San Joaquin Medical & Wellness Guide 2017

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wellness & medical 2017 EDITION

Fit,

Healthy &Happy

Your ANNUAL GUIDE to HEALTH & WELLNESS in the Central Valley

2017 EDITION  $3.95 Display until April 30, 2018

D O C T O R Published by San Joaquin Magazine

P R O F I L E S

// H E A L T H Y

H O S P I T A L S

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// L O C A L

T R E N D S

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Manshadi Heart Institute, Inc. Setting the standard for leading-edge, results-based care

"Our Mission" Improve the lives of patients through excellence in Cardiovascular education, prevention, and the highest quality treatment available. • Complete cardiovascular care from prevention to intervention • Recognized expert in sport cardiology at national and international level • Executive cardiovascular evaluation and treatment • Active in cardiovascular leadership at State and National level

Manshadi Heart Institute, Inc. Setting the standard for leading-edge, results-based care

Lodi: 999 S Fairmont Ave. • Stockton: 2633 Pacific Ave.

209.944.5530 • www.drmanshadi.com Published by San Joaquin Magazine

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Let their smiles shine like never before.

Advanced Care includes: • One-year-old exams

• Sleep apnea treatment

• Tooth whitening

• TMD treatment

• Dental implants

• Sedation options

New Patient

SPECIAL

}

Y

our family’s oral health is so much more than meets the eye. Keep them happy and healthy with quality preventive, cosmetic and restorative care from the experienced dental team at Suzuki DMD and Associates.

$150 toward restorative or cosmetic dental care when you move forward with treatment.

• Oral cancer screenings

Reserve a lifetime of healthy smiles for your family. Call 209.334.0630 to book your appointment today!

Did you know? Schedule baby’s first dental visit at 12 months. Ask Dr. Suzuki about a comprehensive well-smile exam for your little one. Sedation comfort available with IV sedation Ask about monthly payment options Evening appointments available

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801 South Ham Lane, Suite L. | Lodi, CA 95242 | 209.334.0630 | suzukidmd.com/smile |

2017 SJ HEALTH AND MEDICAL GUIDE


Gill Obstetrics & Gynecology Thank you for voting us BEST OB/GYN Practice!

90,000 HEALTHY BABIES DELIVERED Experience matters

With 60 years of experience and roots dating back to 1953, Gill Obstetrics has a rich history of serving generations of women throughout San Joaquin County. We offer clinical expertise and compassionate care in a welcoming environment where women can feel comfortable and secure, knowing that we put our patients needs first. After all...each woman needs are unique and you deserve special care!

Gill OB/GYN thanks you for entrusting us with your healthcare needs. It is our great privilege to bring new life in the world and share in your happiness. We have cared for the women of this community for over sixty years and look forward to becoming the first to welcome the next generation in your family and in our area.

COMPLETE PREGNANCY CARE Healthcare Just as Unique as You!

PRENATAL & POSTPARTUM CARE • HIGH RISK PREGNANCY • INFERTILITY • INVITRO FERTILIZATION GYNECOLOGY • ENDOMETRIOSIS • URINARY INCONTINENCE • OVARIAN CYSTIC DISORDER • LAPAROSCOPY HYSTEROSCOPY • DIAGNOSIS & TREATMENT OF CERVICAL, UTERINE, OVARIAN CANCERS • ROBOTIC SURGERY

Param K. Gill, M.D.

David L. Eibling M.D.

Vincent P. Pennisi, M.D.

Harjit Sud, M.D.

Jasbir S. Gill, M.D.

Thomas Streeter, M.D.

Maya Nambisan, M.D.

Eugenia L. Hurlbut, D.O.

Linda Colliflower, RNC, NP

William Colliflower, M.D.

Darrell R. Burns, M.D.

Catherine Mathis, M.D.

Tonja Harris-Stansil, M.D.

Linda Bouchard, M.D.

Philip D. Ross, M.D.

Maria E. Escalona, M.D.

Kimberley Fillmore, M.D.

Alecia Russell, D.O.

Jacqualin Miller, D.O.

Kayla D. Mapps, M.D.

Chikanele E. Okorie, M.D.

Lynette Bird, R.N., B.S.N.

Vicki Patterson-Lambert, R.N.P.C.

David Russell, D.O.

Convenient locations to serve you

Stockton: 1617 N. California St., Ste. 2A – Ph. (209) 466-8546 • 2509 W. March Lane, Ste. 250 - Ph. (209) 957-1000 Lodi: 999 S. Fairmont Ave., Ste. 225 & 230 – Ph. (209) 334-4924 • Galt: (209) 745-7473 • Manteca: 1234 E. North St., Ste. 102 – Ph. (209) 824-2202 Jackson: 817 Court St., Ste. 8, Jackson, CA 95642 – Ph. (209) 223-1031 We accept most health insurance, including Medi-Cal. Visit us at gillobgyn.com

Published by San Joaquin Magazine

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Comfort DentalCare Family, Aesthetic & Implant Practice of Gurrinder Atwal DDS, MSc, FAGD

In Tracy

Esthetic, Family & Sedation Dental Practice

White Fillings Crowns & Bridges Gum Treatment Partial Dentures Cosmetic Dentistry Extractions · Root Canals Single Visit CAD Cerac Crowns Nitrous/Oral Sedation (All Work Done While You Doze Off)

Dental Implants Orthodontics Sleep Apnea/Disorders

New Patients & Emergencies Welcome

State of the Art 3D Conebeam Technology Xrays

Comfort

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For Dental Implants and Invisalign / Orthodontics only. Mention this ad at your consultation and

RECEIVE 10% OFF TREATMENT! 6

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DentalCare 2766 N. Tracy Blvd. • Tracy

(209) 836-5393

Gurrinder S. Atwal DDS, MSc, FAGD

Loma Linda University

www.mytracydentist.com www.atwaldentalsleepsolutions.com Find Us on Facebook and YouTube


Your source for healthy living! Specializing in Sports Chiropractic and Holistic Nutrition

Offering Science Based holistic approach to Common Women Problems providing effective solutions backed by research!

Robert J. Shapiro, D.C., C.C.S.P., A.C.N. Certified Chiropractic Sports Practitioner Functional Medicine Practitioner Applied Clinical Nutritionist

2509 W. March Ln., Ste. 150 • Stockton

209.888.8602 dr.shapiro@shapchiro.com AllHealthStockton.com

youtube.com/shapchiro www.facebook.com/ShapiroChiropractic

THANK YOU FOR VOTING US BEST CHIROPRACTOR PRACTICE!

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S T E S T A WH UIN SAN JOAQ

T R A P A E N I Z A G MA rs ertise v d a & s r e d a e r r ou

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CONTENTS HEALTH 2017

Sup for Success

Departments 10 PUBLISHER’S NOTE 16 ALLERGIC REACTIONS 22 BRUSHING WITH BABY 24 CHIP OFF THE OLD BLOCK 26 SUPPLEMENTS FOR SUCCESS 28 GOODBYE BLUES 30 UNDERSTANDING PORTION CONTROL

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WHAT YOUR EYES CAN REVEAL

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HEALTHY MOUTH, HEALTHY BODY

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48 94

Saving for Retirement

36 BREWING BABY 38 UNDERSTANDING

BREAST CHANGES

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THE HEART OF THE MATTER

42 48 52 56

MIRACLE MAKEOVER DISCOVERING THE CORE CURE PILATE PRINCIPLES

10 WAYS TO PREVENT ALZHEIMER’S

60 94

SAVING FOR RETIREMENT HELLO? HEARING LOSS

SPECIAL SECTIONS: SENIORS PROFILES HEALTH PROFILES HEALTHY HOSPITALS

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publisher’s note

HEALTH GUIDE 2017

Stay Healthy San Joaquin

WHEREVER THE ART OF MEDICINE

IS LOVED THERE IS ALSO

A LOVE OF HUMANITY

Our health is truly our greatest asset and most cherished blessing. Good health is valued among all walks of life and at every age, yet with the hustle and bustle of life, it’s sometimes difficult to take a step back and give ourselves a little attention. Luckily, we have a wealth of health care resources right here in our small-town Central Valley that allows us to receive big-city, state of the art care without leaving home. We have some of the best doctors and hospitals around—a fact that becomes more apparent every year as we work on our annual health guide. And with help from these notable physicians, surgeons, and health providers, we offer an annual guide to support your health & wellness throughout the year.   For years our medical guide could be found tucked inside San Joaquin Magazine’s May edition, and this year we decided to branch out, printing it as its own publication to support a community need. As the only comprehensive Health & Wellness guide in the area, you can keep this edition handy throughout the year as a go-to guide when choosing a doctor, health plan, or provider, or if you’re considering a procedure, or looking to turn a new leaf in your own wellness journey.    Few things evolve as quickly as advances in health care in today’s world, and we were happy to spend time with our local hospitals discussing how they work to stay abreast of the latest trends, and how they dedicate their efforts to ensuring San Joaquin residents have access to such technology that at times could only be found in the big city. With that said, we are excited to share with you the technology and newest cutting edge treatment and surgical options offered here at home.    With you, your children, and aging parents in mind—we filled our pages with comprehensive information and news covering the latest happenings in local health care, hospital offerings, innovations and growth, health hot topics, and a personal look into the lives of health care professional in our area. From pediatric dentistry to cosmetic surgery and general health, we enjoyed our time working with local professionals to bring you a localized and personalized tool in which to best care for your family.

–Anonymous

Stay healthy San Joaquin, Tony Zoccoli, Publisher/Editor

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Be of

proud your

legs again.

California Vein & Vascular Institute

Varicose veins, leg pain, and edema affects both men and women. At California Vein & Vascular Institute, we use state-of-the-art and minimally invasive techniques for individual diagnosis and treatment. No problem is too small or complex. Even if you have been told that there are no further options, there is hope for YOU!

California Vein & Vascular Institute • Stephanie M. Dentoni, MD, FSVM Certified by the American Board of Vascular Medicine and the American Board of Venous and Lymphatic Medicine

209.462.8346 • 2216 N. California St.,Ste C • Stockton • www.legswithoutveins.com Published by San Joaquin Magazine 2017 | SJ HEALTH AND MEDICAL GUIDE

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Specialist in Pediatric Dentistry

“making kids smile”

PUBLISHER | EDITOR

Tony Zoccoli MANAGING EDITOR

Lindsey Rodrian “Our office provides a warm,

caring, environment

specialized for treating the dental needs of infants,

GRAPHIC DESIGN

David Martinez & John Harris

children, and adolescents”

Rafat S. Razi, D.M.D, M.P.H.

EDITORIAL & CREATIVE

DMD: Harvard School of Dental Medicine MPH: Harvard School of Public Health Specialty Training in Pediatric Dentistry: Univ. of Rochester Eastman Dental Center Member of American Academy of Pediatric Dentistry

Nora Tarte

BRONZE WINNER OF

2014

BEST

SAN

JOAQUIN

M A G A Z I N E

Thank You for Voting us Best Kids Dentist in SAN JOAQUIN

SECTION EDITOR

CONTRIBUTING WRITERS

Copper Williams, Rochelle Marapao, Faith Lewis CONTRIBUTING PHOTOGRAPHER

Tim Ulmer

www.RaziPediatricDentist.com

MARKETING

2160 W. Grant Line Rd • Ste. 130 Tracy, CA 95377 • (209) 834-1307

ADVERTISING & MARKETING

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THIRD ANNUAL

FOLLOW US ON SOCIAL MEDIA facebook.com/sanjoaquinmagazine Twitter: @SanJoaquinMag Instagram: SanJoaquinMag issuu.com/sanjoaquinmagazine

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All rights reserved. The opinions expressed do not necessarily reflect the views of San Joaquin Magazine or its parent company, Inside Magazines Publishing Company, or its owners. Inside Magazines is not responsible for typographical errors or omissions. No part of this publication may be reproduced without written permission fromthis publisher. Photographs, graphics, and artwork are the property of Inside Magazines Publishing Company. © 2016 Inside Magazines Publishing Company

ANOTHER QUALITY PUBLICATION BY


Creating Healthy & Beautiful Smiles Committed to Dental Excellence. Exceptional Service. Remarkably Gentle.

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- Dentures - TMD (Jaw Pain) Therapy - Sapphire Plus Oral Cancer Screening - Latest Teeth Whitening Techniques -

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ANUREET SOHI-THADWAL, DDS Please Call for a caring, positive experience. STOCKTON 5904 N. EL DORADO ST., SUITE C

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Published by San Joaquin Magazine

MODESTO 803 COFFEE RD., SUITE 3

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2017 SJ HEALTH AND MEDICAL GUIDE

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Stockton Dental Care

Cosmetic & Family Dentistry Caressa W. Louie D.D.S.

Everyone deserves a beautiful Smile!

Preventative Care . Crowns & Bridges . Periodontal Treatment . Fillings . Oral Surgery Cosmetic Dentistry & Smile Design . Dentures . Partials . Root Canals Dental Implants & Mouth Reconstruction . Invisalign We offer affordable payment plans, senior discounts. We welcome new & emergency patients. Most Insurances Accepted.

Contact Us Today or Request An Appointment! 2389 W. March Ln., Ste. 1 • Stockton • drlouiestocktondentist.com

209.952.6721

Caressa W. Louie D.D.S. • Member of ADA, CDA & San Joaquin Dentist Society

“MADE IN AMERICA” Daniger Furniture offers comfort and style for your home. Come see us today!

We asked our customers what they were looking for and their response was that they wanted products “Made In America” because it matters! We have teamed up with some of the best American manufacturers to bring you exceptional QUALITY & VALUE..........just what you asked for!

One Size Does Not Fit All Petite • Medium • Large Lift Chairs Available! Recliners for all your needs!

Get the good night’s sleep YOU DESERVE! Complete Sleep System

MENTION THIS AD FOR A DISCOUNT! • Hours: Mon-Sat 9:30-5:30

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• Free delivery • Free set-up • Layaway • 90 days same as cash o.a.c. • Free interior design

4 W. Lodi Ave., Lodi • 368-0107 • danigerfurniturelodi.com 16

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health guide

ALLERGIES

MIND OVER

ALLERGEN Allergens can not only affect physical aspects of your body, but mental ones, too. ■ Inability to concentrate ■ Bouts of exhaustion ■ Restlessness ■ Moodiness ■ Need for more sleep

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Allergic Reactions TAKING BACK YOUR BREATHING SPACE.

Published by San Joaquin Magazine

Allergies are commonplace in San Joaquin, whose residents suffer from constant agricultural harvests, smog, and a variety of triggers year-round. From bouts of rainfall, to blessed rays of sunshine, outdoor flora flourishes and mold lays claim to the dampest corners of the household. It’s wise to consider that what you’d thought was a cold you couldn’t quite shake could be the symptoms of allergens affecting your way of life.    From stuffed up noses, to puffy eyes and clogged sinuses, allergic reactions can prevent you and your loved ones from enjoying normal day to day activities. If these symptoms persist, it may have strong implications to your overall mood. Keep your allergy triggers in check by taking a little self-diagnosis of your usual symptoms, and follow the advice below to discover how to reign in that nasty case of the sniffles.

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health guide

ALLERGIES

ALLERGY SYMPTOMS Itching, Watery Eyes Eyes continuously produce tears, or feel as though they were tearing up. They’re considerably uncomfortable and may begin to swell and turn red. They eye lid may puff as well, and the surface proves difficult not to scratch to relieve itching.

Nasal Pruitus or Itchy Nose A tickle frequently occurs within the nostrils, causing an almost involuntary

need to sneeze or twitch the tip of the nose upward to prevent sneezing or to relieve tickle.

Postnasal Drip When experiencing an allergic reaction, more nasal drainage than usual funnels down from the nose and into the back of the throat. This nasal drip may cause a sore throat and, if too much makes its way to the stomach too quickly, queasiness. A need to constantly clear

your throat or cough to remove the excess buildup is common.

Moodiness Frequently suffering from allergy symptoms, primarily during sleep, can cause negative mood changes, due to a lack of sufficient sleep, or inability to experience the varying stages of sleep.

1. Track the current

particle count by referring to ValleyAir.org daily and adjust outdoor activities to ensure the least amount of contact.

