Healthy Life 2018

HEALTHY LIFE

2018

A SPECIAL SUPPLEMENT TO:

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President’s Council on Fitness, Sports and Nutrition

Regular Aerobic Activity Recommended • Be Active • Eat Healthy • Develop a commitment to regular physical activity • Move toward a healthier eating pattern

EXERCISE WORKS T he Physical Activity Guidelines for Americans recommend 60 minutes of physical aerobic activity daily for children ages 6-17 (there

are no specifications for those five and

under), and 30 minutes daily for adults ages 18-64, at least five days a week.

There are plenty of ways to get moving and some may even surprise you! It’s time to be active, get healthy, and have some fun!

Being active doesn’t require joining a gym. Look for ways to increase your heart rate during your daily routine. Walk or cycle instead of taking the car or bus, or you can choose the stairs over the

escalator or elevator. Try these ways to be active and start working towards your fitness goals to jumpstart or maintain a healthy lifestyle.

There are many health benefits to being active for people of all ages, backgrounds and abilities, but you should consult your physician before starting a new activity program. If you haven’t been active in a while, start slowly and build up.

Do what you can; some physical activity is better than none.

Aerobic activities make you breathe harder and your heart beat faster.

Aerobic activities can be moderate or vigorous in their intensity levels,

• Set realistic goals to encourage good physical activity and healthy eating habits for a lifetime and range from 60-85 percent of your maximum heart rate. A general guide to use: For moderate activities you can talk, but you can’t sing. With vigorous activities, you can only say a few words without stopping to catch your breath.

Muscle-strengthening activities make your muscles stronger.

Bone-strengthening activities make your bones stronger and are especially important for children and adolescents, as well as older adults.

Balance and stretching activities enhance physical stability and flexibility, which reduce the risk of injuries.

www.hhs.gov/fitness

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Harwood Orthopedics Dr. Harwood has provided state of the art orthopedic care to residents in the Bay Area for over 15 years. Specializing in sports related injuries, as well Dr. Harwood has provided state of the art orthopedic care to residents of the as chronic joint conditions, Dr. Harwood uses the latest research based medical South Valley for over a decade. Specializing in sports related injuries, as well technology develop both operative and treatment as chronic joint to conditions, Dr. Harwood usesnon-operative the latest research basedplans. medical technology to develop both operative and non-operative treatment plans. u Minimally invasive knee, shoulder and hip replacement surgery u Minimallyu invasive hip and surgery shoulder reconstruction Biologic knee, knee replacement u u u

Patient specific and hip (partial) joint replacements u Singleknee compartment knee replacement surgery Single compartment (partial) replacements u Standard and reverseknee total shoulder replacement surgery Standard and Reverse Total Shoulder Replacements

u Arthroscopic knee and shoulder surgery u Arthroscopic shoulder, knee and ankle surgery u u u u u

“All ACL reconstruction inside” u Complex reconstruction of the shoulder due to injury or trauma Complexureconstruction of therotator shoulder due to injury or trauma “All Inside” complex cuff repairs “All inside” complex rotator cuff repairs u Meniscal allograft (replacement) surgery; meniscal repair Meniscaluallograft (replacement) surgery Elbow arthroscopy Ligament reconstruction of the shoulder, knee, ankle and wrist u Treatment of acute/chronic ankle laxity

u Specialized sports care u Tendon injuries at the shoulder, knee, hip andofankle u Regenerative Medicine - for the treatment tendonitis, arthritis and musculoskeletal injuries u u u u

Treatment of acute/chronic ankle laxity

u PRP (Platelet Rich Plasma) Therapy Elbow arthroscopy u Stem Cell Therapy Biologic Joint Replacement Operative and Non-Operative treatment of exercise inducted Compartment Syndrome

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REGENERATIVE MEDICINE IN ORTHOPEDICS

R

ecent medical breakthroughs have led to an exciting new area in medicine referred to as Regenerative Medicine.

Regenerative Medicine is an emerging clinical approach using the power of stem cells to improve the repair and regeneration of damaged tissue.

In other words, stem cells are used to heal the body, and can often eliminate or delay the need for surgery. Many acute and chronic orthopedic injuries, including joint pain, joint and tendon degeneration, and soft tissue injuries can be addressed using Regenerative Medicine.

At Harwood Orthopedics, Maury Harwood, MD, offers two Regenerative

Medicine alternatives including Stem Cells and Platelet Rich Plasma (PRP) procedures. Stem Cell Therapy encompasses targeting areas of disease utilizing undifferentiated cells either from one’s own body or stem cells derived from amniotic fluid.

Clinical scenarios for the use of Stem Cell Therapy include joint arthritis, tendon and muscle repair, orthopedic injuries, rheumatologic conditions and pain treatment. Stem cells have been shown to regrow cartilage, muscle and bone; reduce inflammation; promote cartilage growth; improve blood vessel formation; and recruit cells to repair/heal damaged tissue.

Most commonly referred to as PRP, or Platelet Rich Plasma, is a technique whereby a small volume of blood is concentrated through a centrifuge

until the red blood cells and platelets separate. The resulting platelets are approximately 400% more concentrate and contain rich growth factors.

