Page 1







Vol. 3, No. 2 Vo

February 2013


Flu fighting The best defense is a good offense BY KRISTINE BURNETT

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Women face a variety of health issues specific to their gender. Experts advise staying in tune with your body, following your doctor’s advice for screenings and understanding your specific risk factors.

Women’s wellness: The who, what, when, where, why and how Learning the basics, journalism style



e recently asked several Valley physicians to answer a half-dozen questions that zero in on the essence of managing a woman’s health. (Note to men: we’ll do the same for you in a future issue of Living Well.)

Q: What is the flu? A: Christ describes influenza virus,

commonly known as the flu, as a complex and somewhat tricky viral infection of the lungs, throat and/or sinuses that causes an array of symptoms ranging from coughing, sneezing and a runny nose, to sore throat, fever and muscle and body aches.

Q: When is flu season? A: The Centers for Disease Control and

Prevention determines the official start of flu season, which typically begins the first week of October. In Arizona, the peak usually hits between February and March; however, a recent influx of cases put this year’s season ahead of schedule.

Q: How can I avoid getting the flu? A: Vaccination is by far the most effective

means of preventing the flu. Other tips include washing your hands regularly with warm soapy water, coughing and sneezing into your arm rather than your hands, and staying home when sick.

Q: When is the best time to get a flu shot? A: The ideal time to get vaccinated

against the flu is between September and November; however, getting vaccinated Continued on page 8 FLU FIGHTING


When it comes to the flu, Ben Franklin was right: an ounce of prevention really is worth a pound of cure. The nation — and Arizona — has been hit hard by the flu this year. And while the number of confirmed cases continues to rise, Cara Christ, M.D., chief medical officer for the Arizona Department of Health Services, said that’s just the tip of the iceberg. “Reports of people affected by the flu only reflect those individuals who have been seen by a physician and whose lab tests confirm flu,” she said. “Most people cope without seeking medical attention, so the actual incidence of flu is likely much higher.” If you have already had your flu vaccine, whether in the form of an injection or nasal mist, you have a solid layer of protection to help ward off infection. But if you haven’t been vaccinated, rest assured that it’s never too late to fight the flu. Following are some facts about the flu and tips for protecting yourself and those around you.

should you trust when it comes to your health: your “gut” or your doctor? Answer: Both.


“I encourage my patients to trust both their intuition about their own body and their doctor,” said Jennifer Hartmark-Hill, M.D., a Phoenix family medicine physician and assistant professor at the University of Arizona College of Medicine-Phoenix. For example, if you’re worried that something is wrong medically, but tests show everything is normal, “it’s wise to have a discussion with your primary care physician, who can guide you through an analysis of other factors that impact likelihood of illness and the most appropriate course of action and timeline for follow-up,” Hartmark-Hill said. In some situations, she said, such as a concern about breast health where no problem is found on imaging, your doctor can tell you changes to watch for and report immediately. “The bottom line is that you know your body and what’s normal for you,” she said. “No test is 100 percent accurate, so sometimes repeat testing at a later date or a referral for further evaluation is appropriate.”


effects do pregnancy and the early months of motherhood have on your health? Answer: More than you thought.


Most of us know about nausea and vomiting in the early weeks, but did you know that pregnancy can cause nasal congestion, nosebleeds and slightly blurry vision? Nasal congestion is caused by extra estrogen that makes nasal membranes swell, explained Lisa Jaacks, M.D., a Glendale OB-GYN. The blood vessels in your nose expand during pregnancy, making nosebleeds more likely, while vision changes are caused by a swelling of the lens. In addition, blood pressure drops during pregnancy, putting you at risk for dizziness and fainting. Pregnancy hormones also cause relaxation in muscles and ligaments, making you more prone to back and knee injuries, Jaacks said. Pregnancy and childbirth are the most common causes of pelvic prolapse, she added, which can lead to urinary incontinence. Heart volume changes, stemming from increased blood volume, can result in an irregular heartbeat, said Mike Foley, M.D., chair of the OB-GYN department at

Banner Good Samaritan Medical Center in Phoenix. The “mask of pregnancy” — a rash around the mouth and on the chin or dark coloring on the face — is also common, he said. The good news? Pregnancy reduces your lifetime risk of colon, uterine and ovarian cancers, Foley said.

should you be most concerned about cancer? Answer: For most cancers, beginning in middle age.


The risk of cancer increases with age, said Gerry Kato, M.D., a Scottsdale medical oncologist, but regular screenings can catch cancer early, when it’s most treatable. Breast and uterine cancer seem to be more prevalent in the decade of the 60s, he said, but ovarian cancer incidence jumps in the mid-50s. Screening recommendations include a colonoscopy at least every 10 years beginning at age 50, Kato said, noting that colon cancer is the third-leading cause of cancer in women, behind lung and breast cancer. Continued on page 8 WOMEN’S WELLNESS

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Survivors stress importance of screenings


Colorectal cancer

Education and screenings save lives


olorectal cancer, which is cancer of the colon or rectum, is the second leading cause of cancer-related deaths among cancers that affect both men and women, according to the Centers for Disease Control and Prevention (CDC). The disease most often affects people over 50 but can be found in younger patients, too. Proper screenings can lead to a higher cure rate or even prevent cancer in certain cases if polyps are detected and removed during a typical screening exam, such as a colonoscopy.

