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THE ARIZONA REPUBLIC

A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

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Vol. 2, N No. 12

December 2012

HEALTH-CARE News

Women and the Affordable Care Act

ACA emphasizes preventive care, especially for women

BY DEBRA GELBART

As a result of the passage of the Affordable Care Act (ACA), women now have access to a range of preventive services that require no payment from the patient.

Eliminates financial barriers

Important services “Mammography, cervical cancer screening and anything related to preparing for childbirth are especially important benefits,” said Heather Jelonek, chief operating officer for the John C. Lincoln Accountable Care Organization (ACO). An ACO is a group of health-care providers who agree to share responsibility for the total cost of care for a designated group of fee-for-service Medicare patients. In addition, screening for sexually transmitted infections in sexually active women can permit earlier treatment before the situation becomes more complicated, Jelonek said. Shah cites the yearly well-woman exam benefit as particularly important. Along with a Pap test and a mammogram order (if needed) and/or birth control counseling (if needed), the well-woman exam gives a doctor an opportunity to discuss other issues, including medical risks based on family history. “The ACA allows us as a medical community to focus on population medicine in addition to individual medicine,” Dearing said. “Through both the ACA and electronic medical records, we’re now identifying patients in the practice, particularly those with chronic health conditions, who we haven’t seen for awhile and encouraging them to come to the office for a check-up.”

“The stress we have in the holidays is based on expectations. We create expectations that a lot of people, including ourselves, can’t meet, and then we’re disappointed.”

RICK D’ELIA

“The ACA eliminates financial barriers patients have faced when trying to access preventive care,” said Jim Dearing, D.O., a family medicine physician and the chief medical officer for the John C. Lincoln Physician Network. “It’s always the best policy to prevent a disorder or disease rather than wait until it manifests itself and then deal with it.” Pooja Shah, M.D., an OB-GYN with the Banner Health Clinic in Mesa agrees. “Often women are so busy that they leave their health off their priority list,” she said. “As a health-care provider, I emphasize to my patients the importance of regular health checks.”

— Chip Coffey, MATC, LPC, St. Luke’s Behavioral Health Center Chip Coffey, MATC, LPC, director of therapy services at St. Luke’s Behavioral Health Center, said that to keep holiday stress at bay, people should participate in activities they enjoy. For him, that means hiking and photography, an activity he finds very calming and soothing.

‘Tis the season...for stress! Experts offer tips on tackling holiday stress

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hile pressures to celebrate, buy the perfect present and remain perpetually cheerful can feel overwhelming this time of year, the key, experts say, is setting boundaries and remembering what makes you truly happy. Here are a few tips to help you cope with holiday stress.

Stick to priorities

Work and family commitments, plus shopping, baking and celebrations can fill anyone’s calendar. When you start to feel that pang of stress, that means your body is telling you to re-prioritize. “When we’re under stress, we stop doing the things that make us feel good,” said Michael Weinberg, Ph.D, LPC, behavioral health services senior manager at Banner Thunderbird Medical Center. “That’s a mistake. If a nice walk in the morning helps you feel better, take one not only in the morning, but in the evening also. Increase the behaviors that give you balance instead of not even doing them because you don’t have the time. They’re the activities that will help you deal with the stressors you have little control over.” Chip Coffey, MATC, LPC, director of therapy services at St. Luke’s Behavioral Health Center, agrees. “The hardest part is sticking to our life routine while all this is

going on,” he said. “I know when I work out on a daily basis, I’m at my happiest. When I get off my schedule, the more dissatisfied I am with the way my days are going.”

Have realistic expectations

Sometimes, interpersonal stresses can become exaggerated during the holidays because we have expectations that everything should be perfect. “When the holidays come up, those people in our life who we have difficulty with — they’re not going to be different,” Coffey said. “The holidays come around, and we think we’re going to do some

Chip Coffey

BY ELISE RILEY

therapy on them, we’re going to fix them. That typically ends pretty dramatically.” Rather than enter the house certain that your sister will second-guess the selection of pies you brought for dessert, make the conscious decision to not let those folks bother you. “We need to be willing to put our blinders on a bit,” Coffey said. “I make the choice that I’m going to enjoy the day.”

