Arrowhead Healthstyle - Spring 2017

Spring 2017

Transforming Healthcare How Two Arizona Entrepreneurs Are Changing the Healthcare Experience Nationally

Pain of the Pill One Valley Healthcare Team Takes On the Opioid Epidemic

From Sofa to Sidewalk Taking That First Step to Running

Getting Under Your Skin Understanding Skin Cancer and How to Prevent It

Innovative Platelet-Rich Plasma Therapy Effective Treatment for Pain

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Contents

Spring 2017 4 VITALITY n Asleep at the Wheel n Platelet-Rich Plasma Therapy: Effective Treatment for Pain

12 INNOVATION n Out on a Limb n From Sofa to Sidewalk

22 HEALTH & WELLNESS n Are You “Fiscally Fit?” n Get Your Life Back n Getting Under Your Skin

30 LIFESTYLE & NUTRITION n Create an Allergy-Free Home n Spring Training Back in Action n Garden to Table

36 PUZZLE

18 COVER

Transforming Healthcare How Two Arizona Entrepreneurs Are Changing the Healthcare Experience Nationally

8 FEATURE

Pain of the Pill One Valley Healthcare Team Takes On the Opioid Epidemic

Visit us online at healthstylemagazine.com

Spring 2017 • Healthstyle Magazine

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Editor’s Letter

Renewed Energy and Challenging the Status Quo

Jason Stevens is in marketing and passionate about the customer experience. His role at Arrowhead Health Centers has allowed him to see the important role that an integrated healthcare experience can play in a patient’s health and recovery. With the amazing Spring time weather, you can try to catch Jason and his son running Spartan races and other obstacle course runs or enjoying a fun Saturday on the soccer pitch.

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he weather is nearly perfect and signs of new life are beginning to pop up everywhere. Spring is a time for new beginnings as we transition from Winter to Summer. It is the part of the year when flowers bloom and gentle rain showers wash city streets clean. You can feel the warmth of the sun and smell the fresh cut grass in the air. The renewal of life during the Spring season is often considered the time of re-birth for our inspiration and leaves us charged with a new energy.

It is with that same energy that we look to those who compel us to change our own lives.

The change can be small or large depending on the situation and our goals. This inspiration pushes us to be better, different and define who we are or want to be. In the Spring of 2015 we met James Lawrence, the Iron Cowboy, and I became obsessed with his story. If you are new with us he struggled to finish a short fun run and decided to change his life and finished 50 Ironman distance in 50 states in 50 days! After reading his story and meeting him I started to train differently with a renewed sense of energy.

1 year ago that I set out to run my first of many obstacle course races. It was February of 2016 when I pushed through the muck and difficulties to finish my first Spartan Sprint and I thirsted for more!

The intersection of challenging the status quo finds us where we are. Influences to become the best version of you can come from anywhere.

There is a self-realization about being better versus being different. If you have been thinking about living a healthier lifestyle and starting to run then enjoy reading and hearing from Runner’s Den in an article designed to help you find your inspiration.

Sometimes renewal of life and inspiration can be difficult to find. In a time of change

Healthstyle Magazine • Spring 2017

and uncertainty in a difficult Healthcare system some of us may feel lost and left behind.

Thankfully there are two valley entrepreneurs who are tackling that change head on and offering transparent solutions. This husband and wife team have looked at the waste involved in healthcare and are challenging the healthcare system. Arrowhead Health Centers and Redirect Health have dedicated themselves to being different and that is how they are changing healthcare. See how these organizations have challenged the status quo by offering unmatched patient care.

In this edition, we present you with both a renewed mindset and a theme. A mindset that is based on innovation but more importantly doing things differently and challenging the status quo. Learning how to manage those medical expenses that have come up by being fiscally fit is one of changing your mindset.

Sometimes things happen but enjoy peace of mind andhow to manage those medical expenses. We offer a mindset on how to get your life back if you are part of the 70% of men who have symptoms of BPH. During a time of renewed inspiration, and of course beautiful weather, we are looking forward to challenging your view on the status quo to be the best version of you. We hope that as you enjoy this issue of the magazine you will find inspiration and a transformation of your own.

Jason Stevens EDITOR

Special Thanks

On the Cover Dr. David Berg, a chiropractor, and Dr. Janice Johnston, MD, a family practice physician. The husband-wife team started Arrowhead Health Centers in 1997 hoping to transform how Arizonans spend their insurance dollars and access routine healthcare.

Special Thanks David Berg Guy Berry Marc Blonstein Ryan Caracciolo Matt Coen Joe Gleason Doug Houvener

Rachel Jablon-O’Grady Janice Johnston Deepesh Shah Vicki Tamburrelli Nate Wallack Robert West

Creative Development Director ISAAC MOYA IMoya@RepublicMedia.com Editor JIM WILLIAMS JLWilliams@RepublicMedia.com A division of The Arizona Republic 200 E. Van Buren St. Phoenix, AZ 85004 General Manager CAMI KAISER CKaiser@RepublicMedia.com

Project Manager NICK KOSTENKO NKostenko@RepublicMedia.com Design CARL BEZUIDENHOUT CarlBez@me.com

Contact Us Have a question, comment or idea?

Want to advertise in Healthstyle Magazine?

Contact editorial@healthstylemagazine.com

ADVERTISING Community Relations Manager BETHANY TRAETTINO bethany.traettino@ arrowheadhealth.com Dir. MVA & IWP MATT COEN, DC matt.coen@arrowheadhealth.com

Healthstyle is a product of

Advertising Coordinator LINDA KNOEBEL lknoebel@republicmedia.com

For general advertising inquiries, contact Republic Media at 602-444-8000.

Spring 2017 • Healthstyle Magazine

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Vitality

Asleep at the Wheel New Study Provides a Wake Up Call For Drowsy Drivers BY DEBRA GELBART

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significant cause of motor vehicle crashes is what’ s known as drowsy driving. Until very recently, limited information has been available on specifically how sleep deprivation affects drivers. But a new study reveals the dramatic impact of a sleep deficit on vehicle safety. The AAA Foundation for Traffic Safety in Washington, D.C. is a notfor-profit, publicly supported charitable research and education organization dedicated to preventing traffic crashes and reducing injuries when crashes occur. It released a study in December 2016 with these disturbing conclusions: • Drivers who usually sleep for less than five hours daily, drivers who have slept for less than seven hours in the past 24 hours and drivers who have slept for one or more hours less than their usual amount of sleep in the past 24 hours have significantly elevated crash rates.

• The estimated rate ratio for crash involvement associated with driving after only four to five hours of sleep compared with seven hours or more is similar to the U.S. government’ s estimates of the risk associated with driving with a blood alcohol concentration equal to or slightly above the legal limit for alcohol in the U.S.

Crash Connection Previous research by the Foundation estimated as many as 7 percent of all crashes, 13 percent of crashes that result in hospital admission, and 21 percent of fatal crashes involve driver drowsiness. However, the relationship between specific measures of sleep deprivation and crash risk had not been quantified in the general driving population. The new study attempts to do that.

Here’s how you know if you’re “driving drowsily,” according to the Centers for Disease Control and Prevention: yawning or blinking frequently; difficulty remembering the past few miles driven; missing your exit; drifting from your lane; hitting a rumble strip.

The CDC encourages drivers who experience any of these warning signs to pull over to a safe place and take a 15-20 minute nap or change drivers. “Simply turning up the radio or opening the window are not effective ways to keep you alert,” the CDC says.

Despite Your Best Efforts What happens if you’ re involved in a vehicular accident because of another driver who didn’ t take the same preventive steps against drowsy driving that you did? If thankfully, you aren’ t seriously hurt and you don’ t require emergency care—and the accident is not your fault—how can you properly address any minor, moderate or lingering injuries from the accident?

