Livingwell AZ July 2014

Livingwell A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

a-z

HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

JULY 2014

IN THIS ISSUE | 2 Sleep disorders | 3 Medicine cabinet musts | 4-5 Events & support groups | 6 Dangers of sitting | 7 Sunscreen & SPF

‘Delivering compassion’ on The Joy Bus Helping homebound cancer patients, one meal at a time

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By Nick Kostenko

fter Joy Seitz-Butts was diagnosed with cancer a few years ago, her friend Jennifer Caraway saw that the side effects of the disease and its treatment were beginning to take a toll on Seitz-Butts.

As just one member of a strong and loving support system, Caraway wanted to help in any way she could.

“Joy did not need my help but I enjoyed dropping by with little treats to lift her spirits,” Caraway said. “While doing this, I realized that there were people out there that did not have the support system that Joy had and that had no one to drop by with a healthy meal and a little conversation.”

A JOINT EFFORT

Fresh meals and friendly conversation

Orthopedic medicine can help most patients with musculoskeletal conditions

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Thinkstock

By Debra Gelbart

he most frequent causes of joint pain in older adults include arthritis, age-related loss of cartilage and injury,” said Bertrand Kaper, M.D., an orthopedic specialist with the Scottsdale Orthopedic Institute at Scottsdale Healthcare. In younger adults, congenital problems, injury and mechanical or structural hip disorders are often-seen factors in joint pain.

Multiple treatment approaches

If you’re experiencing pain or a reduction in function in your shoulder, wrist, elbow, hip, knee or ankle, an orthopedic specialist can decide whether you’re a candidate for physical therapy with or without surgery; pharmaceuticals, including pain management injections; cartilage transplantation; a technique called arthroscopy; or total joint replacement. Kaper said that not all treatments are available for all joints.

Pain management injections

Pain management injections include joint lubricants called hyaluronic acid medications, known by brand names such as Supartz®, Synvisc® or Euflexxa®, Kaper said. “We place this lubricant directly into an arthritic knee,” he said. “It’s one of the most effective ways to postpone the need for joint replacement.”

The joint lubricants are indicated for the knee only, and other injections — such as cortisone — may be appropriate for the shoulder, hip or other joint, said Tony Nguyen, M.D., a sports medicine surgeon who practices for The CORE Institute, a private practice group of orthopedic surgeons. Nguyen is among the physicians who make up the Banner CORE Center for Orthopedics, a partnership between Banner Health and The CORE Institute. The Banner CORE Center is a destination for orthopedic care with locations in five Banner Health hospitals, primarily using surgeons from The CORE Institute.

Cartilage transplantation

Cartilage transplantation is intended for younger patients for whom an actual joint replacement isn’t recommended since the replacement parts wear out after 15 years or so, Nguyen said. Cartilage harvested from the patient’s body or from a donor cadaver is grown in a lab and reimplanted into the ‘pothole’ created by the loss of original cartilage, he explained. The technique can work for knees and shoulders, he said.

Struck by that realization, Caraway started The Joy Bus in October of 2011.

Named after her friend, The Joy Bus is a 501(c)(3) non-profit organization that provides fresh, free meals to cancer patients who are homebound and helps alleviate some of the stress they would otherwise face.

The chef-inspired meals are prepared with produce donated by Crooked Sky Farms, chicken from Red Bird Farms and treats from Gluten Free Creations Bakery.

“We can step in and help when no one else can,” Caraway said. “We have several patients Clients of who are on waiting lists for other The Joy Bus currently range programs — such as Meals on Wheels in age from — that are taking 8 to 84. advantage of our program in the interim. The Joy Bus will help regardless of household size and income and we try and help as many as our funding allows.”

The Joy Bus: “Delivering Compassion Through the Joy in Food.”

Arthroscopy

According to the American Academy of Orthopaedic Surgeons (AAOS), arthroscopy is “a common surgical procedure in which a joint (arthro-) is viewed (-scopy) using a small camera.”

More inside | Pg 6 Arthroscopy is used to feel, Total joint replacement repair or remove damaged Sports medicine tissue. Small surgical instru Pediatric orthopedics ments are inserted through incisions around the shoulder, hip or knee to view the interior structures of the joints.

Kaper said arthroscopy is often used to treat hip impingement, a mechanical or structural disorder of the hip that can be diagnosed in all age ranges. Hip impingement occurs when the unimpeded and painless movement of the ball-and-socket joint of the hip is prevented.

ORTHOPEDIC MEDICINE , continued on page 6

Limited funding and delivery area

Due to a lack of funding, The Joy Bus currently has openings for delivery only within 10 miles of the intersection of 32nd Street and Shea Boulevard in Phoenix. The organization is always in need of additional funding and volunteers to keep the program up and running. They also offer an internship that is registered with a number of college programs.

Info

Website: TheJoyBus.org Email: ContactTheJoyBus@gmail.com

a-z H E A LT H C A R E N E W S B R I E F S

Heart device clinical trial at Banner Heart Hospital

Located in Mesa, Banner Heart Hospital is involved in a research study for a new device that may reduce the risk of hospitalization and death among patients with heart failure.

The clinical trial tests the safety and effectiveness of CardioFit, an investigational medical device manufactured by BioControl Medical. Using low-current electrical impulses, CardioFit is designed to stimulate the vagal nerve, a specialized nerve that plays a major role in controlling heart rate and blood pressure. Previous studies have suggested that this type of stimulation may provide added therapeutic benefit to traditional therapies for heart failure. The Inovate-HF study is designed to confirm these early findings in a larger patient population, and ultimately to convert

Scottsdale Healthcare, TGen study drug to combat solid tumors

The Virginia G. Piper Cancer Center at Scottsdale Healthcare and the Translational Genomics Research Institute (TGen) have begun a study into the Banner Heart Hospital safety and effectiveness of a new drug, AG-120, for treatment of patients them into clinical practice.

For information about participating in the with solid tumors, especially those with brain tumors and gallbladder bile duct cancer. The research study, call 480-854-5178. study will enroll as many as 50 patients.

Patients at the Virginia G. Piper Cancer More info Center will be the first to receive AG-120, • BannerHealth.com/BannerHeart which is designed specifically for patients • biocontrol-medical.com who carry the IDH1 gene mutation. (click on ‘Patients & Families’ tab)

Virginia G. Piper Cancer Center, by Jim Christy Studios

The IDH1 gene mutation is most commonly found in gliomas, which make up the largest group of primary brain tumors.

More info

Joyce Schaffer, RN, MSN, AOCNS Virginia G. Piper Cancer Center Clinical Trials 480-323-1339 or joschaffer@shc.org

2 | Livingwell a-z | Wednesday, July 2, 2014

You’re getting very sleepy ...

