Page 1







Vol. 4, No. 1 Vo

January 2014

Just one improvement a day helps keep the doctor away:


ONE DAY at a time... 30 ways to improve your health over the next month

06: MRIs



Important information to keep you connected to your healthcare community

Twenty-one active-duty U.S. Air Force nurses recently graduated from an advanced clinical training course offered through Scottsdale Healthcare’s Military Training Program. The Nurse Transition Program is part of Scottsdale Healthcare’s partnership with the U.S. Armed Forces. Created in 2004, the partnership made Scottsdale Healthcare one of the first community hospitals in the U.S. to welcome all branches of the military for medical training. In addition to training, the partnership provides education and clinical experience for military medical personnel to perform successfully in combat and humanitarian missions while building relationships that can be used in potential disaster response situations. More than 1,900 service members have been trained.


Terri Taylor, R.D., is a registered dietitian and board-certified specialist in oncology nutrition at the Virginia G. Piper Cancer Center at Scottsdale Healthcare Shea Medical Center. She said that adding a squeeze of lemon, lime or orange to green tea significantly helps the body absorb cancer fighters in the tea.

Barrow Brain Ball is a free arcade-style video game app designed to instruct children ages 8 to 12 on how to avoid collisions with other players on the football field, while also teaching them about concussions. Funded through a grant by Fiesta Bowl Charities, the app — which can be downloaded through Android, Apple and Google Play — allows players to dash, spin, jump and sprint into the end zone while learning to play smart with game play training modes that educate users about concussion and brain injury. Players can also select their skills, customize their uniform colors, track their stats and collect trophies. “Barrow Brain Ball was created to educate young children about the risk of concussion in sports,” said Barrow Brain Ball creator Javier Cardenas, M.D., a neurologist and brain injury expert at Barrow Neurological Institute at St. Joseph’s Hospital and Medical Center. “More than three million sports-related concussions occur nationally each year and until now there’s been only minimal concussion education available to youth athletes.” Cardenas added that young children need to be educated about the risk of concussion in order to prevent many of the brain injuries that are occurring at their age and in high school athletes. “Barrow Brain Ball is an innovative way for us to teach children about concussion early in age,” he said. “We want them to learn how to play safe when they’re young.” More info: — ALISON STANTON

• KARLA BIRKHOLZ, M.D., chief wellness officer, John C. Lincoln Health Network • BLANCA CABALLERO, food safety manager, Environmental Health Office/Arizona Department of Health Services • CHIP COFFEY, LPC, director of therapy services, St. Luke’s Behavioral Health • JOHN DOUGHERTY, D.D.S. • ANEIL KOERPER, health and fitness program manager, The Terraces of Phoenix • LAURI LEADLEY, sleep technologist and owner, Valley Sleep Center • TOM REAVIS, spokesman for eHealth4AZ, a new initiative to educate Arizonans on using technology to improve health and wellness • MARTI REICH, infection preventionist, Banner Desert Medical Center/Cardon Children’s Medical Center



e’ve all made New Year’s resolutions,

from losing weight (a perennial favorite) to finishing a college degree to learning to scuba dive. While all are admirable goals, we wanted to find some easily do-able ways to help you improve your health without breaking the bank — or even breaking a sweat. To that end, we asked a bevy of local experts to weigh-in (no pun intended…) on the importance of some simple steps to become a healthier you — one day at a time.


Juice up your tea. Adding a squeeze of lemon, lime


Create a personal health record (PHR).

or orange to green tea significantly helps the body absorb cancer-fighting properties in the tea. (Taylor) A PHR includes past and current information about your health collected from all healthcare providers. Along with being of medical benefit, it may save you money and the inconvenience and stress of repeating some medical tests. To learn more, visit (Reavis)

• MARWAN SABBAGH, M.D., neurologist and director of clinical research, Banner Sun Health Research Institute

Determine your daily calories. To maintain your weight, multiply your current weight by 15 to get your recommended number of daily calories and get at least 20 minutes of moderate exercise every day. To lose one pound a week, multiply your goal weight by 15 and subtract 500 calories each day. (Taylor)

• TERRI TAYLOR, R.D., registered dietitian and board-certified specialist in oncology nutrition, Virginia G. Piper Cancer Center at Scottsdale Healthcare Shea Medical Center

Wash your hands frequently. Hand sanitizer may not kill fecal viruses and cannot cut through dirt to kill germs; use soap and water when your hands are soiled. That said, there are many times when hand sanitizer is beneficial and appropriate; the best sanitizer is alcohol-based. (Reich)



Continued on page 7 ONE DAY AT A TIME

TRENDING: AMERICAN RED D CROSS APPS There’s an app available for just usst about everything these days. But did you know that t the American Red Cross offers free downloadable ad dable apps designed n a variety of to help keep your family safe in quakes, tornados, emergencies including earthquakes, r also a first-aid re’s hurricanes and wildfires? There’s c and information ce app that features expert advice related to a variety of first-aid situations. Visit for more info.


Interactive video game app helps kids learn how to avoid concussions

Our experts



Barrow Brain Ball


Air Force nurses graduate


2 | LIVING WELL A-Z | WEDNESDAY, January 1, 2014


Affordable Care Act

Now you can bypass to sign up for health insurance, even if you’re eligible for a subsidy BY DEBRA GELBART


ntil mid-November, consumers were required to enroll through if they were eligible and wanted to receive a subsidy (known officially as an advance premium tax credit). Now, however, you can enroll directly through a health insurance company or health insurance broker and be guided through the entire process, including whether you’re income-eligible for the tax credit.