Signs and symptoms

Colorectal cancer, often called colon cancer for short, affects the colon (the large intestine) or the rectum, the passageway that connects the colon to the anus, according to the Colorectal Cancer Alliance (CCA).

“Colorectal cancer screenings should be part of your general health maintenance. Any kind of screening is better than ignoring it.” — Tomislav Dragovich, M.D., Ph.D., division chief of hematology and oncology, Banner MD Anderson Cancer Center The disease shows varying symptoms and is treated differently depending on its location (whether it is in the colon or rectum), said Darrell K. Reed, M.D., a boardcertified gastroenterologist practicing at Mountain Vista Medical Center and Mountain Vista Gastroenterology. Reed said the symptoms of colorectal cancer are few until the disease is relatively advanced. Common symptoms can include abdominal pain, change in bowel habits, rectal bleeding, weakness,

unexplained anemia and weight loss. He recommends that anyone experiencing these symptoms, regardless of age, talk with their physician immediately. While the risk for colon cancer is higher with age — more than 90 percent of cases happen in people who are age 50 or older, cites the CDC — other risk factors can include a family history of colon polyps or cancer, lifestyle components like obesity and poor diet, and other gastrointestinal issues such as inflammatory bowel disease. THINKSTOCK


Screening methods

“While there are many screening methods available, traditional colonoscopy remains the ‘golden standard,’” said Tomislav Dragovich, M.D., Ph.D., division chief of hematology and oncology at Banner MD Anderson Cancer Center, and a specialist in gastrointestinal malignancies. During a colonoscopy, a thin, flexible tube called a colonoscope is inserted into the colon so physicians can look for polyps or other abnormalities. Medical experts advise that people begin having colonoscopies at age 50 or sooner depending on their individual risk factors. While the procedure is slightly invasive, Dragovich stresses that it can save lives. “People feel that it [a colonoscopy] is more invasive than it really is,” he said. “Colorectal cancer is highly curable when detected early. It’s all about educating the public; we’re still missing a lot of opportunities to screen people at risk.” While a colonoscopy remains the gold standard, there are other ways to check for the disease. Reed said that other detection methods can include: • Virtual colonoscopy: uses CT scanning but may lead to a colonoscopy • Fecal immunochemical test: detects blood in stool

• Flexible sigmoidoscopy: a scope views only the lower colon. (It should be performed in conjunction with a barium enema to view the rest of the colon.) • Air contrast barium enema: a type of X-ray that outlines the colon wall


“Colorectal cancer is treated differently depending on the location of the tumor,” said Luci Chen, M.D., a practicing partner at Arizona Radiation Oncology Specialists. “A treatment plan is not a cookbook — there are guidelines, but it depends on the diagnosis, stage of the cancer and the patient’s needs.” Treatments can have varying side effects, including fatigue, diarrhea, nausea and more. In some cases, a patient may need a colostomy — a way to make a new path for waste by creating an opening in the abdomen — either permanently or temporarily. Overall, Chen emphasized that the goal of treatment and advancing medicine is to either cure the disease or help it become a chronic, manageable condition.

Ramona MacKenzie was diagnosed with colon cancer in 2009. Since then, the former teacher has dealt with debilitating physical problems that often leave her homebound. As a survivor, she advises others to explicitly follow screening guidelines. “If I had gone in at age 50 when it was recommended, the polyp would probably not have been cancerous,” MacKenzie said. “My only symptom was a little blood in my stool. After my diagnosis, both of my sisters were tested and one had three polyps.” Another survivor, Betty Rose DeCarlo, an Arizona Ambassador for the Colorectal Cancer Alliance, was diagnosed in 2005. She originally thought she had hemorrhoids. “I thought I was just fine, but I waited too long — I was diagnosed with stage 3 colon cancer,” DeCarlo said. Over the past eight years, DeCarlo has experienced surgery, radiation, chemotherapy, the cancer spreading, numerous hospital stays and being upgraded from stage 3 to stage 4 cancer. From her experiences with other survivors, she suggests that age 50 may be too long to wait if you suspect something is wrong. She’s currently receiving treatment for cancer spots on her lungs and credits her faith for keeping her going. “I’ve experienced many miracles and look forward to more,” DeCarlo said. “Colon cancer can be prevented if screened and found early…prevention is the whole story.”

Resources Centers for Disease Control and Prevention: Colorectal Cancer Alliance (CCA), Central Arizona: The Wellness Community:



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Childproofing your home

Better safe than sorry – take precautions to ensure little ones’ safety


arents obviously don’t intentionally create dangerous environments for babies and toddlers. Often, experts say, they just don’t recognize the imminent threats a typical household poses for children.

Lifesaving advice

“We feel like every time we walk into a home, we save a life,” said Nancy Dastrup, a mother of five and grandmother of seven whose family owns Scottsdale-based Arizona Childproofers. Todd Watkins, owner of the Phoenixbased Baby Safe Homes and the father of two young children himself, agreed and noted that creating a safe environment for children to learn, grow and explore often just means using common sense.

