LivngWell AZ November 2013

Page 1








Vol. 3, No. 11

November 2013



SURGICAL advancements


State-of-the-art technologies speed healing, reduce risk and produce excellent results



Patricia Ames, Ph.D., director, Abrazo Health Clinical & Translational Research Institute, and Venkatesh G. Ramaiah, M.D., FACS, vascular and endovascular surgeon, go over results of one of Abrazo’s clinical trials.

Clinical trials

Abrazo research group focuses on cardiovascular clinical trials Abrazo Health Clinical & Translational Research Institute in Phoenix has only been in existence for about 2.5 years, and already, 104 clinical trials have been supported by the Institute. Most of Abrazo’s trials are Phase II and III trials, with Phase I clinical trials designed to establish the safety of new treatments, while the next phases determine effectiveness through increasingly larger patient populations of volunteers.



Estelle Ellington was the first patient to receive a transplant using the “Lung in a Box” technique at St. Joseph’s Hospital and Medical Center. She and her husband Henry came to Phoenix from Hawaii for the surgery.

The Valley is home to a wealth of high-tech healthcare.

Here is just a small sampling of the latest advancements in some high-profile procedures.

Expanding clinical research

Important investigations

About 80 percent of Abrazo’s clinical trials are cardiovascular-focused, in partnership with Abrazo Health Care’s network of six Valley hospitals. Other studies focus on topics including women’s health issues and wound care, Ames said. One study is investigating whether heart patients with poorly controlled angina (chest pain) can be helped by having their own stem cells injected directly into their heart muscle. The Institute is one of many sites across the country where this study is being conducted, Ames said. Researchers also are delving into whether a new drug can minimize the risk of strokes and heart attacks in patients with peripheral artery disease, Ames said. In addition, researchers are looking at the efficacy of a new flexible stent’s effectiveness in treating narrowing of arteries. Another study is examining whether a new kind of stent, when inserted into the abdomen, can help repair an abdominal aortic aneurysm (a ballooning of the aorta that supplies blood to the abdomen, pelvis and legs). New clinical trials are opening all the time to investigate new devices, Ames said.

More info or 602-604-5270

Lung transplantation with organs no longer kept on ice.

Single-incision robotic gynecological surgery.

When we think of organ transplantation, we often think of the organs being kept in a cooler during transport. In May of this year, then-53-year-old Estelle Ellington of Hawaii became the first patient to undergo a doublelung transplant at St. Joseph’s Hospital and Medical Center in Phoenix with the help of a new organpreservation system that keeps donor lungs viable longer during transport. Michael Smith, M.D., surgical director of lung transplantation at St. Joseph’s, explained that during transit, oxygen and blood are delivered to the donor lungs in a plastic, see-through chamber through a device similar to a heart-lung machine. The donor lungs are kept at body temperature even while in transit, Smith said. “Preliminary data suggests this method of organ preservation is better than the traditional method,” he said, adding that St. Joseph’s is one of only five hospitals in the U.S. chosen to participate in a clinical trial comparing the two methods. “With the traditional method, the organs start to lose viability outside the body after approximately six hours,” he said. “With the new Organ Care System, there isn’t that limitation, so organs may be able to be brought to a patient from much farther away, if necessary.” This could be a “game-changer,” he said, “because it opens up a world of possibility for our recipients.”

The da Vinci robotic surgical system has assisted with laparoscopic gynecological surgeries (through the belly button) for several years, reducing bleeding and dramatically minimizing recovery time compared with traditional surgery. Earlier versions of the robot help the surgeon by making five tiny incisions. In August, Phoenix gynecological surgeon Ivor Benjamin, M.D., performed a single-incision laparoscopic surgery with the da Vinci robot, one of the first such surgeries in the Southwest. The lone incision in the belly button allows for an even faster recovery, less scarring and less chance of infection, Benjamin said. The single-incision robotic system can also assist with other gynecological procedures such as removal of ovarian cysts and uterine fibroids, Benjamin said.


The Institute was established “with the purpose of supporting clinical research throughout Abrazo’s entire network, including hospitals and the ambulatory care service areas,” said Patricia Ames, Ph.D., director, Abrazo Health Clinical & Translational Research Institute. Abrazo’s physicians and nurses work with pharmaceutical companies and device manufacturers to study the effectiveness of new drugs and devices in patient volunteers. A few Ph.D. students are conducting their own research, too, Ames said. “We also work with institutions such as Arizona State University to conduct clinical research. In addition, we have world-class physicians developing their own research protocols.”

Treatment for heart-rhythm problems that minimizes radiation exposure. Eradicating atrial fibrillation, an abnormal rhythm in the heart’s upper chambers, and implanting a pacemaker are two examples of procedures that may be needed when patients experience heart rhythm problems. These procedures typically require continuous X-ray imaging called fluoroscopy. But a new technique used by electrophysiologist Mark Seifert, M.D., at John C. Lincoln North Mountain Hospital in Phoenix reduces the exposure to radiation during these procedures. Until now this technique wasn’t available for implantation of cardiac rhythm devices. Using the MediGuide system, a single brief baseline image is taken of the patient. Then, a sensor one-tenth the size of the head of a pin is embedded inside the catheter, wire or device lead inserted into a vein to reach the area of the heart being treated. The sensor travels across that image and is visualized on the mapping system without additional fluoroscopic imaging, guiding the physician to the correct location of the problem. Continued on page 6 HIGH-TECH SURGERY

Michael Smith, M.D. (left); Samad Hashimi, M.D. (right); and Kate Varsch (rear), lung transplant nurse coordinator, prepare Ellington’s new lungs before transplantation.