“W encourage non-subsidy and subsidy“We eligible consumers to have a conversation with a health insurance company representative or a seasoned broker to learn about the subtleties in provider networks and coverage that are part of each plan,” said Jeff Stelnik, senior vice president of strategy, sales and marketing for Blue Cross Blue Shield of Arizona. It can be difficult to determine those subtle differences simply by visiting, he said, and the differences can save you significant premium dollars. For example, “one of the key items that can be missed online is the importance of the network that’s part of your plan,” Stelnik said. “For some, having a broad network and a robust out-of- state benefit is critically important. Others may not need a network that includes virtually every doctor and hospital the insurance company has a relationship with. If you


expert help F Free

select a plan whose network includes only hospitals in one system, you can realize a lower price-point on your premium. But that information is not easily captured on the government website alone.”

New tools

Cigna has developed a microsite to help individuals choose the best coverage according to their needs. “The site offers simplified navigation, along with several new tools for consumers looking to purchase health insurance on and off the Marketplace,” said Cigna spokesman Joe Mondy. “This site provides information that helps consumers understand, evaluate and make an

informed shopping decision about their health-coverage options.” Key to this site, he said, is the Cigna Plan E-Valuator, a guided tool that, through a series of questions, “helps consumers sort through the variety of available plans and narrow down the choices to the best set of plan options based on their healthcare needs and what is most important to them.”

Additional options

If you prefer to look at more than one company’s options at a time and want more details and answers to questions than provides, H&R Block has created a program called “Helpth,”

designed to help consumers with health insurance decisions. “You can sit across from a licensed insurance agent who is a certified healthcare adviser and can guide you through which of 100 different plans may be best for you and your family,” said Gene King, a spokesman for H&R Block. Or, he said, you can visit the website,, and learn about your options there. If you are eligible for a subsidy, only the federal government pays for that, not a health insurance company or a health insurance broker, Stelnik explained. But a recent change by the Centers for Medicare and Medicaid Services permits “direct enrollment” of people eligible for subsidies by health insurers and online brokers, he said. The services referenced above are all provided at no cost to consumers.

Resources Blue Cross Blue Shield of Arizona:; 877-511-2227 Cigna individual health plans:; 866-getCigna (866-438-2446) Helpth/H&R Block:; 855-487-7030

Look for Livingwell a-z on the first Wednesday of each month! 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 you a wealth of resources where you can find more specific information. This publication is produced by Republic Media Custom Publishing. For questions concerning any content included in this publication please contact: Editor Paula Hubbs Cohen, or call 602-444-8658. A division of The Arizona Republic. 200 E. Van Buren St., Phoenix, AZ 85004

General Manager: CAMI KAISER,

Contributing Editor: JIM WILLIAMS,


Creative Development Director: ISAAC MOYA,

Senior Managing Art Director: TRACEY PHALEN,

Advertising: RHONDA PRINGLE, 602-444-4929, For general advertising inquiries, contact Republic Media at 602-444-8000.


Editorial Coordinator: NICK KOSTENKO

Michelle Broyles lost 134lbs

And went from a size 28 to a size 6

BECAUSE ONE DAY IT WAS HER DAY THE EXTRA WEIGHT MADE MICHELLE SUFFER. She had migraines. She was constantly tired. She had high blood pressure. But she suffered from other things, like the fear that she wouldn’t even live to see her grandchildren be born. One day, though, Michelle got fed up. And now she spoils her grandchildren every chance she gets. Maybe Michelle’s story isn’t that different from yours. IS TODAY YOUR DAY?

Call 1-800-248-5553 or visit to take an online seminar or to register for a free weight loss seminar near you.

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WEDNESDAY, January 1, 2014 | LIVING WELL A-Z | 3

Latest in birth control options

Numerous choices, compliance is key


irth control is by no means a new concept. However, it wasn’t until the 20th century that safe and reliable contraception became widely available. Now a social norm, women have an array of options from which to choose.

Numerous choices

Tiffany Nunnelley, D.O., a family practice physician with Abrazo Health Care, said that today’s most popular birth control options include: • Pills • Patches • Shots • Intrauterine devices (IUDs) • Vaginal rings • Condoms • Permanent sterilization With so many choices, it is important to understand the implications of each and balance that information with a woman’s personal health history and contraceptive goals.

Factors to consider

“A lot of factors must be taken into consideration, including a woman’s age, health status and whether she is seeking reversible birth control,” Nunnelley explained. “Depending on the method, birth control can be short-term, long-term or even permanent through a surgical procedure known as tubal ligation.



factors to consider when choosing birth control

1 Am I looking for a short-term, long-term or permanent solution? 2 Will I be compliant with whatever method I choose? 3 How quickly do I want to be able to reverse the method of birth control? 4 Can I afford to maintain this method of birth control?

Vasectomy is a form of permanent sterilization for men.” Nunnelley highlights birth control pills, including the relatively new chewable pills, as the most popular option because they are affordable, easy to take and generally welltolerated. The pills, like vaginal rings, also are automatically reversible. However, she cautioned that birth control pills are not recommended for everyone. Manisha Purohit, M.D., an obstetrician and gynecologist with Arizona Associates for Women’s Health, shares those concerns. “The hormones in birth control pills can interfere with certain health conditions like seizure disorders, blood

clotting disorders, Lupus, tuberculosis, liver disease, abnormal menstrual bleeding and even menopause,” she noted. “Women with a family history of clotting disorders or breast cancer would generally not be candidates for birth control pills.” Purohit also warns that antibiotics can render birth control pills ineffective and suggests that anyone taking antibiotics while on the pill use double protection such as condoms until beginning the next cycle.

Compliance critical

Compliance is another important aspect of birth control decision-making. When evaluating her options, a woman must be realistic about her ability to maintain

a schedule, for example, taking a pill every day without fail. “If you don’t think you’ll remember to take the pill every day and you aren’t planning to have a baby in the immediate future, then a low-maintenance option like the NuvaRing vaginal ring, DepoProvera shot or an IUD such as the Mirena or ParaGard options that are inserted into the uterus might be a better choice,” Nunnelley said. Regardless of the method of birth control, compliance and diligence are the only ways to maximize effectiveness, whether that is taking a pill every day, replacing the ring each month, getting a shot every three months, or removing an IUD after reaching its recommended duration (five years or ten years).

