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John Muir

Inside: Free classes and programs that promote your health

Health Your Local Resource for Living Well March–May 2013

Keeping You in the Game Check our user’s guide to sports injuries

pg 4 Beating Heart Disease pg 5 Is It Heartburn—or Worse? pg 12 The Honorable Ellen Tauscher Kicks Off April 13 Esophageal Cancer Awareness 5K Run/Walk


Did You Know?

News to Use for a Healthier You Find Your Future Doctor Visit johnmuirhealth.com and use our “Find a Doctor” tool to find a new doctor by specialty, gender, location and languages spoken. FYI: Our online search tool has a powerful, new feature. Now you can also search for a doctor by entering a procedure, condition or common clinical term in the “Clinical Interests” field. Just enter a term like “foot surgery,” and doctors who specialize in that type of procedure will appear in your search results. To find a doctor at John Muir Health, please visit johnmuirhealth.com/findadoctor or call (925) 952-2887, option 1.

A New Outpatient Center for You John Muir Health is adding a new outpatient center in Walnut Creek. The center, located at 1450 Treat Blvd., is scheduled to open in early 2014 and will house primary care doctors; some specialists; an Urgent Care Center; and patient education, laboratory and imaging services—all in one central location. Offering many different types of services under one roof will provide more convenience for you and allow us to better work as a team to coordinate your care.

Find Us on Facebook We know that good health care requires good communication and that today’s technology can help. Search for John Muir Health on Facebook and “like” our profile to join the community conversation and get helpful health tips and up-to-date info on classes and services.

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Tool Kit

25.8 Million That’s the estimated number of U.S. adults and children who have diabetes. If you’re in that number, John Muir Health can help. Source: American Diabetes Association

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John Muir Health offers monthly, interactive dia-

betes stress management classes such as Diabetes and the Self Care Plan (April 26, 2 p.m., John Muir Health’s Diabetes Center). For more info, visit johnmuirhealth.com/classes or call (925) 941-7900.

sea•son•al al•ler•gy

['sez n l 'al rje] n. 1. What you probably call hay fever and what doctors refer to as seasonal allergic rhinitis. 2. The culprit in the sneezing; runny nose; and/or itchy, watery, red eyes suffered by more than 35 million Americans and triggered by allergens such as pollen, molds or dust. 3. The topic of the conversation you should have with your doctor if over-the-counter medications fail to relieve your symptoms. Your doctor may recommend a prescription medication or allergy shots.

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To find a primary care doctor or an allergy and

immunology specialist at John Muir Health, visit johnmuirhealth.com/ findadoctor or call (925) 952-2887, option 1.

Bringing Back the Family Meal Why gathering around the dinner table can be important to your kids’ health Our modern grab-and-go culture has made family meals less common. But a recent study has shown a link between the number of meals children and teens share with their families at home each week and their nutritional health. Kids who eat at home with their family at least three times a week are 12 percent less likely to be overweight, 24 percent less likely to eat unhealthy foods and 35 percent less likely to develop an eating disorder. The upshot? Shared meals don’t just support a healthy family dynamic—they can also make kids healthier.

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John Muir Health offers a wide range of children’s nutrition services, support groups and classes. Doctor referral

may be required by your health plan. For more information, please visit johnmuirhealth.com/childrensnutrition or call (925) 941-7900.

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A Closer Look

Get the 4-1-1 on Aortic Stenosis Pioneering treatment at John Muir Health avoids open-heart surgery THE PROBLEM • What aortic stenosis does to the heart: Wears it out. Severe narrowing or obstruction (stenosis) of the aortic valve in the heart forces the heart to work harder to push blood through the valve and on to the aorta, the largest artery in the body. Eventually, the heart’s muscles weaken, increasing the person’s risk of heart failure. • What it feels like: Severe shortness of breath, chest pain, fainting/dizziness, fatigue, rapid/irregular heartbeat. • Who it strikes: Maybe you or a loved one. About 1.5 million Americans have aortic stenosis; most are elderly. TREATMENTS • What TAVR is and how it works: Transcatheter aortic valve replacement (TAVR) is a remarkable new procedure now available at John Muir Health. Doctors replace

Is TAVR the Right Procedure for You?

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the aortic valve in the heart through a tubelike catheter placed in the femoral artery in the groin or a small incision between the ribs. • What traditional options for treatment involve: Openheart surgery. THE OPPORTUNITY What sets John Muir Health’s services apart: John Muir Health is one of only three health systems in the Bay Area and among fewer than 200 nationwide that perform TAVR. How TAVR benefits you and your neighbors: Aortic stenosis patients in our community who can’t have open-heart surgery now have an option for treatment and the opportunity to significantly improve their quality of life.

