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JOHN MUIR

Inside: Free classes and programs that promote your health

HEALTH Your Local Resource for Living Well June–August 2013

User’s Guide: Children’s Health Care Answers to parents’ FAQs

pg 7 Stroke: What you need to know pg 8 Diabetes: Where to find help pg 17 At Your Service: Meet doctors who have recently joined our medical team


Did You Know?

News to Use for a Healthier You Our New Walnut Creek Outpatient Center

Talk About Our Website— We’ll Listen Take part in a feedback session and help shape the future of John Muir Health online! We want to improve our website and online experience—so we want to hear from you. John Muir Health is conducting feedback sessions to review product ideas and prototypes for future development. We’re looking for candidates who • are 25 or older and live in Contra Costa County • have DSL, cable or high-speed Internet access at home and have (at least one of the following) • attended a John Muir Health class • selected a new doctor in the past year • used our website or registered for an appointment in the past two years • had a health issue in the past three years If you’re interested, email ebusiness@johnmuirhealth. com with your name and daytime phone number. (FYI: We won’t need your health information, so please don’t include it.)

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John Muir Health is adding a new Outpatient Center in Walnut Creek. The center, at 1450 Treat Blvd., is scheduled to open in early 2014 and will house primary care doctors; specialists; an Urgent Care Center; and patient education, laboratory and imaging services—all in one central location. Offering many different services under one roof will provide more convenience for you and allow us to better work as a team to coordinate your care. FYI: If you’re interested in volunteer opportunities, visit johnmuirhealth.com/volunteers.

Reassurance for Student Athletes and Their Parents Pilot program: cardiac screenings According to research, 56 percent of sudden deaths in student athletes are attributable to cardiovascular diseases. This spring, John Muir Health offered free cardiac screenings to more than 130 student athletes at De La Salle High School. The screenings included a blood pressure check; electrocardiogram (EKG); and an echocardiogram, if needed. The screening was patterned after those required of competitive athletes in Europe and the Olympics, and was designed to provide an added level of care and reassurance for athletes and their parents. After a successful pilot, John Muir Health will look to offer the screening program to other local high schools in the future.


Tool Kit

Kegels 101 DIY for bladder problems? If you suffer from bladder leaks (urinary incontinence), you may find relief using Kegel exercises, which help to strengthen muscles that support the bladder. Here are tips from medical experts on this simple exercise: • The key to doing Kegel exercises correctly is to properly locate the pelvic floor muscles. While urinating, attempt to stop the flow of urine. The muscles you use to stop the flow of urine are your pelvic floor muscles. Learn to contract these muscles at will by stopping the flow of urine repeatedly. If you find that tightening the pelvic floor muscles slows the stream of urine but doesn’t stop it, you have found the right muscles, but you have also learned that they are weak. Use the method of stopping and starting the flow of urine only occasionally and temporarily though, as doing this regularly may eventually lead to urinary dysfunction. • When you’ve found the right way to contract the pelvic muscles, lie down with your knees bent or sit in a supportive chair with your feet on the ground and squeeze your pelvic floor muscles for 10 seconds and then relax for 10 seconds. • Repeat this exercise 10 to 20 times per session. Try to do this at least one to three times a day—while at your desk, watching TV, etc. Kegel exercises are effective only when done regularly; the more you exercise, the more likely it is the exercises will help. It takes time to strengthen the pelvic muscles, experts say, but most women notice improvement after just a few weeks.

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For more info about our Continence and Pelvic Health services or to talk

with a professional, visit johnmuirhealth.com/ continence or call (925) 941-7900.

Beware Skin C a n ce r A p p s for most anyhere seems to be an app t surprising thing nowadays, so it’s no ned to spot melathat some are even desig m of skin cancer. noma, the most serious for ute for a real But apps shouldn’t substit cording to a new doctor, researchers say. Ac rnal of the American study published in the Jou atology, some of the Medical Association Derm etecting smartmost popular melanoma-d tients from learning phone apps can delay pa se harm. they have cancer and cau dical Center University of Pittsburgh Me ee of the four popresearchers found that thr wrongly described ular apps they tested had t harmful in 30 peractual skin cancers as no on average. FYI: cent or more of the cases, best—98 .1 percent The app that performed n cancers—sent accuracy for detecting ski ed dermatologist images to a board-certifi hin 24 hours. and users got results wit

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Schedule a mole check with your primary care doctor. Please visit

johnmuirhealth.com/findadoctor to find a doctor at John Muir Health, or call (925) 952-2887, option 1.