Baby’s eye level

Watkins recommends getting down at a baby’s eye level to see what a tyke might see: electrical outlets, doorstops with rubber knobs and unprotected electrical

“Watching your child supersedes any baby-proofing.” — Todd Watkins, Baby Safe Homes outlets. These, as well as cords, are among common household items that might need to be relocated, said Watkins, who offers free, in-home consultations and same-day installation, as does Arizona Childproofers. Watkins also suggests that you look around your house and study any large pieces of furniture, since while the furniture might be sturdy, once you open up all the drawers, which a child may do, the piece may tip due to the drastic weight shift.

• Kitchen and bathroom cabinets: Both experts advocate using good cabinet latches like a two-piece latch, magnetic locks or push-down swivel locks. Watkins, however, does not recommend using swivel latches in a home with young children, due to the risk of leaving the lock in the unlocked position.


they are left in the outlet. Once they’re out, they pose a choking hazard. Both Arizona Childproofers and Baby Safe Homes, therefore, prefer self-closing (springing slide action) outlet covers.


• Stairs: Stairways should have a hardmounted, stairway-rated safety gate at the bottom and the top of the stairs, but never on the steps. Also, a pressure gate should never be used at the top of the stairs because small hands could pry it away from the wall and the force could send a child hurtling to the bottom of the stairs in seconds.

American Academy of Pediatrics:

Both Dastrup and Watkins said there are a few areas around the house that most homeowners can always make safer for their kids or grandkids and, in some cases, for the elderly and/or pets as well.

• Electrical outlets: Many well-meaning folks use the simple, plastic prongstyle electrical outlet covers, which are fine, but they really only are effective, according to Dastrup and Watkins, if

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Typical areas of concern

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

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

American Academy of Pediatrics, Arizona chapter: Arizona Childproofers: Baby Safe Homes:

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Food safety when dining out Regulations and inspections help keep food illness in check


or many families, eating out affords the opportunity to bond over good food and great conversation. But if proper food safety practices are not followed, your order may pack a little more punch than you bargained for. The Centers for Disease Control and Prevention estimates that one in six Americans becomes sick and 3,000 people die annually from foodborne illnesses caused by bacteria, parasites and viruses found in food and beverages. Since a multitude of pathogens like botulism, salmonella and E. coli can lead to more than 250 serious and potentially deadly diseases, restaurants and other food service establishments must remain on high alert.


Restaurant inspections

Source: National Digestive Diseases Information Clearinghouse,

According to Sherry Gillespie, government relations manager at the Arizona Restaurant Association, Arizona’s restaurant industry is a $10.5 billion business comprised of 8,500 restaurants throughout the state. Each restaurant is required to follow strict operating guidelines and remain under the watchful eye of health inspectors. Food service workers, including those who handle, prepare, serve, sell or give away food in restaurants, hospitals, school cafeterias and other food service venues, are required to be licensed. With authority from the Arizona Department of Health Services, county health departments like the Maricopa County Environmental Services Department conduct required, unscheduled food safety inspections to ensure safe food-handling procedures and practices are in place. Inspections take into account how food is stored, thawed, cooked and cooled; the maintenance, operation and cleanliness of kitchen,

symptoms of foodborne illnesses

Symptoms of foodborne illnesses, which can appear within minutes or take weeks to surface, include:


Upset stomach


Abdominal cramps








Nausea and vomiting

utensil and other physical facilities; foodhandler licensing; health and hygiene practices; and more.

Prioritized violations

In accordance with the 2009 Food and Drug Administration Food Code, violations are categorized as either Priority (directly related to foodborne illness); Priority Foundation (items or behaviors that lead to or enable priority violations); or Core (sanitation violations not directly related to or considered causal factors of foodborne illness). Johnny Diloné, public information officer with the Maricopa County Environmental Services Department, explained that Priority and Priority Foundation violations must be corrected at the time of inspection or within 10 days of inspection, based on complexity of the violation. Core violations must


be corrected at a time agreed to and specified by the regulatory authority, but no later than 90 days following inspection. “In some instances, failure to correct an imminent health hazard may lead to suspension of a facility’s operating permit,” Diloné said.

Making the grade

While food safety inspections are required, the grading or rating of restaurants and other food service establishments in Maricopa County is voluntary. Food service operators are given the option of participating in the grading process at the onset of an inspection. Those that choose to participate are awarded a letter grade ranging from A to D, determined by the number of Priority, Priority Foundation and Core violations. Inspection reports, which are a matter of public record, serve as an indication of a restaurant or food service establishment’s ability to meet and abide by food safety requirements. Inspection reports and grades also give consumers an opportunity to make informed decisions about where to dine. You can view restaurant inspection reports at

Resources Arizona Department of Health Services Office of Environmental Health: Centers for Disease Control and Prevention: Food and Drug Administration: Maricopa County Environmental Services Department:

School cafeterias maintain vigilance Like restaurants, school cafeterias undergo inspections by the county health department, but the sheer daily volume of students, staff and faculty who dine in school cafeterias increases the stakes when it comes to food safety. For example, the Peoria Unified School District (PUSD) has nearly 4,000 employees and more than 36,000 students in 32 elementary schools, seven high schools and one alternative school. PUSD’s facilities are located in both the cities of Peoria and Glendale. Sandra Schossow, director of food service for PUSD, said that to keep food service employees educated about all facets of food safety and ensure standard operating procedures produce the best outcomes, the district takes part in a voluntary food safety program from the Maricopa County Environmental Services Department called The Cutting Edge. While participation entails additional inspections, the program provides an extra layer of protection. “It all comes down to constant documentation and continuous training,” Schossow said. “We conduct our own internal inspections and also bring in a thirdparty vendor to perform inspections. You can never be too safe.”