2 | LIVING WELL A-Z | WEDNESDAY, November 6, 2013

Q&A: Affordable Care Act (ACA) A


If you have employer ll answers, unless otherwise healthcare, can you indicated, are provided also buy in the Marketplace? A. Anyone who wants to look at their by Cheryl O’Donnell, Arizona options is welcome to search for coverage state director at Enroll America, in the Marketplace. However, if you have

a nonprofit group educating consumers about the ACA.


Who are the insurance companies selling plans in Arizona?

A. There are a variety of companies who are offering healthcare plans in Arizona. In Maricopa County alone (there are others that may offer plans outside of Maricopa County), there are 119 health plans to choose from provided by the following companies: • Meritus Mutual - PPO • Meritus Health Partners - HMO • Health Net of Arizona - HMO • University of Arizona Health Plans - HMO • Cigna - PPO • Aetna - PPO • Health Choice Insurance - HMO • BlueCross BlueShield - PPO • Health Net Life Insurance - PPO • Humana Health Plans - HMO

employer-sponsored insurance, you may not qualify for financial assistance. Individuals who are already covered under their employers’ healthcare plans should talk to their Human Resources representatives about whether their current healthcare plan contracts can be cancelled if they find something that better suits their needs in the Marketplace.


What is the deadline for signing up for health insurance to avoid having to pay a penalty?

A. Recently, the Department of Health and Human Services clarified that people who want to avoid a penalty for not signing up for 2014 coverage have until March 31, 2014 to enroll in a health plan. March 31 is also the day the Open Enrollment period for 2014 ends. The bottom line: If you have not enrolled in a health insurance plan by March 31, 2014, as of press time, the current law states that you will owe a penalty when you file your 2014 income

tax return — either $95 per uninsured adult and $47.50 per child, up to $285 for a family, or one percent of family income, whichever is greater. Along with the website, you can enroll by phone and by paper application. You can seek the assistance of free, professional help through a Navigator or you can download and print a copy of the application from the website and mail it in.


What if I’m retired but not old enough for Medicare (age 65)?

A. You may search for plans in the open Marketplace. Your retirement benefits will count as income in determining your eligibility for any tax credits or subsidies. In some cases, retiree health plans, if offered, are considered qualified health plans that meet the requirements for coverage under the law. Thus, you may not be eligible for a tax credit through the Marketplace.


Who sets the insurance company rates, the government or the insurance companies? A. The short answer is the companies do. The government sets the rules by which they must abide, but not the rates.

Companies are free to determine rates all on their own. The longer answer is more complicated. Since Arizona chose not to establish an Exchange, the federal government stepped in to make one. The federal government determined the minimum coverage that insurance companies must comply with in order to enter the Marketplace. Going forward, these companies have to show they are spending at least 80 percent of the premiums they collect on patient care. If they spend less, they will issue rebate checks to customers. If they spend more, they can opt to raise rates next year. The federal government can review and potentially deny any raise in rates greater than 10 percent. — Nick Vasquez, M.D., State Director, Doctors for America

For help

Enroll America - Arizona:; 480-779-0239 GetCoveredAmerica:; 800-318-2596 Local help page of; 800-318-2596 — REPORTED BY DEBRA GELBART

Look for Livingwell a-z on the first Wednesday of each month! Each month, we bring you local health information you can use to keep you and your family living well. From A to Z, we tackle a broad range of health issues and offer you a wealth of resources where you can find more specific information. This publication is produced by Republic Media Custom Publishing. For questions concerning any content included in this publication please contact: Editor Paula Hubbs Cohen, or call 602-444-8658. A division of The Arizona Republic. 200 E. Van Buren St., Phoenix, AZ 85004

General Manager: CAMI KAISER,

Contributing Editor: JIM WILLIAMS,


Creative Development Director: ISAAC MOYA,

Senior Managing Art Director: TRACEY PHALEN,

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


Editorial Coordinator: NICK KOSTENKO


Dr. Kevin Ellis Chief Medical Officer, Cigna Medical Group

Coordinated Care: The Team Approach to Better Health


hat is Coordinated Care?

Coordinated care is a way to deliver health care through teamwork among primary care doctors, specialists and other health care professionals, with a special focus on prevention and the management of chronic disease. Many studies show that more efficient primary care also helps lower costs in the long term by emphasizing prevention and reducing unnecessary procedures. By linking specialists, hospitals and other caregivers, patients can count on a single point of contact – a “medical home” – for clear answers, personal help and peace of mind. This is especially important for seniors, who often live with many chronic conditions. Studies show roughly half of patients do not follow their doctor’s orders. Coordinated care provides more patient education and encouragement to comply with the doctor’s orders so they stay healthy. As a result, coordinated care has been proven to reduce emergency room visits, hospitalizations, nursing home stays and other expensive interventions by increasing control of the chronic diseases of age.

A Focus on Quality The traditional healthcare system treats patients after they are already sick or experiencing complications, forcing doctors to practice reactive rather than preventive medicine. Under this system, doctors get incentives to bill early and often. Coordinated care takes a different approach. Rather than pushing doctors to see high numbers of patients and spend a short amount of time with each one, coordinated care brings the focus back to the allimportant doctor-patient relationship. Doctors receive assistance with patient tracking, communication and paperwork, so they have more time for face-to-face



interaction. They can also provide more preventive services and screenings, which lead to earlier diagnosis and better health outcomes. At Cigna Medical Group, for example, we’ve had great success with the coordinated care concept. We see the primary care doctor as the “quarterback” working with specialists to manage each patient’s health. In fact, Cigna Medical Group has been certified by the National Committee for Quality Assurance (NCQA) as a level three Patient-Centered Medical Home. This means that all 22 locations have received the highest level of recognition for meeting national quality standards in coordinated care. This doctor-led, patient-centered team approach enables open communication among all health care professionals and specialists. The coordinated care method helps doctors practice medicine the way it was intended, with the patient’s good health as the top priority. The result is better care, healthier patients and reduced healthcare costs.

