Healthstyle Magazine - Summer 2015 by healthstylemagazine

Summer 2015

The Empowerment Dynamic David Emerald talks about his journey to an empowered life

Finding Hope in Failure Best-selling author Janette Gleason discusses her focus

Integrated Healthcare Medical providers working together

Health Exams You Should Consider Keeping you and your family healthy

Medicare Selections Navigating your 2016 choices

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Contents 4 18

Integrated Healthcare Providers working together to put the patient first

A Look Inside the Future of Healthcare: Clinical Research An Arizona healthcare provider is focusing on the future of care and new initiatives

8 Things I Learned From My Failure

Getting Ready for 2016 Open Enrollment

Best-selling author Janette Gleason

Helpful tips to understanding your options

Hear from medical providers about what healthcare screenings you should get

The Empowerment Dynamic David Emerald Womeldorff talks about his journey to overcoming difficulties on the way to empowerment

Which Health Exams Should You Be Getting?

Hand Selected Recipes Weâ&#x20AC;&#x2122;ve picked some delicious, fiber-filled recipes to keep your health goals on track

Visit us online at healthstylemagazine.com Healthstyle Magazine - Summer 2015

Special Thanks Ryan Bacher Mike Bechtol David Berg Guy Berry Deborah Brandon Aaron Castiglione Lisa Conrad Jordan Christopher Amy D’Acquisto Rob Davidson Gustavo Estrella Danielle Giordano Janette Gleason Bob Iversen Janice Johnston Rebekah Knoll Theresa Lambe James Lawrence

On the Cover Tara Leon Ken Levin Bethany Lindsey Rosie Mavis Lynn Marble Sara Mead Michael Nysather Christina Parker Taylor Pitts Mary Ann Rausa Maggie Rosales Dianne Salazar Natalie Searle Talia Vandegrift Annette Valenzuela Michael Wells

Model: David Emerald Womeldorff, author of The Power of TED* Photography submitted by David Emerald Womeldorff

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Editor’s Letter

Finding Empowerment Through the Tough Times and Failure. It is that time of year again when we, as Arizonians, have to muster up the courage just to face the sweltering heat when we go outside. Swimming pools become our best friends and are filled with laughs, fun, friends and family. We start to think about monsoons and hope for when the weather will cool off. If you have schoolaged kids or are an educator you are likely already in back-toschool mode. In our last issue of Healthstyle Magazine, we were lucky enough to excitedly follow the amazing journey of James Lawrence, the Iron Cowboy, as he finished 50 Ironman distances in 50 days across 50 states. We got to follow along on his epic journey and see how his determination, hope, inspiration and toughness were able to help empower him and others. The amazing thing about empowerment and hope is that it can come from anywhere.

Some find it in incredible athletic feats while others can find it from making a tough decision. Those “ah ha” moments, when we find the courage to make a change or we find the inspiration to step out of the box, can come from anywhere. When the body and the mind come together to encompass empowerment, we are able to move forward towards our goal. Unfortunately, the inevitable happens and sometimes we struggle or even fail. When we struggle or fail it is important that we keep working towards our goal even if we have to refocus our efforts, but always keep moving forward. Those baby steps help us to continue to drive towards the result we are working for. During those difficult times it is important that we continue to learn and grow. Janette Gleason, awardwinning author, shares a personal story of failure and how she was driven to overcome her next goal.

In this issue we get to hear from the author of The Power of TED*, David Emerald, about how he faced difficult times and was able to find his way through the drama and difficulty to empowerment. We are excited to share his story and how the empowerment dynamic has helped shape his life and how one Arizona organization is using The Power of TED* as part of their corporate culture to influence employees and “Put Patients First!” The theme for this issue is focused on finding empowerment and telling your story! When speaking to author David Emerald, he always signs off “to the creator in you.” I hope that as you read this issue, the stories influence you to find your inspiration and to create a pathway to empowerment! Cheers to a wonderful summer. Jason Stevens Editor-in-Chief jason.stevens@arrowheadhealth.com

Jason Stevens is in marketing and passionate about customer experiences and celebrating people’s successes. His role at Arrowhead Health Centers has enabled him to see the important role that an integrated healthcare experience can play in a patient’s outcome. The best part of summer is the time he gets to spend with his two kids and enjoying the summer rain.

Healthstyle Magazine - Summer 2015

Health & Wellness

Integrated Healthcare Chiropractic care has many Every now and then we functions but can be primarily all face aches, pains, and used as a pain relief alternative discomfort. For some of for muscles, joints, bones, us those are more severe and connective tissue such and more common. They as cartilage and tendons. could be back or neck Chiropractic care is designed pain, headaches, hip or leg to help alleviate and remove pain, but we all have been this pain while focusing on there to some degree. The the body and a more natural pain could have been caused approach to healing. A by falling, sleeping wrong or chiropractic provider will use from the unfortunate situation hands-on treatment to ensure of an accident. When looking proper alignment of the for ways to rid or improve the musculoskeletal structure to pain there are options. Medical help heal the body and those experts such as chiropractors afflicted area(s). The focus is and family practice providers that with proper alignment and are often sought for advice care the body will heal itself on what to do and how to through these adjustments. resolve the pain.