2. When planning on

PREVENTING POLLEN TRIGGERS

engaging in outdoor activities, take doctor prescribed allergy medicine in advance, to ensure minimal problems with symptoms.

3. If working or playing

around known allergy triggers, remove clothes and wash. Take a shower to ensure most of the allergen triggers are no longer on your skin.

4. Keep the house closed to prevent outdoor pollen triggers from entering. Use HEPA approved filters for any air purifiers and change whenever necessary. 5. Vacuum frequently and maintain filters.

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TESTING FOR

ALLERGIES

When experiencing an allergic reaction, more nasal drainage than usual funnels down from the nose and into the back of the throat. This nasal drip may cause a sore throat and, if too much makes its way to the stomach too quickly, queasiness. A need to constantly clear your throat or cough to remove the excess buildup is common.


Published by San Joaquin Magazine

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health guide

ALLERGIES

Over 50 million people in the United States face nasal allergies. ANIMAL DANDER PREVENTION

Reduce Dust Mites & Cockroaches

• If cockroaches appear in household, hire professional extermina tor to assess the severity and eliminate them from the household.

• Keep pets out of the bedroom. • Wash pets weekly to minimize dander buildup.

• Frequently vacuum household to remove dander.

• Use HEPA approved air filters with air purifier and change frequently as needed.

• Wash bedding and pillow covers weekly. • Use allergen-proof covers on mattress and box spring.

MOLD PREVENTION

• Seal any cracks and openings found in the house.

• Use a household dehumidifier to remove humidity from the household.

Medications

If cockroaches appear in household, hire professional exterminator to assess theseverity and eliminate them from the household. If cockroaches appear in household, hire professional exterminator to assess theseverity and eliminate them from the household. If cockroaches appear in household, hire professional exterminator to assess theseverity and eliminate them from the household.

NATURAL REMEDIES Neti Pot A type of nasal irrigation, the Neti Pot removes painfully thick mucus buildup in the sinuses via a saline solution. This mixture of salt and distilled water is pushed through the nasal cavity and out the other side or partially down the throat, removing irritants. 22

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• Avoid areas of high humidity that may promote mold growth.

Nettle Leaf Known as a natural antihistamine, nettle leaf can be mixed with other herbs to form a tea for allergy symptom relief. It can also be taken in capsule form.

Butterbur An herb that helps to reduce mucus, and assists with migraines and asthma, butterbur is recommended to be taken as a capsule to help reduce allergy symptoms.

Quercitin-enriched Foods This flavanoid has been known to cease the release of histamine in your system. Fill your diet with cranberries, apples, tomatoes, and peppers.

Omega-3 Fatty Acid A diet rich in fish like salmon and sardines, or foods like walnuts and spinach can provide a boost in Omega-3, which can help the body to reduce inflammation.

• Clean walls and counter tops of bathroom, along with shower curtains and doors, to prevent mold buildup. • Avoid working with or near known mold buildup, such as rotting leaves, com post, or green houses, and barns.


ELKHORN RESERVE

HOME OF

We are a premier country club providing diverse recreational opportunities for members and their families .

800 W. 8 MILE RD. | STOCKTON | CALIFORNIA | 209.403.9073

www.elkhornreserve.com

WE SPECIALIZE IN EVALUATION AND TREATMENT OF:

Environmental, Food, Drug, and Insect Sting Allergies Hay Fever ∙ Sinus Disease ∙ Anaphylaxis Chronic Respiratory Conditions ∙ Asthma Allergic Skin Conditions such as hives and eczema

STOCKTON ∙ LODI ∙ MANTECA TRACY ∙ MODESTO SAN ANDREAS ∙ SONORA

Contact our main office location at (209) 951-5353 to schedule an appointment nearest you or visit us on: www.allergyimm.com

Published by San Joaquin Magazine

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health guide

PEDIATRIC DENTISTRY

BRUSHING

BABY

with

 BY NORA HESTON TARTE

YOUR BABY’S TEETH NEED ATTENTION FROM DAY ONE. ARE YOU ON TOP OF IT?

Good dental hygiene starts young—really young. Did you know that teeth start forming in the second trimester of pregnancy? That means those little chompers are already in place when baby is born, even if you can’t see them, and caring for them pre-eruption is important.    You may not need a toothbrush yet, but there are other dental tools meant to care for infant gums including 24

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sleeves that slip over your finger and bristle-less brushes meant to wipe bacteria from gums after meals. Even a clean washcloth will do the trick!    Once the first tooth erupts, start brushing. “Brushing twice daily and flossing especially before nighttime is key,” says Dr. Rafat S. Razi, a pediatric dentist who practices in Tracy.   Specific recommendations may change on a case-by-case basis but the rule of thumb is that flossing should begin as soon as the gaps between teeth close (around three years old) and brushing or wiping should begin immediately. Additional brushing after sugary snacks is also recommended.    Don’t let a child eat or give a baby a bottle after nighttime brushing; this can lead to tooth decay and cavities. Instead, only allow water after brushing.   Not only will these habits keep your child’s mouth clean, starting early will instill good dental practices in your child. The child who brushes twice daily as a toddler is more likely to continue the practice into adulthood.    It’s also important to make sure brushing is effective. Use circular

motions (an electric toothbrush can help) over all teeth for two minutes, and don’t forget to brush the tongue!   If the water in your area does not contain fluoride (some areas of San Joaquin County do so always check with your local agency), buy fluoride supplements for your child. Fluoride not only prevents tooth decay by strengthening the enamel and making the tooth more resistant to acid attacks caused by plaque bacteria and sugars in the mouth, it can actually reverse the effects of early decay, as well.   While caring for your child’s teeth at home is important, it is equally important to see a dentist early and often. The American Academy of Pediatric Dentistry (AAPD) recommends children have their first dental appointment within six months of the first tooth eruption or by their first birthday, whichever comes first. CONSULT AN EXPERT:

RAFAT S. RAZI, DMD, MPH

2160 W. Grant Line Rd., Ste. 130 Tracy, (209) 834-1307 RaziPediatricDentist.com

KIDS CARE DENTAL

Multiple Locations (844) 861-6280, KidsCareDental.com


A MILLION DOLLAR LIFESTYLE FOR A FRACTION OF THE PRICE.

Quality education is vital to quality of life—and River Islands delivers. Our charter K-8 has received kudos for its programs, its activities—and for far exceeding state standards.

RIVER ISLANDS TECHNOLOGY ACADEMY

Serving casual fare for lunch and dinner, the Boathouse is a great place to enjoy time with family and friends. Enjoy boating on the lake or bocce at Sunset Point Park, then come on over!

BOATHOUSE BAR AND GRILL

Healthy living is right at home at River Islands. Walkable neighborhoods, sports fields, lakes and parks make active recreation easy and convenient.

LAKES, PARKS, TRAILS

We’ve attracted the best builders from around the state to River Islands—so you’ll find great architecture and an array of customizing features!

FIVE NEIGHBORHOODS OF GREAT HOMES

By Kiper Homes 3-5 Bedrooms 2,016 – 2,566 square feet Priced from the low $400,000s

MODELS OPEN CRYSTAL COVE AT RIVER ISLANDS By Tim Lewis Communities 3-5 Bedrooms 2,129 – 2,806 square feet Priced from the mid $400,000s

PREVIEW SHOWING SANDPOINTE AT RIVER ISLANDS By Richmond American Homes 3-6 Bedrooms 2,320 – 3,560 square feet Priced from the mid $400,000s

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Visit our Welcome Center Open daily 10 am –5 pm 301 W. Stewart Road in Lathrop (209) 808-5168 Directions: Driving South on I-5 to S. Manthey Rd. in Lathrop. (exit 460) Follow S. Manthey, left on Stewart Rd. to the Welcome Center. Driving North on I-5 to Mossdale Rd. (Exit 460) right on Mossdale to Manthey Road, turn right again and follow the signs to River Islands.

MODELS OPEN 360 LAKESIDE AT RIVER ISLANDS

I-5 RIVER ISLANDS ST EW AR TR Y

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health guide

DENTISTRY

 BY KADIE JEPSEN

CHIP OFF THE

OLD BLOCK

Our smiles are important to us all, and when there is a chipped or missing tooth, it can greatly affect not only our self-esteem but our dental health as well. It is important to find a local dentist who will fix the problem before it creates further damage or pain. Chipping a tooth can damage the nerve and cause extreme sensitivity with increased pain due to the nerve ending being exposed to air and hot or cold drinks. Sensitivity can also be caused by a cracked tooth as well. Todd Franklin, DDS in Lodi says his approach to fixing chipped teeth is different than most. “Teeth don’t chip just to chip; there are usually underly-

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ing causes to chipped teeth,” he explains. “Usually, a person has a bad bite.” Dr. Franklin says putting materials such as a veneer or cap on a tooth won’t necessarily work if you don’t first address the gap. He notes that there are specific steps he puts patients through. “I analyze the bite to make sure we can root out any underlying cause for chipped or broken teeth.” The important thing to remember is if you’re going to spend money and time on fixing a tooth, you don’t want to return in a year if the bite is not corrected.    There are different types of materials used to repair a chipped tooth--the plastic composite comes in two colors and

2017 SJ HEALTH AND MEDICAL GUIDE

lasts typically five years, while the porcelain or ceramic glass lasts around five to ten years. A person can also suffer from other dental ailments such as a missing tooth, which when left untreated, can cause gaps and spaces to form. There are various ways to replace a missing tooth. One is a titanium post that is put into the jawbone with a crown then placed on top. Dr. Franklin says that particular method has been around the longest, but he also uses what is called a bridge to replace the missing teeth. The bridge utilizes teeth on either side of the space as anchor points; they look like individual teeth but are glued in. When evaluating whether or

not to repair a chipped tooth, you should consult your dentist and determine the best course of action. If a chip is small, then the dentist may smooth out the chipped area and the tooth won’t require a filling. A cracked tooth can be easily repaired depending on the severity. A minor crack rarely needs treatment, but a fully cracked tooth will need to be repaired with filling material, a crown, or possibly a root canal.

FOR MORE INFORMATION CONTACT:

DR. TODD FRANKLIN, D.D.S. 1208 W Tokay St. Lodi, (209) 334-4370 www.toddfranklindds.com


THANK YOU!

For voting us the Best of San Joaquin for the past 9 years!

You can trust us to: • Provide a dental home for your entire family • Help you get healthy and feel your best • Work within your budget • Utilize the best and latest technology in a clean, welcoming environment Most insurance accepted. Monthly payment plans, no interest financing.

Call Today (209) 334-4370 1208 W. Tokay St. Lodi, CA 95240

Learn more about Dr. Franklin and his talented team by visiting

www.ToddFranklinDDS.com Published by San Joaquin Magazine

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health guide

HEALTH & WELLNESS

SUPPLEMENTS for SUCCESS Yes, we are meant to get our nutrients through food—but are you consuming enough healthy whole foods, fruits, and vegetables to suffice? According to a recent Centers for Disease Control (CDC) study, nearly 90 percent of adults are not.   If two cups of fruit and three cups of vegetables don’t make it onto your plate and into your belly daily, you could be missing essential nutrients that can affect many areas of your life—from your skin to your mood. We sat down with Eunice Green, NHD, and owner of Green’s Nutrition, to get the low-down on supplements that can combat common ailments, and improve your overall quality of life.

Brain Fog

Have you ever woken up feeling out of it, and proceeded throughout your day with confusion and lack of mental clarity— even after receiving a good night’s sleep?   Brain fog isn’t a medically recognized term, as it’s hard to diagnose, but you’ve likely experienced it. It can come out of nowhere, and feel like a cloud that reduces your ability to think clearly.

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Huperzine A—an alkaloid extracted from club moss—has been utilized in Chinese Medicine for centuries, and is the test subject of many recent U.S. studies involving Alzheimer’s disease. Because of its ability to inhibit acetylcholinesterase (an enzyme that initiates the breakdown of acetylcholine, an organic chemical that functions in our body as a neurotransmitter), it is considered a cognitive enhancer and can help neurons deliver messages in the brain. “Some college students even come in and use it while studying for midterms or finals,” Eunice says.

Hormone Imbalance

Premenstrual syndrome, heavy, painful or irregular periods, infertility, ovarian cysts, and Endometriosis can all result from an imbalance in hormone patterns. If you feel your hormones are out of whack, you can visit your doctor for a concise test.   Eunice suggests women take Gamma-linolenic acid (GLA), an omega-6 fatty acid, for total hormone balancing. “Pair it with an Omega-3 that allows the

 BY LINDSEY RODRIAN

DOES YOUR DIET PROVIDE VITAL NUTRIENTS NEEDED TO FEEL YOUR BEST?

GLA to work more efficiently,” she adds. “You’ll be giving your body a long list of benefits.”    A Penn State University study reports that GLA eases premenstrual syndrome symptoms, including depression, can help reduce hypertension, and can even protect your DNA.

Skin & Nails

Though many may reach for biotin when using a supplement for their skin and nails, Eunice explains it’s misunderstood. “Biotin’s main function is to keep the hair on your head,” she explains. “It’s not an enhancer.”   Methylsulfonylmethane (MSM), however, is an organic sulfur compound that is necessary for collagen and keratin production. Considered a bonafide “beauty mineral” it can strengthen and thicken hair and nails in just a few weeks of consistent use. Pair it with vitamin C and a bone broth collagen supplement for some serious results. Added bonus? MSM can also improve flexibility, detoxify the body, accelerate healing, and increase energy.



health guide

WOMEN’S HEALTH

GOODBYE

BLUES Characterized as severe depression, irritability, and tension before menstruation, the signs of premenstrual dysphoric disorder, or PMDD, are more severe than those of premenstrual syndrome, or PMS. And the disorder can begin at any age after a women starts menstruation.    While PMS affects approximately 75 percent of women, only three to eight percent are affected by PMDD. That’s because the two ailments have different symptoms, although a person with PMDD could mistake their symptoms for the more-common PMS. First, understand the difference. The Mayo Clinic describes PMDD as an extension of PMS, with symptoms that may be disabling to sufferers. If you’re not sure if you’re suffering from PMDD or PMS, consider this:

IN PMDD, HOWEVER, AT LEAST ONE OF THESE EMOTIONAL AND BEHAVIORAL SYMPTOMS STANDS OUT: • Sadness or hopelessness • Anxiety or tensio • Extreme moodiness • Marked irritability or anger

COULD PMDD BE PLAGUING YOU? IT’S TIME TO SAY BYE-BYE TO THOSE MONTHLY BLUES.  BY NORA HESTON TARTE

nutritional supplements, or herbal remedies (Chasteberry specifically has been linked to reduced irritability, mood swings, breast tenderness, swelling, cramps, and food cravings). Sometimes taking birth control pills can also help with symptoms, especially those with a no pill-free interval or a shortened pill-free interval.    Popping a pill isn’t the only remedy, however. Diet and lifestyle changes can have a major impact for sufferers of PMDD. Regular exercise can minimize the symptoms of pre-menstruation, which may help. Reducing caffeine intake, avoiding alcohol, and cutting out smoking may also help. Always make sure you are getting enough sleep and utilize relaxation techniques, such as mindfulness, meditation, and yoga. Avoiding stressful emotional triggers, especially during the time of month that you experience symptoms, is another option.    While there are a plethora of options for preventing and treating PMDD symptoms, it’s best to first get a professional diagnosis to determine the right course of treatment for you. Consulting your OBGYN about your symptoms should be the first step. Together, you can make a plan.

–The Mayo Clinic

TALK TO A PROFESSIONAL:

If you experience any of these symptoms during the luteal phase (between ovulation and menstruation) of your menstrual cycle, consult a doctor. Prevention or treatment of the symptoms is possible. Those who suffer may benefit from taking anti-depressants,

Locations in Stockton, Lodi, Manteca & Tracy (209) 466-8546, GillObgyn.com

P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP

SUPPLEMENTS TO TRY

• Vitamin B-6 • Magnesium • L-tryptophan *Always consult your doctor before starting a new supplement routine.

“For women struggling with PMDD, it’s a very difficult thing to deal with but there’s a lot of different medications—both antidepressants and hormonal—that can improve your quality of life. Go in and see your physician. Support groups, in person or online, can be helpful as well.” – Dr. Eugenia Hurlbut, OB/GYN, Gill OB/GYN Medical Group, Inc.

