Livingwell AZ May 2014

Livingwell A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

a-z

HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

MAY 2014

IN THIS ISSUE | 2 Root canal pros | 3 Kidney stones | 4-5 Events & support groups | 6 Fear of flying | 7 Vein care | 8 Blood donations

Nurses Week celebrates indispensable caregivers

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By Debra Gelbart

elebrated every year from May 6–12, National Nurses Week was first observed during that week in 1990. But the nursing profession has been supported by the American Nurses Association since 1896, one year after St. Joseph’s Hospital and Medical Center in Phoenix was established by the Sisters of Mercy.

“We believe that our five core values (dignity, collaboration, justice, stewardship, excellence) at Dignity Health dictate how we treat our patients — and we also use those same values to shape our relationships with each other,” said Julie Ward, R.N., M.S.N., St. Joseph’s chief nursing officer and vice president of nursing.

Nurse-patient bond

It’s not just nurses themselves who are celebrated during Nurses Week. It’s the nurse-patient bond, too, as illustrated by a cancer patient at Arizona Oncology

To hormone or not tohormone...

Diljeet Singh, M.D., (right), is a gynecological oncologist and the director of the integrative oncology and cancer prevention program at Banner MD Anderson Cancer Center in Gilbert.

Here, she advises patient Jill Faude about pursuing wellness after surgery by taking effective supplements and reducing stress.

Joyce Bowers (left) with her friend and nurse, Leslie Bainbridge, R.N., Senior OCN, Arizona Oncology GYN | Arizona Oncology who wrote a letter about her nurse, Leslie Bainbridge, R.N. The letter was submitted earlier this year as part of Bainbridge’s nomination for the CURE Magazine Extraordinary Healer Award.

“I remember through the haze asking Leslie if she thought she could handle my case,” wrote patient Joyce Bowers. “She very confidently explained to me that she would take extremely good care of me and that we were on this journey together. I remember her speaking to me as though I were an old friend. Her eyes were warm and her smile was ever-present as she explained how the medications would work and that I could definitely ‘do this’ and get through these treatments.”

For Bainbridge, being positive is part of her identity. “I am pretty boisterous, pretty bubbly,” she said. “When I am at work, I don’t really feel like it’s work. It’s just part of me. It’s what I do. I don’t know what I would do if I didn’t have this.”

That is definitely a middle-aged woman’s question

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Story by Debra Gelbart • Photos by Rick D’Elia

he evidence about how hormone replacement therapy (HRT) can affect a woman’s overall health keeps

shifting, so it’s challenging to stay informed about the latest information.

“HRT is considered so controversial by some that simply bringing up the topic can be like talking about religion

or politics,” said Jennifer Simone, M.D., a gynecologist and medical director of Scottsdale Healthcare’s Center of

Excellence in Minimally Invasive Gynecology. Simone counsels women daily on whether HRT may be appropriate for them. “The bottom line is that for some women with severe menopausal symptoms such as extreme hot

flashes, trouble sleeping and severe moodiness or irritability, HRT can be life-changing,” she added.

Simone said pills are the least ideal form of HRT, because of how hard the liver has to work to metabolize medications in that format. Instead, she said, the preferred forms of delivery are creams, lozenges, patches or hormone pellets injected directly into the fatty layers of the buttocks.

Why HRT

“St. Joseph’s nurses are treasures who have keen eyes for assessment and sharpened minds for critical thinking.”

The latest research has led many physicians to conclude that the only reason middle-aged women should take hormone replacement therapy is when antidepressants or over-the-counter remedies fail to relieve the debilitating symptoms of menopause. “HRT should never be taken for any other reason except to relieve the symptoms of menopause,” Simone said.

“Doctors used to think HRT may have helped prevent heart disease in menopausal women,” said Raina Roy, M.D., a cardiologist with Maricopa Medical Center. “But we now know that there is no indication to use HRT as a means solely to prevent cardiovascular disease, as the risks outweigh the benefits.”

— Edward Donahue, M.D., chief medical officer, St. Joseph’s Hospital and Medical Center

Public trust That kind of approach to nursing doesn’t surprise Ward.

“Polls on public trust rank nurses in the top two or three positions,” she said.

“I think the public allows nurses a glance into their lives that no one else, sometimes even their family, ever gets to see.”

What you need to know

When it comes to HRT, there are two camps of women: those who still have their uterus and those who do not.

That simple reality can help determine which formulation of HRT you should be prescribed.

“If you have a uterus, estrogen by itself can increase your risk of endometrial (uterine lining) cancer,” said Diljeet Singh, M.D., a gynecological oncologist who is also the director of the integrative oncology and cancer prevention program at Banner MD Anderson Cancer Center in Gilbert. “So for women who have not had a hysterectomy, estrogen alone is strongly discouraged.”

A local radiologist who specializes in mammography believes estrogen therapy alone isn’t good for breast tissue regardless of whether you have a uterus or not.

“We know that most breast cancers are fed by estrogen that can activate breast tissue,” said Linda Greer, M.D., the medical director of the John C. Lincoln Breast Health and Research Center in Phoenix. “So it seems as though taking estrogen alone could increase the chances of developing breast cancer.” HORMONES, continued on page 8

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

Muhammad Ali Barrow Neurological Institute opensstate-of-the-artALSCenter Parkinson Center Barrow Neurological Institute at St. Joseph’s doubles its size Hospital and Medical Center recently opened the Gregory W. Fulton ALS and Neuromuscular Disorders Center. Providing comprehensive services, the Center is expected to become a national leader in clinical research. The 32,000-square-foot facility was primarily funded through the support of Ira A. and Mary Lou Fulton; their son, Gregory, died from amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig’s disease, in 2011. The Center will also provide treatment for other neuromuscular disorders including muscular dystrophy and multiple sclerosis.

MIHS NursesWeek

Muhammad Ali Parkinson Center

After doubling in size with a move to its current location in the Muhammad and Lonnie Ali Pavilion in 2009, the Muhammad Ali Parkinson Center has now more than doubled in size again with a $5 million expansion that includes 30 exam rooms, a balance and gait lab, clinical research areas and much more. A National Parkinson’s Foundation Center of Excellence, the Center, working with Barrow surgeons, performs more deep brain stimulation surgeries than anywhere in the world and provides the largest support network in the country for patients with Parkinson’s and other movement disorders.

Scottsdale Healthcare

Air Force nurses graduate at Scottsdale Healthcare Thirteen Air Force nurses recently graduated from an advanced clinical training course offered through Scottsdale Healthcare’s Military Training Program. The nurses bring the total number of graduates to 195 since the Scottsdale Healthcare Nurse Transition Program’s launch in 2009. The Program is part of Scottsdale Healthcare’s partnership with the U.S. Armed Forces. More than 2,000 service members have been trained through the Scottsdale Healthcare Military Partnership.

During Nurses Week, the Maricopa Integrated Health System (MIHS), Arizona’s only public healthcare system, will hold a series of events and lectures that will honor and celebrate the more than 1,000 nurses who work at MIHS’ Maricopa Medical Center, Arizona Burn Center, Arizona Children’s Center, two psychiatric hospitals, 12 community health centers and comprehensive outpatient specialty clinic. To learn more, visit mihs.org/nurses to read MIHS’ 2014 inaugural Nursing Report and to watch videos of MIHS nurses talking about their experiences working in Maricopa County’s community health system.