Healthstyle Magazine - Summer 2015

Health & Wellness

Although not all of us have been to see a Chiropractor we have all been to our family practice to see our Primary Care Doctor. With different specialties, our primary care providers see us, as patients, for a variety of medical conditions. Primary care providers use medicine and powerful tools to help cure diseases and rescue an injured or diseased body in need.

Healthstyle Magazine - Summer 2015

Health & Wellness

In most injury situations, a patient would see these medical providers separate of one another during the same time period of their treatment. For patients seeking treatment, it can take more than one kind of rehabilitation treatment to help achieve a goal. The separate visits without communication from provider to provider can hinder potential for best results.

When providers work together, with open lines of communication, they can support the patient and help them receive the full care they need. When required medical treatment supplements each other from multiple providers, this can be beneficial to the patient and result in better care with faster results. Imagine coordinated care where the patient comes first and your care providers work together to help resolve your ailments. Providers from different disciplines working together to put you first. One such facility, Arrowhead Health Centers, is doing just that. The fully integrated care facility has multiple locations in Arizona and their medical providers work together to create and clearly define a treatment plan that encompasses all aspects of the patientâ&#x20AC;&#x2122;s Recovery Game Plan. At Arrowhead Health Centers, you will find all treatment under one roof and medical providers working together. Arrowhead Health Centers has been acknowledged for their integration of care and continues to be a leader in their field.

Healthstyle Magazine - Summer 2015

Health & Wellness

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Healthstyle Magazine - Summer 2015

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Vitality

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Vitality

The Empowerment Dynamic To the Creator in You David Emerald Womeldorff is an inspiring author and executive coach with a passion for people. David helps individuals and organizations focus on leading with vision and passion orientations. As life has a tendency to throw some twists and turns at us, Davidâ&#x20AC;&#x2122;s story is no different.

Healthstyle Magazine - Summer 2015 11

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As an executive coach, David was aware of the Karpman drama triangle. The Karpman drama triangle was described by Stephen Karpman and used in psychology to show how people present themselves in different roles. The Karpman drama triangle discusses people’s action of “victims”, “persecutors”, and “rescuers.” While feeling victimized about the struggles that he had faced, David had a personal epiphany. He was ready to move out of being a victim. While out for a walk with his wife and business partner, Donna, they came up with the idea of The Empowerment Dynamic and TED* was born. In The Power of TED* we read that the main character, David, is at the beach, unable to enjoy

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the sights and sounds, conflicted about his life and circumstances. The Power of TED* was the culmination of spending quiet times journaling, being ready to move past the pain of feeling victimized, and turning a concept into a character. It was written as a teaching story under the pen name, David Emerald, to show individuals and organizations how to become self-leaders. The book was originally written in 2006, and updated in 2009. By writing The Power of TED*, David wanted to introduce a change in mindset for the roles in the Karpman drama triangle. The Empowerment Dynamic became the pathway to the opposing roles. The Empowerment Triangle helps to lead or identify those changes in behaviors.

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The Power of TED* was first published in 2006 and updated in 2009. There are now over 50,000 copies in print. That is very humbling for me as this book is self-published. –David Emerald Womeldorff

When a victim is looking for ways to validate their status of being victimized, the Empowerment Triangle introduces the “creator” role to help identify what the individual is truly looking to find in the situation. The Empowerment Dynamic also introduces the roles of the “challenger” and the “coach.” The challenger role helps a persecutor use self exploration instead of focusing on fear and control of a situation. The persecutor finds their identity and self in situations where they feel that they are right and have to fight to prove they are right. The challenger looks at the situation and asks “What can I learn from this and how do I grow from this situation?”

While out for a walk with his wife and business partner, Donna, they came up with the idea of The Empowerment Dynamic and TED* was born.

(Continued on Page 16)

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Pathway to Resourceful & Empowered • From reacting to choosing. • From tearing down to building up. • From telling to asking. • Focus more on what you want than on what you don’t want.

Reactive Drama

TRANSFORMING QUESTION

PROBLEM

DDT

Rescuer • Let me help you.

REACTION

Dreaded Drama Triangle ANXIETY

• I’ll make it okay.

Persecutor • It’s all your fault. • What were you thinking?

• Let’s not fight.

• Why did you do that?

• I feel bad for you.

• I do everything around here!

• You’ll be okay.

• What’s the matter with you? Victim • Poor me. • I’m not responsible. • I don’t know what to do. • They don’t like me. • Why is this happening?

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Coach

Creator

• Sees the other as a Creator.

• I choose my response to the situation no matter what.

• Supports and assists by asking powerful questions. • Deep Listening. • How will you do it?

VISION & OUTCOME

BABY STEPS

TED*

The Empowerment Dynamic

• The outcome I’m going to create is... • I can do this!

PASSION

Challenger

What do I really want?

• What is here for me (us) to learn? • What is my intention? • Provokes & evokes action. • You can do it!