Patients referred for a TAVR procedure will be evaluated at John Muir Health’s High-Risk Valve Clinic by a TAVR interventional cardiologist and a cardiac surgeon. At this visit, a comprehensive consultation will be performed and both doctors will review all available tests. For more info, visit johnmuirhealth.com/heart or call (925) 674-2858.


Talk With Your Doctor

About Heartburn, GERD and Cancer Learn more in this Q&A with Dr. Wilson Tsai, co-director of John Muir Health’s Thoracic Surgery Program

What, exactly, is GERD? WT: GERD [gastroesophageal reflux disease] is a condition in which contents of the stomach, including stomach acid, backwash into the food pipe or esophagus. This problem, also called acid reflux, can irritate and damage the esophagus if it continues. Heartburn is one symptom of GERD. Other symptoms, which can come without heartburn, include problems swallowing, shortness of breath, voice changes, bronchitis or frequent pneumonia. What are some of GERD’s risk factors? WT: Obesity is a big one. It’s on the rise in this country and so is GERD. Another big risk factor is a hiatal hernia, a condition in which the upper part of the stomach bulges through an opening in the muscle that separates the stomach from the chest. About 95 percent of people with a hiatal hernia also have GERD.

Is there a link between GERD and cancer? WT: Yes. Esophageal cancer is the fastestgrowing cancer in the United States, and it’s directly related to the increase in GERD. Essentially, the esophagus isn’t designed to handle the acidic environment of the stomach, which is why it’s important that GERD gets treated. What are common treatments for GERD at John Muir Health? WT: The first step typically involves lifestyle changes, such as stopping smoking and drinking alcohol, avoiding certain foods and drinks, and maintaining a healthy weight. If symptoms persist, various drug therapies may be undertaken. If neither of these gets good results, surgery may be recommended. With new, minimally invasive surgery, the surgeon repairs tissue in the abdomen through several tiny incisions.

When should a doctor be consulted about GERD symptoms? WT: If acid reflux persists for one or two months or there are some of the other symptoms—such as bronchitis or recurrent pneumonia. The most important thing to know is that John Muir Health can treat all aspects of this condition, from cancer causing to benign reflux.

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The Honorable Ellen Tauscher

joins John Muir Health specialists for a free seminar in honor of Esophageal Cancer Awareness Month at the Lafayette Library on April 12, 6–8 p.m. For more info or to register, visit johnmuirhealth.com/ classes or call (925) 9417900.

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Keeping You in the Game Here’s a quick guide to remedies for some common sports-related injuries, including when to visit your doctor or an Urgent Care Center 6

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Avoiding Heatstroke

For athletes—and everyone else—prevention is the best treatment As medical director of John Muir Health’s Urgent Care Centers, Dr. Jesus Saucedo has seen his share of the bumps and bruises endured by athletic types. “I see a wide range of patients—weekend warriors, young kids, college students,” he says, “and very often, their injuries stem from not knowing enough about the sport and what’s involved. Once they’re hurt, they may not know how to keep things from getting worse or when they should see a doctor— their own or one of the doctors at our Urgent Care Centers.” To help you avoid this situation, check the following guide to some common sports-related injuries and remedies, based on Saucedo’s advice.

Ankle Sprain • Details about the injury: Ankle sprains often occur during sporting activities or when walking or running on an uneven surface. The foot can turn inward, stretching or tearing the weak ligaments (connective tissues that join the end of one bone to another) on the outside of the ankle. • Home remedies: Use the RICE (rest, ice, compression and elevation) method to relieve pain, reduce swelling and speed healing. • When to visit your doctor or an Urgent Care Center: Consult a doctor if the injury causes severe pain or swelling or you can’t tolerate any weight on the area.

Heatstroke can affect anyone. It’s caused by prolonged exposure to high temperatures or by doing physical activities in hot weather. Left untreated, it can lead to injury to your muscles, kidneys, heart and brain—and even death. To avoid heatstroke, experts advise taking the following precautions: • Before you head outside, wear light-colored, lightweight, loose-fitting clothing and a widebrimmed hat. • Use sunscreen with a sun protection factor (SPF) of 30 or more. • To prevent dehydration, drink extra fluids. The general recommendation is to drink 24 ounces of fluid two hours before exercise; right before exercise, consider adding another 8 ounces of water or sports drink. During exercise, you should drink another 8 ounces of water every 20 minutes, even if you don’t feel thirsty. • Cancel or reschedule outdoor activity. If possible, spend time outdoors during the coolest hours of the day—in early morning or after sunset.