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Common illnesses mental Signs, symptoms and treatment options


n average, one in four adults experiences a mental health disorder in a given year, according to the National Alliance on Mental Illness. With statistics like this, chances are you know someone dealing with mental health concerns or you are grappling with a mental illness yourself.

Types of mental illness

Some of the most common mental illnesses include depression, anxiety, stress and insomnia, said Brian Espinoza, M.D., P.C., a board-certified psychiatrist at St. Luke’s Behavioral Health Center. Other recognized mental health illnesses include bipolar disorder, schizophrenia and schizoaffective disorder.


While each mental health disorder has its own symptoms, there are some common indicators that something might be amiss. For example, Espinoza said that some of the signs of depression can be: • Changes in emotions • Lack of interest in normal activities • Inability to perform in the workplace • Depressed, ongoing moods that affect a person’s home or social life • Lack of appetite • Restlessness and fatigue

Bipolar disorder

Karen Chaney, M.D., is the medical director of adult services at Magellan of Arizona, an organization that manages a publicly funded behavioral healthcare delivery system for Medicaid, non-Medicaid and Title XXI (KidsCare)-eligible residents in central Arizona. For those concerned about bipolar disorder, she said some signs to be aware of are: • Episodes where the person may hear voices or be delusional

• Severe mood swings • Individuals may appear to others to be acting “out of control” • Inability to sleep or not feeling the need to sleep


Schizophrenia often appears when someone is in their early 20s, Chaney noted, adding that common indicators of schizophrenia can include hearing voices and being paranoid. “It [schizophrenia] might be missed; if you suspect you might have symptoms of it you need to get help quickly,” she said.

“Like other diseases, there is no cure for mental illness, but you can manage and control it.” — Brian Espinoza, M.D., P.C., board-certified psychiatrist, St. Luke’s Behavioral Health Center

Schizoaffective disorder

Another mental illness that is often underdiagnosed is schizoaffective disorder, said Tara Peyman, N.D., a naturopathic doctor at the Arizona Natural Health Center in Tempe. According to the U.S. National Library of Medicine, schizoaffective disorder involves a loss of contact with reality (known as psychosis) and mood problems. Some of its symptoms can include: • Problems with moods • Issues with daily functions such as sleeping, concentrating and a lack of concern for personal hygiene • Disorganized, illogical speech • Delusions and paranoia

Treatment options

Treatment outcomes for mental illness vary per patient and with the severity of the disease. For example, if a person stays in a psychiatric hospital, they would leave with a treatment plan that might include a day program or intensive group counseling. Other times, patients can simply integrate their new medication into their daily lives. For those who shy away from conventional medicines, Peyman said that there are homeopathic treatment options. “With homeopathy, there are no side effects, no interactions and it doesn’t add anything to your system,” Peyman said. “It [homeopathy] works with your body to have a balancing and stabilizing effect.”

The next step

For those who may suspect they are or a loved one is affected by a mental illness, the next step is often to meet with a primary care physician to discuss any concerns. There are also resources such as Magellan of Arizona’s Crisis Hotline (800-631-1314) where you can call to ask general mental health questions. Just like a physical illness, treatment plans for mental disorders vary per patient. Some of the most common treatments include medication and individual or group therapy. “For extreme situations, being admitted to an in-patient psych hospital or mental health [facility] may be the best option,” Espinoza said.



Removing the stigma While awareness of mental disorders has improved, many professionals in the mental health arena admit that there are still misconceptions about mental illness. “We’d like to take the stigma out of mental illness; it’s no different than a physical illness, it just happens to involve one’s brain,” said Karen Chaney, M.D., the medical director of adult services at Magellan of Arizona.

Resources Arizona Natural Health Center: Family Involvement Center: Magellan Health Services: National Alliance on Mental Illness, Arizona: St. Luke’s Behavioral Health Center:

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PROSTATE CANCER US TOO SUPPORT GROUP Feb. 12, 7 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-242-3131 SUPPORT GROUP Feb. 25, 7–9 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673

HEART/STROKE HEART HEALTH FOR HEART MONTH Various dates, times & locations By John C. Lincoln Register:; 623-434-6265 CONGESTIVE HEART FAILURE Feb. 6, 13, 20 & 27, 6:30–7:30 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414

MAINTAIN HEART HEALTH Feb. 19, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 LIVING WITH HEART DISEASE Learn about new treatments for aortic valve disease Feb. 23, 9–11 a.m. Mayo Clinic Hospital 5777 E. Mayo Blvd., Phoenix RSVP: 480-301-0019;



DIABETES SUPPORT Feb. 19, 3–4 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4578


BARIATRIC MEETINGS Various dates & times Banner Gateway 1900 N. Higley Rd., Gilbert 480-543-2606

HEART DISEASE PREVENTION & TREATMENT Feb. 11, noon–1 p.m. By St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355