Quality sleep is important for mental acuity and overall health

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By Gremlyn Bradley-Waddell

or Sairam Parthasarathy, M.D., the medical director at the Center for Sleep Disorders at The University of Arizona Medical Center in Tucson, it’s an exciting time to be in his chosen field. “The study of sleep is being called the new frontier of health,” he said. “We’ve focused so much on food, cholesterol and exercise, and now it’s time to focus on sleep.”

OPEN AIRWAY DURING SLEEP Chin

Tongue

Upper lip

SLEEP APNEA CAUSED BY OBSTRUCTION Nasal cavity

Quantity and quality

Parthasarathy said that in general, babies need 16 to 20 hours of sleep [per day], children need about 10 hours and most adults need seven to eight hours to feel well-rested.

“Galileo said — and he wasn’t kidding — that there is a housekeeping process going on during sleep.”

SairamParthasarathy,M.D. MedicalDirector,CenterforSleepDisorders TheUniversityofArizonaMedicalCenter,Tucson

Practicing good ‘sleep hygiene’ can have a big impact on the quality and duration of one’s sleep, too, according to Patrick Lahnan, a registered polysomnographic technologist and the supervisor of the sleep center at Mercy Gilbert Medical Center in Gilbert. Some basic recommendations include: • Maintain a regular bedtime and wake-up time • Keep the bedroom cool and dark • Refrain from using electronic devices (TV, smartphone, iPad, e-Reader) just prior to bedtime

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Epiglottis

Uvula

Soft palate

movement) sleep — that phase where dreams occur — is necessary for good health, Parthasarathy said. That’s because dream sleep is when other kinds of cleaning activities occur. He added that one can think of the brain as an office or workplace: at the end of a workday, it’s likely to be in need of tidying.

Resources

American Academy of Sleep Medicine

aasmnet.org SleepEducation.com 630-737-9700

“Galileo said — and he wasn’t kidding — that there is a housekeeping process going on during sleep,” Parthasarathy said. “We always knew sleep had an important function.”

In fact, if the cleaning process goes awry, trouble may ensue. Parthasarathy said that in the same study of mice that did not get adequate sleep, their brains performed fewer cleaning tasks and failed to clear away brain proteins that are believed Brain ‘housekeeping’ to form ‘brain tangles’ associated with In a study done on mice and reported late Alzheimer’s disease. It’s still conjecture last year in Science Translational Medicine, at this point, he noted, but the implication it was found that sleep is the time when now is that there could be a link between the body’s lymphatic system clears the Alzheimer’s and a lack of sleep. brain of waste materials, fumes or effluent, But it’s not all just about quantity when Parthasarathy said. That theory had already it comes to sleep. In addition to how much been floated hundreds of years earlier by sleep you get, the type of sleep you get is someone of great repute. very important. Indeed, REM (rapid eye

Livingwella-z

July 2014 | Vol. 4, No. 7

Living Well A-Z publishes on the first Wednesday of the month.

From A to Z, we tackle a broad range of health issues and offer resources to find more specific information. For questions concerning content in this publication, please contact Editor Paula Hubbs Cohen.

Obstruction

Sleep apnea symptoms

By far the most common sleep disorder is obstructive sleep apnea said Lauri Leadley, president of Valley Sleep Center, an independent sleep testing and diagnostic clinic.

Symptoms of sleep apnea typically include: • Snoring • Choking or gasping while sleeping • Morning headache • Daytime sleepiness • Insomnia • Dry mouth or sore throat upon waking “When you snore and stop breathing, your airway becomes obstructed and deprives your body and brain of oxygen and your entire next day is affected,” she said. “You might be excessively tired during the day, you might gain weight and many people have a headache. And that lack of oxygen can have long-term consequences on your health.”

Sleep apnea can lead to high blood pressure, obesity, stroke and even heart issues — congestive heart failure and/or heart attack, Lahnan said, saying that “in effect, your body’s in a state of constant exercise at night, when it should be resting.”

Other problems associated with the condition include difficulty concentrating, memory or learning problems, moodiness, irritability and depression. Contrary to public opinion, however, sleep apnea doesn’t only affect older, overweight men.

Leadley — who suffers with the condition herself — said it can affect anyone, although adults with a BMI (body mass index) of 25 or higher are more at risk, as are men and women with large neck circumferences.

Sleep testing

Anyone who suspects they have sleep apnea should consult with a medical doctor about having a sleep study done at a facility accredited by the American Academy of Sleep Medicine and staffed by a board-certified sleep physician, Leadley, Lahnan and Parthasarathy said. The study may be done inside the lab or, in some cases, at home.

Lahnan said Mercy Gilbert offers a home sleep-testing option in which a patient wears three sensors (one to measure breathing through the nose, a belt around the chest to measure respiratory effort and an oxygen sensor on the fingertip) for one night. The data is then collected in a device smaller than a cell phone and uploaded in the lab where a physician can analyze it.

Typical treatment

The typical therapy for sleep apnea sufferers is the use of a CPAP (continuous positive airway pressure) machine, which blows air into the user’s throat so it doesn’t become obstructed. In some cases, surgery or an oral appliance may be appropriate.

“This is serious stuff,” Leadley said about sleep apnea, and she encourages those who suspect they have it to get it checked out immediately. “It affects your entire life.”

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Ankle Replacement

Moving Beyond Ankle Pain

Hundreds of surgeons throughout the US are seeing increasing success and satisfaction with ankle replacement.

Based upon experience across the breadth of foot & ankle procedures, surgeons have remarked that “the total ankle procedure is very satisfying for patients – the goal is to enable them to return to a more active, pain-free life”. Using the STAR for ankle replacements provides a “safe, repeatable means of improving a patient’s quality of life”. These comments were echoed by a statement issued by the American Orthopedic Foot & Ankle Society (AOFAS). This US based organization of orthopedic surgeons stated that “Total ankle replacement surgery is a safe and effective treatment option for select patients with ankle arthritis.”With the support of the AOFAS and other authoritative bodies, now nearly all insurance companies provide coverage for appropriate ankle replacement candidates.

FOR MORE INFORMATION VISIT US AT:

www.StarAnkleReplacement.com

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Serious health issues

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Wednesday, July 2, 2014 | Livingwella-z | 3

What’s in your medicine cabinet?

What to have is as important as what not to have

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By Susan Fuchs

hat should be in your bathroom medicine cabinet? The answer may surprise you: almost nothing, pharmacists agree.

You can keep makeup and hand lotion and bandages there, but when it comes to medicine, it needs to be elsewhere, experts advise. “Drugs not only need to be kept out of warm humid environments like bathrooms, but they need to be locked up in a cool dry closet where children and visitors cannot get to them,” said Kelly Ridgway, R.Ph., executive director of the Arizona Pharmacy Association.