Shin Splints • Details about the injury: A shin splint is the pain you feel along or just behind the tibia bone in front of your lower leg. What’s the cause? Too much force on your shinbone and connective tissues that attach your muscles to the bone. Shin splints are common in runners and in people who play games with sudden stops and starts, such as basketball, soccer or tennis. • Home remedies: Rest your body so underlying tissues can heal. To reduce the pain and swelling, ice the shin as frequently as possible. When you feel up to exercising and the pain is gone, increase your

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Sports Injuries

activity level slowly. If the pain returns, stop exercising right away. • When to visit your doctor or an Urgent Care Center: If you’re still in pain, even with rest; you aren’t sure whether your pain is caused by shin splints; or you don’t improve with home treatment; and/or you think you may have a broken bone.

Tennis Elbow • Details about the injury: Tennis elbow is an overuse injury of the arm, forearm and hand muscles that results in elbow pain. FYI: It’s called this because tennis players often get this injury, but you don’t have to play the game to get it. • Home remedies: Rest your fingers, wrist and forearm muscles to allow your body to heal. Apply ice when you first feel pain. Do simple warm-up and stretching exercises to keep your tendons (connective tissue) from getting stiff. If you have any pain, stop the exercises.

• When to visit your doctor or an Urgent Care Center: If you hurt your elbow, make sure to consult a doctor immediately if you have severe elbow pain; you cannot move your elbow normally; your elbow looks deformed or bruised; your elbow begins to swell; you have signs of nerve injury; you feel numbness, tingling or weakness in the elbow; or the injured arm feels colder to the touch than the uninjured one.

Backache • Details about the injury: A common cause of this nagging pain is the twisting motion in golf, lifting weights, playing tennis. • Home remedies: Apply ice; rest; no overuse. • When to visit your doctor or an Urgent Care Center: If you have nerve injury, numbness, tingling sensation or searing pain in the back. Go immediately to the emergency room if you have bowel or bladder incontinence, worsening pain or swelling.

When You Need Urgent Care Our Urgent Care Centers in Brentwood, Concord, San Ramon and Walnut Creek offer medical treatment that’s just right for care of injury or illness that requires immediate care but isn’t serious enough to warrant a trip to the ER. They are open Monday–Friday, 9 a.m.– 9 p.m.; weekends, 9 a.m.– 5 p.m.; and holidays, 9 a.m.– 3 p.m. For more info, please visit johnmuirhealth.com/ urgentcare.

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How to

Raise a Happy Teen Following the 5 Cs can make life a whole lot easier for offspring—and parents

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n the millionth time you’ve told your teen to take out the trash and the trillionth time she’s rolled her eyes, you may forget how much is going on in that growing body of hers. “Lots of changes happen simultaneously in adolescence—hormonal and other biological changes, changing neurocircuitry in the brain, not to mention all the social and psychological turmoil,” says Dr. Yanni Rho. To help teens navigate that uncertain territory, Rho and Dr. Arman Danielyan, who are child and adolescent psychiatrists at John Muir Health, offer the following advice to parents.

COMMUNICATE. “It’s really important for parents to communicate with their teen; it has to go both ways,” says Rho, who is medical director of John Muir Health’s Adolescent Outpatient Program. “The same goes with respect: If parents are asking for respect from teens, they also need to give it back.” BE CURIOUS. “Teens appreciate your trying to understand what makes them tick,” says Rho, “It’s important not to impose upon them who you think they are and what’s important to them.” CHERISH. “Positively reinforce thoughts and behaviors you appreciate

and want to see more of,” says Rho. BE CLEAR. “Setting clear rules and expectations is essential,” says Danielyan, “but they should always be based on what’s appropriate for the specific child.” CONSULT. Consider getting professional help if you have concerns about your child’s mood or behaviors. Most of the psychiatric illnesses in adults originate in childhood or adolescent years. “If there’s no illness, no one will treat anything and that’s great,” says Danielyan. “But if there are signs of mental illness in your child, then at least you can be counseled about

the options available for intervention. Remember, studies show that for many childhood mental health problems, the earlier you start treatment, the better the chances are the child will get better—and sooner.”

