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

NOVEMBER 2016

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HealthyCells

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www.healthycellsmagazine.com

M A G A Z I N E

• Nutritional

Honoring Our

Therapeutic Massage to Ease COPD Destressing the Holidays for Those With Dementia Losing a Pet


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letter from the owner

F

or many of us, November is a time to reflect on all our blessings and celebrate with family, friends, and loved ones. It is my hope you will be inspired by the Healthy Cells feature story, which reminds us of the sacrifices our Veterans made and provides opportunities for ways we can express how much they are appreciated. In the spirit of giving, there are so many ways to brighten the holidays for our veterans, the elderly, and those in need. Whether you have time to give, the ability to provide financial support, or both, the opportunities to make a difference in someone’s life are endless. Food banks, animal shelters, senior centers, churches, and other organizations welcome additional resources to provide services to the community. You may consider donating the gift of life by donating blood or registering with Be the Match as a bone marrow donor if you are a match to someone. Wishing you and your loved ones a Happy Thanksgiving,

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

A Few Organizations That Always Welcome Community Support

The needs of United Blood Services always increase during the holidays. To make an appointment, call 1-877-USB-HERO (827-4376) or visit www.BloodHero.com

Contact United Food Bank if you’d like to help feed the hungry. They can also provide partner organizations in your area that also need donations and volunteers. Visit www.unitedfoodbank.org or call 480-926-4897.

Be the Match registry can answer all your questions at www.bethematch.org or by calling 1- 800-MARROW-2 (1-800-627-7692).

Do you enjoy helping animals? Reach out to one of the many animal rescue groups or Maricopa Animal Control at 602-506-PETS (7387) or visit www.maricopa.gov/pets/help.aspx. November 2016 — East Valley — ­ Healthy Cells Magazine — Page 3


NOVEMBER

2016 Volume 4, Issue 11

5

Finding A Balance: Brake Before You Break

6

Physical: Lack of Sleep Getting You Down?

This Month’s Cover Story:

Gemini Hospice Honoring Our Veterans

page 16

Cover and feature story photos courtesy of Gemini Hospice

8

Nutritional: Avoiding Foodborne Illnesses This Holiday Season

10

Emotional: Emotional Overload and Teens

12

Healthy Skin: How to Deal With Summer Sun-Damaged Skin

13

Medicare Open Enrollment: Changing Plans and Keeping Your Provider

14

Losing A Pet: Grieving the Loss of a Friend

19

Oral Health: Shaking up Tobacco Cessation

20

National Alzheimer’s Awareness Month: Destressing the Holidays for Those With Dementia

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:

22

Easing Symptoms: Therapeutic Massage to Ease COPD

24

Amplified Sound: Hearing Aids: What Style Is Best for Me?

26

Inner Health: The Hidden Stress of Losing Yourself When Caring for Others

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.


finding a balance

Brake Before You Break

Take Care of Yourself

Sheriolyn Curry, Mdiv, CSA

By Sheriolyn Curry, CSA, Comfort Keepers, Chandler

N

ovember is National Family Caregivers month. As a former family caregiver for my aging mother, whenever this time rolls around, I remember the joys and the pains of having this role for ten years. Now, as a Home Care Agency owner, I take special care to look for ways to honor and support family caregivers. A family caregiver is defined as a family member caring for a loved one in an unpaid capacity. Your loved one may live in your home, in their own home, or in some other kind of living facility, but you are the primary caregiver. Often times, you are juggling your life demands, as well as their life demands. The demands can become overwhelming, but, you continue to care, you continue to serve, you continue… This month, I want to encourage you to “Brake before you break! Take care of yourself!” Do you sometimes wonder, “When is it okay to take care of myself?” or, “How long can I go on like this?” Caring for an aging loved one is a labor of love, but it is a labor. As your elder becomes more frail and needs more of your time and energy, you may find yourself giving up outside activities and vacations, saying no to friends, feeling distracted at work, and getting stressed at home. If you try to do everything for your loved one, you risk neglecting yourself. If you don’t take care of yourself, how can you care for someone else? It is critical for you to take good care of yourself. Consider these statistics from the National Family Caregivers Association: • M ore elderly people enter nursing homes because of caregiver burnout than because of exacerbation of their own condition • Sixty-one percent of “intense” family caregivers (those providing at least 21 hours of care per week) have suffered from depression

•T  hree-fourths of all caregivers do not get consistent help from other family members • E ighty percent of all home care is provided by family caregivers Finding that balance can be a challenge, but now is the time to establish some healthy goals and habits. Here are five helpful hints and suggestions to aid you in caring for yourself and preventing burnout: 1. You are not alone. Ask for help. Determine services available in your area and create a resource network. Sometimes, getting help is the most loving thing you can do for them. 2. M ake healing habits of prayer, Bible and inspirational reading, music, fellowship, or whatever your faith tradition allows. 3. G ive yourself permission to take time off. Plan your respite time, and use it wisely. 4. Don’t major in the minors with family members. Remember you will always have bigger fish to fry! 5. D on’t entertain “what-ifs” or “if-onlys.” If you are doing your best, know your best is the best you can do. This month, I honor you and thank you for the caring service you provide. You are in my thoughts and prayers. If you need me, call me. I’m just a phone call away, 480-659-9201. Email chandler@ comfortkeepers.com. Comfort Keepers offers a wide variety of services to give comfort and peace of mind. Se habla Español.

November 2016 — East Valley — ­ Healthy Cells Magazine — Page 5


physical

Lack of Sleep Getting You Down?

Beth Hamann, DDS

Shari Aftahi, DMD

Submitted By Koala Center for Sleep Disorders

I

f you didn’t sleep well last night, you may find yourself irritable and grumpy today, but if you’re someone who has suffered from insomnia and disrupted sleep for months, years, or decades, the compounded sleeplessness may take an even greater toll on your overall mood and mental health. When you don’t get the eight hours of restful sleep you need, it can impact your whole outlook on life as well as your emotions and feelings of happiness. According to the National Sleep Foundation, the link between sleep and mental health has been seen time and again by researchers and doctors. Depression and sleep disorders For people with mild to severe sleep disorders, feelings of depression and anxiety are all too common. In the last decade, a number of studies have shown a link between one such disorder, Obstructive Sleep Apnea (OSA), and depression. OSA is characterized by complete airway obstruction. Problems begin when sleepers experience apneas, where breathing stops, and hypopneas, where breathing is shallow due to an obstruction. Apneas and hypopneas occur when the tongue and muscles relax during sleep, the lower jaw falls back toward the throat, and the airway becomes blocked. The silence may end with a loud snort, cough,or gasp. This causes the sleeper to Page 6 — Healthy Cells Magazine — East Valley — ­ November 2016