Resources Centers for Disease Control and Prevention: MedlinePlus, National Institutes of Health: Planned Parenthood:

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4 | LIVING WELL A-Z | WEDNESDAY, January 1, 2014

Take heart, Good Samaritans!

Automated External Defibrillators save lives BY GREMLYN BRADLEY-WADDELL


ou’re at the airport — although the location could just as well be a shopping mall or a university campus — when someone in the crowd unexpectedly collapses. No one’s sure if the adult victim has fainted or is experiencing a seizure, but it’s clear the person is unconscious and not breathing normally. What do you do? Bentley Bobrow, M.D., said most folks know the correct answer: have someone immediately call 911 to summon emergency medical help, and then have another person (who’s preferably had CPR training, although it’s not required) perform forceful chest compressions on the victim until rescuers arrive. But Bobrow, the medical director for the Bureau of Emergency Medical Services and Trauma System and its Save Hearts in Arizona Registry & Education (SHARE) Program at the Arizona Department of Health Services, said there’s now another important step, thanks to the increasing prevalence of lifesaving automated external defibrillators, or AEDs, available for use in public areas.

Life and death

That important new step is to have someone retrieve the closest AED — while chest compressions are continued on the victim — and then activate the unit and follow the machine-generated instructions to aid the person in distress. Using the device on someone suffering cardiac arrest — even if the condition has not yet been diagnosed — can be the difference between life and death. “AEDs are simple, safe and effective,” Bobrow said. “They save lives.”

Stopping the ‘bad rhythm’

So how does an AED work? As defined by the American Heart Association, an AED is a lightweight, portable device that delivers an electric shock through the chest to the heart. The shock can stop an irregular rhythm and allow a normal rhythm to resume in a heart in sudden cardiac arrest. “The shock doesn’t ‘jump-start’ the heart,” said John Gallagher, M.D., emergency medical services medical director for the Phoenix Fire Department. “The shock actually stops the heart — you have to stop the bad rhythm first — but if the victim has had good chest compressions before and after the AED is used, then there have been enough nutrients supplied to the heart to get it going again.”


A simple process

The mechanics of the machine are complicated, but using it is quite simple, Gallagher said. In fact, once the unit’s activated, “it walks you through the process,” incorporating the following steps: • FIRST: You’ll be instructed to apply the pads to the victim’s bare skin • NEXT: The machine’s built-in computer will analyze the victim’s heart rate • THEN: The machine will tell bystanders not to touch the victim • AFTER THAT: The machine will advise if a shock is needed or not • IF A SHOCK IS NEEDED: The AED operator presses a button to initiate the shock “The device won’t shock anybody that doesn’t need to be shocked,” Gallagher said, explaining that the machine will not shock a conscious patient.

Public venues

Locally, a few of the public places AEDs are found include Arizona State University and Sky Harbor International Airport. Heather Lissner, a public information officer for the airport, said more than 85 units are dispersed throughout the facility, as well as at Phoenix Goodyear and Phoenix Deer Valley airports. Since first being installed at Sky Harbor in 2001, AEDs have proven effective with 36 “saves,” or cases in which cardiac arrest victims regained a normal pulse and blood pressure, thanks to an AED. While Gallagher said that three of those 36 died later at the hospital, he noted that’s still an impressive survival-to-hospital-discharge rate.

Good Samaritan laws

Of course, an AED won’t work unless someone activates it, and that’s one obstacle the device faces. Bobrow said lay-people may be hesitant or intimidated to use the machine out of fear of causing further injury to someone experiencing a cardiac event, or being held liable if something was to go wrong. But there’s no need for such fears, the medical director said. “You cannot hurt someone who’s in cardiac arrest because they’re already dead,” Bobrow said, alluding to the inevitable outcome of a patient who doesn’t receive medical help. “All you can do is help them.” Gallagher added that Arizona’s “Good Samaritan” laws allow people, including healthcare providers, to lend assistance or emergency care to others and be excluded from liability as long as their actions are not grossly negligent.

Training available

Bobrow and Gallagher hope to see the public become more confident about using AEDs. That’s where an organization like the American Red Cross can help, said Trudy Thompson Rice, chief communications officer for the agency’s Phoenix region. The Red Cross’ stance, according to its website, is that “all Americans should be within four minutes of an AED and someone trained to use it.” To that end, the nonprofit offers courses in CPR/AED that range from about $70 to $110. And while it’s not as common, Thompson Rice said some consumers are opting to spend $1,500 to $2,000 for their own AED. “People are buying them for their home,” she said, “and that’s a good thing.”

Resource American Red Cross, Grand Canyon Chapter:

January 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. 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.

WELLNESS NUTRITION STRATEGIES & WEIGHT MANAGEMENT Jan. 6, 13, 20 & 27, 10–11:30 a.m. Lifeprint Community Center 20414 N. 27 Ave., Phoenix 623-707-2899 GET ACTIVE, EAT HEALTHY & WEIGHT MANAGEMENT Jan. 7, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 STEP PAST FOOT PAIN Jan. 8, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 OSTEOARTHRITIS OF THE KNEE Jan. 9, 6 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 THYROID DISEASE SYMPTOMS & TREATMENT Jan. 21, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 ORTHO & SPINE CONNECT Jan. 25, 8 a.m.–noon By Mountain Vista Medical Center at DoubleTree by Hilton Phoenix-Gilbert 1800 S. San Tan Village Pkwy., Gilbert Register: 877-924-9355 MENTAL HEALTH AS WE AGE Jan. 29, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

