appointment is required. Please call (925) 947-5328 for information.

DECEMBER 2014–FEBRUARY 2015

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Your John Muir Health

Meet the Latest Additions to Our Team Are you looking for a doctor? Check out the latest additions to our team! You can also visit johnmuirhealth.com/findadoctor to meet the rest of our team or learn more about our newest members by clicking the “recently joined� link.

Dr. Doris Galina-Quintero | Nephrology 2222 East St. #305 | Concord 94520 (925) 686-1230 110 Tampico #200 | Walnut Creek 94598 (925) 944-0351 2370 County Hills Dr. #101 | Antioch 94509 (925) 779-9635 Speaks Spanish

Dr. Zita Shiue | Nephrology 110 Tampico #200 | Walnut Creek 94598 (925) 944-0351 2222 East St. #305 | Concord 94520 (925) 686-1230 2370 Country Hills Dr. #101 | Antioch 94509 (925) 779-9635 Speaks Chinese

Dr. Jennifer Hanson | Pediatrics 2001 Springs Rd. | Vallejo 94591 (707) 648-7337 1075 First St. | Benicia 94510 (707) 745-2574 1261 Travis Blvd. #190 | Fairfield 94533 (707) 426-5693

Dr. Sepideh Tafreshian | Family Medicine 5820 Stoneridge Mall Rd. #101 Pleasanton 94588 (925) 224-0720 Speaks Farsi

Dr. Soo Rhee | Internal Medicine 5820 Stoneridge Mall Rd. #101 Pleasanton 94588 (925) 224-0720

Dr. Jay Zimmerman | Dermatology 2255 Ygnacio Valley Rd. #B-1 Walnut Creek 94598 (925) 945-7005

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John Muir Health Hospitals John Muir Medical Center Concord Walnut Creek Behavioral Health Center Concord San Ramon Regional Medical Center, a John Muir Health partner Physician Offices Urgent Care Centers Other Outpatient Service Locations Emergency Services

For You and Your Family, From John Muir Health John Muir Health Urgent Care Centers Convenient Hours Monday through Friday: 9 a.m.–9 p.m. (Walnut Creek: 8 a.m.–9 p.m., M–F) Weekends: 9 a.m.–6 p.m. (Walnut Creek: 8 a.m.–6 p.m., weekends) Holidays: 9 a.m.–3 p.m. Convenient Locations Brentwood: 2400 Balfour Road, Suite 120, (925) 308-8111 Concord: 2700 Grant St., Suite 110, (925) 674-2500 San Ramon: 2305 Camino Ramon, Suite 100 at Bishop Ranch 11, (925) 866-8050 Walnut Creek: 1450 Treat Blvd., Suite 160, (925) 296-9000

We’re Just a Phone Call Away Customer Service/ Physician Referral (925) 952-2887, option 1 Emergency Services Concord (925) 674-2333 Walnut Creek (925) 939-5800 Hospitals • John Muir Medical Center, Concord (925) 682-8200 • John Muir Medical Center, Walnut Creek (925) 939-3000 Key Centers and Services • Behavioral Health Center (925) 674-4100 or (800) 680-6555

• Breast Health Center (925) 947-3322 • Imaging (925) 952-2701 • Outpatient Center, Brentwood (925) 308-8100 • Outpatient Center, Tice Valley/ Rossmoor (925) 939-1220 • Outpatient Center, Walnut Creek (925) 952-2887 • Senior Services (925) 947-3300 • Wellness Services (925) 941-7900

Copyright © 2014 by John Muir Health, a community-based, not-for-profit health system. John Muir Health is published four times a year as a community service and is not intended for the purpose of diagnosing or prescribing. Published by the John Muir Health Marketing Communications Department, (925) 947-5383. Produced by DCP.

DECEMBER 2014–FEBRUARY 2015

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Non-Profit Org. U.S. Postage 1400 Treat Blvd. Walnut Creek, CA 94597

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John Muir Health

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PRIMARY CARE

“ Ice cream has calcium, right?” We know that even the most trivial-seeming questions can lead to serious conversations about health. That’s why we listen. We explain. And we’re big fans of healthy conversations. To find a primary care doctor near you, visit johnmuirhealth.com/findadoctor.

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