This extraction is then injected into the desired area and stimulates the growth of collagen, which is the main component of connective tissue, (found in tendons) and cartilage.

PRP contains many additional elements, including growth factors and powerful anti-inflammatory agents, which work symbiotically to aid in healing.

Musculoskeletal areas that have a high rate of improvement using PRP include tendonitis in the elbow, knee, wrist and shoulder, as well as plantar fasciitis.

To find out if your condition can be treated using Regenerative Medicine, book an appointment with Harwood Orthopedics located in Morgan Hill. ~ Sponsored content

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American Academy of Pediatrics

EXERCISE IS FUN

TEACH YOUR CHILD

11 Ways to Encourage Children to Be Physically Active

P

arents can play a key role in helping their child become more physically active.

1

Talk with your child’s doctor. Your child’s doctor can help your child understand why physical activity is important. Your child’s doctor can also suggest a sport or activity that is best for your child.

2

Find a fun activity. Help your child find a sport that she enjoys. The

more she enjoys the activity, the more

but soccer, bicycle riding, and swimming are all appropriate activities.

family involved. It is a great way to spend

4

time together.

exercise.

3

5

likely she will continue it. Get the entire

Choose an activity that is developmentally appropriate. For

Plan ahead. Make sure your child has a convenient time and place to

Provide a safe environment. Make sure your child’s equipment and

example, a 7- or 8-year-old child is not

chosen site for the sport or activity

ready for weight lifting or a 3-mile run,

are safe. Make sure your child’s

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Did You Know?

• Only 1 in 3 children are physically active every day.

• Less than 50 percent of the time spent in sports practice, games, and physical education class involves moving enough to be considered physical activity.

• Children and teens spend more than 7 hours per day on average using TVs, computers, phones, and other electronic devices for entertainment.

• About 1 out of 3 children is either overweight or obese in the United States.

• Overweight teens have a 70 percent chance of becoming overweight or obese adults.

TEAMWORK

clothing is comfortable and appropriate.

6

Provide active toys. Young children especially need easy access to balls,

7

Be a role model. Children who regularly see their parents enjoying

jump ropes, and other active toys.

sports and physical activity are more likely to do so themselves.

8 9

Play with your child. Help her learn a new sport.

Turn off the TV. Limit TV watching and computer use. The American

Academy of Pediatrics recommends no

more than 1 to 2 hours of total screen time, including TV, videos, computers, and video games, each day. Use the free time for more physical activities.

10

Make time for exercise. Some children are so overscheduled with homework, music lessons, and other planned activities that they do not have time for exercise.

11

Do not overdo it. When your child is ready to start, remember to tell her to listen to her body. Exercise and physical activity should not hurt. If this occurs, your child should slow down or try a less vigorous activity. As with any

activity, it is important not to overdo it.

If your child’s weight drops below an average, acceptable level or if exercise starts to interfere with school or other activities, talk with your child’s doctor.

Exercise along with a balanced diet provides the foundation for a healthy, active life. This is even more important for children who are obese. One of the most important things parents can do is encourage healthy habits in their children early on in life. It is not too late to start.

Ask your child’s doctor about tools for healthy living today.

www.aap.org; www.healthychildren.org 2018 HEALTHY LIFE

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American diabetes Association

DIET AND DIABETES Type 2 is most common

T

ype 1 diabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. Only 5% of people with diabetes have this form of the disease.

In type 1 diabetes, the body does not produce insulin. The body breaks down the sugars and starches you eat into a simple sugar called glucose, which it uses for energy. Insulin is a hormone that the body needs to get glucose from the bloodstream into the cells of the body. With the help of insulin therapy and other treatments, even young

8

children can learn to manage their condition and live long, healthy lives.

Diabetes is a problem with your body that causes blood glucose (sugar) levels to rise higher than normal. This is also called hyperglycemia. Type 2 diabetes is the most common form of diabetes.

If you have type 2 diabetes your body does not use insulin properly.

This is called insulin resistance. At first, your pancreas makes extra insulin to make up for it. But, over time it isn't able to keep up and can't make enough insulin to keep your blood glucose at normal levels.

You can lower your risk for type 2 diabetes with some simple steps.

Overweight Staying at a healthy weight can help you prevent and manage problems like prediabetes, type 2 diabetes, heart disease, high blood pressure and unhealthy cholesterol.

Physical Activity Physical activity can do a lot for your health, even if you haven’t been very active lately.

High Blood Glucose Managing your blood glucose (sugar) can help you prevent and manage type 2 diabetes. > 10

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CPR STEPS Cardiopulmonary resuscitation (CPR) can help save a life during a cardiac or breathing emergency. However, even after training, remembering the CPR steps and administering them correctly can be a challenge. In order to help you help someone in need, we’ve created this simple step-by-step guide that you can print up and place on your refrigerator, in your car, in your bag or at your desk.

Before Giving CPR

1

Check the scene and the person.

Make sure the scene is safe, then tap the person on the shoulder and shout “Are you OK?” to ensure that the person needs help.

2

Call 911 for assistance. If it’s evident that the person needs help, call (or

ask a bystander to call) 911.

3

Open the airway. With the person lying on his or her back, tilt the head back slightly to lift the chin.