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FAQs:

Children’s He For most any parent, keeping your child healthy has its share of puzzling moments. Here, we’ve taken a look at a few common concerns across the ages and offered some helpful tips and resources.

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FAQs: Children's Health

alth When Is It Time for Kids to Have Solo Doctor Visits?

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eadiness for one-on-one visits with a doctor varies from child to child, but the preteen years offer a prime opportunity, according to Dr. Marian Birdsall, a pediatrician at John Muir Health. “I call it ‘time alone’ with the doctor, not ‘solo visits,’ because parents are still involved at some point,” Birdsall says. “I usually establish it as part of routine checkups when kids are around 12 or 13.” The preteen and teen years are a unique stage in development, when a child’s sense of independence is emerging, she adds. “Time alone honors that and builds trust with physicians, which we hope will last a lifetime. What really makes a difference is when adolescents understand that their conversation with their doctor is private. That’s when they tend to relax and really open up.” Parents can help the process by making sure to take kids in for their annual checkup and by chatting about the visit in a positive light beforehand. Letting kids know what to expect can also be helpful, as can suggesting they write down two to three questions to ask their doctor. “Remember, the way kids treat their bodies and minds as teens can impact them long term,” cautions Birdsall. “It’s a good time to address healthy good habits that they can carry into adulthood.”

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To find a family physician or pediatrician at John Muir Health, visit johnmuirhealth.com/findadoctor

HAVE YOU HEARD? John Muir Health is teaming up with Lucile Packard Children’s Hospital at Stanford to give families in Contra Costa County and beyond access to comprehensive children’s specialty services. Thanks to the partnership, kids with conditions ranging from allergies and bed-wetting to more complex illnesses can see Lucile Packard Children’s Hospital specialists close to home. For more info on John Muir Health’s children’s services, visit johnmuirhealth.com/children.

or call (925) 952-2887, option 1.

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FAQs: Children's Health

Are My Child’s Frequent Stomachaches a Sign of Something Serious? Q&A with Dr. Sabina Ali, who specializes in pediatric gastroenterology, hepatology and nutrition at John Muir Health and Lucile Packard Children’s Hospital at Stanford

HOW COMMON ARE STOMACHACHES IN KIDS? SA: Very—about 10 to 15 percent of kids have repeated episodes of abdominal pain. Usually, these stomachaches go away on their own and may not need a doctor’s evaluation. WHEN SHOULD PARENTS CALL A DOCTOR ABOUT THEIR CHILD’S STOMACHACHE? SA: Consult a doctor if you’re concerned about your child’s symptoms or there’s vomiting, blood in the stool, diarrhea, constant abdominal pain or weight loss. WHAT, EXACTLY, IS IBS AND IBD? SA: IBS is irritable bowel syndrome, and it simply involves increased sensitivity in the gastrointestinal [GI] tract. It can strike at any age but often starts in the teen years. Treatment aims to relieve the symptoms: stomach pain, fullness, gas, constipation or diarrhea. These symptoms are also telltale signs of IBD, inflammatory bowel disease. IBD involves actual inflammation in the GI tract and is a serious condition. It can run in families; an estimated 1 in 4 patients diagnosed with IBD is under age 20. Having IBD brings increased risk for intestinal and colon cancer, but the bigger concern for kids is poor growth. The good news: IBD can be effectively managed with medications and treatments.