CAREGIVERS SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 LGBT CAREGIVER GROUP (DUET) Jan. 7, 10–11 a.m. One Voice Community Center 4442 N. Seventh Ave., Phoenix 602-274-5022; SUPPORT GROUP Jan. 8, 2:30 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 ONLINE NETWORKING (DUET) Jan. 11, 9–10:30 a.m. Register: (Events tab) 602-274-5022 SUPPORT GROUP Jan. 13 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688

GRIEF GRIEF SUPPORT Various dates, times & locations Hospice of the Valley 602-636-5390; GRIEF SUPPORT GROUP Wednesdays (no meeting Jan. 1), 2–3:30 p.m. Banner Heart, 6750 E. Baywood Ave., Mesa Info: Rev. Cindy Darby, 480-657-1167; GRIEF SUPPORT Jan. 9 & 23 St. Joseph’s 350 W. Thomas Rd., Phoenix Call for time: 602-406-3275

PAIN CHRONIC PAIN ANONYMOUS Jan. 7, 14, 21 & 28, 3:30–4:30 p.m. Temple Chai Shalom Center House 4635 E. Marilyn Rd., Phoenix;

HEART/ STROKE SUPPORT GROUP Jan. 7, noon–1 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-6688 STROKE SURVIVOR Jan. 9, 2:30–4 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414 LIVING WITH ATRIAL FIBRILLATION Jan. 25, 9 a.m.–noon Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-230-2273 STROKE SUPPORT Jan. 28, 3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

DIABETES DIABETES SUPPORT GROUP Jan. 2 & Feb. 6, 7–8 p.m. The Nutrition Professionals 2158 N. Gilbert Rd, Bldg 2, Mesa Register: 480-216-1635; DIABETES OUTREACH CONNECTION Jan. 7, 7–8 p.m. By Mercy Gilbert at Rome Towers 1760 E. Pecos Rd., Gilbert 877-728-3535 DIABETES SUPPORT Jan. 9, 1–2 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-9355 DIABETES SUPPORT Jan. 13, 3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 TIPS FOR MANAGING DIABETES Jan. 17, noon–1 p.m. By Tempe St. Luke’s at Tempe Library 1500 S. Rural Rd., Tempe Register: 877-351-9355 DIABETES PUMPERS GROUP Jan. 21, 7–8 p.m. By Mercy Gilbert at Rome Towers 1760 E. Pecos Rd., Gilbert 877-728-3535

ALZHEIMER’S/ DEMENTIA LEWY BODY DEMENTIA Jan. 3, 12:30–2 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850 ALZHEIMER’S CAREGIVERS (DUET) Jan. 7 & 21, 12:30–2 p.m. 555 W. Glendale Ave., Phoenix 602-274-5022; ALZHEIMER’S PREVENTION DIET Jan. 10, 10:30 a.m.–noon By Banner Alzheimer’s Institute at Musical Instrument Museum 4725 E. Mayo Blvd., Phoenix Register: 602-230-2273 COMPASS FOR CAREGIVERS Jan. 16 & 31, 12:30–2 p.m. Banner Alzheimer’s institute 901 E. Willetta St., Phoenix Register: 602-839-6850 SUPPORT GROUP Jan. 19, 11 a.m.–12:30 p.m. Huger Mercy Living Center 2345 W. Orangewood Ave., Phoenix Info: 602-406-5600 CAREGIVER SUPPORT Jan. 20, 1:30–3 p.m. By St. Luke’s at Pyle Adult Rec. Center 655 E. Southern Ave., Tempe Register: 877-351-9355 COMMUNICATION TIPS TO AVOID ARGUMENTS Jan. 21, 10–11:30 a.m. Banner Alzheimer’s institute 901 E. Willetta St., Phoenix Register: 602-839-6850

BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Banner Boswell Northwest Valley: 623-236-6616 Scottsdale: 623-236-6616 West Valley: 623-979-4279 YOGA FOR RECOVERY Jan. 8, 15, 22 & 29, 6–7:30 p.m. John C. Lincoln 19841 N. 27 Ave., Phoenix 602-780-4673; LEARN & SUPPORT Jan. 9, 6–8 p.m. John C. Lincoln 19646 N. 27 Ave., Phoenix 602-780-4673; YOUNG SURVIVOR GROUP Jan. 14 , 6–8 p.m. John C. Lincoln 19646 N. 27 Ave., Phoenix 602-780-4673;

CANCER SUPPORT GENETIC RISK ASSESSMENTS Jan. 8, 6 p.m. Banner Gateway 1900 N. Higley Rd., Gilbert Register: 602-230-2273 ORAL, HEAD & NECK CANCER SUPPORT Jan. 16, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192 ORAL, HEAD & NECK CANCER SUPPORT Jan. 27, 5:30–7:30 p.m. UA Cancer Center at St. Joseph’s 500 W. Thomas Rd., Phoenix 602-406-6621

PARKINSON’S DANCE, EXERCISE, YOGA, ART & TAI CHI Various dates, times & locations By the Muhammad Ali Parkinson Center Register: 602-406-6903

PARKINSON’S CAREGIVERS (DUET) Jan. 6, 1:30–3 p.m. Red Mountain Multi-Generational Center 7550 E. Adobe St., Mesa 602-274-5022; PARKINSON’S CAREGIVERS (DUET) Jan. 9, 1:30–3 p.m. 555 W. Glendale Ave., Phoenix 602-274-5022;

GASTROINTESTINAL OSTOMY SUPPORT Jan. 19, 2–4 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324

RESPIRATORY BETTER BREATHERS/ COPD SUPPORT Various dates/times in Surprise, Sun City, Scottsdale, Chandler, Mesa, Wickenburg and several locations in Phoenix Presented by the American Lung Association 602-429-0005; BETTER BREATHERS Jan. 15, 2–3 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414 BREATHE EASY Jan. 18, 10–11 a.m. By St. Luke’s at Shalimar Country Club 2032 E. Golf Ave., Tempe Register: 877-351-9355