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DIET & LIFESTYLE

UNDERSTANDING

Portion CONTROL WE’VE ALL HEARD ABOUT THE IMPORTANCE OF WHAT WE EAT AND HOW IT AFFECTS OUR BODY. Portion control doesn’t mean you have to stop eating your favorite foods, but it does mean eating less and being more conscious of what you consume. Here are a few tips and tricks to keep your portion control in check:

Don’t Skip Meals

Skipping meals can lead to weight gain and once hunger catches up with us, it causes us to overload on huge portions at the next meal. For most people, the best plan is to eat three balanced meals spaced throughout the day and a healthy snack.

Learn to Approximate

When you’re unable to accurately measure the serving of your meal, it’s good to know a few helpful tips in approximating serving sizes. The standard serving size for lean meat is the size of a deck of cards. This may seem small, but when partnered with other correct portion sizes, you’ll find your stomach to be satisfied!

Measure Your Food

We buy food based on the fact that it has fewer calories than the alternative. This can be a good practice, however, pay attention to the serving size. When you’re making a

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meal or packing a snack, grab a measuring cup or food scale and measure the suggested serving.

Size Up Your Dinner Plate

Using a smaller dinner plate, imagine a line right down the middle and fill 50% of it with vegetables. Divide the other half of your plate again, forming two 25% sections. In the first 25% section, add your protein like grilled chicken, beans, soy, eggs, or fish. Fill the final 25% with a healthy starch such as brown rice or a baked potato.

Go For Half

Sometimes we find ourselves in a situation—such as dining out—where the extra-large portion sizes are out of our control. Order the healthy side and ask for half of your meal to be put in a to-go box. By keeping half of the meal off of your plate, you are setting yourself up for success!

Water

Studies continue to prove the importance of water, and people who regularly drink water consume far less calories throughout the day! Water also helps with digestion, skin health, and fatigue. Drink a full glass of water 30 minutes before a meal to help you feel full faster.

2017 SJ HEALTH AND MEDICAL GUIDE

 BY ROCHELLE MARAPAO

health guide


ALTERNATIVE APPROACH TO KNEE & SHOULDER PAIN

STEM CELL

THERAPY

Joints that can be addressed in our office include:

Knees • Shoulders • Wrists • Ankles •Plantar Fasciitis • Have you ever been told you have osteoarthritis? • Are you considering a knee replacement? • Are you taking medications for knee or shoulder pain? • Is your activity limited by your knee or shoulder pain? • Come hear about a safe alternative approach to eliminating your knee or shoulder pain

CALL TODAY 209.920.6663

1631 Fourth St., Escalon • www.escalonphysicalmedicine.com At the corner of Hwy 120 and Fourth Street Published by San Joaquin Magazine 2017 SJ HEALTH AND MEDICAL GUIDE |

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health guide

VISION

THE EYES MAY BE THE WINDOW TO THE SOUL, BUT THEY PROVIDE A PRETTY GOOD GLIMPSE INSIDE YOUR BODY AS WELL.  BY COPPER WILLIAMS

WHAT YOUR

EYES CAN

REVEAL Winking, blinking, blanking out, and honing in. Your eyes are always there to guide you through the treacherous paths of life. And those very same peepers that you view the world with can also help you and your doctor recognize early warning signs of problems occurring in other parts of your body.    Many common eye impairments that occur in an adult’s late 40s and 50s may be cause for concern in young adults. A cataract—clouding in the lens, which causes blurred vision—may indicate the presence of tumors in the body, diabetes, or an ill side effect of medication. A gray ring that forms around the cornea isn’t alarming in older adults, but those 40 and younger may be suffering from extremely high cholesterol levels. These toxic levels can increase the risk of stroke or heart attack.    Night blindness—difficulty driving in low levels of light—is another unusual com-

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2017 SJ HEALTH AND MEDICAL GUIDE

plication not often seen in young adults. Those suffering from night blindness may not consume enough vitamin A, could need glasses, or may be developing cataracts at a young age.    There are still more persisting issues that can strike anyone of any age. Strangely bulging eyes can determine that the thyroid gland is releasing too many hormones into the body. Drooping eyelids is a common symptom of Myasthenia Gravis, a neuromuscular disease that causes your immune system to attack and weaken your muscles. A stye in your eye is annoying, yes, but if it persists for more than three months, it could be a sign of a rare cancer called Sebaceous Gland Carcinoma. Sudden blurry vision may indicate a blood flow problem to the eyes or brain. Even if it gets better, it may be a symptom of an oncoming stroke.    Although many harmful issues are easily recognizable when they appear in the eye,

many more can only be found during a visit with your ophthalmologist. While performing a series of tests during checkup, your doctor can discover a variety of problems. An inflamed retina may indicate the presence of HIV or AIDS. Blood vessels that have twisted and kinked in your eyes are often a result of high blood pressure. Hemorrhages in the retina, with yellow deposits of blood fat are not uncommon in those suffering from diabetes.    Make the most out of your annual checkups with your eye doctor and inform them of any strange or persisting issues you may be experiencing. With a series of exams readily available, your ophthalmologist will keep your eyes in top form.

CONSULT A PROFESSIONAL:

ZEITER EYE MEDICAL GROUP Multiple San Joaquin Locations (209) 466-5566 ZeiterEye.com


YOU ARE OUR FOCUS. CATARACT SURGERY • GLAUCOMA CARE • RETINAL SERVICES EYELID SURGERY • LASIK • VISION EXAMS • GLASSES • CONTACTS Joseph T. Zeiter, M.D.

John H. Zeiter, M.D.

Richard M. Wong, M.D.

John C. Canzano, M.D.

Harold Hand, M.D.

Joseph E. Zeiter, Jr., M.D.

Judith A. Prima, O.D.

Linda Hsu, O.D.

Steven A. Wood, O.D.

Robert E. Pedersen, O.D.

Devinder K. Grewal, O.D.

Joseph T. Zeiter, M.D.

John H. Zeiter, M.D.

Richard M. Wong, M.D.

John C. Canzano, M.D.

Harold Hand, M.D.

Joseph E. Zeiter, Jr., M.D.

Peter V. Hetzner, O.D.

Peter V. Hetzner, O.D.

Judith A. Prima, O.D.

Linda Hsu, O.D.

Steven A. Wood, O.D.

Robert E. Pedersen, O.D.

Devinder K. Grewal, O.D.

Robert Dupree, O.D.

Robert Dupree, O.D.

Over 50 years of Vision Care

Published by San Joaquin Magazine

Your Vision is Our Passion

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health guide

ORAL HEALTH

 BY NORA HESTON TARTE

HEALTHY MOUTH, HEALTHY BODY IT IS IMPOSSIBLE TO BE TRULY HEALTHY IF YOUR MOUTH IS NOT.

The Surgeon General estimates that up to 80 percent of Americans suffer from gum disease, ranging from a minor infliction to a serious bacterial infection that affects the hard tissues attached to teeth. And while tooth loss and cavities are very real consequences of gum disease, so are heart attack, stroke, diabetes, and cancer.   To get a handle on your health, start with your mouth. Early intervention is key in making a diagnoses and establishing a treatment plan to reduce or eliminate gum disease and the negative effects it has on your health.

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CARDIOVASCULAR DISEASE & GUM DISEASE:

The heart-mouth connection was one of the first oral systemic relationships recognized by professionals. The consequences of an unhealthy mouth on the cardiovascular system are alarming. That’s because the bacteria in the mouth affects the blood vessels in the rest of your body. Swelling of these vessels can increase risk for blood clots, while fatty plagues can cause blockages in the arteries that lead to heart attack and stroke. Some bacteria in the mouth can harden the arteries, as well.

WHAT TO LOOK FOR: Swollen, bleeding gums are indicative of periodontal disease, which can increase the likelihood of developing cardiovascular disease.

DIABETES & PERIODONTAL DISEASE:

Periodontal disease doesn’t per say cause diabetes, but the two conditions can worsen each other when a sufferer has both. It’s a two-way relationship, and not a good one. So, if you have diabetes, not taking care of your teeth can worsen the systemic condition.


WHAT TO LOOK FOR: If you have cancer, oral health issues become more prevalent. Be wary of dry mouth, mouth sores, sensitive gums, jaw pain, and oral infection.

GUM DISEASE & BIRTH COMPLICATIONS:

For pregnant women, gingivitis is more common because it is cause by a fluctuation in hormones. While many women avoid the dentist during pregnancy— often under the guise there isn’t much they can do while pregnant—they may in fact need more frequent cleanings to cope. What they don’t know is that gingivitis could lead to complications with childbirth including pre-term delivery and preeclampsia. Both conditions can have lasting effects on the baby. WHAT TO LOOK FOR: Those with gingivitis, also know as gum inflammation, may experience bad breath, loose teeth, receding gums, tooth loss, toothache, ulcers, increased dental plaque, and redness.

SEE A DENTIST:

Gum disease is most common in those that have diabetes, making tooth care more important for these individuals. The body with diabetes is less adept at fighting infection, which makes the gum disease harder to get rid of, and lingering gum disease can lead to a slew of other health concerns. According to the American Dental Hygienists Association, almost one-third of Americans with diabetes also have periodontal disease. WHAT TO LOOK FOR: In addition to swollen or bleeding gums, diabetics should be wary of loose teeth, gum recession, pus between the teeth and gums, a change in bite or jaw alignment, and persistent bad breath.

Published by San Joaquin Magazine

ORAL HEALTH & CANCER:

The potential connection between oral health and cancer is newly discovered, so more research is needed to understand the connection, but scientists have theories. One includes the possibility that inflammation and the chemicals that accompany it can promote the formation of cancer cells. Some studies have linked those with gum disease to increased instances of specific cancers.   On the flipside, the National Institute of Dental and Craniofacial Research notes that one-third of cancer patients develop complications that affect the mouth.

The only surefire way to know if you have gum disease is to see a dentist. Approximately 62 percent of Americans see the dentist each year, which means 38 percent don’t. Rule of thumb suggests an appointment every six months.    Some think brushing and flossing regularly is enough. And while these good habits may keep cavities at bay, they don’t eliminate the risk for gum disease. When you don’t see a dentist, you don’t know if you have a serious oral problem that could affect overall health.   Colgate estimates that up to 15 percent of Americans avoid seeing the dentist out of fear, and they’ll put up with a lot of discomfort to get around a visit. PUT YOUR FEARS ASIDE:

STOCKTON DENTAL CARE 2389 W. March Ln., #1, Stockton, (209) 477-0278 DrLouieStocktonDentist.com

SUZUKI DMD & ASSOCIATES 801 S. Ham Ln. Lodi, (209) 334-0630 SuzukiDMD.com

TODD A. FRANKLIN, DDS 1208 W. Tokay St. Lodi, (209) 334-4370 ToddFranklinDDS.com

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health guide

PREGNANCY & MOTHERHOOD

BREWING Baby TECHNOLOGICAL AND MEDICAL ADVANCES ARE EVER-CHANGING, AND WITH THEM, SO ARE PREGNANCY TRENDS. Whether it’s baby names or must-have gear, the way we parent is constantly changing. There’s always a new gadget on the market to make pregnancy, birthing, breastfeeding, and child rearing just a little bit easier, and thanks to the constantly evolving tech and medical fields, the parade of new, must-know pregnancy trends for expectant moms is always fresh.

The Gender Reveal

We’re not talking about the party—that trend took off a few years ago. It’s about how early you can find out the sex of the baby has actually changed. Unless you’re carrying twins, a blood test can measure fetal DNA particles and tell you boy or girl at about seven weeks with a 90-95 percent accuracy rating.

Wearable Tech

First there was the FitBit, then the Apple Watch. Today, there is the Ava Fertility Tracker. The bracelet that can be worn at night (for ultimate secrecy) helps women track ovulation. Then, once you’ve conceived, use the Bloomlife wearable to monitor contractions at home. It even syncs to your iPhone!

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Longer Pregnancies

It used to be that doctors would agree to c-sections and inductions anytime after 37 weeks, when the baby was considered fullterm and out of harm’s way. Today, it will be more difficult to find a doctor willing to speed up a pregnancy for anything less than a necessary medical reason. That’s because new studies show, the longer a baby cooks, the better off they are in the long fun. And letting labor occur naturally, in most cases, is the best course of action.

Delay of Game

For the first time since 1947, the Office of National Statistics reported that more women in their 40s gave birth in 2016 than those in their 20s. The trend is expected to continue, as more couples choose to delay starting a family. Financial security and more women joining the workforce have been cited as possible reasons behind the trend.

There’s an App for That!

After the University of Copenhagen released a study linking the pill to depression, more women might abstain, opting for other forms of contraceptives. Technology may fill the void as family planning apps used to prevent pregnancy gain popularity. These apps will give women more information abour their bodies, help hem choose the best time for conception, and assist with IVF and egg freezing decisions.

“There’s a lot of information from applications and devices that can be learned, but always take them with a grain of salt because your interpretation of them might not be accurate every time.” – Dr. Eugenia Hurlbut, OB/GYN at Gill OB/GYN Medical Group, Inc.


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health guide

WOMEN’S HEALTH

UNDERSTANDING

BREAST CHANGES  BY FAITH LEWIS

LUMPS HAPPEN. IT’S IMPORTANT TO BE AWARE OF WHAT’S GOING ON WITH YOUR GIRLS. Sure, we get fitted for bras and dutifully replace them once every few years, but that’s about as far as most breast care goes. There is a taboo in today’s modern society: a woman’s breasts are for the bedroom and babies. Unfortunately this has created a culture where women are uncomfortable bringing health concerns to their doctor— or, worse, they aren’t even aware they should be watching for telltale changes in their breasts.    The Susan G. Koman Foundation has worked toward Breast Cancer awareness and research since its founding in 1982, contributing to the 38% decrease in Breast Cancer mortality rates in the U.S. from 1989 to 2014.    This is a huge step forward for breast cancer patients, but it has created a bit of an awareness bias. Most breast changes—including up to 85% of lumps—are not actually cancer, but can be the first sign of other diseases and conditions that affect the breasts.   For example, mastitis is a bacterial infection that causes fever, tenderness, and swelling in one or both breasts of approximately 10% of breastfeeding mothers. Although many women choose to stop breastfeeding because it becomes painful, continuing to breastfeed is not a risk to the baby as they likely introduced the bacteria in the first place. Your doctor can prescribe antibiotics and you should see results in a few days.

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The most common breast changes women should look for are lumps in the breast tissue. Finding a lump in your breast tissue isn’t always an indication of cancer, but it is certainly a reason for concern, and should be examined by your health care provider—as should any changes in the size, shape, or firmness of your breasts.   Other changes may involve tenderness of the nipples, or if they suddenly begin to point inward. If the skin on your breasts or nipples becomes swollen, red, dimpled, scaly, or you notice any discharge other than breast milk, you should consult your health care provider.    Regular breast self-exams can aid in early detection of any lumps or cysts.

Women should perform their own breast exams before a problem arises so they are able to recognize what is normal and what is reason for concern.   “Whether it be a breastfeeding mother suffering from a painful breast infection, or a woman with chronic back pain considering breast reduction surgery— just like the health of any other parts of your body, women should not be afraid to speak up and talk to their doctors if they have concerns about their breasts,” says Dr. Mai Le, a Primary Care Physi-

cian with Dignity Health Medical Group, Stockton.   Mammograms remain the gold standard diagnostic procedure; however, many breast conditions can begin much earlier than 45 years of age, which is when women are encouraged to start having regular mammograms.   If you are concerned about a change you have noticed in one or both of your breasts, the time to go to the doctor is now.


FACE. BODY. SOUL.

This year, it’s time to let the real you shine through. Dr. Thomas McNemar and Dr. Mitchell Blum are board certified with over 50 years of combined facial cosmetic surgery experience. Call 209.834.0626 to schedule your complimentary consultation. For before/after photos or for more information, please visit mcnemarcosmeticsurgery.com / blumfacialsurgery com

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health guide

HEART HEALTH

TheHEARTof the

MATTER HEART

HEALTHY • Track portion sizes, especially for meat and calorie-dense foods • Avoid sodium-laden foods • Cook with olive oil or coconut oil over butter, or lard • Choose whole-grains over refined or processed products like white bread, doughnuts, and muffins • Stick to foods that offer omega-3 fatty acids, such as salmon and walnuts • Make more room for fruits and vegetables on your plate 42

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AILMENTS OF THE HEART CAN BE A SCARY THING- AND WE DON’T MEAN METAPHORICALLY. BETTER UNDERSTANDING OF THESE ISSUES IS THE FIRST STEP IN MAINTAINING A HEALTHY HEART.