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Look for these possible signs of teen substance abuse Behavioral issues: acting withdrawn, sullen and depressed or hostile, angry and uncooperative; change in relationships; uncharacteristic lack of coordination and balance Personal appearance: messy, careless appearance; burns or soot on fingers or lips Personal habits: chewing gum or mints to cover up breath; sudden, very big appetite Health: sudden or significant weight loss or gain; vomiting School issues: drop in grades; decreased interest in extracurricular activities or sports Home-related issues: disappearance of alcohol or prescription or over-thecounter pills Source: timetoact.drugfree.org

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Find help in addressing teen substance abuse at

Parent Project® Sr., a 10-week course for parents of strong-willed teens— visit johnmuirhealth.com/classes for details. Teens can get counsel and support at our Adolescent Outpatient

For more info about John Muir Health’s Children’s Nutrition

programs in Concord. For info, visit

Services, visit johnmuirhealth.com/childrensnutrition or call

johnmuirhealth.com/behavioralhealth

(925) 941-7900. Physician referral may be required.

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HOW CAN I TELL IF MY TEEN IS ABUSING DRUGS?

johnmuirhealth.com

or call (925) 674-4100.


A Closer Look

THE 4-1-1 ON STROKE When it comes to treating brain attack, all hospitals aren’t created equal THE PROBLEM • What causes stroke: Stroke, or brain attack, occurs when the blood supply to part of your brain is interrupted or severely reduced. It results from a blood clot (ischemic stroke, about 87 percent of cases) or blood vessel rupture (hemorrhagic stroke). • Who it strikes: Anyone, at any age. Stroke is one of the nation’s leading causes of death and disability. • Why prompt treatment is crucial: When brain tissue is deprived of oxygen and blood, brain cells die within minutes. The longer treatment is delayed, the more damage is done.

Think FAST When You See Signs of Stroke Face: Ask the person to smile. Does one side of the face droop? Arms: Ask the person to raise both arms. Does one arm drift downward? Speech: Ask the person to repeat a simple phrase. Is their speech slurred or strange? Time: Call 9-1-1 immediately if you observe any of these signs (note the time when they first appear). Source: National Stroke Association

JOHN MUIR HEALTH’S ADVANCED TREATMENTS • Most common: A clot-busting drug called tPA. When given through a vein, it must be administered within about three hours after stroke symptoms appear. • Leading-edge clot busters/removers: In select cases, John Muir Health physicians can deliver tPA directly to the area where the stroke is occurring, by threading a catheter through an artery into the brain. In mechanical clot retrieval, a tiny device is maneuvered into the brain via a catheter and used to physically remove the blockage. Both procedures must be performed as soon as possible. • New at John Muir Health: TeleStroke Program, two-way video in our patient rooms and the ER, allowing 24/7 monitoring by specially trained nurses and consultation by neurologists. TOP-QUALITY RATINGS • What sets apart services at John Muir Medical Center (Walnut Creek and Concord): “Triple Gold“ for excellence in stroke care (two of only three California hospitals), the Gold Plus award for quality and TARGET-Stroke Honor Roll recognition for the ability to give tPA to patients within 60 minutes of arrival. We offer 24/7 availability of state-of-the-art procedures and facilities (including neurosurgery ICU); experienced, highly skilled staff (including interventional neuroradiologists and neurovascularcertified neurologists who specialize in stroke); and comprehensive services. • How your family benefits: John Muir Health’s exceptional care is nearby—when every second counts.

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Talk With Our Experts

GETTING SMART ABOUT DIABETES Advice from certified diabetes educators Gayle Curto, R.N., B.S.N., clinical coordinator, John Muir Health Diabetes Services, and Alicia Bakkum, F.N.P.-C., inpatient diabetes educator, John Muir Medical Center, Concord Q: WHY IS MANAGING DIABETES SO IMPORTANT? AB: Diabetes management is vital for your overall health. Diabetes affects everywhere you have blood vessels; the No. 1 health risk is cardiovascular disease. Other risks include kidney failure, nerve damage, vision and/or limb loss. GC: Uncontrolled diabetes may be a leading cause of complications, but well-controlled diabetes is a leading cause of active, healthy aging with diabetes! Q: HOW CAN JOHN MUIR HEALTH EXPERTS HELP? AB: Having a supportive team that can address your particular needs is the best way to tackle diabetes. It begins with your primary care physician. At John Muir Health, we have certified diabetes educators—specially trained nurses, dietitians—who can also play a key role. Other key team members available at John Muir Health include endocrinologists, who are diabetes specialists; pharmacists; social workers; physical therapists; and other experts. Q: WHAT ARE SOME OF THE ADVANTAGES OF JOHN MUIR HEALTH’S DIABETES SERVICES? GC: You have access to a highly skilled and experienced staff—a combined experience of 119 years among