Set boundaries

Weinberg recommends approaching these situations by setting boundaries. He says your “outside boundary” is like a hula hoop surrounding and protecting you. “That boundary protects you from the world around you,” he said. “The one-liners, the facial expressions — you keep those outside your boundary like a force-field. You don’t let them in. But the content of the communication — let that in and take a look at it. People who don’t have a good external boundary take everything in, and they’re miserable.” But you also need an “inside boundary” — like a wet suit — to help keep your feelings appropriately contained, but not stuffed. “With your inside boundary, you express feelings in an appropriate way,” Weinberg Continued on page 3 ‘TIS THE SEASON

IN THIS ISSUE: 02: BEWARE OF SNEAKY SUGARS

Seeking out sneaky sugars that can have a not-so-sweet impact on your health

04: DISHING DIRT ON GERMS

Find out the germiest areas of your home and office - you might be surprised!

04/05: SUPPORT GROUPS

Dozens of support groups are listed covering a wide variety of health issues

05: EVENTS/EXPERTS/INFO ONLINE Learn what experts have to say about three important health-related topics

By The NUMBERS The following benefits are now available at no cost to women if they have health insurance. When the Affordable Care Act takes full effect in 2014, those currently uninsured can join health insurance exchanges, assuming they have been implemented in Arizona, to take advantage of preventive care opportunities.

Choose HealthSouth:

7 BENEFITS FOR WOMEN NOW AVAILABLE THROUGH THE AFFORDABLE CARE ACT Along with well-woman visits, the Affordable Care Act covers counseling and/or screening for numerous issues including, but not limited to:

1

Birth control

5

Mammography

2

BRCA (breast cancer gene)

6

3

Cervical cancer

Sexually transmitted infections

4

Domestic and interpersonal violence

7

Various pregnancy-related issues

Not a complete list; for further details, visit healthcare.gov.

—PAULA HUBBS COHEN

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2 | LIVING WELL A-Z | WEDNESDAY, December 5, 2012

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Avoiding sugar is often easier said than done because so many foods contain hidden sugars in the form of regular sugar as well as HFCS. Zimmerman said that sugar often sneaks its way into foods such as cereals, salad dressings, ketchup, some baby foods and many other consumables. Eddie Matney, owner and chef at Eddie’s House in Scottsdale, said some breads also

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TABLE SUGAR, called sucrose, is made from sugar cane or beets and is 50 percent glucose and 50 percent fructose. Source: Harvard School of Public Health; hsph.harvard.edu/news

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Matney, who recently lost 40 pounds through a combination of healthy eating and exercise, said that people who are looking to cut back on hidden sugars in foods should not eat anything that is canned. “For example, canned peas may say ‘no added salt’ but they never say ‘no sugar’ because they usually add sugar to them. Even canned beets will contain added sugar,” he said. Zimmerman said that consumers can avoid sugars, including HFCS, by carefully reading labels, noting that other names for HFCS are glucose-fructose and corn syrup.

Although Zimmerman said much of the research on how HFCS impacts our health is recent, she said it is well-known that too much sugar consumption of any kind can contribute to obesity. Excess sugars including HFCS, without proper dental hygiene, can also result in dental caries, she added.

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Hidden sugars can have a not-so-sweet impact on health

“Instead of olive oil and balsamic vinegar on my salads, I use olive oil and lemon, because balsamic vinegar tends to be high in sugar.”

Wait at home until it’s time to arrive at the ER at your projected treatment time.

1-877-924-WELL

Beware of sneaky sugars

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Manager Creative Development: ISAAC MOYA, imoya@republicmedia.com

Look for Livingwell a-z on the first Wednesday of each month!

Contributing Editor: JIM WILLIAMS, jlwilliams@republicmedia.com

Each month, we bring you local health information you can use to keep you and your family living well. From A to Z, we tackle a broad range of health issues and offer tips for keeping your health-care costs in check. This publication is produced by Republic Media Custom Publishing. For questions concerning any content included in this publication please contact: Editor Paula Hubbs Cohen, Paula.Cohen@cox.net or call 602-444-8658.