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Get support and learn effective

parenting skills in Parent Project® Sr. (10-week course for parents of strong-willed teens). Tuesdays, April 16–June 18, John Muir Health’s Outpatient Center, Brentwood; Wednesdays, April 17–June 19, Women’s Health Center. Visit johnmuirhealth.com/ classes or call (925) 9417900 for info or to register.

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Your John Muir Health

find great Classes & Programs at john muir health most are free, unless otherwise noted—sign up today! John Muir Health offers a variety of health-promoting classes, programs and events for people of all ages. For more info about topics AND locations or to register, visit johnmuirhealth.com/classes or call (925) 941-7900.

Check highlighted boxes for upcoming special events.

Cancer Brain Tumor Support Group When: Second and fourth Wednesdays, 7–8:30 p.m. Where: Cancer Support Community Please call to register.

Breast Cancer Support Group When: Second and fourth Thursdays, 11 a.m.–12:30 p.m. Where: Cancer Support Community Please call to register.

Colorectal Cancer Group When: Second Wednesday, 4–5:30 p.m. Where: Cancer Support Community Please call to register.

Esophageal Cancer Awareness Seminar

Leukemia, Lymphoma and Multiple Myeloma Support Group

When: April 12, 6–8 p.m. Where: Lafayette Library

When: First Thursday, 7–8:30 p.m. Where: John Muir Medical Center, Walnut Creek You must call (925) 947-3322 before coming to the group.

Esophageal Cancer Awareness 5K Run/Walk When: April 13, 8:30 a.m.–noon Where: Lafayette Reservoir Fee

Gynecologic/Ovarian Cancer Support Group When: First and third Thursdays, 11 a.m.–12:30 p.m. Where: Cancer Support Community Please call to register.

Kids Circle and Teen Talk Cancer Support Group When: Second Saturday, 10 a.m.– 1 p.m. Where: Cancer Support Community Please call to register.

Life After Cancer When: Second and fourth Wednesdays, 6–7:30 p.m. Where: Cancer Support Community Please call to register.

Lung Cancer Group When: Second Wednesday, 4–5:30 p.m. Where: Cancer Support Community Please call to register.

Lymphedema Support Group When: Please call for date and time. Where: John Muir Medical Center, Concord Please call (925) 674-2125 for more info or to register.

Metastatic Breast Cancer Group

Most of These Won’t Cost a Dime Classes and programs are free of charge, unless Fee is noted. 10

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When: Third Wednesday, 4:30–6 p.m. Where: Cancer Support Community Please call to register.


Metastatic Prostate Cancer Group

Class Locations

When: Fourth Thursday, 11 a.m.– 12:30 p.m. Where: Cancer Support Community Please call to register.

– John Muir Health Women’s Health Center 1656 N. California Blvd., Suite 100, Walnut Creek

Pediatric Oncology Support Group When: Please call for date and time. Where: Cancer Support Community Please call (925) 947-5272 for more information.

Prostate Cancer Support Group When: Fourth Thursday, 1–2:30 p.m. Where: Cancer Support Community Please call to register.

Continence Nutrition to Treat Incontinence When: April 11, 6:30–8 p.m. Where: Women’s Health Center

Fee Pelvic Floor Strengthening (PFS) When: April 23, 5:30–6:30 p.m.; June 25, 9–10 a.m. Where: Women’s Health Center Fee

Taking Back Control

– John Muir Medical Center, Walnut Creek 1601 Ygnacio Valley Road, Walnut Creek – John Muir Medical Center, Concord 2540 East St., Concord – John Muir Health Outpatient Center, Brentwood 2400 Balfour Road, Brentwood – John Muir Health Outpatient Center, Tice Valley/Rossmoor 1220 Rossmoor Parkway, Walnut Creek – John Muir Health Senior Services 3480 Buskirk Ave., #100, Pleasant Hill – John Muir Health Diabetes Center 175 La Casa Via, Walnut Creek – Destination Maternity 1604 Mount Diablo Blvd., Walnut Creek – Cancer Support Community 3276 McNutt Ave., Walnut Creek, and various locations; for details, call (925) 933-0107 – Health Center Gym 2710 Grant St., Concord – Lafayette Library 3491 Mount Diablo Blvd., Lafayette – Lafayette Reservoir 3849 Mount Diablo Blvd., Lafayette