“People don’t realize the threat their leftover prescriptions pose to their children, friends or anyone else who comes to their home,” Ridgway said. “It’s easy to get a small lockbox at the hardware store and keep your prescriptions secured on a high shelf in a hall closet.”

What to stock

Once you have a security system in place, what should a responsible adult have on hand? Pharmacists say there are general recommendations and special advice for the elderly or parents with young children.

“The first thing everyone should have,” said Tara Storjohann, Pharm.D., assistant professor of pharmacy practice at the Midwestern University College of Pharmacy in Glendale, “is a list of their current medications, along with any allergies or special health conditions. In addition, everyone should have this list in their wallet or purse, in case of emergency.”

In general, Storjohann said, people should have at least a six-day supply of all

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Benefits and risks of various pain relievers

Common pain relievers such as aspirin, ibuprofen and acetaminophen are not the same. Experts agree that each offers potential benefits and each carries risks.

• Aspirin: One of the world’s oldest pain relievers, aspirin fights inflammation.

Small doses, used as prescribed by a physician, can help prevent heart attacks. Aspirin is also a blood thinner and can be hard on the stomach, causing a risk of bleeding and ulcers.

• Ibuprofen: Along with other NSAIDs (non-steroidal anti-inflammatory drugs), ibuprofen fights both pain and inflammation. It is often recommended for joint

pain, but ibuprofen and other NSAIDs are very hard on the kidneys and if used in excess can lead to kidney failure. Advil and Motrin are a common brand-names of ibuprofen.

• Acetaminophen: Acetaminophen fights pain but not inflammation. It is particularly hard on the liver, so should be avoided by anyone with liver problems. Tylenol is a common brand-name of acetaminophen.

As with any medication decision, you should discuss with your doctor which pain reliever is most appropriate for you and your family members.

current prescriptions, plus any appropriate over-the-counter allergy and pain relievers currently prescribed by their doctor. “It’s nice to have a first aid kit with antibiotic cream, antiseptic to clean wounds, gauze, tape, scissors and hot and cold packs,” she noted.

If there’s a baby in the house, said Sara Bode, M.D., from Phoenix Children’s Hospital, “you should have a baby thermometer, infant Tylenol, a bulb syringe to clear

nostrils, diaper cream, petroleum jelly and saline drops.”

“For families with older kids,” Bode added, “it’s helpful to stock hydrocortisone cream for itches and bug bites, white vinegar to treat swimmer’s ear, antibacterial wipes and hand sanitizer.”

What NOT to stock

Expired prescription drugs are the top item all pharmacists say never should be in your

possession. All drugs, prescription and overthe-counter, should be replaced annually, Storjohann said. Older drugs lose potency and become ineffective, while others, such as eye drops, may become contaminated with bacteria and cause harm.

Tips for seniors

Tisha Smith, Pharm.D., a clinical pharmacist in the medication management clinic for seniors at Banner Baywood Hospital in Mesa, said people over 70 need to pay special attention to their medications.

“The way your body metabolizes medications changes over time,” Smith said. “What worked before may not work the same way as you age. At the Medication Management Clinic, clinical pharmacists work with you and your physician to help manage your medications.”

Benadryl is a good example of an over-thecounter drug that can cause problems for the elderly, Smith said.

“You may have taken it throughout your life, but due to the physiological changes of aging, side effects can become more intensified, causing drowsiness or lethargy that makes driving and other daily tasks more difficult and/or dangerous.”

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4 | Livingwell a-z | Wednesday, July 2, 2014

JULY

Takeadvantageofopportunitiestomeetotherswithsimilarissues andlearnmoreaboutvariousaspectsofyourhealth—fromAtoZ. Allgroupsandeventsarebelieved, butnotguaranteed,tobefreeunless otherwisestated.Everyefforthasbeen madetoverifyaccuracy,butpleasecall beforeattendingtoconfirmdetails.

WELLNESS

Window blind and window cord safety for kids

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By Michelle Talsma Everson

he Consumer Product Safety Commission (CPSC) cites that at least one child nationwide dies from window cord strangulation every month. During that one-month period, at least one more child in the U.S. suffers a near-strangulation, which can often lead to long-term neurological damage.

“According to statistics, more than 100 children have been killed or injured from unsafe window blinds in the past five years — three already this year [nationwide],” said Suzanne Schunk, vice president of family support services at Southwest Human Development, a Phoenix-based nonprofit organization dedicated to early childhood development. “While window blind manufacturers have made improvements to their products over the years, parents need to be aware that there are still some very significant safety risks.”

Resources

Consumer Product Safety Commission: cpsc.gov; 800-638-2772; TTY 301-595-7054 Window Covering Safety Council: windowcoverings.org; 212-297-2100; info@windowcoverings.org

Safety precautions

There are several safety precautions that caregivers can take when it comes to window blinds and their attached cords.

Tomi St. Mars, RN, chief of the Office of Injury Prevention at the Arizona Department of Health and Human Services, recommended these tips: • Keep window cords well out of the reach of children. Eliminate any dangling cords.

• Move all cribs, beds, furniture and toys away from windows and window cords, preferably to another wall.

• Make sure that tasseled pull-cords are as short as possible.

Safety concerns The biggest safety concern when it comes to • Check that cord-stops are properly installed and adjusted to limit the movewindow blinds and kids — particularly with ment of inner lift cords. very young children — is the long-hanging cord that operates the blinds, Schunk noted. • Continuous-loop cords on draperies and vertical blinds should be permanently “When the blinds are pulled open and anchored to the floor or wall. the cord rests on or is close to the floor, In addition, Schunk said parents can order especially with horizontal blinds, it creates free retrofit safety kits for their blind cords a strangulation hazard and it’s easy for on the website of the Window Covering Safety children to get caught in it during playtime Council. She also suggested conducting a or when they’re exploring their home,” home safety check to look for hidden dangers. she said.

Staph infections

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taphylococcus aureus is a type of bacteria that causes staph infections. According to the U.S. National Library of Medicine, the most common form of staph includes skin infections, but staphylococcus can also lead to pneumonia, blood poisoning, toxic shock syndrome and even death.

While most staph infections can be cured with antibiotics, certain strains of the bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA), are resistant to medication and make treatment difficult. MRSA is typically acquired in a hospital setting.

“It’s important that you don’t irritate the skin where there is a break and that you don’t wait to clean it,” said Cody Conklin-Aguilera, M.D., who is an assistant clinical professor at The University of Arizona Medical School (Phoenix) and a pediatrician at Phoenix Children’s Hospital. “You can introduce staph into a scratch and it might be MRSA.” Conklin-Aguilera added that you should avoid squeezing or draining fluid from a wound. “You may end up traumatizing the tissue,” she said, “making it more susceptible to infection.”