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Walnut Creek educators alone! We specialize in selfmanagement education—for teens and adults with diabetes, including women who develop the disease during pregnancy and those who are at risk of developing the disease. A doctor’s referral is required. AB: We offer personalized, one-to-one sessions as well as group classes, which many find very helpful. You may discover that the question you hadn’t even thought of is the one that was just asked or how someone else has succeeded in a situation you’re currently struggling with. Q: WHAT RESOURCES AT JOHN MUIR HEALTH ARE AVAILABLE TO THE GENERAL PUBLIC? GC: Our team of certified diabetes educators offers presentations throughout the community on request. We also host an annual free community event in the fall titled “Diabetes Dialogue.” The monthly cardiac nutrition classes, offered by nutrition services, can also be very helpful to people with diabetes. In addition, we host the Bay Area’s only insulin pump support group, and the American Diabetes Association support groups meet at our Walnut Creek and Concord medical center locations.

Learn more about our diabetes services at johnmuirhealth.com/diabetes. To sign up for diabetes-specific classes, visit johnmuirhealth.com/classes or call (925) 941-7900.

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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.

Cancer Survivorship 101

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

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.

WHEN: Second Thursday, 6:30– 8 p.m.; third Thursday, 10–11:30 a.m. WHERE: Breast Health Center Please call (925) 947-3322.

Leukemia, Lymphoma and Multiple Myeloma Support Group 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.

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.

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

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Your John Muir Health

Metastatic Prostate Cancer Group WHEN: Fourth Thursday, 11 a.m.– 12:30 p.m. WHERE: Cancer Support Community Please call to register.

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

WHERE: John Muir Medical Center, Concord Fee

Smoking Cessation (one-day class) WHEN: July 13, 9 a.m.–1 p.m. WHERE: John Muir Medical Center, Concord Fee

HEART HEALTH Blood Pressure Screening

Prostate Cancer Screening Event WHEN: Sept. 17 and 18, 5–8 p.m. WHERE: John Muir Medical Center, Concord Appointment is required. Please call (925) 674-2404.

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

CONTINENCE Taking Back Control WHEN: July 30, 9–10:30 a.m.; Sept. 24, 5:30–7 p.m. WHERE: Women’s Health Center

GENERAL HEALTH AND PREVENTION 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

Smoking Cessation (five-week course) WHEN: Wednesdays, Aug. 14– Sept. 11, 6–8 p.m.

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

Blood Pressure Screening (for Seniors) WHEN: June 27, July 25, Aug. 22, Sept. 26, 11 a.m.–noon WHERE: Alcosta (San Ramon) Senior Center WHEN: June 17, July 15, Aug. 19, Sept. 16, 10:30–11:30 a.m. WHERE: Ambrose Community Center WHEN: June 17, July 15, Aug. 19, Sept. 16, 10–11 a.m. WHERE: Antioch Senior Center WHEN: June 21, July 19, Aug. 16, Sept. 20, 9:30–10:30 a.m. WHERE: Concord Senior Center WHEN: June 3, June 17, July 1, July 15, Aug. 5, Aug. 19, Sept. 16, 10–11 a.m. WHERE: Danville Senior Center WHEN: June 11, July 9, Aug. 13, Sept. 10, 10 a.m.–noon WHERE: First Presbyterian Church WHEN: June 17, July 15, Aug. 19, Sept. 16, 10–11:30 a.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor WHEN: June 10, July 8, Aug. 12, Sept. 9, 9–10:30 a.m. WHERE: Martinez Senior Center


WHEN: June 26, July 24, Aug. 28, Sept. 25, 10:30–11:30 a.m. WHERE: Pittsburg Senior Center