wake briefly and begin breathing. After falling asleep again, the muscles relax and the airway becomes blocked once more. This cycle can occur hundreds of times per night. Those experiencing OSA will often report symptoms of insomnia, disrupted sleep, and excessive daytime sleepiness. However, many will also note symptoms affecting their mental health, such as depression, severe anxiety, mood swings, and temperamental behavior. This same connection has been made by researchers as well. A 2009 study in the Journal of Psychosomatic Research found a high rate of OSA in people with depression and insomnia.Thirty-nine percent of those studied had 15 or more breathing pauses per hour of sleep, which constitutes moderate sleep apnea. Furthermore, a 2006 study in the Archives of Internal Medicine found that people with mild sleep apnea were twice as likely to have depression than those without OSA. The risk only increased with the severity of the sleep apnea. While the above samples were smaller and more specific, a 2012 study by the Centers for Disease Control and Prevention (CDC) which studied 9,714 Americans, noted that the likelihood of depression increased in those with sleep-disordered breathing. Studies such as these show a much higher rate of depression in those with sleep disorders like OSA than in the general population. This could be because


disrupted sleep can lead to changes in one’s emotions as well as clinical depression and anxiety. Chronic insomnia and disrupted sleep may also alter the neurochemicals and brain activities that control one’s thoughts and moods. Depression can be disabling, according to the National Institute of Mental Health, and will often impact one’s work and family life, causing feelings of sadness, hopelessness, and suicidal thoughts. The good news is that when OSA is treated, symptoms of depression may improve dramatically. In fact, a 2007 study in the Journal of Clinical Sleep Medicine, which looked at 50 adults with severe OSA, found that four to six weeks of treatment lowered symptoms of depression in 94 percent of those studied. Even after one year, 88 percent of participants who received continued treatment for their OSA still enjoyed fewer symptoms of depression. Treatment Options for OSA Because the relationship between sleep and depression is a complex one, the authors of the 2012 CDC study suggests that physicians screen for depression in those suffering from OSA, or vice versa. If you are experiencing symptoms of either of these conditions, you may want to consider asking your physician for a sleep study. In a sleep study, doctors will monitor your pauses in breathing to determine whether or not you have OSA and, if so, how severe it is. Treatment options for OSA include lifestyle changes, surgery, Continuous Positive Airway Pressure (CPAP), and Oral Appliance Therapy. While CPAP is one of the most common treatments for OSA, Oral Appliance Therapy has proven to be an effective, scientifically-based treatment alternative that patients may find more comfortable and easier to

Other Symptoms of OSA Include:

• Snoring • Weight gain • High blood pressure • Diabetes • Morning headaches or migraines • Mouth breathing/difficult nose breathing • Impotence and/or decreased sex drive • Poor job or school performance

use. The purpose of the appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep. Oral appliances are similar to athletic mouth guards but less bulky and completely non-invasive. Oral sleep appliances are covered by most medical insurance plans and Medicare. Do you wake up tired, fatigued, have headaches, snore or are you looking for an alternative option to a C-PAP? Call today for a FREE co sultation and information about Oral Appliance Therapy and learn how the appliance can conquer sleep apnea, fatigue, headaches, and other health conditions. Contact Koala Center for Sleep Disorders at 602-357-9845 or visit www.koalabiltmore.com. Located at 4235 N. 32nd Street, Suite A, Phoenix, AZ.

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


nutritional

Avoiding Foodborne Illnesses This Holiday Season

Allison Kaplan, PA-C

By Allison Kaplan, PA-C, FastMed Urgent Care

A

lmost nothing can spoil a happy holiday faster than food poisoning. Foodborne illnesses are one of the most common public health issues. They’re also one of the most preventable. Every year, one in six Americans becomes ill by consuming contaminated foods or beverages. The source of contamination is disease-causing microbes known as pathogens. Let’s look at steps you can take to prevent foodborne illness and what to expect if you or a family member gets sick. Preventing foodborne illness Maintaining a clean kitchen environment and handling food properly is extremely important. Simple things like not thawing a turkey correctly or forgetting to wash the counter with hot, soapy water can lead to serious illness. The Food and Drug Administration (FDA) offers four simple guidelines for food safety: • C lean — Wash your hands thoroughly before handling food and keep kitchen surfaces clean as well. Rinse fruits and vegetables, but do not rinse meat and poultry products. Page 8 — Healthy Cells Magazine — East Valley — ­ November 2016

• S eparate — Take steps to avoid cross contamination by keeping uncooked meat, poultry and egg products separate from other foods and food surfaces. Use separate cutting boards, plates, and utensils for raw foods. • Cook — Use a meat thermometer to confirm meat and poultry products are cooked to an internal temperature high enough to kill bacteria. Take extra care when reheating leftovers. Steer clear of food containing raw egg — unfortunately, this means not letting the kids lick the cake batter or have a taste of raw cookie dough. • Chill — Refrigerate all leftovers within two hours, and eat them quickly, within three to four days. Never defrost food at room temperature. Instead, allow time for food to thaw completely in the refrigerator. Common foodborne illnesses If you do get sick, the infographic below may be able to help you pinpoint which foodborne illness you are suffering from and about how long you can expect to be sick. It’s always best to get a medical evaluation to confirm a case of food poisoning and ensure a smooth and complete recovery.


Let’s take a deeper look at four of the most common foodborne illnesses (there are more than 250!), along with their symptoms, gestation period, and how long you can expect to experience symptoms. Noroviruses These viruses are highly contagious and can be spread via anyone who is infected or even by touching a contaminated surface. It can also be transmitted through contaminated water or foods, like raw produce or shellfish. Your stomach, intestines, or both become inflamed, leading to cramps, nausea, diarrhea, fever, headache, and vomiting. This can be especially serious for young children and older adults. Norovirus symptoms take about 12 to 48 hours to present and have usually run their course within 12 to 60 hours. E. coli Escherichia coli bacteria, better-known as E. coli, are usually harmless. We have them in our intestinal tracts to keep us healthy. But some E. coli are pathogenic, and these are the bacteria that cause illness when they’re outside of the intestinal tract. E. coli can be transmitted through contaminated water or foods (like undercooked beef or unpasteurized dairy) or through contact with people or animals. Symptoms include severe stomach cramps, vomiting, and diarrhea, which is often bloody. E. coli takes up to 10 days to incubate and can last from five to 10 days, although you’ll probably feel better within six to eight days. Salmonella Salmonella bacteria cause an infection called Salmonellosis. These bacteria can be transmitted via raw poultry, eggs,

unpasteurized dairy, and some raw produce. Symptoms include abdominal cramps, diarrhea, and fever that begin to present 12 to 72 hours after exposure. The bug usually lasts for four to seven days, and most people recover without treatment. In serious cases, however, diarrhea can lead to severe dehydration and may require hospitalization. Campylobacter Campylobacteriosis is caused by Campylobacter bacteria that is transmitted through raw or undercooked poultry or unpasteurized milk. It causes fever, abdominal pain, cramping, and diarrhea, which may be bloody. Symptoms begin two to five days after exposure, and the illness typically lasts for about a week. If you think you have eaten contaminated food, your local Poison Control Center can answer questions and provide information on what to do next. If you have mild symptoms of food poisoning including dehydration that gets worse instead of better or a fever, the licensed medical providers at FastMed Urgent Care are available seven days a week to help you. If symptoms do not subside within a week, contact your primary care provider or visit a FastMed Urgent Care for treatment. Allison Kaplan is a certified physician assistant at FastMed Urgent Care, serving patients in the East Valley. For more information, visit FastMed.com. Source: Mark FAD Consumer Health Information: Food Safety Tips for Healthy Holidays, www.fda.gov/downloads/ForConsumers/ConsumerUpdates/UCM191812.pdf