Exposure, risk

High-tech diagnostics

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The Centers for Disease Control (CDC) cites that staph is spread through direct contact with another person.

“Bacteria are prevalent on the skin on our bodies at all times,” said Rodney Altman, M.D., who is the Abrazo Health System medical director of emergency services.

“Only when it leads to an infection, or when the bacteria invades the blood stream or heart, is when it becomes very serious.”

Scientists at the Phoenix-based non-profit Translational Genomics Institute (TGen) are developing new technology and tools to identify dangerous organisms, detect antibiotic resistance and prevent transmission of staph and other infections.

Symptoms, detection

—David Engelthaler, epidemiologist and director of programs and operations, TGen Pathogen Genomics Division, Flagstaff

Prevention, susceptibility

Keeping a wound clean and regular handwashing are thought to be effective preventative steps to fighting staph infections.

ALZHEIMER’S/DEMENTIA ALZHEIMER’S & MEMORY SUPPORT July 8, 15, 22 & 29, 10 a.m.–noon

By Benevilla at Faith Presbyterian Church 16000 N. Del Webb Blvd, Sun City 623-584-4999; benevilla.org

ARTHRITIS & ORTHOPEDICSRELATED

FITNESS & WELLNESS PROGRAM Various dates, 1–2 p.m.

Paradise Valley Hospital 3805 E. Bell Rd., Phoenix 602-923-5648 SLEEP MYTHS July 9, 10–11 a.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707

ALZHEIMER’S & MEMORY SUPPORT July 11, 9–11 a.m.

By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999; benevilla.org

AQUATIC ARTHRITIS & FIBROMYALGIA CLASS Various dates, 8 a.m.–noon Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5830; $5.30/class

ALZHEIMER’S SEMINAR July 14, 10:30–11:15 a.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707

HAND & WRIST SEMINAR July 10, 6–7 p.m.

Arrowhead Hospital 18701 N. 67th Ave., Glendale 855-292-WELL; abrazohealth.com/ortho

ALZHEIMER’S CAREGIVERS GROUP July 15, 12:30–2 p.m.

By Duet at Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022; duetaz.org

CARPAL TUNNEL July 17, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

LEARN NEW CPR STANDARDS July 10, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

BRAIN ACTIVITIES FOR PATIENTS July 16, 12:30–2:30 p.m.

Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix 602-839-6850

MAKOPLASTY HIP SEMINAR July 21, 6–7 p.m.

Arrowhead Hospital 18701 N. 67th Ave., Glendale 855-292-WELL; abrazohealth.com/ortho

DAYTIME SLEEPINESS July 16, 10–11 a.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707

ALZHEIMER’S CAREGIVER SUPPORT July 21, 1:30–3 p.m.

By Tempe St. Luke’s at Pyle Adult Recreation Center 655 E. Southern Ave., Tempe Register: 877-351-WELL (9355)

TREATMENTS FOR KNEE OSTEOARTHRITIS July 23, 6 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

CAREGIVERS GENERAL CAREGIVERS GROUP Various dates, times & locations

By Duet; 602-274-5022; duetaz.org CAREGIVER SUPPORT GROUP July 3, 6–8 p.m.

Ironwood Cancer & Research Centers 6111 E. Arbor Ave., Mesa Register: 480-324-5279; ironwoodcrc.com CAREGIVER EDUCATION & SUPPORT July 8, 15, 22 & 29, 3–4 p.m.

Banner MD Anderson Cancer Center 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 CAREGIVER SUPPORT GROUP July 9, 2:30 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

LEWY BODY DEMENTIA July 24, 1–2:30 p.m.

Arbor Rose Senior Care 6033 E. Arbor Ave., Mesa 480-641-2531

SHOULDER PAIN SEMINAR July 24, 6–7 p.m.

Arrowhead Hospital 18701 N. 67th Ave., Glendale 855-292-WELL; abrazohealth.com/ortho

BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Northwest Valley: 623-236-6616 West Valley: 623-979-4279

PAIN HOPE FOR TODAY July 8, 15, 22 & 29, 3:30–4:30 p.m.

By Chronic Pain Anonymous at Temple Chai Shalom Center House 4635 E. Marilyn Rd., Phoenix cpa-az@cox.net; ChronicPainAnonymous.org

METASTATIC BREAST CANCER SUPPORT July 2, 11:30 a.m.–1 p.m.

Banner Desert 1400 S. Dobson Rd., Phoenix 480-412-4673

HEART/STROKE MENDED HEARTS July 10, 6–7 p.m.

John C. Lincoln 19829 N. 27th Ave., Phoenix 623-879-5583; alice.montoya@jcl.com

CAREGIVER SUPPORT GROUP July 19, 10 a.m.–noon Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com

By Meghann Finn Sepulveda

“Patients with staph infections can experience high fever, fainting and dizziness,” Altman said. “Based on the severity of the symptoms, patients can be treated at their physician’s office or in the emergency department.”

Small red bumps, cuts and scrapes, bites, pimples and other skin conditions that develop into deeper, more painful wounds could be a sign of a staph infection. Cultures and blood tests are used for detecting staph.

AQUATIC FITNESS CLASS Various dates, 8 a.m.–noon Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5830; $5.30/class

CAREGIVING SUPPORT July 18, 9–11 a.m.

By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999

Know the facts: detection, treatment and research

EATING RIGHT WITH DIABETES July 21, 10:15–11:15 a.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707

GRIEF BEFORE LOSS July 30, 10–11 a.m.

By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999

WALKING GROUPS Various dates & locations, 9–10 a.m.

By Humana; 480-325-4707; humana.com

Precautions every parent and caregiver should take

DIABETES SUPPORT GROUP July 14, 3 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

LIVING WITH LOSS July 8 & 22, 1–2:30 p.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org

MEDICATION CHECKS Call to schedule a personal appointment St. Luke’s Medical Center, 1800 E. Van Buren St., Phoenix Tempe St. Luke’s Hospital, 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355) Thinkstock

GRIEF SUPPORT GROUP July 2, 9, 16, 23 & 30, 2–3:30 p.m.

Banner Heart Hospital 6750 E. Baywood Ave., Mesa Info: Rev. Cindy Darby, 480-657-1167; BannerHospice.com

YOGA FOR RECOVERY July 2, 9, 16, 23 & 30, 6–7:30 p.m.

John C. Lincoln 19841 N. 27th Ave., Phoenix 602-780-4673; bhrc@jcl.com

STROKE SUPPORT GROUP July 16, 1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

LEARN & SUPPORT July 10 & 24, 6–8 p.m.

John C. Lincoln 19646 N. 27th Ave., Phoenix 602-780-4673; bhrc@jcl.com

DIABETES

SUPPORTING LOVED ONES July 24, 6–8 p.m.

