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VALLEY OF THE SUN Phoenix east valley area Promoting Healthier Living in Your Community • Physical • Emotional

SEPTEMBER 2016

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HealthyCells

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M A G A Z I N E

• Nutritional

Football and Concussions What Parents Need to Know

Men Have Feelings Too! Medicare Health Plans Can Save You Dollars Noises Can Damage Your Hearing


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letter from the owner

O

ne of the worst things any parent can hear is “your child has cancer.” September is Childhood Cancer Awareness Month, and two organizations, CHAMPS and St. Jude’s Research Hospital, are hosting fun family events. They’d like the community to “join them in the fight against Childhood Cancer.”

Sept. 24

ST. JUDE WALK/RUN

to End Childhood Cancer

Sign Up

CHAMP The second annual CHAMP (Cancer Hope & Awareness Month for Pediatrics) event brings together over 20 nonprofit organizations serving the childhood cancer population of Arizona. Their aim is to raise awareness, educate, empower the community, provide support and resources to those families facing such a diagnosis, and “Impact the Outcome of Childhood Cancer!” The event includes a 5K Run/Walk, community pancake breakfast, Survivor Walk, bone marrow drive, an opportunity to register to donate blood, booth fair, and family fun activities. Saturday, September 17, 2016 Kiwanis Park, North Soccer Field 5300 South Ash Ave, Tempe, AZ 85283 6.30am Registration 7.15am Opening Ceremony by Tempe Mounted Police 7.30am 5K Run/Walk  (timed) 8.00am Breakfast 8.45am Survivor Walk followed by awards Fun activities run until 11am More info and register online at www.septemberchamp.org   All proceeds will directly benefit local nonprofits that help fight childhood cancer. Visit CHAMP on Facebook at facebook.com/SeptemberChamp, and on Twitter: @SeptemberChamp.

St. Jude Children’s Research Hospital ® Hit the ground walking or running to end childhood cancer. Thousands of individuals nationwide are joining in the battle against childhood cancer and other life-threatening diseases by participating in the St. Jude Walk/Run to End Childhood Cancer. Phoenix is one of 61 cities nationwide helping bring attention to these terrible diseases. Thanks to generous donors and events like the St. Jude Walk/ Run to End Childhood Cancer, families never receive a bill from St. Jude for treatment, travel, housing or food because all a family should worry about is helping their child live. Since it opened more than 50 years ago, treatments invented at St. Jude have helped push the overall childhood cancer survival rate from 20 percent to more than 80 percent. St. Jude won’t stop until no more children die from cancer. With the support of Walk/Run participants, donors, and more, we can end childhood cancer together. St. Jude Walk/Run to End Childhood Cancer. Saturday, Sept. 24, at Chase Field. Registration for adults and children ages 6 and up is $10 for the 5K walk and $20 for the 5K timed run. Participants are encouraged to form teams and raise funds to help support the lifesaving mission of St. Jude. For event information, to make a donation, volunteer or register, visit stjude.org/walkrun. Follow St. Jude on Facebook (facebook.com/stjude) and on Twitter (@stjude).

Monica Tegg/Owner, Healthy Cells Magazine ® East Valley, PO Box 6233, Chandler AZ, 85246 Monica@healthycellsmagazine.com • www.healthycellsmagazine.com/phx 480-204-3090 • #healthycellsAZ • Facebook.com/healthycellsmagazine.phx

September 2016 — East Valley — ­ Healthy Cells Magazine — Page 3


SEPTEMBER

2016 Volume 4, Issue 9

5

Health Plans: Medicare Health Plans Can Save You Dollars

6

Physical: Something’s Afoot — Common Foot Problems

8

Nutritional: September Is More Matters Month for Fruits and Veggies

10

Emotional: Men Have Feelings, Too!

12

Medicaid in 2016: Medicaid Expansion and Its Significance for Seniors

14

Enhanced Senior Care: “Keep Connected” — National Assisted Living Week, September 11-17

20

Make Time For Yourself: Enjoying Life and Having Fun

22

Hearing Health: Listen Up! Noises Can Damage Your Hearing

This Month’s Cover Story:

FastMed Urgent Care Football and Concussions — What Parents Need to Know page 16 Cover and feature story photos by DK Brittain Photography

For advertising information, contact Monica Tegg, owner, Valley of the Sun Edition Cell: 480-204-3090 • Fax: 309-691-2187 PO Box 6233, Chandler, AZ 85246 monica@healthycellsmagazine.com www.healthycellsmagazine.com/phx

Healthy Cells Magazine® is a division of:

24

Community News: Helping Meet the Needs of the Community

25

Back-To-School: Could Your Child’s Back Pain Be Caused by a Backpack?

26

Primary Caregivers: Creating a Circle of Support

1327 E. Kelly Ave., Peoria Heights, IL 61616 • Ph: 309-681-4418 • Fax: 309-691-2187 info@limelightlink.com Mission: The objective of Healthy Cells Magazine® is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the East Valley. Healthy Cells Magazine® is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your health care professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine® are not necessarily those of the editors or publisher. Healthy Cells Magazine® is available FREE in high traffic locations throughout the East Valley, including medical facilities and other waiting rooms. Healthy Cells Magazine® welcomes contributions pertaining to healthier living in the East Valley area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.