2 | Livingwell a-z | Wednesday, May 7, 2014

Root canal pros

Endodontists are trained to get to the root of the problem

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By Gremlyn Bradley-Waddell

ot sure what endodontists do for a living? Most of these professionals will sum up their work in two words: root canals.

More specifically, endodontists are dentists who specialize in saving teeth, putting in a minimum of two years’ worth of post-graduate training to learn how to do so, according to William Leibow, D.D.S., M.S.D., an endodontist and instructor at A.T. Still University’s Arizona School of Dentistry & Oral Health in Mesa.

“Endodontics means ‘inside the tooth’,” Leibow said, noting the word is derived from the Greek word for ‘inside’, or endo, and the Latin word for ‘tooth’, or odons.

Less pain, more gain: According to the American Association of Endodontists (aae.org), one of the primary misconceptions about root canals is that they are incredibly painful.

The AAE cites that with modern technologies and anesthetics, root canal treatment today is no more uncomfortable than having a filling placed.

They also reference a recent survey that showed that patients who have experienced root canal treatment are six times more likely to describe it as painless than patients who have not had root canal treatment.

Root canal procedure Decay

Gum

Dentin

Nerves, blood vessels

Infected pulp

Abscess

Bone

Plugger

Opening is sealed with guttapercha filling

A post is inserted for structure and support

Thinkstock

said Bradley Gettleman, D.D.S., M.S., an endodontist at Westside Endodontic Professionals in Glendale and the past chairman of the Professional Standards Peer Review and Ethics committee for the American Association of Endodontists.

May 2014 | Vol. 4, No. 5

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.

Sealed root canal with new crown

Filling

Additional expertise

Leibow said other problems are often tackled by endodonists as well.

Oft-maligned root canal Because they tend to be very efficient, While endodontists could perform a an endodontist may be a better option for variety of dental work, they limit their a patient who cannot tolerate sitting in practice to dental implants, endodontic the dental chair for long periods of time surgery and the oft-maligned root canal.

From simple to complex (such as someone with a medical impairAs many folks know too well, this nonsur- Some teeth, for example, like the front inciment), or for someone with a non-physical gical course of action is often necessary sors (front upper teeth) have straight canals impairment, like an aversion to dentists when the pulp — the soft inner tissue that are easy to navigate and clean. However, in general. On other occasions, a general inside a tooth — becomes infected or irri- other teeth — such as molars — can be dentist may not be able to determine the tated and needs to be removed. The canals difficult to negotiate with dental instrusource of a patient’s dental pain and may inside the tooth are cleaned and shaped ments and usually have multiple canals that refer the patient to an endodontist. The and any decay and/or bacteria is removed. need attention. “The reality is that some majority of cases treated by endodontists The canals are then filled with a dental root canal cases are really easy and there’s are, indeed, referrals, Leibow said. preparation and the patient is left with a no reason for a general dentist not to do fully preserved tooth. them,” Gettleman said. “In general, though, Expert diagnosticians While all general dentists are taught in an endodontist is going to do the molars, “Endodontists are often very good dental school how to perform a root canal, retreatment cases and surgical cases. And diagnosticians,” Leibow said, adding that and many are comfortable and competent often, a patient will need to return to a it’s an important skill since a lot of painful doing the procedure, there are times when general dentist for the final restoration of a dental issues don’t require a root canal, like an endodontist’s expertise is preferable, tooth, such as adding a crown.” an occlusion or a neurological problem.

Livingwella-z

Endodontic file Infected pulp is removed and the canal cleaned

Opening made in tooth

“Of course, we don’t want to do root canals that aren’t necessary,” he said. “[Unfortunately] some people do get root canals and never have their problem resolved because it wasn’t a root canal problem in the first place.”

Essentially pain-free

Although root canals tend to get a bad rap, the procedure is essentially pain-free these days, Gettleman said.

Not only have diagnostic approaches improved, especially with the arrival of high-resolution, 3-D imaging capability known as cone-beam computed tomography, but instruments have also improved.

“We now have new nickel-titanium files, which are better for cleaning and shaping the canals, and we have new irrigating and cleaning systems that get canals cleaner than ever before,” Gettleman said — all of which is great news for patients.

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Finding the Advantages in Medicare Advantage

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taying healthy used to be as easy as following a few simple rules – Eat right. Exercise. Get adequate sleep.

Medicare contribute to high quality coordinated care and outcomes – all at an affordable cost.

As the name implies, the advantages of Medicare Advantage lie in the extra benefits not covered by Original Medicare. But not all Medicare Advantage plans are created equal. While many Medicare Advantage plans include options with zero or low monthly premiums, they vary in price and the extra benefits they offer, so it’s important to compare Navigating Medicare Choices the plans available in your area and talk to your doctor and family about what is right for you, both All persons aged 65 and older, or those disabled for longer than 24 months, are eligible for Medicare physically and financially. services. Original Medicare, provided directly through the federal government and the Centers for Enrollment Guidelines Medicare & Medicaid Services (CMS), charges a Knowing when to enroll for Original Medicare and monthly premium for hospital and medical coverage, exploring Medicare Advantage options can be which represents Medicare Parts A and B. However, confusing. In the simplest terms, you can sign up: that does not include prescription drug coverage or other supplemental coverage, such as vision, dental - When you turn 65. You can sign up during the or hearing, or provide a limit to out-of-pocket 7-month period that begins 3 months before the spending. month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.

Many seniors choose additional healthcare coverage outside of Original Medicare to protect their - If you move to a new address that isn’t in your financial and physical well-being. The most popular plan’s service area. options are Medicare Advantage or supplement - If you leave coverage from your employer or plans such as Medigap policies. In order to qualify union (including COBRA coverage). for Medicare Advantage or supplement plans, you must have both Medicare Parts A and B and continue - If you have a chronic condition, and there is a Medicare Chronic Care Special Needs Plan (SNP) to pay your Part B monthly premium, as stipulated available that serves people with your condition.

by CMS. - If you qualify for Extra Help with Medicare When making your Medicare choices, some prescription drug costs. important questions to ask include: - During the Annual Enrollment Period, from • Are my prescription drugs covered?

October 15th to December 7th • What are the copay amounts for primary care, Looking ahead specialist and hospital visits?

• Do the doctors and hospitals in the provider Education is an important part of this process and network meet my needs? it’s never too early to start preparing. Start asking • Are there coinsurance or deductible amounts now so when you are eligible for Medicare questions associated with procedures and/or visits?

• Is there a limit on out-of-pocket spending for both enrollment you get the care that suits both your lifestyle and your wallet. Call 1-800-MEDICARE prescription drugs and other care needs?

• What extra benefits are offered (dental, vision, (TTY: 1-877-486-2048) (available 24 hours a day, 7 days a week) today to learn more and see if hearing, fitness club, etc.)? you qualify to enroll. Locally, our Cigna Medicare Medicare Advantage and You experts can be reached 1-855-298-4385 (TTY Today, about 1 in 4 people eligible for Medicare 711) to help answer your questions and discuss choose a Medicare Advantage plan. Many seniors plan options available to you. Representatives are choose Medicare Advantage, commonly referred to available 7 days a week, 8 am – 8 pm. as Medicare Part C, because it’s an all-around good value: the extra benefits over and above original Centers for Medicare & Medicaid enrollment data, April 2012.

