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HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY
SEPTEMBER 2014
2 Concussions | 3 Ovarian cancer | 4-5 Events & support groups | 6 Menu labeling; Limited mobility exercises | 7 Energy drinks
a-z H E A LT H C A R E B R I E F S Air Force nurses complete Trauma Nursing Fellowship Three Air Force nurses recently became the first graduates of the Scottsdale Healthcare-U.S. Air Force Critical Care & Emergency Trauma Nursing Fellowship at Scottsdale Healthcare Osborn Medical Center. The Fellowship is the only one of its kind in a civilian hospital and one of only two Air Force Nursing Fellowship programs in the country. The 12-month program includes five weeks of in-depth classroom education followed by hands-on learning in the specialty care units and Level I Trauma Center. Nursing fellows also complete rotations in areas such as the burn ICU, pediatric ICU and more. Major Susie Everly, whose experience ranges from multiple deployments as an aeromedical evacuation nurse to serving as the Senior White House Nurse, is director of the Fellowship. Info: shc.org
ScottsdaleHealthcare
BEGINNING NOV. 15,
THE HEALTH INSURANCE MARKETPLACE WILL OFFER
OPEN ENROLLMENT LMENT
Inaugural Trauma Nursing Fellowship class graduates (from left): Capt. Weston Winn, Knoxville, Tenn.; Capt. Patrick Nugent, Sparta, Wisc.; and Capt. Katrina Chu, New York City.
AMERICANS ...
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Story by Debra Gelbart | Photo by Rick D’Elia | Illustration by Thinkstock
he second open enrollment period for the Affordable Care Act’s individual insurance coverage will begin in a few weeks. By itself, the enrollment timeline is a big change for 2015 compared with this past year. There will be other changes, too — including more choice in provider networks — that will affect consumers in Arizona and across the country. Keep in mind that many details of the 2015 plan year are still being finalized and that it’s up to consumers to stay informed as the beginning of open enrollment approaches.
premiums and benefits. You’re encouraged to review your plan’s 2015 changes to see if the plan still meets your needs, making sure your doctor and other healthcare providers will be in the plan network next year and that prescriptions for any medication you take will be covered. If you’re satisfied with your plan and you don’t want to make any changes, you may be able to automatically re-enroll for 2015, said Cheryl O’Donnell, Arizona state director at Enroll America, a nonprofit group educating consumers about the Affordable Care Act, or ACA. OPEN ENROLLMENT, continued on page 7
Important dates
The dates for the 2015 enrollment period will be different from 2014. Open enrollment through healthcare.gov (800-318-2596) — also known as the Health Insurance Marketplace — starts Nov. 15, 2014 and ends Feb. 15, 2015. This compares with a previous six-month enrollment period that began in 2013. You can only enroll in the Marketplace or change your coverage outside of these dates if you have what’s known as a ‘qualifying life event’ where, among other eligible changes, the size of your household is altered through marriage, birth, adoption, divorce or death. To see if you qualify for a Special Enrollment Period (SEP), visit GetCoveredAmerica.org/enroll/sep.
Review any changes
Abrazo Health
ArrowheadWound Healing and Hyperbaric Center opens The Arrowhead Hospital Wound Healing and Hyperbaric Center recently opened, providing specialized treatments for patients suffering from acute and chronic wounds. Likely candidates for hyperbaric treatment are those with diabetic ulcers, pressure ulcers, infections, radiation injuries to soft tissue and bone, compromised skin grafts and more. The Center is located at Arrowhead Physician’s Plaza Building II at 18700 N. 64th Drive in Glendale. Info: AbrazoHealth.com; 623-561-7200
Banner Hospice offers free bereavement camp for children
If you already have health insurance, your insurance company will send you information about updated
Meritus CEO Kathleen Oestreich said one of the upcoming changes for Meritus members includes access to ‘telemedicine’ where members (depending on the plan they select) can choose to have a telephone or video conference consultation with a doctor.
Named after philanthropist Dorothy Kissinger, the Dottie Kissinger Children’s Bereavement Camp is a free program sponsored by Banner Hospice. Held in the spring and fall just outside of Payson, the camp features activities and programs that help parents and children start the conversation about grief and loss. Specialists in the area of grief lead activities that cover a wide range of interests including art, music and recreation. The next camp session is Oct. 24–26. Participation is open to children age 6 and older and their adult family members. Info: Rev. Cindy Darby, Banner Hospice Bereavement Coordinator, 480-657-1167 or cindy.darby@bannerhealth.com Website: BannerHospice.com
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2 | Livingwell a-z | Wednesday, September 3, 2014
‘Shake it off’is the wrong message
Concussions are getting the attention they deserve
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A concussion can result from a direct blow to the head, but it can also result from being hit elsewhere on the body — any movement that causes the head to move on the neck can lead to a concussion. And although it seems as if concussions mostly affect athletes, the truth is anyone can sustain such an injury at any time — in a car accident, taking a bad tumble at the playground or falling off a bike. That said, children are known to have a higher concussion rate than adults, Cárdenas said, possibly due to the greater disparity found in their weights and speeds.
By Gremlyn Bradley-Waddell
o matter where you look nowadays, there’s a good chance you’ll happen upon a new finding about concussions. Even registering a teen for school sports can require you and your child to take a class, go online and/or get a physical examination while learning about this potentially life-altering brain injury. Fortunately, the expanded focus on concussions isn’t necessarily due to an increased number of incidents, but most likely is a result of a greater understanding of the injury itself. And that’s thanks to contributions from patients as well as the hard work of physicians and researchers, many of whom call Arizona home. “We have an impressive community of experts here and many local entities are putting money and resources toward this important medical issue,” said Jonathan Lifshitz, Ph.D., director of the Translational Neurotrauma Research Program, a joint venture of Barrow Neurological Institute at Phoenix Children’s Hospital and The University of Arizona, College of Medicine – Phoenix.
Elusive prevention, treatment
Thinkstock
Changing mindset
Javier Cárdenas, a neurologist and director of the Barrow Concussion and Brain Injury Center at Dignity Health’s St. Joseph’s Hospital and Medical Center in Phoenix, said the changing societal mindset regarding concussions is similar to what he witnessed in regard to dehydration and heat stroke just a few years ago. Today, the importance of hydrating — and the danger of not doing so — is well understood. He believes the mindset about concussions will experience a similar trajectory. “What we’re trying to do is initiate a cultural shift, one that goes from giving a player who’s been hit in the head a pat on the butt — and telling them to ‘shake it off’ and get back in the game — to taking this injury very seriously,” he said. “Concussions are now getting the attention they deserve.”
Livingwella-z
What is a concussion? The brain normally floats inside the skull, cushioned by the surrounding spinal fluid. The skull protects the brain against trauma, but does not absorb all the impact of a violent force. A blow to the head, or even a rapid deceleration, can cause the brain to bounce against the inner wall of the skull. There is a potential for tearing of blood vessels and bruising of the brain. | SOURCE: American Association of Neurological Surgeons; aans.org
A violent shake
So, what is a concussion, exactly? In the simplest of terms, a concussion is a brain injury that occurs when the brain moves inside the skull, according to Tamara Valovich McLeod, Ph.D., professor in the athletic training program at A.T. Still
September 2014 | Vol. 4, No. 9
Living Well A-Z publishes on the first Wednesday of the month. From A to Z, we tackle a broad range of health issues and offer resources to find more specific information. For questions concerning content in this publication, please contact Editor Paula Hubbs Cohen.
University in Mesa and director of the school’s concussion program. “The word ‘concussed’ literally means ‘violent shake’, ” she said. “The way we explain it is that it’s like the yolk moving inside of an egg — if you shake an egg hard, the yolk will move.”