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emotional

Emotional Overload and Teens By Amy Burnside, LCSW, Infinite Healing and Wellness

Amy Burnside, LCSW

I

“ had no idea!” These are common words spoken after someone has lost a loved one to suicide. There is no single cause for suicide. Suicide most often occurs when stressors exceed current coping abilities. This may be due to intense emotional overload or an undiagnosed or untreated mental health condition. Depression is the most common condition associated with suicide. Additionally, anxiety and substance abuse are common factors, and teens are becoming increasingly more at risk. As a mental health professional and a mother of two teenage girls, I am exposed daily to the ups and downs of being a teenager in today’s overstimulating environment. Between social media, busy family schedules, and pressures to perform well academically, socially, and athletically, teens today can easily become overwhelmed by life. So, how can parents and adult community members help this anxious and overwhelmed age group? First, be present if you are a parent or an adult in a mentoring relationship with a teen. Let him/her know he/she is important and what they have to say is important. Put down your phone, turn away from your computer, and listen. I mean really listen to what she has to say as a person. The most common theme I hear from teens is that they are afraid of being judged or getting into trouble. If you have young children, begin building a healthy, trusting connection with them early, so you can build their trust. This will help them to have more open dialogue with you when they are teenagers and may need to talk about difficult emotions or topics. If you already have a teen and you are having a hard time connecting, it is not too late. All teens need someone to talk to, and sometimes their peers are not equipped with the emotional stability or knowledge and life experience to know how to help, even if they try. Don’t expect the teen to open up right away. Start building a connection with her by doing something active that she enjoys and talk about things that are not serious. Allow your teenager to relax and feel a sense of camaraderie with you. Be mindful of your reaction and try to see things from your teenager’s point of view rather than only from your adult point of view. Doing this will build rapport, trust, and connection with your teen. Check in with your teen on a regular basis Page 10 — Healthy Cells Magazine — East Valley — ­ November 2016


to see how things are going with friends, school, extracurricular activities, as well as their overall emotional and physical health. Don’t wait for her to tell you. Give her space to be herself while guiding her to make well-informed decisions. The key word here is “guide.” Be an emotional coach. Teens have the ability to make good decisions, but they can often be made from an emotional place. Try to help your teen to balance his/her logic and emotions. This will help her to make decisions from her “Wise Mind,” a term that comes from Mindfulness training. Lastly, be aware of warning signs of suicide as well as resources that can assist you and your teen if she or a friend is feeling overwhelmed or suicidal.

• Rage, uncontrolled anger, seeking revenge • Acting reckless, or engaging in risky activities without thinking • Dramatic mood changes Resources • N ational Suicide Prevention Lifeline — Provides free, 24-hour assistance. 1-800-273-TALK (8255) • N ational Hopeline Network — 24-hour suicide crisis support. 1-800-SUICIDE (784-2433). • www.sprc.org • www.stopasuicide.org

Warning signs of acute risk for suicide (act immediately) • T hreatening to hurt or him or herself or talking of wanting to hurt or kill herself • L ooking for ways to kill herself by seeking access to firearms, available pills, or other means • Talking or writing about death, dying or suicide, when these actions are out of the ordinary

Teens helping teens • teenlineonline.org/talk-now • TeenLine — (800) 852-8336/(800) TLC-TEEN. Free and confidential. Available from 6:00pm to 10:00pm, Pacific Time, seven days a week. • Text “TEEN” to 839863 between 5:30pm and 9:30pm PST to speak with one of our teens (Text STOP to opt out. Standard msg and data rates may apply) • Teen Message Board — teenlineonline.org/board

Additional signs • Increased substance use (alcohol or drug) • No sense of purpose in life. No reason for living • Anxiety, agitation, unable to sleep or sleeping all the time • Feeling trapped — like there’s no way out • Hopelessness • Withdrawing from friends, family, society

Amy Burnside, LCSW is a licensed therapist at Infinite Healing in Wellness in Gilbert, AZ. Burnside uses EMDR therapy and DBT and Mindfulness therapy to help clients with a wide range of emotional stressors and mental health issues. Burnside treats clients individually as well as in group settings through a series of classes she teaches. Contact Amy at 480-448-1076, amy@infinitehw.com, www.infinitehealingandwellness.com.

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


healthy skin

How to Deal With Summer Sun-Damaged Skin Submitted By Derma Health

N

ovember is Healthy Skin Month. One of the most common types of stress our skin is subjected to is sun damage, which accumulates over time. It’s never too late to start a protective skin regimen to protect against and help heal the damage the skin is exposed to daily. Monthly facials keep skin exfoliated, removing dead layers. Along with laser treatments, they stimulate collagen growth to remove sun damage. Using fillers and injectables can volumize skin and smooth out wrinkles, leaving your face glowing within hours. Daily use of professional skin care to cleanse and nourish skin is essential for morning and evening skincare regimens. Facial lasers Laser skin-resurfacing treatments are designed to provide a path to achieving beautiful, healthy skin with very little downtime. Laser treatments work by restoring the skin; they remove the outermost, damaged layers, revealing the new, healthy skin underneath. Laser resurfacing treatments also encourage new skin cell growth, helping maintain a lasting glow. Laser treatments can reverse the effects of the sun, aging, and stress, helping you achieve a more beautiful complexion while encouraging healthy skin cell turnover. Different types of laser treatments Even with expensive lotions, creams, and serums, the uphill battle against sun-damaged skin can take a toll on your self-confidence. Age spots, fine lines, and wrinkles are just some of the skin imperfections that you can’t control. Fortunately, technology comes to the rescue. Laser skin-resurfacing treatments use highly concentrated beams of light that work to remove the outermost layer of the damaged skin. This treatment can help those with stubborn skin issues, such as fine lines and wrinkles, find a path to achieving a youthful-looking complexion without having to go under the knife. There are two types of lasers used for skincare resurfacing treatments: ablative and non-ablative. Additional benefits of laser treatments include the following: • Minimize the appearance of age spots, brown spots, pockmarks, or discoloration for a more even complexion and skin tone • Encourage collagen production, remove sun damage, and firm the skin • Drastically reduce the appearance of acne scars and surgical scars Ablative lasers Your specific skincare concerns will determine the depth of the laser treatment needed. Ablative lasers work to remove the visible surface damage caused by aging, sun exposure, and environmental toxins that cause sullen, dull-looking skin. The Active FX Laser Resurfacing is an example of an ablative laser. We selected this laser treatment because of the amazing results you will see in just one treatment. Non-ablative lasers Non-ablative lasers do not break the surface of the skin. This cosmetic treatment option works by healing from within. Non-ablative lasers help to restore a youthful appearance by firming and tightening the skin. The non-ablative laser process works gradually, and results take more time; however, the result is lasting and beautiful. Titan Infrared Laser by Cutera® is one form of non-ablative laser treatment. The surface layer of your skin is protected and kept cool Page 12 — Healthy Cells Magazine — East Valley — ­ November 2016