While those basic guidelines still apply, there’s so much more to think about as we age. To get the most value from your health care, it’s essential to have good partners on your side. Good health care is not just about treating illness. It’s about improving health and living life to the fullest.

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Wednesday, May 7, 2014 | Livingwella-z | 3

Kidney stones

Dehydration a common cause for this painful condition

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By Gremlyn Bradley-Waddell

ou’ve surely heard about them, maybe even endured one or more yourself, but how much do you know about the common — and uncommonly painful — urinary tract disorder known as kidney stones?

Understanding how these deposits form within the body — and learning how to prevent them — can go a long way toward helping avoid the pain, discomfort and eventual medical care that kidney stones typically require.

Mineral deposits

kidney stones

Tips for preventing

Drink more water. People prone to making stones generally don’t drink enough water.

Maintain a heart-healthy diet.

Eat foods low in salt and animal protein; an acidic diet — one that features lots of animal protein — can cause kidney stones.

Incorporate citrus (citrate) into your diet. Add lemon or orange slices to your drinking water or drink lemonade or orange juice, but go easy on the latter, as too much can raise the body’s level of oxalates.

Include calcium at mealtime.

Take a supplement or drink a glass of milk at mealtime to help bind the oxalate in your gut.

Kidney stone

Solid and irregularly shaped like their rocky namesakes, kidney stones are deposits of mineral salts excreted by the kidneys, according to urologist Deborah L. Wilson, M.D., of Urology Associates in Scottsdale.

They can vary in size and may occur singly or in multiples, but most kidney stones are comprised of calcium or oxalate, a simple Source: Deborah L. Wilson, M.D., molecule that naturally occurs in humans.

Urology Associates, Scottsdale Stones may also be formed from uric acid, bacterial wastes known as struvite, or, more rarely, an amino acid known as cystine.

Ali Borhan, M.D., a urologist with Affiliated Urologists in Phoenix.

Dehydration and other causes The pain is typically felt in one’s back and “When the kidneys get rid of things we don’t tends to radiate toward the groin, but Wilson need anymore, sometimes these things said sufferers also may have only abdominal in the urine crystallize together to form a pain or groin pain. They could also experistone. When that occurs, dehydration is the ence fever, chills, nausea, vomiting, blood in most common cause,” Wilson said, adding the urine or abnormally colored urine. Both that increasing one’s intake of purified Borhan and Wilson said patients often liken or distilled water is the best way to avoid the pain to the experience of undergoing developing kidney stones. natural childbirth — and even male patients But other factors besides dehydration can say that, Borhan said, noting that most people prompt formation of kidney stones, she said. describe the feeling as a sharp, on-and-off Some people are more prone to the condipain that increases in intensity. tion, while metabolic abnormalities, such as kidneys that excrete too much calcium, also Medical treatments make someone more likely to develop stones. Professional medical attention is always recommended for kidney stones, and most Painful symptoms cases are fairly easy to treat in a matter of a While some people who develop kidney day or two. It’s important to be aware of the stones experience no symptoms at all, most fact that in rare instances, untreated kidney people do — and it’s in the form of extreme stones can lead to death, Borhan said, if pain. That’s because when a stone develops, sepsis — a deadly infection — sets in. it generally becomes lodged in the ureter — As for treatment, if the stones are small the tube that carries urine from the kidney enough, supportive care consisting of water to the bladder — causing urine to back up and pain medication should do the trick into the kidney. That feeling of fullness in and help the stones pass out of the body on the kidneys is what causes the excruciating their own, Wilson said. Other medications pain associated with the disorder, said may also help, but sometimes more invasive

Ureter

Thinkstock

measures are necessary. For example, a doctor may insert a ureteroscope into the ureter and use the device’s fiber-optic laser to decimate the stone. A small basket on the device then helps bring the stone out.

Another option is to send shock, or sound,

waves through the body to break up the stones so they can pass through the body with urine, Borhan said. Extracorporeal Shock Wave Lithotripsy (ESWL) is mainly used for stones that are lodged high up near the kidneys or in other hard-to-reach areas.

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4 | Livingwell a-z | Wednesday, May 7, 2014

MAY

Take advantage of opportunities to meet others with similar issues and learn more about various aspects of your health — from A to Z. Allgroupsandeventsarebelieved, butnotguaranteed,tobefreeunless otherwisestated.Everyefforthasbeen madetoverifyaccuracy,butpleasecall beforeattendingtoconfirmdetails.

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

WELLNESS

HIP REPLACEMENT SURGERY May 8 & 22, 6–7:30 p.m.

Various locations Register: 480-882-4636; hipreplacementaz.com

MEDICATION CHECKS Call to schedule an 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) AQUATIC FITNESS CLASS Various dates; 9 a.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5830 FITNESS & WELLNESS PROGRAM Various dates; 1–2 p.m.

Paradise Valley Hospital 3805 E. Bell Rd., Phoenix 602-923-5648 BLADDER HEALTH May 7, 7–8 p.m.

By Scottsdale Healthcare at Barnes & Noble Booksellers 10500 N. 90th St., Scottsdale 480-882-4636; shc.org/events EATING WELL May 14, 5:30–7 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5555 NUTRITIONAL COOKING CLASS May 14, 6–7:30 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92nd St., Scottsdale Register: 480-882-4636; shc.org/events UNDERSTANDING PERIPHERAL VASCULAR DISEASE May 20, 6:30–7:30 p.m.

By Midwestern University at Glendale-Foothills Library 19055 N. 57th Ave., Glendale 623-930-3868

CAREGIVERS GENERAL CAREGIVERS ByDuet;Variousdates,times&locations 602-274-5022; DuetAZ.org CAREGIVERS May 7, 10:30 a.m.–noon John C. Lincoln 9202 N. Second St., Phoenix 602-870-6374; bhrc@jcl.com CAREGIVER SUPPORT May 12 St. Joseph’s 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 CAREGIVER SUPPORT GROUP May 14, 2:30 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) CAREGIVING SUPPORT GROUP May 16, 9–11 a.m.

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

GRIEF GRIEF SUPPORT Various dates, times & locations

By Hospice of the Valley hov.org/grief-support-groups GRIEF SUPPORT GROUP May 7, 14, 21 & 28, 2–3:30 p.m.

Banner Heart 6750 E. Baywood Ave., Mesa Rev. Cindy Darby, 480-657-1167; BannerHospice.com GRIEF SUPPORT May 8 & 22 St. Joseph’s 350 W. Thomas Rd., Phoenix Call for time: 602-406-3275 GRIEF BEFORE LOSS May 28, 10–11 a.m.

KNEES, HIPS & SPINE

SPINAL SURGERY May 12, 6–7:30 p.m.

Scottsdale Healthcare Thompson Peak 7400 W. Thompson Peak Pkwy, Scottsdale Register: 480-882-4636; scottsdalespinesurgery.com MINIMALLY INVASIVE KNEE SURGERY May 13, 6–7 p.m.

John C. Lincoln 19841 N. 27th Ave., Phoenix 623-879-5249; event.registration@jcl.com MAKOPLASTYKNEEREPLACEMENT May 15, 6 p.m.