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While a concussion is classified as a “mild” traumatic brain injury (TBI), most physicians agree there’s nothing at all mild about it, said Lifshitz, whose program is also supported by the Phoenix Veterans Administration Healthcare System. In contrast, “severe” cases of TBI are said to be those that require an ambulance or other emergency services to transport a patient to the hospital, he said. Although the good news is that most people who suffer a concussion will recover from it, there is no single treatment shown to be effective for preventing concussions or for treating them, according to David W. Dodick, M.D., director of the Sport Neurology and Concussion Program at Mayo Clinic in Phoenix. Indeed, one of the main challenges of concussions is that, aside from the impact that causes them, there’s little fanfare associated with the damage. Not only that, McLeod said, but damage to the brain brought on by a concussion won’t necessarily show up on an imaging device, like a CT scan, an MRI or an X-ray. “A concussion is often an invisible injury,” Dodick noted. Editor’s note: In a future issue of Living Well, we plan to discuss cutting-edge concussion research as well as safeguards for young athletes.
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Wednesday, September 3, 2014 | Livingwella-z | 3
Shining a spotlight on ovarian cancer September is National Ovarian Cancer Awareness Month
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Stages of Ovarian cancer
Stage 2
Stage 1
Bowel Stage 2A
Stories by Meghan Moravcik Walbert
he reason many folks don’t know much about ovarian cancer is because it is a rare disease — and a deadly one. “For less common cancers with poorer survival, there will be less patients, survivors, family members and friends to form and join advocacy programs, to raise money or to participate in walks and other events to raise awareness,” said Debbie Saslow, Ph.D., director of breast and gynecologic cancer at the American Cancer Society. Another issue is the lack of a strong public relations message or a call-to-action beyond increased funding for research. “With breast cancer, we have a message: get a mammogram,” Saslow said. “With ovarian cancer, where there is no recommended screening test, unfortunately we don’t have that message.”
Stage 1A cancer in one ovary Stage 1B cancer in both ovaries
Stage 1C cancer in the ovary and on the surface of one ovary
Stage 3
Risk factors and prevention
Far and away, women with the highest risk of ovarian cancer are those with a family history of either ovarian or breast cancer. Other factors, such as never having birthed children, can also increase a person’s risk, said Arizona Oncology’s Snehal Bhoola, M.D. “If a woman has a high risk because of her family history, she can reduce her risk
Stage 3A cancer cells are in the lining of the abdomen
Stage 2B cancer has spread to the bowel or bladder
Stage 4
Symptoms and diagnosis
The challenge with diagnosing ovarian cancer, experts say, is that the symptoms are afflictions that could be associated with any number of medical issues — or could mean nothing at all. Symptoms such as abdominal bloating, pelvic pain, increased urinary urgency, difficulty eating or feeling full quickly for a prolonged period of time are often the first signs of ovarian cancer. However, more often than not, these symptoms point to something else entirely. “The important thing is for women to ask their doctor about the possibility of ovarian cancer if they have those symptoms, but also know that the symptoms are common and it’s not likely that it is ovarian cancer,” said Judith Wolf, M.D., with the Banner MD Anderson Cancer Center in Gilbert. “We just want them to be thinking about it.”
Stage 2C cancer cells also in the fluid of the abdomen
Stage 3B tumors of 2cm or smaller are in the lining of the abdomen
Stage 3C cancer is in the lymph nodes
Stage 4 cancer has spread to other organs
Cancer Research UK
One survivor’s story
Scottsdale resident Annette Mattern had no idea what ovarian cancer was until she was diagnosed with it in 1987. Even after her diagnosis, information was hard to come by. “To get any kind of support, you would have to go to a breast cancer group,” Mattern said. “Those were the only groups that were organized at the time, but it’s not the same. Not that breast cancer isn’t a deadly disease, but there were many more treatments for breast cancer, and there’s a lot of hope for [surviving] breast cancer.” A woman can look around her community, her neighborhood, or her office and see women who have prevailed against breast cancer, said Mattern, who also survived a 2008 breast cancer diagnosis, adding that with ovarian cancer, it was virtually impossible to find anyone who had survived it. Mattern did survive it, though — six times over the past few decades. She’s had eight tumor-removal surgeries, multiple chemotherapy treatments, has participated in clinical trials and has taken a variety of experimental drugs. Now, Mattern works hard to ensure that other women diagnosed with ovarian cancer receive the information and support she didn’t have. In 2008, she founded the Ovarian Cancer Alliance of Arizona, a non-profit organization dedicated to elevating ovarian cancer awareness, survivorship and care. “We want to give women the courage, strength and tools to get the best outcome possible,” she said.
Resources Anne Rita Monahan Foundation: AnneRitaMonahan.org; Info@AnneRitaMonahan.org Ovarian Cancer Alliance of Arizona: ocaz.org; 480-585-3703 Ovarian Cancer National Alliance: OvarianCancer.org; 866-399-6262 Teal It Up Foundation: TealItUp.org; 480-229-7347 with more frequent screening and testing,” Bhoola said. That can mean genetic testing and pelvic exams as preventative measures as well as ultrasounds and other diagnostic scans to search for masses if symptoms arise. For a woman who has both a family history of ovarian or breast cancer and who tests positive for the associated BRCA gene, the best chance at prevention is opting for surgery to remove the ovaries and fallopian tubes, said Bradley Monk, M.D., with St. Joseph’s Hospital and Medical Center in Phoenix. Everyone else, he said, should simply focus on leading a healthy lifestyle. That means build up a strong immune system by exercising, eating a balanced diet, reducing stress and eliminating alcohol and tobacco.
Treatment options
Ovarian cancer is often treated with surgery, but if the cancer recurs, treatments typically involve chemotherapy. However, oncologists are very interested in research related to promising new treatments. “There is excitement about two areas,” said Samuel Ejadi, M.D., an oncologist with the Virginia G. Piper Cancer Center Clinical Trials group at Scottsdale Healthcare. “One is looking for damaged genes in the patient’s cancer cells and finding targeted medications that try to fix the damage.” One such group of medications is called PARP inhibitors, which Ejadi’s colleague, Jasgit Sachdev, M.D., studies and which target damaged or mutated BRCA genes in inherited and non-inherited forms of ovarian cancer. The other area of promise that Ejadi is currently studying relates to medications that stimulate the blood cells of the immune system to attack the cancer. “Progress is being made,” he said. “It’s still far from perfect, but these new treatments are providing promising steps in the right direction every day.”
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4 | Livingwell a-z | Wednesday, September 3, 2014
SEPTEMBER
Take advantage of opportunities to meet others with similar issues and learn more about various aspects of your health — from A to Z. Allgroupsandeventsarebelieved, butnotguaranteed,tobefreeunless otherwisestated.Everyefforthasbeen madetoverifyaccuracy,butpleasecall beforeattendingtoconfirmdetails.