PREDIABETES/DIABETES Feb. 14, 1–2 p.m. By Scottsdale Healthcare at Civic Center Library 3839 N. Drinkwater Blvd., Scottsdale Register:; 480-882-4636



STROKE Feb. 7, 1:30–2:30 p.m. Banner Boswell Rehab 10601 W. Santa Fe Dr., Sun City 623-832-7000


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

TOP Events

ALZHEIMER’S/ DEMENTIA CAREGIVER SUPPORT Feb. 7, 1:30–3 p.m. Tempe St. Luke’s Hospital 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355) DISCUSSIONS & DECISIONS DURING DEMENTIA Feb. 8, 10:30 a.m.–noon By Banner Alzheimer’s Institute at Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City Register: 602-230-2273 PLANNING AHEAD FOR CAREGIVERS Feb. 11, 10 a.m.–noon Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register:; 602-839-6850 SUPPORT GROUP Lunch provided Feb. 17, 11 a.m.–12:30 p.m. St. Joseph’s Huger Mercy 2345 W. Orangewood Ave., Phoenix 623-406-5600 MEMORY SCREENING Feb. 19, 9 a.m.–3 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register:; 602-230-2273 CAREGIVER SUPPORT (DUET) Feb. 19, 12:30–2 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022

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

WHAT: Learn chestcompression-only CPR, considered easier to remember than traditional CPR. WHERE: Banner Desert Medical Center, 1400 S. Dobson Rd., Mesa TIME: 6–7:30 p.m. COST: Free REGISTER: 602-230-2273

MEDICATION CHECKS Feb. 12, 10–11 a.m. Tempe St. Luke’s Hospital 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355)

LUNG CANCER Feb. 9, 1–3 p.m. BySt.Joseph’satTheWellnessCommunity 360 E. Palm Ln., Phoenix 623-712-1006

ORAL, HEAD & NECK Feb. 21, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192

MATURE VISION Feb. 19, 6:30–7:30 p.m. By Midwestern University at Foothills Library 19055 N. 57 Ave., Glendale 623-930-3868

LOOK GOOD, FEEL BETTER Feb. 11, 5:30–7:30 p.m. Ironwood Cancer & Research 1432 S. Dobson Rd., Mesa Register: 480-855-2224

I CAN COPE Feb. 25, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

TAI CHI Feb. 12 & 19, 4:30 p.m. Ironwood Cancer & Research 3855 S. Val Vista Dr., Gilbert Register: 480-855-2224

LIVING WITH LYMPHEDEMA Feb. 25, 6:30–8:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register:; 480-882-4636

COPING WITH CANCER Feb. 13 & 27, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

COLON CANCER March 5, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673

LIVING & COPING WITH CANCER Feb. 19, 5:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

COLORECTAL CANCER March 5, 6 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970

BRONCHITIS & PNEUMONIA Feb. 28, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

STROKE CAREGIVER Feb. 28, 2:30–3:30 p.m. Mercy Gilbert 3420 S. Mercy Rd., Gilbert 480-728-5414

CAREGIVER SUPPORT Feb. 21, 1:30–3 p.m. Tempe St. Luke’s Hospital 1500 S. Mill Ave., Tempe Register: 877-351-9355

GYNECOLOGIC Feb. 12, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673


CAREGIVERS SUPPORT Feb. 25, 1:30–3:30 p.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328

YOUNG WOMEN’S SUPPORT Feb. 12, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

COMPASS FOR CAREGIVERS Feb. 25, 4–5:30 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register:; 602-839-6850

FACING FORWARD Feb. 13, 1–3 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register:; 480-882-4636

DIABETES SUPPORT GROUP Feb. 11, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 DIABETES SUPPORT GROUP Feb. 14, 1–2 p.m. St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355

WHAT: Health screenings, cooking demos, seminars and more. WHERE: Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa TIME: 8–11 a.m. COST: Free REGISTER: Required for screenings; call 877-924-9355 INFO:

WHAT: Walk or run a one-mile course at the Phoenix Zoo. WHERE: Phoenix Zoo, 455 N. Galvin Pkwy, Phoenix TIME: 7:30 a.m. COST: Varies for members and non-members REGISTER: 602-914-4333 or

WHAT: Learn about the latest in oral chemotherapy and advancements from a panel of Arizona-based healthcare providers. WHERE: SkySong at ASU, 1475 N. Scottsdale Rd., Scottsdale TIME: 10:30 a.m.–2:30 p.m. COST: Free SPONSORED BY: The Leukemia and Lymphoma Society REGISTER: 602-567-7588 or


TAKING CONTROL Various dates & times Pastoral Care Associates 2040 W. Bethany Home Rd., Phoenix Register:; 855-292-9355

WHAT: Join seniors age 50 and older from across the state and compete in more than 30 sports ranging from archery to pickleball. See website for registration info and schedules. WHERE: Locations throughout the state, depending on event TIME: Various COST: $24 per sport SPONSORED BY: Humana REGISTER:

March 5 Chest-CompressionOnly CPR Class

COMPASS FOR CAREGIVERS Feb. 21, 10–11:30 a.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register:; 602-839-6850

TAKING CONTROL (3-CLASS SERIES) Various dates & times Paradise Valley Hospital 3815 E. Bell Rd., Phoenix Register: 602-923-5813;