Arrowhead Hospital 18701 N. 67th Ave., Glendale 855-292-WELL; azhealthyhours.com MINIMALLY INVASIVE KNEE SURGERY May 27, 6–7 p.m.

John C. Lincoln 33423 N. 32nd Ave., Phoenix 623-879-5249; event.registration@jcl.com

PAIN/ARTHRITIS AQUATIC ARTHRITIS & FIBROMYALGIA CLASS Various dates; 8 a.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5830 HOPE FOR TOMORROW May 13, 20 & 27, 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 RHEUMATOID ARTHRITIS May 15, noon Mountain Vista Medical Center 1301 S. Crimson Rd., Mesa Register: 877-924-WELL (9355)

HEART/STROKE STROKE CHECK

By Banner Health Various dates, times & locations 602-230-2273 STROKE SCREENING May 8, 8 a.m.–noon John C. Lincoln 9202 N. Second St., Phoenix 623-434-6265; RSVP@jcl.com STROKE SURVIVOR May 8, 2:30–4 p.m.

Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414 EMOTIONAL & PHYSICAL HEART HEALTH May 13, 9:30–10:30 a.m.

Banner Boswell 13180 N. 103rd Ave., Sun City 602-203-2273 TAKING CARE OF YOUR HEART May 13, 9:30–10:30 a.m.

Banner Boswell 10401 W. Thunderbird Blvd., Sun City 623-832-4000

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

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

MAY 8, 14 & 15 BENEFITS ENROLLMENT PRESENTATION WHAT: Info on services available to low-income, disabled and elderly residents as well as eligibility requirements for various federal assistance programs.

WHERE: Surprise Senior Center, 15832 N. Hollyhock St., Surprise TIME: Various PRESENTED BY: Banner Health COST: Free INFO/REGISTER: 623-974-6796

MAY 13 DEPRESSION? DEMENTIA? OR DELIRIUM? WHAT: Forum to help caregivers understand the differences between depression, dementia and delirium and how to care for someone suffering from one of these medical conditions.

WHERE: Foundation for Senior Living Caregiver House, 1201 E. Thomas Rd., Phoenix TIME: 1–5 p.m.

PRESENTED BY: Arizona Geriatrics Society COST: Free INFO/REGISTER: 602-265-0211; arizonageriatrics.org

MAY 15, 16 & 17 DAY ON THE LAKE WHAT: A day of adapted water activities for people with physical and/or neurological disabilities and their families.

WHERE: Bartlett Lake Marina, 20808 E. Bartlett Dam Rd., Rio Verde TIME: 8 a.m.–3 p.m.

PRESENTED BY: Barrow Neurological Institute at St. Joseph’s COST: $45 INFO/REGISTER: 877-602-4111; thebarrow.org/connection ABCs OF HEART HEALTH May 23, noon–1 p.m.

By St. Luke’s at Burton Barr Central Library 1221 N. Central Ave., Phoenix Register: 877-351-WELL (9355)

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

Phoenix Baptist Hospital 2040 W. Bethany Home Rd., Phoenix 602-841-5505; pastoralcareaz.org DIABETES SUPPORT GROUP May 12, 3 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) DIABETES SUPPORT GROUP May 13, 6:30–8 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5555 DIABETES PUMPER GROUP May 20, 7–8 p.m.

Rome Towers 1760 E. Pecos Rd., Gilbert 877-728-3535

ALZHEIMER’S/DEMENTIA FOR CAREGIVERS: PLANNING AHEAD May 12, 4–6 p.m.

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

STROKE SUPPORT GROUP May 21, 1 p.m.

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

FOR CAREGIVERS: AFTER DEMENTIA DIAGNOSIS May 13, 10–11:30 a.m.

By Banner at The Terraces of Phoenix 7550 N. 16th St., Phoenix 602-839-6850

STROKE SCREENING May 22, 8 a.m.–noon John C. Lincoln 19841 N. 27th Ave., Phoenix 623-434-6265; RSVP@jcl.com

ALZHEIMER’S & MEMORY SUPPORT May 13, 20 & 27, 10 a.m.–noon

By Benevilla at Faith Presbyterian Church

MAY 17

WHERE: Banner Del E. Webb, 14502 W. Meeker Blvd., Sun City West TIME: 10:30 a.m.–12:30 p.m.

PRESENTED BY: Banner Health COST: $35 INFO/REGISTER: 602-230-2273

ADVANCES IN TREATMENT FOR DOWN SYNDROME WHAT: For parents and caregivers of children with Down syndrome to connect with others and learn about advances in treatment and care.

WHERE: Phoenix Children’s Hospital, 1920 E. Cambridge Ave., Phoenix TIME: 8 a.m.–12:15 p.m.

COST: Free INFO/REGISTER: 602-933-3300; phoenixchildrens.org

MAY 19 MOBILIZING CANCER RESOURCES & SUPPORT WHAT: Presentation panel to help patients and family members find and utilize resources. Panel includes representatives from the American Cancer Society, an oncology social worker and a cancer survivor.

WHERE: Banner Thunderbird, 5555 W. Thunderbird Rd., Glendale TIME: 5:30–7 p.m.

COST: Free INFO/REGISTER: 602-230-2273

MAY 17 MATTERS BELOW THE BELT WHAT: Many women avoid talking about vaginal symptoms related to menopause. Experts explain what you may be experiencing and discuss treatment options.

WHERE: Superstition Springs Golf Club, 6542 E. Baseline Rd., Mesa TIME: 10 a.m.–noon PRESENTED BY: Banner Health COST: Free INFO/REGISTER: 602-230-2273

MAY 22 STROKE CHECKS WHAT: A free stroke-risk assessment through StrokeCheck. Screenings may include cholesterol, glucose and blood pressure checks, among others.

WHERE: Mountain Vista Medical Center, 1301 S. Crimson Rd., Mesa; St. Luke’s Hospital, 1492 S. Mill Ave., Tempe TIME: 9 a.m.–noon COST: Free INFO/REGISTER:877-924-WELL(9355)

MAY 17 CHILDREN ARE PRICELESS PASSENGERS WHAT: Education about injury prevention, crash dynamics, restraints for children and installation of child safety seats.

Phoenix Children’s Hospital hosts “Advances in Treatment for Down Syndrome” on May 17.

Thinkstock

BREAST CANCER

16000 N. Del Webb Blvd., Sun City 623-584-4999; Benevilla.org

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

FRONTOTEMPORAL SUPPORT GROUP May 13, 12:30–2 p.m.

Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix 602-839-6850 TRANSITIONING TO RESIDENTIAL CARE May 14, 10 a.m.–noon Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix 602-839-6850

METASTATIC BREAST CANCER SUPPORT May 7, 11:30 a.m.–1 p.m.

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

FOR CAREGIVERS: NEXT STEPS May 15, 12:30–2:30 p.m.

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

YOGA FOR DISCOVERY May 7, 14, 21 & 28, 6–7:30 p.m.

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

ALZHEIMER’S SUPPORT May 18, 11 a.m.–12:30 p.m.

Huger Mercy Living Center 2345 W. Orangewood Ave., Phoenix 602-406-5600

LEARN & SUPPORT May 8 & 22, 6–8 p.m.