WELLNESS MEDICATION CHECKS Call to schedule a personal meeting St. Luke’s, 1800 E. Van Buren St., Phoenix Tempe St. Luke’s, 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355) WALKING GROUPS Various dates & locations, 9–10 a.m. By Humana 480-325-4707; humana.com AFFORDABLE MEAL PLANNING Sept. 3, 12:30–1:30 p.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 ACCESSING MEDICAL RECORDS ONLINE Sept. 4, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) MEDICATION SAFETY Sept. 10, 10:30 a.m.–noon Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 MIND EXERCISES Sept. 10, 11 a.m.–noon By St. Luke’s at Saguaro Public Library 2808 N. 46th St., Phoenix Register: 877-351-WELL (9355) MEDICATION REVIEW Sept. 11, 9 a.m.–5 p.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa By appointment: 480-325-4707 HEARING SCREENINGS Sept. 16, 17 & 18, 8 a.m.–4 p.m. By John C. Lincoln 18404 N. Tatum Blvd., Phoenix Appointments: 602-494-6237 PROSTATE CANCER SCREENING Sept. 27, 8:30–11:30 a.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale Appointments: 480-323-1250; shc.org/events
CAREGIVERS
MINIMALLY INVASIVE SPINE SURGERY Sept. 15, 6–7:30 p.m. ScottsdaleHealthcareThompsonPeak 7400 E. Thompson Peak Pkwy., Scottsdale 480-882-4636; ScottsdaleSpineSurgery.com HIP REPLACEMENT SURGERY Sept. 23, 6–7:30 p.m. Scottsdale Orthopedic Institute 20401 N. 73rd St., Scottsdale 480-882-4636; AZHipReplacement.com KNEE OSTEOARTHRITIS TREATMENTS Sept. 25, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)
PAIN HOPE FOR TODAY Sept. 9, 16, 23 & 30, 3:30–4:30 p.m. By Chronic Pain Anonymous at Temple Chai Shalom Center House 4635 E. Marilyn Rd., Phoenix cpa-az@cox.net; ChronicPainAnonymous.org LEG PAIN Sept. 10, 5:30–7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale Register: 602-230-CARE (2273) CHRONIC BACK PAIN Sept. 23, 10–11 a.m. By Tempe St. Luke’s at Whole Foods 5120 S. Rural Rd., Tempe Register: 877-351-WELL (9355) NEW HOPE FOR CHRONIC PAIN Sept. 27, 10 a.m.–noon Restore of AZ 20002 N. 19th Ave., Phoenix 602-714-1408
HEART/STROKE MENDED HEARTS Sept. 4, 6–7 p.m. John C. Lincoln 19829 N. 27th Ave., Phoenix 623-879-5583; alice.montoya@jcl.com HIGH CHOLESTEROL Sept. 15, 10:30–11:30 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707
GENERAL CAREGIVERS GROUP Various dates, times & locations By Duet; 602-274-5022; DuetAZ.org CAREGIVER SUPPORT Sept. 4, 6–8 p.m. Ironwood Cancer & Research Centers 6111 E. Arbor Ave., Mesa Register: 480-324-5279; IronwoodCRC.com CAREGIVERS SUPPORT GROUP Sept. 8 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 CAREGIVER SUPPORT Sept. 10, 2:30 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) ONLINE NETWORKING (DUET) Sept. 13 & 23, various times Register: DuetAZ.org (Events tab) 602-274-5022 CAREGIVING SUPPORT Sept. 19, 9–11 a.m. By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999 CAREGIVER SUPPORT Sept. 20, 10 a.m.–noon Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; IronwoodCRC.com
STROKE SUPPORT Sept. 17, 1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)
GRIEF
KNOW THE 10 SIGNS Various dates, times & locations By Alzheimer’s Association 602-528-0545; alz.org/dsw
GRIEF SUPPORT GROUP Various dates, times & locations By Hospice of the Valley hov.org/grief-support-groups; 602-530-6970 GRIEF SUPPORT GROUP Sept. 3, 10, 17 & 24, 2–3:30 p.m. Banner Heart 6750 E. Baywood Ave., Mesa Info: Rev. Cindy Darby, 480-657-1167 GRIEF SUPPORT GROUP Sept. 4 & 18 St. Joseph’s Hospital 350 W. Thomas Rd., Phoenix Call for time: 602-406-3275 GRIEF SUPPORT Sept. 9 & 23, 3–4:30 p.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321 GRIEF BEFORE LOSS Sept. 24, 10–11 a.m. By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999
KNEES, HIPS & SPINE ROBOTIC KNEE SURGERY Sept. 9, 6–7:30 p.m. Scottsdale Orthopedic Institute 20401 N. 73rd St., Scottsdale 480-882-4636; AZKneeReplacement.com
a-z T O P E V E N T S
HEART-HEALTHY EATING Sept. 24, 10:30–11:30 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707
DIABETES CHARTING A COURSE AGAINST DIABETES Various dates, times & locations By Banner Health 602-230-CARE (2273) DIABETES SUPPORT Sept. 8, 3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) DIABETES EDUCATION Sept. 9, 6–8 p.m. (4-week series) John C. Lincoln 19841 N. 27th Ave., Phoenix 480-323-4921
ALZHEIMER’S/ DEMENTIA DEMENTIA CONVERSATIONS Various dates, times & locations By Alzheimer’s Association 602-528-0545; alz.org/dsw
ALZHEIMER’S & MEMORY SUPPORT Sept. 5, 9–11 a.m. By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999 ALZHEIMER’S & MEMORY SUPPORT Sept. 9, 16, 23 & 30, 10 a.m.–noon By Benevilla at Faith Presbyterian Church 16000 N. Del Webb Blvd., Sun City 623-584-4999 ALZHEIMER’S CAREGIVER SUPPORT Sept. 15, 1:30–3 p.m. By Tempe St. Luke’s at Pyle Adult Recreation Center 655 E. Southern Ave., Tempe Register: 877-351-WELL (9355) ALZHEIMER’S CAREGIVER SUPPORT Sept. 16, 12:30–2 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org YOUNGER ONSET ALZHEIMER’S Sept. 17, 6–7:30 p.m. Alzheimer’s Association 1028 E. McDowell Rd., Phoenix 602-528-0545; alz.org/dsw
SEPT. 15 & 24 FLU SHOT CLINIC WHAT: Get a flu shot before flu season begins. WHERE: Humana Guidance Center, 5943 E. McKellips Rd., Mesa DATES/TIMES: Sept. 15, 10 a.m.–2 p.m.; Sept. 24, 11 a.m.–3 p.m. PRESENTED BY: Humana COST: Free but must have and show proof of insurance INFO/REGISTER: 480-325-4707 Thinkstock
Please call to confirm reservations and cost (if any).