When: March 26, 9–10:30 a.m.; May 28, 5:30–7 p.m. Where: Women’s Health Center

General Health and Prevention Better Bones Forever: Osteoporosis Update 2013 When: May 1, 6:30–8 p.m. Where: Women’s Health Center

Breaking the Pain Cycle When: May 13, 6:30–8:30 p.m. Where: Women’s Health Center

Communication Skills, Stress Reduction and Diabetes

Fighting Inflammation With Nutrition

When: March 15, 2–3 p.m.; June 13, 2–3 p.m. Where: Diabetes Center Fee

When: April 17, 6:30–8 p.m. Where: Women’s Health Center

Diabetes and the Self-Care Plan When: April 26, 2–3 p.m. Where: Diabetes Center Fee

Healthy Aging With Nutrition When: June 10, 6:30–8 p.m. Where: Women’s Health Center

Insulin Pump Support Group When: Please call (925) 941-5076. Where: John Muir Medical Center, Walnut Creek

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Your John Muir Health

Learning to Relax With Diabetes When: June 21, 2–3 p.m. Where: Diabetes Center Fee

Movement and Exercise Class: Staying Strong When: Wednesdays, 9:15–10:15 a.m. Where: Women’s Health Center Fee

Where: John Muir Medical Center, Concord Fee

Winning the Mind Game of Diabetes When: May 3, 2–3 p.m. Where: Diabetes Center Fee

Reverse and Prevent Osteoporosis Through Nutrition

Heart Health

When: May 21, 6:30–8 p.m. Where: Women’s Health Center

When: Monday–Friday, 9 a.m.– 5 p.m. Where: Women’s Health Center

Smoking Cessation (five-week course) When: Wednesdays, April 3–May 1, 6–8 p.m.

Blood Pressure Screening

Blood Pressure Screening (for Seniors) When: March 28, April 25, May 23, June 27, 11 a.m.–noon

Where: Alcosta (San Ramon) Senior Center When: March 18, April 15, May 20, June 17, 10:30–11:30 a.m. Where: Ambrose Community Center When: March 18, April 15, May 20, June 17, 10–11 a.m. Where: Antioch Senior Center When: March 15, April 19, May 10, June 21, 9:30–10:30 a.m. Where: Concord Senior Center When: March 4, March 18, April 1, April 15, May 6, May 20, June 3, June 17, 10–11 a.m. Where: Danville Senior Center When: March 12, April 9, May 14, June 11, 10 a.m.–noon Where: First Presbyterian Church When: March 18, April 15, May 20, June 17, 10–11:30 a.m. Where: John Muir Health Outpatient Center, Tice Valley/Rossmoor

You Can Help Win the Race Against Cancer

The Honorable Ellen Tauscher kicks off the Esophageal Cancer Awareness 5K Run/Walk. Join us! Esophageal cancer, often linked to chronic heartburn, is the fastest-growing cancer diagnosis in the United States. Join this 5K run/walk to raise awareness about this curable disease. Esophageal cancer survivor Ellen Tauscher will kick off the day’s fun events, which also include healthy snacks, music and more. Sign up early and guarantee your T-shirt! What: Hit your stride for a great cause. When: Saturday, April 13, 8:30 a.m.–noon Where: Lafayette Reservoir, 3849 Mount Diablo Blvd., Lafayette Cost: $30 For more info or to register: Visit johnmuirhealth.com/classes or call (925) 941-7900.

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When: March 11, April 8, May 13, June 10, 9–10:30 a.m. Where: Martinez Senior Center When: March 27, April 24, May 22, June 26, 10:30–11:30 a.m. Where: Pittsburg Senior Center When: March 4, April 1, May 6, June 3, 9:30–11 a.m. Where: Pleasant Hill Senior Center When: March 13, 9–10:30 a.m.; April 10, May 8, June 12, 9:30–11 a.m. Where: Walnut Creek Senior Center

Cardiac Nurse Education When: Please call (925) 941-7965. Where: Women’s Health Center Fee

Cardiac Nutrition Class When: April 1, June 3, 5–6 p.m. Where: John Muir Medical Center, Concord


When: March 21, May 16, 5–6 p.m. Where: John Muir Medical Center, Walnut Creek Please call (925) 947-5313.