Class Locations

WHEN: June 3, July 1, Aug. 5, Sept. 9, 9:30–11 a.m. WHERE: Pleasant Hill Senior Center

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

WHEN: June 12, July 10, Aug. 14, Sept. 11, 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: June 3, Aug. 5, 5–6 p.m. WHERE: John Muir Medical Center, Concord

– John Muir Medical Center, Walnut Creek 1601 Ygnacio Valley Road, Walnut Creek – John Muir Medical Center, Concord 2540 East St., Concord – John Muir Health Behavioral Health Center 2740 Grant 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

WHEN: July 18, Sept. 19, 5–6 p.m. WHERE: John Muir Medical Center, Walnut Creek

– John Muir Health Breast Health Center 133 La Casa Via, Suite 140, Walnut Creek

Full Lipid and Glucose Screening

– Cancer Support Community 3276 McNutt Ave., Walnut Creek, and various locations; for details, call (925) 933-0107

WHEN: Please call. WHERE: Women’s Health Center Fee

Mended Hearts Support Group WHEN: Second Thursday of each month, 7–8:30 p.m.; occasionally on Saturdays. WHERE: Alternates between John Muir Medical Center, Concord, Lesher Auditorium and John Muir Medical Center, Walnut Creek, Hanson Room For more info, call (925) 947-5206.

Women’s Heart Spa Package (Mammogram, heart disease risk assessment, massage or facial) WHEN: Please call (925) 941-7965. WHERE: Women’s Health Center Fee

– Destination Maternity 1604 Mount Diablo Blvd., Walnut Creek

– Health Center Gym 2710 Grant St., Concord

MEN’S HEALTH Men’s Health Seminar: Keeping You Healthy WHEN: Sept. 10, 6–8 p.m. WHERE: John Muir Medical Center, Concord

MIND AND BODY WELLNESS Navigating Life’s Changes and Adjustments WHEN: July 15, 6:30–8 p.m. WHERE: Women’s Health Center

Wonders of Guided Imagery and Self-Hypnosis WHEN: Aug. 2, 9:30–11 a.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor

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Your John Muir Health

NUTRITION AND WEIGHT MANAGEMENT

Your Metabolism and Weight Loss

WHERE: John Muir Health Outpatient Center, Brentwood

Let’s Get Moving

WHEN: Sept. 16, 6:30–8 p.m. WHERE: Women’s Health Center

ALS (Lou Gehrig’s Disease) Support Group

WHEN: 12-session series, Tuesdays and Thursdays, Sept. 17–Oct. 24, 5–6:30 p.m. WHERE: Health Center Gym Fee

OLDER ADULT Advance Health Care Directives

Managing Emotional and Compulsive Eating

WHEN: June 20, 6–8 p.m. WHERE: John Muir Medical Center, Concord

WHEN: June 5, 6:30–8:30 p.m. WHERE: Women’s Health Center Fee

WHEN: July 17, 9:30–11:30 a.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor

Movement and Exercise Class

WHEN: Sept. 19, 9:30–11:30 a.m. WHERE: John Muir Medical Center, Walnut Creek

WHEN: Wednesdays, 9:15–10:15 a.m. WHERE: Women’s Health Center Fee

Weight Loss Surgery Seminar WHEN/WHERE: Please check online for information on date, time and location.

WHEN: Aug. 21, 10 a.m.–noon WHERE: John Muir Health Outpatient Center, Brentwood

Age Well—Drive Smart WHEN: July 26, 10–11:30 a.m.

Considering Weight Loss Surgery?

Get helpful info at our free seminar If you’re considering weight loss surgery, know this: John Muir Health has helped hundreds of patients overcome obesity and restore their health and quality of life. Sign up for this free information session to learn about the different surgery options and other vital parts of our program, including exercise and support groups. It’s a great opportunity to ask your questions and find out if weight loss surgery is right for you. When/Where: Please check online for details. Note: To qualify for weight loss surgery, you must have a BMI (body mass index) of at least 35. For more info or to register: Visit johnmuirhealth.com/classes or call (800) 710-6111.