Editor: PAULA HUBBS COHEN, Paula.Cohen@cox.net

Managing Art Director: TRACEY PHALEN, tphalen@republicmedia.com Design: LISA QUIRIN, lisa_q@me.com Republic Media Intern: NICK KOSTENKO Advertising: RHONDA PRINGLE, 602-444-4929, rpringle@republicmedia.com. For general advertising inquiries, contact Republic Media at 602-444-8000.

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WEDNESDAY, December 5, 2012 | LIVING WELL A-Z | 3

Continued from cover ‘TIS THE SEASON said. “The outside boundary protects you from the world. The internal boundary protects the world from you. People who tend to not have good boundaries are all over the place. They need to figure out a way to share what they’re feeling without being aggressive.”

Coping with loss

This time of year proves to be very difficult for people who have lost a loved one. “Those memories come up, [we think about] those things we used to do together,” Coffey said. “The more we try to avoid feelings of loss, the more difficult they become to overcome.” Coffey also said it’s imperative that people give themselves permission to grieve, and if they’ve sought grief counseling, they might want to consider attending extra sessions during the holidays.

Staying in recovery mode

Finally, both Coffey and Weinberg recommend that anyone in recovery attend extra meetings during the holidays. “If you’re an addict, take that activity that helps you stay in recovery and do it more often,” Weinberg said. “If you normally go to a 12-step meeting every other day, go to a meeting once or twice a day.

RICK D’ELIA

Managing depression

The holidays can be even more taxing for someone suffering from depression. This is because many people who are depressed also tend to have difficulty perceiving what’s actually happening in the present. “It’s all or nothing thinking, very black and white,” Weinberg said. “They worry about things that haven’t happened yet. They have a hard time being in the present because they are worrying about the future. They magnify and take things that aren’t a big deal, but to them it’s like a mountain. ‘I didn’t get a call from my son’ means ‘he must not love me anymore.’” Often, people sink deeper into depression during the holidays because they feel they can’t keep up with the pressure to always be lively and positive. “People try to hold themselves together more, but they’re masking it,” Coffey said. “They put their happy masks on and they’re hurting more underneath. If I am a person who has depression, I have to understand that I‘ll have good moments and bad moments — and that’s okay.”

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4 | LIVING WELL A-Z | WEDNESDAY, December 5, 2012

December

Take advantage of dozens of opportunities for you to meet others with similar issues and learn more about various aspects of your health – from A to Z.

WELLNESS

Dishing dirt on germs The germiest areas at home and work

W

hether at home or work, germs — those pesky little critters — sometimes lurk where we least expect them. Indeed, according to Charles P. Gerba, Ph.D., microbiologist and professor of soil, water and environmental science at the University of Arizona, the kitchen is the germiest area of the home. “Germs grow like crazy where it’s wet and moist,” he said, adding that about 15 percent of kitchen sponges and dishcloths contain salmonella, which can lead to foodborne illnesses. “Wiping the counter with a sponge just spreads things around. Run sponges through the dishwasher or wet them and place in the microwave on high to kill germs.”

Fecal bacteria, ugh

Raw meat products also carry E. coli, a form of fecal bacteria that usually gets destroyed during the cooking process. Failure to properly disinfect sinks, counters, cutting boards and other food prep surfaces is a recipe for a germ-ridden disaster. Gerba stated that because most people only wipe or rinse off cutting boards rather than thoroughly washing or putting them in the dishwasher, the average kitchen cutting board carries 200 times more fecal bacteria than a toilet seat. Given that the majority of people focus their cleaning efforts on the bathroom, he noted that “it’s safer to make a sandwich on the toilet seat than the cutting board.”

Cleaning vs. disinfecting

Linda Cobb, author of several books on cleaning whose reputation earned her the title Queen of Clean®, warned that cleaning and disinfecting aren’t always equal. “A lot of popular cleaning products, including powder-based products that are often used to clean sinks, toilets and tubs, don’t disinfect,” she said. “To truly disinfect, you want to choose the right product and let it sit on the surface for five to 10 minutes before wiping and rinsing it away.”

The lowdown on laundry “Laundry is germier today than ever before,” said Charles P. Gerba, Ph.D., microbiologist and professor of soil, water and environmental science at the University of Arizona. “About 95 percent of people use cold water, mild detergents, shorter wash cycles, and they don’t dry clothes on high heat. It’s safe to say that grandma had cleaner towels and clothes because she used hot water and harsh cleansers.”