Managing Emotional and Compulsive Eating When: June 5, 6:30–8:30 p.m. Where: Women’s Health Center Fee

When: May 14, 6–8 p.m. Where: John Muir Medical Center, Walnut Creek

When: Please call (925) 941-7965. Where: Women’s Health Center Fee

Metabolic Nutrition Program

When: June 20, 6–8 p.m. Where: John Muir Medical Center, Concord

When: Please call (925) 933-3438. Fee

ALS (Lou Gehrig’s Disease) Support Group

Mended Hearts Support Group

Weight Loss Surgery Seminar

When: Second Tuesday of each month, 7–8:30 p.m. Where: Alternates between John Muir Medical Center, Concord, Lesher Auditorium and John Muir Medical Center, Walnut Creek, Hanson Room

When: March 13, April 10, May 8, June 12, 7–8 p.m. Where: John Muir Medical Center, Concord

When: Third Saturday, 1–3 p.m. Where: John Muir Medical Center, Walnut Creek Call (415) 904-2572, ext. 307 for more information.

Women’s Heart Spa Package

When: March 22, 9:30 a.m.–noon Where: John Muir Health Outpatient Center, Tice Valley/Rossmoor

Full Lipid and Glucose Screening

(Mammogram, heart disease risk assessment, massage or facial) When: Please call (925) 941-7965. Where: Women’s Health Center Fee

Older Adult Advance Health Care Directives

When: April 16, 10 a.m.–12:30 p.m. Where: John Muir Health Outpatient Center, Brentwood

Grief Awareness Support Group When: Second and fourth Mondays, 6:30–7:45 p.m. Where: John Muir Medical Center, Concord Please call (925) 674-2132 for more information.

Mind and Body Wellness The Mind-Body Connection When: March 18, 6:30–8 p.m. Where: Women’s Health Center

Wonders of Guided Imagery and Self-Hypnosis When: April 3, 6:30–8 p.m. Where: Women’s Health Center

Nutrition and Weight Management Let’s Get Moving When: 12-session series, Tuesdays and Thursdays, March 19–April 25, 5–6:30 p.m. Where: Health Center Gym Fee

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Your John Muir Health

Memory Screening: What’s Your Memory Fitness? When: March 12, April 16, May 14, June 18, 9 a.m.–noon; March 13, April 17, May 15, June 19, 1–4 p.m. Where: John Muir Health Outpatient Center, Tice Valley/Rossmoor Please call (925) 947-3300 for an appointment. When: March 12, April 16, May 14, June 18, 9 a.m.–noon; March 13, April 17, May 15, June 19, 1–4 p.m. Where: Senior Services Office Please call (925) 947-3300 for an appointment.

When: March 12, April 16, May 14, June 18, 9 a.m.–noon; March 13, April 17, May 15, June 19, 1–4 p.m. Where: John Muir Health Outpatient Center, Brentwood Please call (925) 947-3300 for an appointment.

Stroke Support Group When: Second Monday, 7–9 p.m. Where: John Muir Medical Center, Walnut Creek Please call (925) 947-3300 for more information.

Welcome to Medicare When: March 13, April 10, May 8, June 12, 7–9:30 p.m. Where: John Muir Medical Center, Walnut Creek Please call (925) 947-3300 for more information.

Parenting and Children’s Health Children’s Nutrition Services When: Please call. Where: Women’s Health Center Fee

CPR: Infant and Child CPR and Safety When: March 16, 9:30 a.m.– 12:30 p.m.; April 1, 6:30–9:30 p.m.; May 11, 9:30 a.m.–12:30 p.m.; June 3, 6:30–9:30 p.m. Where: Women’s Health Center Fee

CPR: Infant and Child CPR and Safety for Grandparents When: March 2, May 4, 9 a.m.–noon Where: Women’s Health Center Fee

Healthy Eating Habits for Your Toddler and Preschooler When: April 11, 6:30–8 p.m. Where: Women’s Health Center

Loving Solutions® When: Seven-session series, Tuesdays, April 16–May 28, 4–6 p.m. Where: John Muir Health Outpatient Center, Brentwood Registration required. Fee

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When: Seven-session series, Wednesdays, April 17–May 29, 4–6 p.m. Where: Women’s Health Center Registration required. Fee

Nutrition for Young Athletes When: March 18, 6:30–8 p.m. Where: Women’s Health Center

Parent Project® Sr. When: 10-session series, Wednesdays, April 17–June 19, 6:30–9 p.m. Where: Women’s Health Center Registration required. Fee