Feb. 23 Heart-Healthy Day

Feb. 16 Walk in the Wild

Feb. 9 OralMedicationsforCancer

STROKE SUPPORT GROUP Feb. 26, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

DIABETES SUPPORT GROUP Cardon Children’s Medical Center 1400 S. Dobson Rd., Mesa Call for dates & times: 480-412-4557

Feb. 16–March 10 Arizona Senior Olympics



CALLUSES & CORNS Feb. 7, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

YOGA FOR CANCER PATIENTS Various dates & times Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

PREVENTION & TREATMENT OF HEART DISEASE Feb. 11, noon–1 p.m. St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-WELL (9355)

CAVE CREEK CANCER SUPPORT Feb. 9, 10 a.m.–noon By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek Register: 480-488-3283

KIDS CAN COPE Feb. 19, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 JOURNEY TO WELLNESS Feb. 20, 4 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 ORAL, HEAD & NECK Feb. 20, 4:30–6:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412–4673 COLORECTAL Feb. 21, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 ESOPHAGEAL Feb. 21, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970

BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Scottsdale: 623-236-6616 West Valley: 623-979-4279 YOGA FOR RECOVERY Feb. 7 & 21, 6–8 p.m. John C. Lincoln Medical Office 19841 N. 27 Ave, Phoenix 602-712-1006 SUPPORT GROUP Feb. 9, 10 a.m.–noon Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: 480-323-1990; LEARN & SUPPORT Feb. 13, 5:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006

Vein Problems? Spider Veins or Varicose Veins…



CONSULTATION* *New patient consults must be scheduled prior to 2/28/13. Must have this ad to receive discount.

We offer a comprehensive approach for any type of vein. The Morrison Vein Institute specializes in minimally invasive, inoffice procedures for spider and varicose veins. If you have spider or varicose veins, swollen feet and ankles, leg heaviness or restless legs, you will find our physicians’ combined century of experience invaluable. Determine whether your veins require cosmetic or medical treatment. We will guide you through the steps necessary to produce positive, long-term outcomes in our comfortable, accommodating setting. Our expert staff will teach you about vein disease and the state-of-the-art treatments we have available.

Now taking Medicare Primary Insurance.


VEIN INSTITUTE Better Care. Better Results.

866 . GRT . LEGS | 480 . 860 . 6455 | NICK MORRISON, MD, FACPh

Diplomat, American Board of Phlebology Vice-President, International Union of Phlebology Past President, American College of Phlebology


Diplomat, American Board of Phlebology Member, American College of Phlebology Board Certified, American Board of Anesthesiology


Board Certified, American Board of Internal Medicine Board Certified, American Board of Emergency Medicine Member, American College of Phlebology

WEDNESDAY, February 6, 2013 | LIVING WELL A-Z | 7

LEARN & SUPPORT Feb. 14 & 28, 6–8 p.m. John C. Lincoln Breast Center 19646 N. 27 Ave, Phoenix 623-786-4673

BREASTFEEDING Feb. 12 & 26, 10 a.m. Banner Ironwood 37000 N. Gantzel Rd., San Tan Valley 480-394-4000

COOKING FOR WELLNESS Feb. 19, 6–8 p.m. John C. Lincoln Breast Center 19646 N. 27 Ave, Phoenix 623-786-4673

BREASTFEEDING Feb. 14, 21 & 28, 1–2:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3035

SUPPORT GROUP Feb. 26, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673

BREASTFEEDING SUPPORT Feb. 18 & March 4, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-3502

TRIPLE NEGATIVE Feb. 27, 5:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006

NURSING MOMS SUPPORT Feb. 28, 5:30 p.m. Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-2273

METASTATIC SUPPORT March 6, 11:30 a.m.–1 p.m. Banner Desert 1400 S. Dobson Rd., Mesa. 480-412-HOPE (4673)

PARKINSON’S DANCE, EXERCISE, YOGA & TAI CHI Various dates, times & locations By Muhammad Ali Parkinson Center Register: 602-406-6903; CAREGIVERS’ SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 DEEP BRAIN STIMULATION Feb. 8, 10:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328 GOLF FOR PEOPLE WITH PARKINSON’S Feb. 11, 18 & 25, 9 a.m.–noon Sun City Country Club 9433 N. 107 Ave., Sun City By Muhammad Ali Parkinson Center Register: 602-406-6903 PARKINSON’S Feb. 11, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008 PARKINSON’S SUPPORT GROUP Feb. 12, 1–2 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-878-8800 PD 102: PARKINSON’S INFO Feb. 18 & 25, 1–3 p.m. Desert Palms Presbyterian Church 13459 W. Stardust Ave., Sun City By Muhammad Ali Parkinson Center Register: 800-227-7691 PARKINSON’S & PARTNERS Feb. 25, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008

PARENTING POSTPARTUM DEPRESSION Feb. 6, 13, 20 & 27, 1–2:30 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 SUPPORT THROUGH OTHER PARENTS (STOP) Feb. 7, 14, 21 & 28, 7–9 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 623-846-5464; GRANDFAMILIES OUTING Feb. 9, 11 a.m. By Duet at Mesa Southwest Natural Museum 53 N. MacDonald, Mesa 602-274-5022 PREGNANCY & POSTPARTUM Feb. 12, 19 & 26, 10–11:30 a.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-5292 POSTPARTUM SUPPORT Feb. 12 & 26, 11 a.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5908 NEWBORN PARENTING Feb. 12, 2–3:30 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455 SUPPORT THROUGH OTHER PARENTS (STOP) Feb. 12, 19 & 26, 7–9 p.m. Larkspur Christian Church 3302 W. Larkspur Dr., Phoenix 623-846-5464 PREGNANCY, PARENTING & PLAY Feb. 14, 21 & 28, 7–9 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455