10

BY KRISTINE BURNETT

areas worthy of a disinfecting wipe-down:

1

Door handles

2

Light switches

3

Toilet handles

4

Desk phones and cell phones

5

Remote controls

6

Microwave, oven and refrigerator handles

BLOOD PRESSURE CLINIC Dec. 18, 9–11 a.m. By Sun Health at Grandview Care Center 14505 W. Granite Valley Dr., Sun City West sunhealth.org

HEART/STROKE CONGESTIVE HEART FAILURE Dec. 5, 12, 19 & 26, 6:30–7:30 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414

7

Elevator buttons

8

Bottoms of purses and diaper bags

9

Men’s wallets

10

Shopping carts, including handles and baby seats Source: Linda Cobb, the Queen of Clean®

Cobb’s top cleaning recommendation for killing 99 percent of germs is a mixture of two cups of warm water with one teaspoon of liquid chlorine bleach used at least once a week.

Key germ sources

In addition to the kitchen, Gerba listed bathrooms as another key source of germs, including those causing skin diseases like MRSA, blood-borne illnesses like hepatitis B, and some types of skin infections. “The sink and faucet are the dirtiest areas because we touch them before we wash our hands,” he commented. Gerba also gave reason to be wary of towels by citing studies that show fecal bacteria like E. coli can survive laundering if not done right. Beyond the many hiding places for germs at home, the office is another breeding ground for bacteria. Gerba highlighted phones as the worst spot for germs, also calling out the top surface of the desk, keyboard, mouse and coffee-pot handle in the break room as additional icky work areas crawling with germs.

Fighting back

Gerba advises that whether at home or the office, everyone should be on germ-patrol and especially be diligent about washing their hands. “You can’t rely on others,” Gerba said. “Keep the hand sanitizer handy, particularly during cold and flu season.”

Would You Like to

HIP & KNEE ARTHRITIS Dec. 12, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

STROKE SUPPORT Dec. 10, 2:30–4 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-3828 STROKE SUPPORT Dec. 11, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 STROKE SUPPORT GROUP Dec. 13, 1:30–3 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4790

DIABETES DIABETES SUPPORT GROUP Cardon Children’s Medical Center 1400 S. Dobson Rd., Mesa Call for dates & times: 480-412-4557 DIABETES SUPPORT GROUP Dec. 10, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 DEALING WITH DIABETES Dec. 11, 9:30–11:30 a.m. By Sun Health at Church of the Nazarene 14636 N. Del Webb Blvd., Sun City Register: 623-455-5633 DIABETES SUPPORT GROUP Dec. 13, 1–2 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-9355 DIABETES SUPPORT Dec. 18, 3–4 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4578

ALZHEIMER’S/ DEMENTIA SUPPORT GROUP Dec. 6, 1:30–3 p.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 877-351-9355 PLANNING AHEAD FOR CAREGIVERS Dec. 10, 4–6 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: Baiinfo@bannerhealth.com; 602-839-6850 CHALLENGING BEHAVIORS December 12, 11 a.m.–noon By Alzheimer’s Association at Mesa Public Library 64 E. First St., Mesa602-528-0545

Sleigh bells ring… can you hear them?

How well will you hear the sweet holiday sounds at this year’s choir concert? When your family and friends gather for a festive dinner, will you be able to follow the lively dinner-table conversation?

Don’t miss a minute of joy this holiday season!

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Dec. 8 Gluten–Free Holiday Cookie Decorating for Kids WHAT: Decorate cookies with the Raising Our Celiac Kids support group. WHERE: GFC Bakery & Cafette, 7607 E. McDowell Rd., Scottsdale TIME: 3:30–4:30 p.m. COST: Yes (cost of cookies) INFO: phoenixceliackids@gmail. com; facebook.com/PHX.ROCK REGISTER/INFO: 480-990-2253 for reservations and cost