Better Bones Forever

Learn how to keep yours in good shape at Osteoporosis Update 2013 Get vital updates on developments in the detection, diagnosis and treatment of osteoporosis. This silent disease may have no symptoms but causes bones to become weaker and more likely to fracture or break. Some 34 million Americans have the condition; women are at higher risk. Mostly people over the age of 55 are affected, but it can strike at any time. When: May 1, 6:30–8 p.m. Where: John Muir Health’s Women’s Health Center For more info or to register: Visit johnmuirhealth.com/classes or call (925) 941-7900. Cost: FREE

When: 10-session series, Tuesdays, April 16–June 18, 6:30–9 p.m. Where: John Muir Health Outpatient Center, Brentwood Registration required. Fee

Pregnancy to Newborn Baby Boot Camp When: Fridays, 9:30–10:45 a.m. Where: Destination Maternity Please call (415) 350-6970 to register or for more info. Fee (no charge for first class)

Breastfeeding Support Services When: Please call. Where: Women’s Health Center

Breastfeeding Your Infant When: April 18, 6:30–8:30 p.m. Where: John Muir Health Outpatient Center, Brentwood Fee

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Your John Muir Health

When: March 19, 6:30–8:30 p.m.; April 6, 9:30–11:30 a.m.; May 23, 6:30–8:30 p.m.; June 8, 9:30– 11:30 a.m. Where: Women’s Health Center Fee

Breastfeeding Your Multiples When: April 18, 6:30–9 p.m. Where: Women’s Health Center Fee

Where: Women’s Health Center Fee

Where: John Muir Health Outpatient Center, Brentwood Fee

Childbirth: Low-Intervention Childbirth

Cord Blood Banking: Is It Right for Your Family?

When: Four-part series, Mondays, March 25–April 15, April 29–May 20, June 10–July 1, 6:30–9 p.m. Where: Women’s Health Center Fee

When: April 16, 6:30–7:30 p.m. Where: Destination Maternity

Car Seat Checkup When: Thursdays Where: Women’s Health Center Appointment required. Please call or go online.

Childbirth: Convenience Class When: March 12, May 14, June 4, 6–9 p.m.

Childbirth: Prepared Childbirth When: March 9, April 13, May 18, June 15, 9 a.m.–4 p.m. Where: Women’s Health Center Fee

Childbirth: Prepared Childbirth When: Two-session series, April 15 and 22, 6:30–9:30 p.m.

What Did Your Child Eat Today?

Fit4Baby When: Thursdays, 5:30–6:30 p.m. Where: Destination Maternity Fee (no charge for first class)

Meet the Pediatricians When: March 23, 10:30 a.m.–noon; June 4, 6–7:30 p.m. Where: Destination Maternity

MuirMommies: Back to Work (working moms and babies 3–12 months) When: Second and fourth Wednesdays, 6:30–7:30 p.m. Where: Women’s Health Center

For parents of toddlers and preschoolers: tips on pleasing your picky eater and more

MuirMommies: Best Beginnings (0–3 months)

We all want our kids to grow, flourish and be healthy, but getting them to eat a well-rounded diet—well, that can be another matter altogether. Do you worry that your toddler is eating too much or not enough? Or are you concerned that your preschooler is a picky eater and skimping on nutrition? In our Healthy Eating Habits for Your Toddler and Preschooler class, you’ll explore the ins and outs of the parent-child feeding relationship, learn ways to incorporate key nutrients for growth into your child’s diet and discuss strategies to help your picky eater eat a balanced diet. When: April 11, 6:30–8 p.m. Where: Women’s Health Center For more info or to register: Visit johnmuirhealth.com/classes or call (925) 941-7900. Cost: FREE

MuirMommies: Mommy and Me (3–12 months)

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When: Tuesdays Where: Women’s Health Center Please call to register.

When: Thursdays Where: Women’s Health Center Please call or go online to register. Fee

Multiples Preparation When: March 26, 6:30–9 p.m. Where: Women’s Health Center Fee


Newborn Care When: March 21, 6:30–8:30 p.m.; April 6, 12:30–2:30 p.m.; May 21, 6:30–8:30 p.m.; June 8, 12:30– 2:30 p.m. Where: Women’s Health Center Fee When: April 25, 6:30–8:30 p.m. Where: John Muir Health Outpatient Center, Brentwood Fee

Pain Relief Options for Labor and Delivery When: March 16, 10:30–11:30 a.m. Where: Destination Maternity

Pelvic Floor Strengthening for Pregnancy When: March 12, May 14, 6–7 p.m. Where: Destination Maternity

Pregnancy Nutrition When: April 30, 6:30–8 p.m. Where: Destination Maternity

Prenatal Yoga When: Mondays and Wednesdays, 6:30–7:45 p.m. Where: Destination Maternity Please call (925) 938-9642. Fee (no charge for first class)