Learn to hold the tension between what you want and what you have. Then, take one baby step. Current Reality

Envisioned Outcome Dynamic Tension is created when you identify the distance between current reality and your envisioned outcome or goal. © David Emerald - Used with Permission

Healthstyle Magazine - Summer 2015 15

Vitality Lastly, David introduces the role of a coach as an antidote to the DDT, Dreaded Drama Triangle, role of rescuer. The role of coach sees others as capable and resourceful instead of a rescuer who would reinforce the victim with a sense of being powerless. As The Power of Ted* has continued to spread in use through individuals and companies the roles have continued to shape the power of self-leadership. One company that has embraced The Power of TED* within their company culture is Arrowhead Health Centers. The Arizona organization has been using The Power of TED* and have made it a stamp of their structure. Dr. David Berg, owner of Arrowhead Health Centers and Redirect Health, knew right away that the Empowerment Dynamic was something that had to be a part of his organizations. The Power of TED* empowers people to grow and provides them with direction on how to focus on the right things. Each new hire gets a copy of the book and studies The Power of TED* during their onboarding process. David Emerald’s story and Empowerment Dynamic is shared throughout the office and empowers employees. The Power of TED* has changed many aspects of Arrowhead Health Centers and is helping the practice “Put People First and People Get Healthy”. When people come to see one of their providers, the patients are seen in a timely manner and given the attention they deserve. By focusing on the patient, Arrowhead Health Centers is helping to lower costs, help people get better quicker, and provide a patient-based experience. This outlook on the patient is the same focus that David Emerald applied when he wrote his second book. TED* For Diabetes was written by David Emerald and Dr. Scott Conard after David was diagnosed with type 2 diabetes. David explains that he went 16 Healthstyle Magazine - Summer 2015

One company that has embraced The Power of TED* within their company culture is Arrowhead Health Centers.

Vitality to see a new doctor and at his physical got the call that he was diagnosed with type 2 diabetes. While trying to understand the diagnosis, David felt like a victim. He would work hard to do the right things, but it was an up and down roller coaster ride. While David was coming to an understanding with the changes that he would have to make, there was an anxiety and fear-based reaction. David was searching for the answer and how to move forward. When talking to Dr. Scott Conard, he knew that TED* was applicable to his health concerns and feeling like a victim in that setting. Dr. Scott Conard wanted to help put TED* into a health environment with a diabetic setting. The application of TED* to the tale of the new character, Joe, was then comprised.

portion of his treatment, Joe sees the doctor as the persecutor. When Joe starts to see his diagnosis of diabetes in an owning capacity as a creator, in living with the diagnosis, Joe becomes an activated patient. But TED* for Diabetes is more than a story about diabetes or a diagnosis, and those affected by the diagnosis. The fable can be applied to any diagnosis and truly is a Health Empowerment Story. While visiting Arizona for spring training, David Emerald Womeldorff and his wife Donna visited the Arrowhead Health Centers location and could immediately see the empowerment that the medical providers and staff gave the patients.

The Power of TED* is being shared through life, health and wellness at Arrowhead Health Centers, as a customer-centric philosophy.

TED* For Diabetes is also a fable that follows the trials of Joe, who has been diagnosed with type 2 diabetes. The book, co-authored by David Emerald, applies the DDT and the Empowerment Pathway with the same thinking, and relation to life experiences.

In David’s own search, he was coming to terms with his diagnosis and applied TED* to the diagnosis. The main character, Joe, reacts as a victim in a drama relationship with the disease. Following Joe through the book, he is able to change his mindset with the help of the medical provider. Joe sees diabetes as a persecutor and expects the doctor to be the rescuer. With a focus on the disease, Joe realizes that the doctor’s focus is on disease and not the person. Through the beginning

“I was excited to see the extensive use of the Empowerment Dynamic”, Womeldorff told owner Dr. David Berg. The Power of TED* is being shared through life, health and wellness at Arrowhead Health Centers, as a customer centric philosophy. David’s first impression was to notice that patient parking is right outside the front door. “You will notice whose parking spaces are closest to the door. It is clear from the beginning what Arrowhead Health Centers is creating.” In speaking with Dr. Berg he states that “in the organization there is a heart for service, we want to provide what the patient wants before they know they want it. It is not something that the current healthcare system allows and does not allow patients to think that way.” The Power of TED* provides a way for individuals and organizations to focus on empowerment and change the current way of thinking.