Dec. 18 Kids Can Cope WHAT: Support group for children whose family members are diagnosed with or being treated for cancer. WHERE: Banner Thunderbird Medical Center, 5555 W. Thunderbird Rd., Glendale TIME: 7 p.m. COST: Free REGISTER/INFO: 602-865-5450 STRATEGIES FOR MEMORY Dec. 14, 10:30 a.m.–noon By Banner Alzheimer’s Institute at Rio Vista Recreation Center 8866 W. Thunderbird Rd., Peoria Register: 602-230-2273 SUPPORT GROUP (Lunch provided) Dec. 15, 11 a.m.–12:30 p.m. St. Joseph’s Huger Mercy Living Center 2345 W. Orangewood Ave., Phoenix 602-406-5600 CAREGIVERS (DUET) Dec. 18, 12:30–2 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022

SENIORS

Dec. 21 Holiday Potluck for Grandparents Raising Grandchildren WHAT: Grandparents raising grandchildren celebrate the season at this Duet–sponsored potluck. Activities for kids while the adults relax. WHERE: Church of the Beatitudes, 555 W. Glendale Ave., Phoenix TIME: 5–7 p.m. REGISTER/INFO: 602-274-5022

CANCER SUPPORT CAVE CREEK Dec. 8, 10 a.m.–noon By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek RSVP: 480-488-3283 LUNG Dec. 8, 1–3 p.m. BySt.Joseph’satTheWellnessCommunity 360 E. Palm Lane, Phoenix 602-712-1006 US TOO: PROSTATE CANCER Dec. 10, 7 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-242-3131

GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations Duet: 602-274-5022

GASTROINTESTINAL Dec. 11, 5:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

OSTEOPOROSIS SEMINAR Dec. 6, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

LIVING WITH CANCER Dec. 18, 5:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

MEDICATION CHECKS Dec. 11, 10–11 a.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 877-351-9355

ORAL, HEAD & NECK Dec. 19, 4:30–6:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412–4673

WOMEN & CANCER GYNECOLOGIC Dec. 11, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673 YOUNG WOMEN’S SUPPORT Dec. 11, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

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HEAR for the Holidays?

Holiday Offers You Don’t Want To Miss!

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All groups and events are believed, but not guaranteed, to be free unless otherwise stated. Every effort has been made to verify accuracy, but please call before attending to confirm details.

Getting Started. It’s Free and Easy.

At Miracle-Ear, we make our process comfortable and convenient. We also offer you a variety of valuable services – at no charge.

FREE Ear Canal Inspections†

A miniature camera “tours” your ear canal. You may not have a hearing loss, it may be nothing more than earwax.

FREE Hearing Test†

A complete hearing test that reveals where you need hearing help. Recommended annually.

Ask About Our Special Financing Offers Call Today to Schedule Your FREE Hearing Test! Don’t wait! Offer ends December 31, 2012 LOCATIONS:

Buy One buy one, Fully Digital Miracle-Ear get one Hearing Aid and get the one 50% off! % second

50off

on ME-1, ME-2 or ME-3 SOLUTIONS

Good only from participating Miracle-Ear® locations. One coupon per purchase. No other offers or discounts apply. Discount does not apply to prior sales. Offer valid on ME-1, ME-2 or ME-3 Solutions. Cannot combine with any other offers. Cash value 1/20 cent. Offer expires 12/31/2012.

IN:

Prescott Show Low Casa Grande Metrocenter Mall Flagstaff Mall 928.227.3088 928.251.4599 520.366.8400 602.635.4944 928.225.3020 Prescott Valley Yuma Safford Paradise Valley Mall Fiesta Mall 928.227.3114 928.328.8198 928.792.4133 602.910.2902 480.389.3493 Cottonwood Chandler Fashion Center 928.202.4075 Visit www.Miracle-Ear-Phoenix.com 480.389.3466

*ME200 not included **Hearing aids do not restore natural hearing. Individual experiences vary depending on severity of hearing loss, accuracy of evaluation, proper fit and ability to adapt to amplification.†Our hearing test and video otoscopic inspection are always free. Hearing test is an audiometric test to determine proper amplification needs only. These are not medical exams or diagnoses nor are they intended to replace a physician’s care. If you suspect a medical problem, please seek treatment from your doctor.