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Healthstyle Magazine • Spring 2017

Sleep In! American Academy of Sleep Medicine and the Sleep Research Society recommend that adults aged 18–60 years sleep at least 7 hours each night to promote optimal health and well-being.

The Motor Vehicle Accident (MVA) program at Arrowhead Health Centers may be the answer for you. The program manages all of your needs in the aftermath of an accident. You’ ll first be evaluated by a chiropractic doctor and a medical or osteopathic physician, who together will determine the extent of your injuries and the best way to treat them.

“What every MVA patient wants most is to feel better, resolve their injuries and get back to enjoying their daily activities again,” said Matt Coen, DC, a chiropractic physician and director of the MVA program at Arrowhead Health Centers. “We want that for patients, too.”

A Streamlined Approach The goal of the MVA program, within the span of 72 hours or less, is to evaluate the patient through an exam and diagnostic imaging and to recommend a rehabilitation program expected to be in place for three to four weeks. At four weeks, the patient is re-evaluated to determine whether discharge from the program is appropriate or whether more rehab is necessary. The MVA program not only treats the patient’ s injuries, it manages the task of writing reports for a law firm that the patient may have hired to help with the legal aspects of the accident. Arrowhead Health Centers’ specialty is “to help simplify the personal injury treatment and recovery process - we want to reduce complexity for our customers,” Dr. Coen said. “We’re here to help motor vehicle accident victims with any question or concern they may have and to help them through the process of getting better.”

Hurt in an Accident? Call the Arrowhead Health Centers PI Hotline at 623-298-1881

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Vitality

Platelet-Rich Plasma Therapy: Effective Treatment for Pain Promoting the Body’s Natural Healing Process for Acute and Chronic Injuries

BY MEGHANN FINN SEPULVEDA

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eople who suffer from joint, ligament or tendon pain may benefit from Platelet-rich Plasma (PRP) therapy, an innovative and non-surgical treatment that allows the body to naturally heal itself, which is being offered at Arrowhead Health Centers.

Natural Healing Properties Platelet-rich plasma contains platelets, plasma, growth factors, and other cytokines which circulate through the blood and are essential for clotting and stimulating healing when injected into an area of the body that has damaged tissue. The concentration of these platelets and growth factors can be 5 to 10 times greater (or richer) than usual, according to the American Academy of Orthopaedic Surgeons.

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Healthstyle Magazine • Spring 2017

PRP therapy is a safe and effective treatment that can help speed up healing of both acute and chronic injuries, sprains and strains of the knees, hips, shoulders, spine and other joints, ligaments, tendons, and soft tissues.

“PRP is typically used following orthopedic surgery to aid in healing, with a goal of reducing recovery time and accelerating the healing process,” said Deepesh Shah, MD, Director of Pain Management & Anesthesia at Arrowhead Health Centers. “Ultimately, we want to help patients avoid surgery, heal injured tissue, improve range of motion, and take less medication to alleviate pain associated with injury or degeneration.”

During the treatment, physicians use a centrifuge to separate blood into a small volume of fluid that is dense in platelets which contains growth factors and other cellular

signaling properties. The PRP is then injected directly into the area that has damaged tissue using either ultrasound or fluoroscopy for needle guidance.

“The greatest response with PRP is often seen in patients with tendon tears and arthritis,” Shah said. “We also see patients who elect to have PRP injections if they are not great candidates for surgery.”

Safe, Effective Treatment People with blood disorders or those who are on blood thinners should discuss this with a provider prior to scheduling an appointment. To have the most successful response to the treatment, patients must refrain from taking any NSAID’s such as Ibuprofen, Motrin, or Advil for 48 hours prior, and Excedrin Migraine, or Aspirin for one-week prior to an injection.

The PRP injection process takes about 25 minutes, however, the injection takes less than 5 minutes. During the procedure, a nurse will insert an IV and withdraw blood for the type of injection that has been ordered. Once the PRP is ready for the doctor, a local anesthetic may be used to numb the skin. The doctor then determines the

best position for the injection. Once the needle is placed, the PRP will be injected.

“Since PRP is derived from your own blood cells, the risk of side effects is minimal,” Shah said.

“Like most medical procedures, there is a possibility of infection, tissue damage or increased pain at the injection site, however the use of sterile technique and needle guidance greatly minimizes these risks.”

Lasting Relief Responses to PRP therapy may differ per individual and are influenced by multiple factors including, but not limited to, severity of degeneration or injury, current tobacco use, age, platelet levels, general health, and adherence to the post-PRP protocol.

“Many patients report positive results after a single injection, however two to three injections spaced out between four and eight weeks, may be recommended,” Shah said.

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Spring 2017 • Healthstyle Magazine

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Vitality

Pain of the Pill One Valley Healthcare Team Takes On the Opioid Epidemic

BY KRISTINE BURNETT

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umbers sometimes speak louder than words, and the numbers about opioid use cast a deafening sound.

The United States Department of Health and Human Services estimates that more than 650,000 opioid prescriptions are written each day. Averaging 30 to 200 tablets apiece, that means upwards of 130 million pills are prescribed every day. In correlation, the Centers for Disease Control and Prevention reports that more than three out of five drug overdose deaths involve opioids.

Recognizing their tremendous threat, the surgeon general in 2016 declared the opioid issue an epidemic. It’s one that only dedicated physicians can bring to an end.

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Healthstyle Magazine • Spring 2017

Understanding the Threat

automatically prescribe an opioid, Dr. Shah urges providers to consider other options.“There is a time and place for opioids, but it’s incumbent upon health care providers to explore other options as well,”he commented.

Deepesh Shah, MD, director of Pain Management & Anesthesia at Arrowhead Health Centers, says the key to reducing dependence on opioids starts with increasing understanding among patients and providers alike. “Opioids are prescription medications that work on several types of pain receptors in the body and produce morphine-like effects,”he explained.

“They’re only intended for severe pain. However, they’re being widely overprescribed.”According to Dr. Shah, current opioid prescription rates equate to nearly one prescription per adult per year being written in the U.S. “The only time I’m less concerned about opioids is when they’re prescribed for a patient facing a terminal condition like cancer,”he noted. “For end-oflife conditions, it’s about comfort care.”

Comprehensive Approach Dr. Shah says Arrowhead Health Centers takes a comprehensive approach to pain management, creating multidisciplinary, individualized pain treatment and recovery game plans. “Patients turn to us for expert medical advice,”he said. “We rarely consider opioids as a first-line approach to pain management. We look at the entire person to see what fits their needs and lifestyle instead of just prescribing a pill.”Arrowhead Health Centers delivers chiropractic care, physical therapy and other non-medication therapies in one convenient location. When appropriate, medications are used sparingly.

Physiological Dependence Opioid use among those whose conditions aren’t terminal is where danger and damage intersect. “The body’s physiological dependence on opioids can occur in less than three weeks for many patients,” Dr. Shah said. “After that point, a person may develop a tolerance to the opioids and could require higher doses to get virtually the same effect.”Rather than

Evaluating the Factors Before prescribing opioids, however, Dr. Shah says he and his colleagues evaluate factors that signify an increased likelihood of becoming dependent on them. They assess everything from a patient’s past sensitivity to medications, family or personal history

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Spring 2017 • Healthstyle Magazine

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Vitality

of substance abuse, and psychiatric conditions like anxiety or depression, to current or past illicit drug use.

The CDC estimates that nearly two million Americans abused or were dependent on prescription opioids in 2014.

Close to one in four patients prescribed opioids in a primary care setting struggles with addiction. Topping the list of opioids linked to prescription drug deaths are methadone, oxycodone and hydrocodone.