SEPT.DEC. GRIEF RECOVERY PROGRAM WHAT: Three-month program for adults who have suffered significant loss including, but not limited to, loss through death. DATES /LOCATIONS: • Sept. 23–Dec. 16 (Tues. 6:30–8:30 p.m.): Banner Desert, 1400 S. Dobson Rd., Mesa • Sept. 24–Dec. 17 (Wed. 10 a.m.–noon): Banner Heart, 6750 W. Baywood Ave., Mesa • Sept. 24–Dec. 17 (Wed. 6:30–8:30 p.m.): Messinger Mortuary, 7601 E. Indian School Rd., Scottsdale • Sept. 28–Dec. 14 (Sun. 6:30–8:30 p.m.): Banner Thunderbird, 5555 W. Thunderbird Rd., Glendale • Sept. 29–Dec. 15 (Mon. 6:30–8:30 p.m.): Banner Gateway, 1900 N. Higley Rd., Gilbert COST: Free ($15 for handbook) INFO/REGISTER: Rev. Cindy Darby, cindy.darby@bannerhealth.com or 480-657-1167 PRESENTED BY: Banner Hospice; BannerHospice.com
SEPT. 8OCT. 27 SMOKING CESSATION PROGRAM WHAT: Eight-week session with insight on motivators for quitting for good. WHERE: Virginia G. Piper Cancer Center, 10460 N. 92nd St., Scottsdale TIME: 5–6 p.m. PRESENTEDBY:ScottsdaleHealthcare COST: Free INFO/REGISTER: 480-882-4636; shc.org/events; dyavitt@shc.org
SEPT. 11 HEART HEALTH SCREENINGS WHAT: Cholesterol checks and more. WHERE: Women’s Diagnostic Center, 9003 E. Shea Blvd., Scottsdale TIME: 8–11:45 a.m. PRESENTEDBY:ScottsdaleHealthcare COST: $20 INFO/REGISTER: 480-882-4636; shc.org/events
SEPT. 1112
SEPT. 20
SEPT. 27
DAY ON THE LAKE SEPT. 11: CHILDREN & ADULTS SEPT. 12: FOR VETERANS WHAT: A day of adapted water activities for people with physical or neurological disabilities and their families. WHERE: Bartlett Lake Marina, 20808 E. Bartlett Dam Rd., Rio Verde TIME: 8 a.m.–3 p.m. PRESENTED BY: Barrow Neurological Institute at St. Joseph’s COST: $45 INFO/REGISTER: 877-602-4111; TheBarrow.org/connection
OVARIAN CANCER GOLF TOURNAMENT & LUNCHEON WHAT: Spend a day on the tee raising awareness about ovarian cancer. WHERE: Rio Verde Country Club, 18731E.FourPeaksBlvd.,RioVerde TIME: 7 a.m.–12:30 p.m. PRESENTED BY: Anne Rita Monahan Foundation and Teal It Up Foundation COST: Individual golfers $150; foursome $500. Luncheon $50 individuals; table of eight $300. GOLF REGISTRATION: TealItUp.org or 480-229-7347 LUNCH REGISTRATION: AnneRitaMonahanFoundation.org
WALK FOR PROSTATE CANCER WHAT: Walk to raise awareness of early detection of prostate cancer. WHERE: Tempe Kiwanis Park, 6111 S. All-America Way, Tempe TIME: 7:30–11 a.m. PRESENTED BY: Prostate On-Site Project (POP) COST: Age 12 & over, $30; Under age 12, $15 INFO/REGISTER: 480-964-3013; ProstateCheckup.org/ walk-for-pop
SEPT. 22
PROSTATE CANCER TREATMENT INNOVATIONS WHAT: Learn the latest in treatments, research, side effect management and more. WHERE: Cancer Support Community, 360 E. Palm Ln., Phoenix TIME: 9 a.m.–noon PRESENTED BY: Cancer Support Community COST: Free; light breakfast provided INFO/REGISTER: 602-712-1006; rsvp@cscaz.org
SEPT. 11 & 23 FRAUD WATCH SEMINAR WHAT: Expert info/advice to help seniors recognize and avoid scams, fraud and identity theft. WHERE: Birt’s Bistro, 16752 N. Greasewood St., Surprise DATES/TIMES: Sept. 11, 10–11 a.m.; Sept. 23, 4–5 p.m. PRESENTED BY: Benevilla and AARP COST: Free INFO/REGISTER: 623-584-4999
BONE DENSITY SCREENINGS WHAT: Obtain a heel ultrasound to assess your risk of osteoporosis. WHERE: Women’s Diagnostic Center, 9003 E. Shea Blvd., Scottsdale TIME: 10 a.m.–1 p.m. PRESENTEDBY:ScottsdaleHealthcare COST: $20 INFO/REGISTER: 480-882-4636; shc.org/events
SEPT. 12
SEPT. 23
ALZHEIMER’S PREVENTION RESEARCH WHAT: Learnaboutclinicaltrials aimedatpreventingAlzheimer’s disease. WHERE:MusicalInstrumentMuseum, 4725E.MayoBlvd.,Phoenix TIME: 10:30 a.m.–noon PRESENTED BY: Banner Health COST: Free INFO/REGISTER: 602-230-CARE (2273)
ENTERPRISING WOMEN LUNCHEON WHAT: Discussion on policies and issues affecting women’s health, including rheumatoid arthritis, in the workplace. WHERE: Phoenix Country Club, 2901 N. Seventh St., Phoenix TIME: 11 a.m.–1 p.m. PRESENTED BY: Arthritis Foundation COST: Lunch and presentation are both free INFO/REGISTER: 602-212-9900; AAVishai@arthritis.org
SEPT. 19 & 26 ALZHEIMER’S CAREGIVER CONFERENCE WHAT: Expert info/advice for supporters of those diagnosed with Alzheimer’s. DATES/LOCATIONS: • Sept. 19: Peoria Public Library, 8463 W. Monroe St., Peoria; 12:30–5 p.m. • Sept. 26: Holy Trinity Church, 739 W. Erie St., Chandler; 9 a.m.–1 p.m. PRESENTED BY: Alzheimer’sAssociation COST: Free INFO/REGISTER: 602-528-0545
a-z I N F O R M AT I O N O N L I N E
ABRAZO HEALTH CARE: AbrazoHealth.com Arizona Heart Institute and Arizona Heart, Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals BANNER HEALTH: BannerHealth.com BARROW NEUROLOGICAL INSTITUTE: TheBarrow.org CARDON CHILDREN’S MEDICAL CENTER: BannerHealth.com CHANDLER REGIONAL MEDICAL CENTER: ChandlerRegional.org JOHN C. LINCOLN HOSPITAL: JCL.com MARICOPA INTEGRATED HEALTH SYSTEM: MIHS.org MAYO CLINIC: MayoClinic.com MERCY GILBERT MEDICAL CENTER: MercyGilbert.org MOUNTAIN VISTA MEDICAL CENTER: MVMedicalCenter.com MUHAMMAD ALI PARKINSON CENTER: TheBarrow.org/NeurologicalServices PHOENIX CHILDREN’S HOSPITAL: PhoenixChildrens.org SCOTTSDALE HEALTHCARE: SHC.org ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: StJosephs-Phx.org ST. LUKE’S MEDICAL CENTER: StLukesMedCenter.com TEMPE ST. LUKE’S HOSPITAL: TempeStLukesHospital.com
AS DEMENTIA PROGRESSES Sept. 18, 12:30–2:30 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix 602-839-6850 ALZHEIMER’S SUPPORT GROUP Sept. 21, 11 a.m.–12:30 p.m. Dignity Health’s Huger Mercy Living Center 2345 W. Orangewood Ave., Phoenix 602-406-5600
BRAIN ACTIVITIES FOR DEMENTIA Sept. 23, 12:30–2:30 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix 602-839-6850 THE BASICS: MEMORY LOSS Sept. 23, 5:30–6:30 p.m. Alzheimer’s Association 1028 E. McDowell Rd., Phoenix 602-528-0545; alz.org/dsw
SEPT. 27 WALK FOR HOMELESS FAMILIES WHAT: Walk to raise awareness of UMOM and family homelessness. WHERE: The Phoenix Zoo, 455 N. Galvin Pkwy., Phoenix TIME:Registration6:30a.m.; walkbegins7:30a.m. PRESENTED BY: UMOM New Day Centers COST: Adults $25, Students $20 before Sept. 15; after Sept. 15, $35/$25 INFO/REGISTER: umom.org or 602-275-7852
BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Northwest Valley: 623-236-6616 West Valley: 623-979-4279 BREAST CANCER SUPPORT Various dates & times By Cancer Support Community 602-712-1006; rsvp@cscaz.org CAREGIVERS SUPPORT Sept. 3, 6–8 p.m. John C. Lincoln 19646 N. 27th Ave., Phoenix 602-780-4673; bhrc@jcl.com BREAST CANCER SUPPORT Sept. 8, 2–4 p.m. Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; IronwoodCRC.com
SEPT. 27
SEPT. 27 GRANDPARENTS & DEPRESSION WHAT: Learn how to deal with depression if you are a new caregiver. WHERE: Christ Evangelical Lutheran Church, 918 S. Litchfield Ave., Goodyear TIME: 10 a.m.–1 p.m. PRESENTED BY: Duet COST: Free; lunch and childcare provided INFO/REGISTER: By Sept. 18; 602-274-5022, ext. 28