while the laser light is focused on the deeper layers where collagen is produced. This laser therapy is often recommended for firming and tightening areas beneath the jaw line and in the abdominal area. Microneedling Microneedling treatment is a great way to restore the vibrancy of your skin after the summer sun has caused damage from sunburn and general dehydration. It is a great, non-chemical treatment that is effective for all different skin types and at any age. It stimulates new collagen growth which can repair damage, reduce wrinkles and fine lines, and correct uneven skin pigmentation that develops from time spent in the sun. Photofacial Photofacials are a non-ablative laser treatment; they boost collagen production while helping to restore a youthful appearance with the added benefit of firming and tightening the skin with no downtime. Although, the word “facial” is included in the treatment name, photofacial treatments are used on other parts of the body too for age spots, spider veins, freckles, and other pigment imperfections. The laser light is attracted to anything with color, actually breaking up pigment and bringing it to the surface where it sloughs off within days. It eliminates sun damage, freckles, redness, and tiny broken blood vessels. Benefits of Photofacial • Gives you the beautiful, even skin tone you had when you were younger • Your skin reflects light rather than absorbing it and actually brightens your eyes •P  opular for face, neck, chest, shoulders, arms, and legs Sunscreen/Moisturizer Sunscreen should be applied year-round, not just in the summer months. While summer rays are more powerful than the cloudy, colder conditions of winter temps, try a moisturizer with an SPF. Daily use of sunscreen also lowers your chance of skin cancer. Lip balm with SPF is essential; lips burn and chap easily as the skin is thin. Applying lip balm liberally throughout the day is a smart choice. Apply moisturizer to your body morning and night to help your skin stay hydrated and healthy. Most importantly, keep your body hydrated with water throughout the day and eat a healthy diet rich in Omega 3’s, Vitamin B, fruits, and veggies. Over 40,000 Patients have trusted Derma Health, a leader in medical aesthetic technology and premiere skincare services. Derma Health believes in promoting overall health and wellness by taking care of your body inside and out. We strive to not only take years off your outward appearance, but also add quality years to a healthy you on the inside. At Derma Health, we treat the whole person, not just the symptom, and that means understanding each individual inside and out. Derma Health services include aesthetic and laser treatments for the face and body, Botox and dermal fillers, anti-aging treatments for reducing lines and wrinkle, skin tightening, hormone therapy, nutritional solutions, tumescent Liposuction, and professional-grade skincare products. Get a complimentary consultation at one of the five valley locations! Start your beauty transformation today, call 602-903-3011 or visit www.dhiskin.com/health.


medicare open enrollment

Changing Plans and Keeping Your Provider

Patty Vieira

By Patty Vieira, Insurance Resources LLC

T

he Medicare annual enrollment period is October 15 to Dec 7, which means it’s time to review and make changes to your healthcare plan. When doing so, it is very important to make sure you are enrolled in the plan that best fits your needs. One of the biggest concerns I hear from healthcare providers is their patients change plans and are unaware of changes they made to their out-of-pocket expense and the ability to continue with their providers. There is going to be a lot of very attractive Medicare Advantage plans this year that advertise a zero premium. While many clients enjoy these plans and there is a great premium savings, there are some drawbacks. These plans require a specific network of doctors and healthcare providers; this can be very tricky if you do not want to change your physicians or would like to continue with specific facilities. It is important to verify they are available in the new plan and to confirm your potential out-of-pocket expenses. With the proper research, they can be an affordable option. If you choose a Medicare supplement, you’ll pay a monthly premium to the insurance company. Because it’s a supplement to Medicare, as long as it’s a Medicare-approved procedure and the physician or facility is contracted with Medicare, you will have very little, if any, out-of-pocket besides your premium, and there are no networks or referrals required. When open enrollment approaches, I see a large influx of part-time agents, and like any other industry, you’re going to have good insurance agents and bad ones. I always recommend working with an agent that is committed with Medicare products year round and is contracted with multiple companies that offer a large variety of plans. This will help ensure that your needs are being fully met. An insurance professional will confirm all this information before even presenting you your options for the coming year. The right agent can be a lifesaver by helping you navigate through all the various insurance options, researching the plans your physi-

cians accept, and coordinating the benefit options that will meet your unique needs. This can save you time and money and help avoid a lot of frustration. Listening to a client’s needs and gathering all the important information is critical. Failing to inform a client about both the advantages and disadvantages of each choice can result in a client being caught in a plan for the year with no ability to change until the next open enrollment. A good professional will want to encourage the doctor/patient relationship and will assist you in finding a plan that will keep that relationship in place. Have questions about individual or Medicare insurance? Patty Vieira is an Independent Insurance Agent with 30 years of experience. She specializes in simplifying Medicare Insurance plans and quotes and finding the right plan to meet the unique needs of each client. Call: 480-220-7233, email: pattyjvieira@gmail.com, or visit www. insurancebypatty.com.

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losing a pet

Grieving the Loss of a Friend Submitted by Hilary Samples, Mountain View Funeral Home and Cemetery

L

osing a pet can be one of the most painful experiences a person can have. There is much talk in today’s world about unconditional love. It would be wonderful if human beings were capable of such a thing. The sad truth is that we fall short of the mark. While unconditional love is probably impossible, it is a wonderful goal and we should continue to strive for it. Unconditional love In reality, the closest thing to unconditional love we ever perceive is that which we sense from our pets. Even then, there are a few conditions. After we have fed them and their other basic needs have been met, animals are unconditional. We have yet to hear that someone’s dog, cat, parakeet, or hamster judged them or criticized them or called them stupid. What we do know is that people tell their most intimate secrets to their pets. What we do know is that people express their truest and deepest emotions to their pets, often much more so than they ever express them to friends or family. We know how incredibly important pets can be to people. We know millions of people who, unable to have children, have been able to have some of the wonderful and natural parental-type feelings for their pets. We know an awful lot about how attached people become to their pets. Losing a pet More importantly, we know how devastating the death of a pet can be. We know how grieving pet owners are often abused by well-meaning friends who say insensitive things. The purpose of this article is to help grieving pet owners complete their relationship after the pain caused by the death of their pet and to assist friends of grievers in being more helpful and supportive by providing information about recovery from one of life’s most significant losses. We are all familiar with the expression that starts with: “I was unhappy about having no shoes until I met a man who had no feet...” While well intentioned, that parable sets up one of the most massive pieces of misinformation in our society. It teaches us to compare our feelings in order to minimize them. Followed to its logical conclusion, there can only be one griever — the one with the most horrible list of losses. Losing a pet can be devastating Grieving pet owners, met with the constant line, “it was only a pet,” are set up to compare their feelings to those they may have had when a parent Page 14 — Healthy Cells Magazine — East Valley — ­ November 2016

Our last day with Dixie.