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

CAREGIVER SUPPORT GROUP May 19, 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)

BREAST CANCER SUPPORT May 12, 2–4 p.m.

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

FOR CAREGIVERS: AFTER DEMENTIA DIAGNOSIS May 19, 4–5:30 p.m.

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

BREAST BUDS SUPPORT GROUP May 17, 11 a.m.–1 p.m.

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

ALZHEIMER’S CAREGIVERS May 20, 12:30–2 p.m.

By Duet at Church of the Beatitudes 555 W. Glendale Ave., Phoenix Register: 602-274-5022

BREAST CANCER SUPPORT May 27, 5–6:15 p.m.

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

LEWY BODY DEMENTIA May 22, 1–2:30 p.m.

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

LIVING WITH CANCER SUPPORT May 7 & 12; Various times Virginia G. Piper Cancer Center

CANCER SUPPORT GROUPS

MAY 22 & 23 TRAINING FOR CONGREGATIONAL HEALTH LEADERS WHAT: For individuals interested in starting or enriching their congregation’s existing health and wellness program, as well as faith community nurses wanting a refresher course.

WHERE: St. Joseph’s, 350 W. Thomas Rd., Phoenix TIME: 8:30 a.m.–4 p.m.

PRESENTED BY: Duet COST: $30 INFO/REGISTER: 602-274-5022

MAY 31 WOMEN, CANCER & SEXUALITY WHAT: Conference covering sexuality from multiple perspectives: a biomedical model, a naturopathic approach and intimacy concerns such as body image and connecting with your partner.

WHERE: 360 E. Palm Lane, Phoenix PRESENTED BY: Cancer Support Community TIME: 9 a.m.–noon COST: Free INFO/REGISTER: 602-712-1006; rsvp@cscaz.org

MAY 31 SKIN CANCER SCREENING WHAT: Skin cancer screenings, risk and prevention education and proper sunscreen use.

Discounts on all UV-safe clothing and swimwear in Tina’s Treasures Boutique.

WHERE: Virginia G. Piper Cancer Center, 10460 N. 92nd St., Scottsdale TIME: 8:30–11:30 a.m.

COST: Free INFO/REGISTER: shc.org/events or 480-882-4636. at Scottsdale Healthcare 10460 N. 92nd St., Scottsdale Register: 480-323-1321; shc.org/events ORAL, HEAD & NECK SUPPORT May 7, 3–4:30 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com CHAIR YOGA May 7, 14, 21 & 28, 10–11 a.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com TAI CHI May 7, 13, 20 & 27, 5–5:45 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-855-2224; ironwoodcrc.com NON-HODGKIN’S LYMPHOMA SUPPORT May 8, 6–8 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92nd St., Scottsdale Register: 480-323-1250; shc.org/events GYNECOLOGICAL CANCER SUPPORT May 13, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Phoenix 480-412-4673 BRCATEERS SUPPORT May 13, 6:30–8:30 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92nd St., Scottsdale Register: 480-882-4636; shc.org/events GYNECOLOGICAL CANCER SUPPORT May 14, 6–7:15 p.m.

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

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Wednesday, May 7, 2014 | Livingwella-z | 5

ABRAZO HEALTH CARE: AbrazoHealth.com AZ Heart Institute and AZ 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

240 W. Thomas Rd., Phoenix 602-406-6903 PWR!MOVES™ May 13, 20 & 27, 1:15–2:15 p.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix 602-406-6903 ART OF MOVING May 13, 20 & 27, 2:30–3:30 p.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix 602-406-6903 PARKINSON’S SUPPORT GROUP May 20, 3–5 p.m.

By Benevilla at Shepherd of the Hills Church 13658 Meeker Blvd., Sun City West 623-584-4999; Benevilla.org

SCOTTSDALE HEALTHCARE: SHC.org

SENIORS

ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: StJosephs-Phx.org

FALL PREVENTION May 22, 1–2 p.m.

By Scottsdale Healthcare at Civic Center Auditorium 3839 N. Drinkwater Blvd., Scottsdale 480-882-4636; shc.org/events

ST. LUKE’S MEDICAL CENTER: StLukesMedCenter.com TEMPE ST. LUKE’S HOSPITAL: TempeStLukesHospital.com GENETIC RELATIONSHIPS IN CANCER May 14, 6–7:30 p.m.

Banner Gateway 1900 N. Higley Rd., Gilbert 602-230-2273

METASTATIC CANCER SUPPORT May 28, 3–4:30 p.m.

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

COLON CANCER SUPPORT May 15, 6–7 p.m.

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

NAVAJO CANCER CONFERENCE June 14 Navajo Nation Museum Highway 264 & Postal Loop Rd., Window Rock 623-388-6837;azmyelomanetwork.org

CAREGIVER SUPPORT GROUP May 17, 10 a.m.–noon Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com

PARKINSON’S

PROSTATE CANCER SUPPORT May 19, 4–5:30 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com PATIENT & CAREGIVER MIXER May 20, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Phoenix 480-412-4673 LEUKEMIA, LYMPHOMA & MYELOMA SUPPORT May 21, 3–4:30 p.m.

Ironwood Cancer & Research Centers 685 S. Dobson Rd., Chandler Register: 480-340-4013; ironwoodcrc.com ORAL, HEAD & NECK CANCER SUPPORT May 21, 4:30–6:30 p.m.

Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-6444 SKIN CANCER May 21, 7–8 p.m.

By Scottsdale Healthcare at Barnes & Noble Booksellers 10500 N. 90th St., Scottsdale 480-882-4636; shc.org/events GENERAL CANCER SUPPORT May 22, 4:30–5:30 p.m.

Ironwood Cancer & Research Centers 3645 S. Rome St., Gilbert Register: 480-340-4013; ironwoodcrc.com LIVING WITH LYMPHEDEMA May 26, 6:30–8:30 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92nd St., Scottsdale Register: 480-323-1100; shc.org/events PROSTATE CANCER SUPPORT May 26, 7–9 p.m.

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

PARKINSON’S EXERCISE CLASS May 7, 14, 21 & 28, noon Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5830 TAI CHI May 7, 14, 21 & 28, 2–3 p.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix 602-406-6903 JAVA & JABBER May 8, 15, 22 & 29, 10–11 a.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix 602-406-4931 EDUCATION FOR NEWLY DIAGNOSED May 8, 1:30–3 p.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix Register: 602-406-3840 PARKINSON’S CAREGIVERS May 8, 1:30–3 p.m.

By Duet at Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org YOGA May 8, 15, 22 & 29, 2–3 p.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix 602-406-6903 MATTER OF BALANCE May 9, 16, 23 & 30, 1:30–3:30 p.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix 602-406-6903 PARKINSON’S DANCE May 12, 19 & 26, 1:30–2:30 p.m.

Muhammad Ali Parkinson Wellness Center 240 W. Thomas Rd., Phoenix 602-406-6903 VOICE CLASS May 13, 20 & 27, 11 a.m.–noon Muhammad Ali Parkinson Wellness Center

SUMMER FOOT SAFETY June 3, noon Mountain Vista Medical Center 1301 S. Crimson Rd., Mesa Register: 877-924-WELL (9355)

GASTROINTESTINAL CELIAC DISEASE FOUNDATION May 7, 7 p.m.