Healthstyle Magazine - Summer 2015 17

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A Look Inside the Future of Healthcare

Clinical Research What comes to mind when you first hear the phrase Clinical Research? The majority of us may picture a large sterile room filled with doctors dressed in white lab coats holding test tubes of colorful liquids. While there are certainly laboratories out there just like this, Clinical Research Trials are also performed at hospitals, research facilities, and clinics world-wide on a daily basis. A clinical trial focuses on the prevention, diagnosis, and treatment of various diseases to determine effectiveness (Does it work?) and safety (What are the risks?). In 2014 a total of 41 new medications were approved for use by the FDA after careful review of data collected for safety and efficacy through Clinical Trials (2015, FDA.gov). Even though Clinical Trials are vital to the advancement of medical treatment and care, many patients don’t know they even exist, or that they could be a potential volunteer. Just over three years ago, Arrowhead Health Centers started its own Clinical Research department to build upon patient care and treatment. The very first study awarded to Arrowhead Health Centers was for patients struggling with Chronic Obstructive Pulmonary Disease, or COPD. The research lab started out slow with only 2-3 trials before the site swiftly grew in population. The Clinical Research department has now completed 10 studies,

and is currently working on 10 more. Study topics include Type 2 Diabetes Mellitus, Asthma, Cardiovascular Disease, Influenza, Fibromyalgia, Irritable Bowel Syndrome, Opioid Induced Constipation, Birth Control, and High Cholesterol. Two of the medications studied at Arrowhead Health Centers have now been approved by the FDA and are available to patients with a prescription. “Recognizing a newly approved medication from a trial that you have worked on is an amazing feeling. I feel as though I am a part of this new treatment and am excited to know that patients out there are benefiting from my team’s efforts.” Just like other clinics, the success of Arrowhead Health Centers Research program would not be possible without amazing patient volunteers. Some of the volunteers have come from the clinics and others have heard about the research through outside advertising. Regardless of how the patient volunteers are found, or where they receive their Primary Care, Arrowhead Health Centers’ Clinical Research Team works hard to align the care the patient receives in a research study with their own standard of care. At Arrowhead Health Centers, they go the extra mile for

Healthstyle Magazine - Summer 2015 19

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patients because they care deeply about their health and are passionate about providing the best service in all studies.

The Clinical Research Department has now completed 10 studies, and is currently working on 10 more.

Since clinical research isn’t very well understood by the community, most clinical research volunteers don’t know what to expect when they come in for their first visit. During their first visit, volunteers meet their research team that consists of a Principal Investigator—typically a Medical Doctor who oversees the trial, Sub Investigators—back-up medical providers who can see patients on behalf of the principal investigator, and the Study Coordinators—study personnel who work closely with the patient to collect data. Due to the nature of a clinical trial, the patient becomes very well known by the study staff, and vice versa. The study coordinator calls the patient with all lab reports, schedules upcoming appointments, processes lab samples, obtains medical records, and documents any possible adverse events. Some patients say that the medical care and treatment that they receive during the course of a clinical trial is the best care they have experienced. Not only does this standard fit well with the vision of Arrowhead Health Centers, but it allows patients to feel as though they are a part of the team as well. Not only are patients appreciated for their participation, but they are vital to a trial’s success. Before any research procedures can be performed on a patient (via medical procedures or medical history), a patient must read, understand, and sign an Informed Consent. The Informed Consent is without a doubt the most important duty of a clinical trial. It is a document that must be read and understood by anyone with a minimum of an 8th grade reading level. The document explains all of the details of the clinical trial. It is free from any medical jargon, and tells the patient what the medication or device is, the potential side effects, the time commitment and visit schedule, the rights of the patient, and the purpose

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of the research study. The Informed Consent Form, along with all study documents, is reviewed by an Independent Review Board to ensure that the rights of the patient have not been violated and that all ethical standards have been abided by. After the patient has had an opportunity to read over the Informed Consent in its entirety, the patient is then given ample opportunity to meet with the study doctor and ask any questions. Should the patient choose to continue participation in the study, the Informed Consent is then signed by the patient and a member of the study staff. Even after the Informed Consent has been signed, the patient is still a volunteer and retains the right to leave the study at any time for any reason. Once the Informed Consent Process has been completed, the study team can begin data collection from the patient. The data that is collected for a clinical trial can vary greatly depending on what is being studied. Typical procedures can include Vital Signs, ECGs, Bloodwork, Height and Weight, Physical Exams, Lung Function Tests, Neurological Exams, and written questionnaires. Depending on the type of study, double-blind medication may also be dispensed to the patient with instructions for how to take and store the medication. Double-Blind is a term to describe that the treatment is assigned at random. Neither the patient nor the study staff knows what treatment type (dose, placebo, or Investigational Product) that the patient has been assigned. The patient may also be asked to keep a daily diary to document any changes in their condition. Of course, all procedures and medication provided to a patient for the trial is free of cost to both the patient and their insurance. During the entirety of a clinical trial, the patient is expected to inform the study staff of any changes in their medication or their medical history. There are a few reasons behind this important communication.

Vitality

First, and most important, is patient safety. There can be potential drug interactions between certain medications, so the staff must be aware of everything the patient is taking. If a patient experiences an adverse reaction to the medication, the study staff can also bring in the patient immediately for evaluation and treatment. Finally, the success of a clinical trial is dependent on the data collection of the site staff. In order to learn about the potential side effects and effectiveness of a medication, the patient must report the changes to the site staff so that they can be documented for further evaluation. Any treatment given to the patient for a side effect of the medication is also free of cost to both the patient and their insurance.