Hilary Samples


or grandparent died. If that is not enough, they are then told to “go out and get another pet,” or replace the loss. No one would be insensitive enough to tell you to go out and “get another mom” if your mother died, would they? On the other hand, when a baby dies, the parents are often told, “don’t feel bad, you’re young, you can have other children.” Our human responses to death are normal and natural. Since we have been taught to hide or mask our natural reactions to loss, we often feel that there is something wrong with us when we experience intense feelings. Death of a pet often produces incredibly powerful emotions. The emotions attached to the loss are normal, but society’s treatment of the grieving pet owner is not normal. We must strive to normalize that which is normal. Otherwise, we continue to drive grievers’ feelings underground, buried for fear of being considered “weak.” As a friend of someone who has recently experienced the death of a pet, please remember that their heart is broken. All grief is experienced at 100 percent. There are no half grievers. Do not try to minimize their pain. Recovery from the pain caused by death of a pet, as with all other losses, must include the process of discovering and completing all unfinished emotional business. This process is detailed in The Grief Recovery Handbook. Save 10 percent on your prearrangement by mentioning this article. For questions or to schedule an appointment, please contact Hilary Samples by phone 760-391-3456 (cell), 480-832-2850 (office), or email hsamples@mvfuneralhome.com. Serving the community for 61 years, locations include Mountain View Funeral Home and Cemetery in Mesa, San Tan Mountain View Funeral Home in Queen Creek, and Superstition Cremation and Funeral Services in Apache Junction. I am able to meet you at the funeral home or in the comfort of your own home. This article was written by Russell P. Freidman, executive director, and John W. James, founder, of the Grief Recovery Institute. For more information about their programs and services, visit their website at www.griefrecoverymethod.com.

Friends, Kathy Mauer and Carol Chandler, recently painted pictures in memory of their beloved pets, Bella and Shiloh, during an event sponsored by the Cavalier King Charles Spaniel Club of Central Arizona.

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www.chandleraccidentchiropractic.co November 2016 — East Valley — ­ Healthy Cells Magazine — Page 15


feature story

Honoring Our Veterans By Kerri Ann Valenzuela, President of Community Education and Marketing, Gemini Hospice

“Since the birth of our nation there have always been the brave men and women standing in the gap to protect our nation and ensure our freedom. As we set today aside to honor and thank our Veterans let us be mindful that we should do this every day of the year not just one.” — Beth Pennington, Founder of Military Missions.org

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eterans Day gives us the opportunity to say “thank you” for the selfless sacrifices made by our veterans and the men and women who are currently serving our country. As the granddaughter of a Marine veteran who has since passed, I am so incredibly proud to be a part of Gemini Hospice, a company that puts giving back to the community before business through educational presentations, volunteering at local events, and supporting our veterans. Through Gemini Hospice’s unusual but successful business model, I’ve had the honor to meet so many wonderful and truly inspiring people. Digging into the community brings up many issues on an individual level, and we as a company need to make sure we have local resources available for the needs we uncover. When finding local resources, it is our responsibility to ensure that the people we refer will take care of those in need and not take advantage of them. I’ve met many wonderful people, including some truly inspiring people who are in desperate need of resources they did not know were available to them. One of the largest groups of those in need is our amazing veterans. Many veterans and their families find it very frustrating when they are not able to find the unique support they need outside of the VA and close to home. There are groups out there championing for their fellow veterans and working tirelessly to keep their programs open and growing to meet the needs they see every day. These grass-roots, communitybased, non-profit, and city-sponsored organizations are a blessing to many veterans, their loved ones, and the community as a whole. You could pass them every day and not know that stopping in and buying a vase, donating your unneeded items, attending a steak Page 16 — Healthy Cells Magazine — East Valley — ­ November 2016

dinner or pancake breakfast, or even an hour of your time per week could make such a huge difference for a veteran resource group in your community. OHOP (Open Hands Outreach Program) One of those groups that is very special to us, the community and its honored veterans, is Open Hands Outreach Program based in Coolidge, AZ. When I first met Diane Lesueur (founder and president) and Tom Hunt (founder and outreach director) I felt so welcome, and I will say they caused me to really re-evaluate myself. Here are two people, along with a group of amazing other volunteers, that live each and every minute of their lives to help not only their beloved veterans, but the entire community which they call home. Their passion for improving the lives of veterans and their families, providing resources, support groups, jobs, housing, understanding, acceptance, respect, acknowledgement, and so much more each is evident within five minutes of a conversation. My two to three times a year volunteer efforts outside of my career is not enough, and boy, did they, along with Josie Dominguez (navigator manager), Nancy Soliheim (regional facilitator), and Dr. Phil Putnam (president), inspire me to want to do so much more. OHOP began in 2012 with a group of business, civic, religious leaders, and veterans representatives from various organizations that came together as a grass-roots movement to reach out to veterans in need. They are a 501(c) 3 non-profit, faith-based organization with the focus on helping veterans get the benefits they have earned and services they need. OHOP is proud partners with United Way Pinal Co., RSVP Sr., Salvation Army, United Food Bank, APS Crisis Utility


Assistance, and SNAP (food stamp) enrollment assistance. While their focus is on veterans, the help provided by their outreach programs is also for elderly, disabled, and the community at large. OHOP is a non-government funded philanthropic venture solely reliant on volunteers, donations, gifts, and grants, which are primarily used to provide services to those who have come back from service in the military with problems that most of the world does not understand. They strive to promote residential stability and resources to increase veteran skill levels and income as a way to end veteran homelessness. Other veteran programs include certified counselors who are also veterans, re-entry and recovery groups, spouse support groups, employment opportunities, on-line classes, and, most of all, a place where veterans can find fellowship, freedom from problems, hurts, habits, and addictions. OHOP also solely runs the city food bank, which provides emergency food boxes, monthly food boxes, and water as well as basic personal hygiene products to all the community members who are in need. OHOP’s main building and the heart of the operation is where you will find veterans and community members always with a big smile and a “hello” to everyone who walks through the door of their Coffee Pot Canteen. On one side of the Canteen is the Corner Shop that has donated collectables, antiques, appliances, a variety of household items, jewelry and art for sale to help support OHOP’s efforts. Everyone I‘ve ever met that has experienced the people of OHOP feels just the way I did two years ago and still do: honored to know them, asking “how can I help,” and privileged to have met so many wonderful veterans. EVC (Eloy Veterans Center) About 20 miles South of OHOP is another amazing local veteran’s center that opened just a little over two years ago. The Eloy Veterans Center started years before their grand opening as a coffee club to give veterans a place and opportunity to connect with each other as well as learn about local services. I am sure there were also a few opportunities to share stories and some local goings-on. It took the hard work and determination of many local community members, veterans, and volunteers to make EVC a possibility. In this case, it took a village to make the renovations and fulfill the needs of the center. EVC had their grand opening on September 5, 2014, With the help of a Community Reinvestment Grant from Cenpatico and partners like Pinal Gila Council, CAHRA, the city of Eloy, Pinal County Attorney’s Office, Ride for the Warriors, Pinal County Stand Down, and the Honoring/Hiring Helping Our Hero’s of Pinal committee. The city of Eloy graciously committed to its veterans by only charging the center $1.00 per year for the lease. The center provides local veterans access to a variety of services including benefits counseling, claims assistance, homelessness prevention, emergency social services, and employment training. The center is also an access point for Arizona Workforce Connection that provided them with a computer and printer for the use of all community members looking for employment. The EVC is a nonprofit organization whose mission is to honor, aid, and empower all veterans, military service members, and their families in their goals to achieve self-sufficiency. The EVC is also very committed to the community as a whole. With Sonnette Chaput (veteran services coordinator), Juan Ramirez (peer support), Elaine Ferrell (receptionist), Karol Koppy (community outreach liaison), along with so many other amazing volunteer outreach programs such as the Hunger Awareness Campaign for local school children and the Veterans Heritage Project that brings local youth together with veterans to share their stories and experiences, the EVC is a blessing to the community. This center acts as a gathering place on Main Street in Eloy where the community feels a strong

Gathering of proud local Veterans during our monthly dinner at the Open Hands Outreach Coffee Pot Canteen.