Coordinated Care in Action People over age 65 are especially vulnerable to medication mishaps. It’s vital that you communicate with your doctors, and crucial that your doctors communicate with each other. In fact, it’s not exaggerating to say good communication can mean the difference between life and death.

Now’s the Time One of the most important aspects of coordinated care is the emphasis on preventive healthcare. Talk with your primary care doctor today about annual exams, tests and other preventive steps you can take now to stay healthy.

WEDNESDAY, November 6, 2013 | LIVING WELL A-Z | 3

A New Surgical Approach that can Accelerate Recovery Time. 1,2


Diabetes and eye care

The Anterior Approach procedure for Hip Replacements. Bob’s work as a field chemist requires him to spend time outdoors collecting soil samples in hard to reach places. When hip osteoarthritis threatened to take him out of the field, he turned to his orthopaedic specialist for help. He

Importance cannot be stressed enough

recommended a hip implant from DePuy


Synthes Joint Reconstruction and the

Potentially blinding

The potentially blinding eye disorder brought on by diabetes is known as diabetic retinopathy — it affects the retina, or the lining at the back of the eye that detects light. The onset of the problem is related to how long a patient has had diabetes and how well blood glucose levels have been controlled. That said, diabetic retinopathy is extremely common even in patients who consider their sugars controlled, said Suhail Alam, M.D., a retina surgeon with the Valley’s Barnet Dulaney Perkins Eye Center. “After ten years of diabetes, nearly 90 percent of all diabetic patients will have some degree of retinopathy,” he said. As the disease progresses, patients may also experience ischemia, the failure of the retina due to lack of oxygen, and vitreous hemorrhage, a leakage of blood into the clear, gel-like fluid in the center of the eyeball.

Anterior Approach.

Can be symptomless

Alam said patients with diabetic retinopathy usually have no symptoms until the end stage of the disease when they may feel eye pain or pressure — which is often followed by near total vision loss. In some instances, however, bleeding may be visible earlier on in the disease’s progression. “If it leaks enough,” Owens said, “you’ll have blurred vision and you may see blobs of blood or black spots in your vision.”

To find out more about how a new surgical approach may provide faster recovery with reduced pain and fewer restrictions, visit 1,2

Monitor closely

Anterior Approach is an alternative surgical procedure to traditional hip

The only way to detect early signs of diabetic retinopathy is for diabetic patients to be diligent in getting a yearly eye exam, the doctors said. Careful monitoring of diet and blood pressure, and keeping them both within a normal range, is also imperative. “If you don’t notice any symptoms, don’t get lulled into a false sense of security because you see well,” Alam said. “That’s the best time to intervene because that’s when you have the most vision that can be saved.”

More info

American Diabetes Association:; 800-DIABETES (800-342-2383)

replacement surgery that can help get you back to activity sooner. In one study, Anterior Approach patients were three times more likely to reach full activity six weeks after surgery, compared to traditional hip replacement patients.3

Important Safety Information: Hip replacement is not for everyone. There are potential risks. Recovery takes time and success depends on factors like age, weight, and activity level. Only an orthopaedic surgeon can tell if hip replacement is right for you.



iabetes is the leading preventable cause of blindness in working-age people, according to Kristia Owens, O.D., an optometrist with Southwestern Eye Center in Mesa. She added that 26 million Americans have been diagnosed as diabetic and another 79 million are pre-diabetic, or meet some of the disease’s criteria.

Reference: 1. Barrett WP, et al, Prospective Randomized Study of Direct Anterior vs Postero-Lateral Approach for Total Hip Arthroplasty, J. Arthroplasty (2013) 2. Vail TP, Marinani EM, Bourne MH, Berger RA, Meneghini RM: Approaches in Primary Total Hip Athroplasty. J Bone Joint Surg Am 91 (5): 10-12, August 2009. 3. A Case Study from St. Mark’s Hospital. “Anterior Approach Hip Replacement Surgery Yields Increased Volume and Reduced Resource Utilization. St. Mark’s Hospital. 2009.” 2009 DePuy Orthopaedics, Inc. Available upon request from DePuy. © DePuy Synthes Joint Reconstruction, a division of DOI 2013.

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4 | LIVING WELL A-Z | WEDNESDAY, November 6, 2013


TOP Events

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

WELLNESS MEDICARE 101 Various dates, times & locations By John C. Lincoln Register: 623-434-6265; MEDICATION CHECKS Various dates, times & locations By St. Luke’s Register: 877-351-9355 WALK-ERCIZE CLASS Various dates, 9–10 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 HEALTHY COOKING DEMO Nov. 6, 10–11 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 HEALTHCARE REFORM Nov. 6, 11 a.m. & Nov. 7, 6 p.m. By Abrazo Health at Maryvale Community Center 4420 N. 51 Ave., Phoenix 855-292-9355; STAYING ACTIVE Nov. 7, 1–2 p.m. By Tempe St. Luke’s at IronOaks Country Club 24218 S. Oakwood Blvd., Sun Lakes Register: 877-351-9355 PELVIC HEALTH Nov. 12: Banner Desert, 1400 S. Dobson Rd., Mesa Nov. 14: Banner Estrella, 9201 W. Thomas Rd., Phoenix Nov. 20: Banner Baywood, 6644 E. Baywood Ave., Mesa 6–8 p.m.; Register: 602-230-2273 FARMERS MARKET/COOKING DEMO Nov. 13, 10 a.m.–noon Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 HEALTHY HEART EATING Nov. 14, 1–2 p.m. By Scottsdale Healthcare at Civic Center Auditorium 3839 N. Drinkwater Blvd., Scottsdale Register: 480-882-4636; COMMUNITY HEALTH FAIR Nov. 16, 8–11 a.m. By St. Joseph’s Peoria North and the City of Peoria at St. Joseph’s Peoria North 7727 W. Deer Valley Rd., Peoria 623-773-7137; WOMEN’S WELLNESS PROGRAM Nov. 16, 8–11:45 a.m. Scottsdale Healthcare Shea 9003 E. Shea Blvd., Scottsdale Register: 480-882-4636; ACID REFLUX SEMINAR Nov. 16, 8:30–11 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix Register: 877-602-4111 BONE DENSITY SCREENING Nov. 18, 10 a.m.–1 p.m. Scottsdale Healthcare Shea 9003 E. Shea Blvd., Scottsdale Register: 480-882-4636; UNITED BLOOD SERVICES BLOOD DRIVE Nov. 20, 11 a.m.–3 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register:; sponsor code Luke NATUROPATHIC MEDICINE IN TRADITIONAL MEDICINE Nov. 20, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 FOOT HEALTH Nov. 20, 7–8 p.m. By Scottsdale Healthcare at Barnes & Noble 10500 N. 90 St., Scottsdale Register: 480-882-4636;