4

Check for breathing. Listen carefully, for no more than 10 seconds, for sounds of breathing.

(Occasional gasping sounds do not equate to breathing.) If there is no breathing begin CPR.

Red Cross CPR Steps

1

Push hard, push fast. Place your hands, one on top of the other, in the middle of the chest. Use your body weight to help you administer compressions that are at least 2 inches deep and delivered at a rate of at least 100 compressions per minute.

2

Deliver rescue breaths. With the person’s head tilted back slightly and the chin lifted, pinch the nose shut and place your mouth over the person’s

mouth to make a complete seal. Blow into the person’s mouth to make the chest rise. Deliver two rescue breaths, then continue compressions.

Note: If the chest does not rise with the initial rescue breath, re-tilt the head before delivering the second breath. If the chest doesn’t rise with the second breath, the person may be choking. After each subsequent set of 100 chest compressions, and before attempting breaths, look for an object and, if seen, remove it.

3

Continue CPR steps. Keep performing cycles of chest compressions and breathing until the person exhibits signs of life, such as breathing, an AED becomes available, or EMS or a trained medical responder arrives on scene.

Note: End the cycles if the scene becomes unsafe or you cannot continue performing CPR due to exhaustion. www.redcross.org

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DIABETES FACTS • Prevalence: In 2015, 30.3 million Americans, or 9.4% of the population, had diabetes.

• Approximately 1.25 million American children and adults have type 1 diabetes.

• Undiagnosed: Of the 30.3 million adults with diabetes, 23.1 million were diagnosed, and 7.2 million were undiagnosed.

• Prevalence in Seniors: The percentage of Americans age 65 and older remains high, at 25.2%, or 12.0 million seniors (diagnosed and undiagnosed).

• New Cases: 1.5 million Americans are diagnosed with diabetes every year. <8

• Prediabetes: In 2015, 84.1 million Americans age 18 and older had prediabetes.

• Deaths: Diabetes remains the 7th leading cause of death in the United States in 2015, with 79,535 death certificates listing it as the underlying cause of death, and a total of 252,806 death certificates listing diabetes as an underlying or contributing cause of death.

• About 193,000 Americans under age 20 are estimated to have diagnosed diabetes, approximately 0.24% of that population.

• In 2011—2012, the annual incidence of diagnosed diabetes in youth was estimated at 17,900 with type 1 diabetes, 5,300 with type 2 diabetes.

• Diabetes was the seventh leading cause of death in the United States in 2015 based on the 79,535 death certificates in which diabetes was listed as the underlying cause of death. In 2015, diabetes was mentioned as a cause of death in a total of 252,806 certificates.

• Diabetes may be underreported as a cause of death. Studies have found that only about 35% to 40% of people with diabetes who died had diabetes listed anywhere on the death certificate and about 10% to 15% had it listed as the underlying cause of death.

High Blood Pressure High blood pressure raises your risk for heart disease, stroke, and other problems. Managing blood pressure can help prevent these problems.

All about Cholesterol Unhealthy cholesterol levels can raise your risk for type 2 diabetes and heart disease.

Gestational Diabetes If you've had gestational diabetes, you’re at higher risk of it in future pregnancies and of type 2 diabetes later in life.

Smoking Smoking causes a lot of problems in your body and can raise your risk of heart attack or stroke.

Diabetes and Cancer Type 2 diabetes and certain cancers share many risk factors. Lower your risk for both.

www.diabetes.org; 1-800-diabetes

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BIKE FOR HEALTH

HEALTHY HEART

Seven Simple Steps Can Improve Heart Health

I

t’s easy to learn about your heart health and how to improve it, thanks to the American Heart Association’s development of “Life’s Simple 7.”

These behaviors and factors are scientifically proven to have the biggest impact on your heart.

“This is kind of like tapping into the fountain of youth,” said Dr. Donald LloydJones, a cardiologist and AHA volunteer who chairs the Department of Preventive Medicine at Northwestern University Feinberg School of Medicine.

AHA offers the following guidelines of Life’s Simple 7:

1 Get Active

2 Control Cholesterol

Physical activity every day can greatly improve your overall health and make you feel better. It can reduce the risk for heart disease, stroke and diabetes.

Physical activity can come in many forms and can be inexpensive. Brisk walking, for example, is extremely beneficial to your cardiovascular health and costs nothing. Physical activity also can include strength and resistance training.

Doctors suggest at least 30 minutes of moderate physical activity per day five times a week for adults. Children need 60 minutes a day, every day.

Controlling cholesterol can help arteries remain free of blockages. When you have too much “bad cholesterol,” known as LDL, it can lead to plaque forming in veins and arteries. That can result in heart disease and stroke.

Try to control cholesterol by exercising and by avoiding or reducing consumption of animal products high in saturated fat, such as beef, pork, cream and butter.

Certain foods may help lower cholesterol: whole- and multi-grain products such as bran and oats; fatty > 15 fish such as salmon, mackerel and 2018 HEALTHY LIFE

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WHAT’S NEW

at El Camino Hospital Los Gatos?

We work hard to meet our community’s evolving healthcare needs. With that in mind, we’ve added to and enhanced our services to bring you even more world-class care, close to home.