SEPT. 27 TEEN HEALTH EVENT WHAT: Learn about internet safety, sexually transmitted diseases, drugs, driving safety and self-esteem. WHERE: Banner Estrella, 9201 W. Thomas Rd., Phoenix TIME: 10 a.m.–4:30 p.m. PRESENTED BY: Banner Health COST: Free; lunch provided INFO/REGISTER: 602-230-CARE (2273) METASTATIC SUPPORT Sept. 18, 11:30 a.m.–1 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) BREAST BUDS SUPPORT Sept. 20, 11 a.m.–1 p.m. MidFirst Bank Conference Room 6508 W. Bell Rd., Glendale 480-657-0500; BreastBuds.org BREAST CANCER SUPPORT Sept. 23, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) ADVANCED BREAST CANCER Sept. 25, 6–8 p.m. John C. Lincoln 19646 N. 27th Ave., Phoenix 602-780-4673; bhrc@jcl.com
CANCER SUPPORT GROUPS
PINK RIBBON CELEBRATION Sept. 12, 1–3:30 p.m. Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-CARE (2273)
CANCER CAREGIVERS GENERAL CANCER SUPPORT Various dates & times By Cancer Support Community 602-712-1006; rsvp@cscaz.org
BREAST CANCER SUPPORT Sept. 13, 10 a.m.–noon By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321
MULTIPLE MYELOMA Sept. 4, 10–11:30 a.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org
Wednesday, September 3, 2014 | Livingwella-z | 5
PROSTATE Sept. 4, 6–7:30 p.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org CANCER SURVIVORS Sept. 8, 12:30–1:30 p.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321 LOOK GOOD, FEEL BETTER Sept. 8, 4–6 p.m. Ironwood Cancer & Research Centers Two locations: 11209 N. Tatum Blvd., Phoenix, and 1432 S. Dobson Rd., Mesa Register: 480-855-2224; IronwoodCRC.com HEAD & NECK Sept. 8, 7–9 p.m. Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; IronwoodCRC.com LIVING WITH LOSS Sept. 9 & 23, 1–2:30 p.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org SURVIVING & THRIVING Sept. 9 & 23, 1–2:30 p.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org PANCREATIC Sept. 9, 4–5:30 p.m. Virginia G. Piper Cancer Center 10510 N. 92nd St., Scottsdale 480-323-1321 GYNECOLOGICAL Sept. 9, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) CANCER SUPPORT Sept. 9 & 23, 6–7 p.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org GYNECOLOGICAL Sept. 10, 6–7:30 p.m. Banner Gateway 1900 N. Higley Rd., Gilbert 602-230-2273 (CARE) LEARN & SUPPORT Sept. 11 & 25, 6–8 p.m. John C. Lincoln 19646 N. 27th Ave., Phoenix 602-780-4673; bhrc@jcl.com NON-HODGKIN’S LYMPHOMA Sept. 11, 6–8 p.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321 LYMPHOMA Sept. 13, 10–11:30 a.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org PANCREATIC Sept. 13, 10–11:30 a.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org CARCINOID Sept. 13, 1–2:30 p.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org LUNG Sept. 13, 1–2:30 p.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org
MULTIPLE MYELOMA Sept. 15, 1–2 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-6444 LOOK GOOD, FEEL BETTER Sept. 15, 4–6 p.m. Ironwood Cancer & Research Centers 3686 S. Rome St., Gilbert Register: 480-855-2224; IronwoodCRC.com ORAL, HEAD & NECK Sept. 17, 4:30–5:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-6444 CAREGIVER & FAMILY SUPPORT Sept. 17, 5:30–6:30 p.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321 ESOPHAGEAL Sept. 18, 6–7:30 p.m. By Cancer Support Community AZ at Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006; rsvp@cscaz.org ORAL, HEAD & NECK Sept. 18, 6:30–8:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 480-323-3214 COLORECTAL Sept. 20, 10–11:30 a.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org OVARIAN Sept. 20, 10–11:30 a.m. Cancer Support Community AZ 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org LOOK GOOD, FEEL BETTER Sept. 22, 4–6 p.m. Ironwood Cancer & Research Centers 6111 E. Arbor Ave., Mesa Register: 480-855-2224; IronwoodCRC.com UNDERSTANDING TREATMENT Sept. 22, 5:30–7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 LOOK GOOD, FEEL BETTER Sept. 22, 5:30–7:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 602-230-CARE (2273) LIVING WITH LYMPHEDEMA Sept. 22, 6:30–8:30 p.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1100; shc.org/events PROSTATE Sept. 22, 7–9 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) METASTATIC CANCER Sept. 24, 3–4:30 p.m. Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; IronwoodCRC.com
PARKINSON’S
PARKINSON’S CAREGIVERS Sept. 10, 1:30–3 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org PARKINSON’S SUPPORT Sept. 16, 3–4 p.m. By Benevilla at ShepherdoftheHills MethodistChurch 13658 Meeker Blvd., Sun City West 623-584-4999
GASTROINTESTINAL OSTOMY SUPPORT Sept. 4, 2 p.m. Banner Boswell 13180 N. 103rd Dr., Sun City 602-678-4441 OSTOMY SUPPORT Sept. 9, 6 p.m. Elite Home Healthcare Services 2140 W. Greenway Rd., Phoenix 602-246-8221 INTERSTITIAL CYSTITIS SUPPORT Sept. 14, 2 p.m. Phoenix Baptist Hospital 2000 W. Bethany Home Rd., Phoenix 602-349-4611; HeatherBarrowBrown@gmail.com OSTOMY SUPPORT Sept. 18, 12:30 p.m. La Casa de Cristo Lutheran Church 6300 E. Bell Rd., Scottsdale 623-580-4120
RESPIRATORY
BETTER BREATHERS/COPD SUPPORT Various dates, times & locations By the American Lung Association 602-429-0005; BreatheEasyAZ.info GET PAST ASTHMA Sept. 8, 6:30–8 p.m. John C. Lincoln 19841 N. 27th Ave., Phoenix 623-879-5452; pcoc@jcl.com BETTER BREATHERS CLUB Sept. 11, 1:30–2:30 p.m. Banner Boswell 10401 W. Thunderbird Blvd., Sun City 602-286-8507; BreatheEasyAZ.info BETTER BREATHERS CLUB Sept. 12, 10:30–11:30 a.m. Mayo Clinic 5777 E. Mayo Blvd., Phoenix 480-342-2348; BreatheEasyAZ.info BETTER BREATHERS CLUB Sept. 12, 1–2 p.m. HealthSouth East Valley Rehab 5652 E. Baseline Rd., Mesa 480-567-0350; BreatheEasyAZ.info BETTER BREATHERS CLUB Sept. 17, 2–3 p.m. Chandler Regional Medical Center 1955 W. Frye Rd., Chandler 480-728-5655; BreatheEasyAZ.info BETTER BREATHERS CLUB Sept. 18, 5:30–7 p.m. Gateway Community College 5090 N. 40th St., Phoenix 602-286-8507; BreatheEasyAZ.info
BRAIN
YOUNG ADULT BRAIN INJURY Sept. 10, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-996-1396 or 602-406-6688 BRAIN ANEURYSM SUPPORT Sept. 17, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 760-333-7658; Kimberly@JoeNiekroFoundation.org PROGRESSIVE SUPRANUCLEAR PALSY SUPPORT Sept. 20, 1:30–3:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-920-4632; TSebastiani@cox.net BRAIN TUMOR SUPPORT Sept. 23, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 623-205-6446 BRAIN INJURY SUPPORT Sept. 25, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-508-8024 or 602-406-6688
PARENTING
GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations By Benevilla; 623-207-6016; Benevilla.org
GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations By Duet; 602-274-5022; DuetAZ.org SUPPORT THROUGH OTHER PARENTS Sept. 4, 11, 18 & 25, 7–9 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 623-846-5464; SupportThroughOtherParents.org MOTHER-TO-MOTHER SUPPORT Sept. 5 & 26, 10–11:30 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 877-602-4111 BREASTFEEDING SUPPORT Sept. 8, 15, 22 & 29, 10–11:30 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-4954 SUPPORT THROUGH OTHER PARENTS Sept. 9, 16, 23 & 30, 7–9 p.m. Larkspur Christian Church 3302 W. Larkspur Dr., Phoenix 623-846-5464; SupportThroughOtherParents.org GUARDIANSHIP CLINIC Sept. 12, 3–5 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org INFANT BRAIN DEVELOPMENT Sept. 13, 9 a.m.–1 p.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 480-784-5588