Clinical Research Department at Arrowhead Health Centers

Clinical Study participants: “Staff in the Research department at AHC were very friendly, appointments were very expedient. Everyone treated me friendly and all were very helpful. The services were very professional!” –Robert Hurst

While clinical research departments do their best to minimize any potential harm to the patient during the course of the trial, clinical trials are never completely free from risks. This is why it is vitally important to discuss any questions and concerns with your own doctor as well as the study staff before volunteering for a trial. While monitoring care through the Arrowhead Health Centers research team and medical providers, the trial will prioritize patient safety and ensure that patients receive the most optimal care for their condition.

BECOME A VOLUNTEER If you are interested in becoming a volunteer for one of our clinical trials, we want to hear from you! Please contact us via phone at 623-334-4000 option #5, or via e-mail at research@arrowheadhealth.com. We are currently enrolling for the following trials, but receive new trial opportunities every quarter:

Fibromyalgia

Type 2 Diabetes MELLITUS

ASTHMA

“The Clinical Research Director has ALWAYS been very helpful and accommodating in every aspect of every interaction. It would be impossible for me to pinpoint any one particular situation as a testimonial because ALL have been outstanding!” –Ian A

Not only are patients appreciated for their participation, but they are vital to a trial’s success.

with Cardiovascular Disease

Healthstyle Magazine - Summer 2015 21

Research Today for a Cure Tomorrow Become a Clinical Research Participant The Research Department at Arrowhead Health Centers is currently seeking volunteers. Qualified research participants may receive study medication and health assessments free of charge in addition to compensation for time and travel. For more information, please send us an e-mail at research@arrowheadhealth.com.

We are currently enrolling studies for: • Type 2 Diabetes • Ashtma • Fibromyalgia

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Innovation

Things I Learned From My Failure

y husband and I established and own a few small businesses in the financial sector. In 2010, the office manager of one of our businesses quit suddenly so I stepped in until we could hire someone. I didn’t know it at the time, but this was a pivotal moment in our business and in my life. We had been using a software program that helped us stay in touch with our clients and schedule appointments but weren’t using it to its full capacity. As I began to learn more about what the software could do to expand our business, I was hooked. I would wake up in the middle of the night, fire up my computer and start mapping out marketing campaigns into the wee hours of the morning. During this time, my husband began to call me “a mad scientist.” However, all my effort began to pay off and pay off quickly! We doubled our revenue. We doubled our client base. All because of this software. Then I learned that the software company, Infusionsoft, hosted an annual contest, the Ultimate Marketer, for its users to showcase campaigns they implemented, which produced great results. I was so proud of the work we created and what we

24 Healthstyle Magazine - Summer 2015

had done. I thought, “I could be the next Ultimate Marketer!” So I began to work on the lengthy application. A few weeks later, I received an email from the company, stating I was among the top eight finalists. Not long after that, the phone rang. The caller told me I was in the top three and would be presenting our story in front of about 1,000 attendees at the company’s annual conference. The big day arrived. I walked up on that stage, shared our story and spoke about our campaigns. The next day, the winner was announced. I didn’t win, and it was devastating. I was embarrassed. I felt as if I let my family down. It took some time, but I finally came to terms with the result. I finally believed that while I didn’t walk away with the title of Ultimate Marketer, I was indeed a winner. Not only was I among the top three finalists out of hundreds, other people were approaching me and asking me to help them create marketing campaigns for their businesses. This “failure” taught me eight things that I’d like to share with you:

Innovation

Take the time that you need to get over the failure.

When you do move past it, be grateful for the disappointment. Reflect on what happened and look for what you can learn from the experience. Find the opportunity to grow from it and commit to improving yourself.

Eliminate the second-place chatter.

It’s time to retrain your brain. Rather than asking yourself why you’re not good enough to be #1, start thinking of yourself as #1. Visualize your success. Meditate. Read positive quotes or stories that motivate you and help you rid your mind of any negative thoughts.

Stop thinking about taking risks. When you commit to a goal, what are you risking by going after it? Are you worried about being laughed at if you don’t achieve it? Are you afraid to disappoint your loved ones? Approach this as an opportunity for you to grow personally and go for it!

Make a declaration. I always say, “You’ve got to name it to claim it.” Whatever you’re going after, declare it. Whenever you talk about what you’re going to do, add, “Mark my words.” Say it every single time.

Healthstyle Magazine - Summer 2015 25

Innovation

Have pure intentions for wanting to succeed.

Think about why you’re going after a goal. It should be for you, not because you want to beat someone or because that person shouldn’t be getting the recognition. It’s about wanting to be part of the experience.

Don’t worry about the how.

Focus on what you want to do and why, not the how. Otherwise, you allow doubt to creep into your mind. Let the “how” happen naturally. Believe me, it will.

Seek out mentors or personal coaches. Sometimes you need someone to hold you accountable and that’s where mentors and coaches come in. These are individuals who inspire and motivate you.

8 26 Healthstyle Magazine - Summer 2015

Read books and articles that provide valuable insight on succeeding. One of my “go-to” books is Jack Canfield’s The Success Principles. I absolutely love it! One of the most important things I’ve learned from it is that if you want to be successful, you have to take 100% responsibility for everything you experience in your life.