815 Pollard Road, Los Gatos, CA 95032

ANNOUNCING MORE SPECIALISTS, EXPANDED PROGRAMS, UPGRADED FACILITIES, AND NEW SERVICES AND TECHNOLOGIES. • INTERVENTIONAL PULMONOLOGY We are expanding this innovative service to our Los Gatos campus to increase access and improve convenience for patients. We offer diagnosis and treatment (including minimally invasive endoscopic procedures) for asthma, bronchiectasis, interstitial lung disease, lung cancer, and tuberculosis.

• EXPANDED ENDOSCOPY AND COLONOSCOPY CAPABILITIES El Camino Hospital Los Gatos uses advanced technologies and equipment to diagnose and treat digestive health conditions. We now offer endoscopy retrograde cholangiopancreatography (ERCP) for various biliary (gallbladderrelated) diseases. We’ve added interventional endoscopy, and endoscopic ultrasound (EUS) for cancer staging and diagnosis. In addition, we now use double balloon enteroscopy to evaluate small bowel diseases. To capture lesions that can be missed by other equipment, we perform colonoscopies using the innovative Third Eye® Panoramic™ Retroscope.

www.elcaminohospital.org | 800-216-5556

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• LEADING-EDGE TREATMENT FOR ENDOMETRIOSIS With ablation, the traditional treatment for endometriosis, the underlying tissue remains, and unfortunately, endometriosis can often return. We are now one of just a few hospitals in the country to also offer laser excision, an ultra-precise technique that excises the maximum amount of abnormal tissue for long-lasting results.

• BLUE LIGHT CYSTOSCOPY WITH CYSVIEW® FOR BLADDER CANCER SURGERY Cystoscopy is the procedure used to diagnose and remove bladder cancer tumors. Unfortunately, tiny tumors in the bladder wall are hard to locate.

Blue Light Cystoscopy with Cysview® makes these tumors easier to see during surgery. The bladder is treated with an agent that causes tumors to show up as bright pink under blue light, making them much easier for the surgeon to locate and remove.

• ENHANCED SURGICAL FACILITIES AND DEDICATED SPINE OPERATING ROOM We have updated and expanded our surgical suites to better accommodate the large team and sophisticated equipment needed to perform complex surgeries.

• LATEST ROBOTIC SURGERY CAPABILITIES Our minimally invasive surgical capabilities continue to grow with the addition of a da Vinci Xi® surgical robot in Los Gatos. El Camino Hospital is a regional leader in robotic-assisted procedures, and this enables us to accommodate the many patients who seek our expertise.

• OFFICIAL BABY-FRIENDLY® DESIGNATION We have just been named a Baby-Friendly® Hospital — the only South Bay facility to earn this designation. Sponsored by the United Nations International Children’s Fund and the World Health Organization, this earned accreditation recognizes that we are exceptional at teaching breastfeeding skills and helping new mothers adjust to nursing.

THESE SERVICES COMPLEMENT THE CARE YOU’VE COME TO RELY ON. Comprehensive Urology Program » Artemis™ 3D Imaging for prostate biopsies » Fast Track Stone Program for kidney stones Exceptional Orthopedic Program » Full-service joint replacement » Expert spine surgery team » Dedicated Orthopedic Pavilion for recovery

CON N EC T W IT H US

Personalized Women’s Health Program Outstanding Men’s Health Program Renowned Sleep Disorders Program Emergency Services, 24/7

www.elcaminohospital.org | 800-216-5556 2018 HEALTHY LIFE

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< 11 albacore tuna; and fruits, vegetables and certain nuts such as walnuts and almonds.

The ideal “number” for good, bad and total cholesterol depends on your overall health. AHA guidelinesrecommend talking through those numbers with your doctor to determine whether you need to consider lifestyle changes or medications.

3 Eat Better A healthy eating plan keeps you energized and helps your body fight diseases.

Fruits and vegetables are part of a nutritious food plan, as are low-fat and fat-free dairy items, whole grains, nuts, beans and legumes, fish, and lean meats. Try to reduce the consumption of sodium, saturated fats and added sugars.

It may help to keep a food diary to keep track of the times and foods you eat and approximate portion size. Planning your dining each week also can help you eat healthier.

4 Manage Blood Pressure High blood pressure, also known as hypertension, can strain the heart, arteries and kidneys, and can increase the risk of heart disease, stroke and other major health problems.

The ideal blood pressure reading is no more than 120 for the top, or systolic, number and no more than 80 for the diastolic, or bottom, number.

Some grocery stores and drug stores offer blood pressure reader machines, allowing for free regular checks.

Blood pressure can also be measured at home, which you may want to consider if you have continually elevated blood pressure. The AHA offers advice on what type of home device to buy and how to measure blood pressure, but be sure to discuss this with your health care provider.

If you’d rather not spend the money and if it’s convenient, consider dropping by a

EXERCISE IS KEY

pharmacy or store that offers free blood pressure readings instead.

You can help control your blood pressure by eating a heart-healthy diet, reducing sodium, exercising and maintaining a healthy weight. Managing stress, limiting alcohol and avoiding tobacco smoke can help, too.

Medication can assist in managing blood pressure if a doctor determines it’s needed.