Shopping for a Car Seat When: March 19, May 21, 6:30–7:30 p.m. Where: Destination Maternity

Sibling Celebration When: March 9, May 18, 2–3 p.m. Where: Destination Maternity Fee

Where: Destination Maternity Fee (no charge for first class)

Surviving Your First Weeks at Home With Your Baby When: March 5, April 9, 6–8 p.m. Where: Destination Maternity Fee

Teen Pregnancy When: Please call. Where: Women’s Health Center

Tours: Family Birth Center When: March 9, 9 a.m.–12:30 p.m.; March 19, 5–7:30 p.m.; April 6, 9 a.m.– 12:30 p.m.; April 23, 5–7:30 p.m.; May 18, 9 a.m.–12:30 p.m.; May 21, 5–7:30 p.m.; June 8, 9 a.m.–12:30 p.m.; June 25, 5–7:30 p.m. Where: John Muir Medical Center, Walnut Creek Registration is required.

You’re Pregnant, Now What? When: April 13, June 1, 10:30– 11:30 a.m. Where: Destination Maternity

Women’s Health Massage Therapy for Women When: Please call to schedule. Where: Women’s Health Center

Menopause: Hot Flashes and Hormones When: March 5, 6:30–8:30 p.m. Where: Women’s Health Center

The Wig Source When: Second and fourth Fridays, 9:30 a.m.–12:30 p.m. Where: Women’s Health Center Appointment is required. Please call (925) 947-5328.

Stroller Strides When: Thursdays, 9:30–10:30 a.m.

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The John Muir Health Find a Doctor search tool lets you search for a doctor based upon certain criteria, and returns a list of doctors who satisfy those requirements. Doctors do not pay a fee to be included in the search results. All doctors included in the search results have active Medical Staff privileges at a John Muir Health medical center. A doctor's listing on our website ends when the doctor no longer has active Medical Staff status.

Are you searching for a doctor? Find the one who is right for you. Go online to meet our team, including the newest members. Go to johnmuirhealth.com/ findadoctor and select the “recently joined” link in the right-hand column.

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John Muir Health Hospitals John Muir Medical Center Concord Walnut Creek Behavioral Health Center Concord Laboratory Services Physician Offices Urgent Care Centers Other Outpatient Service Locations Emergency Services

For You and Your Family, From John Muir Health John Muir Health Urgent Care Centers Convenient Hours Monday through Friday: 9 a.m.–9 p.m. Weekends: 9 a.m.–5 p.m. Holidays: 9 a.m.–3 p.m. Convenient Locations Brentwood: 2400 Balfour Road, Suite 120, (925) 308-8111 Concord: 2700 Grant St., Suite 110, (925) 674-2500 San Ramon: 2305 Camino Ramon, Suite 100 at Bishop Ranch 11, (925) 866-8050 Walnut Creek: 1455 Montego Way, Suite 205, (925) 939-4444

We’re Just a Phone Call Away Customer Service/ Physician Referral (925) 952-2887, option 1 Emergency Services Concord (925) 674-2333 Walnut Creek (925) 939-5800 Hospitals • John Muir Medical Center, Concord (925) 682-8200 • John Muir Medical Center, Walnut Creek (925) 939-3000 Key Centers and Services • Behavioral Health Center (925) 674-4100 or (800) 680-6555

• Breast Health Center (925) 947-3322 • Imaging (925) 952-2701 • MuirLab Client Service Department (925) 692-5600 or (800) 677-4525 • Outpatient Center, Tice Valley/ Rossmoor (925) 939-1220 • Outpatient Center, Brentwood (925) 308-8100 • Senior Services (925) 947-3300 • Women’s Health Center (925) 941-7900

Copyright © 2013 by John Muir Health, a community-based, not-for-profit health system. John Muir Health is published four times a year as a community service and is not intended for the purpose of diagnosing or prescribing. Published by the John Muir Health Marketing Communications Department, (925) 947-5384. Produced by DCP.

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pregnancy services

Because no two are alike. No two bellies, no two babies, no two births. We know that each pregnancy is unique. Whether you’re a pro or a first-time mom, we help you find your way. We listen. We explain. And we work with you. So if you don’t want to be treated like baby-bump #3079, look to us. To find an OB near you, visit johnmuirhealth.com/findadoctor.

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John Muir Health Magazine March—May 2013