“There are 78 opioid-related deaths a day,” Dr. Shah shared. “That’s more than car accidents and many other things we fear as a society. The truth is that opioids are more deadly.”

How Did We Get Here?

So, how did we get to this point? Dr. Shah has a few theories.

“About 15 – 20 years ago, the Joint Commission declared an overall underreporting of pain among patients, in turn requiring that physicians assess a patient’s pain at every visit,” he said. “This meant that even a patient coming in for a cough was suddenly talking to their doctor about pain that otherwise might not have been an issue.”

At the same time, pharmaceutical-based studies that weren’t thoroughly scrutinized by medical experts were reporting that opioids could be used without risk of dependence. This false belief that opioids were safe coupled with a mandate that providers assess and treat pain led to a surge in opioid prescriptions.

“General practice providers have virtually no formal education or training in pain management, yet they’re being tasked with treating pain,” Dr. Shah explained. “There are no checks and balances when you don’t train doctors in pain management while requiring them to treat pain.”

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Healthstyle Magazine • Spring 2017

Changing Course According to Dr. Shah, primary care doctors write more than 50 percent of all prescriptions for the strongest class of pain medications (schedule II opioids). Unfortunately, several other classes of non-opioid medications are often overlooked as many doctors turn to prescription opioids.

“When a patient comes in [to Arrowhead Health Centers] with pain, we’re not thinking about putting pen to pad and writing a script for an opioid,” he said. “We look at a variety of goal-directed modalities and review the benefits and risks of every option with our patients.”

Curbing dependence on opioid medication requires vigilance on all parts.

“We have a roughly three-week window before a patient becomes physiologically dependent on opioids,” Dr. Shah said. “Waiting to connect a patient with a pain management specialist until they’ve already developed a dependence makes treating pain with non-opioid therapies much more difficult.”

“The body’s physiological dependence on opioids can occur in less than three weeks for many patients.” – DEEPESH SHAH, MD

Visit arrowheadhealth.com/pain-injury-management/ to learn more about how Arrowhead Health Centers can tailor a pain management program to fit your needs.

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Don’t let chronic back, knee, or joint pain slow you down. Regenerative Medicine may be the answer for you! Our cutting-edge program takes advantage of your body’s ability to repair itself by supplementing the affected areas with Placental Tissue Matrix or Platelet Rich Plasma.

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Consider the costs of comprehensive pain management: multiple physician visits, injections, MRIs, CT scans, X-Rays, narcotic prescriptions, physical therapy, and travel time. With one consultation and injection(s), these treatments could provide all the relief you’re seeking.

Plus, you can use your HSA or MSA!

Our treatments offer non-surgical pain relief with simple, painless injections. The goal of these treatments is to help restore or improve the function of muscles, joints, and other damaged tissues while reducing the pain associated with damage to those areas.

The regenerative medicine offered at Arrowhead Health Centers is safe, effective, and easy to inject. Our Placental Tissue Matrix product is obtained from placental/amniotic tissues. Our PRP product is created by drawing your blood in-office, then spinning it to pull out the plasma.

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Healthstyle Magazine • Spring 2017Learn

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Innovation H

Out on a Limb Specialized Ultrasound Creates Compelling Alternative to Traditional MRI

BY RACHEL JABLON-O’GRADY, RMST

T

he broad use of ultrasound in medicine has become a front-line diagnostic test in most medical practices. Patients treated in obstetrics, cardiology, pulmonology, urology, or gynecology departments may likely experience an ultrasound exams or procedures as part of their continuum of care. Typical ultrasound procedures are used to visualize abdominal structures such as the liver, gallbladder, pancreas, kidneys, bladder, prostate, testicles, uterus and ovaries. These powerful sound waves can also detect blood clots in veins (superficial deep venous thrombosis) or artery blockage (stenosis) and dilation (aneurysms).

Say Hello to MSK But a cutting-edge, specialized method of sonography is making new waves on the diagnostic forefront. Musculoskeletal (MSK) Ultrasound utilizes a very high sound wave frequency to visualize the joints, muscles and soft tissues such as the shoulder, elbow, wrist, hand, hip, knee, foot and ankle. If we can diagnose chest wall disease, plural effusions, Spina Bifida or a cleft pallet in an unborn fetus, it only makes sense that we can use ultrasound imaging to visualize musculoskeletal structures such as superficial tendons and ligaments. This is where MSK Ultrasound advances beyond traditional ultrasound procedures. Since MSK Ultrasound is a dynamic exam, the information uncovers more significant pathology due to its motion evaluation; i.e. biceps tendon subluxation or dislocation from the bicipital groove. This real-time imaging is pertinent to an orthopedist who depends on such details to determine a medical approach and/or surgical outcome.

Simple and Affordable To diagnose rotator cuff tears, meniscal tears in the knee, rheumatologic disorders and tendon or ligament injuries, a physician will usually order a Magnetic Resonance Imaging (MRI) procedure. Although sufficiently capable of diagnosing the condition, an MRI, which involves an extensive staff and facility, can be a costly procedure – especially to those patients with high deductibles or no insurance coverage.

MSK Ultrasound, on the other hand, is a simple procedure performed by a single highly-skilled MSK Ultrasound technologist requiring a common ultrasound modality at a minimal overhead cost, averaging $200 per exam. In addition, MSK Ultrasound is safe with no radiation or contraindications that can interfere with the exam, such as a pacemaker, cochlear implants, stents and metal based tattoos, or claustrophobia,

which can eliminate many patients from an MRI procedure.

MSK Ultrasound is an affordable procedure, a fraction of the cost of an MRI which ranges from $600 to $2,500 or more, depending on what the insurance company dictates.

While MSK Ultrasound attracts attention as a competitive alternative to MRI procedures, ultrasound-guided injections are quickly becoming part of the standard operating procedure in most clinics. MSK Ultrasound is used to accurately guide injections such as PRP (platelet-rich plasma), prolotherapy and stem cell therapy to get maximum results and benefits. MSK Ultrasound is an exceptional adjunct to any medical practice that treats patients with joint pain. Unfortunately, because the MSK Ultrasound is such a highly specialized test, it is not available everywhere. However, many highly-specialized practices have integrated the technology and make it a part of their everyday practice as an extension of the clinical exam, providing on-the-spot information, or introducing it at the end of a case when all other imaging has failed. The diagnostic details uncovered during a MSK Ultrasound can determine the course of action for treating the patient. The clear, concise and conclusive diagnosis both accelerates the patient’s treatment plan and recovery time. It’s that simple. Ask your doctor today if a MSK Ultrasound is the appropriate test for you.

Rachel Jablon-O’Grady, RMST is a co-founder at MSK GUIDE™ (Guided Ultrasound Injection and Diagnostic Experts™) and Senior Technical Specialist of Orthopedic Ultrasound. She is a frequent author on health IT and enterprise imaging transformation. You can contact her at rach.jab1@gmail.com or visit Orthopedicultrasound.net.

Spring 2017 • Healthstyle Magazine

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H Innovation

From Sofa to Sidewalk Taking That First Step to Running

BY PAT WHITNEY

E

ver watch marathon runners cross the finish line, secretly wishing to be part of that adrenalin-packed crowd? Whether your goal is to raise your fitness level, reduce stress, lose weight, improve cardio health or compete, it’s never too late to trade in your couch-spud status for a runner’s high — regardless of age or fitness level. Your heart will love it. Running even five to 10 minutes a day at a low pace can drastically reduce your risk of dying from cardiovascular disease, says the Journal of the American College of Cardiology.