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

Brain Health: Setting the Stage for Long-Term Cognitive Health in Older Adulthood WHEN: Aug. 22, 9:30–11 a.m. WHERE: John Muir Medical Center, Concord

Catch Yourself WHEN: Four-session series, June 7, June 14, June 21, June 28, 11 a.m.– noon WHERE: Behavioral Health Center WHEN: Four-session series, July 10, July 17, July 24, July 31, noon–1 p.m. WHERE: John Muir Health Outpatient Center, Brentwood WHEN: Four-session series, June 3, June 10, June 17, June 24, 2:30–3:30 p.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor

Diabetes Prevention and Management for Seniors WHEN: July 25, 9:30–11 a.m. WHERE: John Muir Medical Center, Concord

Downsizing Made Easy WHEN: June 21, 9:30–11 a.m. WHERE: Women’s Health Center

Endurance, Strength and Balance WHEN: June 5, 9:30–11 a.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor


Grief Awareness Support Group

Stroke 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.

WHEN: Second Monday, 7–9 p.m. WHERE: John Muir Medical Center, Walnut Creek Call (925) 947-3300 for more information.

Health Insurance Counseling & Advocacy Program (HICAP)

WHEN: June 12, July 10, Aug. 14, Sept. 11, 7–9:30 p.m. WHERE: John Muir Medical Center, Walnut Creek Please call (925) 947-3300 for more information.

For more info or to register, please call (925) 308-8457.

Healthy Aging Through Nutrition WHEN: June 10, 6:30–8 p.m. WHERE: Women’s Health Center

Welcome to Medicare

PARENTING AND CHILDREN’S HEALTH Back to School With Healthy Lunches WHEN: Aug. 26, 6:30–8 p.m. WHERE: Women’s Health Center

Children’s Nutrition Services WHEN: Please call. WHERE: Women’s Health Center Fee

Memory Screening: What’s Your Memory Fitness? WHEN: June 18, July 16, Aug. 13, Sept. 17, 9 a.m.–noon; June 19, July 17, Aug. 14, Sept. 18, 1–4 p.m. WHERE: John Muir Health Outpatient Center, Tice Valley/Rossmoor Please call (925) 947-3300 for an appointment. WHEN: June 18, July 16, Aug. 13, Sept. 17, 9 a.m.–noon; June 19, July 17, Aug. 14, Sept. 18, 1–4 p.m. WHERE: Senior Services Office Please call (925) 947-3300 for an appointment. WHEN: June 18, July 16, Aug. 13, Sept. 17, 9 a.m.–noon; June 19, July 17, Aug. 14, Sept. 18, 1–4 p.m. WHERE: John Muir Health Outpatient Center, Brentwood Please call (925) 947-3300 for an appointment.

Post Traumatic Stress Disorder WHEN: June 27, 9:30–11 a.m. WHERE: John Muir Medical Center, Concord

Recent Developments in Estate Planning and Elder Law WHEN: July 19, 9:30–11 a.m. WHERE: Women’s Health Center

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Your John Muir Health

CPR: Infant and Child CPR and Safety WHEN: June 3, 6:30–9:30 p.m.; July 13, 9:30 a.m.–12:30 p.m.; Aug. 5, 6:30–9:30 p.m.; Sept. 14, 9:30 a.m.–12:30 p.m. WHERE: Women’s Health Center Fee

CPR: Infant and Child CPR and Safety for Grandparents WHEN: July 27, Sept. 28, 9 a.m.–noon WHERE: Women’s Health Center Fee

Loving Solutions®

Parent Project® Sr.