CHILDBIRTH EDUCATION (2–WEEK CLASS) Feb. 20 & 27, 6:30–9:30 p.m. Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: 855-292-9355;

BREASTFEEDING Feb. 6, 13, 20 & 27, 11 a.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414

BIRTH PARENT SUPPORT Feb. 26, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 888-818-4445

BREASTFEEDING Feb. 8, 15 & 22, 10 a.m. Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414

PREGNANCY & INFANT LOSS March 4, 7 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412–3595

BREASTFEEDING Feb. 11, 18 & 25, 10–11:30 a.m. St. Joseph’s 350 W. Thomas, Phoenix 602-406-4954 LACTATION SUPPORT Feb. 11, 18 & 25, 1–2 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 623-327-8001

GASTROINTESTINAL CELIAC DISEASE Feb. 6 & March 6, 7–8:30 p.m. Paradise Valley Retirement Center 11645 N. 25 Pl., Phoenix 623-587-8885

RESPIRATORY ASTHMA SUPPORT GROUP Cardon Children’s Medical Center 1400 S. Dobson Rd., Mesa Call for dates & times: 480-412-7902 LUNG TRANSPLANT SUPPORT Feb. 12, 11:45 a.m.–1 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-406-7009 RESPIRATORY Feb. 14, 1:30 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5708 BETTER BREATHERS Feb. 20, 2–3 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 BRONCHITIS & PNEUMONIA Feb. 28, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

BRAIN BRAIN INJURY & CAREGIVER Feb. 7, 6:30–7:30 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 602-508-8024 BRAIN INJURY SURVIVORS Feb. 11, 7–8:15 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-3333 APHASIA Feb. 12 & 26, 10–11 a.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-972-4263 SYRINGO & CHIARI Feb. 21, 11 a.m.–1 p.m. St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 623-561-9606 BRAIN TUMOR Feb. 26, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446

ADDITIONAL SUPPORT GROUPS OSTOMY Feb. 7, 2–4 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-935-7514 CHRONIC PAIN Feb. 8 & 22, 6–8 p.m. By American Chronic Pain Assoc. at Catholic Outreach Center 12301 W. Bell Rd., Surprise 602-532-2981 AMPUTEE Feb. 12, 6–7 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5358 CHRONIC PAIN Feb. 13 & 27, 6:30–8 p.m. By American Chronic Pain Assoc. at Via Linda Senior Center 10440 E. Via Linda, Scottsdale 480-314-2330

VESTIBULAR Feb. 21, noon Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-2317 MEN’S DISABILITY ISSUES Feb. 21, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; MULTIPLE SCLEROSIS (WOMEN) Feb. 23, 10 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563

CAREGIVERS SUPPORT GROUPS INCLUDING LGBT (DUET) Various dates, times & locations 602-274-5022 SUPPORT GROUP Feb. 8, 2:30–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-9355 SUPPORT GROUP Feb. 11 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 CAREGIVER SUPPORT Feb. 27, 2:30–3:30 p.m. St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-WELL (9355)

BEHAVIORAL HEALTH ‘ANONYMOUS’ MEETINGS Al-Anon; Alcoholics; Cocaine; Depression; Heroin; Obsessive-Compulsive Various dates & times Banner Behavioral Health 7575 E. Earll Dr., Scottsdale Info: AL–ANON & ALCOHOLICS ANONYMOUS Feb. 9, 16 & 23, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale Info:

LARYNGECTOMY Feb. 19, 4–5 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5349

Discounted classes at the Body Lab Pilates+, home to 50-minute, smallgroup classes that are a hybrid of pilates, cardio and weight training. THE DEAL: Three classes for $49; first class is always free for a total of four classes for $49 (value $120) DATES VALID: Through March 1, 2013 HOW TO GET THE DEAL: Call 602-840-2885 or visit WHERE:4414E.CamelbackRd.,Phoenix;or20511N.HaydenRd.,Scottsdale

Join Dr. Angela DeRosa’s weight management program in February and receive introductory appointment, supplements (including appetite suppressant), vitamin cocktail injection with fat-burner and more. THE DEAL: Above for $190 ($60 savings); then $75 ($25 savings) for weekly follow-up appointments DATES VALID: Join through February 2013 HOW TO GET THE DEAL: Call 480-619-4097 or visit WHERE: 9377 E. Bell Rd., Scottsdale; or 1727 W. Frye Rd., Chandler

Free in-home assessment for people experiencing frequent falls or a decline in the ability to walk or perform self-care activities due to illness or injury. THE DEAL: Free DATES VALID: Ongoing HOW TO GET THE DEAL: Call your nearest HealthSouth hospital; locations can be found by visiting WHERE: Valley-wide locations

Morrison Vein ( is offering a discount on compression hose for preventative care, during treatment and for long-term therapy after treatment. THE DEAL: 10 percent off DATES VALID: Through February 28, 2013 HOW TO GET THE DEAL: Call 480-860-6455 or 866-GRT-LEGS WHERE: 8575 E. Princess Dr., Scottsdale; or 4515 S. McClintock Dr., Tempe


PAIN SUPPORT GROUP Feb. 14 & 28, 6–8 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5358 KIDNEY & LIVER TRANSPLANT Feb. 19, 3–4 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-7000


Day of Dance for Heart Health Health Screens Dance Instruction Health Education

Saturday, February 23 11 a.m. – 2 p.m. Superstition Springs Center Arrowhead Towne Center










BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.