5 Lose Weight Reducing weight can reduce the risk for

heart disease. Too much fat, especially at the waist, increases the risk for high blood pressure, high blood cholesterol and diabetes. Calculating your BMI, or body mass index, helps determine if you should lose weight.

It’s recommended that your BMI remain below 25. Even losing five to 10 pounds can reduce blood pressure.

If you do embark on an eating plan to lose weight, the AHA and other health organizations support the DASH diet, which stands for Dietary Approaches to Stop Hypertension. DASH emphasizes foods low in saturated fat, total

> 19

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< 15 fat, cholesterol and salt. It calls for eating fruits, vegetables, low-fat dairy foods, whole grains, poultry, fish and nuts.

6 Reduce Blood Sugar Glucose, or blood sugar, is generated by food and used for the body’s energy.

But a high blood sugar level could mean diabetes or prediabetes. Diabetes can increase the risk for heart disease and stroke.

To be in the healthy range, your fasting blood sugar level should be below 100. To reduce blood sugar, decrease consumption of added sugars, which can be found in sugar-sweetened beverages, candy and desserts. Regular physical activity can also help reduce blood sugar levels. If prescribed by your doctor, taking medication or insulin may be necessary.

In addition to measuring blood sugar at annual physical exams, there are several types of home monitors for self-testing. Some are available at a very reasonable price at discount stores.

7 Don’t Smoke If you’re going to start with only one of Life’s Simple 7, it’s a good idea to make it this one. Quitting smoking can result in immediate benefits.

Smoking causes damage throughout the circulatory system. It can lead to hardened arteries; reduce “good cholesterol,” known as HDL; and diminish lung capacity, making it more difficult to engage in physical activity.

Stopping smoking lowers the risk of blood clots, heart attacks and strokes.

It can also mean less lung damage and lower risk of cancer. The AHA offers resources to help you stop on its Quit Smoking website.

Whether quitting smoking or taking other steps in “Life’s Simple 7,” what’s most important is to do something, Lloyd-Jones said.

“Small changes can have a big impact,” he said.

WARNING SIGNS If these signs are present, call 9-1-1

HEART ATTACK Chest discomfort Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back.

It can feel like uncomfortable pressure, squeezing, fullness or pain.

Discomfort in other areas of the upper body Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach Shortness of breath With or without chest discomfort Other signs May include breaking out in a cold sweat, nausea or lightheadedness.

STROKE Spot a stroke F.A.S.T. Face Drooping Does one side of the face droop or is it numb? Ask the person to smile.

Arm Weakness Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?

Speech Difficulty Is speech slurred, are they unable to speak, or are they hard to understand? Ask the person to repeat a simple sentence, like “the sky is blue.” Is the sentence repeated correctly?

Time to call 9-1-1 If the person shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately.

CARDIAC ARREST Sudden loss of responsiveness No response to tapping on shoulders No normal breathing The victim does not take a normal breath when you tilt the head up and check for at least five seconds.

www.heart.org 2018 HEALTHY LIFE

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maximize efficiency in the schools setting.

The following mental health professionals can provide counseling and with proper training, assessments; however, cannot prescribe medication: Clinical Social Worker A counselor with a masters degree in social work from an accredited graduate program. Trained to make diagnoses, provide individual and group counseling, and provide case management and advocacy; usually found in the hospital setting.

Licensed Professional Counselor A counselor with a masters degree in psychology, counseling or a related field. Trained to diagnose and provide individual and group counseling.

SUPPORT GROUP

MENTAL HEALTH Help is Available: Different Types of Treatment and Therapy Frequently Asked Questions Where can I go to find therapy?

Different kinds of therapy are more effective based on the nature of the mental health condition and/or symptoms and the person who has them (for example, children will benefit from a therapist who specializes in children’s mental health). However, there are several different types of treatment and therapy that can help.

Where can I learn about types of mental health treatment?

Mental health conditions are often treated with medication, therapy or a combination of the two. However, there are many different types of treatment available, including Complementary & Alternative Treatments, self-help plans, and peer support. Treatments are very personal and should be discussed by the person with the mental health conditions and his or her team.

Mental Health Counselor A counselor with a masters degree and several years of supervised clinical work experience.

Trained to diagnose and provide individual and group counseling.

Certified Alcohol and Drug Abuse Counselor Counselor with specific clinical training in alcohol and drug abuse. Trained to diagnose and provide individual and group counseling.

What are the different types of mental health professionals?

There are many types of mental health professionals. Finding the right one for you may require some research.

Nurse Psychotherapist Registered nurse who is trained in the practice of psychiatric and mental health nursing.

Trained to diagnose and provide individual and group counseling.

The following mental health professionals can provide psychological assessments and therapy; however, cannot generally prescribe medications (although some states will allow it):

Marital and Family Therapist Counselor with a masters degree, with special education and training in marital and family therapy. Trained to diagnose and provide individual and group counseling.

Clinical Psychologist A psychologist with a doctoral degree in psychology from an accredited/designated program in psychology. Psychologists are trained to make diagnoses and provide individual and group therapy.