BRAIN BRAIN INJURY SUPPORT FOR YOUNG ADULTS & CAREGIVERS Jan. 8, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-996-1396 BRAIN ANEURYSM SUPPORT Jan. 15, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 760-333-7658; ADULT BRAIN INJURY SUPPORT Jan. 23, 6–7:30 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-508-8024

BREASTFEEDING BREASTFEEDING Jan. 3, 10, 17, 24 & 31, 10 a.m. Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 877-728-5414 BREASTFEEDING Jan. 6, 13, 20 & 27, 10–11:30 a.m. St. Joseph’s 350 W. Thomas, Phoenix 602-406-4954 BREASTFEEDING SUPPORT Jan. 8, 15, 22 & 29, 11 a.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414

PARENTING SUPPORT THROUGH OTHER PARENTS (S.T.O.P.) Various dates & locations, 7–9 p.m. 623-846-5464 POSTPARTUM DEPRESSION Jan. 8, 15, 22 & 29, 1–2:30 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414 INFANT BRAIN DEVELOPMENT Jan. 11, 9 a.m.–1 p.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 480-784-5588

WEIGHT LOSS WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations By St. Luke’s Register: 800-248-5553

SPINAL CORD INJURY/ DISABILITY SPINAL CORD INJURY, WOMEN’S DISCUSSION GROUP Jan. 15, 5:30–7:30 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix Info: MEN’S DISABILITY DISCUSSION GROUP Jan. 16, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232;

POISON CONTROL BANNER GOOD SAMARITAN Poison & Drug Information Center Hotline: 800-222-1222

WEDNESDAY, January 1, 2014 | LIVING WELL A-Z | 5

Please call to confirm reservations and cost (if any).

Jan. & Feb. Grief Recovery Outreach Program WHAT: Offered by Banner Hospice, the 12-week Grief Recovery Outreach Program guides adult participants as they return to a full life after suffering any significant emotional loss including, but not limited to, loss through death. The program uses The Grief Recovery Handbook by John James and Russell Friedman; you may bring your own copy or purchase one at the meeting for $15. LOCATIONS/DATES: • Jan. 5–March 23 (Sun. 6:30–8:30 p.m.): Banner Thunderbird, 5555 W. Thunderbird Rd., Glendale (open to new participants through Jan. 26) • Jan. 6–March 24 (Mon. 6:30–8:30 p.m.): Banner Gateway, 1900 N. Higley Rd., Gilbert (open to new participants through Jan. 27) • Jan. 7–April 1 (Tues. 6:30–8:30 p.m.): Banner Desert, 1400 S. Dobson Rd., Mesa (open to new participants through Jan. 28) • Jan. 8–April 2 (Wed. 10 a.m. –noon): Banner Heart, 6750 E. Baywood Ave., Mesa (open to new participants through Jan. 29)

• Jan. 16–April 3 (Thurs. 1–3 p.m.): Banner Del E. Webb, 14502 W. Meeker Blvd., Sun City West (open to new participants through Feb. 6) • Feb. 10–April 28 (Mon. 1:30–3:30 p.m.): Banner Boswell, 10401 W. Thunderbird Blvd., Sun City (open to new participants through March 3) COST: Free, except for $15 for handbook referenced earlier INFO/REGISTER: Rev. Cindy Darby, 480-657-1167 BANNER HOSPICE INFO:

Jan. 21 Music and Dementia: Hitting the Right Note WHAT: Dr. Maribeth Gallagher, director of Hospice of the Valley’s Dementia Program, will discuss the role of music in dementia care and how to use music to optimize the well-being of persons with dementia as well as their caregivers. In addition, Frank Thompson of AZ Rhythm Connection will provide a perspective of his experiences in facilitating group music in dementia care. Light refreshments. WHERE: Musical Instrument Museum, 4275 E. Mayo Blvd., Phoenix TIME: 10–11:30 a.m. COST: Free; museum admission may be purchased separately SPONSORED BY: A grant from The Grayhawk Classic Residents’ Foundation at Vi at Grayhawk INFO: 480-478-6000; REGISTRATION: Not required; seating is first-come, first-serve

Jan. 24 Team Fitness Challenge WHAT: Barrow Neurological Institute at St. Joseph’s Hospital presents “Get Out, Get Active,” a team sports challenge. Teams of three will compete in events such as rock climbing, rowing, a scavenger hunt, dodgeball and an obstacle course. If you don’t have a team of three, event coordinators encourage you to sign up anyway and they will place you with other participants to make a threeperson team. WHERE: Virginia G. Piper Sports and Fitness Center, 5031 E. Washington St., Phoenix SUPPORTS: The event supports and raises funds for the Barrow Connection, a program at St. Joseph’s Barrow committed to bridging the gap between the hospital and community for individuals with neurological disabilities. PARTICIPANTS: The event is open to people of all abilities, ages 12 and up. TIME: Doors open at 5 p.m.; event begins at 6 p.m. COST: $77 per person INFO/REGISTER: 602-406-6280


Detergent pods

Enticing to young kids, can lead to serious harm BY MEGHANN FINN SEPULVEDA


etergent pods — those small, brightly colored, candy-resembling single-use packets — combine concentrated amounts of detergent, stain remover and bleach in one small package surrounded by a thin, film shell. When a small child (or an adult or pet, for that matter) accidentally ingests a laundry pod, the results can be extremely damaging.

Growing health concern

In 2012, Banner Good Samaritan Poison and Drug Information Center reported 42 cases of laundry pod incidents. Late in 2013, officials at the Center said they had already seen 87 cases, including three patients who were hospitalized with complications.