Your heart works hard to keep you in top form. It feeds oxygen-enriched blood and circulates nutrients throughout your body, maintaining balance beat by beat, to ensure you live a long and healthy life. But there are problems that sometimes plague the heart, and it’s up to you to maintain awareness of your body’s health to keep your heart going strong.

What is a Heart Attack?

What is Heart Failure?

What is a Heart Block?

What is a Heart Murmur?

What are Palpitations?

Your heart has its own electrical system that dictates how many times your heart beats per minute, and its pulse pattern. Every heartbeat sets off an electrical signal, which causes the heart to pump blood. When this electrical signal slows down or is disrupted, it’s known as a heart block. Depending on the severity, this can cause the heart to skip beats, cause faintness or dizzy spells, and can be fatal.

2017 SJ HEALTH AND MEDICAL GUIDE

When the heart isn’t receiving oxygen-rich blood—usually due in part to blockages in the arteries—the portion of the heart muscle that is clogged will begin to die. Those suffering from a heart attack may not feel anything at first, but often experience chest discomfort that ebbs and returns later. Shortness of breath is common, and lightheadedness and cold sweats can occur.

There are two types of heart murmurs that frequently occur. An innocent murmur is caused when blood flows rapidly through the heart—typically reactive to a fever, puberty, pregnancy, and physical activity—and is generally not considered a problem. An abnormal heart murmur occurs when there is a defect in the heart valve, not allowing the valve to open or close properly.

When your heart cannot pump enough blood through your body to continuously deliver oxygen and nutrients to your cells, your body’s health begins to degenerate. While the term “heart failure” may suggest a rapid decline in health, heart failure progressively worsens over time. Difficulty breathing, fatigue, and chest pain may occur along with coughing, dizziness, and loss of appetite.

Commonly triggered by exercise, stress, or even medication, heart palpitations feel as though your heart is pounding in your chest, or beating too fast. Normally benign, heart palpitations can indicate an irregular heartbeat if felt too frequently, or are followed by chest pain, severe dizziness, or fainting.


Stockton Cardiology Medical Group Complete Heart Care, Inc.

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Stockton Cardiology Locations: Stockton: 415 East Harding Way, Suite D • 209-944-5750 │ Tracy: 1530 N. Bessie, Suite 101 • 209-832-0343 Manteca: 1148 - 3 Norman Drive • 209-824-1555 │ San Andreas: 704 Mt. Ranch Rd., #101 • 209-754-1012 Published by San Joaquin Magazine

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healthy hospitals

ST. JOSEPH’S MEDICAL CENTER

 BY COPPER WILLIAMS

ST. JOSEPH’S

PATIENT

NAVIGATOR PROGRAM Patient Navigators are here to help guide you to resources to assist you in your treatment and recovery.

St. Joseph’s Medical Center understands that, during diagnosis, treatment, and recovery of a serious or chronic health condition, it’s hard to maintain awareness of all the resources readily available to you. And that’s why the Patient Navigator Program plays a crucial role for patients and their caregivers during the healing process, accessible by phone, or during a scheduled visit, to help you understand every aspect of the care you need and the assistance available to your specific needs. St. Joseph’s Patient Navigator Program serves not only patients of the medical center, but the general public and at no charge.    The Patient Navigator Program first began over ten years ago, helping cancer patients answer difficult questions about their diagnosis and treatment, and connecting them to specific resources. Over time, the program has expanded to include assistance in specific areas involving the heart, diabetes, orthopedics, and stroke. Each Patient

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Navigator is a staff member of St. Joseph’s, contributing their own specialty skills to the program, whether it’s medical, rehabilitative, administrative, or financial guidance.    “We sometimes see patients after they’re through with their clinical treatment,” says Jim Linderman a Patient Navigator for the cancer center. “There’s no time limit when someone can access our services. Sometimes they need help with post-treatment anxiety.”    This service typically begins with a phone call. A patient, or their caregiver, can contact one of six different numbers according to what area of assistance the patient needs. Navigators are generally available to take calls Monday through Friday, from 8:00 AM to 4:30 PM, with voice mail available after hours for calls to be returned the next business day. During the call, the Patient Navigator determines the patient’s needs and provides assistance or connects the patient to the right person who can answer their questions or provide the assistance they

need. “Navigators can build a long-term relationship with a patient, or share a brief, one time call,” Natalie Pettis, Director of Marketing Communications, reminds us. “Sometimes patients are coming in face-toface. By appointment, we can meet in person, and at no charge.”   The services available through the Patient Navigator Program are helpful during each step of the healing process. Patients can learn more about what their diagnosis means, and can ask questions that they may not have remembered during their initial contact with their doctor. From dietary assistance, to emotional wellness, prescription discussions, and everything in between, the Patient Navigator Program is there to help lend a guiding hand.

For More Information: StJosephsCares.org/Navigator



health guide

COSMETICS

MIRACLE MOVER FAT GRAFTING GRANTS OUR WISHES  BY LINDSEY RODRIAN

“WHY CAN’T I TAKE THE FAT FROM HERE AND JUST MOVE IT TO HERE?!” TURNS OUT, YOU CAN. Almost every one of us have wished for the power to magically move fat from one area of our body to another. But there’s no need for a genie in a bottle, as Fat Grafting and Fat Transfer help us attain our wildest dreams.    Almost every woman on the planet has, at one time, wished for magic powers that allow her to move fat from unwanted, to desired, areas. No need for a genie in a bottle, as Fat Grafting and Fat Transfer easily attain your dreams.   The three-step process begins with liposuction—a safe and effective way to remove localized fat deposits (commonly taken from the stomach, hips and thighs, or buttocks) and those stubborn pockets of fat that just won’t seem to disappear, no matter your diet or excise routine. Next, the fat is processed and decanted to remove impurities and damaged cells before it is re-packaged. Finally, it’s injected into areas like the face, breast, hands, or butt to achieve desired results. Because the body reabsorbs a significant percentage of the grafted fat cells, the initial results may feel a bit overly bootylicious. Typically an outpatient treatment, those who opt for fat transfer can head home the very same day, but are encouraged to take a week off work, as liposuction generally calls for a week’s recovery.   This process has been used for decades to fill in aging faces’ frown lines, drooping 46

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eyebrows, crow’s feet, and deep, or overall wrinkles. The minimally invasive procedure requires no facial incisions, and can even improve skin radiance, texture, and tone through a stem-cell response initiated by the injected fat. LipoStructure—a grafting technique used by San Joaquin surgeons—focuses on cosmetic enhancement of the face, hands, and even lips.   Fat grafting is quickly replacing synthetic implants used for breast augmentation or reconstruction (in recent years, it’s become an excellent option for breast reconstruction following a mastectomy) and Brazilian butt lifts—as it boasts a more natural look, shape and feel, and removes the risk of implant rejection.   And as the big-booty trend continues, this procedure has emerged as the natural alternative to artificial implants—it looks and feels natural because it is. Skilled surgeons place your harvested fat under the skin, muscle and in areas in between to mimic how your body naturally distributes fat. As with any buttock procedure, you will be asked to avoid prolonged sitting for a couple weeks, and sleep face down or on your side to ensure no damage of fat.   If you’re looking to naturally contour your face and body, fill defects, or correct issues from previous liposuction or facelift surgeries—fat grafting could be your fix. Meet with one of the area’s top surgeons to identify your needs and attain the results and look you crave.

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healthy hospitals

SAN JOAQUIN GENERAL

SAN JOAQUIN

GENERAL

Spread its

WINGS

Illustration shows where the new hospital wing will be adjoined, from the South, to the existing main hospital structure.

San Joaquin General Hospital—a leading General Acute Care facility providing a full range of inpatient services including General Medical/Surgical Care, High-Risk Obstetrics and Neonatal Intensive Care, and Pediatrics— broke ground March 10th on its new 34,000 square foot acute care wing. The new two story acute care building will be constructed to the South and connect directly to the main Hospital.   The new hospital wing’s first floor will feature a fully modernized 23 bed Neonatal intensive care unit. The second floor will contain 20 upgraded medical/surgical beds and will accommodate patients in modern private rooms. The new facility will enhance the Hospital’s ability to meet infection control standards and offer a higher level of patient privacy. The new addition will also feature upgraded security, a new nurse call system with state-of-the-art communication technology.   The project is officially titled: Phase 2

Acute Care Patient Wing expansion. The Office of Statewide Health Planning and Development (OSHPD) approved the initial Phase 2 expansion architectural plans on February 9, 2016. The Sacramento firm of Otto Construction has been awarded the contract to construct the building, along with the firms of AECOM managing the construction phases with Hammel Green and Abrahamson, project architects providing construction administration and planning. A completion date for the entire project is set for July of 2018. The entire project has been budgeted for $34,698,000 and has been approved by the San Joaquin Board of Supervisors.    The new wing will function as a modern replacement for some of the Hospital’s services, which are still being provided in the original brick “tower building” constructed in 1934. The historic tower will remain onsite for some administration, record storage and other duties as determined in the future. The new acute care wing will function as another positive step for the Hospital to

advance from a level III trauma center to a level II trauma center in the foreseeable future.   In addition to the 196-bed Hospital, the medical campus includes multiple facilities dedicated to comprehensive Outpatient Services including Primary Care, specialty clinics and a Primary Care Walk-In Clinic all operated under San Joaquin County Clinics. The Hospital and Clinic’s Ambulatory Care Network, including 11 provider sites throughout San Joaquin County, provides over 200,000 outpatient clinic visits a year. San Joaquin General Hospital and Clinics have a fully staffed, centrally located clinic at 1414 North California Street in Stockton offering convenient access to Primary, Maternity and Specialty Care services. San Joaquin General’s healthcare efforts are supported by a staff of over 1,400 local medical professionals. Visit SJGeneral.org for more information

From Left: Mason Mattos, HGA Architects, Deborah Kolhede, COO SJGH, Monica Nino, San Joaquin County Administrator, Tom Patti, County Supervisor District 3, County Supervisor Bob Elliott, District 5, David Culberson, CEO SJGH, Chuck Winn, County Supervisor District 4, Miguel Villapudua, County Supervisor District 1, Carl Barrett, Otto Construction, Ron Sorenson, HGA Architects 48

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3555 Deer Park Drive, Suite 160 Stockton • 209.546.6100 641 Fulton Ave, Suite 200 Sacramento • 916.414.8282 Nick Salvetti, CFP®, CRPC® Credentialed. Customized. Committed.

Published by San Joaquin Magazine

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health guide

FITNESS

 BY NORA HESTON TARTE

DISCOVERING theCORE CURE

HOW PILATES CAN REDUCE PAIN AND CREATE BALANCE. Do frequent aches and pains often derail your weekend plans? Have you started to blame your mattress for poor sleep and achy shoulders? There could be a cure

that won’t cost a pretty penny, and it’s simple enough that anyone can do it (note: we didn’t say easy).    Pilates was designed to strengthen your core, which consists of the deep abdominal wall and muscles in the pelvic floor, spine, and diaphragm. A weak core is often responsible for those aches and pains felt in your back, neck, and shoulders. And it doesn’t mean your back is weak; in fact, it’s quite the opposite. An overly strong back that compensates for a weak core is one of the most common causes of back pain.    To strengthen your stabilizer muscles— made up of traverse abdominals, erector spinae, obliques, and lower lats (think every muscle between your buttocks and shoulders)—it is necessary to engage in exercises designed to strengthen the core. This goes beyond the sit-ups used to build abdominal muscles.   Because pilates consists of low-impact flexibility, muscular strength, and endurance movements, anyone can do it. The exercises aren’t hard on the body (including joints) the way high-impact training is. Instead of focusing on brute strength and weight loss, pilates emphasizes proper postural alignment, core strength, and muscle balance.    Joseph Pilates, who developed the exercise in the 1920s, said it best. He likened the core to the trunk of a tree. A strong trunk allows the limbs to flow freely in the wind. A body with a strong core is able to move freely because it relies on the core for basic strength.    Pilates is similar to yoga except for one key difference; the art of pilates hinges on putting the body in unstable positions and using limb movements to create challenge. 50

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Benefits of Pilates

In addition to helping eliminate the daily aches and pains you’ve become accustomed to, pilates has other benefits, including increased flexibility; increased muscle strength and tone; balanced muscular strength; enhanced muscle control; better posture; relaxation of your neck, back, and shoulders; increased circulation; improved concentration; stress management; and more.    While weight loss is not a typical goal of pilates, it is often an added perk. Those who practice pilates regularly report inches lost.    Pilates has been hailed as a great exercise for those over age 50. That is in large part because, as mentioned, it is low impact and does not put strain on muscles and joints. Those who do pilates are also using their own body weight to build strength.    Balance is an important part of the equation. As we age, falls become more common. In fact, according to LearnNotToFall.com, one-third of seniors over the age of 65 fall each year. It happens because balance is lost with age. Since pilates increases balance, it combats frequent falls and can therefore prevent injury. Pilates also strengthens the body, so if you do fall, serious injury is less likely to be sustained.   While pilates offers a whole body workout, it is, however, always recommended to adopt a cardiovascular activity, as well. With pilates, studies have shown that heart rates don’t reach optimal


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health guide

FITNESS

numbers for cardiovascular benefit. Advanced pilates offers more, but in general, pilates should be one part of an exercise regimen.

Mind-Body Connection

Like yoga, pilates has a strong mindbody connection, and the mental balance achieved matches the physical balance found. Exercises are coupled with breathing techniques for ultimate relaxation during practice, and pilates puts emphasis on the practicer’s connection to their own body. Instead of mindlessly crunching your abs, pilates requires those who practice it to be present. Every exercise requires Pilates’ six key principles: centering, concentration, control, precision, breath, and flow. Focusing on these principles ensures you are not shutting off your brain while you exercise.    This in turn strengthens the connection between the mind and body. The mind is aware of every move the body is making. It allows pilates to stimulate the mind while developing the core and achieving balance between control and fluidity.    Engaging your mind and body simultaneously can increase feelings of control and concentration. Instead of feeling drained after a workout, you may instead feel refreshed and ready to take on a new task.   During a run, your mind may wander to the overwhelming length of your to-do list or the fight you recently had with your sister. With pilates, because your mind is required to participate, you will be mentally engaged, ceasing those wandering thoughts. Then, once your practice is finished, you may have a fresh outlook on what plagues you.

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Take a Class:

When it comes to pilates, the emphasis is on technique, so attending a pilates class may offer more benefit than going it on your own—at least at first. That’s because an exercise may look correct without being optimized. An instructor will be able to offer corrections and show practicers how to move their bodies to max out the position’s benefits. The movements and postures in pilates are precise in a way other exercises are not.


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www.SalidaSurgeryCenter.com Published by San Joaquin Magazine

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health guide

FITNESS

PILATE for beginners PRINCIPLES  BY LINDSEY RODRIAN

Get it right and get it tight! Pilates works your core (or as they say in the practice, your powerhouse) like no other, can relieve back pain, puts minimal strain on your body, and some even say it seriously improves sex life. Take a moment

to familiarize yourself with Pilates’ main principles—to get the most out of your experience—before you swan dive into your first class. Concentration Focus on your body and the movements you’re making. Pilates is not a race to the end, it’s instead a slow, powerful dance. Strengthen your mindbody awareness with slow and precise practice. You’ll get so much more out of your workout if you keep your body in check to ensure good form and posture. This constant connection goes beyond physical benefits, as your concentration quiets your mind from any distraction, entering a meditative state!

Centering Let’s get back to that powerhouse I mentioned earlier (your core). As you move throughout each exercise, be sure to keep your core in check. If your powerhouse is tight, all of your body’s muscles will function and develop more efficiently.

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Control These may seem slightly repetitive, but really they’re intertwined. Instead of high intensity or repetition, Pilates calls for precision to gain maximum benefits. So get that level of concentration—and centering of your powerhouse—under control.