Innovation

“Mark my words, that car is mine!”

These tips work. I followed them after the Ultimate Marketer Contest and set my sights on winning another Infusionsoft contest: The Big Drive. This contest awarded a brand, new Chevrolet Camaro to the person who sold the most software subscriptions. I found out how many subscriptions it would take to clinch the title and told everyone, “Mark my words, that car is mine!” At the end of the three-month contest, I won it! It took a lot of determination, visualization and belief, but I did it. Every night during the competition, I thought about the moment I accepted the keys to this beautiful car. I imagined what it would be like to give my

speech, to stand on that stage with my family, to join my peers as an award winner. When it actually happened, it was even better than I thought it would be thanks to some surprises. The biggest surprise of all had to be my 1st place trophy! Another big surprise were my three children. My youngest, in particular, absolutely loved the spotlight, and the audience adored them. It was truly a magical celebratory moment and a gift. It took a failure for me to see the areas where I could grow and hone my strengths. It took failure for me to realize what I could truly accomplish as an entrepreneur. It took failure to lead me to opportunities that completely transformed my life.

Janette Gleason Founder and CEO, Gleason Consulting Group, LLC www.janettegleason.com An award-winning entrepreneur and best-selling author, Janette takes great pride in empowering people to create their dream lifestyles. She is Deborah Brandon Photography

a contributing author to the best-selling book, Transform, co-written by Brian Tracy, an expert in the field of personal and organizational development. Janette also wrote Confessions of a Mompreneur: My Journey from Stressed-Out, Stay-at-Home Mom to Successful Entrepreneur. She is currently working on her next book, The Road to Sweet Success.

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Lifestyle

How To Navigate Your Medicare Plan Options For 2016 Annual Enrollment and Junk Mail The two seem to go hand in hand. Whether you are brand new to Medicare or have been a beneficiary for decades, there is one thing that you can bet on every year and that is a lot of junk mail! Each year, about late September, your mailbox becomes one big dispensary for every Medicare mailer imaginable. For Medicare Advantage and Prescription Drug Plan members, the Annual Enrollment Period begins each year on October 15th and runs through December 7th. This is why every company is trying to get your attention with either official government-looking mail or crazy bright-colored advertisements. What some people donâ&#x20AC;&#x2122;t realize is by filling out or responding to any of these mailers, often times your information is sold to various telemarketing agencies, making your phone begin to ring and ring. Medicare has very strict rules of engagement, and any unsolicited telemarketing should be reported to 1-800-Medicare. Some callers may even pose as calling for a non-profit, and want to do a review which often leads to a sales pitch.

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How to Get the Information You Need to Make a Good Decision If you are happy with your plan and it has worked well for you, then you may not want to do anything. However, if you are a member of a plan that has experienced some network challenges or coverage issues, then how do you know how to find another plan that fits your needs? Here are a few places to look: â&#x20AC;˘ Medicare.gov: For those who are internet savvy, Medicare.gov can provide beneficiaries with a wealth of information. (Hint: look for the Star Rating. 5 Stars is the best possible rating, but that has yet to be achieved here in Arizona. There is only one Medicare Advantage plan in Maricopa County that has achieved a 4.5 Star rating for 2012, 2013, 2014, and 2015). â&#x20AC;˘ Seminars: These can be a useful way to evaluate plans, but be prepared to spend some time going from plan-to-plan since no one seminar can provide detailed side-by-side comparisons. Often the presenter is the agent you will be enrolling with, so make sure that he or she is someone you would feel comfortable with as an advisor.

Lifestyle

• “Medicare and You” Handbook: Each year this is distributed to every Medicare eligible beneficiary and has a good deal of comparative information in the back section of the book. (Again look for Star Ratings). • Trusted Advisor: Find an experienced, trustworthy advisor who is independent and does not work for just one company. This person should be knowledgeable in plan designs, but also in networks, because picking your plan will have so much to do with where you can get your services. Your healthcare is one of the most important decisions you may ever make and it is important that you find a trusted advisor that will give you honest, independent information to help you make a good decision.

Final Tip 2016 is going to be an interesting year with lots of plan disruption. We will see plans that leave the market and plans that drastically scale down their networks. We have already witnessed several large mergers and acquisitions, and the formation of a new market begin. Most of these mergers will not be complete for at least 18 months, but the changes are happening right before our eyes. So here is the tip: Look for stability and quality in your next health plan. Think twice before going with a plan if it has a slightly lower copay than a better rated plan with a higher copay, remember you typically get what you pay for. Stability and quality will be reflected in a hard earned CMS Approved Star Rating.

About the Author Lynn Marble is a local independent agent and owner of Phoenix Health Insurance. He is also the only Endorsed Local Provider for the Dave Ramsey Show in the state of Arizona. Lynn is a certified Medicare and Federal Facilitated Exchange specialist who takes pride in helping his clients find the right coverage for their individual needs. He can be reached at (623) 516-8300.