health plans

Medicare Health Plans Can Save You Dollars

Patty Vieira

By Patty Vieira, Independent Agent, Insurance Resources

I

recently received a phone call from a sweet lady who was referred to me by her neighbor before she passed away. She told me that before “D” passed, she made her promise to call me when she turned 65. My client had passed of a catastrophic illness which would have devastated her finances had she not been in the plan that was right for her. Often times I get those calls. Every client has such different circumstances, and it takes a good sit down with a broker to go over your individual doctors and specific needs. Sometimes, a client has a chronic illness like diabetes or certain heart conditions, and there are plans designed for those needs which help reduce out-of-pocket expenses tremendously. In the past, a call came in from a potential client that realized he missed the annual enrollment period for changing his Medicare plan. He was horrified that he’d be married to his current plan for another year. I explained several options that were exceptions to the rule, and determined that since he is diabetic, he’d have a special enrollment opportunity to change to a different plan. Much to his surprise, this Special Needs plan will literally save him thousands of dollars this year alone. Many people are not aware these Special Needs health plans exist. They are designed to reduce the out-of-pocket expense for people with certain medical conditions like diabetes and some heart diseases. Companies providing these plans frequently offer reduced copayments and special enrollment periods. The insurance companies realize certain medical conditions will require more frequent doctor visits, medication, and monitoring to help keep you healthy. By reducing the outof-pocket expense to manage your disease, you’re much more likely to visit your doctor regularly and avoid expensive hospital stays. In the long run, this saves both you and the insurance company money. This reduced cost allows you access to better care and monitoring of your illness, and helps keep your symptoms and other conditions from progressing. Many of these plans also come with gym memberships and transportation at no additional cost! Living with diabetes or heart conditions doesn’t have to break the bank. You can get help with your much-needed care and save money too! If you have questions or need help knowing what plan is best for you, Patty’s complementary services are available by calling 480-220-7233, via email at pattyjvieira@gmail.com, or by visiting www.insurancebypatty.com. With 30 years of experience, I can simplify insurance quotes and policy terms so you can understand them. Photo credit: AVAVA/iStock September 2016 — East Valley — ­ Healthy Cells Magazine — Page 5


physical

Something’s Afoot Common Foot Problems

Jason C. Harrill, DPM, FACFAOM

Submitted by Jason C. Harrill, DPM, FACFAOM, Desert Food and Ankle, PC

S

ometimes we don’t think about how just how much wear and tear we put our feet through until a problem arises. Take your weight times the number of steps you take a day, and see just how much pounding they endure. Here’s some of the more common foot ailments and how to avoid and treat them. Fungal infections, such as athlete’s foot, happen because our feet are in shoes most of the time. Shoes are warm, dark, and moist — the perfect place for fungus to grow. A fungus can cause dry skin, redness, blisters, itching, and peeling. It can be hard to cure. Overthe-counter anti-fungal powders or creams can help. If your foot does not get better within two to four weeks, talk to your doctor. To prevent infections: • K eep your feet clean and dry. Be sure to dry the area between your toes • Change your shoes and socks or stockings often to help keep your feet dry • Don’t buy tight shoes • Try dusting your feet every day with talc-free foot powder Page 6 — Healthy Cells Magazine — East Valley — ­ September 2016

Dry skin  can cause itching and burning feet. Use mild soap in small amounts and a cream or lotion on your legs and feet every day. Be careful about adding oils to bath water since they can make your feet and bathtub very slippery. Corns and calluses are caused by pressure when the bony parts of your feet rub against your shoes. Corns usually appear on the tops or sides of toes while calluses form on the soles of feet. Wearing shoes that fit better or using non-medicated pads may help. While bathing, gently rub the corn or callus with a washcloth or pumice stone to help reduce the size. To avoid infection, do not try to shave off the corn or callus. See your doctor, especially if you have diabetes or circulation problems. Warts  are skin growths caused by viruses. They may be painful and can spread if not treated. Some over-the-counter products may help to get rid of warts. See your doctor for treatment. Bunions  are swollen and tender joints that can develop at the base of your big toes. They tend to run in families. Bunions can


also be caused by shoes that are too small or have pointed toes. If a bunion is not too painful, wearing shoes cut wide at the toes and middle part of the foot (instep) or shoe inserts may help. Taping or padding the bunion may bring relief. Some over-the-counter pain medicine may lessen pain and reduce swelling. Talk to your doctor if you are in pain. Sometimes surgery is needed to relieve the pressure and repair the toe joint. Ingrown toenails are caused by a piece of the nail piercing the skin. This can happen if you don’t cut your toenails straight across so the corner of the nail can be seen above the skin. Use clippers made to cut toenails. Ingrown toenails are very common in the large toes. A doctor can remove the part of the nail that is cutting into the skin. Neuromas are the result of a build-up of tissue around an inflamed nerve in the foot. They may cause tingling, numbness, or pain in the ball of your foot and toes. This may cause you to lose your balance. Shoes that are too narrow or have high heels can make the problem worse. See your doctor. Sometimes, inserts put in your shoes can help. Hammertoe is caused by a shortening of the tendons that control toe movements. The toe joint grows and pulls the toe back. Over time, the joint gets bigger and stiffens as it rubs against shoes. This can affect your balance. More space in the shoe or stocking can help. In very serious cases, surgery may be needed.

Spurs are bony bumps that grow on bones of your feet. They are caused by stress on the feet. Standing for long periods of time, wearing badly fitting shoes, or being overweight can make spurs worse. Sometimes spurs are painless. At other times, they can hurt. Treatments for spurs include foot supports, heel pads, and heel cups. Sometimes surgery is needed. Swollen feet may happen when you have been standing for a long time. If your feet and ankles stay swollen, it may be a sign of more serious health problems. See your doctor for a check-up. Be alert Both diabetes and peripheral artery disease can cause poor blood flow to the feet, which can cause scrapes or bruises to become infected more easily. This makes good foot care very important. Make sure to check with your doctor if you develop a sore on your foot that does not heal. For more information about foot, ankle, and toe issues, contact Desert Foot and Ankle, PC, located at 1520 South Dobson Road, #307, in Mesa AZ 85202 and in Fountain Hills at 16838 E Palisades Blvd, Building A, Suite 10. Give us a call at 480-844-8218, or visit our website at www.desertfootandankle.com. Source available upon request. Photo credit: damiangretka/iStock