School Psychologist A psychologist with an advanced degree in psychology from an accredited/designated program in School Psychology. School Psychologists are trained to make diagnoses, provide individual and group therapy, and work with school staff to

Pastoral Counselor Clergy with training in clinical pastoral education. Trained to diagnose and provide individual and group counseling.

Peer Specialist Counselor with lived experience with mental health or substance use conditions. Assists clients with recovery by recognizing and developing strengths, and setting goals.

Many peer support programs require several hours of training.

www.mentalhealthamerica.net

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Every moment is precious Count on Pathways to keep it that way

 Home Health  Hospice  Private Duty “All of the Pathways people were so wonderful and very helpful for our family. I don’t know what I would have done without them, they were truly great and I appreciate all the help they gave us.”

—Linda N, daughter of a Pathways patient

1.844.375.8612 www.pathwayshealth.org

Pathways is a non-profit organization, affiliated with local community hospitals. Proudly providing care for over 40 years.

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NO ROOM FOR EXCUSES

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or every objection or excuse you have for not getting an annual mammogram, there’s a far better reason to take advantage of this potentially life-saving, preventative care screening. The accredited Breast Care Centers at St. Louise Regional Hospital are the answer to any objection or excuse you can dream up.

They have completely renovated their facility in Gilroy and opened a new center in Morgan Hill, both with brand new equipment, to provide screening and diagnostic mammograms in a private, comfortable setting. They looked at every aspect of comfort and dignity for their patients. The spa-like suites make what might be a stressful time for some a much more acceptable experience.

Excuses: too busy, too expensive One in eight women will be diagnosed with invasive breast cancer in their lifetime, and early detection improves the chances of survival. The average screening takes 3-5 minutes and you’re often in and out within 30 minutes. Walkins are welcome!

A mammogram is typically covered as preventative screening with no out-of-pocket costs. However, if you are uninsured or under-insured, the generous donors of the St. Louise Regional Hospital Foundation have all of your costs covered—your exam is free.

Fear: it hurts, it will give me cancer The gold standard for early detection of breast cancer is still the mammogram.

The new machines at St. Louise provide

NO TIME LIKE NOW Scheduling a mammogram is easier than ever with free walk-ins.

Gilroy Breast Care Center 9460 No Name Uno, Suite 225 Gilroy, CA 95020 408.848.8640

an experience that will debunk the myths. A digital mammography machine will gently compress the breast just enough to get the perfect image. And although the radiation level was already safe, their machines use 30 percent less radiation than others.

Denial: I don’t want to know!

Ignorance is not bliss in the case of

Morgan Hill Breast Care Center 18550 De Paul Drive Morgan Hill, CA 95037 408.782.2570

treatable means less invasive treatment options, potentially less cost, and more probability of breast conservation.

Results are sent to your physician within 24-48 hours, so he or she can get back to you quickly.

Are you too busy, fearful or in denial about a routine mammogram? The team at St. Louise is happy to talk with you as they are committed to delivering breast care services with sensitivity and compassion. ~ Sponsored content

cancer. Finding cancer when it’s most

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YOU CAN’T

FIGHT

IF YOU DON’T KNOW

2018 HEALTHY LIFE

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Guidelines on Nutrition and Physical Activity for Cancer Prevention

BREAST CANCER SURVIVORS

CANCER RISKS

Lifestyle Changes Prevent Some Cancers

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or most Americans who do not use tobacco, the most important cancer risk factors that can be changed are body weight, diet, and physical activity.

The World Cancer Research Fund estimates that about 20% of all cancers diagnosed in the US are related to body fatness, physical inactivity, excess alcohol consumption, and/or poor nutrition, and thus could be prevented.

Although our genes influence our risk of cancer, most of the difference in cancer risk between people is due to factors that are not inherited.

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Avoiding tobacco products, staying at a healthy weight, staying active throughout life, and eating a healthy diet may greatly reduce a person's lifetime risk of developing or dying from cancer.

These same behaviors are also linked with a lower risk of developing heart disease and diabetes.

Although these healthy choices can be made by each of us, they may be helped or slowed by the social, physical, economic, and regulatory environment in which we live.

Community efforts are needed to create an environment that makes it easier for us to make healthy choices when it comes to diet and physical activity.

Achieve and maintain a healthy weight throughout life.

Be as lean as possible throughout life without being underweight.

Avoid excess weight gain at all ages. For those who are overweight or obese, losing even a small amount of weight has health benefits and is a good place to start.

Get regular physical activity and limit intake of high-calorie foods and drinks as keys to help maintain a healthy weight.

Be physically active.

Adults:Â Get at least 150 minutes of moderate intensity or 75 minutes

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As a not-for-profit organization, Hospice of the Valley provides care for all, regardless of health plan, referring physician affiliation or ability to pay.

Serving Santa Clara county with compassionate hospice care and grief support since 1979.

Hospice of the Valley is available 24/7 to care for patients during one of life’s most challenging times. End-of-life services include hospice care, grief counseling, and individualized support.

408-559-5600 Hospicevalley.org

Dolores Kent, CNC

Angela Fowler, MFT

Nutritionist, yoga teacher, retreat leader and support groups facilitator.

Psychotherapist

Dolores has been in the fitness and health industry since 1989. While working as a fitness instructor at the YMCA she discovered yoga.