Paradise Valley Retirement Center 11645 N. 25th Pl., Phoenix 480-226-8313; phoenixceliac.org

BETTER BREATHERS CLUB May 21, 1–2 p.m.

By the American Lung Association at HealthSouth East Valley 5652 E. Baseline Rd., Mesa 480-567-0350; breatheeasyaz.info BETTER BREATHERS CLUB May 21, 2–3 p.m.

Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414

BRAIN/EPILEPSY

BRAIN INJURY SUPPORT May 22, 6–7:30 p.m.

St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-508-8024 or 602-406-6688

EAST VALLEY OSTOMY SUPPORT May 18, 2–4 p.m.

First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324

RESPIRATORY BETTER BREATHERS/COPD SUPPORT Various dates, times & locations By the American Lung Association 602-429-0005; breatheeasyaz.info BETTER BREATHERS CLUB May 9, 10 a.m.–noon By the American Lung Association at Mayo Clinic 5777 E. Mayo Blvd., Phoenix 480-342-2348; breatheeasyaz.info CHILDREN’S ASTHMA MANAGEMENT May 12, 6:30–8 p.m.

John C. Lincoln 19841 N. 27th Ave., Phoenix 623-879-5452; PCOC@jcl.com LUNG TRANSPLANT SUPPORT May 13, 11:45 a.m.–1 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-7009 BETTER BREATHERS CLUB May 15, 5:30–7 p.m.

By the American Lung Association at Arizona Center for Chest Diseases 5090 N. 40th St., Phoenix 602-286-8507; breatheeasyaz.info BETTER BREATHERS CLUB May 19, 1–2 p.m.

By the American Lung Association at Tanner Terrace 7138 N. 45th Ave., Glendale 602-628-5800; breatheeasyaz.info

BARIATRIC SURGERY INFO SESSION May 17, 21 & 29; Various times Banner Gateway 1900 N. Higley Rd., Gilbert 602-230-2273

PARENTING

BARIATRIC SUPPORT GROUP June 3, 5–6:30 p.m.

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

HEARING LOSS HEARING LOSS SUPPORT GROUP May 8, 12:45–2:30 p.m.

Hearing Loss Association of America at Ed Robson Library Branch 9330 E. Riggs Rd., Sun Lakes 602-652-3000; reggiefaith@gmail.com

SUPPORT THROUGH OTHER PARENTS (S.T.O.P.) May 8, 15, 22 & 29, 7–9 p.m.

First Presbyterian Church 161 N. Mesa Dr., Mesa 623-846-5464; SupportThroughOtherParents.org

NE VALLEY EPILEPSY GROUP May 19, 7–9 p.m.

By Epilepsy AZ at Mayo Hospital 5777 E. Mayo Blvd., Phoenix Register: 602-406-3581; epilepsyaz.org/programs

OSTOMY SUPPORT May 15, 12:30 p.m.

La Casa de Cristo Lutheran Church 6300 E. Bell Rd., Scottsdale 623-580-4120

BREASTFEEDING SUPPORT May 20, 11 a.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5908

POSTPARTUM DEPRESSION May 7, 14, 21 & 28, 1–2:30 p.m.

Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414

EAST VALLEY EPILEPSY GROUP May 15, 6:30–8:30 p.m.

By Epilepsy AZ at IHOP 2100 S. Power Rd., Mesa Register: 602-406-3581; epilepsyaz.org/programs

BRAIN ANEURYSM SUPPORT May 21, 6–8 p.m.

St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 760-333-7658; Kimberly@JoeNiekroFoundation.org

BARIATRIC SURGERY INFO SESSION May 10, 8–10 a.m.

Banner Estrella 9201 W. Thomas Rd., Phoenix 602-230-2273

GRANDPARENTS RAISING GRANDCHILDREN

By Duet Various dates, times & locations 602-274-5022; DuetAZ.org

CENTRAL PHOENIX EPILEPSY GROUP May 12, 6:30–8:30 p.m.

By Epilepsy AZ at Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-406-3581; epilepsyaz.org/programs

OSTOMY SUPPORT May 13, 6 p.m.

Elite Home Healthcare Services 2140 W. Greenway Rd., Phoenix 602-246-8221

BREASTFEEDING SUPPORT GROUP May 13 & 22; Various times Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 623-524-4283

GRANDPARENTS RAISING GRANDCHILDREN

By Benevilla Various dates, times & locations 623-207-6016; Benevilla.org

FLAGSTAFF EPILEPSY GROUP May 8, 6–7 p.m.

By Epilepsy AZ at North Country Healthcare 2920 N. Fourth St., Flagstaff Register: 602-406-3581; epilepsyaz.org/programs

GUARDIANSHIP CLINIC May 9, 3–5 p.m.

By Duet 555 W. Glendale Ave., Phoenix Reservations: 602-274-5022, ext. 31; DuetAZ.org INFANT BRAIN DEVELOPMENT May 10, 9 a.m.–1 p.m.

Tempe St. Luke’s 1500 S. Mill Ave., Tempe 480-784-5588 PICKLES & ICE CREAM MATERNITY TOUR May 10, 17, 24 & 31, 9:30 a.m.

Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-2273

YOUNG ADULT BRAIN INJURY May 22, 6–7:30 p.m.

St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-996-1396 or 602-406-6688

SUPPORT THROUGH OTHER PARENTS (S.T.O.P.) May 13, 20 & 27, 7–9 p.m.

Larkspur Christian Church 3302 W. Larkspur Dr., Phoenix 623-846-5464; SupportThroughOtherParents.org

BRAIN TUMOR SUPPORT May 27, 6–8 p.m.

St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 623-205-6446

WOMEN’S SERVICES UNIT TOUR May 15, 7 p.m.

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

BREASTFEEDING BREASTFEEDING May 7, 14, 21 & 28, 11 a.m.

Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414

MOTHER-TO-MOTHER SUPPORT May 23, 10–11:30 a.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 877-602-4111

BREASTFEEDING May 9, 16, 23 & 30, 10 a.m.

Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 877-728-5414

WEIGHT LOSS WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations St. Luke’s 555 N. 18th St., Phoenix Register: 800-248-5553 Webinar: BridgesAZ.com

BREASTFEEDING SUPPORT GROUP May 12, 19 & 26, 10–11:30 a.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-4954

HEARING LOSS SUPPORT GROUP May 22, 1:30–3:30 p.m.

By AZ Chapter, Hearing Loss Association of America at Lions Foundation Campus 9451 N. 99th Ave., Peoria 301-657-2248; hearlingloss.org; melanie.orourke@gmail.com HEARING LOSS SUPPORT GROUP May 28, 2–4 p.m.

By AZ Chapter, Hearing Loss Association of America at Fountain Hills Community Center 13001 N. La Montana Dr., Fountain Hills 301-657-2248; hearingloss.org; kfonville@fhfh.az.gov

ADDITIONAL SUPPORT GROUPS HUNTINGTON’S DISEASE May 19, 6–8 p.m.

St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-402-1774 WOMEN WITH MULTIPLE SCLEROSIS May 31, 10 a.m.

St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 480-829-6563

SPANISH PARKINSON’S EDUCATION, ART, SINGING & EXERCISE Various dates, times & locations Muhammad Ali Parkinson Wellness Center Register: 602-406-2453

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

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For accommodation of persons with special needs at sales meetings call 855.298.4382 (TTY 711).