JOINTS SHOULDER PAIN TREATMENT & PREVENTION Nov. 7, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 KNEE REPLACEMENT SEMINAR Nov. 7, 6–7 p.m. Arrowhead Hospital 18701 N. 67 Ave., Glendale Register: 855-292-9355; HIP REPLACEMENT Nov. 7, 6–7:30 p.m. Scottsdale Healthcare Thompson Peak 7400 E. Thompson Peak Pkwy., Scottsdale Register:; 480-882-4636 HIP & KNEE HEALTH Nov. 13, 1–2 p.m. By St. Luke’s at Lakes Recreation Ctr., Westbrook Village 19251 N. Westbrook Pkwy., Peoria Register: 877-351-9355 KNEE OSTEOPOROSIS (MAKO) Nov. 21, 6 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

CAREGIVERS ONLINE NETWORKING (DUET) Various dates & times Register: (Events tab) 602-274-5022 SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 CAREGIVERS Nov. 6, 10:30 a.m. John C. Lincoln 9202 N. Second St., Phoenix 602-870-6374 SUPPORT GROUP Nov. 11 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 SUPPORT GROUP Nov. 13, 2:30 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 SUPPORT GROUP Nov. 15, 9–11 a.m. By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999 CAREGIVER SUPPORT Nov. 27, 2:30–3:30 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-9355

GRIEF CHILD/TEEN GRIEF SUPPORT Various dates, times & locations Hospice of the Valley 480-951-8985; GRIEF SUPPORT Various dates, times & locations Hospice of the Valley 602-636-5390; GRIEF SUPPORT Nov. 14 & 28 St. Joseph’s 350 W. Thomas Rd., Phoenix Call for time: 602-406-3275 GRIEF & BEREAVEMENT SUPPORT Nov. 27, 10 a.m.–noon By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999

PAIN PAIN SUPPORT Nov. 8 & 22, 6–8 p.m. By Chronic Pain Assoc. at Catholic Outreach Center 12301 W. Bell Rd., Sun City 602-532-2981 PAIN SUPPORT Nov. 13, 6:30–8 p.m. By Chronic Pain Assoc. at Via Linda Senior Center 10440 E. Via Linda, Scottsdale 480-314-2330

NEW ADVANCES IN CHRONIC PAIN Nov. 15, noon–1 p.m. By Tempe St. Luke’s at Tempe Public Library 3500 S. Rural Rd., Tempe Register: 877-351-9355 ACUPUNCTURE FOR PAIN MANAGEMENT Nov. 21, 1–2 p.m. By Scottsdale Healthcare at Desert Foothills Library 38443 N. Schoolhouse Rd., Cave Creek Register: 480-882-4636;

HEART/STROKE STROKE SURVIVOR SUPPORT Nov. 6 & Dec. 4, 10–11 a.m. HealthSouth Scottsdale 9630 E. Shea Blvd, Scottsdale 480-551-5440 HEART HEALTH EVALUATIONS Nov. 7 & 12, 8–11:45 a.m. Scottsdale Healthcare Shea 9003 E. Shea Blvd., Scottsdale Register: 480-882-4636; APHASIA SUPPORT Nov. 7, 14 & 21, 10–11 a.m. HealthSouth Scottsdale 9630 E. Shea Blvd., Scottsdale 480-551-5442 LIVING WITH HEART FAILURE Nov. 7, 14 & 21, 5–7 p.m. John C. Lincoln; various locations 602-870-6060, ext. 6622 ATRIAL FIBRILLATION Nov. 12, 6–7 p.m. Banner Heart Hospital 6750 E. Baywood Dr., Mesa Register: 602-230-2273 STROKE SUPPORT Nov. 19, 3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

DIABETES TAKING CONTROL OF DIABETES Various dates, 6–7 p.m. Phoenix Baptist Hospital 2040 W. Bethany Home Rd., Phoenix Register: 602-841-5505; DIABETES SUPPORT Nov. 11, 3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 DOCTOR TALK: DIABETES Nov. 13, 12:30–1:30 p.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 DIABETES SUPPORT Nov. 14, 1–2 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-9355 DIABETES & YOUR FEET Nov. 18, 6 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

ALZHEIMER’S/ DEMENTIA JOURNEY OF DEMENTIA Various dates, times & locations By Hospice of the Valley Register: 602-636-5391; FINDING EFFECTIVE TREATMENT Nov. 8, 10:30 a.m.–noon Banner Gateway 1900 N. Higley Rd., Gilbert Register: 602-230-2273 PLANNING AHEAD FOR CAREGIVERS Nov. 11, 4–6 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850