WEIGHT LOSS WEIGHT LOSS SURGERY SEMINARS Various dates & times By Bridges Center for Surgical Weight Management at St. Luke’s, 555 N. 18th St., Phoenix Register: 800-248-5553; Webinar: BridgesAZ.com BARIATRIC SEMINARS Various dates, times & locations By Banner Health; 480-543-2606 WEIGHT LOSS SURGERY OPTIONS Sept. 14 & 28, 1–3 p.m. Scottsdale Healthcare Shea Medical Center 9003 E. Shea Blvd., Scottsdale 480-882-4636; Webinar: BariatricSurgeryAZ.com
ADDITIONAL SUPPORT GROUPS HUNTINGTON’S DISEASE Sept. 15, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-402-1774 INTELLECTUAL DISABILITIES Sept. 19, 10 a.m.–noon By Benevilla at Lakeview Methodist Church 10298 W. Thunderbird Blvd., Sun City 623-584-4999 MULTIPLE SCLEROSIS (WOMEN) Sept. 27, 10 a.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 480-829-6563
VALLEY FEVER INFO AZ VICTIMS OF VALLEY FEVER ArizonaVictimsOfValleyFever.org 623-584-8331; pat-valleyfever@live.com, or 602-242-9527; mmfcreate@aol.com VALLEY FEVER CENTER FOR EXCELLENCE 602-406-8253; vfce.arizona.edu ValleyFeverCenter@ dignityhealth.org
POISON CONTROL BANNER GOOD SAMARITAN Poison & Drug Information Center Hotline: 800-222-1222
Diaper banks
Diaper Need AwarenessWeek is Sept. 8–14
D
By Michelle Talsma Everson
iaper need is an issue facing many families who often have to choose between paying critical bills and buying baby diapers or adult incontinence supplies. Federal aid programs like SNAP and WIC do not cover diapers, which leads families to seek out other resources.
Arizona diaper banks
The Diaper Bank of Central Arizona, based in Phoenix, and the Diaper Bank of Southern Arizona, based in Tucson, are the state’s two diaper banks. While the Diaper Bank of Southern Arizona has been open 20 years and claims status as the first diaper bank in the nation, the central Arizona diaper bank is just coming up on its one-year anniversary. Both charitable entities provide diapers and adult incontinence “Having diapers supplies to area non-profits to from the Diaper Bank distribute to those in-need. is very, very important
to our families. Sometimes it’s groceries or diapers.”
Critical need
Experts cite many reasons for the critical need for disposable diapers, chief among them: — Kristin Harrison, • A healthy child will wear an Tu Nidito Children and Family a Tucson-based average of 50 diapers a week. Services, nonprofit organization That’s approximately 2,600 diapers a year for every child, which is a considerable expense for any family, let alone a family living in poverty. • Because of the cost, parents sometimes resort to reusing diapers or leaving them on a child much longer than is appropriate, resulting in rashes and infections. • Most childcare providers require parents to provide disposable diapers; no disposable diapers means no daycare, which means no employment for parents. • Some families who would like to use cloth diapers have unstable living environments and/or do not have personal laundry facilities. Public laundromats, due to health reasons, often don’t allow the washing of diapers. • For adults, incontinence is frequently caused by illness and/or surgery. Supplies are expensive and often are Diaper Bank of not affordable for those on Central Arizona: a fixed income. DiaperBankAZ.org; 602-759-5499 Partnering agencies Diaper Bank of The Diaper Bank of Southern Southern Arizona: Arizona distributes its supplies DiaperBank.org; through 50-plus partner 520-325-1400 agencies, including crisis nurseries, child abuse prevention programs, teen parent programs as well as senior, immigrant and refugee programs, said Claudette Langley, the program’s outreach and marketing coordinator. The Diaper Bank of Central Arizona works in a similar fashion, providing quarterly donations to more than 30 partner agencies and nonprofits.
Resources
Diaper drives and donations
Both diaper banks rely heavily on cash donations and community diaper drives. Cash donations allow both banks to purchase diapers and incontinence supplies at a discounted or bulk rate. “Community diaper drives are the heart of the donation system and volunteers are always needed to work in the warehouse or to help with community outreach events,” Langley said. INTERESTED IN PARTICIPATING IN CLINICAL STUDIES? Join us for an open discussion on puberty and becoming a woman at the Spirit Girls and Mom’s, Too event.
Call 480-301-4626 for more information. AR-0008165194-02
Saturday, October 4 9:30 - 11:30am Banner Baywood Medical Center 6644 E. Baywood Ave.
RSVP at (602) 230-CARE (2273)
Most people my age don’t think they can get skin cancer. But I was diagnosed with stage one melanoma at 17. Now, I wear my scar proudly and tell my friends how important it is to get regular skin checks. My answer was Mayo Clinic. +/$*#&" %!,).0 %'!)"$(0 1-
Because of Mayo Clinic’s collaborative model of care, Caity had an entire team on her side, focused "# )/6 6/2"1/6(! ,"+8 4)/ '4 27#2/6&-6// 7#0 75/#0'#* 2"$$/*/! .7(" '4 7# '#&#/3+"6% 96"1'0/6 -"6 millions of people. In most cases you don’t need a physician referral. For more information or to schedule an appointment, visit mayoclinic.org/arizona or call 1-800-446-2279.
Visit mayoclinic.org/arizona
6 | Livingwell a-z | Wednesday, September 3, 2014
Labeling that carries weight
Proposed requirements call for menus to include nutritional info
H
By David M. Brown
itting the drive-thru window on your way home from work or ordering from a table menu at your favorite restaurant — whichever route is chosen, Americans will soon know how many long-term calories and other nutrients are hiding inside your meal.
Who must do what
Section 4205 of the Patient Protection and Affordable Care Act (ACA) of 2010, signed by President Obama, requires restaurants and other retail food establishments with 20 or more locations to list calorie content information for standard menu items adjacent to those offerings. The menu/menu board must also place this calorie information in the context of recommended total daily caloric intake, as suggested by the Food and Drug Administration (FDA). Other information, such as various fat contents, cholesterol, sodium, total carbohydrates, sugars, fiber and total protein, would have to be made available in writing as requested by the consumer, and a “prominent, clear and conspicuous” statement must be incorporated in the menu or menu board. In addition, the ACA also requires vending machine operators with 20 or more machines to disclose calorie content for certain items.
Finally, those food businesses with fewer than 20 locations, such as ‘mom and pops’, will be offered ways they can opt in to the program as part of nutrition-wise procedures. These businesses have been exempted not only because of the financial impact of implementation but also because local restaurants tend to fluidly change their menus season to season. “Asking them to update their calories on the menu every time they put a new item on the menu would be a burden,” Thinkstock
said Melinda Johnson, a registered dietitian and faculty member in the School of Nutrition and Health Promotion at Arizona State University. “Chains have more static menus and can absorb the cost of menu analysis and printing easier than small businesses.”