The chief goal is to avoid injury. “Most injuries occur from running too far, too fast,” says Nate Wallack, manager at Runner’s Den, 6025 N. 16th St., a Phoenix family business started in 1978 by his father Robert

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Healthstyle Magazine • Spring 2017

“Rob”Wallack. Over the years, Runner’s Den has organized training programs and sponsored races for thousands of runners of all levels. “One thing new runners all have in common is that it is going to take a while to become accustomed to spending that much time on their feet.”For that reason, he likes timebased training for beginners. “There’s nothing wrong with taking some walking breaks if that’s what helps make the workout more comfortable,” Nate Wallack adds. “The goal in the early stages should be keeping your heart rate up for the amount of time you’ve committed to and getting a feel for where your limits are. “Running is such a great sport because it can be made specific to the individual. The key is finding the goal that’s going to work for you.

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H Innovation

BEGINNERS GUIDE TO RUNNING • Start with a 15-minute brisk walk 3-4 days a week. Add 5-10 minutes until reaching 35 minutes at a relaxed pace.

• Been off the grid? Walk for two weeks or do aerobic exercise 30 minutes per day 4-5 days a week before running. Increase running no more than 10 percent per week.

• Set short and long-term goals — a huge motivator for runners of all levels. Try settinga new PR (personal record) in a specific race or distance. Track your progress.

• Stretch after you’ve warmed up. It generates blood flow and increases flexibility.

• Wear a heart monitor.

• Stay hydrated.

• Breathe through your mouth. It brings in more oxygen than breathing through your nose.

• Eat for energy, clean and lean

Where Runners Get Their Start Scottsdale attorney Marc Blonstein took up running after his office gave him and his wife Joy a jogging stroller before the birth of their daughter, Rachel 19 years ago. He admits getting into shape wasn’t fun.

“It hurts,” Blonstein recalls. “It was tough to keep going those first few weeks.”After entering his first 10k, he was hooked. “I hired a coach and changed up my training routines. Running really started being fulfilling.” His advice to beginners: “Run short distances. Be patient. Gradually increase distance and it will be a lot more pleasant getting there.”Forty races and an Olympic triathlon later, 48-year-old Blonstein has upped the ante, training for his first half-Iron Man. “Once you start setting goals for a purpose, you see what impact they really have.”

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Healthstyle Magazine • Spring 2017

BEFORE YOU BEGIN • If over 40 or have health issues, see your doctor.

• Purchase quality running shoes.

• Wear non-cotton socks. Cotton absorbs moisture that can cause blisters.

• Wear clothing to keep cool in summer, warm in winter and dry when it’s wet.

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Know the Signs & Symptoms.

When the cartilage in your knees is damaged, you may start to notice the following symptoms getting worse over time: • Joint stiffness in the morning or upon standing up • Aches, pains and swelling • Limited range of motion • Locking or popping sensations

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*Regenerative Medicine portion is not covered by insurance.

What Causes OsteoArthritis?

OsteoArthritis is commonly referred to as ‘wear and tear’ arthritis. As you age, the cartilage in your knees can wear down, reducing the natural cushioning in your joints. When this happens, it can cause the bones in your knee to rub together, which is the source of the pain experienced with OsteoArthtitis of the Knee.

Patient Testimonial “Before the OsteoArthritis Knee Program, every step hurt. I just remember that I couldn’t ride my bike or even walk, really, when I first started the program. But as I went through the program, I was able to continue my active lifestyle more and more – even before I was done with my program. It really worked!” - Jane R.

Call Us Today!

Space is limited to the first 30 callers.

888-996-0366 Chandler | Glendale | Mesa | Scottsdale | Surprise/Sun City | Prescott Valley

Arrowhead Health Centers is the only provider in AZ accredited by the OsteoArthritis Centers of America.

Innovation H

Transforming Healthcare Arrowhead Health Centers & Redirect Health – What Happened When Two Doctors Couldn’t Afford Health Insurance

BY BRIAN SODOMA

PHOTOS BY VICKI TAMBURRELLI

It started as a simple idea to offer chiropractic care and allopathic medicine offerings shoulder to shoulder under one roof, but it became so much more.

In 1997, the husband and wife team of Dr. David Berg, a chiropractor, and Dr. Janice Johnston, MD, a family practice physician, started Arrowhead Health Centers. Two decades later, Arrowhead is home to six multi-disciplinary centers; however, with the introduction of sister-company Redirect Health, the enterprise is also a system game changer that’s forcing Arizonans to reconsider how they spend their insurance dollars and access routine healthcare.

Bridging Two Views In 1995, the couple traded snowy Canadian winters for 300-plus days of Arizona sun. However, they also both quickly learned about the American administration-heavy, wasteful health insurance model that burdened people with unnecessary costs and painful doses of confusion.

It was, and still is, a system that keeps doctors worried about coding systems to assure they get paid. It invites complete misunderstanding for the true cost of any service

delivered and people are often lost in the shuffle, Berg explains.

“There are so many layers of nonsense and complete lack of transparency for costs,” he adds. “All we wanted to do was take the good parts of the Canadian and American systems and meld them together, and then protect our customers from the confusing, annoying and wasteful parts.”

Doing It Differently In 2007, Berg began to closely scrutinize Arrowhead Health Centers’ own employee healthcare costs while maintaining the industry-leading elements his clinics offered, like same day/ next day appointments, online scheduling, and its “On-time” promise to customers.

“We really started developing strategies for how to navigate the system and only pay fair prices — we needed to experiment and learn how to chart a common-sense system,” Berg said.

Berg shifted from fully insured plans for Arrowhead Health Centers employees to a partially self-funded one, then to a healthcare plan that wasn’t insurance at all. With his own administrative costs cut by two-thirds, Berg offered, for a

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H Innovation

minimal monthly fee, a health plan with no copays, telemedicine access, a 24-7 concierge system guiding people to the best and most affordable care from the onset of symptoms to purchasing reasonably-priced prescriptions, to having babies, to treating cancer and beyond.

Patient care was unmatched; outcomes improved and hospitalizations were well below system benchmarks. Re-insurance was purchased in case costs ever got out of control, but so far, in the past 10 years, not one dime has been paid by an insurance company for claims.

Redirecting Healthcare The concept eventually evolved into Redirect Health, which started offering plans to Arizona small business owners and their employees in 2014. Its EverydayCARE™ plan, starting at $105 per month, promises no copays and unlimited primary care, injury care, chiropractic, preventive annual exams, labs and immunizations. A CARE Logistics navigational support system brings 24-7 access to the healthcare team who has the electronic records at their fingertips, and if an office visit is needed (about 70 percent of the time it’s not), the CARE Logistics specialist sends a full report to brief the doctor before the visit. As with the earlier model, costs are so low for members, insurance is rarely needed (in fact, never so far).

“What we want people to do is take that

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first $105 per month of their healthcare budget and pay for the routine care everyone is most likely to need and use, and just stop worrying about copays and the nickel and diming… If this is properly done, that makes the biggest, most impactful, difference,” Berg noted.

Redirect Health’s EverydayCARE™ plan is available, nationwide, to small businesses.

Redirect recently rolled out its new iEverdayCARE™ — those same proven benefits — to individual healthcare consumers in the Phoenix area, with plans to expand throughout Arizona later this year.

Advanced Care With costs easily controlled, Arrowhead and Redirect customers can also enjoy affordable advanced treatments, too. Arrowhead centers offer stem cell therapy, platelet-rich plasma (PRP) injections, dedicated osteoarthritis care centers, and other unique offerings.

“When we make our expanded version of routine care work this well, we always find that the non-routine, expensive care isn’t needed as much. When it is needed, we’re able to lower costs with no compromise in quality. When this is accomplished, then insurance isn’t needed much,” Berg said.

To learn more about how Arrowhead Health Centers and Redirect Health are changing the face of healthcare, visit: arrowheadhealth.com and redirecthealth.com.

Research Today for a Cure Tomorrow.