WEDNESDAY, December 5, 2012 | LIVING WELL A-Z | 5

PANCREATIC Dec. 26, 2–4 p.m. By Sun Health at The Colonnade 19116 Colonnade Way, Surprise Register: 623-455-5633

BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Scottsdale: 623-236-6616 West Valley: 623-979-4279 LEARN & SUPPORT Dec. 13 & 27, 6–8 p.m. Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 YOUNG SURVIVORS Dec. 15, 10 a.m.–noon Dynamic Life Coaching Center 1701 S. Mill Ave., Tempe 480-326-7023 BLACKS AGAINST BREAST CANCER Dec. 16, 3–5 p.m. The Wellness Community 360 E. Palm Lane, Phoenix 602-320-0502 TRIPLE NEGATIVE Dec. 26, 5:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006 CIRCLE OF HELP Dec. 27, 6–8 p.m. By Bosom Buddies at John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 623-236-6616

PARKINSON’S EASTSIDE TREMBLE CLEFS (Singing program) Dec. 6, 13 & 20, 4–6 p.m. By Muhammad Ali Parkinson Center Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale 480-991-0451 PARKINSON’S Dec. 10, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008 PARKINSON’S SUPPORT GROUP Dec. 11, 1–2 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-878-8800 WESTSIDE TREMBLE CLEFS (Singing program) Dec. 12 & 19, 10 a.m.–noon By Muhammad Ali Parkinson Center Shepherd of Desert Lutheran Church 11025 N. 111 Ave., Sun City 602-406-3840 DEEP BRAIN STIMULATION Dec. 14, 10:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328

BREASTFEEDING BREASTFEEDING Dec. 7, 14, 21 & 28, 10 a.m. Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414 LACTATION Dec. 10 & 17, 1–2 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 623-327-8001 BREASTFEEDING Dec. 11, 10 a.m. Banner Ironwood 37000 N. Gantzel Rd., San Tan Valley 480-394-4000

NURSING MOMS SUPPORT Dec. 11, 10:30 a.m.–noon Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-2273 BREASTFEEDING Dec. 12 & 19, 10–11 a.m. Phoenix Baptist Hospital 2000 W. Bethany Home Rd., Phoenix Register: azhealthyhours.com; 855-292-WELL BREASTFEEDING Dec. 12, 19 & 26, 11 a.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 BREASTFEEDING Dec. 13 & 20, 1–2:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3035 BREASTFEEDING SUPPORT Dec. 16, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-3502

PARENTING POSTPARTUM DEPRESSION Dec. 11 & 18, 10–11:30 a.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-5292 POSTPARTUM SUPPORT Dec. 11, 11 a.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5908 POSTPARTUM DEPRESSION Dec. 12, 19 & 26, 1–2:30 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 CIRCLE OF MOTHERS Dec. 20 & Jan. 3, 5–7 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 623-327-4000

GASTROINTESTINAL CELIAC DISEASE Dec. 5, 7–9 p.m. Paradise Valley Retirement Center 11645 N. 25 Place, Phoenix 623-587-8885 OSTOMY Dec. 16, 2–4 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324

RESPIRATORY ASTHMA SUPPORT GROUP Dec. 8, 11:30 a.m. By Cardon Children’s Medical Center Polar Ice, 7225 W. Harrison St., Chandler Register: 480-412-7902; kimberly.reiners@bannerhealth.com BETTER BREATHERS Dec. 10, 2–4 p.m. By Sun Health at The Colonnade 19116 Colonnade Way, Surprise Register: 623-455-5633 RESPIRATORY Dec. 13, 1:30 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5708 BETTER BREATHERS Dec. 19, 2–3 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414

ASK An Expert

BRAIN BRAIN INJURY & CAREGIVER Dec. 6, 6:30–7:30 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 602-508-8024 BRAIN INJURY Dec. 10, 7–8:15 p.m. Barrow Neurological 350 W. Thomas Rd., Phoenix 602-406-3333 APHASIA Dec. 11, 10–11 a.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-972-4263 SYRINGO & CHIARI Dec. 20, 11 a.m.–1 p.m. St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 623-561-9606

ADDITIONAL SUPPORT GROUPS ESSENTIAL TREMOR Dec. 11, 3 p.m. St. Joachim & St. Anne Church 11625 N. 111 Ave., Sun City 623-975-9638 AMPUTEE Dec. 11, 6–7 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5358 PAIN Dec. 13 & 27, 6–8 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5437 LARYNGECTOMY Dec. 18, 4–5 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5349 VESTIBULAR Dec. 20, noon Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-2317 MEN’S DISABILITY ISSUES Dec. 20, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; DonP@abil.org MULTIPLE SCLEROSIS (WOMEN) Dec. 29, 10 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563