Why
“In general, the purpose of the rule is to ensure that consumers have direct access to more nutrition information when they make food choices in restaurants and similar retail food establishments,” said Jennifer Corbett Dooren, press officer for
“Menu labeling is a tool that will give consumers consistent and accessible nutrition information so that they can make informed choices for themselves and their families.” — Jennifer Corbett Dooren, FDA
“Evenforconsumersthatarenotactively seekingthisinformation,havingthe amountofcaloriesstaringbackat themmightshockthemintoa healthierdecision.” — Melinda Johnson, ASU School of Nutrition and Health Promotion
the FDA’s Office of Media Affairs and Office of External Affairs. Consumers can find calorie and other nutrition information on most packaged foods, she explained, but it’s not generally available in restaurants and those meals tend to have more calories than similar home-prepared ones. Menu labeling is a tool that will give consumers consistent and accessible nutrition information so that they can make informed choices for themselves and their families, Dooren said. Beth Lewis, MDA, RD, CDE, chief clinical dietitian at Mountain Vista Medical Center in Mesa, emphasized the connection between chronic diseases and high obesity rates in youth and adults. “Interventions resulting in improved outcomes are positive, but time will tell if these new requirements will effectively change individual behavior,” she said.
When
As far as timing, the FDA has received numerous comments on the proposed rule and is considering them in developing the final rule, which will include compliance dates, Dooren said. When this information is available, the FDA will make a public announcement. More info: Food and Drug Administration: fda.gov; 888-INFO-FDA (888-463-6332)
Overcoming limited mobility Chair exercises, aquatics and yoga strengthen your body
C
By Lori Baker
hair exercises, aquatics and yoga are among the many ways you can improve your health — even with limited mobility issues. Indeed, Michelle Keyser, restorative activity director at Benevilla’s Sun City Restorative Center, said that along with improving strength, range of motion, balance and ambulation, exercising also can improve quality of sleep and energy, help prevent cardiovascular disease and boost self-esteem. “Fitness is a lifelong journey which does not end with the roadblocks of injury, illness or the acquisition of years,” she added.
Chair exercises
Chair exercises work well for people who are either confined to a chair or have poor balance, lower-body injuries or decreased endurance, said Katie Durkin, a HealthSouth physical therapist in Glendale. “Difficulty can be increased by adding ankle weights or using dumbbells for upper-body strengthening. Chair exercises can be done anywhere or while watching TV,’’ she said. Darolyn O’Donnell, interim manager of community outreach and education at the Muhammad Ali Parkinson Center at Barrow Neurological Institute in Phoenix, agreed, noting that modified chair exercises allow people with mobility limitations to reap the same benefits of exercise as those who are more mobile.
Benevilla
Above: Rebecca Sterle (left), a Benevilla restorative care partner, works with Anne Madaio (sitting) who is using ankle weights to strengthen her legs, and Vicki Leidall who is doing balance exercises on balance pads at Benevilla's Sun City Restorative Care Center.
Aquatics
The pool is a great place to exercise because the buoyancy decreases the pressure on joints which can be beneficial for those with arthritis or who have had surgery, Durkin said. The benefits of aquatics are many, said Dawn Mortellaro, a physical therapist who contracts with Benevilla's Sun City Restorative Center, including decreasing muscle spasms, easing joint movement, reducing gravitational forces, increasing peripheral circulation, increasing respiratory muscle and improving patient confidence.
Yoga
Yoga exercises involve low-impact techniques to help improve flexibility and breathing technique. Fortunately, many movements and poses can be performed while seated, Keyser said. “Breathing exercises can be especially beneficial for those who have suffered stroke or who have other conditions which affect speech and breathing abilities,’’ she said. To practice yoga, people do not have to get down on a floor mat. They can remain seated, O’Donnell said. “Yoga instructors use props like bolsters, blocks, straps and blankets to modify and support the poses. They emphasize learning diaphragmatic breathing and the healing powers of the breath because it can help reduce stress and anxiety, ease pain and promote sleep,’’ she said.
Strengthening
Many strengthening exercises can safely be performed from a seated position.
Far left: Aneil Koerper, Health and Fitness Program Manager at The Terraces, a continuing care retirement community in Phoenix, demonstrates a chair-based exercise.
Kaila Hassler
Before starting an exercise routine, seek medical clearance and recommendations from your healthcare provider. If you are focusing on lower extremities, start with basic movements like marching, kicks, side-steps and leg extensions with ankle rolls. Add ankle weights or pedal exercisers to strengthen legs, Keyser said. “Stretch bands or resistance bands can be used for both upper- and lowerextremity strengthening. Use hand and wrist weights for upper-extremity strengthening. If you do not have your own fitness equipment, try using a soup can or bottle of water to add resistance to your workout,’’ she said. Royal Clayton, 86, uses ankle weights and stretch bands to strengthen his left leg which was weakened by a stroke 17 years ago. “I do a lot of leg exercises at home and when I’m at the Sun City Restorative Center. I am able to walk further now than I did two years ago,” he said. “I can move my left leg side to side and pick it up again. Exercising has helped keep me active.’’
Near left: Irene Wilbur uses leg bands and ankle weights at Benevilla's Sun City Restorative Care Center to help keep her muscles strong and flexible. Benevilla
Get a move on Here are a few examples of exercises for those with limited mobility, courtesy of Aneil Koerper, Health and Fitness Program Manager at The Terraces, a continuing care retirement community in Phoenix.
Chair exercises
• Ab holds: Sit at the end or middle of the chair; lean back so your upper back is resting on the chair-back. Cross your arms on your chest. Pull your bellybutton in, tighten your abdominals and bring your upper back off the chair. Hold this position. While holding your upper back off the chair-back, squeeze your buttocks and lift both legs straight out in front of you. Hold this position, count out loud eight seconds and then rest. Complete 7–12 repetitions. Make sure to breathe the entire time.
Water exercises
• Four-square: Walk forward four steps, then walk backward four steps. Side-shuffle to the right four steps, then side-shuffle to the left four steps. Continue this pattern for one minute.
Chair-based yoga
• Chair tree pose: Sit tall at the end of the chair; do not rest your back on the chair-back. Raise your arms above your head and place your palms together or have your palms together at chest level. Rest your right ankle on your left ankle. Pull your belly-button in and squeeze your buttocks. Hold for 15 seconds and switch. Make sure to take deep breaths. Switch feet and repeat.
Wednesday, September 3, 2014 | Livingwella-z | 7
Open enrollment
Common side effects of caffeine
continued from the cover Only those who have had no changes to income, address or household are potentially eligible for automatic re-enrollment. O’Donnell advises consumers to check with their health insurance carrier before open enrollment begins to learn whether they’re eligible to be automatically re-enrolled.
Mouth Dryness Skin Flushing Cold sweats
Systemic Dehydration
Muscular Tremor
Heart Rapid heartbeat
Gastric Nausea
Respiratory Troubled breathing
Urinary Increased urination
Intestinal Diarrhea Wikimedia Commons | Source: nih.gov
Caffeine and energy drinks Experts advise caution on consumption
N
By Nick Kostenko
early 90 percent of adults consume some form of caffeine, according to Hassan Makki, D.O., a board-certified cardiologist with Phoenix Heart Center. But popular energy drinks may not be the best way to help you wake up. “Caffeine tolerance varies between individuals, but for most people a dose of more than 300–400 mg per day may produce initial symptoms of a caffeine overdose,” said Frank LoVecchio, M.D., a medical toxicologist at the Banner Poison Control Center. Two to four cups of coffee is equivalent to approximately 300–400 mg of
Visits to the emergency department for energy-drink-related conditions doubled between 2007 and 2011. Source: Substance Abuse and Mental Health Services Administration, samhsa.gov
caffeine, but many energy drinks provide that amount with just one can. Common symptoms of excessive caffeine consumption include restlessness, an increased heartbeat, insomnia, increased blood pressure, headaches and gastrointestinal disturbance, LoVecchio said. Besides caffeine, many energy drinks also contain guarana, a plant extract that contains caffeine, and taurine, an amino acid that can have an affect on cardiac muscles, said Carrie Lipp, M.D., a pediatrician at Banner Health Center in Maricopa. She added that energy drinks are also known to cause dental erosion due to having a pH in the acidic range.