The American Association of Poison Control Centers cites that between Jan. 1 and Nov. 30, 2013, 9,208 children ages 5 and younger were reported to be exposed to single-load laundry packets. “Kids are immediately drawn to them because of their shape and appearance,” said Frank LoVecchio, D.O., medical toxicologist and co-medical director, Banner Poison Center. “When a small child ingests one, the saliva in their mouth causes the laundry pod to break down, affecting the central nervous system. The packet disintegrates over the esophagus and could cause burning or erosion.”

can monitor their child from home. If a child is showing any signs of respiratory distress, call 911.” Typically a child will become drowsy, which is the result of a chemical reaction similar to the effects of alcohol consumption or use of a sedative drug. Other children have symptoms of vomiting, skin irritation and eye damage. “Of the more severe cases we’ve seen, children have suffered acid burns, erosions and lesions in the esophagus and have needed a respirator for breathing assistance,” LoVecchio said.

Modified packaging

Many manufacturers package the pods in clear tubs or see-through bags that can easily attract the curiosity of small children. In July, Proctor & Gamble, the manufacturer of Tide, announced the redesign of packaging for its laundry detergent pods. The plastic tub now has a double latch on the lid to make it more difficult for children to access, along with an opaque tub so the pods can’t be seen. Other manufacturers either have or are also considering modifying their packaging, but ultimately parents need to protect their children from household dangers. “Parents must make sure laundry pods and other potentially harmful poisonous household items are stored at least two feet higher than the child’s reach, preferably in a locked cabinet,” LoVecchio said.

Progressive damage

Info Online ABRAZO HEALTH CARE (AZ Heart Institute and AZ Heart, Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals): BANNER HEALTH: BARNET DULANEY PERKINS EYE CENTER: BARROW NEUROLOGICAL CARDON CHILDREN’S MEDICAL CENTER:










When a child ingests a laundry pod, the damage doesn’t always happen instantly. “It could take up to 30 minutes for you to notice a change in your child’s behavior,” LoVecchio said. “We usually recommend a child is taken to a nearby healthcare facility to be observed, but sometimes parents

• Always keep detergents locked up and out of reach of children • Follow the specific disposal instructions on the label • If you think a child has been exposed to a laundry detergent packet, call your local poison center at 1-800-222-1222 immediately Source: American Association of Poison Control Centers,

MEDICARE ADVANTAGE PLANS Learn About Medicare Advantage HMO Plans from Cigna. A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings call 855.298.4382 (TTY 711).


Safety tips


Join Banner Neuro Wellness West for our Open House. Friday, Jan. 31 10 a.m. - noon

morning and afternoon seminars are available WHERE: Cigna Medical Group locations throughout the valley COST: Free seminar, receive a free no obligation gift

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REGISTER: 855.298.4382

10515 W. Santa Fe Drive, Sun City AR-0008137814-01


Musical Instrument Museum

Register online at or call: (602) 230-CARE (2273) AR-0008136639-01

You can choose one doctor.

Or you can choose Mayo Clinic.

At Mayo Clinic, teams of experts work together to focus on one patient at a time. Each year, more than 75,000 Arizonans choose Mayo Clinic, and many health insurance plans include in-network coverage. Learn more at or call us at (800) 446-2279. PHOENIX /SCOTTSDALE , ARIZONA






6 | LIVING WELL A-Z | WEDNESDAY, January 1, 2014

EXPERTS CORNEA,VISION CORRECTION & CATARACT Robert Fintelmann, MD Dr. Fintelmann is a board certified Ophthalmologist by the American

Barnet Dulaney Perkins Eye Center Cornea, Vision Correction and Cataract Surgery Locations throughout Arizona 800.966.7000 •

DERMATOLOGY Kirsten Flynn, MD Dr. Flynn is a dermatologist specializing in medical, surgical and aesthetic dermatologic care. A graduate of the Hahnemann University Medical School in Philadelphia, PA, she completed her internship at Banner Good Samaritan Medical Center in Phoenix, AZ and her residency in dermatology at the University of New Mexico Hospital in Albuquerque, NM. Board certified in dermatology, Dr. Flynn is a member of the Phoenix Dermatologic Society, American Society of Dermatologic Surgery, and The American Academy of Dermatology.

Banner Health Center Specializing in Dermatology 14416 West Meeker Blvd, Suite 201 • Sun City West 623.583.5180 •

SPORTS MEDICINE Andree Jones, DO Dr. Andree Jones is a primary care sports medicine physician for Maricopa Integrated Health System. She’s a board certified family medicine physician and member of the American Medical Society for Sports Medicine, American Academy of Family Physicians, and Arizona Academy of Family Physicians. During her fellowship, she cared for the Utah Valley University women’s soccer team and Brigham Young University women’s basketball team as their team physician and provided care to the local high school teams. She’s skilled in operative orthopedics and holds experience with fracture care, joint aspirations and injections, osteopathic manipulative treatments, musculoskeletal ultrasound, and primary care sports medicine.


Board of Ophthalmology and a fellow of the American Academy of Ophthalmology. He provides excellence in care of corneal disease, as well as cataract and vision correction surgery. Besides cataract surgery and vision correction (including LASIK and ICL), he performs a range of procedures including corneal transplants, partial thickness corneal transplants (DSAEK), and laser surgery to implant intracorneal segments for keratoconus (Intacs). He has presented at national and international meetings and has published multiple peer-reviewed articles.