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

REGISTER: 855.298.4385

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

Sign up today for a Free Stroke Check at your local Banner Health hospital.

Call (602) 230-2273 or visit www.BannerHealth.com/230CARE to register.

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Most people my age don’t think they can get skin cancer. But I was diagnosed with stage one melanoma at 17. Now, I wear my scar proudly and tell my friends how important it is to get regular skin checks.

My answer was Mayo Clinic. +/$*#&" %!,).0 %'!)"$(0 1-

Because of Mayo Clinic’s collaborative model of care, Caity had an entire team on her side, focused 9< 164 46:9+64=) @9?( 216 /2 :&<:64D5466 &<8 &C6<8/<3 :9''636) ,94 9+64 $%% =6&42( 7697'6 549> &'' walks of life have come to Mayo Clinic for answers. Mayo is an in-network provider for millions 95 7697'6) B< >920 :&262 =9. 89<A0 <668 & 71=2/:/&< 465644&') ,94 >946 /<594>&0/9< 94 09 2:168.'6 &< &779/<0>6<0( +/2/0 >&=9:'/</:)943!&4/;9<& 94 :&'' $D-%%D""FD##E*)

Visit mayoclinic.org/arizona

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Fear of flying

CATARACT & REFRACTIVE SURGERY Scott A. Perkins, MD

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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.

There is help for this common phobia

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

Thinkstock

F

By Nick Kostenko

FAMILY MEDICINE Renee Tomazic, DO

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Dr. Tomazic is a family medicine specialist providing comprehensive and passionate care at Scottsdale Healthcare Primary Care Shea.

She received her medical degree in osteopathic medicine from the Philadelphia College of Osteopathic Medicine in Pennsylvania. Dr. Tomazic is board-certified by the American Board of Family Medicine and licensed by the American Board of Osteopathic Examiners.

SCOTTSDALE HEALTHCARE PRIMARY CARE SHEA 10301 N 92nd St #B201, Scottsdale Primarycareshea.org 480-882-7410

Free basic classes

FAMILY MEDICINE, GERIATRICS Jeanette Robles-Suarez, MD

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A graduate of Autonomous University of Baja California’s School of Medicine, Dr. Jeanette Robles-Suarez completed her residency at Hofstra NSLIJ School of Medicine, Southside Hospital. Dr. Robles-Suarez specializes in family medicine, geriatrics and palliative medicine.

Banner Health Center 13640 N. Plaza del Rio Blvd., Peoria Floors 1st, 2nd and 3rd www.bannerhealth.com/bamc-primarycare 623-876-3980

Nielsen offers the basic FearlessFlight classes for free. Cleared for Takeoff (CFT) 101 is a theory class revolving around airplanes and the psychology of fear, while CFT 102 takes place on a Southwest Airlines Boeing 737 on the ground at Sky Harbor Airport.

“It offers class members an opportunity to actually desensitize themselves to an airplane and its environment and ask questions they have about flying,” Nielsen said. “Both classes use a studentcentered approach with a lot of humor and interaction.”

Advanced classes

INTERNAL MEDICINE, PRIMARY CARE Bindu E. Rajan, MD

Dr. Bindu Rajan is a graduate of the University Medical School of Debrecen in Hungary and focuses her practice preventing and managing chronic disease, with an emphasis on diabetes.

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ear of flying is a problem for thousands of individuals, ranging from minor worries to full-blown terror. A former airline pilot offers a number of classes in the Valley to help combat this phobia. Capt. Ron Nielsen is a retired pilot who worked for America West Airlines. He became involved in the FearlessFlight program in 1987 and took over the program full-time in 2000.

Banner Health Center 13640 N. Plaza del Rio Blvd., Peoria Floors 1st, 2nd and 3rd www.bannerhealth.com/bamc-primarycare 623-876-3980

Nielsen also offers CFT 201, an advanced class that costs $150 tuition plus airfare to a destination in the Los Angeles area. To help assuage any nerves, CFT 201 includes a webinar and briefing about the experience before the plane takes off. A six-week online-only class, Fearless Flight NOW, is also offered, featuring live classes as well as a library of downloadable course materials.

“It [teaching these classes] is without a doubt one of the most fulfilling experiences in my life,” Nielsen said. “I love aviation and to find people who are so terrified that they

Cleared For Takeoff Class information

CFT 101, Basic Class: Offered every other month. Next class is May 17 from 1–3:30 p.m. Free.

CFT 102, Plane Truth: Offered on months alternating with CFT 101.

Next class is June 21. Free.

CFT 201, Advanced Class: Offered depending on demand (usually every 2–3 months).

Cost: $150 tuition plus airfare to Los Angeles. Students may bring a coach who is not charged tuition but must purchase airfare.

FearlessFlight NOW (online class): This 6-week online course includes a membership site with supplemental audio and video programs as well as free updates to the FearlessFlight Harmonizer with Biofeedback software and new modules. Cost: $297.

Elite Coaching: One-on-one coaching for business executives and people with demanding schedules. Check with Capt.

Nielsen for costs.

More info

Web: FearlessFlight.com Email: CaptRon@FearlessFlight.com Phone: 480-730-1467 cannot fly — or are so miserable when they do fly — was both surprising and disappointing because flying is the safest and most efficient way to travel on Earth.”

ORTHOPEDIC SURGERY, ORTHOPEDICS Michael J. Latteier, MD

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A graduate of the University of Southern California’s Keck School of Medicine in Los Angeles, Dr. Latteier is a board-certified orthopedic surgeon specializing in hip and knee joint replacement and revision joint replacement surgery.

We offer support and guidance every stepalong the way.

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

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CIGNA MEDICAL GROUP 1717 W. Chandler Blvd. | Chandler 480.821.7565

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Dr. Erlinda Rodriquez

Dr. Erlinda Rodriquez is a family physician, specializing in Diabetes care. Dr. Rodriquez is board certified in Family Medicine and Urgent Care and has been recognized by the NCQA for her care in Diabetes and Heart/Stroke. Dr. Rodriquez is a graduate of the University of Arizona and member of the American Board of Family Medicine as well as the American Academy of Family Practice.

PRIMARY CARE Dr. Bernadette Arnecke

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Dr. Bernadette Arnecke is a family physician, specializing in Internal Medicine. She provides comprehensive primary care to patients ages 18 and over. Dr. Arnecke is a graduate of the University of Texas, Galveston Texas and Fellow of the American College of Physicians.

CIGNA MEDICAL GROUP 10900 North Scottsdale Road, Suite #606 | Scottsdale 480.368.2500

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Caring for your veins

Symptoms and common treatment options

V

By Meghann Finn Sepulveda

eins help your heart work properly.

They are made up of tiny valves that move blood up and against the flow of gravity from your legs to your heart. Veins de-oxygenate blood, removing toxins before bringing it back to your heart; they can get clogged if they become enlarged.

“If the valve within the vein becomes weak, or there is blood leakage, the backup of blood flow to the vein collects,” said Jim Dearing, D.O., vice president and chief medical officer, John C. Lincoln Health Network’s Accountable Care Organization.