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

Ongoing Medicare Advantage Plans Seminar WHAT: Learn about Medicare Advantage HMO plans from Cigna. A salesperson will be present with information and applications. For accommodation of persons with special needs, call 855-298-4382 (TTY 711). WHERE: Cigna Medical Group locations throughout the Valley TIME: Morning and afternoon seminars COST: Free seminar; receive a free no-obligation gift PRESENTED BY: Cigna INFO/REGISTER: 855-298-4385

Nov. 9 Banner Thunderbird’s 30th Anniversary WHAT: Food, entertainment, health information and screenings. WHERE: 5555 W. Thunderbird Rd., Glendale TIME: 9 a.m.–1 p.m. INFO:

Nov. 9 Caregivers/Grandparents: Coping with Holiday Stress WHAT: Workshop for all caregivers, including grandparents raising grandchildren in Central Phoenix. Learn how to get through the holidays happily. WHERE: Church of the Beatitudes, 555 W. Glendale Ave., Phoenix TIME: 9:30 a.m.–1:30 p.m. FREE: Includes lunch and childcare with advance notice INFO/REGISTER: By Nov. 6. 602-274-5022;

Nov. 9 Light the Night Walk WHAT: Thousands of walkers will carry illuminated balloons to raise funds for the Leukemia & Lymphoma Society. WHERE: Tempe Arts Park, 700 W. Rio Salado Pkwy., Tempe TIME: 5 p.m. COST: Donations accepted PRESENTED BY: Virginia G. Piper Cancer Center INFO/REGISTER:602-567-7600;

CAREGIVER SUPPORT Nov. 18 & Dec. 2, 1:30–3 p.m. By St. Luke’s at Pyle Adult Rec. Center 655 E. Southern Ave., Tempe Register: 877-351-9355 COMPASS FOR CAREGIVERS Nov. 21, 10–11:30 a.m. & Nov. 25, 4–5:30 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850 COMPASS FOR CAREGIVERS Nov. 22, 10–11 a.m. Banner Sun Health Research Institute 10515 W. Santa Fe Dr., Sun City Register: 602-839-6850

SENIORS FALL RISK ASSESSMENT Nov. 19, 6:30–7:30 p.m. By Midwestern University at Foothills Library 19055 N. 57 Ave., Glendale 623-930-3868

ALZHEIMER’S & MEMORY SUPPORT Nov. 12, 19 & 26, 10 a.m.–noon By Benevilla at Faith Presbyterian 16000 N. Del Webb Blvd., Sun City 623-584-4999

2011 Undy 5000 Run

Nov. 12 Diabetes Talk/Screening WHAT: Healthcare providers will discuss preventing and managing diabetes. Free A1C test for first 25 people. WHERE: 19841 N. 27 Ave., Phoenix. TIME: 6:30–7:30 p.m. COST: Free PRESENTED BY: John C. Lincoln Health Network INFO/REGISTER: 602-567-7641;

Nov. 16 Sixth Annual Phoenix Undy 5000 WHAT: All-ages annual 5K walk/run benefits the Colon Cancer Alliance. Participants are encouraged to wear family-appropriate “undy-attire” and will receive a commemorative pair of Undy 5000 boxer shorts. WHERE: State Capitol District, 1600 W. Washington St., Phoenix TIME:Registrationstarts7:30a.m. COST: $20-$40, depending on age and time of registration INFO/REGISTER: 202-628-0123, ext. 104;

Nov. 16 Diabetes Fair, Info & Screenings WHAT: Info booths, screenings and more. WHERE: Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa TIME: 8–11 a.m. COST: Free INFO/REGISTER: 877-924-9355

BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Banner Boswell Northwest Valley: 623-236-6616 Scottsdale: 623-236-6616 West Valley: 623-979-4279 YOGA FOR RECOVERY Nov. 6, 13 & 20, 6–7:30 p.m. John C. Lincoln 19841 N. 27th Ave., Phoenix 602-780-4673; THRIVE! YOUNG SURVIVORS Nov. 12, 6–8 p.m. John C. Lincoln 19646 N. 27 Ave., Phoenix 602-780-4673; LEARN & SUPPORT Nov. 14, 6–8 p.m. John C. Lincoln 19646 N. 27 Ave., Phoenix 602-780-4673;


Take advantage of more than 100 opportunities for you to meet others with similar issues and learn more about various aspects of your health – from A to Z.

Nov. 21 Emerging Drugs Seminar WHAT: Ayrn O’Connor, MC, FACMT, a toxicologist at Banner Good Samaritan, presents this seminar featuring topics ranging from bath salts to spices. Dinner provided. WHERE: Banner Good Samaritan, 1111 E. McDowell Rd., Phoenix TIME: 6–7:30 p.m. COST: Free; free valet parking INFO/REGISTER: 602-839-4970; 602-527-3776

Nov. 23 Grandparents: Coping with Holiday Stress WHAT: Workshop for grandparents raising grandchildren in the Southwest Valley. Learn how to get through the holidays happily. WHERE: Christ Evangelical Lutheran Church, 918 S. Litchfield Rd., Goodyear TIME: 10 a.m.–1:30 p.m. FREE: Includes lunch and childcare with advance notice INFO/REGISTER: By Nov. 15. 602-274-5022;

Dec. 2 AARP Driver Safety Program WHAT: Learn how to maintain mobility and practice safe driving skills. WHERE: Lifeprint Community Center, 20414 N. 27 Ave., Phoenix TIME: 11:30 a.m.–3:30 p.m. COST: $12 AARP members; $14 non-members INFO/REGISTER: 623-707-2899

TRIPLE NEGATIVE SUPPORT Nov. 20, 5:30–7 p.m. By The Wellness Community at Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006; LIVING WITH LYMPHEDEMA Nov. 25, 6:30–8:30 p.m. Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: 480-882-4636;