Healthstyle Magazine - Summer 2015 29

Health & Wellness

Which Health Exams Should You Be Getting? We have heard that prevention is the best way to avoid serious medical issues, but with so many tests and exams available, knowing which one is right for you and your family can be difficult to understand. The health experts with Healthstyle Magazine have some tips! Hereâ&#x20AC;&#x2122;s a list of doctor-recommended annual exams that will make staying healthy easier.

Spine Health Screening The 26 bones in your spine provide structure and support to your muscles, allowing your body to move freely and with flexibility. Your backbone also protects your spinal cord: a column of nerves that connects your brain to the rest of your body, allowing you to control your movements and helping your organs function properly. If your spine isnâ&#x20AC;&#x2122;t functioning properly, you can be at risk for painful infections, tumors, injuries and conditions such as scoliosis, herniated discs or spinal stenosis. A quick exam with a musculoskeletal expert like a chiropractor or physical rehabilitation specialist can prevent disease and the need for back surgery.

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Health & Wellness Annual Physical

SelfCheck Don’t just leave it up to your doctor. Remember to do an at-home skin check every month with a buddy. Use full length and handheld mirrors to carefully examine your body and ask a close friend or family member to inspect hard-to-see areas like your back, neck and shoulders. Get step-by-step self-exam instructions at skincancer.org.

SelfCheck Monthly self-screening will help you know what is normal so you can report any changes you notice to your healthcare provider. If you do find a lump, schedule an appointment with your doctor, but don’t panic—8 out of 10 lumps are not cancerous. Learn how to perform a breast self-exam at nationalbreastcancer.org.

Having an annual physical exam is the easiest way for both adults and kids to prevent and catch serious illnesses while they’re still treatable. During a physical, your doctor will review your medical history, screen for diseases, determine your risk for future medical problems, recommend helpful vaccines and answer general questions about your health.

Bone Density Scan Think osteoporosis is just for older ladies? False. Men can start losing bone mass as early as age 30. That’s why it’s important to assess the state of your skeleton now, no matter your gender. DEXA (Dual Energy X-ray Absorptiometry) bone density scanning is an enhanced form of low-radiation X-Ray technology that gauges bone mineral density and measures the overall health of your bones. The scans are quick, painless and instrumental for preventing fractures before they happen. Doctors recommend a DEXA scan for anyone who shows signs of even one osteoporosis risk factor: inactivity, smoking, family history of osteoporosis or osteopenia.

Safe Skin Exam Arizona has the highest skin cancer rates in the nation and the second highest rates in the world. Skin cancer is the most common form of cancer internationally, resulting in one death per hour. Early detection is the only way to prevent and treat melanoma and other forms of skin cancer. Adults should get a head-to-toe skin check every year, regardless of age or skin type. The most effective skin cancer exams are performed using dermoscopy, a hyperaccurate technique that magnifies lesions and removes surface reflections so your doctor can have an unobstructed view of your skin.

Mammogram For women, a mammogram can identify abnormalities and detect breast cancer at its earliest stages. During this X-ray, the breast is compressed and examined from multiple angles for clear and accurate results. Every woman should begin regularly scheduled mammography at age 40, but if your family has a history of breast cancer, your doctor may recommend a baseline mammogram as early as age 20.

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Health & Wellness Prostate Exam Prostate Cancer is the most commonly diagnosed cancer in men, but survival rates are over 90 percent when the disease is caught early. This quick exam includes a blood test and a digital rectal test that can be completed in about 60 seconds. Most doctors recommend regular prostate exams beginning at age 50, but if you are at higher risk due to family history, your doctor may advise that you start getting regular prostate exams as early as age 40.

Cholesterol Test

SelfCheck If you have diabetes, it’s important to monitor your blood glucose levels often to manage your treatment plan and prevent longterm complications. Depending on your age, weight and the type of diabetes you have, your doctor may recommend that you test your blood sugar one to three times a day. Learn more about diabetes and prevention at diabetes.org.

High cholesterol is a major risk factor for heart disease, heart attack and stroke, but the good news is it’s 100% preventable. The only way to detect it and avoid irreversible damage is by having your cholesterol tested, which your doctor can do with a simple blood test. Risk factors for high cholesterol include being overweight, smoking, regularly consuming alcohol or eating a highfat diet. Everyone with high cholesterol needs treatment, although for many that can be as simple as changing your diet or exercise habits. The American Heart Association recommends everyone should have their cholesterol levels tested every five years, beginning at age 20.

Glucose Monitoring Diabetes affects more people than you might think. According to the Centers for Disease Control (CDC) more than 23.6 million people in the United States have diabetes and nearly 6 million don’t even know they have it. And an additional 57 million Americans are pre-diabetic or at high-risk for the disease. This debilitating illness affects your body’s ability to produce or process insulin, causing your blood sugar levels to climb. The disease can have few (if any) noticeable initial side effects and many people can get diabetes later in life, which means many people who should be tested often aren’t. If you haven’t been diagnosed, ask your doctor for a quick blood sugar test during your annual exam. If you have been diagnosed, whether you have type 1 or 2 diabetes, most doctors recommend regular screenings every three months to test glucose, kidney function, organ health and other important parts of your body that can be affected by the disease.