John C. Lincoln 19646 N. 27th Ave., Phoenix 602-780-4673; bhrc@jcl.com

TAKING CONTROL OF DIABETES Various dates, 6–7 p.m.

Phoenix Baptist Hospital 2000 W. Bethany Home Rd., Phoenix 855-292-9355; azhealthyhours.com

ONLINE NETWORKING (DUET) July 26, 7–8 p.m.

Register: DuetAZ.org (Events tab) 602-274-5022

GRIEF

DIABETES SUPPORT GROUP July 3, 7–8 p.m.

The Nutrition Professionals 2158 N. Gilbert Rd., Mesa RSVP: 480-216-1635; Laura@NutritionPro.net

BREAST BUDS SUPPORT July 19, 11 a.m.–1 p.m.

MidFirst Bank Conference Room 6508 W. Bell Rd., Glendale 480-657-0500; breastbuds.org

GRIEF SUPPORT Various dates, times & locations

By Hospice of the Valley hov.org/grief-support-groups; 602-530-6970

CARB COUNTING WORKSHOP July 8, 2–3:30 p.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707

BREAST CANCER SUPPORT July 22, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Phoenix 480-412-4673

BREAST CANCER SUPPORT July 14, 2–4 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com

We Love Our Seniors!

Memory Care

“We’reworkingwiththe Centers for Disease Control todeterminewhysome strainsaremoreseriousthanothers.”

“We are creating faster, more accurate diagnostics to try and get information up-front to interrogate DNA and look for markers and strain type,” said David Engelthaler, epidemiologist and director of programs and operations for TGen’s Pathogen Genomics Division in Flagstaff.

These tests will allow physicians to respond more quickly, allowing for immediate treatment and better outcomes.

“We’re working with the CDC to determine why some strains are more serious than others,” Engelthaler said. “When treatment options become limited, it not only impacts clinical medicine but public health.”

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Wednesday, July 2, 2014 | Livingwella-z | 5

a-z T O P E V E N T S

JULY 24

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

ANIMAL ADVENTURE: PET THERAPY WHAT: Learn how therapy animals in healthcare facilities make a difference in patients’ lives and health. An expert will also discuss the trend of personal pet visitation in a hospital setting.

WHERE: Civic Center Auditorium, 3839 N. Drinkwater Blvd., Scottsdale TIME: 1–2 p.m.

PRESENTED BY: Scottsdale Healthcare COST: Free INFO/REGISTER: 480-882-4636; shc.org/events

JULY 10 FEED YOUR BRAIN WHAT: A lively discussion of the impact of nutrition on brain health as well as practical tips to keep your brain and body in tip-top shape.

WHERE: Civic Center Auditorium, 3839 N. Drinkwater Blvd., Scottsdale TIME: 1–2 p.m.

PRESENTED BY: Scottsdale Healthcare COST: Free INFO/REGISTER: 480-882-4636; shc.org/events

JULY 25

JULY 11

GRAND-FAMILY MOVIE NIGHT WHAT: Family movie night for grandparents and their grandchildren with pizza, popcorn, snacks and drinks.

WHERE: Duet, 555 W. Glendale Ave., Phoenix TIME: 6–8:30 p.m.

PRESENTED BY: Duet COST: Free INFO/REGISTER: By July 18, 602-274-5022, ext. 31

FOR ALZHEIMER’S CAREGIVERS/PATIENTS: GETTING BACK UNDER CONTROL WHAT: How to approach common challenging behavioral, social, family and self-care issues in order to get difficult situations back under control and life back in balance.

WHERE: Banner Gateway, 1900 N. Higley Rd., Gilbert TIME: 10:30 a.m.–noon PRESENTED BY: Banner Alzheimer’s Institute COST: Free INFO/REGISTER: 602-230-2273

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a-z I N F O R M AT I O N O N L I N E

ABRAZO HEALTH CARE: AbrazoHealth.com Arizona Heart Institute and Arizona Heart, Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals BANNER HEALTH: BannerHealth.com BARROW NEUROLOGICAL INSTITUTE: TheBarrow.org CARDON CHILDREN’S MEDICAL CENTER: BannerHealth.com CHANDLER REGIONAL MEDICAL CENTER: ChandlerRegional.org JOHN C. LINCOLN HOSPITAL: JCL.com MARICOPA INTEGRATED HEALTH SYSTEM: MIHS.org MAYO CLINIC: MayoClinic.com MERCY GILBERT MEDICAL CENTER: MercyGilbert.org MOUNTAIN VISTA MEDICAL CENTER: MVMedicalCenter.com MUHAMMAD ALI PARKINSON CENTER: TheBarrow.org/NeurologicalServices PHOENIX CHILDREN’S HOSPITAL: PhoenixChildrens.org SCOTTSDALE HEALTHCARE: SHC.org ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: StJosephs-Phx.org ST. LUKE’S MEDICAL CENTER: StLukesMedCenter.com TEMPE ST. LUKE’S HOSPITAL: TempeStLukesHospital.com

TRIPLE-NEGATIVE BREAST SUPPORT July 23, 6–7:30 p.m.

By Cancer Support Community at Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006; rsvp@cscaz.org CIRCLE OF HELP: ADVANCED BREAST CANCER July 24, 6–8 p.m.

John C. Lincoln 19646 N. 27th Ave., Phoenix 602-780-4673; bhrc@jcl.com

CANCER SUPPORT GROUPS LOOK GOOD, FEEL BETTER Various dates & locations, 4–6 p.m.

By Ironwood Cancer & Research Centers Register: 480-855-2224; ironwoodcrc.com CHAIR YOGA July 2, 9, 16, 23 & 30, 10–11 a.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com

NEWLY DIAGNOSED: FINDING MEANING & HOPE July 2, 9, 16, 23 & 30, 3–4 p.m.

Banner MD Anderson Cancer Center 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 ORAL, HEAD & NECK July 2, 6–7:30 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com PROSTATE July 3, 6–7:30 p.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org SURVIVING & THRIVING July 8 & 22, 1–2:30 p.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org TAI CHI July 8, 15, 22 & 29, 5–5:45 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler

Register: 480-855-2224; ironwoodcrc.com GYNECOLOGICAL July 8, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Phoenix 480-412-4673 WOMEN EMPOWERED SURVIVORSHIP July 8, 5:30–6:30 p.m.

Banner MD Anderson Cancer Center 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 TRANSITIONING FROM PATIENT TO SURVIVOR July 9, 6–7:30 p.m.

Banner Gateway 1920 S. Higley Rd., Gilbert 602-230-CARE (2273) MINDFULNESS PRACTICE July 11, 18 & 25, 3–4 p.m.