Testing, testing...1-2-3

The inside scoop on MRIs Editor’s note: Last month, we reviewed ultrasounds, colonoscopies and sigmoidoscopies. This month we’re providing information regarding magnetic resonance imaging, or MRIs. If there are additional tests you’d like us to investigate, please email Paula Hubbs Cohen, Living Well editor,

MRI (Magnetic Resonance Imaging)

WHAT IS IT? A test that provides sharper images than ultrasound can, an MRI uses radio waves and a magnet to change the magnetic fields — temporarily realigning hydrogen atoms, according to the Mayo Clinic website — within a patient’s body to create an image of the organs and tissues inside. Brett Skidmore, M.D., a radiologist with Cigna Medical Group in Sun City, said that an MRI is best for viewing soft tissue; the test is administered in a hospital or an outpatient center. WHO NEEDS IT? Patients with any number of medical issues affecting their organs, tissues or skeletal system can benefit from an MRI. It’s often used to look at the brain and spinal cord, Skidmore said.

WHAT’S INVOLVED? A patient is first injected with a contrast agent — which Skidmore said enhances the detail of the image and does not produce an allergic reaction — and is instructed to lie down for the duration of the 45- to 60-minutes-long test on a slim table that’s then slid into the MRI machine. The snug feeling in the tube-like chamber can be disconcerting, particularly for the claustrophobic, Skidmore said, and the machinery can also be noisy and upsetting during the test. “Emotionally, it’s kind of hard for some people,” he said, so patients with concerns should address them with the physician before the test. Sedation is an option, he said. He does not recommend “open” MRI tests, however, because while patient comfort may be increased, the quality of the image is decreased. ARE THERE RISKS? Pregnant women, those with kidney or liver conditions, and patients with metal (such as a pacemaker or shrapnel) inside their body should consult their physician and technologist before undergoing an MRI. An alternative test might be necessary. —GREMLYN BRADLEY-WADDELL

Maricopa Integrated Health System 2601 E. Roosevelt St. Phoenix, Arizona 85008 (602) 344-5011 •

PAIN RELIEF Dr. Theodore Manos Dr. Manos is a Board Certified Specialist in Anesthesiology and Pain Management. He specializes in procedures such as epidural steroid treatments and facet joint block procedures that can relieve lower back pain and help improve patient’s daily comfort level. Whether it’s arthritis, a herniated disc, sciatica or spinal stenosis of the lower back, his treatments can help patients regain mobility and functionality. These treatments can help eliminate or reduce the use of oral pain medications that patients may be taking on a regular basis. Anyone experiencing chronic lower back pain may be a candidate. In most cases, pain therapy can last for long periods of time. During the first appointment Dr. Manos will evaluate the patients’ unique condition and develop a treatment plan specific to their needs.


EXPERTS FAMILY MEDICINE Jessica Regnaert, MD Dr. Regnaert is a family physician who cares for patients of all ages. She received her medical degree from the University of Arizona College of Medicine in Tucson and completed her internship and residency at St. Joseph’s Hospital and Medical Center in Phoenix. She is looking forward to welcoming new patients into her family practice.

Cigna Medical Group | Outpatient Surgery Center 3003 N. 3rd Street, 2nd Floor Phoenix, AZ 85012 602.282.9600


Banner Health Center Specializing in Family Medicine 1917 South Crismon Road • Mesa 480.610.7100 •

Maria Manriquez, MD Dr. Maria Manriquez is Vice Chair for the Department of Obstetrics and Gynecology for Maricopa Integrated Health System, Associate Program Director of the Phoenix Integrated Residency in Obstetrics and Gynecology and Clerkship Director in Obstetrics and Gynecology for the University of Arizona, College of Medicine. She’s the Director of Education for the Department of Obstetrics and Gynecology at Maricopa Integrated Health System. She completed medical school at the University of Arizona, Tucson and residency training in Obstetrics and Gynecology at Banner Good Samaritan. She’s the Immediate Past President for the Phoenix ObGyn Society and currently AZ section Chair for ACOG.


Maricopa Integrated Health System 2601 E. Roosevelt St. Phoenix, Arizona 85008 (602) 344-5011 •

Dr. Paul Zidel is Chief of Hand Surgery and Director of Burn Hand Restorative Services at Maricopa Medical Center. He’s certified in plastic surgery with the American Board of Plastic Surgery and has a certification of added qualifications in surgery of the hand. He was trained in Paris for needle aponeurotomy for Dupuytren contracture and is skilled in burned hand reconstruction, flexor tendon surgery, and basal joint arthritis. His residency program was in general surgery at St. Vincent’s Hospital and Medical Center, where he also completed his fellowship in hand surgery. He studied plastic and reconstructive surgery at Wayne State University.


Maricopa Integrated Health System 2601 E. Roosevelt St. Phoenix, Arizona 85008 (602) 344-5011 •

Zafar Abdul Quadir, MD Dr. Quadir is a board-certified pediatrician who practices preventive medicine. His special interests are in ADHD and sleep disorders. Dr. Quadir received his medical degree from the Seth G.S. Medical College at the University of Bombay in India. He finished a residency at the Seth G.S. Medical College and KEM Hospital, as well as the BJW Hospital for Children in Bombay, India before coming to the United States for a residency at The Brooklyn Hospital Center in New York City, N.Y. During his residencies, he received the Meena Lacorte Outstanding Resident Award in the NICU and was chief resident at The Brooklyn Hospital.

Banner Health Center Specializing in Pediatrics 1435 South Alma School Road • Chandler 480.668.1600 • AR-0008136758-01


WEDNESDAY, January 1, 2014 | LIVING WELL A-Z | 7

Continued from cover ONE DAY AT A TIME...


Add a dose of Vitamin D:


The best-known function of Vitamin D is to regulate the absorption of calcium into bones. People who don’t get at least 15 minutes a day of sunlight may need supplements. (Birkholz)


Floss your teeth. Flossing


Exercise without working out. During

plank position for 10 to 30 seconds will increase arm, wrist, spine, quad and abdominal strength. (Koerper)


daily is best, but if you brush your teeth twice a day and floss at least once a week, you’re okay. (Dougherty)

Keep your sleeping area dark. Lights from electronics can

prevent us from going into deep sleep. (Leadley)


Cultivate gratitude.