Dolores has been teaching only yoga since 1995, her mission is to create a peaceful, safe and healing environment so students of all ages and abilities can have fun, feel good and cultivate self-awareness.

Dolores’s classes integrate body movement with breath awareness, flexibility with strength, and relaxing into the moment. A Certified Anusara-Inspired yoga teacher, she brings profound enthusiasm and knowledge into her teaching.

Angela Fowler has been a psychotherapist in private practice since 2001. She is a graduate of Santa Clara University and is licensed in California. She specializes in treating depression, anxiety, and relationship issues. She works with individual adults.

Mention this ad and receive 1/2 off regular fee for first 2 sessions.

Office Hours: Monday - Thursday 1pm - 8pm.

Tuesdays 5pm Yoga for all •Thursdays 5pm Meditation for all HealingStrong support group Second Thursday of each month.

Dolores Kent Yoga

408.710.5277 | www.doloreskentyoga

15105 Concord Circle Suite 110 Morgan Hill, CA 95037 408 778-8347 • angelavfowler@yahoo.com 2018 HEALTHY LIFE

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Cancer Facts American Cancer Society

CANCER BASICS Can cancer be prevented?

A substantial proportion of cancers could be prevented, including all cancers caused by tobacco use and other unhealthy behaviors.

According to a recent study

by American Cancer Society epidemiologists, at least 42% of newly diagnosed cancers in the US – about EARLY DIAGNOSIS, TREATMENT 729,000 cases in 2018 – are potentially avoidable, including 19% that are caused by smoking and 18% that are caused by a combination of excess body weight, physical inactivity, excess alcohol consumption, and poor nutrition. Certain cancers caused by infectious agents, such as human papillomavirus (HPV), hepatitis B virus (HBV), hepatitis C virus (HCV), and Helicobacter pylori (H. pylori), could be prevented through behavioral changes, vaccination, or treatment of the infection. Many of the more than 5 million skin cancer cases that are diagnosed annually could be prevented by protecting skin from excessive sun exposure and not using indoor tanning devices.

Screening can help prevent colorectal and cervical cancers by allowing for the detection and removal of precancerous lesions. Screening also offers the opportunity to detect some cancers early, when treatment is more likely to be successful. Screening is known to help reduce mortality for cancers of the breast, colon, rectum, cervix, and lung (among long-term current or former heavy smokers).

Who has cancer?

• More than 15.5 million Americans with a history of cancer were alive on January 1, 2016. Some of these individuals were diagnosed recently and are still undergoing treatment, while most were diagnosed many years ago and have no current evidence of cancer.

• About 1.7 million new cancer cases are expected to be diagnosed in 2018.

This estimate does not include carcinoma in situ (noninvasive cancer) of any site except urinary bladder, nor does it include basal cell or squamous cell skin cancers because these are not required to be reported to cancer registries.

• About 609,640 Americans are expected to die of cancer in 2018 which translates to about 1,670 deaths per day. Cancer is the second most common cause of death in the US, exceeded only by heart disease.

www.cancer.org

< 24 of vigorous intensity activity each week (or a combination of these), preferably spread throughout the week.

Children and teens: Get at least 1 hour of moderate or vigorous intensity activity each day, with vigorous activity on at least 3 days each week.

Limit sedentary behavior such as sitting, lying down, watching TV, and other forms of screen-based entertainment.

Doing some physical activity above usual activities, no matter what one’s level of activity, can have many health benefits.

Eat a healthy diet, with an emphasis on plant foods.

Choose foods and drinks in amounts that help you get to and maintain a healthy weight.

Limit how much processed meat and red meat you eat.

Eat at least 2½ cups of vegetables and fruits each day.

Choose whole grains instead of refined grain products.

If you drink alcohol, limit your intake.

Drink no more than one drink per day for women or two per day for men.

ACS RECOMMENDATIONS FOR COMMUNITY ACTION Public, private, and community organizations should work together at national, state, and local levels to apply policy and environmental changes that: Increase access to affordable, healthy foods in communities, places of work, and schools, and decrease access to and marketing of foods and drinks of low nutritional value, particularly to youth.

Provide safe, enjoyable, and accessible environments for physical activity in schools and workplaces, and for transportation and recreation in communities.

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BODY AND SPIRIT

YOGA ALTERNATIVES Benefits of Yoga FOR YOUR BODY • Improves our flexibility • Build muscle strength • Perfects your posture • Prevents cartilage and joint breakdown • Protects your spine • Betters your bone health • Increase your blood flow • Drains your lymphs and boosts immunity • Ups your heart rate

• Lowers your blood sugar

• Helps you focus

• Maintains your nervous system

• Relaxes your system

• Boosts your immune system

• Gives you peace of mind

• Gives your lungs room to breathe

• Increases our self-esteem

• Prevents digestive problems

• Gives you inner strength

• Keeps allergies and viruses at bay

• Connects you with guidance

• Uses sounds to soothe your sinuses

• Helps keep you drug-free

• Improves your balance

• Builds awareness for transformation

• Relaxes tension in your limbs

• Benefits your relationship

• Eases your pain

• Guides your body’s healing in your mind’s eye

• Helps you sleep deeper

• Drops your blood pressure

FOR YOUR MIND

• Regulates your adrenal glands

• Makes you happier

• Supports your connective tissue

• Founds a healthy lifestyle

• Helps you serve others • Encourages self care

www.yogajournal.com; also see www.yoga.com 2018 HEALTHY LIFE

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Alzheimers

COMPASSIONATE CARE

ALZHEIMER’S CARE Early signs of Alzheimer’s

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emory loss that disrupts daily life may be a symptom of Alzheimer’s or another dementia.