Afghan raffle at the Eloy Veterans Center to assist local Veterans with the costs of their upcoming trip to Washington, DC. November 2016 — East Valley — ­ Healthy Cells Magazine — Page 17


feature story

continued

We Honor Veterans (WHV) The We Honor Veterans program is a national hospice provider awareness campaign conducted by the National Hospice and Palliative Care Organization (NHPCO) in collaboration with the Department of Veterans Affairs (VA). Gemini has had the honor of being a partner with this program for the past two years. As a WHV partner, we commit to the WHV program that we as a company as well as the employees will implement ongoing Veteran-centered education for their staff and volunteers to help improve the care we provide to the veterans we proudly serve. By signing and submitting the Partner Commitment, as well as completing required company activities and ongoing trainings, WHV resource partners can move through the four levels of commitment. This allows VA staff and veterans to easily identify hospices that have made a commitment to offer veteran-specific care and services provided by a competent and highly skilled workforce. Along with all of that expected training comes flexibility for us as a company to facilitate volunteer efforts, community outreach programs, veteran recognition/memorials, and building strong relationships with our veterans and community in the way that is uniquely Gemini. This program has brought so much to each and every staff member and truly opened our eyes to how amazing all of our veterans are to our nation.

Frostee Rucker, Defensive End for the AZ Cardinals, meet-and-greet with the Veterans at Victory Place, hosted by Gemini Hospice. Frank Soza proudly holding his signed helmet.

Thank you I’ll let you in on a little secret... One easy and simple way to appreciate our men and women who so bravely currently serve and have served our county… simply say “Thank you.” I will never forget John, a kind, soft-spoken US Navy veteran, who I met at one of the senior centers I was visiting. We sat and chatted for 10 to 15 minutes, and he excused himself to gather his belongings in the lunchroom. He came back and sat down, now wearing a hat I have seen many times on many different veterans. This hat displayed his branch of service and it looked as if it had been worn proudly for many years. I grabbed his hand and said “Thank you so very much for your service to our country.” He looked at me so surprised, and his blue eyes filled with tears. I felt a huge rush of concern that maybe I said something wrong. He looked down almost like he was embarrassed and then looked up at me, now with tears rolling down his face. He said, “My dear I have to let you know in my 93 years no one has ever just thanked me for serving.” I told him that I was shocked and so sad, but honored, to be the first and I pray not the last. We talked for at least an hour and he gifted me with some amazing stories of his time in the Navy. Truth be told, I said a simple “Thank you,” and he blessed me with a piece of him and his history I will never forget. Page 18 — Healthy Cells Magazine — East Valley — ­ November 2016

Gemini RN and fellow veteran, Von Marshick, had the honor of pinning Army Veteran Molly Watson at our appreciation dinner at the VFW in Superior, AZ. sense of pride. The EVC is looking forward to the completion of the Eloy Veterans Heritage Park. On Memorial Day 2016, the EVC and city officials cut the ribbon on the newly completed phase one of the park. The park will be a beautiful addition to the city and provide a place to celebrate veterans, military service members, and their families. You just have to attend one dinner, program, class, or come by for the Veterans Day Parade and Celebration and you will be swept up in the smiles, laughter, and genuine caring between the community and its veterans around this center.

Gemini Hospice is family owned and operated with care, compassion and, community service being our main goals. Gemini Hospice home office is located at 3960 E. Riggs Rd #4 Chandler, AZ. Along with Gemini Outreach offices in Superior and Coolidge AZ. Call 480 883-1353 or visit www.geminihospice.com for more information.


oral health

Shaking up Tobacco Cessation Chase Davis, DDS

By Chase Davis, DDS, Chandler Dental

A

We would love to see you in our office, so call today at 480-917-8400 or visit www.chandlerdental.com.

Risk of cancer of the mouth, throat, esophagus, and bladder are cut in half. Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that of a non-smoker after 2-5 years.

The excess risk of coronary heart disease is half that of a continuing smoker’s.

Coughing and shortness of breath decrease; cilia start to regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs and reduce the risk of infection.

Your circulation improves, and your lung function increases.

The carbon monoxide level in your blood drops to normal.

15 years

Sure, it’s hard to be a quitter, but with help, you can increase your chances of success.

More Information about Quitting

The excess risk of coronary heart disease is half that of a continuing smoker’s.

The risk of cancer of the mouth, throat, esophagus, and bladder is cut in half. Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that of a non-smoker after 2-5 years. The risk of dying from lung cancer is about half that of a person who is still smoking. The risk of cancer of the larynx (voice box) and pancreas decreases.

The risk of coronary heart disease is that of a non-smoker’s.

Infographic by American Cancer Society, Inc, ©2015 November 2016 — East Valley — ­ Healthy Cells Magazine — Page 19

The American Cancer Society can coach you through

5

years

1

year

months

2–3

1–9

Coughing and shortness of breath decrease; cilia start to regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs, and reduce the risk of infection.

The health benefits begin the moment you stop smoking. Quitting at any age can give you back years of life that would be lost by continuing to smoke.

10 years

Your circulation improves, and your lung function increases.

Why Quit?

5 years

The carbon monoxide level in your blood drops to normal.

Today’s the day that quitters win.

1 – 9 months 1 year

weeks months

12

20

minutes

2 weeks to 3 months

hours

12 hours

Your heart rate and blood pressure drop.

So if you can quit for one day, you’ve taken an important step toward a healthier life. It’s a race for your health, and it starts today.

Your heart rate and blood pressure drop.

20 minutes

About 42 million Americans still smoke, and tobacco use remains the single largest preventable cause of disease and premature death in the United States.

Get ready to lose — the habit, and become victorious over tobacco.

Many patients would not expect dentists to be their key professional support towards stopping tobacco use. A few points make dentists a great help for tobacco cessation. Where you might only see your physician once per year, you see your dentist at least two times per year. If you use tobacco products then, more than likely, you are already seeing dentist four to six times per year due to the negative effects tobacco products have on oral health. We can see the immediate affects when you quit smoking, which allows us to show you the differences and can help motivate you to continue your path. For the most part, patients who have social support are more successful in quitting than going “cold turkey” on their own. Combining this social support with professional support, linked with nicotine replacement products, will set you up for success. Lastly, as an incentive to help with motivation, some dentists, including myself, offer free whitening for patients that go three months without using tobacco products. This will help get rid of some of the yellow or stained teeth that the tobacco has caused over time. So, contact your dentist today to see how they might be able to assist you on your journey to be tobacco free.

How Does Your Body Recover After Smoking

The American Cancer Society Great American Smokeout event is your chance to triumph over addiction. Every November, we set aside the third Thursday to encourage smokers to go the distance, and to finally give up smoking.

How does your body recover after smoking ...