Mixing with alcohol
Mixing energy drinks and alcohol has become a big issue in recent years, LoVecchio, said, with the Substance Abuse and Mental Health Services Administration reporting that 42 percent of energydrink-related emergency department visits are a result of mixing the drinks with other substances, including alcohol. Speaking of which, Makki emphasized that mixing energy drinks with alcohol is “a disaster”. Why? “The Superman effect
Caffeine powder
Caffeine powder has seen increasing popularity among teens thanks to its quick energy boost and cheap price. But just like energy drinks, caffeine powders can have dangerous effects, in fact, recently an 18-year-old Ohio man died after trying caffeine powder for the first time and consuming what amounted to the equivalent of 23 cups of coffee. The FDA has since issued a warning on caffeine powder that recommends consumers avoid the product. (One teaspoon can contain the equivalent of 25 cups of coffee, according to the FDA’s website). Symptoms from excessive consumption of caffeine powder are the same as many energy drinks on the market — though they may occur at even more severe levels — and include erratic heartbreak, seizures, vomiting and diarrhea. Despite the warning, caffeine powders remain an unregulated substance, so there is no limit to the amount of caffeine that could be in a product. happens, where you feel more alert than your body actually is,” he said. “This masks the typical lethargy you feel when you drink and you’re more likely to engage in high-risk activities.”
At higher risk
Children are at higher risk for health issues than adults, as the caffeine is targeting a smaller body. Therefore, Lipp said that having even a small amount of caffeine isn’t recommended for children. Makki noted that the elderly face a similar risk level because as we age, our thirst mechanism doesn’t work as well. “So the elderly are more likely to experience thirst and keep drinking,” he said. “But energy drinks have a diuretic effect, leading to dehydration.”
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Expanded choices
In Arizona, UnitedHealthcare, which last year opted not to participate in the Marketplace, is expected to join the other companies already in the Marketplace to offer insurance products for 2015. Two of the insurance companies set to be part of Arizona’s Marketplace in 2015 — Blue Cross Blue Shield of Arizona and Meritus — will offer more expanded provider network choices for next year than they did this year. Meritus CEO Kathleen Oestreich said her company has streamlined its plan options while offering more varied provider networks. For 2014, Meritus offered three different provider networks in Maricopa County; for 2015, it will offer five distinct provider networks. Blue Cross also is increasing its network options, said Jeff Stelnik, senior vice president at Blue Cross Blue Shield of Arizona. New enrollees or those changing their plan will choose a plan and level (gold, silver, bronze or catastrophic; each level is standardized by the federal Health and Human Services Department and carries its own deductible and range of benefits) and then choose one of three provider networks in Maricopa County. Blue Cross provider networks in Maricopa County will include a broad statewide preferred provider network (PPO) that will offer in- and out-of-network coverage. The company also will offer two health maintenance organization (HMO) network options within Maricopa County. These HMO options work with an exclusive number of providers and hospitals, except in an emergency when access to care is broadened. Members who choose the PPO option or one of the HMO networks won’t need a primary care provider referral to see a specialist, Stelnik said. Other changes on the horizon for Meritus include access to what’s known as ‘telemedicine’ through the company’s contract with an organization called MeMD. “Depending on the plan they select,
• Health Insurance Marketplace: healthcare.gov; 800-318-2596; TTY: 855-889-4325 • Get Covered America: GetCoveredAmerica.org • Enroll America: EnrollAmerica.org • Kaiser Family Foundation: kff.org
Scott A. Perkins, MD
BARNET DULANEY PERKINS EYE CENTER Locations throughout Arizona www.GoodEyes.com 800-966-7000
FAMILY MEDICINE Nathan Brooks, MD
A graduate of the Saba University School of Medicine in the Caribbean, Dr. Nathan Brooks completed his internship and residency at the University of New Mexico in Albuquerque. Dr. Brooks is board certified and specializes in family medicine for all ages. Banner Health Center 21772 S. Ellsworth Loop Road, Queen Creek 480-512-3700 www.BannerHealth.com/HealthCenterQueenCreek
FAMILY MEDICINE William Riley, MD
9045 W. Athens St. Peoria, AZ 85382 623-209-7424
16621 N. 38th St. Phoenix, AZ 85032 602-748-1682
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A graduate of the University of Minnesota, Dr. William Riley completed his internship and residency at Banner Good Samaritan Medical Center. Dr. Riley is board certified and specializes in diabetes, hypertension, skincare and minor surgical procedures.
Pacifica Senior Living
Carlos Ventura, MD
A graduate of University of El Salvador, Dr. Carlos Ventura completed his residency and internship in Internal Medicine at Maricopa Medical Center in Phoenix. Dr. Ventura specializes in elderly care, polypharmacy and chronic conditions particularly related to the aging process.
PARADISE VALLEY
www.pacificaseniorliving.com
Banner Health Clinic 4400 N. 32nd Street, Suite 200, Phoenix 602-839-0444 www.BannerHealth.com/ClinicPhx32StFamily
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Eligibility for subsidies
Eligibility for a subsidy still will be based on a multiple of the federal poverty level, which has changed slightly from 2014. Just like 2014, if your annual earnings are 400 percent of the federal poverty level or less (a maximum of $62,920 yearly for a household of two people or $95,400 for a family of four in 2015), you may be eligible for a subsidy — called an ‘advanced premium tax credit’ — to help you pay your premium for the insurance. One way to get an idea of what you may be eligible for is to use the Get Covered Calculator at GetCoveredAmerica.org/calculator. If you qualify for a subsidy, you can apply it directly to your monthly premiums. Like 2014, if you are employed and your employer offers insurance coverage, you may still opt to purchase insurance through the Marketplace, but regardless of income, you will not be eligible for a subsidy, Stelnik said. Your employer’s open enrollment period may vary substantially from that of the Health Insurance Marketplace, Stelnik noted.
As a nationally recognized ophthalmologist with Barnet Dulaney Perkins Eye Center, Dr. Perkins has performed over 50,000 cataract surgeries and over 10,000 vision correction procedures. As an innovator in the field of ophthalmology, he has participated in over 25 clinical trials for both pharmaceutical and ophthalmic devices.
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Increased penalties
If you’re not covered by March 31, 2015 — which means you must sign up for coverage no later than Feb. 15, 2015 — the penalty you’ll pay will increase noticeably compared with this year. The penalty will be $325 per adult and $162.50 per child (up to $975 per family), or 2 percent of household income, whichever is more, O’Donnell said.
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Central Thirst Anxiety Confusion Irritability Insomnia
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members will be able to choose a telephone or video conference consultation with a medical doctor that will cost the member the same as a doctor’s office copay,” Oestreich said. Meritus also will offer Minute Clinics at CVS stores as part of its provider networks. Insurance carriers’ filings with the Arizona Department of Insurance are still under review, Oestreich said, so proposed changes have not been finalized yet. The full list of health insurance companies participating in the Marketplace will be made public later this month or next month, Enroll America’s O’Donnell said.
Banner Health Center 20751 W. Market Street, Buckeye www.BannerHealth.com/HealthCenterVerrado 623-463-5000
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