CAREGIVERS SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 ONLINE NETWORKING (DUET) Dec. 8, 9–10 a.m. Register: DuetAZ.org (Events tab) 602-274-5022

BEHAVIORAL HEALTH ‘ANONYMOUS’ MEETINGS Obsessive-Compulsive; Alcoholics; Al-Anon; Cocaine; Heroin; Depression Various dates & times Banner Behavioral Health 7575 E. Earll Dr., Scottsdale Info: BannerHealth.com AL-ANON & ALCOHOLICS ANONYMOUS Dec. 8, 15, 22 & 29, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale Info: BannerHealth.com

Question: What is Guillain-Barre Syndrome? ANSWER: Guillain-Barre syndrome is a disorder in which the body’s immune system attacks the nerves. Weakness and tingling in your extremities are usually the first symptoms, sensations that can quickly spread, eventually paralyzing the whole body. Symptoms may progress rapidly, with complete paralysis of legs, arms and breathing muscles within a few hours. The cause is unknown, but Guillain-Barre syndrome is often preceded by an illness such as a respiratory infection or the flu. There’s no cure for the syndrome, but two types of treatments may speed recovery and reduce the severity of the illness. Intravenous immunoglobulin can block damaging antibodies, while plasmapheresis consists of separating plasma from blood cells which are then put back into your body. Scientists believe plasmapheresis rids plasma of antibodies that contribute to the immune system attack on the peripheral nerves. Most people recover from GuillainBarre syndrome, though some may experience lingering effects from it such as weakness, numbness or fatigue. Guillain-Barre syndrome is uncommon, affecting only one or two people per 100,000. BENN SMITH, M.D., IS A NEUROLOGIST AT MAYO CLINIC IN ARIZONA

Question: Whatisanxietydisorder? ANSWER: Anxiety can be a normal reaction to stress, however, these feelings should not be experienced on a daily basis, lead to physical symptoms or cause someone to stop doing things they once enjoyed. Individuals who face tremendous stress at work may be more vulnerable to severe anxiety that could potentially lead to a true anxiety disorder such as generalized anxiety disorder or panic disorder. Common symptoms include increased nervousness and worries that seem out of character, worrisome feelings that are difficult to control or stop, feeling on edge, muscle tension, an inability to concentrate and various types of sleep issues. The severity of someone’s anxiety is considered higher than normal when symptoms are experienced at least a few days a week over a period of six months or longer. Physiological changes that come with an increase in or withdrawal from caffeine and/or alcohol may aggravate symptoms. If symptoms do not improve or continue to worsen, seek help from a mental health professional who is trained in assisting individuals in coping with anxiety. MONA AMINI, M.D., IS A PSYCHIATRY RESIDENT PHYSICIAN AT BANNER GOOD SAMARITAN MEDICAL CENTER

Question: Is it a good idea to buy a hearing aid by mail or online? ANSWER: For years, you’ve seen the magazine ads for amazingly cheap hearing aids that are “every bit as good” as more expensive hearing aids provided by hearing-care professionals. More recently, a growing number of companies have been selling hearing aids via the Internet. The problem is that hearing aids are not merely amplifiers. They are sophisticated digital devices and require professional services including: • Audiometric testing to determine your unique needs • Selection and programming to match your hearing loss • Testing to ensure that you’re receiving maximum benefit • Aftercare service, such as reprogramming, cleaning and adjustment The Food and Drug Administration, which regulates hearing aids, says: “Hearing aids should be properly fitted by a licensed hearing healthcare professional so that the amplification matches your hearing loss. If not fitted properly, too much amplification may cause additional hearing loss.” ROBERT BABER IS A BOARD CERTIFIED HEARING INSTRUMENT SPECIALIST AND AN ARIZONA MIRACLE EAR FRANCHISE OWNER

Living Well a-z invites readers to submit questions to a panel of health-care experts. The short questions and answers will offer readers a little more information about hot topics in medicine and refer you to other resources where you can learn more. Responses will also arm you with information so you know what to ask your own health-care providers. If you would like your question to be considered for the January 2, 2013 issue of Living Well a-z, please write to editor: Paula Hubbs Cohen, Paula.Cohen@cox.net or c/o The Arizona Republic, 200 E. Van Buren St., CA22, Phoenix, AZ 85004.