WOMEN & CANCER FACING FORWARD FOR WOMEN Nov. 13, 3 p.m. Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: 480-882-4636;


SUPPORT GROUP Lunch provided Nov. 17, 11 a.m.–12:30 p.m. St. Joseph’s Huger Mercy 2345 W. Orangewood Ave., Phoenix 602-406-5600

INFO Online

ORTHOPAEDIC SURGEON Dr. Joel Matta, Pioneers Hip Replacement Procedure

ABRAZO HEALTH CARE (AZ Heart Institute and AZ Heart, Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals): BANNER HEALTH: BARNET DULANEY PERKINS EYE CENTER:












Dr. Joel Matta is an orthopaedic surgeon practicing in Santa Monica, CA and is Founder and Director of Hip and Pelvis Institute at St. John’s Health Center, which opened in 2006. Dr. Matta began anterior approach in 1996 and led the development of a dynamic operating table to facilitate the procedure. During the past decade, he has trained hundreds of orthopaedic surgeons in the anterior approach hip replacement procedure. To find a local orthopaedic surgeon, visit “There are several merits to the anterior approach procedure,” said Dr. Matta. “Less muscle trauma, reduced hospital stay and recovery time, small incision, improved accuracy of leg length and hip component position. The patient benefits account for the rapid growth of this procedure.”


Hip & Pelvis Institute at St. John’s Health Center 2001 Santa Monica Blvd., #1090 Santa Monica, CA 90404 (310) 582-7475


WEDNESDAY, November 6, 2013 | LIVING WELL A-Z | 5

Nov. 21:

Great American Smokeout

MULTIPLE MYELOMA SUPPORT Nov. 7 & 21, 10 a.m.–noon By The Wellness Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; PROSTATE CANCER SUPPORT Nov. 7, 6–8 p.m. By The Wellness Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; CAVE CREEK CANCER SUPPORT Nov. 9, 10 a.m.–noon By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek Register: 480-488-3283 LYMPHOMA SUPPORT Nov. 9, 10 a.m.–noon By The Wellness Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; PANCREATIC CANCER SUPPORT Nov. 9, 10 a.m.–noon By The Wellness Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; CARCINOID SUPPORT Nov. 9, 1–3 p.m. By The Wellness Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; LUNG CANCER SUPPORT Nov. 9, 1–3 p.m. By The Wellness Community 360 E. Palm Ln., Phoenix Register: 602-712-1006; PATHWAY TO WELLNESS Nov. 11, 12, 13 & 15, 4–5:30 p.m. Banner Desert Cancer Center 1400 S. Dobson Rd., Mesa Call for info: 480-412-3817 DRUMMING CIRCLE Nov. 11, 6–7:30 p.m. Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: 480-882-4636; NUTRITION CLASS Nov. 13, 6–7:30 p.m. Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: 480-882-4636; NON-HODGKIN’S LYMPHOMA SUPPORT Nov. 14, 6–8 p.m. Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: 480-882-4636; SKIN CANCERS & CLINICAL TRIALS Nov. 21, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970 or 602-527-3776 ORAL, HEAD & NECK SUPPORT Nov. 21, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192

PARKINSON’S CAREGIVERS SUPPORT (DUET) Various dates, times & locations 602-274-5022

GRANDPARENTS RAISING GRANDCHILDREN By Benevilla; various dates, times & locations 623-207-6016

SUPPORT GROUP Nov. 8, 10 a.m.–noon HealthSouth Scottsdale 9630 E. Shea Blvd., Scottsdale Register: 602-406-3840

GRANDPARENTS RAISING GRANDCHILDREN By Duet; various dates, times & locations 602-274-5022

SUPPORT GROUP Nov. 19, 3–5 p.m. By Benevilla at Shepherd of the Hills United Methodist 13658 Meeker Blvd., Sun City West 623-584-4999

SUPPORT THROUGH OTHER PARENTS (S.T.O.P.) Various dates & locations, 7–9 p.m. 623-846-5464


GUARDIANSHIP CLINIC (DUET) Nov. 8, 3–5 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix Reservations: 602-274-5022

CELIAC DISEASE SUPPORT Nov. 6 & Dec. 4, 7–8:30 p.m. Paradise Valley Retirement Center 11645 N. 25 Place, Phoenix 623-587-8885

INFANT BRAIN DEVELOPMENT Nov. 9, 9 a.m.–1 p.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 480-784-5588

INTERSTITIAL CYSTITIS Nov. 10, 2–2:30 p.m. Phoenix Baptist Hospital 2000 W. Bethany Home Rd., Phoenix 623-349-4611;

CHILDBIRTH EDUCATION (2-day class; Spanish) Nov. 16 & 17, 5–8 p.m. West Valley Hospital 13677 W. McDowell Rd., Goodyear Register: 855-292-9355;

OSTOMY SUPPORT Nov. 17, 2–4 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324


RESPIRATORY LUNG TRANSPLANT SUPPORT Nov. 12, 11:45 a.m.–1 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-7009 HEALTHY LUNGS: BREATHE EASIER Nov. 12, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

BRAIN BRAIN INJURY SUPPORT FOR YOUNG ADULTS & CAREGIVERS Nov. 13, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-996-1396 PROGRESSIVE SUPERNUCLEAR PALSY (PSP) SUPPORT Nov. 16, 1:30–3:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-920-4632; BRAIN ANEURYSM SUPPORT Nov. 20, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 760-333-7658; CARING & COPING WITH TREMORS Nov. 23, 9:30 a.m.–1 p.m. Scottsdale Healthcare Rehab 8850 E. Pima Center Pkwy., Scottsdale Sponsored by Movement Disorders Center of AZ, Scottsdale Healthcare and Barrow Neurosurgical Associates Registration required: 480-322-4236

WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations By Scottsdale Healthcare Register: 480-882-4636;

Help is available

Tricia Bruce, an American Cancer Society patient navigator, said that the Society’s website,, has tips that can help those who are committed to quitting tobacco use. “Another resource is the Arizona Smokers’ Helpline (800-5566222),” she said. “They offer information on developing a quit-plan, counseling and other methods to help quit the use of tobacco.”