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September 2016 — East Valley — ­ Healthy Cells Magazine — Page 7


nutritional

September Is More Matters Month for Fruits and Veggies Submitted by Derma Health

T

he month of September has been dedicated to encouraging everyone to eat more fruits and vegetables. The idea behind the More Matters Month is simple: to help spread the importance of eating a healthy, balanced diet by including fresh fruit and vegetables. When it comes to eating your fruits and vegetables, it may seem like you’ve heard it all before. However, the importance of consuming fruits and vegetables is still an important topic of discussion because many people are not eating enough. According to Healthfinder.gov, fewer than one in seven adults eat the recommended amount of fruits and veggies each day. Why is eating fruits and vegetables important? Eating healthy food nourishes the body from within, and consuming an adequate amount of fruits and vegetables also offers serious health benefits. Eating a balanced diet rich in nutrients and minerals can help lower your risk of heart disease and stroke, lower blood pressure, and even offer cancer protection benefits. The science behind proper nutrition continues to provide substantial evidence that eating a healthy, balanced diet leads to less health issues, including maintaining a healthy weight. Other benefits of eating fruit and vegetables are: • A majority of vegetables are naturally low in fat and calories. • Vegetables have no cholesterol. • Vegetables are a vital source of nutrients, such as potassium, fiber, folic acid, and Vitamins A and C. • P eople who consume diets rich in potassium find that it may help maintain healthy blood pressure. Think sweet potatoes, Page 8 — Healthy Cells Magazine — East Valley — ­ September 2016

• •

beans, tomatoes, bananas, soy beans, lima beans, spinach, lentils, and kidney beans. T he fiber from eating fresh fruit and vegetables not only contributes to a healthy diet, it can also help reduce blood cholesterol levels and may lower the risk of heart disease. Fiber is also an important aspect to healthy bowel function. Fiber makes you feel fuller, helping you steer clear of sugar-laden foods and unhealthy in-between meal snacks. F olate (folic acid) is essential for your body to develop red blood cells. Women who are of child bearing age, or hoping to become pregnant, should consume adequate amounts of foods rich in folic acid. Try leafy greens, citrus fruits (oranges, lemons, grapefruit), beans, rice, and pasta; all are rich in folic acid. V itamin A keeps the skin healthy, glowing and radiant while protecting against infections. V itamin C helps the body heal itself while keeping your teeth and gums healthy. It also aides iron absorption.

Fruits and vegetables to the rescue There is plenty of convincing data that shows how eating a healthy, balanced diet can contribute to a healthy lifestyle, however, did you know fruits and veggies can also help prevent disease, even cancer? The health benefits are astounding, and with science to back it up, eating your veggies has become even more important to your health and wellbeing. The largest and longest study on the benefits of eating vegetables and fruits is the Harvard-based Nurses’ Health Study and Health Professionals Follow-up Study. It shows, out of 110,000


men and women, the higher the average daily intake of fruits and vegetables, the lower the chances of developing cardiovascular disease. They were also 30 percent less likely to have had a stroke or heart attack. When researchers combined forces with others who have studied the benefits of fruits and vegetables, the results were astonishing. Individuals who ate more than five servings of fruits and vegetables per day had 20 percent lower risk of developing coronary heart disease and stroke.

cut, and store your fruits and vegetables to make eating them a quick and easy choice. • K eep your options open. The key to staying on top of your balanced diet is to shake things up with options. Explore the produce section, research recipes and find more ways to eat your veggies. • S kip the carbohydrates (think potatoes) and opt for more nutrient-rich vegetables and fruits, such as kale or asparagus.

Endless health benefits and beyond Fresh fruit and vegetables are the foundation of a balanced diet. Those who consume proper amounts can enjoy the major health benefits that come from vegetables and fruit. Fruits and vegetables offer vast vitamins and minerals that are part of a balanced, healthy diet. These minerals and vitamins include; Vitamin A, C, and E, magnesium, zinc, phosphorous and folic acid. However, the amount of vegetables and fruits you need depends on your age, sex, and level of exercise. Children typically require anywhere from one to one-half cup of vegetables and fruits daily. Men require much more, around three cups per day. Women who are hoping to gain adequate amounts of vegetables and fruits should aim for about two to three cups per day.

Green, yellow, orange and red. Fruits and vegetables come in vibrant colors and add to a more vibrant life.

Tips to consume more fruits and veggies • Keep your fruit and vegetables where you can see them. • B uy fresh when you can, to obtain the most vital nutrients and minerals. • P repare fruit and veggies so they are easily accessible. In many cases, fruit and vegetables require preparation. Wash, peel,

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September 2016 — East Valley — ­ Healthy Cells Magazine — Page 9


emotional

Men Have Feelings, Too! By Nate Perrizio, Licensed Associate Counselor, Infinite Healing and Wellness

H

ey guys, do you ever feel angry or negative and just don’t know how to express that in a non-violent manner? You are not alone. One of the most common issues for males is anger management or even simple expression of emotion. Though these issues can cause a multitude of problems, oftentimes men feel a stigma against therapy and even support groups to help manage their feelings. Consequently, men do not get the help needed to improve their lives and relationships. Anger and protective emotions can manifest in different ways, but commonly are exhibited both physically and mentally. Examples of emotional manifestations include the following symptoms: high blood pressure, ulcers, diabetes, and even heart attacks. Negative actions resulting from anger can be as minor as throwing golf clubs or fits of road rage, or more serious, such as fighting with your spouse in front of your children and family members, or physical abuse. Ultimately, anger and negative emotion can lead to problems at work, problems with relationships, health problems, and both depression and anxiety. The more we can help remove the stigma of men going to therapy and get men Page 10 — Healthy Cells Magazine — East Valley — ­ September 2016

Nate Perrizio, LAC

involved in treatment, we can actually improve their overall quality of life. Individual and group therapy is readily available and only takes a few clicks of the mouse or a dial of the cell phone. Much of men’s anger and negative emotions are rooted in past experiences, and when current situations trigger emotional reactions, they can produce “feeling flashbacks.” There is a great saying in my field that goes, “if it’s hysterical, then it’s historical.” However, when people try to bottle up their emotions, anger and negative emotion become pervasive, and unhealthy reactions occur. For instance, throwing your driver off the tenth tee in front of the clubhouse. Most men are taught from childhood to be tough, fight through, soldier on, etc. in the face of stress or trauma. However, when men ignore emotions and fail to process stressful or traumatic situations in a healthy manner, they can develop a “short fuse” and act out both physically and mentally in unhelpful ways. Unfortunately, loved ones and partners often bear the most significant brunt of these actions. Problems at work and with relationships often result from poor decision making based on spontaneous negative emotion, and can result in further maladaptive and negative behav-