Banner MD Anderson Cancer Center 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 LYMPHOMA July 12, 10–11:30 a.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org PANCREATIC July 12, 10–11:30 a.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org CARCINOID July 12, 1–2:30 p.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org LUNG July 12, 1–2:30 p.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org CHEMOTHERAPY CLASS July 14, 3–4 p.m.

Banner MD Anderson Cancer Center 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

CANCER SUPPORT INFO MEETING July 15 & 29, 6–7 p.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org ORAL, HEAD & NECK July 16, 4:30–6:30 p.m.

Banner MD Anderson Cancer Center 2946 E. Banner Gateway Dr., Gilbert 480-256-6444 ORAL, HEAD & NECK July 17 Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Call for time: 602-377-2447 ESOPHAGEAL July 17, 6–7:30 p.m.

By Cancer Support Community at Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006; rsvp@cscaz.org COLORECTAL July 19, 10–11:30 a.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org OVARIAN July 19, 10–11:30 a.m.

By Cancer Support Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; rsvp@cscaz.org PROSTATE July 21, 6–8 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com METASTATIC July 23, 3–4:30 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com GENERAL CANCER SUPPORT July 24, 4:30–5:30 p.m.

Ironwood Cancer & Research Centers 3645 S. Rome St., Gilbert Register: 480-340-4013; ironwoodcrc.com

LOOK GOOD, FEEL BETTER July 28, 5:30–7:30 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 602-230-CARE (2273) PROSTATE July 28, 7–9 p.m.

Banner Desert 1400 S. Dobson Rd., Phoenix 480-412-4673

PARKINSON’S PARKINSON’S AQUATIC EXERCISE CLASS Call for dates & times Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5830; $5.30/class PARKINSON’S EXERCISE CLASS July 2, 9, 16, 23 & 30, noon Banner Thunderbird Rehab 5605 W. Eugie Ave., Glendale 602-865-5830; $5.30/class PARKINSON’S SUPPORT July 15, 3 p.m.

By Benevilla 13658 Meeker Blvd., Sun City West 623-584-4999

SENIORS HEALTHY COOKING DEMONSTRATION July 2, 10 a.m.–noon Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 VOLUNTEER ORIENTATION July 15, 4–6:30 p.m.

Duet 555 W. Glendale Ave., Phoenix 602-274-5022; duetaz.org

RESPIRATORY BETTER BREATHERS/ COPD SUPPORT Various dates, times & locations By the American Lung Association 602-429-0005; breatheeasyaz.info BETTER BREATHERS CLUB July 11, 10:30–11:30 a.m.

Mayo Clinic Hospital 5777 E. Mayo Blvd., Phoenix 480-342-2348; breatheeasyaz.info BETTER BREATHERS CLUB July 11, 1–2 p.m.

By the American Lung Association at HealthSouth East Valley Rehab Center 5652 E. Baseline Rd., Mesa 480-567-0350; breatheeasyaz.info GET PAST ASTHMA July 14, 6:30–8 p.m.

John C. Lincoln 19841 N. 27th Ave., Phoenix 623-879-5452; pcoc@jcl.com CAREMORE BETTER BREATHERS CLUB July 15, 10:30–11:30 a.m.

By the American Lung Association at Scottsdale Care Center 5225 N. Scottsdale Rd., Scottsdale 480-395-0792; breatheeasyaz.info

BRAIN PROGRESSIVE SUPRANUCLEAR PALSY SUPPORT GROUP July 19, 1:30–3:30 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-920-4632; tsebastiani@cox.net

PARENTING GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations

By Benevilla; 623-207-6016; benevilla.org SUPPORT THROUGH OTHER PARENTS (S.T.O.P.) July 3, 10, 17, 24 & 31, 7–9 p.m.

First Presbyterian Church 161 N. Mesa Dr., Mesa 623-846-5464; SupportThroughOtherParents.org SUPPORT THROUGH OTHER PARENTS (S.T.O.P.) July 8, 15, 22, 29 & Aug. 5, 7–9 p.m.

Larkspur Christian Church 3302 W. Larkspur Dr., Phoenix 623-846-5464; SupportThroughOtherParents.org GRANDPARENTS RAISING GRANDCHILDREN July 12 & 26, 9–11 a.m.

By Duet at Christ Lutheran Church 918 S. Litchfield Rd., Goodyear 602-274-5022; duetaz.org

WEIGHT LOSS WEIGHT LOSS SURGERY SEMINARS Various dates & times

By Bridges Center for Surgical Weight Management at St. Luke’s Medical Center 555 N. 18th St., Phoenix Register: 800-248-5553; webinar: BridgesAZ.com BARIATRIC SUPPORT GROUP Aug. 5, 5–6:30 p.m.

By Bridges Center for Surgical Weight Management at St. Luke’s Medical Center 555 N. 18th St., Phoenix Register: 602-251-8828

SPANISH INFANT BRAIN DEVELOPMENT July 12, 9 a.m.–1 p.m.

Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 480-784-5588

VALLEY FEVER INFO AZ VICTIMS OF VALLEY FEVER ArizonaVictimsOfValleyFever.org; 623-584-8331; pat-valleyfever@live.com 602-242-9527; mmfcreate@aol.com VALLEY FEVER CENTER FOR EXCELLENCE 602-406-8253; vfce.arizona.edu; ValleyFeverCenter@dignityhealth.org

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

Passport to Health Charting Your Course Against Diabetes Learn current information on steps you can take.

Aug. 18, 2 – 4 p.m.

Banner Del E. Webb Medical Center RSVP: (602) 230-CARE (2273)

AR-0008228361-01

All of my big plans were put on hold when I thought I had a bad cold and it turned out to be heart failure.

After a heart transplant, I feel lucky to be here. My answer was Mayo Clinic.

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6 | Livingwell a-z | Wednesday, July 2, 2014

Dr. Ted Firestone checks on David Rudolph the day after a total knee replacement at Scottsdale Healthcare Thompson Peak Hospital. Thanks to advanced surgical techniques, orthopedic surgical patients begin physical therapy within 24 hours after surgery, and in some cases, go home after a one-day hospital stay.

“We’re able to return 70- and 80-year-olds to an active lifestyle.”

| Photos by Rick D’Elia

— Bertrand Kaper, M.D., Scottsdale Orthopedic Institute

Orthopedic medicine

continued from the cover

Total joint replacement

Almost a million Americans undergo total joint replacement every year. The most familiar replacement surgeries involve the knee and hip, but the wrist, shoulder, elbow and ankle also can be replaced. Thanks to ever-improving techniques, patients recover more easily from such surgery compared to even just a half-decade ago.

Ted Firestone, M.D., an orthopedic surgeon who is co-director of the joint replacement program at the Scottsdale Orthopedic Institute, was among those who pioneered the use of the ‘anterior approach’ to hip replacement in the Valley in 2008.

Kaper and other surgeons also primarily use the anterior approach to total hip replacement.