Project Quit

Project Quit was developed in partnership with the Arizona Smokers’ Helpline (also known as the ASHLine), said Courtney Ward, MPA, chief, office of tobacco prevention and cessation programs at the Arizona Department of Health Services. Utilizing professional and confessionalstyle cameras, Project Quit followed four tobacco users over 30 days. Project Quit’s website and Facebook site contain updates highlighting their day-to-day struggles and successes with quitting tobacco.

“Anyone can join Project Quit; they’ll be connected with other people who are trying to quit tobacco,” Ward said, adding that they’ll also be able to utilize free resources and talk to a professional ASHLine Quit Coach.

3 reasons to quit smoking 1 DEATH: Half of smokers who

continue to smoke will die from a smoking-related illness. 2 CANCER: Smoking has been linked to cancers of the lung, bladder, stomach, colon, mouth and throat. 3 LIFE: Men who smoke lose an average of 13.2 years of life; for women, it’s 14.5 years lost. Source: American Cancer Society,

More info

American Cancer Society:; 800-227-2345 American Lung Association:; 800-586-4872; (800-LUNGUSA) Arizona Smokers’ Helpline:; 800-556-6222 Project Quit: — BY ALISON STANTON

BARIATRIC SESSIONS Nov. 16, 10 a.m.–noon & Nov. 20, 11:30 a.m.–12:30 p.m. Banner Gateway 1900 N. Higley Rd., Gilbert 480-882-4636; BYPASS/SLEEVE/DS: BARIATRIC SUPPORT Dec. 3, 5–6:30 p.m. By St. Luke’s at Bridges Center 555 N. 18 St., Phoenix Register: 602-251-8828

ADDITIONAL SUPPORT GROUPS ADULTS WITH INTELLECTUAL DISABILITIES Nov. 15, 9:30–10:30 a.m. By Benevilla at Lakeview United Methodist 10298 W. Thunderbird Rd., Surprise 623-584-4999 HUNTINGTON’S DISEASE Nov. 18, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-402-1774

BREASTFEEDING BREASTFEEDING SUPPORT Nov. 11, 18 & 25, 10–11:30 a.m. St. Joseph’s 350 W. Thomas, Phoenix 602-406-4954

MULTIPLE SCLEROSIS (WOMEN) Nov. 23, 10 a.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 480-829-6563



You can rely on one doctor.

n the third Thursday of November every year, smokers are encouraged to take part in the American Cancer Society’s Great American Smokeout.

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

MEN’S DISABILITY ISSUES Nov. 21, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232;

CHILDBIRTH EDUCATION (Two-week class; English and Spanish) Various dates, 6:30–9:30 p.m. Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: 855-292-9355;


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



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

Medical Director Mike Janicek, M.D., Clinical Manager Sherry Razo and Vice President/ Administrator Kim Post cut the ribbon at the dedication of the Women’s Health and Healing Unit at Scottsdale Healthcare Thompson Peak Hospital

New hospital unit designed for women with gynecologic cancers


ocated on the third floor of Scottsdale Healthcare Thompson Peak Hospital, the new Women’s Health and Healing Unit provides a comforting environment to support the needs of women receiving treatment for gynecologic cancers including ovarian, uterine and cervical cancer. The Women’s Health and Healing Unit is specially decorated to create a warm, soothing environment and is designed for enhanced communication among the care team which includes specially trained

nursing staff and a dedicated gynecologic oncology-trained nurse practitioner. “Many of these patients are traumatized and going through a physically and emotionally difficult time,” explained gynecologic oncologist Mike Janicek, M.D., medical director of the Women’s Health and Healing Unit. “This unit helps with their journey. It not only has the latest in high-tech equipment, but it’s a very relaxing and comforting place as well.” For more information, visit

017) 01/, -2<.</,;@ 1.?6)@ MEDICARE ADVANTAGE PLANS Learn About Medicare Advantage HMO Plans from Cigna. A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings call 855.298.4382 (TTY 711).

Celebrate our 30th anniversary with a free program, refreshments, health screenings and entertainment.


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

REGISTER: 855.298.4382


OVARIAN CANCER SUPPORT Nov. 16, 10 a.m.–noon By The Wellness Community 360 E. Palm Ln., Phoenix Register: 602-712-1006;

Saturday, Nov. 9 from 9 a.m.-1 p.m.

3+&*$&%*+&&& >>>(0:94-=A8A5(4"!'1"A#48:


Or you can rely on Mayo Clinic.

At Mayo Clinic, an entire team of experts will focus on you. Each year, more than 20,000 Twin Cities residents entrust Mayo Clinic with their health. Our teams share knowledge and provide answers—one patient at a time. Call to request an appointment or learn from others who’ve been there at


5555 W. Thunderbird Rd., Glendale AR-0008103586-01

6 | LIVING WELL A-Z | WEDNESDAY, November 6, 2013

Continued from cover HIGH-TECH SURGERY “The sensor gives us location information we can see superimposed on the image,” Seifert said. The John C. Lincoln Health Network is the only hospital system in the Southwest and one of only six sites in the U.S. to purchase this technology that doesn’t rely on continuous radiological imaging (and radiation) for such procedures.