ior (like throwing your driver off the tenth tee in front of the clubhouse). Much of the time, these poor decisions and outcomes just lead to lower self-esteem and further negative, serious behavior patterns, such as physical violence or alcohol and drug abuse. When men are able to seek therapy for anger and negative or protective emotional reactions, they can learn to adaptively process past memories and experiences to help incorporate them into a more healthy manner of functioning, like not throwing your driver off the tenth tee in front of the clubhouse. The body and mind can heal from a past traumatic experience through proper therapy and processing of memories and emotions. Therapy can be the antiseptic or antibiotic to what ails the mind and causes negative physical reaction. Finding a good therapist or finding a men’s support group can greatly improve the ability for men to let down their guard, to talk with other men about similar experiences, and to help improve interpersonal relationships. Trust me guys, your wives, girlfriends, or partners will thank you! For more information on our men’s group, from a male perspective and a man who gets it, please contact Nate Perrizo LAC, at Infinite Healing and Wellness in Gilbert, AZ at 480-448-1076, info@infinitehw.com. Photo credit: Carlos_bcn/iStock, Patrick Heagney/iStock

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September 2016 — East Valley — ­ Healthy Cells Magazine — Page 11


medicaid in 2016

Medicaid Expansion and Its Significance for Seniors Submitted by Griswold Home Care

W

hen most people think of healthcare coverage for seniors, Medicare comes to mind. But thanks to the Affordable Care Act, Medicaid has grown to play a pivotal role in how our aging population pays for health care services. Under the ACA’s Medicaid expansion provision, eligibility is expanded to those with annual incomes of up to 138 percent of the federal poverty level ($16,394 for an individual in 2016). As a result, quality health care coverage is afforded to more lowincome, uninsured Americans — including seniors. Why is this expansion important to seniors? Medicaid now covers more than 4.6 million low-income seniors, nearly all of whom are also covered by Medicare. This is important because poverty and old age are closely linked. Although most seniors are covered by Medicare, the program has lofty out-of-pocket costs that can strain a fixed budget. Having dual Medicare and Medicaid coverage improves access to care for beneficiaries, encompassing a range of benefits and minimizPage 12 — Healthy Cells Magazine — East Valley — ­ September 2016

ing self-pay obligations. According to the National Committee to Preserve Social Security & Medicare, Medicare beneficiaries will save an average of $5,000 over the next 10 years as a result of health care reform. What’s more, commercial insurance doesn’t always cover the spectrum of health care services seniors need to enjoy autonomy and a good quality of life. Long-term services and supports — which assist older individuals with routine daily tasks such as bathing, dressing, and preparing meals — are a prime example. These kinds of services are vital to seniors who are managing chronic health problems or suffering age-related physical or cognitive decline. In essence, Medicaid fills gaps left by Medicare — gaps that affect low-income beneficiaries. With fuller access to health care services, seniors are able to remain in their communities longer, which is beneficial to both them and their state. And when an older adult has to shoulder fewer out-of-pocket costs, they have more money to spend on basic necessities.


What happens in states that don’t expand Medicaid coverage? While it’s true the ACA was upheld by the Supreme Court in 2012, states were given the ability to opt out of the Medicaid expansion. To date, 32 states have adopted it, while 19 have not. In states choosing to opt out of the Medicaid expansion, Medicaid eligibility for adults is limited. Nearly 3 million poor, uninsured adults fall into a coverage gap where they have incomes in excess of eligibility limits, but below the lower threshold for marketplace premium tax credits. When they do require care, older adults in this gap may be burdened with high medical bills. Lack of coverage may cause them to delay seeking care until health problems become dire. If opt-out states do adopt the Medicaid expansion, all of the nearly 3 million adults in the coverage gap would become eligible. Furthermore, 1.8 million adults who are eligible for Marketplace coverage would also become Medicaid-eligible, giving them access to lower health insurance premiums and cost-sharing opportunities. What if the Medicaid expansion is repealed? Some politicians — concerned about the ACA’s long-term impact on programs such as Medicaid and Social Security — have proposed partially or fully repealing Medicaid expansion. If this happens, most of the people who have joined the Medicaid rolls since 2013 would lose coverage (at least 14 million people, including nearly 5 million seniors). State Medicaid programs would hemorrhage $900 billion over 10 years. Without the ACA’s Medicaid expansion, the health and wellbeing of millions of low-income seniors are at risk. Public health can do its part by helping lawmakers grasp the significance of Medicaid expansion for seniors as well as others who would be newly eligible. Safeguarding this ACA provision from federal and state budget cuts is paramount to keeping health care coverage accessible to our nation’s most vulnerable populations. Call today for a no-cost, in-home visit so we can learn your needs and desires and tell you more about the unique Griswold model of home care. Griswold Home Care offers truly affordable and high-quality non-medical home care. We refer high-quality caregivers who provide personal care, homemaking, companionship, and other in-home care services. Contact Griswold at 480-777-9000, visit www.griswoldhomecareGC.com, or e-mail Eddie.rodriguez@griswoldhomecare.com. Photo credit: monkeybusinessimages/iStock

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enhanced senior care

“Keep Connected”

National Assisted Living Week, September 11-17

Amy Holt

Submitted by Amy Holt, Generations at Agritopia

T

wenty-one years ago, the National Center for Assisted Living (NCAL) established this week-long commemoration to acknowledge the significant role assisted living plays in the care of seniors and individuals with disabilities. While it would be a stretch to assume that this observance will make assisted living top-of-the-mind among Americans everywhere, the combined focus of many participating senior living providers will have an impact on those who need assisted living now and those who may need it in the future. Keep Connected The 2016 theme, “Keep Connected,” recognizes the increasing opportunity technology can offer to enhance the care and overall experience in assisted living communities. National Assisted Living Week encourages assisted living communities to support opportunities for residents to use the latest communication tools to engage with the world around them. The theme aims to help overcome myths that seniors are not interested in using new technologies or lack the ability to learn them. Furthermore, “Keep Connected” recognizes the myriad ways assisted living staff and supporting business partners are revolutionizing the care provided in these communities through innovations in technology. As a profession rooted in person-centered care, assisted living is embracing new tools that fit the needs and preferences of the individuals it serves. Page 14 — Healthy Cells Magazine — East Valley — ­ September 2016