“Because veins in the legs are farthest away from the heart, they have more workload and it’s harder for those valves to function properly.”

Early symptoms

“Patients complain of heaviness or fatigue in their legs, night cramps and ankle swelling,” said Rajagopalan Ravi, M.D., vascular surgeon and medical director of the Vein Center at Arizona Heart Institute.

“This is the stage when I want to see patients, not when skin discoloration or inflammation develops.”

The majority of people with spider veins and larger varicose veins seek treatment for

cosmetic reasons, but they may experience discomfort, which is often thought to be attributed to another medical condition.

“Sometimes with larger varicose veins, blood can pool in the legs and people feel dizzy because there is a drop in blood pressure,” Ravi said. Patients can also experience itching or burning or, if the vein is big enough, it could develop sores or skin ulcers.

“In some cases, the wall of the vein could inflame and can cause a blood clot,” Ravi said. “When blood clots are formed, it poses a serious medical problem.”

Treatment options

Several outpatient procedures are available to reduce or remove spider and varicose veins, including laser treatment and ablation to destroy the inner lining of the vein. In addition, sclerotherapy is one of the most common treatments. “Sclerotherapy is where we use a liquid chemical to stop blood flow to the vein causing it to fade away,” Dearing said. “The body will find a way to redirect that blood flow so it doesn’t affect the function of the body.”

Physicians also recommend lifestyle changes such as exercise, weight management and daily use of compression stockings to remove pressure from veins and increase blood flow.

A pain in the leg Near right: A normal vein with a working valve and normal blood flow.

NORMAL VEIN

Far right: A varicose vein with a deformed valve, abnormal blood flow, and thin, stretched walls.

VARICOSE VEIN

Valve

Normal blood flow

Dilated vein Deformed valve Abnormal blood flow

Thinkstock

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8 | Livingwell a-z | Wednesday, May 7, 2014

Blood donors are needed all the time, not just during emergencies

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By Nick Kostenko

ccording to Debra Deininger, communications manager for American Red Cross Blood Services in Tucson, every two seconds someone in the U.S. needs blood.

“That could be you, a loved one, a neighbor or a coworker,” she said. “The need is constant and there is no artificial substitute for human blood. It can only come from generous blood donors.”

Requirements

Blood donors need to meet certain requirements before they can donate, Deininger

or travel to countries where malaria is prev- Misconceptions “People often associate blood alent. Recruiting consistent donors is one of A common misconception is that blood is only transfusions with emergencies only, the Red Cross’s biggest challenges. needed when a disaster strikes. “People often but patients with blood disorders say they’ll wait for a disaster or emergency and chronic illnesses may need blood on Lifelong habit to donate,” Deininger said. “But that will be “Typically, whole blood donors in Arizona an ongoing basis for long-term care.” too late to help people who immediately need donate one or two times per year to the Red Cross, but they are eligible to donate said. Participants must be in generally good whole blood as many as six times per year,” Deininger said. “We need donors who give health, weigh at least 110 pounds and be at regularly and who make blood donation a least 16 years old, with parental consent if lifelong habit. If donors could increase their they are between the ages of 16 and 18.

People can be temporarily or permanently annual number of donations by just one, it would help tremendously towards maindisqualified from donating for a number of reasons including certain medical conditions taining an adequate blood supply.”

—Debra Deininger, American Red Cross Blood Services

Hormones Additional risks

Simone said the majority of medical doctors will prescribe estrogen alone to women who don’t have a uterus and need HRT, because adding progesterone to estrogen also increases a woman’s risk for breast cancer while generally not adding any additional symptom relief. “It’s a statistically small risk,” said Simone, 51, who herself takes a combination of estrogen, progesterone and testosterone, “but it’s definitely been shown in studies.”

“The estrogen-progesterone combination can slightly increase a woman’s risk of blood clots and stroke,” said Karen Stark, M.D., a cardiologist and former medical director of women’s cardiovascular health at Scottsdale Healthcare. “The risk appears to be elevated in the first six months after a woman starts taking a combination HRT.”

Sooner rather than later

More info

For more information on donating blood or hosting a drive, call 800-RedCross (800-7332767) or visit redcrossblood.org/arizona.

“Antidepressants can help with sleeplessness or moodiness and irritability, while over-the-counter plant estrogens such as black cohosh can help relieve hot flashes.”

continued from the cover

All of the physicians interviewed for this article agree that it’s safer to take HRT when you’re going through menopause and shortly after rather than later in life. “The further you get away from menopause, the riskier it might be to reintroduce hormones,” Simone said.

“If you’re between 50 and 59, taking HRT will probably not have as adverse an effect on cardiovascular health as it might if you’re older,” Roy said. However, up to 10 years after menopause, Simone said, “some women go through almost a second menopause, where instead of producing decreased amounts of estrogen like they were in the first few years, they’re producing almost none and they can become

blood. Blood must be tested and processed before it’s ready for transfusion to patients and those processes take a few days. Blood must be on the shelf before the need occurs.”

— Jennifer Simone, M.D., gynecologist and medical director of Scottsdale Healthcare’s Center of Excellence in Minimally Invasive Gynecology

Medical conditions and HRT

Jennifer Simone, M.D., speaks with Nancy Audette of Scottsdale about preferred hormone replacement therapy options including patches, creams, lozenges and injectable pellets. extremely symptomatic.” In those situations, she said, it’s probably safe to take the smallest amounts of hormone replacement for as short a time as possible. “A very low dose may be all that’s needed at that point to relieve symptoms.”

Bioidentical hormones

Bioidentical hormones — derived from plants such as yams — are essentially copies of the same estrogen and progesterone molecules produced by the body, Simone explained, and most hormone replacement therapy prescribed today is bioidentical. “The beauty of bioidenticals is that we can tailor them to each patient to

deliver just the right amount of hormone needed based on symptoms and lab results.

The amount of hormone given can be gradually decreased to mimic a nice slow, gentle menopause.”

However, estradiol — the version of estrogen produced by the ovaries that is reproduced and administered as HRT — “is the same agent regardless of where it comes from or how it is synthesized,” Singh said. “If a woman prefers substances derived from plant sources instead of animal sources, we should be able to offer them an option, but there is no data that our bodies interpret a plant-sourced estradiol any differently.”

If a younger woman has had her ovaries removed, HRT is vital to help her preserve bone health, Singh said. However, a current or past breast cancer diagnosis probably means HRT cannot be taken safely, Simone said.

Yet there are narrow exceptions. “Women who have estrogen- and progesteronenegative breast cancer may have the option to use estrogen and progesterone,” Singh said. “An individual woman’s circumstances would have to be carefully evaluated.” In addition, she said, breast cancer genetic mutations (known as BRCA 1 and BRCA 2) do not preclude hormone replacement therapy. “This is the population who should consider treatment if they have their ovaries removed before age 45 as long as they have not had a hormone receptorpositive breast cancer,” Singh said.

A previous blood clot or stroke also means HRT is contraindicated, Stark said.

Learn the facts

The bottom line: be smart about HRT and learn the facts by talking to your healthcare provider and doing your own research.

“Some women in their 40s who have gone through surgical menopause are too scared to take HRT when they really need it, and other women in their 60s mistakenly believe there is little risk for them if they take HRT,” Singh said. “Understanding the realities is very important.”

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