Breathing Take deep exhalations as each exercise is performed. Pilates’ practicers believe this helps to activate your muscles, while also keeping you concentrated and controlled.

Precision As with any muscle-memory fueled routine, you won’t walk into class nailing every pose with effortless form and grace. You may not even be able to keep up with the pace. But that’s okay! Instead of rushing to stay with the group, take time to understand each movement and ensure that your body is in the right spot. Proper form is key, and focusing on form from the get go will ensure that once your muscles hold that memory, it’ll be the correct one.

Flow I know that I literally just told you not to expect grace and form right off the bat, but that is in fact your end goal. As you move from each exercise, try to hone in on your inner ballerina and smoothly transition—of course, only once you’re sure you’ve nailed the proper position.


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healthy hospitals

ADVENTIST HEALTH LODI MEMORIAL

A NEW Lodi Memorial Lodi Memorial is celebrating its 65th anniversary and undergoing a complete rebrand. In addition to the recent name change to Adventist Health Lodi Memorial, the hospital has launched a new mission, vision and set of core values. Learn more: LodiHealth.org

Leaders in Neurology Lodi Memorial staffs three neurologists who see patients both in their medical practice and at the hospital, treating everything from migraines to more complex neurological conditions. “In addition to our three neurologists, we utilize telehealth technology to connect us directly to the UC Davis Neurology Department, which is a beneficial resource for our patients and local neurology team,” Erin says.

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ADVENTIST HEALTH LODI MEMORIAL

EMPHASIZES

PEDIATRIC

CARE  BY LINDSEY RODRIAN

At Adventist Health Lodi Memorial, staff is focused on creating the best experiences for their guests. From short wait times to kid-friendly emergency rooms, the hospital is constantly making improvements to its facility and services on Fairmont Avenue.   Most recently that includes emergency room makeovers, shorter wait times, and additions to the neurology department. While these additions benefit anyone who visits Lodi Memorial, the hospital has placed emphasis on creating an atmosphere tailored to treat its youngest patients.    “We do have a very high ER pediatric census for a hospital our size,” Erin Gonsalves, a registered nurse in the ER at Lodi Memorial, says.    Introducing Pediatric Express. The new program aims to get kids in and out of the emergency room as quickly as possible, without compromising care.

“Our goal is to have an ER provider evaluate pediatric patients eight years old or younger within 30 minutes,” Erin shares. In the month of January, Lodi Memorial got patients from the front door to triage in 17 minutes, and into the doctor in 28.   Staff says they are dedicated to short wait times, as it is one of the best ways to reduce fear and anxiety for patients—young and old. The less time spent in the ER, usually the better.   Lodi Memorial staff takes special steps to calm the fears of nervous kids. The hospital has taken to decorating its emergency department waiting room and two pediatric treatment rooms dubbed rapid exam areas with jungle themes, using plans and murals donated by Leadership Lodi—a partnership Lodi Memorial will continue as they add gaming consoles, interactive flooring, charging stations, and a science display from the WOW museum. They also hand out pillow pets for extra comfort, give goodie bags to every pediatric patient and their siblings, and provide portable DVD players to distract from the sometimesoverwhelming hospital atmosphere.   Educating parents is also an important part of the hospital’s service to children and their families. Lodi Memorial recently became the first and only hospital in California designated as a Gold Champion National Safe Sleep Hospital through the Cribs for Kids® National Infant Safe Sleep Initiative. This ensures Lodi Memorial staff educates new parents about safe sleep practices, thus reducing rates of premature infant deaths.

Visit Lodi Memorial: Lodi Memorial Hospital 975 S. Fairmont Ave., Lodi (209) 334-3411 LodiHealth.org


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2017 SJ HEALTH AND MEDICAL GUIDE oneappointment.com

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 BY ROCHELLE MARAPAO

health guide

SENIOR HEALTH

10WAYS to PREVENT or DELAY

ALZHEIMER’S ALZHEIMER’S IS THE SIXTH LEADING CAUSE OF DEATH IN THE U.S. AND MORE THAN 5 MILLION AMERICANS ARE LIVING WITH IT.

While research is not yet conclusive, certain lifestyle choices, such as exercise and diet, may help support brain health and prevent Alzheimer’s. Here are 10 tips to help prevent or delay the onset of Alzheimer’s:

Exercise

Exercise helps prevent the development of Alzheimer’s or slows progression in people who have symptoms. Thirty minute workouts, 3-4 days a week, increase blood flow to the brain and gets the heart pumping.

The Mediterranean Diet

This diet includes fresh vegetables, fruits, whole grains, olive oil, nuts, legumes, fish, and moderate amounts of poultry, eggs, dairy, red wine, and red meat. It’s been shown to slow the progression of Alzheimer’s.

Get Enough Sleep

Quality sleep enhances connections between brain cells, preserving important functions such as memory. Aim for 7-8 hours per night.

Keep an Active Mind

Mental exercises help brain cells establish important connections vital to memory. Reading, writing letters, or learning a new language gives your mind a healthy workout.

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Connect Socially

In a recent study of seniors 75 and up, those who engaged in more physical/mental activity and remained socially engaged had a lower incidence of dementia. Parttime jobs and volunteering are great ways to bond.

Control High Blood Pressure, Cholesterol, and Diabetes

Intake of saturated fats and LDL (the harmful type of cholesterol) can clog arteries and deprive the brain of needed oxygen. Opt for healthy cooking oils and try baking or grilling instead of frying.

Maintain a Healthy Weight

Avoid Head Injuries

Quit Smoking and Drinking

Supplements

There’s a strong link between body weight and memory loss. Studies of middle-aged adults revealed that obese subjects were twice as likely to develop dementia symptoms later in life.

Smoking and heavy drinking are two of the most preventable risk factors for Alzheimer’s. Smoking increases odds for those over 65 by nearly 79%, but the combination of these two behaviors reduces the age of Alzheimer’s onset by 6-7 years.

Severe brain injuries have been linked to the onset of Alzheimer’s later in life, so protect yourself. Use a seatbelt in the car and wear protective headgear when bicycling.

Folic acid, vitamins B12, D, E, and magnesium preserve and improve brain health and may lower risk for developing dementia. Halibut, salmon, mackerel, and tuna are rich in Omega 3 fatty acids and help protect brain cells from the aging process.


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healthy hospitals

DAMERON HOSPITAL

TAKE Rapid Strides in

KNEE REPLACEMENT SURGERY WITH DAMERON HOSPITAL  BY LINDSEY RODRIAN

Dameron Hospital recently launched its Rapid Strides Accelerated Recovery© Knee Replacement Program to help people affected by painful knee arthritis and get them back on their feet faster. It was a natural progression for the hospital’s orthopedic services program, which received a national Five-Star rating from Healthgrades® in 2016 for back surgery and in 2017 for total knee replacement. As President and Chief Executive Officer Lorraine Auerbach, explains, “Dameron strives to bring the most advanced medical care and specialty programs to the people of San Joaquin because they deserve access to world-class care without having to leave our community.”    The Rapid Strides program uses state-of-the-art, minimally invasive surgical techniques combined with computer-assisted navigation to ensure a safe and accelerated recovery after knee replacement surgery. The program achieves excellent results in terms of pain relief, mobility, and restoring quality of life. As Dr. Kevin Mikaelian, Orthopedic Surgeon and Rapid Strides Medical Director, explains, Rapid Strides differs from traditional knee replacement surgery in a host of ways. “The program is designed to include little to no intravenous narcotics,” he shares. “This results in fewer post-operative complications and decreases hospital stay.” In addition, the surgical incision is approximately half the standard length, and does not violate the quadriceps tendon, which Dr. Mikaelian notes is key. “It allows the mechanism of the knee to be maintained, so patients regain strength and recover much quicker.”   The streamlined recovery time is immediately evident, as patients that participate in this program are taking their first steps a few hours after surgery and go home the next day, while standard knee replacement surgeries generally require three days of hospitalization. From there, patients are typically walking with a cane in two to three weeks, as opposed to five or six, and returning to normal activity in nearly half the time (six weeks verses the standard twelve). “The desire to resume normal daily activity is what compels most people to go through with a knee replacement,” Auerbach shares. ”Most individuals facing a knee replacement have led active daily lives. This program lets people get their lives back as soon as possible.”   Also at the core of the program is the patient education and preparation that begins prior to surgery. “We want to ensure you know what to expect and why we are using this exciting new approach,” Auerbach notes. Dr. Mikaelian adds, “The comprehensive patient education aspect has been shown to not only help prepare the patient, but also improves their overall outcomes.” From informative seminars to pre-operative classes and physical therapy practice, the program covers all the bases to ensure an excellent patient care experience. For More Information: DameronKneeReplacement.com (209) 944-5550

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RAPID

STRIDES. RECOVERY.

EXCELLENCE IN KNEE REPLACEMENT Choose Rapid Strides Accelerated Recovery© Knee Replacement Program and get back to active living, faster. Dameron Hospital’s program provides: • An all-encompassing, minimally invasive surgical approach that results in less pain than traditional knee replacement surgery • Multiple anesthetic techniques to significantly decrease joint pain and swelling • State-of-the-art technology and innovative surgical techniques to ensure a fast and lasting recovery • Accelerated recovery time. Take your first steps almost immediately after surgery. Visit DameronKneeReplacement.com.

LIFE

525 West Acacia Street Stockton, CA 95203 209-944-5550

Get Back To It

DameronHospital.org Published by San Joaquin Magazine

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health guide

RETIREMENT

IT’S NEVER TOO EARLY TO START SAVING FOR RETIREMENT. IN FACT, YOU SHOULD REALLY START PUTTING MONEY AWAY WHEN YOU EARN YOUR FIRST PAYCHECK. FOR TOO MANY, THIS ISN’T THE CASE.  BY NORA HESTON TARTE

SAVING

forRETIREMENT “Retirement means different things to everyone, so you need to put a plan of attack together to hit your personal retirement goals,” –AJ Salvetti, CFP®, CRPC®, The Salvetti Group

It’s never too early to start saving for retirement. In fact, you should really start putting money away when you earn your first paycheck. For too many, this isn’t the case.   A series of surveys have suggested that Americans aren’t being diligent about their retirement plans, or aren’t saving for retirement at all. If the goal is to maintain the same standard of living post-retirement, you’ll likely need 70 percent of your income, or more. Americans, however, aren’t coming close.   Results from a GoBankingRates survey published in 2016 found that one in three Americans had $0 saved toward retirement. That’s right, not one cent. Another survey, conducted by Experian and GetRichSlowly.org, found that 71 percent of Americans were behind on saving for retirement. So how can you avoid being a statistic? Follow these steps to a healthier financial future. Start Now. There’s no time like the present. The sooner you

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start saving for retirement, the more time there is to grow funds and to earn the money you will live off of later.

Take Advantage of company 401ks and other stock or savings options. If your company matches your retirement investment, you’ll be able to reach your goal faster. Some companies also offer stock options where you can purchase at a reduced rate. Consider it another creative way to save toward retirement. See a financial advisor who can help you invest. These professionals use questionnaires to evaluate risk tolerance as well as gather data to determine financial need. Using this formula, they make professional recommendations on where to invest your money. Do your own research. A website such as ChooseToSave.org/ Ballpark can help determine how much money you need to save, taking into consideration current income, lifestyle, and inflation.

Don’t dip into your retirement funds unless absolutely necessary. If an unexpected expense comes up, try other means to settle the debt before reaching for the money in your retirement account. If you drain it to cover costs often, you may not be living within your means. Find Money by reducing bills and monthly expenses where you can and then investing that money into your retirement account. Can you ditch cable? You could be putting an extra $150 per month into savings. Set specific goals and stick to them. If your savings plan is wishy-washy, it’ll be easier to skip payments. Set up automatic payment and make retirement deposits part of your monthly budget. FOR MORE INFORMATION:

THE SALVETTI GROUP WEALTH ADVISORS

3555 Deer Park Dr., Ste. 160, Stockton (209) 546-6100, TheSalvettiGroup.com


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HEALTH

Professional PROFILES

ARBOR REHABILITATION & NURSING CENTER WAGNER HEIGHTS NURSING & REHABILITATION CENTER The heart of Covenant Care lies in maximizing healthcare quality and value for our patients and their families as well as our healthcare partners. Our commitment is to provide quality, coordinated care for our patients in the most appropriate setting by providing diversified post-acute care options in the communities we serve. We have developed effective partnerships with healthcare networks, managed care organizations, and other healthcare providers that position us to meet patient needs, reduce cost and improve clinical outcomes.   Arbor Rehabilitation & Nursing Center and Wagner Heights Nursing & Rehabilitation Center offer short term inpatient and outpatient rehabilitative services including physical, occupational, and speech therapy.    We are family serving families, and we achieve quality outcomes in all aspects of our organization through operational excellence, attracting and retaining top talent, and being socially responsible to the communities we serve. Arbor Rehabilitation & Nursing Center 900 N. Church Street, Lodi (209) 642-5359

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Wagner Heights Nursing & Rehabilitation Center 9289 Branstetter Pl., Stockton (209) 642-5359


HEALTH

Professional PROFILES

COMMUNITY HOSPICE For 38 years, Community Hospice, the oldest and largest nonprofit hospice provider in the Central Valley, has provided compassionate and quality care, education and support to terminally ill patients and their families, regardless of ability to pay. Community Hospice believes no one should face their journey alone. Our goal is to optimize hope and quality of life assisting patients and families with physical, emotional and spiritual needs. Support is provided wherever one may call home. This includes our 16-bed Alexander Cohen Hospice House, the only hospice inpatient facility serving San Joaquin and Stanislaus counties. Our programs offered go beyond hospice. We provide grief support and crisis response team free of charge to anyone in the community that has experienced a loss. Our grief specialists are available to provide education, support and resources. Community Hospice also provides specialized grief support for children through our school based program and hosts Camp Erin® of the Central Valley, a free residential bereavement camp for children and teens ages 6-17 who are grieving the death of someone close to them. To learn about volunteer opportunities, our expert speaker’s bureau, or more information about Community Hospice’s services and programs visit hospiceheart.org or call 209.578.6300. Community Hospice, (209) 578-6300, HospiceHeart.org

RIO LAS PALMAS RIO LAS PALMAS – a great place to settle down and enjoy the “golden years!” That’s what they call RIO LAS PALMAS by Five Star, a retirement community where senior citizens are treated with all the respect and dignity they’ve earned. It’s one of the best ways to really enjoy retirement and modern living!   Located at 877 E. March Lane in Stockton, phone 209-957-4711, and online at FiveStarSeniorLiving.com/Communities/CA/ Stockton/Rio-Las-Palmas; this well-known facility features spacious private apartments with complete cleaning services.    They have an excellent dietary staff preparing three meals a day including your choice of entrees. All of this, as well as utilities and cable, is included in your monthly rent. All assisted living apartments are rented on a month to month basis – no buy in. Independent living quarters are rented with a 1 year lease. RIO LAS PALMAS BY FIVE STAR was designed especially for the “active retired person.” They offer

Published by San Joaquin Magazine

scheduled field trips and activities and many other conveniences that are a great way to get the most out of your GOLDEN YEARS! Rio Las Palmas 877 E. March Ln., Stockton (209) 957-4711, FiveStarSeniorLiving.com

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HEALTH

Professional PROFILES

VITAS HEALTHCARE VITAS Healthcare, a pioneer and leader in the hospice movement since 1978, has made it a priority to ensure that terminally ill patients and their families have immediate access to compassionate and high quality hospice care. Hospice is an end-of-life care option that focuses on the patient, not the disease, by delivering medical care and other services to terminally-ill patients where ever they call home.   As the nation’s leading provider of end-oflife care, VITAS’ trained experts understand the importance of tending to patient’s medical, emotional, social and spiritual needs during their final six months of life and are equipped to care for patients with complex symptoms. For more information about VITAS Healthcare—a Medicare-approved hospice provider—visit www. VITAS.com or call (866) 41-VITAS.