®

Great American Smokeout

QUIT LIKE A CHAMPION

s a dentist, every day I see the wear and tear of tobacco use on patients’ teeth and gums. Many patients are worried about the yellowing of teeth and bad breath smoking and smokeless tobacco can cause. These side effects are common, but there are other startling facts that may help motivate you as a patient and me as provider to help you down the path of tobacco cessation. • Nicotine has been shown to be as addictive as heroin or cocaine • E ach day over 3,800 youths under age 18 start smoking • T he average age of first-time smokeless tobacco user is 10 • 69 percent of current smokers say they want to quit • E ffective tobacco cessation programs utilized in dental offices have been shown to achieve quit rates of 10 to 15 percent • W ithin five years of quitting smoking, the risk of cancer of the mouth, esophagus, and bladder are cut in half • S mokers are seven times more likely to have gum disease, which is the leading cause for tooth loss, than those who don’t smoke


national alzheimer’s awareness month

Destressing the Holidays for Those With Dementia

Wanda Tutelo, LPN

By Wanda Tutelo, LPN, Generations at Agritopia

M

anaging the holiday season can be stressful for anyone. This is especially true for personal or family caregivers, and those diagnosed with dementia. Understanding the disease and how to avoid unnecessary anxiety can be helpful. Everyone has good days and bad days, including those with dementia. It is important the caregiver understands and identifies behaviors indicative of bad days. When they occur, it may be advisable to cancel any scheduled activities to allow for a quiet day at home in familiar surroundings. Holiday activities are most successful when scheduled during morning or lunchtime hours. Those with dementia tend to become more confused as they tire in the later afternoon. Holiday events should be kept small and simple. Too many people, lots of noise, and confusion can cause anxiety for someone with dementia. Gatherings should be held at a location which is familiar to the person with dementia, preferably their own home where they feel at ease and may readily be able to find the bathroom. A simple table setting is preferable to an elaborate holiday setting with various plates, beverage glasses, and silverware. It can be very confusing for someone with dementia to remember which piece of silverware to use for specific foods. Many times, the process of eating a meal may be so overwhelming that the person may simply sit at the table without eating or get up and walk away. Walking away does not necessarily mean the person is not hungry, but possibly that they do not remember how to get started. Keep it simple and assist when needed. For those with moderate to advanced dementia, a place setting may consist of one plate, one beverage and one piece of silverware. That one piece being necessary to eat the meal at hand, whether that be a fork or a spoon. Everyone looks forward to social events and wants to enjoy them. Make it a point for your family member with dementia to feel honored and respected, which may help him or her maintain self-esteem. Caution guests ahead of time to not ask a person with dementia if

Join us: Phoenix Walk to End Alzheimer’s, Team Generations Senior Living Take the first step to a world without Alzheimer’s. Saturday, November 12, 2016 in Phoenix To Register or Donate: alz.org/walk Page 20 — Healthy Cells Magazine — East Valley — ­ November 2016

they remember them, or if they know their name. Names may not be remembered, but familiar faces will be recognized with a smile, and that is all that is necessary. A person with dementia may not be able to join in on friendly chit chat, but can enjoy reminiscing with photo albums. Looking through photos with family and friends, and listening while family members exchange stories of what they remember about the photos, can be enjoyable. Reminiscing may even evoke some fond memories from the person with dementia. Music is also a good way to socialize by singing or listening to favorite songs. Living with dementia is not easy for anyone, especially the person with the disease. When challenging behaviors occur, it is usually a sign of stress or confusion. Remain calm and use redirection or distraction to regain control of the situation. Allow for personal time away to rejuvenate. Experience the holiday season one day at a time and savor all of the happy moments together. 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. 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. We are a completely smokefree community. Call today to schedule your complimentary lunch and tour — 480-485-2000. We are growing. Our second location, Generations at Ahwatukee, will open in mid-2017. For more information call, 480-485-3000.


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November 2016 — East Valley — ­ Healthy Cells Magazine — Page 21


easing symptoms

Therapeutic Massage to Ease COPD By Michael Haught LMT, Keystone Body Therapies

C

hronic Obstructive Pulmonary Disease, or COPD, is a very common issue in America. It is a progressive disease that is caused by chronic bronchitis and emphysema, which makes it increasingly difficult to breathe over time. Symptoms of COPD can be shortness of breath, chronic cough with mucus, wheezing, tightness in the chest, and fatigue. At the current time, there is no cure for this awful disease, but there are treatments available. Massage is making leaps and bounds in how it is used to treat diseases such as COPD. Throughout the progression of this disease there are different modalities that can help bring you some relief and increase your ability to breathe. Depending on the stage and severity of the disease there are many modalities that may be used to bring some comfort. In the early stages of COPD, myofascial release or Swedish massage may be used. These modalities are used to increase blood flow, loosen up tight muscles, and allow the body to move more freely. By allowing the body to move more freely and fluidly, the ribcage is able to open up more to allow for more air to be brought to the lungs. With all of these modalities, you will feel more grounded, be more relaxed, as well as notice a significant decrease in overall pain. As the condition worsens, lymphatic massage may be used. In lymphatic massage, the main objective of the sessions is to move lymph that may become stagnant, causing inflammation. Lymph is a clear to yellowish watery fluid that circulates through body tissues, Page 22 — Healthy Cells Magazine — East Valley — ­ November 2016

Michael Haught, LMT

picking up fats, bacteria, and other unwanted materials, and filtering them out through the lymphatic system. Because lymph does not have a central pump, it relies on body and muscle movement to circulate throughout the body. Massage of the chest and back to move excess lymph from the area will allow the lungs to open up more fully, thus allowing you to breathe easier. When in the final stages of COPD where it is difficult to move or do the simplest of daily activities without running short of breath, chair massage may be the best solution. In chair massage, the client is seated, so there is not the extra body weight on the chest cavity. The main focus would be on the back, so there is extra time to move lymph and loosen up the muscles around the ribs that assist in labored breathing as well. Aromatherapy is also a good addition to sessions at any stage, and certain essential oils have healing properties that will assist with breathing. If you or anyone you know has been diagnosed with COPD and would like to learn more about the many ways massage can help you breathe easier and live more comfortably, call the clinic at 480686-8647, or reach us online at www.keystonebodytherapies.com to schedule your free 30-minute consultation today. sources: http://copd.newlifeoutlook.com/copd-massage www.knowcopd.com/trouble-breathing/copd-symptoms


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


amplified sound

Hearing Aids: What Style Is Best for Me? Submitted by Kay Kochman, Au.D., Tri-City Audiology

A

hearing aid is a small electronic device that is worn in or behind the ears to amplify sound and help a person with hearing loss listen, communicate, and participate more fully in daily activities. Hearing aids can help people hear more in both quiet and noisy situations. However, only about one out of five people who would benefit from hearing aids actually uses them. How can hearing aids help? Hearing aids are primarily useful in improving the hearing and speech comprehension of people who have hearing loss that results from damage to the small sensory cells in the inner ear, called hair cells. This type of hearing loss is called sensorineural hearing loss. The damage can occur as a result of disease, aging, or injury from noise, or certain medicines. A hearing aid amplifies sound vibrations entering the ear. Surviving hair cells detect the larger vibrations and convert them into neural signals that are passed along to the brain. The greater the damage to a person’s hair cells, the more severe the hearing loss, and the greater the hearing aid amplification needed to make up the difference. However, there are practical limits to the amount of amplification a hearing aid can provide. In addition, if the inner ear is too damaged, even large vibrations will not be converted into neural signals. In this situation, a Page 24 — Healthy Cells Magazine — East Valley — ­ November 2016