However, “Keep Connected” is about more than technology. Assisted living shows us that sometimes the best relationships are formed and fostered face-to-face. For many staff members, residents become family, and that bond can never be broken. Meanwhile, assisted living communities are an integral part of the larger community. Staff cultivate connections with local families, business owners, government organizations, community organizers, and others to ensure that residents remain an active part of where they call home. Senior Tech Time It is well documented that the senior cohort is the fastest growing segment among Internet users — mainly because, as a group, they are still well behind the rest of the world when it comes to Internet adoption. Paul says, “This has created a hunger among many seniors to learn how to use the many digital devices at their disposal — laptops, smartphones, tablets, etc.” Among older adults aged 65 and up, 89 percent send or read email, with more than half exchanging emails on a typical day. In 2005, two percent of older adults used social media, and in 2015 that percentage was 35 percent. Generations at Agritopia is embracing National Assisted Living Week by hosting numerous events throughout the week for residents and the community to engage together. Educational events include a Senior Fraud Prevention workshop and “Technology Tuesday” with different stations to teach seniors about using the internet, social media, cell phones, and other technologies. Wellness events will include fitness classes, recipe discussions, and a demonstration by a registered dietician. Festivities will culminate will a special dance party


Alzheimer’s Family Support Group Every 2nd and 4th Tuesday at 11am Led by Chaplain & Bereavement Counselor of Sage Hospice on Friday Septemeber 16th from 3 to 5pm, with our favorite oldies being performed live, along with root beer floats. All are welcome to attend these events. For full details, visit GenerationsSeniorLiving.com. Generations at Agritopia offers vibrant living with an extensive array of services and amenities for independent living, assisted living, and memory care residents, giving them the freedom to enjoy what matters most. Join us Fridays at 10am for a movie, lunch, and tour; please RSVP to 480-485-2000. We are located within the master plan of Agritopia, near Higley and Ray Roads in Gilbert, 2811 E. Agritopia Loop S. Find us on the web at www.generationsseniorliving.com or email us at info@generationsseniorliving.com. Photo credit: RyanJLane/iStock

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JetsPizza.com September 2016 — East Valley — ­ Healthy Cells Magazine — Page 15


feature story

Football and Concussions What Parents Need to Know By Matthew Shores, MD, FastMed Urgent Care sports medicine specialist

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ith fall around the corner, many things come to mind: cooler temperatures, falling leaves, and, well, football, of course. Despite rising concerns over injuries, most notably concussions, football remains as popular as ever, and in fact, it is growing in popularity. For example, football is the number-one high school sport among boys. According to the National Federation of State High School Associations (“NFHSA”), nearly 1.1 million boys played high school football in the 2013-2014 season, followed by outdoor track and field, a distant second with approximately 580,000 male participants. In addition, the NFHSA reported that the 2013-2014 high school football season showed a year-over-year increase in participation for the first time in four years. Page 16 — Healthy Cells Magazine — East Valley — ­ September 2016

So, what are concussions and what is the risk of a concussion to high school football players? Concussions are a form, or a subset, of a traumatic brain injuries (“TBI”). According to the Centers for Disease Control and Prevention (“CDC”), approximately 1.74 million people sustain a TBI annually; 75 percent to 95 percent of TBIs are mild. “Mild TBI” and “concussion” are two terms often used interchangeably. Concussions can occur in contact sports, like football, ice hockey, and soccer. The likelihood of an athlete experiencing a concussion is as high as 20 percent per season. An estimated 10 percent of college and high school players sustain brain injuries annually playing football, according to research published in the Journal of the American Medicine Association (“JAMA”). As the


brain continues to develop in children, adolescents, and even young adults, concussion symptoms can include a prolonged course as well contribute to long-term effects if not properly recognized and managed. How can parents protect their children from the long term effects of concussions? The good news is that only in rare cases can a concussion leave long-term symptoms, and for most children playing contact sports, the chance of a concussion lasting longer than a few weeks is slim. However, the chances of sustaining second impact syndrome or developing long-term effects from post-concussive syndrome increase if the child experiences another head injury while still recovering. The best game plan is to play it safe. If your child takes a hit to the head that results in any of the following symptoms, seek medical attention immediately from an urgent care, primary care, or pediatric provider, preferably one trained in sports medicine and concussion management. • Headaches • Dizziness, lightheadedness, or imbalance • Nausea and/or vomiting • Amnesia or confusion (feeling like one is “in a fog”) • Fatigue or difficulty sleeping • Behavioral changes (such as emotional lability) As many football games take place in the evening or on the weekend, keep in mind that FastMed Urgent Care locations are open seven days a week and have on-site digital x-rays, enabling appropriate evaluation to be completed in a timely manner. All of the above symptoms signify a potential concussion requiring additional diagnosis to determine the severity as well as short or long-term impacts. Also, keep in mind, these symptoms may occur immediately following or several hours after the injury. Even if the symptoms subside, medical attention at FastMed Urgent Care or your family’s primary care provider should be sought prior to a return to sports. Remember, risks of long-term impacts can increase if a second head injury is sustained during the recovery process, so it is important to get the appropriate diagnosis and management before letting your child back on the field. How are concussions diagnosed? As stated, if any symptoms of concussion occur, even if the symptoms subside, having your child examined by a FastMed Urgent Care, primary care, or pediatric provider is critical. Mild concussions are often