Become a Clinical Research Participant!

The Research Department at Arrowhead Health Centers is currently seeking volunteers. Qualified research participants may receive study medication and health assessments free of charge in addition to compensation for time and travel. For more information, please send us an e-mail at research@arrowheadhealth.com.

Learn more about studies regarding: » » » »

Influenza Strep Throat Type 2 Diabetes High Triglycerides

Contact us to see if you qualify!

623-334-4000 x7307

Clinical Research Department at Arrowhead Health Centers

Our research team is here to help! Call now to learn more about any of our currently enrolling studies.

Health & Wellness

Are You “Fiscally Fit?” 5 Ways to Manage Your Medical Expenses

BY JOE GLEASON

W

e’ve all heard about the importance of physical fitness, being in a state of health and well-being. Being physically fit means having the energy to perform at work and enjoy your leisurely activities.

But you also need to be fit financially so you can have peace of mind and enjoy your favorite activities without the additional stress of money. From doctor visits, to prescriptions and costly health screenings, to unexpected illnesses or injuries, not having a plan for routine or unforeseen medical expenses could derail you financially.

Let’s get you “fiscally fit” by learning how to manage your health and medical expenses. Here are some helpful strategies to consider: Monitor your medical expenses: Be aware of what you are spending on all of your medical expenses. Stick to your budget and keep costs as low as possible by buying generic prescriptions and using in-network doctors. By being aware and focusing on making good choices, you can monitor your spending and lower the amount of out-ofpocket expenses for your medical care.

Set up an emergency fund: Create a savings account that contains money you have set aside for medical issues that may arise. Plan ahead and save for that unexpected scenario! The money in this account should be enough to cover your estimated expenses and deductibles for the year.

You’ll have less stress when you know you’re covered!

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3

Ensure proper protection: The cost of your health care can be extremely costly if you don’t have the right medical insurance. Research health plans that have the right coverage for your family, but that also don’t break the bank in terms of your monthly premiums. Research your options at work or contact a health insurance broker to help you select the right plan for you.

Keep records of your medical expenses: If you itemize your deductions for a taxable year, you might be able to deduct expenses you paid that year for medical and dental care.

Some deductible medical expenses* may include: • Payments of fees to doctors, dentists, surgeons, chiropractors, psychologists, and nontraditional medical practitioners • Prescriptions • In-patient hospital care • Acupuncture treatments • Prescription eyeglasses or contact lenses • Hearing aids • Medical insurance premiums • Transportation fees and mileage for doctor visits

4

Create a simple system to collect and record all of your medical expenses throughout the year. Save all receipts and create a log to present to your tax professional when you prepare your yearly tax return.

5

Consider a Health Savings Account (HSA): For tax-favored benefits, an HSA is a savings account you can utilize for medical expenses.

You can use your HSA account for out-of-pocket medical expenses** which may include (but are not limited to) the following: • Periodic health evaluations, including tests and diagnostic procedures ordered in connection with routine examinations, such as annual physicals • Routine prenatal and well-child care • Child and adult immunizations • Tobacco cessation programs • Obesity weight-loss programs • Screening services (For example: cancer, heart and vascular diseases, and other screenings for other conditions/disorders)

Check with your employer to see if they offer an HSA Plan or Flexible Spending Arrangement. If you are self-employed, you can consult with a financial or health insurance professional to find out your options.

I always say, “When you fail to plan, you plan to fail.”

Don’t let unexpected or overwhelming medical expenses damper your fun. Stay fit physically and fiscally. Check in with your financial planner or tax professional for a financial check-up to get more information or if you have any questions! *Source: irs.gov/taxtopics/tc502.html **Source: irs.gov/pub/irs-pdf/p969.pdf

Joe Gleason is the founder of Gleason Financial Group, LLC, which was named the No. 1 place to get financial advice in the Valley by The Arizona Republic. The firm covers all areas of financial management, from investment and retirement planning to risk management, strategic income planning and estate conservation. Joe’s vast financial knowledge has landed him regular appearances on local television and radio stations, including Good Morning Arizona on Channel 3, FOX 10, CBS 5 and ABC 15. Do you have questions? Give Gleason Financial Group a call at 623-815-9100 or email joegleason@gleasonfg.com.

Accidents Can Be Scary.

We understand — that’s why we developed our motor vehicle accident program.

You know choosing the right medical provider can be the difference between relief and a long-term injury after an accident. We’re here to make treatment easy for you. With convenient Valley-wide locations, same day & next day appointments, and a coordinated team of multi-specialty providers, Arrowhead Health Centers helps make recovering from an injury after an accident easy.

Have you or a loved one been in an accident? Call us 24/7/365.

480-485-1055

Spring 2017 • Healthstyle Magazine

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accepting referrals in the following areas: • • • •

Auto Accidents Wrongful Death Motorcycle Accidents Commercial Truck Collisions

honest, ethical, aggressive!

Lawrence M. Lazzara, JR., Esq., LL.M. Managing Attorney

(480) 456-3080 • myazinjury.com phoenix | scottsdale | paraddise valley | meesa | chandler | peoria | tucsoon | prescott

Health & Wellness

Get Your Life Back New Procedure Offers Relief From Prostate Issues

BY JOAN WESTLAKE

M

ore than 70 percent of men in their 60s have symptoms of Benign Prostatic Hyperplasia (BPH), which is caused when the prostate gland enlarges as they age. While BPH is not a cancerous condition, it lessens the quality of life by causing loss of productivity, urination problems, sleeplessness and sometimes depression. It can completely stop the flow of urine, which requires immediate medical attention.

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Health & Wellness

Transurethral Resection of the Prostate (TURP) — Long considered the “gold standard” for relief, it is the most common surgery to treat BPH. Patients undergo general anesthesia and prostate tissue is removed. Post operation there is tissue swelling, an uncomfortable healing time and a catheter has to be inserted into the bladder after the procedure.

Laser Resection of the Prostate — TURP may be performed with a laser in procedures called photoselective vaporization of the prostate (PVP) or holmium laser enucleation (HOLEP). Laser therapy lessens the bleeding risks of traditional TURP but has the same post-operation side effects.

Signs of BPH Include: • • • • • • •

Need to frequently urinate both day and night Urinary stream that is weak or slow Sense that you cannot completely empty your bladder Difficulty or delay in starting urination Feeling of needing to urgently urinate Urinary stream that stops and starts Inability to urinate

Many men take the “wait and see” approach, suffering with BPH rather than dealing with the side effects of pills or tissue removal methods. Treatments for BPH include: Medications — Alpha blockers that relax the muscles around the neck of the bladder, making it easier to urinate or alpha reductase inhibitors, which act to shrink the prostate. Patients must take them long term. Side effects include dizziness, headaches, sexual dysfunction or inadequate relief of symptoms Thermotherapies — Heat energy is applied to destroy prostate tissue. Applying high heat to the prostate can cause tissue swelling and uncomfortable urinary symptoms during the healing period. Symptom relief does not occur immediately and patients often need a catheter that is inserted into their bladder and attached to a urine bag during the recovery period.

Introducing UroLift UroLift is a new, less invasive procedure. In 2013, the FDA approved the use of UroLift, after numerous clinical studies involving hundreds of patients across the world demonstrated that this method provides the symptom relief of other BPH procedures with fewer side effects. Arizona physicians experienced in this new technique are at Valley Urologic Associates.

“UroLift is a breakthrough procedure in the field of urology that changed the way we can treat BPH,” said Jonathan W. Agins, MD, a nationally recognized expert in men’s health and the enlarged prostate. “For a long time, we have been looking for a minimally invasive treatment option that compares in results with the gold standard of removing the prostate tissue. UroLift is a procedure that can be done in the doctor’s office, recovery is days not months and men retain their sexual function.”