Need an exam? Look for the seal. The National Committee for Quality Assurance (NCQA) has created a program called the Patient-Centered Medical Home that’s designed to make sure patients receive top quality care. If your doctor has earned an NCQA PatientCentered Medical Home certification, it means they’re going above and beyond to make sure you’re receiving the best health care and the most thorough medical exams possible. Offices are graded on six standards and are able to be awarded three different levels of designation. Level three is the most coveted and difficult to achieve. Learn more at recognition.ncqa.org.

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Lifestyle

Photo & Recipe Source: Skinnytaste.com

Hand Selected Recipes Summer is here, so it’s time to fire up the grill! We’re challenging you to try something new next time you fire up barbecue—go for a black bean burger! If you’ve never tried a veggie burger, the complex flavors and satisfying nourishment may surprise you. We’ve paired the burger with a nice fresh summer salad—the perfect way to round out your summer cookout! 34 Healthstyle Magazine - Summer 2015

Spicy Black Bean Burgers with Chipotle Mayo Serves: 4

Ingredients Spicy Chipotle Mayo 3 1/2 tablespoons Mayonnaise 1 tablespoon chopped Chipotle Chile in Adobo Sauce Black Bean Burgers 1 (15-ounce) can Reduced-Sodium Black Beans, rinsed and drained 1 ⁄2 Red Bell Pepper, roughly chopped 1 ⁄2 cup roughly chopped Scallions 3 tablespoons roughly chopped Fresh Cilantro 3 Garlic Cloves 1 ⁄2 cup Quick-Cooking Oats 1 Large Egg 1 teaspoon Cayenne Pepper Hot Sauce, such as Frank’s 1 tablespoon Ground Cumin 1 ⁄4 teaspoon Kosher Salt Cooking Spray or Oil Mister 4 Whole Wheat Potato Rolls (approx. 90 calories each) Additional Toppings 1 medium (4 ounces) Hass Avocado, thinly sliced

Lifestyle Spicy Black Bean Burgers with Chipotle Mayo (continued)

Directions For the spicy chipotle mayo: In a small bowl, combine the mayonnaise and chipotle. Set aside. For the black bean burgers: Dry the beans well after rinsing (any extra moisture will keep the burgers from holding together well). Put the beans in a medium bowl and mash them with a fork or potato masher until thick and pasty. In a food processor, combine the bell pepper, scallions, cilantro, and garlic and pulse until finely chopped. Add the oats, egg, hot sauce, cumin, and salt and pulse a few times, until mixed well. Fold the mixture into the mashed beans. Form the mixture into 4 patties (using slightly oiled or wet hands helps) and

put them on a baking sheet lined with wax paper. (If the mixture is too wet, refrigerate it for 30 minutes or add another tablespoon of oats.) Freeze for at least 2 hours before cooking. To cook, heat a nonstick skillet over medium heat. Lightly spray the skillet with oil and cook the frozen burgers until browned, about 7 minutes per side. (Alternatively, preheat a grill to medium, lightly spray a sheet of foil with oil, put the burgers on the foil, and grill until browned, 7 to 8 minutes per side.) To serve, place the burgers on the buns, and top with the spicy chipotle mayo and avocado slices.

Pineapple & Avocado Salad Serves: 4

Ingredients 8 cups packed spinach 1 cup diced fresh pineapple 2 small ripe avocados, peeled, pitted and diced 3 tablespoons freshly squeezed lemon juice 2 tablespoons minced shallot 2 tablespoons extra-virgin olive oil 3 teaspoons red wine vinegar 1 teaspoon Dijon or whole grain mustard Sea salt and pepper, to taste 2 tablespoons finely chopped fresh mint 1 1/2 teaspoons sesame seeds

Directions In a large bowl, combine spinach, pineapple and avocado. Set aside. In a small bowl, whisk lemon juice, shallot, vinegar, mustard, sea salt and pepper. Season to taste with salt and pepper. Drizzle over spinach mixture and gently toss to combine. Add mint and sesame seeds; toss again and serve. Recipe Source: SELF

Healthstyle Magazine - Summer 2015 35

Puzzle Page

Soduku 6

8 9

Answer

2 6 5 1 3 9 7

3 4 2 8 7 1 9

8 9 3 1 7 5

2 6

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36 Healthstyle Magazine - Summer 2015

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Healthstyle Magazine - Summer 2015 37

Don’t Let Neuropathy Stop You from Doing the Things You Love. If you’ve been struggling with numbness, burning and discomfort in your legs and feet, we have your solution. Have you been told nothing can be done for the irritating numbness, burning, and discomfort in your legs and feet? Your life doesn’t have to be this way. Thanks to our comprehensive, integrated approach to care you’ll have—perhaps for the first time—a team of practitioners working together to create a Recovery Game Plan™ especially for you; this includes an official biopsy, specialized nerve testing, functional strength training, shortterm medication, and a sleep-approved TENS unit. Relieve your discomfort, and enjoy the things you thought you’d never be able to enjoy again. You can begin your path to comfort faster than you think.

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