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Matt Overlin, PA-C, and Hamilton High baseball player, Nick Brueser, celebrate successful treatment of a broken thumb. unrecognizable by the patient, friends or family, but through a more thorough evaluation, a medical provider will be able to quickly diagnose whether or not the head injury may have resulted in a concussion. A medical assessment should include a comprehensive history as well as a detailed neurological examination, including a thorough assessment of mental status, cognitive functioning, gait, and balance. The comprehensive history may specifically include progression (improvement or worsening) of symptoms since time of injury. In addition, information provided by parents, coaches, athletic trainers, and peers that may have observed the injury or progression of symptoms may be helpful. A critical tool that incorporates many facets of the concussion assessment is the Sports Concussion Assessment Tool 3 (“SCAT3”), utilized both in the clinical setting as well as on the sidelines. Endorsed by the Consensus Statement on Concussion in Sports, the SCAT3 is increasingly used to provide a detailed clinical assessment. The assessment includes a review of subjective symptoms, the Glasgow coma scale, a cognitive assessment, neck evaluation, and an evaluation of the patient’s balance and coordination. If the medical provider deems appropriate, other standardized assessment measures may be used to assess the impact of a concussion, such as urgent/emergent neuroimaging. Should I take my child to the ER if he gets a head injury during a game? While an emergency room (“ER”) can also complete all of the necessary tests to diagnose a TBI, ERs can be a timely and costly place for treatment. If the injury occurs in the evening or on the weekend, your local FastMed Urgent Care is the most efficient resource for diagnosis and treatment if symptoms are not severe. Whether you have medical insurance or not, ERs can be unnecessarily expensive option for nonlife threatening injuries. Did you know that the average ER bill is seven times as much as a visit to FastMed Urgent Care? Regardless of where you seek treatment for your child, be certain to request and sign a medical release form and ask the healthcare facility to send your child’s medical records for the visit to your primary care physician or sports medicine team physician. Keeping your child’s primary care provider or sports medicine team physician in the loop for all medical treatment received will ensure that appropriate follow-up and monitoring is completed. September 2016 — East Valley — ­ Healthy Cells Magazine — Page 17


feature story

continued Should I keep my child from participating in sports? As a medical provider, I encourage parents to promote activity for their children. The benefits of playing sports, including team sports such as football, are numerous, and many parents believe the benefits far outweigh the risks. All types of sports can benefit a child by building self-confidence and promoting mental and physical well-being. Of course, it is important that parents are well-educated regarding the risks various sports and activities, as well as safety measures to combat these risks, including when to seek medical care.

FastMed physician assistant, Matt Overlin, works with Hamilton High players, coaches, and orthopedic specialists.

Fall practice begins at Hamilton High in Chandler.

The final play of the game As a sports medicine specialist, my recommendation to parents is to be proactive in supporting their children’s safe participation in sports and physical activities. • Get an annual sports physical for your child, even if it is not required by the league or high school. Mention this article and get a sports physical at any FastMed Urgent Care for your child for only $25. • If your child is participating in a contact sport, talk to your healthcare provider about baseline concussion testing. Baseline testing helps identify changes in your child’s cognitive function in the event of a head injury. • E nsure your child is wearing all appropriate protective gear, such as helmets, during games, practice, and other activities that could present a risk of head injury. Make certain your child understands the importance of protective gear and how to put it on correctly. • Talk to your child and his coach. If you are not able to attend all games and practices, ask your child how practice or the game was and if he sustained any hits to the head. • O bserve your child and be aware of concussion symptoms. Remember, consult a FastMed Urgent Care, primary care, or pediatric provider if any symptoms of a concussion occur, even if the symptom subsides. The key to success in sports and healthcare is a good team, and you, as a parent, are an important person on that team. At FastMed, we also count ourselves as part of your family’s team and are here to complete your child’s sports physical, educate you and your child on how to stay injury-free, and treat your whole family when illnesses or injuries occur.

Offensive Line & Weight Lifting Coach, Mark Tucker, and Hamilton High Varsity football players Chance Brewington, Joshua Bosolet, and Satchel Escalante. Page 18 — Healthy Cells Magazine — East Valley — ­ September 2016

Matthew Shores, MD is the sports medicine program director and urgent care physician at FastMed Urgent Care in Scottsdale. For more information on Dr. Shores and the sports medicine program, visit FastMed.com/SportsMedicine. To find a FastMed Urgent Care near you, visit FastMed.com.


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make time for yourself

Enjoying Life and Having Fun By Hilary Samples, Mountain View Funeral Home and Cemetery

Hilary Samples

Enjoying an ice cream social with friends at Las Palmas in Mesa.

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hat do you like to do to have fun? I enjoy getting out in the community and seeing all of our active seniors. There are so many resort-style living places and senior centers here to keep people energized and having fun. I really love being able to participate and see how all of these seniors are loving and enjoying life. They have so many activities, whether it is playing cards, bingo, games, dances, or exercising in the pool. I love the energy. The activity directors and their assistants really plan great things for the residents. Recently, I was lucky enough to attend a senior outing. We ventured off to the Salt River for a day of fun. There were about 25 of us that went kayaking. I was impressed by the positivity and excitement by these seniors. A lot of these people were on a big adventure as it was their first time kayaking. We each grabbed a kayak and off we went. It started off with very still water, but we hit some nice rapids while traveling down the river. It was not a short trip; it was five miles of the Salt River. There were parts of the trip down the river that you really needed to Page 20 — Healthy Cells Magazine — East Valley — ­ September 2016

Kayaking the Salt River with residents of Las Palmas.


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Activities Director Camille with Sous Chef Chris of Las Palmas, enjoying a cooking demonstration use some muscle. We all shared lunch and funny stories when our trip ended. I was wiped out by the end of the trip, so I can only imagine how they felt. I love that they were able to get out there and have a blast. Often, we tend to stay where we are comfortable. I know, because I do it too. However, we need to get out and enjoy life. The other day I was at an ice cream social and when they were getting their ice cream, they were told they had to find another seat to sit in and introduce themselves to the person they sat next to. Sometimes it is getting out of comfort zone. You might just find out you have something in common with a new person you meet.

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hearing health

Listen Up!