Dr. Agins explained that the procedure is performed by a urologist using the UroLift device to lift and move the enlarged prostate tissue out of the way so it no longer

“For a long time, we have been looking for a minimally invasive treatment option that compares in results with the gold standard of removing the prostate tissue. UroLift is a procedure that can be done in the doctor’s office, recovery is days not months and men retain their sexual function.”

— JONATHAN W. AGINS, MD 26

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LOCATIONS

blocks the urethra, the passageway that urine flows through.

Tiny implants are placed to hold the tissue back in place. The UroLift device is removed, leaving an unobstructed urethra so the urine can flow normally again. Patients several years after the procedure continue to enjoy relief from BPH symptoms.

Medicare and most insurance cover UroLift. Learn additional information about the procedure and listen to patient testimonials at urolift.com.

Valley Urologic Associates simpleprostate.com 623-935-5522 Arrowhead Office 18699 N. 67th Avenue Suite 230 Glendale 85308

Typical Benefits of the UroLift System • • • • •

Can be done the office setting Does not require an overnight stay Does not require catheter use post-procedure Preserves sexual function No cutting, heating or removal of prostate tissue

If you are experiencing symptoms of BPH, the first step is to make an appointment with a urologist who will conduct a few simple examinations to determine what is the best procedure based on your specific symptoms and anatomy. Dr. Agins urges men not to suffer through even the early symptoms of BPH, which can negatively impact sleep and other quality of life functions. Make an appointment to learn about your options.

Do You Have High Triglycerides?

Before

Buckeye Office 525 South Watson Road Suite 205 Buckeye 85326 Paradise Valley Office 3815 E. Bell Road, Suite 3600 Phoenix 85032

After

West Valley Office 13555 W. McDowell Road Suite 304 Goodyear 85395

Participate in a Research Study!

We are searching for men and women > 18 years of age with high triglycerides toparticipate in a research study evaluating the safety and effectiveness of an investigational medication. If you qualify, you will receive at no cost: • • • • •

Study related medication Study related physical examinations Study related laboratory tests Counseling on lifestyle management May be compensated for time and travel

Contact Us to Learn More: 623-334-4000 x7307 research@arrowheadhealth.com

Spring 2017 • Healthstyle Magazine

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Health & Wellness

How can melanoma be prevented? According to Dr. West, melanoma is “directly related to UV sun exposure,” which makes practicing sun safety critical.

Dr. West encourages, “Try and seek the shade” if you are attending a child’s soccer game, going for a hike, or attending an outdoor birthday party.

He also advises people to remember the basics of sun safety as outlined in a catchy Australian ad campaign: Slip on a shirt, Slop on the 30+ sunscreen, Slap on a hat, Seek shade or shelter, Slide on some sunnies: “Slip, Slop, Slap, Seek, Slide”

Early warning signs

Getting Under Your Skin Understanding Skin Cancer and How to Prevent It BY NICOLE COTTRELL

O

ne person dies every hour from melanoma, according to Dr. Robert West, a Family Practice Director for Arrowhead Health Centers.

The three forms of skin cancer — basal cell carcinoma, squamous cell carcinoma and melanoma — are sometimes confused with one another, leading people to believe that all three are easily treatable. However, as Dr. West states, “Not all skin cancer is created equal.”

Melanoma Melanoma is the deadliest form of skin cancer and is rising faster than any other form of cancer. While quite treatable when caught early, melanoma has a higher chance of spreading to other parts of the body.

According to Dr. West, melanoma is a form of cancer that usually starts in a specific type of skin cell with “a certain amount of cellular change” taking place. These cells mutate and form cancer cells.

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Beyond sun safety, it is also helpful to look for the ABCDE’s of melanoma. Since the disease almost always forms within a mole already present on the body, recognizing these early warning signs can be life-saving: Asymmetry - According to Dr. West, asymmetry refers to “shape and color distribution” of a mole. “We like circular or oval the best,” explains Dr. West. “Anything the shape of Florida,” for example, can be a cause for concern.

Border - A mole or spot with a “non-distinct border or one that looks like there’s pigment leaking out with a feathered edge,” should be watched closely.

Color - “We generally say two colors or less is acceptable,” explains Dr. West. “We are especially concerned with reds, blues, and white shades.”

Diameter - According to Dr. West, “Anything 3mm or less and we essentially have very little concern. However, anything over 6mm and we are concerned.” You want your mole to be “about the size of an eraser on a pencil,” and no bigger.

Evolving - Any changes in the categories above can fall under “evolving.” Dr. West looks for “symptomatic changes” which include itching or bleeding. “The top of the mole is coming off or flaking off,” he explains. Any of those types of changes in a mole should receive further evaluation by a physician.

Perhaps one of the most surprising facts about melanoma is the need for a quick diagnosis. As Dr. West explains, “If caught early, there’s a 97% survival rate.

However, the little difference of a 10th of a millimeter in size can reduce your prognosis to a 75% survival rate. That minute difference can change your prognosis. Time is truly of the essence in dealing with melanoma.”

To learn more about staying safe in the sun, visit ahcskin.com or call 888-972-7388.

Rethink. Repeat. Relief.

Effective1, Safe1, And Affordable Osteoarthritis (OA) Knee Pain Relief That Helps Keep You Moving.

Think SUPARTZ FX for your patients’; physical and financial health.

The #1 prescribed viscosupplement worldwide*

Learn more at SupartzFX.com *Supartz FX [package insert]. Durham, NC: Bioventus LLC; 2015.

References: 1. Strand V, Conaghan PG, Lohmander LS, et al. An integrated analysis of five double-blind, randomized controlled trials evaluating the safety and efficacy of a hyaluronan product for intra-articular injection in osteoarthritis of the knee. Osteoarthritis Cartilage. 2006;14:859-866.

SUPARTZ FX is indicated for treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative non-pharmacologic therapy and simple analgesics, e.g., acetaminophen.

You should not use SUPARTZ FX if you have infections or skin diseases at the injection site or allergies avian (bird) products (feathers and eggs).

SUPARTZ FX is not approved for pregnant or nursing women, or children. Risks can include general knee pain, warmth and redness or pain at the injection site. Full prescribing information can be found in product labeling, at www.SupartzFX.com or by contacting customer service at 1-800-836-4080.

SUPARTZ FX is a trademark of Seikagaku Corp. Bioventus and the Bioventus logo are registered trademarks of Bioventus LLC. SMK-001523

03/17

Š2017 BIOVENTUS LLC.

Lifestyle

Create an Allergy-Free Home Tips to Remove Dust Mites, Pet Dander and Mold

BY MEGHANN FINN SEPULVEDA

M

illions of people suffer year-round from symptoms caused by indoor allergens, such as dust mites, pet dander and mold, according to the American Academy of Allergy Asthma & Immunology.

Fortunately, there are ways to identify and remove indoor allergens and find relief.

Dust Mites As the most common culprit of indoor allergens, dust mites are usually found in carpet, bedding upholstered furniture and even stuffed toys. These tiny, microscopic mites thrive in temperatures between 68 to 77 degrees Fahrenheit and like humidity levels of 70 to 80 percent, according to the Asthma and Allergy Foundation.

Dust mite allergy symptoms include coughing, sneezing, itchy red or watery eyes, and nasal congestion. In severe cases, people with asthma may experience chest tightness or pain, difficulty breathing and even trouble sleeping. A physician can diagnose a dust mite allergy by performing a skin or blood test and may prescribe medication to reduce symptoms.

Dust mites are often found in many areas of the home, mainly in the bedrooms. Experts recommend encasing mattresses, box springs and pillows in special allergen-proof fabric covers or airtight, zippered plastic covers. Bedding should be washed weekly in hot water and dried in a hot dryer.