THURS., FEB 7: 6-6:45PM

TUES., FEB 19: 6-6:45PM

(480) 342-2869

Living with Heart Disease series: Hear about new treatments for aortic valve disease. No charge Reservations necessary

Mayo Clinic Hospital 5777 East Mayo Boulevard Phoenix, AZ 85054 Saturday, Feb. 23 9-11 a.m. RSVP to: (480)301-0019

I’m a daughter. A wife. A mother. And I have a gene that puts me at risk for breast cancer. When I got sick, I was determined to win. For me, and for them. My answer was Mayo Clinic. Monique Sisneros

Mayo Clinic Cancer Center specialists worked together to ensure Monique received a timely, accurate diagnosis and the most effective treatment. If you are diagnosed with breast cancer, you deserve the best as well. Mayo Clinic patients with breast cancer have substantially higher five-year survival rates compared to the U.S. National Cancer Database. We are an in-network provider for most people and a physician referral is rarely required. To schedule an appointment, call (480) 301-8000 or call our Breast Clinic directly at (480) 301-4000.


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WEDNESDAY, February 6, 2013 | LIVING WELL A-Z | 9

Deep Vein Thrombosis

your llegs and between d llungs t li k b Ad dangerous link eg pain, swelling and tightness are sometimes painful reminders of an overzealous workout, but these bothersome symptoms can also indicate that veins in the legs aren’t pumping blood quite like they should. The legs are home to hundreds of veins, many of which are superficial and rest fairly close to the skin, but one main or “deep” vein is responsible for pushing the vast majority of blood from the legs back to the heart. According to Aaron Wittenberg, M.D., an interventional radiologist on staff at John C. Lincoln Hospital, when a vein becomes blocked and blood pools in the leg, a clotting condition known as deep vein thrombosis (DVT) can set in and serious health risks can loom. “Since a clot can’t go away on its own, symptoms continue to worsen and can become debilitating if left untreated,” Wittenberg noted. While there are several risks associated with DVT, pulmonary embolism poses the greatest threat.

Dangerous blood clots

Caused by a piece of blood clot breaking loose and traveling through the veins to the heart before ultimately settling in the lungs, pulmonary embolism can result in such symptoms as chest pain or discomfort, shortness of breath, low blood pressure and passing out. In extreme cases, it can lead to cardiac arrest or even death. Mark Starling, M.D., F.A.C.P., F.A.C.C., chief medical officer at Banner Heart Hospital, cited a correlation between the severity of pulmonary embolism with the amount of clot breakoff saying, “The bigger it is, the more profound the symptoms.” Starling also highlighted the significance of a clot’s location when it comes to risk of pulmonary embolism, explaining that a clot can occupy a small portion of the deep vein below the knee or it can extend above the knee. Ultimately, the vein can

only take so much pressure before the blockage begins traveling up the leg. The higher the clot goes, the more worrisome the condition.

Causes vary

Much like the symptoms, causes of DVT vary. Damage sustained from a trauma or surgical procedure, medical conditions like congestive heart failure, oral contraceptives, obesity and a sedentary lifestyle have been linked to the condition. In addition, extended periods of immobility such as long drives or flights that don’t include rest breaks to stretch and move around can trigger leg swelling, fluid buildup and ultimately, DVT.

“There’s a reason in-flight magazines include tips and recommendations for leg stretches like calf raises and ankle rolls.” — Aaron Wittenberg, M.D., interventional radiologist, John C. Lincoln Hospital

compares to a water hammer to pulverize it and then syphon it out. Since manipulating a clot increases the risk that a piece will break free and travel to the lungs, safeguards, including special filters, are put in place to catch clot fragments that may break off during treatment.

Seek immediate care

As with everything, there are limitations to treatment, most notably the time between clot formation and medical intervention. Starling expressed the urgency of seeking immediate treatment for DVT saying, “The window to rid the venous system of a clot and achieve the best results is only about seven to 14 days.”

Resources Banner Health: Centers for Disease Control and Prevention: John C. Lincoln Health Network: MedlinePlus: PubMed Health: Society of Interventional Radiology: WebMD:


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Diagnosis and treatment

Though DVT can be easily diagnosed through an exam and ultrasound of the venous system, treating it can be tricky. For decades, blood-thinning medications like Coumadin and the use of compression stockings have been treatment standards, but they don’t work for everyone. Thrombolysis is a treatment approach that entails injecting a special “clotbusting” agent into the vein via a catheter to break up a clot before it can be sucked out. Similarly, a thrombectomy using a device known as an AngioJet® can mechanically remove a clot by loosening it with medication before using a specialized high pressure device that Wittenberg




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