16956 S. Harlan Rd., Lathrop (209) 858-2409, VITAS.com

O’CONNOR WOODS O’Connor Woods offers a variety of quality lifestyle choices, including Residential Living, Assisted Living, Memory Care, Health and Rehabilitation, and A Day Away, our social engagement day program, which is available to residents and non-residents. Residents receive priority access into our different levels of living, which provide peace of mind should any unforeseen health needs arise. Our residents enjoy a unique lifestyle on 34 acres filled with century-old oak trees and beautiful gardens, knowing that maintenance and yard upkeep are no longer their concern. Residents may also remain as active and productive as they desire by attending fitness classes in our fully equipped Fitness Club and indoor pool, enjoying

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the putting green, dabbling in arts and crafts, gardening, playing bridge, or expanding their worldview through the Osher Lifelong Learning Institute, in partnership with the University of the Pacific. Additionally, we also have the Greenhouse, Dog Park, Chapel, Wellness Clinic, Bocce Ball Court and Bistro. Please accept our invitation for a personal tour and lunch or for more information by calling (209) 956-3400.

(209) 956-3400, OconnorWoods.org 3400 Wagner Heights Rd., Stockton


When someone you love isn’t getting better, turn to VITAS in San Joaquin. Working with your doctor, we can visit your loved one, complete an evaluation, discuss your goals of care and arrange for hospice services that help the whole family. Don’t know what next steps to take or where to turn?

Turn to VITAS.

800.723.3233 • VITAS.com 16956 S. Harlan Dr. Lathrop, CA 95330


San Joaquin County Aging and Community Services

Information & Assistance

Aging & Adult Services • Adult Protective Services

(Physical, Financial, or emotional abuse to seniors and dependent adults)

209-468-3780 • Ombudsman; Advocacy Care or Skilled Nursing Facilities 209-468-3785 • In-Home Supportive Services • Caregiver support and assistance

Community Services

• Meals on Wheels for homebound seniors • Senior congregate meals • Senior legal services • Volunteer opportunities for seniors and retired persons • Medication management • Senior safety programs

RESOURCES FOR SENIORS AND GRANDPARENTS We can help you help your loved ones.

• Utility bill payments from the Home Energy Assistance Program • Energy-effecient home or apartment modifications • Resume building and job search assistance for seniors and other individuals • Emergency food through the Commodity Program

(209) 468 -1104 or (800) 510 - 2020 www.sjchsa.org

SOMERFORD PLACE ALZHEIMER’S ASSISTED LIVING OFFERING THE KIND OF CARE THAT BRINGS PEACE OF MIND Somerford Place, a longstanding and respected member of the community, has worked hard to offer an uncompromising standard in Alzheimer’s and Memory Care services. W E O F F ER: • An award-winning Alzheimer’s and memory care program, Bridge to Rediscovery™ • On-site licensed nursing staff 7 days a week • Assistance with personal care and medication management • Full service beauty salon • Bi-Monthly Support Group offered to the public

• Physical, occupational and speech therapy services available • Overnight respite care up to 30 days • Adult day care program 7 days a week • Friendly, caring, compassionate staff • Hospice care available 3530 Deer Park Drive • Stockton, CA 95219

209-951-6500

www.SomerfordPlaceStockton.com RCFE #397001229 • Adult Day Care # 397001230 ©2017 Five Star Senior Living

Pet Friendly

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WE’RE THE SENIOR LIVING

CO M M U N I T Y T H AT G R OW S WI T H YOU. IN A FRIENDLY COMMUNITY, WITH CONFIDENCE IN THE FUTURE, YOU CAN THRIVE. Take a closer look at our 34-acre

tree-lined campus that gives you room to branch out and explore. With fewer worries and more fun – this is where your liberating retirement lifestyle takes root.

Discover the benefits of Stockton’s only continuing care retirement community. Call 209-956-3400 today. INDEPENDENT LIVING • ASSISTED LIVING • MEMORY SUPPORT S K I L L E D N U R S I N G • S H O R T-T E R M R E H A B I L I TAT I O N

OCONNORWOODS.ORG

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Offering the latest & greatest in

hearing aid technology by experienced audiologists.

Did you

hear that?

S.E.N.T. Hearing Aid Center has been helping Sacramento area residents hear better for over 25 years and is now in Stockton to serve the hearing needs of residents from the Greater San Joaquin County. Call us to find out why so many people have come to rely on S.E.N.T. Hearing Aid Center for all of their hearing healthcare needs. Ready for new technology? Take 45 days to try the hearing aid. In the event you return the device, you will be refunded the full amount!

We can help you hear better.

LOCATIONS

Call 209.851.3005 for a FREE consultation

FAIR OAKS

FOLSOM

ROSEVILLE

1111 Exposition Blvd., Bldg. 700 Sacramento, CA 95815

6600 Mercy Ct., Ste. 180 Fair Oaks, CA 95628

1561 Creekside Dr., Ste. 180 Folsom, CA 95630

2 Medical Plaza Dr., Ste. 225 Roseville, CA 95661

10200 Trinity Pkwy., Ste. 201 Stockton, CA 95219

916.736.1911

916.984.8835

916.984.8835

916.736.6625

209.851.3005

Your community’s nonprofit hospice, providing compassionate and quality care, education and support to terminally ill patients and their families, regardless of ability to pay since 1979.

4368 Spyres Way Modesto, CA 95356 209.578.6300 70

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The Community Hospice Difference Comprehensive support and care for patients and families 24/7 Admissions 7 days a week Alexander Cohen Hospice House, the only hospice inpatient facility serving San Joaquin and Stanislaus counties, 16 beds

2431 W. March Lane, Suite 100 Stockton, CA 95207 209.477.6300

hospiceheart.org CA100000783 | CA100000613

CommunityHospiceCV Chi_CommunityHospice HospiceHeart Community Hospice


- Special Advertising Section -

HEALTH & MEDICAL

PROFILES THE AREA’S FINEST

HEALTHCARE PROFESSIONALS

San Joaquin County is home to many top medical professionals. These select men and women strive to bring us the best, most innovative and effective care, keeping abreast of the latest research and cutting-edge technology. They strive for this excellence to provide quality service to everyone from infants to aging adults. Their passion stems beyond work, as they support and maintain our greatest asset: our health.

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HEALTH

Professional PROFILES

KIMBERLY COCKERHAM, MD, FACS Reconstruction – Restoration – Enhancement

Kimberly Cockerham, MD, is a decorated Veteran and board-certified ophthalmologist with fellowship training in facial aesthetics, lasers, and reconstructive surgery. “My goal is to partner with you to help you achieve your goals within your time frame and budget. My staff and I are committed to making you feel welcome, informed and pampered,” Dr. Cockerham shares.   As an Educator, Researcher, Writer, Clinician, and Surgeon she has two decades of experience caring for men and women; including serving as the Director of Oculofacial Plastics at Walter Reed Army Medical Center & UCSF Medical Center.   Dr. KC is an elected Member to the prestigious American Society of Oculofacial Plastics Surgery and Reconstruction (ASOPRS) & American Academy of Cosmetic Surgery, and serves as an Adjunct Clinical Associate Professor at Stanford University. Her clinical interests include: eyelid and facial reconstruction for aging changes, scarring, nerve dysfunction and cancers; cosmetic Botox, fillers, lasers and surgery; thyroid eye disease, menopausal eyelid, facial and hair changes, and treatment for dry eyes and tearing.   “I look forward to meeting you; let’s refresh your look and how you feel.”   Are you under-insured with facial disfigurement or dysfunction? Let’s Face it Together Foundation can help rebuild your life; face first. Visit LFITfoundation.org.

(209) 952-3705, CockerhamMD.com, CVEMG.com

ETHAN TITTLER, MD Ethan Tittler, MD, is a Stanford fellowship-trained oculoplastic and orbital surgeon, and the newest addition to the Central Valley Eye Medical Group. In addition to his exceptional training, his continued focus on the most premier techniques in oculofacial rejuvenation and reconstruction give him the expertise to provide the best care possible for all his patients. He has a general surgical philosophy of “less is more,” and is committed to working with his patients to create treatment plans that will achieve their goals, while minimizing recovery and downtime.   Dr. Tittler brings a diversity of experience to his practice. He is originally from New York, but spent most of his formative years in New Zealand. He returned to the U.S. to earn his bachelor’s degree from Pomona College and medical degree from the University of Southern California. He completed his internship at the University of Utah and then his specialty training in ophthalmology at the University of Maryland. Dr. Tittler then pursued further subspecialty training in oculoplastic and orbital surgery at Stanford University, where his work focused on cosmetic and functional problems of the eye. He has authored multiple publications and is a member of the American Academy of Ophthalmology.

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200 Cottage Ave., Ste. 102, Manteca 36 W. Yokuts Ave., Ste. 1, Stockton, (209) 952-3700, CVEMG.com


HEALTH

Professional PROFILES

TODD A. FRANKLIN, DDS

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Cosmetic & Comprehensive | Dentistry for your entire family

“Discover Extraordinary Among The Ordinary” Dr. Franklin and his talented team are ready to show you why your next dental visit will exceed your expectations. “We understand the importance of a healthy, attractive smile and have dedicated ourselves to help make that a reality for every one of our patients. We want our patients to feel and look confident and youthful.” This dedication has rewarded them with the “Best of Lodi” and “Best of San Joaquin” for the past 9 years. Dr. Franklin is the premier cosmetic & reconstructive dentist in the Central Valley. He has his Mastership in Aesthetic Dentistry from the world renowned Aesthetic Advantage at NYU in New York City. He is the Founder & Program Director for the Pacific Aesthetic Continuum in San Francisco, Orange County, Chicago and New York City. He is the past Program Director & Senior Instructor for the California Center for Advanced Dental Studies in San Francisco. For the Pacific Aesthetic Continuum he trains other dentists nationally and internationally on cosmetics and comprehensive care. As the founder of the San Joaquin & Sacramento Pacific Aesthetic Club he mentors dentists all throughout the Central Valley. He has been practicing in Lodi for over 20 years and just recently opened a new location in Stockton under the Hope Dental brand. Whether you need preventive care or a complete comprehensive consultation, Dr. Franklin and his team have the skill and care you need for your entire family. TODD A. FRANKLIN, DDS: 1208 HOPE DENTAL:

West Tokay St., Lodi, (209) 334-4370, ToddFranklinDds.com 6529 Inglewood Ave. B-2, Stockton, (209) 957-5885

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HEALTH

Professional PROFILES

VITUNE VONGTAMA, MD DAN VONGTAMA, MD Radiation Oncology

Dr. Dan Vongtama is a board certified radiation oncologist who came to St. Teresa from New York. He completed his residency at SUNY Downstate Radiation Oncology and did additional training at Beth Israel Medical Center and Memorial Sloan Kettering Cancer Center. Dr. Vongtama’s professional radiation oncology experience includes the utilization of brachytherapy for prostate, gynecologic, and breast cancers; Intensity-Modulated Radiation Therapy for head and neck, prostate, gastrointestinal, breast, and gynecologic cancers; Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery. Dr. Vongtama is a board member of San Joaquin Medical Society and a member of ASTRO and ACRO.    Dr. Vitune Vongtama is a board certified radiation oncologist by the American Board of Radiology, specializing in brachytherapy. He has treated more than 10,000 patients and performed more than 2,000 permanent prostate seed implantations. Dr. Vongtama is a diplomat of the American Board of Radiology and a member of the Sutter Tracy Community Hospital and Dameron Hospital. He is also a member of ASTRO and ACRO.

4722 Quail Lakes Dr., Ste. B, Stockton (209) 472-1848, StTeresasCancerCenter.com

CARESSA W. LOUIE, DDS Cosmetic & Family Dentistry

Dr. Caressa Louie has called Stockton home for over 20 years. She is an honor graduate of both the University Of Pacific and the University Of Pacific School Of Dentistry. She opened her private practice in 2002, with a professional goal to provide quality, state of the art general dentistry. Her excellent dental hygiene department possesses a strong emphasis on preventative care, and together the team provides each patient with a number of appropriate treatment options while truly listening to all patients’ concerns.   Dr. Louie has embraced the latest technological advances in various dental treatments. Her most wining quality, however, is her genuine concern for her patient’s well being. She wants only the best for her patients and has the experience and skill to provide that quality care. You will feel that concern for the patient the moment you enter the practice. Her office staff is experienced, warm, friendly, and very professional. Most of the staff have been with her since the beginning of her practice. The combination of traditional skills coupled with the latest dental technology make her office a perfect destination for your dental care.

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2389 W. March Ln., Ste. 1, Stockton, (209) 952-6721, DrLouieStocktonDentist.com


HEALTH

Professional PROFILES

RAMIN MANSHADI, MD, FACC

|

Manshadi Heart Institute, Inc.

Dr. Manshadi’s philosophy parallels the true art of medicine taught and practiced by the father of medicine, Hippocrates: “To treat patients with kindness and compassion” utilizing the latest in medical knowledge and technology. To schedule an appointment please call (209)944-5530 FELLOWSHIP TRAINING: UC Davis Medical Center, Sacramento, Calif. INTERNSHIP AND RESIDENCY: California Pacific Medical center in Affiliation with UCSF San Francisco, Calif. MEDICAL EDUCATION: Medical Doctor, UHS/ The Chicago Medical School, Master of Science in Physiology, UHS/The Chicago Medical School Bachelor of Science in Physiology, UC Davis. AWARDS: Future Leader Award, CA,

American College of Cardiology Young Physician Award, San Joaquin Medical Society, Americas Top Doctors, Castle Connoelly Top Doctors. CERTIFICATIONS: ABIM; Internal Medicine, ABIM; Cardiovascular Medicine, ABIM; Interventional Cardiology. PRESENT AND PAST POSITIONS: President Elect, American College of Cardiology, California Chapter, Team Cardiologist, Sacramento Republic professional Soccer Team Immediate past President, San Joaquin Medical Society, Associate Clinical Professor, UC Davis. EXPERTISE: Sport Cardiology, Interventional Cardiology, Trans Aortic Valve Replacements Lipids, Congestive Heart Failure, Venous Ablations for Varicose veins

STOCKTON: 2633 Pacific Ave., Stockton LODI: 999 S. Fairmont Ave., Lod

DrManshadi.com, (209) 944-5530

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HEALTH

Professional PROFILES

MITCHELL BLUM, MD | Fellow American Board of Facial Plastic and Reconstructive Surgery Fellow American Board of Otolaryngology Dr. Mitchell Blum, a double board certified surgeon in Otolaryngology (Ear, Nose, and Throat Surgery) and Facial Plastic Surgery, has proudly served San Joaquin residents since 2009. With over 30 years of experience, Dr. Blum has practiced in Washington, D.C., Pennsylvania, Sacramento, and even served in the Air Force as chief of the Ear Nose Throat department at Mather Air Force Base Hospital in Sacramento. And with deep roots planted in community service, Dr. Blum has been a Rotarian for 20 years, and now belongs to the Rotary Club of Tracy.    His philosophy is simple and EPIC (every patient interaction counts), and he prides him on his focused mission to listen to patient’s needs and expectations. For cosmetic patients, Dr. Blum offers facial rejuvenation procedures to match their hopes and dreams. For ENT patients, he fashions a treatment plan that is rationally based on the patient’s concerns and his medical findings. Blum Facial Surgery’s staff works as a unit to educate, support, and achieve the best possible results they can obtain, for you.

TRACY: 2160 W. Grant Line Rd., Ste. 250 SAN RAMON: 2301 Camino Ramon Ste. 215 MANTECA:1144 Norman Dr., Ste. 204

(866)598-4453, info@blumfacialsurgery.com, BlumFacialSurgery.com

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HEALTH

Professional PROFILES

THOMAS B. MCNEMAR, MD, FACS

|

Plastic & Reconstructive Surgery

Dr. McNemar was named amongst the “Best of the Bay” by KRON-4 television. A respected authority on plastic surgery, he is co-author of Breast Augmentation and Body Contouring. The book features various “Mommy Makeover” procedures such as breast augmentation, tummy tuck, and VASER liposuction. He has most recently published Bariatric Plastic Surgery: A Guide to Cosmetic Surgery After Weight Loss. A skilled cosmetic surgeon with a perfectionist’s streak and an eye for detail, Dr. McNemar offers a range of procedures to enhance each patient’s unique, natural beauty.