Alzheimer’s is a brain disease that causes a slow decline in memory, thinking and reasoning skills. There are 10 warning signs and symptoms. Every individual may experience one or more of these signs in different degrees.

If you notice any of them, please see a doctor.

Memory loss that disrupts daily life One of the most common signs of Alzheimer’s is memory loss, especially forgetting recently learned information.

Others include forgetting important dates or events; asking for the same information over and over; increasingly needing to rely on memory aids (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own.

What’s a typical age-related change?

Sometimes forgetting names or appointments, but remembering them later.

Challenges in planning or solving problems Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating > 30

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At Coastal Dermatology and Aesthetics we care about your skin Look good, be healthy and love the skin you’re in!

ACCEPTS MOST MAJOR INSURANCES FULL SERVICE DERMATOLOGY OFFICE OFFERING: • Medical, Surgical & Cosmetic (aesthetic) dermatology

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• All ages of patients, from infants through seniors •Skin cancer screening and surgery

This is your opportunity — take it.

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• Latest in laser facial rejuvenation • Cosmetic dermatology including Botox, Juvederm, and skin care products from Obagi,JanMarini, Epionce and Elta MD

Dr. Schiltz is a fully licensed physician and board cefrtified dermatologist.

7888 Wren Ave., Ste A110 • Gilroy • 408.713.2600

www.TheHearingCenter-CA.com

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LOVING PATIENCE

and take much longer to do things than they did before.

Difficulty completing familiar tasks at home, at work or at leisure People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game.

What’s a typical age-related change?

Occasionally needing help to use the settings on a microwave or to record a television show.

Confusion with time or place People with Alzheimer’s can lose track of

dates, seasons and the passage of time.

They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there.

What’s a typical age-related change?

Getting confused about the day of the week but figuring it out later.

Trouble understanding visual images and spatial relationships For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast, which may cause problems with driving.

What’s a typical age-related change?

Vision changes related to cataracts.

New problems with words in speaking or writing People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a “watch” a “hand-clock”).

What’s a typical age-related change?

Sometimes having trouble finding the right word.

Misplacing things and losing the ability to retrace steps A person with Alzheimer’s disease may put things in unusual places. They may

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lose things and be unable to go back over their steps to find them again.

Sometimes, they may accuse others of stealing. This may occur more frequently over time.

What’s a typical age-related change?

Misplacing things from time to time and retracing steps to find them.

Decreased or poor judgment People with Alzheimer’s may experience changes in judgment or decisionmaking. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers.

They may pay less attention to grooming or keeping themselves clean.

What’s a typical age-related change?

Making a bad decision once in a while.

Withdrawal from work or social activities A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports.

They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced.

What’s a typical age-related change?

Sometimes feeling weary of work, family and social obligations.

Changes in mood and personality The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone.

What’s a typical age-related change?

Developing very specific ways of doing things and becoming irritable when a routine is disrupted.

MEMORY LOSS It is estimated that there are more than 5 million people living with Alzheimer’s disease in the United States. This includes 5.2 million people age 65 and older and 200,000 people younger than age 65 with younger-onset Alzheimer’s disease.

ALZHEIMER’S MYTHS Myth 1: Memory loss is a natural part of aging.

Reality: As people age, it’s normal to have occasional memory problems, such as forgetting the name of a person you’ve recently met. However, Alzheimer’s is more than occasional memory loss. It’s a disease that causes brain cells to malfunction and ultimately die.

Myth 2: Alzheimer’s disease is not fatal.

Reality: Alzheimer’s disease has no survivors. It destroys brain cells and causes memory changes, erratic behaviors and loss of body functions.

Myth 3: Only older people can get Alzheimer’s Reality: Alzheimer’s can strike people in their 30s, 40s and even 50s. .

Myth 4: Drinking out of aluminum cans or cooking in aluminum pots and pans can lead to Alzheimer’s disease.

Myth 5: Aspartame causes memory loss.

Myth 6: Flu shots increase risk of Alzheimer’s disease Myth 7: Silver dental fillings increase risk of Alzheimer’s disease Myth 8: There are treatments available to stop the progression of Alzheimer’s disease Reality: At this time, there is no treatment to cure, delay or stop the progression of Alzheimer’s disease.

NEW MEDICARE AID Medicare now reimburses doctors for testing patients with cognitive impairment such as Alzheimer’s disease or dementia, at any stage, and for offering information about care planning. It is hoped this will provide new answers for families who often chase a diagnosis for years, says the Alzheimer’s Association.

The association is dedicated to advancing research to end Alzheimer’s and dementia while enhancing care for those living with the disease.

www.alz.org 2018 HEALTHY LIFE

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