The anterior approach means surgical entry is achieved through the front of the hip joint while the patient is lying on his or her back rather than through the gluteal muscles at the back of the hip joint, which is how historically the surgery has been accomplished, with the patient lying in a lateral (side) position.

“Because we’re not detaching any muscles from the femur (thigh bone) with the anterior approach, the recovery is much faster,” Firestone said, noting that the hospital stay has been shortened to a single day in many cases. Walking with assistance happens hours after surgery, he said, while walking without assistance can happen as soon as a week after surgery. “Depending on their physical condition, patients often can resume their favorite athletic activities four weeks after surgery,” he added.

Firestone, who has performed nearly 2,000 anterior-approach hip replacement surgeries, estimates that nationwide, about 25 percent of all hip replacement surgeries rely on the anterior approach. “In my opinion, all patients are candidates for the anterior approach,” he said. “But excellent results can be achieved with the traditional approach as well, and whichever approach is used, the joint replacement materials we use last longer now than in years past.”

Sports medicine treats joint, muscle injuries

Sports medicine is a subspecialty within the discipline of orthopedics, but you don’t have to be an athlete to see a sports medicine physician. Almost any type of injury to the shoulder, elbow, wrist, knee, hip or ankle can be treated successfully by a doctor who focuses on sports medicine.

“Historically, orthopedic surgery has dealt with broken bones, arthritis in the hips and knees, hand conditions and spine problems,” said Amit Sahasrabudhe, M.D., an orthopedic sports medicine physician with Ortho Arizona, a combined group of orthopedic medical practices that brings together more than 70 orthopedic surgeons in the Valley. “But as we began to see an increased incidence of injury to soft tissue structures in the knees and shoulders that we only used to see in athletes, sports medicine emerged as a way to efficiently treat any individual with a musculoskeletal injury.”

It’s not just teens, young adults and baby boomers who are sports medicine patients. “I have a 76-year-old patient who injured her knee while playing pickleball,” Sahasrabudhe said. The patient has no arthritis in her knee and the doctor was able to treat her with arthroscopy that included a removal of her torn meniscus, the c-shaped ring of cartilage between the thigh and shin bones. “She is an ideal candidate to see a sports medicine physician,” Sahasrabudhe said, “because what she wants most is to return to an activity she loves.”

Dr. Amit Sahasrabudhe talks with Juanita Ornelas, who is in need of a rotator cuff repair. Sahasrabudhe said sports medicine is not just for athletes but for everyone who does physical things that are limited by injury.

Pediatric orthopedics

Judson Karlen, M.D., a pediatric orthopedic surgeon at Phoenix Children’s Hospital, said that the most prominent orthopedic problems in children — after broken bones — include spine deformities such as scoliosis (curvature of the spine) and hip deformities (such as hip dysplasia), although they are relatively rare.

“Scoliosis is by far the most common pediatric orthopedic issue, and it affects only about five out of every 1,000 children,” Karlen said. “Typically, if scoliosis is present, it becomes apparent when the child reaches puberty.” He said in most cases, pediatric orthopedic deformities can be treated with observation, braces, casts or corrective surgery.

Ditch the desk, take a stand!

Too much sitting increases health risks

Blue Cross Blue Shield of Arizona

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By Susan Fuchs and Glenn Swain

f you listen to the experts — and you should — sitting is the new tobacco.

As noted by a number of researchers around the world, sitting is known to raise the risk of serious ailments including high blood pressure, depression and heart disease.

Arizona State University exercise research scientist Matt Buman, Ph.D., an assistant professor in the ASU College of Health Solutions, said you can do a lot of healthy activities, but if you then sit at your computer for eight or more hours a day, you’re still courting a quantity of health issues, including: • Cancer • Diabetes • Blood clots • Weakened muscles • Spinal stiffening • Disc damage • Varicose veins

Damages to the system

Denise A. McGinley, RN, director at the Center for Orthopaedic Innovation at St. Luke’s Medical Center and Tempe St. Luke’s Hospital, explained that long periods of sitting damage the musculoskeletal system.

“We know that bearing weight on our bones stimulates the growth of healthy new bone cells, but when we sit for prolonged periods, both bones and muscles become weak and brittle, making us more susceptible to injuries,” McGinley said.

Rhonda Zonoozi, an exercise physiologist

Unique Haro (far left) and Matt Buman, Ph.D. (left), of the ASU College of Health Solutions, and Ed Fenstermacher, M.D. (above), of Blue Cross Blue Shield of Arizona, are advocates of standing workstations.

Stand and deliver

for Sun Health’s Center for Health and Wellbeing in Surprise, agreed, adding that prolonged periods of sitting can also weaken the body’s metabolism.

How much is too much

“There’s no magic number [on how much sitting is ‘too much’],” Buman said. “We need more research to nail it down. The specifics may be different for different people, but research shows it’s a continuum for everyone — more sitting equals more risk of adverse health consequences.”

“What we do know,” Buman continued, “is that it’s not good to be what I call an ‘active couch potato’. That’s a person who exercises regularly but then spends the rest of the day sitting at work and at home in front of the TV at night.”

Elevated desks

Buman recommends innovative elevated desks that allow workers to use their

Six months ago, Ed Fenstermacher, M.D., a senior medical director at Blue Cross Blue Shield, was suffering chronic shoulder and neck pain. Injections and physical Susan Fuchs (left and above) therapy offered little relief. “I was getting snappy and thought of quitting this job,” Fenstermacher said. “I was not sleeping and computers while standing. A recent study constantly had ice packs on my neck.” he conducted at the College of Health Ergonomic experts installed a standing Solutions showed metabolic improvements station, a motorized mechanism attached in workers who reduced sitting time by to Fenstermacher’s desk that allowed using the standing desks. him to raise and lower it at his choice.

However, Buman said that simply standHis neck and shoulder pain went away. “I ing at your desk is not the total answer. now stand about 99 percent of the time,” “Movement is also important,” he noted.

Fenstermacher said. “It’s changed my life.”

Treadmill workstations

During recent renovations of its building in downtown Phoenix, ASU installed a pair of workstations with treadmills that can be used by colleagues throughout the College of Health Solutions. Workers bring their laptops to the standing desk, step on the treadmill and slowly stroll while computing.

“It’s great,” said ASU development coordinator Unique Haro, who works in the College of Health Solutions and uses the treadmill desk on a regular basis. “And I’m not extremely coordinated. If I can do it, anyone can.”

Take action

Until you get your treadmill workstation or standing desk, here are a few tips that can reduce the risks of too much sitting at work: Stand while reading emails and talking on the phone Take short breaks every 30 minutes Move printers so that you have to stand up to use them Redefine meeting protocol so people can stand instead of sit

Lay it on thick!