Those who practice being grateful experience fewer physical illnesses, better sleep and improved mood. (Coffey)


Consume leftovers in a timely fashion. Leftovers

generally should be consumed within four days, though they can be safely stored for up to seven days (day cooked plus six days) in a refrigerator that maintains food at or below 41 degrees Fahrenheit. (Caballero)


Enjoy a brain game.

Mentally stimulating activities (board games, card games, computer games, etc.) have been shown to be of benefit in reducing the risk of developing dementia or cognitive decline. (Sabbagh)


Make a five-minute break count. Go for a brisk

walk and swing your arms to work your core. (Koerper)


Stretch twice a day.

Stretching improves general flexibility and prevents injury. (Koerper)


Be nutrient-aware.

Include a protein with a healthy carbohydrate at each meal. Get carbs mostly from fruits and veggies and low-calorie whole grains. (Taylor)



Replace worn-out shoes. If you notice aches or

pains in your feet, legs, knees, hips or back, it could be a sign that you need a new pair of shoes. (Koerper)


commercial breaks on television, perform squats, wall-pushups or march in place. While unloading groceries, curl your milk container before you put it away. (Koerper)

Boost your workout routine a little. Holding a

Family practioner Karla Birkholz, M.D., and chief wellness officer at John C. Lincoln Hospital, talks about the importance of Vitamin D and how it can easily be obtained by spending a bit of time in the sun.


Schedule check-ups.

Screening for breast, colon and skin cancer is a proven benefit. Heart disease is mostly preventable — find out how you can keep yourself healthy. (Birkholz)


Drink coffee. A recent small

but important study found lower risk of endometrial and liver cancers with consumption of up to two cups a day of plain coffee. (Taylor)

Burn extra calories by adding simple activities to your routine. A 150-pound


person can burn up to 100 additional calories a day by cleaning house with moderate effort for 26 minutes or by walking for 20 minutes at a three-milesper-hour speed. (Koerper)

Promptly remove wet clothes from the washing machine. Some bacteria


can stay in the washing tub and on your clothes until you dry them — and bacteria on wet clothes can double in an hour. Wash your hands (or use hand sanitizer) after transferring wet clothes to the dryer. (Reich)


Get immunized. Get a

flu shot. People 65 and over and individuals with chronic illnesses should get a pneumonia shot. All adults should get at least one pertussis (whooping

cough) booster, given with the diphtheria/ tetanus vaccine. Young adults up to age 26 can protect themselves from HPV (human papillomavirus) and everyone over 60 should consider the shingles vaccine. (Birkholz)

Seek professional help if feelings of sadness or helplessness persist. Although


psychiatric medications can alleviate some symptoms of depression, people who undergo counseling as well as take medications do best overall. (Coffey)


Get enough calcium.

A calcium-rich diet can help us keep stronger bones and can lower blood pressure, cholesterol and blood sugar levels. If you can’t eat enough calcium-rich foods you may need to take a supplement. (Birkholz)


Use the right cutting board. Whether plastic or

wooden, cutting boards should be nonabsorbent and should not have deep scratches, cracks and/or pits. (Caballero)


Switch to a clean utensil during cooking. Always use

a clean plate or utensil throughout the cooking process, but especially when handling raw and cooked meat, poultry and seafood. (Caballero)


Drink enough fluid.

Every day, consume in ounces fluid (water, unsweetened tea, milk, 100-percent juice) equal to half your body weight. (Taylor)

Limit sugar intake. With a chocolate

coconut-flavored tea, you get the flavor of a candy bar, so a craving for sweets can be satisfied without calories. (Taylor)

Consider taking an Omega-3 supplement. Found in fish, some


plants and nut oils, Omega-3 fatty acids reduce inflammation and may help lower risk of chronic diseases such as heart disease, cancer and arthritis and appear to be important for brain function and healthy mood. (Birkholz)


Sprinkle turmeric and cinnamon on

food. India has the lowest rates of

Alzheimer’s disease in the world. Diets there regularly include a diseasefighting agent called curcumin which is found in turmeric. (Sabbagh) Turmeric is directly related to lowering risk of colon cancer; cinnamon helps with blood sugar control. Start with a quarter-teaspoon of each per day and work up to one or two teaspoons of each every day. (Taylor)


Spend time with a pet. Interacting with pets can

not only increase dopamine and serotonin levels in the brain, which can be calming and relaxing, but their presence has been shown to reduce blood pressure and pulse rates. (Coffey)

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*You must continue to pay your Medicare Part B premium. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. “Cigna,” “Cigna Medicare Select Plus Rx” (HMO), and the “Tree of Life” logo are registered service marks of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries, including Cigna HealthCare of Arizona, Inc. (CHC-AZ), and not by Cigna Corporation. Cigna Medicare Select Plus Rx HMO plans are offered by CHC-AZ under a contract with Medicare. As of the date of publication, Cigna Medicare Select and Cigna Medicare Select Plus Rx plans are offered to employers and individuals in Maricopa County and certain zip codes within Apache Junction and Queen Creek, Arizona only. Enrollment in Cigna Medicare Select Plus Rx depends on contract renewal. This information is available for free in other languages. Please call our customer service number at 1-800-672-7534 (TTY 711), 7 days a week, 8 a.m. – 8 p.m. Esta información está disponible de forma gratuita en otros idiomas. Favor de contactar a nuestro Departamento de servicio al cliente al 1-800-672-7534 (TTY 711), 7 días de la semana, 8 a.m. – 8 p.m. © 2013 Cigna H0354_1832013 Accepted


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LivingWell AZ January 2014  
LivingWell AZ January 2014  

Healthcare news you can use for your whole family