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Allergen-proof covers are available for comforters and pillows that can’t be regularly washed.

Other ways to reduce dust mites include cleaning and vacuuming carpets and rugs regularly, and because dust mites thrive in damp, warm environments, using an air conditioner to help reduce humidity levels.

Pet Dander Bits of skin shed by cats, dogs, rodents, birds and other animals with fur or feathers is known as pet dander, and can cause reactions in people who are specifically allergic to these triggers.

For some, breathing animal allergens can make respiratory symptoms worse and lead to a decline in the ability of the lungs to function, according to the American Lung Association.

People with pet dander allergies may experience upper and lower respiratory tract symptoms including nasal congestion, sneezing, runny nose, chest tightness and wheezing. Other common symptoms are itching, watery eyes, and eczema or rashes.

To reduce allergy symptoms, pets should be kept out of bedrooms, off furniture and away from carpets and rugs.

Mold Many different types of mold can be found inside a home, however only a few cause people to have an allergic reaction which occurs when seeds or spores travel through the air and are inhaled. Most people

THINGS TO DO

Spring Training Back in Action

Is Your Medicine Cabinet Safe?

If you haven’t gone through your medicine cabinet in a while, you may be putting yourself, your children and your pets at risk for accidental injection, misuse or overdose. There are proper ways to dispose and store medications safely including: • Bring medication to the pharmacy – Many pharmacies accept and safely dispose of over-the-counter and prescription medications.

Before you drop them off, remove all identifying information on bottle labels to protect your privacy • Take precautions if you throw your drugs in your household trash – Mix them with cat litter, coffee grounds, or sawdust; put the mixture

The Valley of the Sun is home to numerous family-friendly activities this time of year!

BY PAULA HUBBS COHEN

in a sealed plastic bag; then toss it in the trash.

Collect the empty prescription bottles and put them in the plastics recycling bin.

• Store drugs correctly – When you know which prescription and overthe-counter medications you’re keeping, don’t put those in a medicine cabinet in the bathroom, where heat and moisture can degrade them and potentially make them less potent. A better spot is in a kitchen cabinet, away from the stove.

Source: Consumer Reports

experience symptoms during the summer and fall, but some can have year-round reactions.

Mold spores that get into a person’s nose can cause hay fever symptoms and reach the lungs triggering asthma, according to the Asthma and Allergy Foundation of America, which also recommends limiting outdoor activities when mold counts are high to lessen symptoms. People who spend time outdoors should consider wearing a dust mask when cutting grass, digging around plants, raking and picking up leaves.

To reduce indoor mold, use a central air conditioning system with a HEPA filter attachment, lower humidity levels to below 45 percent and pay close attention to mold and mildew buildup in bathrooms, kitchens and laundry areas.

Learn about more ways to reduce indoor allergens at aafa.org.

S

pring in the Phoenix area: it’s that time of year when we can gloat over our fabulous weather — at least until June or so. With the arrival of this sun- and fun-filled season comes a wealth of family-friendly events, with just a few listed below.

Of course, spring wouldn’t be spring in Arizona without Major League Baseball Spring Training, so let’s start there.

The Valley is extremely fortunate to be home to a number of fabulous baseball venues in Glendale, Goodyear, Mesa, Peoria, Phoenix, Scottsdale, Surprise and Tempe. These comfy, cozy, close-to-the-action ballparks will host games from Feb. 22 through April 1. More info: CactusLeague.com.

Goodyear Ballpark, Goodyear

Teams and Stadiums Arizona Diamondbacks: Salt River Fields at Talking Stick, Scottsdale Chicago Cubs: Sloan Park, Mesa Chicago White Sox: Camelback Ranch, Phoenix/Glendale Cincinnati Reds: Goodyear Ballpark, Goodyear Cleveland Indians: Goodyear Ballpark, Goodyear Colorado Rockies: Salt River Fields at Talking Stick, Scottsdale Kansas City Royals: Surprise Recreation Campus, Surprise Los Angeles Angels: Tempe Diablo Stadium, Tempe Los Angeles Dodgers: Camelback Ranch, Phoenix/Glendale Milwaukee Brewers: Maryvale Baseball Park, Phoenix Oakland Athletics: Hohokam Stadium, Mesa San Diego Padres: Peoria Sports Complex, Peoria Seattle Mariners: Peoria Sports Complex, Peoria San Francisco Giants: Scottsdale Stadium, Scottsdale Texas Rangers: Surprise Recreation Campus, Surprise

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Lifestyle THINGS TO DO Events and Activities APS Solar Weekend March 4 and 5 What: Learn how to protect yourself and your family and stay safe in the summer. Enjoy a day of hands-on solar activities.

Where: Arizona Science Center, 600 E. Washington St., Phoenix Info: azscience.org; 602-716-2000

Courtesy Heard Museum

Heard Museum Indian Fair and Market March 4 and 5 What: Juried show and second-largest art market of its kind in the U.S. Includes painting, sculpture, weaving, pottery, jewelry and more. Enjoy performances featuring Native American dancers and musicians, interact with artists, watch demonstrations and more.

Where: Heard Museum, 2301 N. Central Ave., Phoenix Info: heard.org; 602-252-8840 Experience Ireland!

March 11 and 12 What: Celebrate Saint Patrick’s Day at the Musical Instrument Museum’s celebration of Irish music and culture.

Enjoy music, crafts, Irish dancing, storytelling and more.

Where: Musical Instrument Museum, 4725 E. Mayo Blvd., Phoenix Info: mim.org; 480-478-6000

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Courtesy Grand Canyon University

Run to Fight Children’s Cancer March 11 What: 5K, 10K, Walk, Cancer Survivors Walk. Proceeds are donated to Phoenix Children’s Hospital and Children’s Cancer Network.

Where: Grand Canyon University, 3300 W. Camelback Rd., Phoenix Info: RunToFightCancer.com; 602-639-8170 American Diabetes Association Tour de Cure March 18 What: Cycling experience with routes for experienced riders as well as recreational cyclists; also family-friendly routes appropriate for all ages. Funds raised go to help prevent and cure diabetes.

Where: Midwestern University, 19555 N. 59th Ave., Glendale Info: tour.diabetes.org; 602-861-4731

Diamondbacks Race Against Cancer April 9 What: 5K and 1-Mile Family Fun Banana Boat Walk. Funds raised benefit Arizona non-profit organizations that provide screening, treatment and support for those dealing with cancer.

Where: Chase Field, 401 E. Jefferson St., Phoenix Info: Arizona.Diamondbacks.mlb.com Rugged Maniac April 15 What: Much more than just a mud run, Rugged Maniac includes obstacles such as trampolines, water slides and much more.

Where: Wild Horse Pass Motorsports Park, 20000 S. Maricopa Rd., Chandler Info: RuggedManiac.com

Family-friendly hiking and biking

Visit Phoenix

South Mountain Park and Preserve What: Municipal park with 50 miles of hiking and biking trails, 16,000 acres of Sonoran desert plus the 5.5-mile Summit Road.

Where: 10919 S. Central Ave., Phoenix Info: phoenix.gov; 602-262-7393 Visit Mesa

Tough Mudder April 8 and 9 What: Ten+ mile run with plenty of mud-run obstacles plus brand new 2017 upgrades. Full and Half Mudder’s available.

Where: Eastmark, 11349 S. Ellsworth Rd., Mesa Info: ToughMudder.com

McDowell Mountain Regional Park What: More than 50 miles of trails for all levels of difficulty. For mountain bikes, horses and hikers.