Apply sunscreen early, often and liberally

X

By Gremlyn Bradley-Waddell

—Xuan Nguyen, M.D., Maricopa Medical Center

Skin cancer

Thinkstock

Sun-safety tips

Establish good sun-safety habits early Avoid outdoor summertime activity between 10 a.m. and 2 p.m.

Wear a hat (preferably a widebrimmed one) when outdoors Wear sunscreen and lip balm with an SPF of 15 or higher and reapply frequently Look for sunscreen that offers ‘broad spectrum’ protection, which means the product protects against both UVA and UVB rays

Skin cancer signs

Basal cell carcinoma can appear as a pink, shiny bump; comprises 90 percent of all skin cancers Squamous cell carcinoma is often pink, flaky in appearance and flat in shape; comprises 6 percent of all skin cancers A melanoma often presents itself in the form of a mole; be on the lookout for the ‘ABCDEs’: » Is the mole asymmetrical? » Does it have an irregular border? » Does it vary in color? » Does it have a diameter larger than 2 mm? » Is it evolving — does it itch or bleed?

If you answer“yes”to any of these questions, get it checked out.

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As a nationally recognized ophthalmologist with Barnet Dulaney Perkins Eye Center, Dr. Perkins has performed over 50,000 cataract surgeries and over 10,000 vision correction procedures. As an innovator in the field of ophthalmology, he has participated in over 25 clinical trials for both pharmaceutical and ophthalmic devices.

BARNET DULANEY PERKINS EYE CENTER Locations throughout Arizona www.GoodEyes.com 800-966-7000

FAMILY MEDICINE Christopher Finlay, MD

Dr. Finlay brings more than 15 years of experience to Scottsdale Healthcare Primary Care Tempe. He earned his medical degree from the University of Manitoba - Faculty of Medicine and he completed his family medicine residency at University of Western Ontario. Dr. Finlay’s clinical interests include sports medicine and preventive medicine.

SCOTTSDALE HEALTHCARE PRIMARY CARE TEMPE 1845 E Broadway Rd, #116, Tempe Primarycaretempe.org 480-882-7380

FAMILY MEDICINE, PRIMARY CARE Linda Leech, MD

Dr. Leech is a primary care physician, working in partnership with her patients to prevent disease and treat illness. She graduated from Creighton University School of Medicine in Omaha, NE, and completed her internship and residency at Scottsdale Family Medicine. Dr. Leech is certified by the American Board of Family Medicine.

Banner Health Center 13640 N. Plaza del Rio Blvd., Peoria Floors 1st, 2nd and 3rd www.BannerHealth.com/HealthCenterNWPrimaryCare 623-583-5271

INTERNAL MEDICINE, PRIMARY CARE

Resources

J. Peter Kieley, MD

Arizona Department of Health Services SunWise Skin Cancer Prevention Program; azdhs.gov/phs/sunwise; 602-364-3143

Dr. Kieley is an experienced primary care physician, certified by the American Board of Internal Medicine, who is committed to keeping his patients healthy and providing optimal treatment when necessary. He graduated from the University of Minnesota and served his internship at Hennepin County Medical Center in Minneapolis, MN. AR-0008230176-02

Although there are those who still think a tan is a sign of health, McKenna, a melanoma survivor, said nothing makes you realize how damaging the sun’s rays can be like a skin cancer diagnosis. One in five Arizonans is likely to develop skin cancer and your childhood UV exposure plays a huge role in whether you develop skin cancer, she noted.

“We don’t know exactly what sets the wheels in motion for skin cancer — it’s different for everyone — but we know skin cancer is the most preventable of all cancers,” McKenna said. “So, let’s form simple habits and protect our skin and reduce skin cancer.”

Scott A. Perkins, MD

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“Sunscreens with SPF numbers higher than 45 offer only slightly more protection as they increase, so anything more than 45 SPF is kind of overkill.”

CATARACT & REFRACTIVE SURGERY

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uan Nguyen, M.D., chief of dermatology at Maricopa Medical Center’s Comprehensive Health Center in Phoenix, said that before you head out into the sun, it’s important to take a few minutes to slather on a generous amount of sunscreen.

Sharon McKenna, manager of the Arizona SunWise Skin Cancer Prevention Program for the Arizona Department of Health Services, said a good application consists of about an ounce of sunscreen. In other words, if you have an eight-ounce bottle and four kids to cover, half the bottle might be gone after one application depending on the age and size of the kids.

She also reiterated the importance of reapplying sunscreen frequently — every 2.5 hours or sooner if engaging in water play, swimming or even just perspiring.

Be sure to dry off first before reapplying so the sunscreen can become fully absorbed into your skin again.

Banner Health Center 13640 N. Plaza del Rio Blvd., Peoria Floors 1st, 2nd and 3rd www.BannerHealth.com/HealthCenterNWPrimaryCare 623-583-5271

ORTHOPEDIC SURGERY, ORTHOPEDICS Daniel Aschenbrener, DO

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With a focus on providing personalized care using the latest advances in orthopedic treatment, Dr. Aschenbrener specializes in arthroscopic shoulder and knee reconstruction, joint replacement surgery, and orthopedic trauma surgery. Dr. Aschenbrener graduated from Midwestern University, Chicago College of Osteopathic Medicine, and completed his residency at Michigan State University, Botsford Hospital.

Banner Health Center 1920 N. Higley Road, Suite 206, Gilbert 480-543-6700 www.bannerhealth.com/HealthCenterGilbert

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Make an appointment today to visit any one of these quality health experts.

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Go from a life of back pain

to a lifetime of living.

Natalie Gulbis

LPGA Player and Laser Spine Institute Patient

FINALLY, AN ALTERNATIVE TO TRADITIONAL OPEN BACK SURGERY. It’s time for you or a loved one

to stop suffering. Do what more than 40,000 people have done and get your life back. 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 about neck and back surgery options by attending our FREE MEDICAL SEMINAR Saturday, July 19 at 11 a.m.

EXPERTS IN TREATING CONDITIONS SUCH AS: Pinched nerve

Laser Spine Institute 8888 E. Raintree Drive | Scottsdale, Arizona 85260

THE ADVANTAGES OF MINIMALLY INVASIVE SPINE SURGERY AT LASER SPINE INSTITUTE • 97% patient recommendation rate

• No lengthy recovery*

• Minimally invasive outpatient procedure

• Board-certified surgeons+

Bulging/herniated disc ] Scoliosis Spinal stenosis ]

All it takes is an incision less than 1-inch.

Arthritis of the spine Sciatica ] Other chronic conditions

To register, call: 1-855-333-7854 or visit SpineSeminar.com *Each patient is different. Results may vary. +For more information visit LaserSpineInstitute.com/surgeons. Medicaid currently not accepted.

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