Noises Can Damage Your Hearing

Kay Kochman, AuD

Submitted by Kay Kochman, AuD, Tri City Audiology

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ounds surround us. We enjoy many of them — like music, birdsong, and conversations with friends. Loud or longlasting noises — from motors, power tools, and even headphones — can permanently damage your hearing. Take steps to protect your ears from harmful noises. Loud noise is one of the most common causes of hearing loss. An estimated 26 million Americans between the ages of 20 and 69 already have irreversible hearing loss caused by loud sounds. Up to 16 percent of teens have hearing loss that may have been caused by loud noise. “Noise damage can begin at any age, and it tends to accumulate over time. That’s why avoiding excess noise is so critical,” says Dr. Gordon Hughes, a clinical trials director and ear, nose, and throat specialist at NIH. “Hearing loss caused by noise is completely preventable.” Page 22 — Healthy Cells Magazine — East Valley — ­ September 2016

For adolescents, music players with headphones are a common source of noise exposure. “With adults, it may be power tools, lawn mowers, snow blowers, and other sources of that type,” Hughes says. “Workplace noise — like farm machinery, construction, and noises associated with military service — may also cause problems.” Noise-related hearing loss can arise from extremely loud bursts of sound, such as gunshots or explosions, which can rupture the eardrum or damage the bones in the middle ear. This kind of hearing loss can be immediate and permanent. Most noise-related hearing problems develop slowly over time, with ongoing exposure to loud sounds. Loud noises can injure the delicate sensory cells — known as hair cells — in the inner ear. “These cells have little hair-like tufts on one side,” Hughes says. Hair cells help to convert sound vibrations into electrical signals that travel along nerves from the ear to the brain. These cells


“Noise damage can begin at any age, and it tends to accumulate over time. That’s why avoiding excess noise is so critical.” allow us to detect sounds. When hair cells are damaged and then destroyed by too much noise, they don’t grow back, so hearing is permanently harmed. Sometimes loud noises can cause tinnitus — ringing in the ears that lasts anywhere from a brief period to a lifetime. Loud noises can also cause temporary hearing loss that goes away within hours or a couple of days. “Some research suggests that even though the symptoms disappear, there may be molecular or chemical abnormalities that build up and cause potential for long-term damage to hearing,” Hughes says. It’s best to avoid loud noises when possible. But how loud is too loud? Sound is measured in units called decibels (dB). Sounds less than 75 dB are unlikely to harm hearing. Normal

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conversation, for instance, measures about 60 dB. A typical hair blow-dryer has an intensity of about 85 dB, but if they’re used for just brief periods, they’re unlikely to damage hearing. However, long or repeated exposure to sounds at or above 85 dB can cause problems. The louder the sound, the quicker the damage. “At maximum volume, an audio player with ear buds might produce 105 dB. There’s potential for noise damage to occur at barely 30 minutes of exposure,” Hughes says. A siren may be 120 dB, a rock concert 110 dB, a motorcycle 95 dB, and a lawn mower 90 dB. All these have the potential to harm hearing over time. “Wear ear protection such as ear plugs if the sound can’t be avoided. Get away from the sound, or reduce it, like turning down the volume on an audio player,” Hughes says. Foam insert earplugs can keep some sound intensity from reaching the eardrum, as can protective earmuffs, available at hardware and sport stores. For better ear protection, talk with a hearing specialist about getting a custom-fitted ear mold that attenuates sound. Finally, don’t forget to protect the ears of children who are too young to protect their own. Get a hearing test if you think you or a loved one might have hearing loss. The experienced caring audiologists at Tri-City Audiology will be happy to help you with all your hearing health care needs. Please call the office nearest you for an appointment. We look forward to seeing you! Mesa: 480-498-2134 — Tempe: 480-498-2246 — Chandler: 480-498-2223. Photo credit: gpointstudio/iStock

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September 2016 — East Valley — ­ Healthy Cells Magazine — Page 23


community news

Helping Meet the Needs of the Community By Sarah Auffret, Assistance League of East Valley

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ore than 20 years ago, A handful of women who noticed that many children were coming to school in torn clothing and worn-out sandals decided to do something about it. They started filling a panel truck with good used clothing and distributing it in the Mesa School District bus parking lot. From that tiny beginning has grown a vital organization of almost 140 volunteer members, Assistance League of East Valley, which now clothes more nearly 7,500 schoolchildren each year with new outfits and shoes. A major source of the group’s funds has been their thrift shop at 1950 N. Arizona Avenue in Chandler, staffed entirely by volunteers, Tuesday through Saturday. Now the organization is taking a

Assistance League of East Valley New Thrift Store Grand Opening Friday, October 21st, 2-5pm Raffle tickets on sale now in the thrift store. $5 each, or three tickets for $10.00. Prizes (need not be present to win) • $1000 • Two nights at the Arizona Grand Resort • Michael Kors purse Schedule of events: • Presentation and acknowledge of contributors    • Special recognition of Michael Pollock, Pollock Investments • Ribbon cutting • Entertainment by Michael Pollack’s band • Free light refreshments • Goodie bags with coupons for our shop and neighboring businesses

leap forward. On Oct. 5, they will move into a large, free-standing building at 2326 N. Alma School Road in Chandler, north of Warner Road. This will allow them to sell furniture and other large items. “We believe this will help us serve even more children and expand our services to other schools,” said Barbara Friend, president of the group, which is part of the National non-profit Assistance League. “There is so much need, and these families are just so grateful for this help. Some of the children have never had a new pair of shoes.” Elementary school children from Tempe, Mesa, Kyrene, Chandler, and Gilbert school districts receive clothing from the organization each fall after being recommended by family resource officers at their schools. The children are thrilled to receive a shopping trip to Target, or a set of two uniforms if they attend a uniform school. One little boy, with eyes shining and a huge smile on his face, said “This is the best day of my life!” • Assistance League of East Valley also provides 750 assault survivor kits containing clothing and personal care items to 10 agencies that work with children and adults in crisis situations • Hosts spelling bees in Tempe, Gilbert, and Chandler schools • Provides 10 college scholarships each year • Sponsors monthly birthday parties at an adult day care center Furniture is especially needed to stock the new store and provide increased funding for needy children. To donate furniture, email alevfurnituredonations@gmail.com. The group also welcomes donations of clothing, books, toys, linens, fabrics, crafts, tools, dishes, and other household items at their existing location through Sept. 17 and at the new location beginning Sept. 19. The existing store will close on Sept. 24, and the new one will open Oct. 5. Summer thrift shop hours are 10am to 2pm, extending 10am to 5pm beginning Sept. 6. A grand opening celebration at the new store is planned for Oct. 21. Assistance League of East Valley is a nonprofit, charitable 501(c)(3) organization committed to volunteer service in the community. It is qualified as an Arizona Tax Credit charitable organization. For more information, please visit www.assistanceleagueeastvalley.org or call 480-792-1600. Photo courtesy of Assistance League of East Valley

Page 24 — Healthy Cells Magazine — East Valley — ­ September 2016


back-to-school

Could Your Child’s Back Pain Be Caused by a Backpack?