Where: 16300 McDowell Mountain Park Dr., Fountain Hills Info: MaricopaCountyParks.net; 480-471-0173

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Lifestyle & Nutrition

Garden to Table Savor Springtime Flavors with Vibrant Recipes That Celebrate the Season BY MICHELLE JACOBY

W

ith spring finally upon us, our thoughts — and appetites — turn to preparing healthy dishes made with a beautiful bounty of fresh fruits, vegetables and herbs. Designed to go straight from garden to table, these recipes—which include a light and bright avocado-cucumber soup, and an island-inspired pork tenderloin with pineapple salsa— are bursting with springtime freshness and flavor.

Spicy Avocado-Cucumber Soup

Strawberry Basil Margaritas 1 can frozen limeade concentrate (12 oz.)

10 strawberries (or 12 if you’re using smaller ones from the farmers market or your backyard) 8 basil leaves 2 to 2 1/2 cups tequila (gold or silver) 2 to 2-1/2 cups water (replace tequila for a non-alcoholic version) Empty the limeade concentrate into a pitcher. Add 2-1/2 cans of water and 1-1/2 (18 oz. or 2-1/4 cups) cans of tequila (or a bit less, if you don’t want your drinks to be quite as strong).

Hull the strawberries, slice lengthwise, and add to the pitcher.

Crumple the basil a little in your hands (this will help the basil flavor release into the drink) and add it to the pitcher, too. Place the pitcher, covered, in the fridge overnight, or for at least four hours. When you remove the pitcher from the fridge, your margaritas will be a pale pink color. Makes 1 pitcher or about 8 servings.

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2 cucumbers (12 oz. each), peeled, seeded and chopped 2 Hass avocados, coarsely chopped 2 tsp. Thai green curry paste 2 tsp. sugar 2 tsp. lime zest, finely grated 1 Serrano chile, seeded and chopped 1 can unsweetened coconut milk (13 oz.)

3 tbsp. fresh lime juice Salt 1/2 cup unsweetened coconut flakes, for garnish 10 cilantro sprigs, for garnish In a food processor, puree the cucumbers until smooth. Add the avocados, curry paste, sugar, lime zest and chile. Process until blended. Add 3-1/2 cups of water, the coconut milk and lime juice, and process until smooth. Transfer the soup to a large bowl and season with salt. Cover and refrigerate until chilled, 15 minutes.

Meanwhile, in a skillet, toast the coconut over low heat, stirring a few times, until lightly browned and crisp, 3 minutes.

Let cool.

Ladle the soup into small bowls or cups, garnish with the toasted coconut flakes and cilantro sprigs and serve.

Vinegar-Braised Chicken with Leeks and Peas

8 whole chicken legs Salt Freshly ground pepper 3 tbsp. unsalted butter 3 tbsp. extra-virgin olive oil 3 large leeks, halved lengthwise and cut into 1-inch pieces 1 cup low-sodium chicken broth 1/4 cup white balsamic vinegar 1 package frozen baby peas (10 oz.), thawed 2 tbsp. chopped tarragon 2 tbsp. chopped parsley 1/2 cup crème fraîche Preheat the oven to 425 degrees and position a rack in the upper third. Turn the chicken legs skin side down on a work surface and cut halfway through the joint. Season the chicken generously with salt and pepper.

In each of 2 large nonstick skillets, heat half of the butter and oil. Add the chicken, skin side up, and cook over high heat until browned, 5 minutes. Turn and cook the chicken for 1 minute. Pile all of the chicken into one skillet.

In the other skillet, cook the leeks over high heat until just beginning to soften, about 2 minutes. Add the broth and vinegar and bring to a boil. Season with salt and pepper. Pour the mixture into a medium roasting pan.

Set the chicken on the leeks, skin side up; roast for about 25 minutes, until it is cooked through. Turn on the broiler and broil for about 2 minutes, until the skin is golden and crisp.

Transfer the chicken to a platter.

Place the roasting pan over a burner and boil over high heat until the liquid is reduced by half, about 5 minutes. Add the peas, herbs and crème fraîche, and simmer until the sauce is hot and slightly thickened, about 2 minutes. Season with salt and pepper. Pour the sauce over the chicken and serve.

Jerk Pork Tenderloin with Pineapple Salsa 1/4 cup canola oil 2 scallions, thickly sliced 2 garlic cloves, smashed 2 Scotch bonnet or habanero chiles, stemmed and seeded 1 tbsp. low-sodium soy sauce 1 tbsp. fresh lime juice 1 tbsp. light brown sugar 2 tsp. ground allspice 1 tsp. freshly ground black pepper 1 tsp. thyme leaves 1/4 tsp. freshly grated nutmeg 1 piece of fresh ginger (1 inch long) 2 pork tenderloins (14 oz. each) Salt Pineapple-Jicama Salsa In a blender, combine 3 tablespoons of the oil with the scallions, garlic, chiles, soy sauce, lime juice, brown sugar, allspice, black pepper, thyme, nutmeg and ginger. Puree until smooth. Transfer the marinade to a resealable plastic bag. Add the pork tenderloins, turning to coat. Seal the bag, pressing out the air, and refrigerate for 4 to 8 hours.

Light a grill or preheat a grill pan. Remove the pork from the marinade. Brush with the remaining tablespoon of oil and season generously with salt. Grill the pork over moderately low heat, turning occasionally, until an instant-read thermometer reaches 135 when inserted in the center of the meat, about 20 minutes. Transfer the pork to a cutting board and let rest for 10 minutes. Slice the pork and serve with the salsa.

Spring 2017 • Healthstyle Magazine

35

Puzzle

MATH IS NOT HARD

ACROSS 1) “Beg pardon ... “ 5) Much, slangily

10) It’s far from a flattop 14) Handed-down history 15) Hole-______ (golf coup) 16) Common roller-coaster feature 17) They include numerators and denominators 20) Providing bearings 21) Tiny carpenter 22) Thing picked up at the beach 23) Animated Olive 24) Drunk, in slang 27) Not us 29) Short choral composition 32) Tokyo of long ago 33) “Much ___ About Nothing” 36) Fence for defense

36

Healthstyle Magazine • Spring 2017

DOWN

38) It includes angles and shapes 41) Jon Bon Jovi, for one 42) “What_ the odds?”

43) Notable period of history 44) Golden Horde member 46) D.C. veterans 50) Spanish capital 52) Clairvoyant’s favorite letters?

55) Lobster eggs 56) Moray, e.g.

57) Evolution adherent 60) X = 3, X + 2 = 5, and others 63) Pavarotti solo 64) Tossed with force 65) Singing club 66) Like much lingerie 67) Make fun of 68) Half a matched set

1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 18) 19) 24) 25) 26) 28) 30) 31) 34) 35) 37) 38) 39) 40) 41) 45) 47) 48) 49) 51) 53) 54) 57) 58) 59) 60) 61) 62)

March family creator “Yippee!” alternative Ferret’s cousin Humorous internet image Full of dryer fluff Photographed or taped In a quandary It might produce a run Former nuclear power agcy.

Flared dress style Shoes, sandals, sneakers, etc.

Director Howard Photo___ (media events) Plastic___Band More moth-eaten, e.g.

Historic Alabama city Challenge to a canoer Bambi’s mother, e.g.

Bit of Halloween attire Musical with its own glasses?

“The ____ of Pooh” Concentrate, in a way Group of eight It’s used to take flight?

When doubled, a Society Island Campus VIP Gangster’s gun in old films Sleep phenomenon “The Twilight Zone” telecasts, today Baltimore’s bird Body shop convenience Has a hunch One way to get out of debt Metal-shaping tool Place for an orchestra Take out, to an editor Lung opening?

Approaching, in romantic poetry “Do the Right Thing” pizzeria owner Common savings vehicle Little salamander

Source: uclick.com

Puzzle answers online at healthstylemagazine.com/ spring-2017/

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