WHEN: Seven-session series, Tuesdays, July 9–Aug. 20, 4–6 p.m. WHERE: John Muir Health Outpatient Center, Brentwood Registration required. Fee

WHEN: 10-session series, Wednesdays, July 10–Sept. 11, 6:30–9 p.m. WHERE: Women’s Health Center Registration required. Fee

WHEN: Seven-session series, Wednesdays, July 10–Aug. 21, 4–6 p.m. WHERE: Women’s Health Center Registration required. Fee

WHEN: 10-session series, Tuesdays, July 9–Sept. 10, 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: Aug. 15, 6:30–8:30 p.m. WHERE: John Muir Health Outpatient Center, Brentwood Fee WHEN: June 8, 9:30–11:30 a.m.; July 11, 6:30–8:30 p.m.; Aug. 3, 9:30–11:30 a.m.; Sept. 24, 6:30– 8:30 p.m. WHERE: Women’s Health Center Fee

Breastfeeding Your Multiples WHEN: Aug. 15, 6:30–9 p.m. WHERE: Women’s Health Center Fee

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

Childbirth: Convenience Class WHEN: June 4, July 9, July 30, Sept. 3, 6–9 p.m. WHERE: Women’s Health Center Fee

Childbirth: Low-Intervention Childbirth WHEN: Four-part series, Mondays, June 10–July 1, July 15–Aug. 5, Sept. 9–Sept. 30, 6:30–9 p.m. WHERE: Women’s Health Center Fee

Childbirth: Online Preparation WHEN: June 30, 12 a.m.–noon; users can access class for 90 days WHERE: Online Fee

Childbirth: Prepared Childbirth WHEN: Two-session series, Aug. 12 and 19, 6:30–9:30 p.m. WHERE: John Muir Health Outpatient Center, Brentwood Fee

Childbirth: Prepared Childbirth WHEN: June 15, July 20, Aug. 24, Sept. 21, 9 a.m.–4 p.m. WHERE: Women’s Health Center Fee

Cord Blood Banking: Is It Right for Your Family? WHEN: July 20, 10:30–11:30 a.m.; Sept. 24, 6:30–7:30 p.m. WHERE: Destination Maternity

Healthy Aging With Nutrition

Find out what superfoods are and how they can boost your health There has been a lot of talk about superfoods lately—but have you wondered if they’re a help or just hype? Attend this free event to hear nutrition specialist Kathy Napoli discuss the health benefits of these munchables, including lowering cholesterol and fighting heart disease. When: June 10, 6:30–8 p.m. Where: Women’s Health Center Cost: Free For more info or to register: Visit johnmuirhealth.com/classes or call (925) 941-7900.

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

MuirMommies: Best Beginnings (0–3 months) WHEN: Tuesdays WHERE: Women’s Health Center Please call to register.

MuirMommies: Mommy and Me (3–12 months) WHEN: Thursdays WHERE: Women’s Health Center Please call or go online to register. Fee

Multiples Preparation WHEN: July 30, 6:30–9 p.m. WHERE: Women’s Health Center Fee

Newborn Care WHEN: June 8, 12:30–2:30 p.m.; July 25, 6:30–8:30 p.m.; Aug. 3,

12:30–2:30 p.m.; Aug. 26, 12:30– 2:30 p.m.; Sept. 17, 6:30–8:30 p.m. WHERE: Women’s Health Center Fee WHEN: Aug. 21, 6:30–8:30 p.m. WHERE: John Muir Health Outpatient Center, Brentwood Fee

Pain Relief Options for Labor and Delivery WHEN: Aug. 13, 6:30–7:30 p.m. WHERE: Destination Maternity

Pregnancy Nutrition WHEN: Aug. 6, 6:30–8 p.m. WHERE: Destination Maternity

Prenatal Yoga WHEN: 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: July 16, Sept. 17, 6:30– 7:30 p.m. WHERE: Destination Maternity

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Your John Muir Health

Sibling Celebration WHEN: July 13, Sept. 7, 2–3 p.m. WHERE: Destination Maternity Fee

Stroller Strides WHEN: Thursdays, 9:30–10:30 a.m. WHERE: Destination Maternity Fee (no charge for first class)

Surviving Your First Weeks at Home With Your Baby WHEN: July 9, Sept. 3, 6–8 p.m. WHERE: Destination Maternity Fee

Teen Pregnancy WHEN: Please call. WHERE: Women’s Health Center

Tours: Family Birth Center WHEN: June 8, 9 a.m.–12:30 p.m.; June 25, 5–7:30 p.m.; July 13,