TRACY: 2160 W. Grant Line Rd., Ste. 250, (209) 834-0626 SAN RAMON: 2301 Camino Ramon Ste. 215, (925) 967-2804

McNemarCosmeticSurgery.com, BariatricPlasticSurgeon.com

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HEALTH

Professional PROFILES

ZEITER EYE MEDICAL GROUP, INC.

|

Vision Is Our Passion

For more than 50 years, the Zeiter family has been providing residents of San Joaquin County the gift of sight. The practice started with Henry Zeiter, who founded Zeiter Eye Medical Group and opened the first office in downtown Stockton in 1962. At that time, it consisted of one ophthalmologist practicing in downtown Stockton. During the past four decades, Zeiter Eye Medical Group has grown to include 7 ophthalmologists and 9 optometrists practicing in 7 Northern California locations, including Stockton, Lodi, Tracy, Manteca, and Sonora. Zeiter Eye also provides its patients the convenience of a state-of-the-art Ambulatory Surgical Center.    Among the seven ophthalmologists are physicians with special training in the fields of: glaucoma, retina, cornea, and ophthalmic plastic surgery. Some of the diverse services offered at Zeiter Eye include: state-of-the-art cataract/lens implant surgery, surgery and laser for glaucoma, diabetic laser treatment, macular degeneration management, laser vision correction-LASIK, and cosmetic and functional eyelid surgery. The practice offers a full range of contact lens services and a retail optical filled with the latest eyewear fashion offering the highest quality at a competitive price.    Zeiter Eye’s dedication to leading edge technology is surpassed only by its commitment to personal patient care. The ophthalmology practice was built on Dr. Henry Zeiter’s vision of always exceeding patients’ expectations by providing unprecedented medical and surgical eye care in addition to respect and consideration for each patient. Our team of eye care professionals pride themselves on carrying on Dr. Zeiter’s vision by offering all our patient’s quality care with state-of-the-art equipment in a comfortable, caring environment.

Multiple locations throughout San Joaquin County, (209) 466-5566, ZeiterEye.com

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HEALTH

Professional PROFILES

ANUREET SOHI-THADWAL, DDS

| General Dentist

Creating a community of healthy smiles is a top priority for Dr. Sohi and her Staff. Dr. Sohi attended U.C.Davis, receiving her Bachelor’s degree in Genetics, and received her Doctorate of Dental Surgery at University of California, San Francisco (UCSF) Dental School. Her passion for cosmetic dentistry has brought glowing smiles to many patients’ faces. She is Invisalign certified, providing patients with an alternative to conventional braces while achieving optimum and functional results. Her team offers compassionate dental care in a comfortable setting. They offer comprehensive dental care for the whole family. All About Smiles (Stockton) 5904 N. El Dorado St., Ste. C, Stockton (209)957-8907 Anureet Sohi-Thadwal & Associates (Modesto) 803 Coffee Rd., Ste. 3, Modesto (209)522-3725

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HEALTH

Professional PROFILES

LYNN ALLISON PARKER, DDS

General Dentist, Practice Restricted to Children

Dr. Lynn Parker has over 20 years of experience working with children of all ages and abilities. She and her team treat each child as an individual and they spend the time to get to know each child so they can best meet their needs.    As a mother of three, she brings real-life experience to her practice and is happy to teach parents the best way to achieve healthy smiles for their children.    Dr. Parker has loved her involvement with the community through “Give Kids a Smile” and CDA Cares in Stockton, as well as Stockton Civic Theatre, where she volunteers on stage and behind the scenes.    When families walk in the office, they notice a difference right away….happy kids are our #1 priority!

LYNN ALLISON PARKER, DDS 7488 Shoreline Dr., Suite B3, Stockton (209) 957-5116 ToothFairyDentalStockton.com

RAFAT S. RAZI, DMD, MPH

Pediatric Dentistry

Dr. Rafat Razi is a specialist in Pediatric Dentistry. She received her D.M.D., Doctor of Dental Medicine, from the Harvard School of Dental Medicine, and M.P.H. degree from the Harvard School of Public Health. Her specialty training in pediatric dentistry was completed at the University of Rochester’s Eastman Dental Center. Dr. Razi also served as a faculty member in the Department of Pediatric Dentistry at Columbia University in New York City. She has practiced in West Palm Beach, FL, Manteca, CA, and is now at the state-of-the-art office in Tracy. She has more than 15 years of experience in her specialty.    The office provides a warm, caring environment specialized for treating the dental needs of infants, children and adolescents. The facility offers the latest dental materials, digital radiology, nitrous oxide, and pediatric oral conscious sedation. The office has kids’ movies and play areas making patients’ first dental experience fun. Dr. Rafat Razi’s expertise, her friendly dental team, state-ofthe-art office, and its prime location provide an excellent place for children’s dental.

2160 W. Grant Line Rd., Ste. 130 Tracy, (209) 834-1307 RaziPediatricDentist.com

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HEALTH

Professional PROFILES

ROBERT J. SHAPIRO, DC, CCSP

| Shapiro Holistic Health & Chiropractic

 Dr. Robert Shapiro graduated from Logan University in 2000, with a Doctorate of Chiropractic. He moved to Stockton, California that same year, and started his practice in 2001. Being a past competitive athlete, he wanted to live and practice in a place that would allow him to work with an athletic population. In 2012, he attended Palmer College-West and became a Certified Chiropractic Sports Practitioner. Then, in 2014, he completed a one year intensive training program in Clinical Nutrition, and received his Applied Clinical Nutrition certification. Dr. Shapiro has spent the last six years studying and practicing Functional Medicine. His goal is to bring the very best of integrative medicine to Stockton’s residents.

2509 W. March Ln., Ste. 150, Stockton (209) 888-8602, AllHealthStockton.com

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HEALTH

Professional

HARPREET PARMAR, MD

PROFILES

Cardiology & Internal Medicine

AJAY RAMANAKUMAR, MD, MPH Interventional Cardiologist

I am committed to providing compassionate; evidence based cardiovascular care in a patient centered manner. I will work closely with my patients and their family and actively involve them in the decision making process. Ajay Ramanakumar has joined Stockton Cardiology Medical Group and is on the medical staff at St. Joseph’s Medical Center.

MEDICAL EDUCATION AND TRAINING

Fellowship Saint Vincent Hospital, University of Massachusetts, Worcester, MA Interventional Cardiology Fellow Cardiovascular M edicine Fellow

RESIDENCY

Abington Memorial Hospital, Abington, PA Chief Resident, Dept of Internal Medicine Categorical Resident, Dept of Internal Medicine

PROFESSIONAL MEMBERSHIPS American College of Cardiology Society for Cardiovascular Angiography and Interventions

CERTIFICATIONS

Board Certified in Cardiovascular Disease Board Certified in Internal Medicine Diplomate, Special Competence in Adult Echocardiography (ASCeXAM®) Diplomate, Certification Board of Nuclear Cardiology Registered Physician in Vascular Interpretation, ARDMS

SPECIAL CLINICAL INTERESTS

Preventive Cardiology, CAD, Heart Failure Venous Ablations for Varicose Veins

MEDICAL EDUCATION

M.S. Ramaiah Medical College, Bangalore, India Bachelor of Medicine Bachelor of Surgery 82

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Dr. Parmar is a native of Lodi. He joined Stockton Cardiology Group in 2015. He completed his undergraduate work at Creighton University in Omaha, Nebraska and his MD at the University of Nebraska Medical Center. He completed an Internal Medicine Residency, Cardiology Fellowship and Interventional Fellowship at Aurora St. Luke’s and Sinai Medical Centers in Milwaukee, Wisconsin. Dr. Parmar served as Chief Resident in the Internal Medicine program as well as Chief Fellow in both the Cardiology and Interventional Fellowships. He was awarded Internal Medicine Resident of the Year Cardiology Fellow of the Year during his training.   Dr. Parmar’s clinical interests include heart disease prevention, coronary artery disease, and interventional cardiology; while providing comprehensive and compassionate care. Dr. Parmar’s specialized training includes both peripheral and coronary arterial disease with emphasis on structural heart disease including TAVR and endovascular repair. He is board certified in Internal Medicine, board eligible in Cardiology and Interventional Cardiology with additional level II training in Nuclear Cardiology, Echocardiography and Cardiac CT.

415 E. Harding Way, Ste. D, Stockton (209) 944-5750, StocktonCardiology.com

1130 Norman Dr., Manteca (209) 824-1555, StocktonCardiology.com


HEALTH

Professional PROFILES

STEPHANIE M. DENTONI, MD, FSVM

Certified by the American Board of Vascular Medicine & the American Board of Venous & Lymphatic Medicine

Dr. Dentoni is a private practice physician and President of California Vein & Vascular Institute in Stockton, CA. She has dedicated her practice to varicose vein disease and thrombophilia (blood clotting disorders) for over ten years. At the Cleveland Clinic Foundation, she completed an internal medicine residency and a vascular medicine fellowship. She continued her education to include phlebology, the treatment of varicose vein disease, and is certified by the American Board of Vascular Medicine and the American Board of Vascular and Lymphatic Medicine. She is a fellow of the Society for Vascular Medicine. Dr. Dentoni is devoted to training other physicians in the field of phlebology. She is a nationally and internationally recognized speaker in varicose vein disease and thrombophilia. She has been invited and participated in PBS specials and educational workshops for varicose vein disease and is a board member of the American Board of Venous and Lymphatic Disease. At California Vein & Vascular Institute she is proud to offer state-of-the-art technology for the treatment of varicose vein disease. All treatments are in the office, minimally invasive with no recovery time. Her office staff is friendly, accommodating and , professional and strive to know each patient personally. Dr. Stephanie M. Dentoni, experience and integrity, specializing in varicose vein treatment. 2216 N. California St.,Ste. C Stockton, (209) 462-8346 LegsWithoutVeins.com

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HEALTH

Professional PROFILES

SACRAMENTO EAR, NOSE AND THROAT SURGICAL AND MEDICAL GROUP, INC. Originally established in 1957, Sacramento Ear, Nose and Throat’s (SacENT) award-winning physicians are nationally recognized leaders in their fields. At SacENT, the mission of the physicians and staff is to provide the highest standard of state-of-the-art specialty medical care in a personal, compassionate manner. To enhance service and access for our patients, the practice has grown to twenty physicians and five mid-level practitioners in 9 locations within the Greater Sacramento Area & San Joaquin County. We offer the complete spectrum of diagnostics and treatment of all ear, nose, throat and allergy care. In addition, we offer the full range of facial plastic surgery, dermatology and minimally invasive cosmetic procedures. All of our Sacramento Ear, Nose and Throat physicians are board-certified in their field, and carry a genuine interest in increasing the wellbeing of their community through quality medical care. STOCKTON: 10200 Trinity Pkwy., Ste. 201, (916) 540-7070 LODI: 801 S. Ham Ln., Ste. O, (916) 540-7071

SacENT.com

BROOKSIDE OPTOMETRIC GROUP

3133 W. March Ln., Ste. 2020 Stockton, (209) 951-0820 BrooksideOptometric.com

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At the Brookside Optometric Group we get it that the honor is that people allow us to see them, not for them to be allowed to see us. We get it that people live busy lives and need appointments that are not necessarily between the hours of 9 and 5 Monday through Friday, hate having to endure long waits for their doctor only to be seen by a technician followed by a brief 3-minute meet and greet by their doctor, and that people want answers to their questions instead of a simple pat on the head as they are being handed a prescription.

We provide extended hours for our patients, technologicallyadvanced equipment to better care for our patients, an in-house lab, access to any and all contact lenses necessary to fit any need and a frame inventory of over 1,500 frames to suit any desired style. Most importantly we wanted to create an environment where our patients would be seen on time, have time with their doctors for a very thorough examination and have any and all questions answered, whether that be for routine eye care or LASIK candidacy, and to be treated like family.


HEALTH

Professional PROFILES

HUGH L. VU, MD, MPH, FACS

| Board Certified Plastic Surgeon

Board-Certified and San Joaquin magazine reader-celebrated, Dr. Hugh L. Vu treats his plastic surgery patients like they are members of his own family. He meticulously plans and customizes every procedure to give his patients beautiful, natural-looking results. Dr. Vu specializes in facial rejuvenation, body contouring, and all breast procedures, while his Skin & Laser Center offers advanced medical grade services such as laser hair reduction, Botox, collagen remodeling, cellulite treatments, microdermabrasion, and much more. In addition to cosmetic surgery, Dr. Vu brings to Stockton his reconstructive surgery expertise from his teaching career at UC Davis and as senior plastic surgeon at Sacramento’s Shriners Hospital for Children. Dr. Vu’s commitment to safety and excellence has earned him the confidence of patients and colleagues in Northern California and internationally.

Thank you for voting Dr. Vu “Best Cosmetic Surgeon” in 2007, 2008, 2009, 2010, 2011, 2013, 2014, 2015, and 2016! We look forward to serving you in 2017! 1617 St. Marks Plaza, Ste. E & F, Stockton, (209) 476-7074, VuPlasticSurgery.com

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ST. JOSEPH’S BEHAVIORAL HEALTH CENTER At St. Joseph’s Behavioral Health Center, the focus is on understanding and caring for the whole person. With over twentyfive years of experience in behavioral health, our physicians and licensed professionals specialize in adding more life to your years. St. Joseph’s Behavioral Health Center provides comprehensive behavioral health services for psychiatric and chemical dependency disorders, including day treatment programs, and outpatient services.    The staff of specially trained professionals are committed to providing compassionate, quality care, and creating an atmosphere that fosters communication, trust, and personal growth. Each patient receives an individualized treatment plan to restore function and enhance life skills.    St. Joseph’s Behavioral Health Center also provides free behavioral evaluations, as a community service, free of charge. The screening evaluation is provided to help identify needs and make appropriate referrals. Call St. Joseph’s Behavioral Health Center at 209.948.2100 or visit StJosephsCanHelp.org for more information or to make an appointment.

2510 N. California St., Stockton (209) 461-2000 StJosephsCanHelp.org

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HEALTH

Professional PROFILES

ST. JOSEPH’S CANCER INSTITUTE As San Joaquin County’s only cancer center accredited by the American College of Surgeons’ Commission on Cancer, St. Joseph’s Cancer Institute offers patients a unique, patient-centered environment for healing, delivered with compassion, close to home.   With the area’s most advanced technology, paired with access to UCSF clinical trials and genetic counseling services, St. Joseph’s Cancer Institute provides “university level” cancer care right here in our community.    St. Joseph’s Cancer Institute also provides Cancer Patient Navigators to help guide those facing a diagnosis of cancer to information, support and resources. St. Joseph’s Cancer Patient Navigators stand firm by their motto of “You do the healing, we’ll do the rest,” truly demonstrating the supportive nature of this service. If you have cancer-related question, please call 209.939.4526 to speak with a Cancer Patient Navigator.

1800 N. California St., Stockton (209) 939-4526 StJosephsCares.org/Cancer

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HEALTH

Professional PROFILES

ST. JOSEPH’S HEART & VASCULAR INSTITUTE The nationally recognized Heart and Vascular Institute at St. Joseph’s Medical Center offers a full range of services to care for your heart, including emergency heart attack treatment, cardiac and vascular diagnostics and testing, and advanced surgical options. As a designated STEMI heart attack receiving center, certified Chest Pain Center and an accredited Stroke Center, St. Joseph’s Heart & Vascular Institute has a legacy of commitment and dedication to providing the best possible care for heart patients in our community.    With the addition of a new cardiac hybrid suite, St. Joseph’s is one of a select group of providers, and the first in our region, to offer patients Transcatheter Aortic Valve Replacement (TAVR), a less invasive procedure for heart valve replacement designed for patients with advanced heart disease. If you or a loved one has been diagnosed with a heart condition, call St. Joseph’s Heart Patient Navigator at (209) 467-6540 to learn more about our services and to get connected to resources, information, and support. 1800 N. California St. Stockton, (209) 467-6540 StJosephsCares.org/Heart 88

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HEALTH

Professional PROFILES

ST. JOSEPH’S BREAST CENTER OF EXCELLENCE St. Joseph’s Breast Center of Excellence offers those being diagnosed and treated for breast cancer a unique, patientcentered environment for healing. Working with a team of breast care experts, patients have access to comprehensive breast imaging services, genetic counseling, and advanced medical and radiation oncology. An experienced, multidisciplinary panel of doctors will focus their efforts on designing individualized treatment plans for each patient, providing the best possible care, close to home. Additionally, a breast cancer Patient Navigator is available to guide patients through the entire cancer treatment and recovery process - from diagnosis to survivorship.    St. Joseph’s Breast Center of Excellence is accredited by the National Accreditation Program for Breast Centers (NAPBC). Accreditation by the NAPBC is only given to those centers that have committed to provide the highest level of quality breast care and that undergo a rigorous evaluation process and review of their performance. Accreditation also ensures that each patient continues to be treated with the latest standards in mind.