Michael Haught, LMT

By Michael Haught, LMT, Keystone Body Therapies

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s the summer winds down and parents start preparing to send their children back to school, we are preoccupied with getting them the latest fashions and most up-to-date supplies they might need. One thing we might not think about when selecting a backpack is the effect it might have on their bodies from carrying a heavy backpack that is overloaded with all of those books and supplies. When a backpack is used properly, it will distribute the weight of the load, making it easier to carry. If overloaded, however, it can lead to overcompensation by the back, causing back pain. Over time, these compensatory patterns can cause the shoulders to be rounded, the head to be carried in a more forward posture, and distortion of the spine’s natural curves. All of these things can lead to muscle sprains and strains, and stress on the joints and ribs. To compensate for the extra weight, the child will often lean forward, causing them to be off balance and in danger of falling, causing further injury. Some of the symptoms that your child might present may be headaches, lower back pain, upper back pain, shoulder pain, and arm pain. They may also get tingling and numbness in their arms and hands along with muscle weakness. The pain and symptoms caused by backpacks are avoidable. Doctors recommend a weight of 10 to 15 percent of the child’s body weight to prevent injury. There are also some features to look for when purchasing a backpack to prevent injuries and pain:

• Be sure that they are made from a lightweight material • Make sure the straps and back has sufficient padding • Individualized compartments to help distribute weight • Hip straps or waist belts to redistribute weight from the shoulders If there is no way of preventing a heavy load, then a separate bag for laptops and heavy electronics or a rolling bag is recommended. Also, be sure to have the child carry the bag on both shoulders, properly distribute weight with heavier objects lower and closer to the body, adjust the straps to fit snugly against the body so that the bag is not loose and hanging, and take care not to lean forward when walking with her backpack on. The good thing is that most of these symptoms are temporary. If they do persist and your child continues to complain about any of them, please contact Keystone Body Therapies to schedule a free consultation, and to learn more about how our therapeutic bodywork and neuromuscular re-education services can help your child get back to 100 percent. To schedule your free consultation and find out how we can assist you in overcoming the discomfort that is caused by these issues, call Keystone Body Therapies at 480-686-8647, or stop by our office at 1600 W. Chandler Blvd., Suite 250, Chandler, Arizona 85224. You can also schedule online at www.keystonebodytherapies.com. Photo credit: monkeybusinessimages/iStock September 2016 — East Valley — ­ Healthy Cells Magazine — Page 25


primary caregivers

Creating a Circle of Support By Sheriolyn Curry, Mdiv, CSA, Comfort Keepers Sheriolyn Curry, Mdiv, CSA

P

roviding care for an elderly parent or an aging loved one can bring additional responsibilities and stress to the whole family. Relationships might become strained and resentments build as emotions run high. Cooperation and communication are the keys to drawing the family closer together to support the aging elder. The more supportive and involved people are, the less alone the caregiver might feel. Plan a family meeting. If family is a long distance away, consider conference calls with a speakerphone with three-way talking or using an internet-based video such as Skype or FaceTime. Be willing to record the call or discussion and send to family members unable to attend. Prepare an agenda. Set a length of time for the meeting, and prepare an agenda with points to be covered, such as: • The latest reports from the physicians • Evaluate your elder’s situation and voice your concerns • Decide who will be the primary caregiver • Discuss daily caregiving needs • Make a list of duties and divide responsibilities • Identify concerns such as unfair workloads, financial or time concerns • Designate who will make decisions, what support and roles each person plays • How will support change as illness progresses? Page 26 — Healthy Cells Magazine — East Valley — ­ September 2016

• Discuss when to consider hiring for in-home senior care, respite care, and/or end of life care • Share feelings about the illness and caregiving responsibilities • Create a summary of the meeting and schedule the next meeting Decide whether to include aging/ill family member. If the family member has dementia or another mental condition, it might be best to hold the meeting without him or her present. Outside expertise or counseling may be needed. Sometimes families are divided on a big issue. Be willing to invite an outside neutral facilitator to attend. Look for a Certified Senior Advisor in your area. The goal of the meeting is to work as a team in caring for the ill/aging person even if there is conflict among family members. Cooperation, communication, and willingness to ask for help, creates a solid circle of support for the primary caregiver. Comfort Keepers provides all levels of care and a wide variety of services. Caregivers are certified and have on-going training to give them all of the skills to be the best caregiver they can be. For additional information, call 480-659-9201, visit www.comfortkeepers.com, or email chandler@comfortkeepers.com. Se habla español. Photo credit: Lighthaunter/Thinkstock


al

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Shoebox Ministry Restoring dignity to the homeless since 1988.

We need your help getting some much needed toiletry products. The most needed items are: • Toothpaste • Shampoo • Shaving cream

• Wash cloths • Free hotel toiletries

Donations can be made online via paypal at www.shoeboxministry.org/ways-to-donate/  AZ residents may qualify for the state tax credit. Financial donors may qualify to take a dollar-for-dollar tax credit when you file your Arizona state taxes. Any donation amount qualifies, up to $200 for single filers or $400 for married filers. Shoebox makes bulk purchases and will put your donations to good use by purchasing items like deodorant for .33 cents each and toothbrushes for only .06 each. Please join us in making a difference in the lives of the Valley’s homeless and working poor. Drop off locations listed on website.

www.shoeboxministry.org • info@shoeboxministry.org • 480-905-1610.


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TEMPE

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Power Rd. South of US60 1810 S. Power Rd. Mesa, AZ 85206 (480) 214-0045

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For all Arizona locations, visit FastMed.com.


FastMed Urgent Care and Concussions, September 2016