9 a.m.–12:30 p.m.; July 23, 5–7:30 p.m.; Aug. 10, 9 a.m.– 12:30 p.m.; Aug. 20, 5–7:30 p.m.; Sept. 7, 9 a.m.–12:30 p.m.; Sept. 24, 5–7:30 p.m. WHERE: John Muir Medical Center, Walnut Creek

You’re Pregnant, Now What? WHEN: June 1, Aug. 17, 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 Fee

Low Intervention Childbirth

Come to this class and be prepared for your special day At John Muir Health, we know that the birth of your baby is a unique, personal experience. If you wish to deliver without medication, or with limited intervention, we offer a class that will inform you and your partner about the labor process while focusing on relaxation and breathing techniques. You’ll learn just what you need to be prepared for your special day! When: Four-session series—Mondays, June 10–July 1, July 15–Aug. 5, Sept. 9–Sept. 30, 6:30–9 p.m. Where: Women’s Health Center For more info or to register: Visit johnmuirhealth.com/ classes or call (925) 941-7900. Cost: $250 per couple

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Menopause: Your Sexuality WHEN: Sept. 12, 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.


Meet the Latest Additions to Our Team

Dr. Yeran Bao Internal Medicine/Endocrinology 1220 Rossmoor Parkway, Walnut Creek 94595 (925) 988-7570

Dr. Ramon Berguer General Surgery 130 La Casa Via, #3-211, Walnut Creek 94598 (925) 933-0984

Dr. Anita Bhat Internal Medicine 2182 East Street, Concord 94520 (925) 685-4228

johnmuirhealth.com/findadoctor

Dr. Maria Andrae-Hammond Internal Medicine 140 Brookwood Rd., #201, Orinda 94563 (925) 254-9090

Are you looking for a doctor? Check out the latest additions to our team! You can also visit johnmuirhealth.com/findadoctor to meet the rest of our team or learn more about our newest members by clicking the “recently joined” link. Dr. Douglas Canlas Internal Medicine 140 Brookwood Rd., #201, Orinda 94563 (925) 254-9090

Dr. Natalie Chang Internal Medicine 106 La Casa Via, #100, Walnut Creek 94598 (925) 280-8777

Dr. Minh Dang Dermatology 6155 Stoneridge Dr., #150a, Pleasanton 94588 (925) 251-9012

Dr. Lance Gibson Family Medicine 2400 Balfour Road, #120, Brentwood 94513 (925) 308-8112

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Your John Muir Health

Meet the Latest Additions to Our Team

Dr. Randi Nelson Pediatrics 2160 Appian Way, #100, Pinole 94564 (510) 724-8300

Dr. Arun Prasad Ophthalmology 3330 Clayton Road, #A, Concord 94519 (925) 687-6847

Dr. Ammar Qoubaitary Endocrinology 2305 Camino Ramon, #270, San Ramon 94583 (925) 866-8700

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johnmuirhealth.com/findadoctor

Are you looking for a doctor? Check out the latest additions to our team! You can also visit johnmuirhealth.com/findadoctor to meet the rest of our team or learn more about our newest members by clicking the “recently joined� link.

Dr. Brian Reyes Internal Medicine 100 Cortona Way, #140, Brentwood 94513 (925) 516-4488

Dr. Vicky Valverde-Salas Family Medicine 2299 Bacon St., #6, Concord 94520 (925) 691-1900

Dr. Matthew Walvick Internal Medicine 2255 Ygnacio Valley Rd., #N, Walnut Creek 94598 (925) 937-9807

Dr. Moussa Yazbeck Neuro/Critical Care 1455 Montego Way, #200, Walnut Creek 94598 (925) 937-0404


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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Non-Profit Org. U.S. Postage 1400 Treat Blvd. Walnut Creek, CA 94597

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John Muir Health

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children’s services

Because you feel ill when your kids are sick. We know the feeling: stomach in knots, pulse racing. And you’re not the one who’s sick. At John Muir Health, we know that parents care about their kids’ health far more than their own. So we listen. We explain. And we work together to keep our littlest patients well. To find a pediatrician near you, visit johnmuirhealth.com/findadoctor.

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John Muir Health Magazine June—August 2013