INFO Online ABRAZO HEALTH CARE (AZ Heart Institute and AZ Heart, Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals): abrazohealth.com BANNER HEALTH: bannerhealth.com BARNET DULANEY PERKINS: goodeyes.com BARROW NEUROLOGICAL INSTITUTE: thebarrow.org CARDON CHILDREN’S MEDICAL CENTER: bannerhealth.com CHANDLER REGIONAL MEDICAL CENTER: ChandlerRegional.org

BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.

TUES., DEC 11: 6-6:45PM

THURS., DEC 27: 6-6:45PM

(480) 301-4533 MayoClinic.org/Arizona

HEALTHSOUTH REHABILITATION: healthsouth.com

MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com

IRONWOOD CANCER AND RESEARCH CENTERS: IronwoodCRC.com JOHN C. LINCOLN HOSPITAL: JCL.com LASER SPINE INSTITUTE: laserspineinstitute.com

NORTHVALLEYPLASTICSURGERY: nvpsaz.com PHOENIX CHILDREN’S HOSPITAL: phoenixchildrens.com SCOTTSDALE HEALTHCARE:shc.org ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER:stjosephs-phx.org

MAYO CLINIC: mayoclinic.com MERCYGILBERTMEDICALCENTER: MercyGilbert.org MIRACLE EAR: miracle-ear.com

FREE

HEARING TEST 26 Arizona Locations

Call 602-814-0072

ST. LUKE’S MEDICAL CENTER, PHOENIX: stlukesmedcenter.com TEMPE ST. LUKE’S: tempestlukeshospital.com

Taking Care of Your Heart Learn how to better manage chronic heart disease.

www.Miracle-Ear-Phoenix.com

Tuesday, Dec. 18 2:30- 3:30 p.m.

Not a medical exam.Audiometric test to determine proper amplification needs only. Good only from participating Miracle-Ear providers. See store for details.

RSVP: (602) 230-CARE (2273) www.BannerHealth.com/events

I taught my children to never give up. After my breast cancer diagnosis, I followed my own advice and got a second opinion. My answer was Mayo Clinic. Kim Loving

Kim had an entire team of world-renowned Mayo Clinic Cancer Center experts focused on her recovery. If you are diagnosed with breast cancer, you deserve the best as well. Mayo Clinic patients with breast cancer have substantially higher five-year survival rates compared to the U.S. National Cancer Database. We are an in-network provider for most people and a physician referral is rarely required. To schedule an appointment, call (480) 301-8000 or call our Breast Clinic directly at (480) 301-4000.

Visit mayoclinic.org/breastcancer


Just two weeks ago I had back surgery. Thank you Laser Spine Institute.

Not an actual patient of Laser Spine Institute

If you’ve been putting off neck or back surgery, come learn about a proven technique that’s minimally invasive. Bring your MRI or CT scans and meet one-on-one with our physicians who will review them and discuss treatment for your specific condition.

Learn more by attending our

FREE MEDICAL SEMINAR on neck and back surgery options. Tuesday, December 11 at 6 p.m. Saturday, December 15 at 10 a.m. Friday, December 14 at 12 p.m.

Laser Spine Institute 8888 E. Raintree Dr. Scottsdale, AZ 85260 Windemere Hotel and Conference Center 5750 E. Main St. Mesa, AZ 85205

The advantages of endoscopic surgery at Laser Spine Institute:

We are experts in treating conditions such as:

• No lengthy recovery* • No open back procedures • Less than 1-inch incision • Outpatient procedure • 97% of patients recommend the procedures

• Spinal stenosis • Sciatica • Herniated disc • Degenerative disc disease • Bone spurs • Other chronic conditions

To register, call:

1-866-811-3275 or visit SpineSeminar.com

*As each patient is different, results may vary.

Medicaid currently not accepted.

LivingWell-AZ-Dec.2012  

Health-care news you can use for your whole family.

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