1800 N. California St. Stockton, (209) 939-4526 StJosephsCares.org/BreastCenter

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Professional

IVAN CHICCHON, DDS

PROFILES

Growing up, Ivan learned how to build things by working alongside his father on construction projects. Through the art programs that his mother enrolled him in, he developed meticulous attention to detail and the ability to do fine, detailed work.   Now, Dr. Ivan Chicchon applies those skills to his work restoring smiles. As a Prosthodontist (the dental specialty of replacing and restoring lost teeth), he commonly works with patients who have complex dental needs. His skills include dental implants, bridges, and dentures.   He devotes his time to finding ways to improve existing dental treatments through research and also teaches training courses for his dental peers.   After having moved to San Francisco for dental training at the University of the Pacific and all the way across the country to Michigan for a 3-year residency in Prosthodontics, Dr. Ivan is happy to be settled treating his patients in his hometown of Stockton.   He spends his spare time looking after his newborn baby daughter--hoping to instill some artistic talents in her. When they can get a babysitter, he and his wife (his high school sweetheart) enjoy going out for sushi and watching a movie.

Check out my work! Instagram @implant_ninja / Implantninja.com 2363 W. March Ln., Stockton, (209) 952-3951 436 W. Beverly Pl., Tracy, (209) 835-6487

TRAVERS J. MCLOUGHLIN, MD

Medical Director, Board Certified Radiation Oncologist

Travers J. McLoughlin, M.D. is dedicated to providing great care and service to patients and their families. Dr. McLoughlin trained at New York-Presbyterian Weill Cornell Medical College and is an expert in radiation oncology. While at Cornell, Dr. McLoughlin served as Assistant Chief Resident and Chief Resident. As a result, he was instrumental in educating fellow residents and served as a representative on the Stich Radiation Quality Assurance Committee. In addition, Dr. McLoughlin was also elected as an executive member of the New YorkRoengten Society and earned the Distinguished Housestaff Award during his residency. Now practicing in Lodi, California, Dr. McLoughlin balances the latest science of cancer treatment with compassionate care. He has a tremendous clinical interest in lung, prostate, breast, head and neck, central nervous system and gastrointestinal cancers. He is highly trained in treating prostate, breast, and gynecologic cancers. Dr. McLoughlin is currently serving as Chief-of-Staff of Lodi Health.

311 S. Ham Ln., Lodi, (209) 365-1761, BschafferCancer.com 90

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HEALTH

Professional PROFILES

RONALD S. NORIESTA, DDS

| General Dentistry

Do you want to restore that youthful smile or replace missing teeth? Do you want to prevent dental problems? Do you have a toothache? We all have different priorities and reasons for going to the dentist, but one thing is certain: We don’t want to spend a lot of time there. Our goal is to care for your dental health while making everything as convenient, comfortable, and economical as possible. Today’s high technology allows dental work to be done in much less time and with minimal expense, but still provides long lasting, esthetic restorations.   Experience for yourself our family-like atmosphere and personal service. Priscilla from Modesto says, “I couldn’t believe I got my cosmetic work done in one appointment, with no temporaries.” John from Stockton says, “I’ve had root canals and crowns done before, but I’ve never had a root canal and crown done in one visit. I’ll never go back to the old way of fixing teeth.” Brian from Missouri says, “I was in Stockton with a dental emergency and Dr. Noriesta fixed my tooth in one appointment. I couldn’t find a dentist like Dr. Noriesta in Missouri, so I drove back to Stockton and got the rest of my crowns done in one appointment.”

RONALD S. NORIESTA, DDS

4512 Feather River Dr., Ste. B, Stockton, (209) 472-7500, OneAppointment.com

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Professional PROFILES

MAYWELL L. INONG, DDS General & Cosmetic Dentistry

Dr. Maywell Inong is a Stockton native and graduate of the University of the Pacific. She opened her dental practice in 1999. Over the years she has become known as a leading dentist within the Stockton area. Dr. Inong went into dentistry with an earnest desire to partner with her patients to help them pursue a lifetime of optimal dental health. Toward this goal, she has been a leader in the field of dentistry by always endeavoring to become certified in the latest medical technology breakthroughs and surgical techniques that she feels can ensure better treatment success for her patients. As an example, Dr. Inong is the only dentist within 100 miles of the Stockton area that is an experienced practitioner in the use of Pinhole Surgery Technique (PST) to treat gum recession by eliminating the need for painful gum grafts and long months of healing times that were seen in the past. Treatment recovery times for this new procedure have been reduced to just days with minor to no pain at all. Though she has been given many opportunities over the years to expand her practice to multiple offices, she has decided that by having just one location with her as the sole dentist on staff, it is the best way to maintain a personal relationship with her patients to attend properly to treating their individual health needs.

4568 Feather River Dr., Ste. E, Stockton (209) 477-9105, InongDental.com

DESIREE COYKENDALL Owner

Desiree Coykendall’s journey began in La Jolla and led her to Pleasanton, Danville and ultimately to Tracy. A healthy, active lifestyle has always been import to Desiree. From high school to college, Desiree has always taken an interest in caring for the whole body. Desiree has been the co-owner of Allure Salon and Spa in Tracy, CA since 2009.This last year, Desiree was able to combine her knowledge, training and experience with her desire to help others achieve a healthy, active lifestyle by becoming owner of the Medifast Weight Control Center in Tracy, CA.   Medifast Weight Control Center of Tracy has been serving the San Joaquin and Stanislaus Counties for the past 10 years. Medifast has been helping clients achieve their weight loss goals and their healthy lifestyle goals.   Medifast Weight Control program has been recommended by over 20,000 physicians. Through the scientifically-based weight control system and individualized counseling, clients are able to reach their weight loss goals and healthy lifestyle goals.   From the moment you set foot in the center, you’ll recognize what separates us from the rest. The comprehensive approach to wellness focuses on each client’s long term success. Weight loss plans, weight measurement, meal plans and coaching are seamlessly integrated and tailored to meet each client’s specific goals and needs.   Come by the Medifast Weight Control Center of Tracy and see how we can help you on your journey to a healthy and active lifestyle.

145 W. 10th St., Ste., 120, Tracy (209) 835-3278, MedifastCalifornia.com 92

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HEALTH

Professional PROFILES

GURRINDER S. ATWAL DDS, MSC, FAGD Family, Aesthetic & Implant Dentistry

2766 N. Tracy Blvd. Tracy, (209) 836-5393 MyTracyDentist.com AtwalDentalSleepSolutions.com

Published by San Joaquin Magazine

whom are well trained to treat children, adults, and people with special needs. Their office is home to the latest state of the art equipment like Cone Beam 3-D X rays with Cat Scan ability, Cerac Cad/ CAM (single visit crowns), laser machine, and the most current sterilization techniques. Dr. Atwal’s office is also treating and helping patients with sleep issues, snoring, apnea and bruxism. Dr. Atwal is currently doing (part time) residency in Sleep Medicine at the UCSF. Dr. Atwal and team Comfort Dental Care work out of a custom, child friendly, very well designed, brand new 2750 sq ft facility at 2766 N. Tracy Blvd.    Dr. Atwal is happily married and has a 10 year old son. In his spare time he is a private pilot who travels, hikes, plays acoustic guitar, practices and teaches Kundalini Yoga.

Dr. Gurrinder Atwal has over 18 years experience practicing dentistry in Tracy. He graduated from Loma Linda University and was awarded a Master’s Degree in Dental Public Health at the King’s College, University of London (U.K). Dr. Atwal also currently serves as faculty at the University of California San Francisco (UCSF) School of Dentistry, and is involved with many study clubs promoting dental health & education. Dr Atwal was awarded a fellowship (FAGD) at the June 2012 Philadelphia ADG Convention. Dr. Atwal and his wonderful well trained team has extensive experience in full mouth reconstruction, presenting different options and educating patients to the best option suitable for their given condition.    His beautiful office in Tracy has a very friendly team

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HEALTH

Professional PROFILES

CAMERON R. WHEELER, DDS, MS Board Certified Orthodontist

At Wheeler Orthodontics, we are dedicated to providing a fun, affordable, safe and quality orthodontic experience with interactive and individualized care to every patient. Whether you’re a child, teenager, or an adult, you deserve an attractive and confident smile. We believe in creating beautiful smiles, inside and out and that a perfect smile is an investment our patients will benefit from for a lifetime. We feature Invisalign and clear ceramic braces for the aesthetically conscious patients. A specialist in the field of orthodontics for both children and adults, Dr. Wheeler has completed an advanced program of education and training. He graduated with honors and received his Doctor of Dental Surgery degree, a Master of Science degree, and a specialty certificate in orthodontics from University of California, San Francisco. When he is not practicing orthodontics, he is teaching it at his alma mater. In addition to his academic qualifications, Dr. Wheeler prides himself on exceeding the standards of his profession by making continued education a priority to his practice. He stays on top of the latest developments in orthodontics, and therefore continues to provide top quality service to his patients. Furthermore, Dr. Wheeler and his staff do all their patients’ records in-house.

4568 Feather River Dr., Ste. D, Stockton, (209) 951-0151, WheelerOrtho.com

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Community Matters


HEALTH

Professional PROFILES

YUSUKE SUZUKI, DMD & ASSOCIATES

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Family Dentistry

We are committed to providing you with the personalized, high quality dental care that you deserve. Dr. Suzuki and Benedictson stay up to date on the latest advancements in dentistry to provide our patients with the most current treatment options. If you hate going to the dentist because your past experiences left you scared, fearful, or downright terrified, there is a solution. Dental sedation helps you acheive the smile of your dreams with ease once more. Our sedation technique allows several treatments to be performed in a single visit. For many, the beauty of this sedation is how easy it is to wake up and remember very little to nothing at all about your visit. We help heal a lifetime of compromising dental disease, replace missing teeth, brighten your smile, and restore function along with creating the gorgeous smile you’ve always dreamed of.We provide Cosmetic dentistry such as crowns, veneers, and whitening; orthodontics with clear braces and 6 Months Smile short term system; dental implants for missing teeth. At the core of our dental practice is a friendly team of professionals that are dedicated to your utmost comfort and optimal oral health. We view each patient as a unique individual, and tailor each treatment to your specific needs. As part of our commitment to providing close, personalized attention to every patient, we want to encourage patient communication. Please know that we are here to provide outstanding patient care, and that we value the trust you have placed in us. Visit our website which contains a library of videos related to the dental procedures and treatment options we offer. www.suzukidmd.com. Contact our office today to schedule your appointment. 801 S. Ham Ln., Ste. L, Lodi, (209) 334-0630, SuzukiDmd.com

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AUDITORY PERCEPTION

HELLO? UNDERSTANDING HEARING LOSS AND TREATMENT OPTIONS.  BY NORA HESTON TARTE

“Hearing loss can be from a variety of causes and should be evaluated by a trained health care professional. Almost everyone with hearing loss can be helped, if they desire.” Ronald G. Dong, M.D., Physician at Sacramento Ear, Nose, & Throat in Stockton

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Hearing loss can affect anyone. Though it is most common in those over age 65. Hearing loss is a complicated ailment. Not only do sufferers lose part, or all, of their hearing ability, it can lead to depression, anxiety, and paranoia. Those who struggle to hear are also more likely to turn down invitations for social outings.   Hearing loss, however, is not one size fits all. There are three main ways that doctors categorize hearing loss, but regardless of diagnosis, don’t lose hope. Approximately 48 million Americans report some degree of hearing loss. By age 65, one in three experience hearing loss. You’re not alone.

1. SENSORINEURAL HEARING LOSS

This type of hearing loss relates to the inner ear. When it is related to age, it is called presbycusis. A type of gradual hearing loss, presbycusis is caused by the death of hair cells in the inner ear common with aging. The process typically starts in your 30s and 40s.   The dying cells translate sound vibrations into brain signals, so when they die, the brain struggles to pick up on quieter sounds. Speech may sound unclear as a result. That’s why this type of hearing loss is most commonly characterized by struggling to hear dining mates in noisy restaurants. It both reduces the quality of sound and changes a person’s ability to hear quiet sounds.   Once the hair cells have died, there is no way to repair them, but sufferers can limit additional damage by reducing exposure to loud noises. Frequent exposure to loud sounds is actually one of the key components of this type of hearing loss

(when not related to aging), so nipping that in the bud can help preserve what hair cells remain.   Since there is no way to reverse the damage already done, those who suffer from sensorineural hearing loss may use a hearing aid or other hearing device. This is especially true if hearing loss is affecting daily life. Learning sign language or lip reading may ease fearful feelings that surround severe or complete hearing loss.   In addition to aging and exposure to loud noises, sensorineural hearing loss can occur from injury, ototoxic drugs, certain infectious diseases, a complication during birth, genetic makeup, or benign tumor.   Are you at risk? In addition to aging, poor kidney or heart function can increase risk for developing presbycusis. That’s because poor kidney function can cause toxins that damage nerves in the inner ear to accumulate while cardiovascular disease can decrease blood flow to the inner ear. Smoking is another contributing factor.

2. CONDUCTIVE HEARING LOSS

Conductive hearing loss is more commonly related to a blockage in the inner ear that causes sounds to become quieter, but does not diminish quality. In many cases, it is a temporary condition that can be relieved by removing the blockage—whether it’s caused by a buildup of ear wax, fluid from an ear infection, or otosclerosis (a condition caused by unusual bone growth in part of the middle ear). This type of hearing loss is curable, unlike sensorineural hearing loss.   Are you at risk? Middle ear infections, trauma to the eardrum, and a blockage in the external canal are all risk factors for conductive hearing loss.


SHOULD YOU HAVE YOUR HEARING CHECKED? If you answer “Yes” to two or more of the following, you should make an appointment today:

ONE

Do you frequently ask people to repeat themselves?

TWO

Do you turn your ear toward sounds to hear better?

THREE 3. MIXED HEARING LOSS

The third type of hearing loss is a combination of the first two, when they occur in simultaneously.    Recognizing what type of hearing loss you are experiencing is the first step. See a doctor who can check for blockage in the Eustachian tube and rule out infection or another ailment such as a ruptured eardrum that could affect hearing. You may already have a good idea of which type of hearing loss you are experiencing based on how noises and voices sound. Other symptoms of sinusitis or ear infection such as ear pain or congestion may also provide clues. However, if hearing loss is prolonged Published by San Joaquin Magazine

and does not clear on its own, see an audiologist, a licensed professional who specializes in evaluating, diagnosing, and treating hearing loss and balance disorders. With sensorineural hearing loss, results are permanent, but hope isn’t lost. Technology offers sleek, modern instruments that can improve hearing quality. In addition to traditional hearing aids, an audiologist may recommend an assistive listening device, telephone amplifiers, or hearing rehabilitation. FOR MORE INFORMATION:

S.E.N.T. HEARING AID CENTER 1111 EXPOSITION BLVD., #700, SACRAMENTO (916) 736-1911 SENTHEARINGAID.COM

Do you understand people better when you’re able to look directly at their face?

FOUR

Do you get lost in group conversations?

FIVE

Do you experience pain or ringing in your ears?

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AUDITORY PERCEPTION

“Certain types of hearing loss can be fixed surgically, while a hearing aid may be the best choice for others.� Ronald G. Dong, M.D., Physician at Sacramento Ear, Nose, & Throat in Stockton

BY THE NUMBERS 15 % of Americans 18 years and over report some trouble hearing

60-69 is the age group that experiences the greatest amount of hearing loss

1 in 8 people in the U.S., age 12 and older, havehearing loss in both ears

2% of adults aged 45 to 54 have disabling hearing loss

28.8 million U.S. adults

(roughly) could benefit from a hearing aid *National Institute on Deafness and other Communication Disorders (NIDCD)

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