Kay Kochman, Au.D

hearing aid would be ineffective, and other options, such as a cochlear implant, might be considered. How can I find out if I need a hearing aid? If you think you might have hearing loss and could benefit from hearing aids, visit your audiologist. An audiologist is a hearing health professional who identifies and measures hearing loss and will perform a hearing test to assess the type and degree of loss. Styles of hearing aids. • Behind-the-ear (BTE) hearing aids consist of a hard plastic case worn behind the ear and connected to a silicone or acrylic earmold that fits inside the outer ear. The electronic parts are held in the case behind the ear. Sound travels from the hearing aid through the earmold and into the ear. BTE aids are used by people of all ages for mild to profound hearing loss.  A new kind of BTE aid is a Receiver-In-The-Ear (RITE) hearing aid. Small, open-fit RITE aids fit behind the ear completely, with only a narrow wire and small ear bud inserted into the ear canal, enabling the canal to remain open. For this reason, RITE fit hearing aids may be a good choice for people who experience a buildup of earwax, since this type of aid is less likely to be damaged by such substances.


Behind-the-Ear

In-the-Ear

In addition, some people may prefer the RITE fit hearing aid because their perception of their voice does not sound “plugged up.” • In-the-ear (ITE) hearing aids fit completely inside the outer ear and are used for mild to severe hearing loss. The case holding the electronic components is made of hard acrylic. ITE aids usually are not worn by young children because the casings need to be replaced often as the ear grows. • Canal aids fit into the ear canal and are available in two styles. The in-the-canal (ITC) hearing aid is made to fit the size and shape of a person’s ear canal. A completely-in-canal (CIC) hearing aid is nearly hidden in the ear canal. Both types are used for mild to moderately severe hearing loss.

In-the-Canal

Because they are small, canal aids may be difficult for a person to adjust and remove. In addition, canal aids have less space available for batteries and additional devices, such as a telecoil. They usually are not recommended for young children or for people with severe to profound hearing loss because their reduced size limits their power and volume. 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. Source: NIH/NIDCD

Medicare Part A ~ No Out of Pocket Cost Our Community Educators are available to answer questions about benefits and resources that could help you or your loved one remain in your home and receive help. ~ Nursing Care ~ Social Services ~ Bereavement Services ~ Personal Care ~ Medications For Pain and Other Symptoms ~ Medical Supplies and Durable Medical Equipment

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November 2016 — East Valley — ­ Healthy Cells Magazine — Page 25


inner health

The Hidden Stress of Losing Yourself When Caring for Others Submitted by Griswold Home Care

T

oo often, when a person is a caregiver, all thought and energy goes to the patient and little is left over for the one giving their time and energy taking care of the one in need. For some, this can lead to feelings of stress and a sense of forgetting who they are as a person. What is caregiver identity theory? Caring for a loved one can bring with it both good and negative outcomes. Caregiver identity theory looks at the relationship between stressors and what can be the burden of caregiving. For some caregivers, there can be positive outcomes that come from providing care for a loved one. For others, it can be a stressful time and have a negative impact. This isn’t a black and white issue, and loved ones providing care tend to fall somewhere between finding caregiving a completely negative experience and finding it a completely positive one. Where

Jason C. Harrill, D.P.M., FACFAS Scott N. Maling, D.P.M., FACFAS Mark R. Pipher, D.P.M.

MESA LOCATION 1520 South Dobson Road, #307 Mesa, AZ 85202

FOUNTAIN HILLS LOCATION 16838 E Palisades Blvd. Building A, Ste #105 Fountain Hills, AZ 85268

480-844-8218 www.desertfootandankle.com

Page 26 — Healthy Cells Magazine — East Valley — ­ November 2016

a person ends up on this spectrum depends on many factors, such as behavioral issues of the patient, the health of the relationship between the caregiver and their loved one, and how the role of caregiving has changed the caregiver’s sense of self. What are the negative and positive impacts of caregiving? While there are always difficulties that come with caregiving, there are also positive outcomes as well. Caregivers find that when they bond with their loved one and their relationship improves, they experience personal growth, and feel a sense of pride knowing that they are able to be there for someone that needs them. On the negative side, a recent study in JAMA Internal Medicine showed a direct correlation between being a caregiver that supplied substantial care and suffering from physical, emotional, and financial difficulties at a higher rate than non-caregivers. In addition, caregivers also had less time for their own leisure activities and encountered more difficulties at their jobs. The study also showed that only about a third of caregivers sought out respite care. What is respite care? Respite care services provide a temporary break for the caregiver. Caregiver stress can lead to feeling overwhelmed and isolated. With respite care, the caregiver can take some time for themself to rest, relax, or join in their favorite activities, knowing that their loved one is in good hands. You can schedule respite care for a few hours, a day, or even set up a schedule to have someone come to your house once a week, so you can have a planned activity outside of your home. The choice is truly yours. It is important to understand that no matter where you may be on the caregiver identity spectrum, having some time to yourself is important to help manage your stress. By giving yourself the gift of time, you can also be at your best to take care of your loved one without allowing the negative aspects of caregiving to take over your life. That’s a win-win for everyone. Have you found yourself facing an identity crisis after caring for a loved one? Let us help. 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 the highest quality caregivers, who provide personal care, homemaking, companionship, and other in-home care services. Contact Griswold at 480-999-7000, visit griswoldhomecareGC.com or email Greg at greg.deane@griswoldhomecare.com. Sources available upon request.


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EMERGENCY ROOM

Average Wait Time

1 hour

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Abdominal Pain Asthma Cold, Cough Fever, Flu Fractures, Sprains Injuries

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Headaches

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McDowell & 77 St. 7730 E. McDowell Rd. Scottsdale, AZ 85257 (480) 699-3314

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Tatum & Shea 4902 E. Shea Blvd. Scottsdale, AZ 85254 (480) 214-4468

Ray & Rural 4959 W. Ray Rd. Chandler, AZ 85226 (480) 214-2188

TEMPE

MESA

Average Cost $200

CHANDLER

Ray Rd. East of Loop 101 2875 W. Ray Rd. Chandler, AZ 85224 (480) 899-3070

ASU 940 E. University Dr. Tempe, AZ 85281 (480) 214-0622

Val Vista & University 415 N. Val Vista Rd. Mesa, AZ 85215 (480) 654-5661

Mill & Southern 3244 S. Mill Ave. Tempe, AZ 85282 (480) 214-0621

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

Baseline & 48 St. 2720 W. Baseline Rd. Tempe, AZ 85283 (602) 777-6000

Baseline & Signal Butte 1955 S. Signal Butte Rd. Mesa, AZ 85209 (480) 214-4466

Elliot Rd. East of I-10 1804 W. Elliot Rd. Tempe, AZ 85284 (480) 456-0444

University & Extension 835 W. University Dr. Mesa, AZ 85201 (480) 664-6007

For all Arizona locations, visit FastMed.com.


16 11 veterans  

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