Benign prostate hypertrophy, also known as an enlarged prostate, is the most common reason men see urologists. Conventional surgery — called a transurethral resection of the prostate (TURP) — is usually performed in an outpatient surgical setting and may require up to two months for complete return to normal urinary function. But for the past two years, Phoenix urologist Mark Hong, M.D., has been using an FDA-approved GreenLight laser to essentially vaporize excess prostate tissue. The procedure is performed in his office with the patient under conscious sedation. “There is almost no bleeding with the laser,” Hong said. “The patient is more comfortable and doesn’t have to worry about side effects from general anesthesia. He is back to work sometimes in less than a week. And the procedure is less expensive than a traditional TURP.” With the laser procedure, a urinary catheter typically remains in place for just one day, Hong said. With a traditional TURP, the catheter sometimes must remain in place for up to a week. He said results with the laser are comparable to a traditional TURP — in almost all cases, urinary flow is greatly improved “as well as the patient’s quality of life.”

Pediatric heart surgery using a life-size 3D replica of the patient’s heart as a guide. For a little over a year, cardiac surgeons at Phoenix Children’s Hospital (PCH), in collaboration with Arizona State University biomedical engineering researchers, have used precise three-dimensional (3D) models of young patients’ hearts to guide them during surgery


Treating an enlarged prostate in the doctor’s office.

Congenital heart surgeon Daniel Velez, M.D., and his colleagues at Phoenix Children’s Hospital in Phoenix have been using precise three-dimensional models of children’s hearts to help guide the cardiac surgeons during operations on the Valley’s youngest cardiac patients. Working with Arizona State University biomedical engineering researchers, they use CT and MRI scans to help create an exact model of the patient’s heart.

on the Valley’s youngest cardiac patients. The models are created from CT and MRI scans of the patient’s heart that are translated by a 3D printer into a representation made of gypsum and super-glue. The models have been especially helpful, said Daniel Velez, M.D., a congenital heart surgeon at PCH, for a patient who needed an artificial heart as a bridge to a heart transplant. Doctors were able to replace — virtually — an exact replica of a patient’s heart with a model of an artificial heart using the exact dimensions of the patient to ensure that when the time comes for actual surgery, the artificial heart would fit perfectly inside the patient’s body.

of patients through the wrist artery. It’s become so routine, Heuser said, that he only uses the groin approach when diagnosing arteries in the lower half of the body. “The radial approach is appropriate for almost every patient undergoing catheterization of the coronary (heart) arteries,” he said. With the groin artery approach, patients typically have to lie flat for a few hours afterward; with the wrist approach, they can be discharged as early as an hour after the procedure, Heuser said.

Coronary artery intervention through the wrist.

MAKOplasty® Total Hip Arthroplasty (THA) uses a surgeon-controlled robotic arm system that enables accurate alignment and positioning of hip implants. In January, Arrowhead Hospital in Glendale became the first hospital in the state to use the system and in September was first to use the anterior approach (front of the hip joint) for hip replacement surgery with the robotic arm. The technology provides the orthopedic surgeon with a patient-specific 3D reconstruction of the hip joint to pre-plan the patient’s hip replacement.

Traditional cardiac catheterization involves inserting a catheter through the femoral (groin) artery to visualize and diagnose arterial blockages. About three years ago, cardiologists at St. Luke’s Medical Center in Phoenix began to access the heart through the radial artery in the wrist. Since then, interventional cardiologist Richard Heuser, M.D., and others have treated thousands

Robot-assisted total hip replacement.

A r izo na


You want to change the future of health care.


A graduate of Ross University in Portsmouth, Dominica, Dr. Patel completed his residency at Loyola University Ronald McDonald Children’s Hospital in Maywood, IL.

You belong here.

He has a special interest helping parents navigate the challenges of raising a healthy child, along with asthma, obesity and preventive medicine.

Banner Health Center located in Estrella 9780 South Estrella Parkway (623) 474-8101

If you are an established nursing leader, ready for the next step in your career and seeking to join a forward-looking health care organization, you belong here. At Banner Health, you’ll have the opportunity to direct and deliver the outstanding nursing care that defines our award-winning health system. In fact, for the third time in four years, Truven Health Analytics has named Banner Health one of the Top 15 Health Systems in the U.S. – one of the top five large health systems!


As a nationally recognized ophthalmologist with Barnet Dulaney Perkins Eye Center, Dr. Perkins has performed more than 50,000 cataract surgeries and more than 10,000 vision correction procedures such as LASIK and Implantable Contact Lenses (ICLs). As an innovator in the field of ophthalmology, he has participated in over 25 clinical trials for both pharmaceutical and ophthalmic devices.

We invite you to explore openings at our exceptional hospitals in Arizona and six other western states. With more than twenty hospitals throughout the west, we have a career and a clinical setting that’s right for you. Right now, we have opportunities for:

In addition, Dr. Perkins serves on the Board of Directors for Arizona Visionaries, a donor driven non-profit organization providing cataract surgery and eyeglass fittings in third world countries. He is not only trusted for his surgical talents and modest nature, but is also well known for his compassion and ability to connect with and comfort patients. Board Certified by the American Board of Ophthalmology Member of the American Society of Cataract and Refractive Surgery Fellow of the American Academy of Ophthalmology

RN Senior Managers – Multiple Disciplines

Locations throughout Arizona (800) 966-7000 /

No matter which facility you choose or which area you work in, you’ll enjoy an excellent compensation and benefits package as well as the fulfillment that comes from working at the forefront of the nursing practice.

PAIN RELIEF Dr. Theodore Manos


Learn more and apply at:

EOE/AA. We support a tobacco-free and drug-free workplace.

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

Connect with Banner Health Careers: AR-0008112380-01

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


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

Think before you ink


What to know before you get a tattoo or piercing

Board certified in general surgery and surgical critical care, Dr. Ghaemmaghami specializes in trauma and acute care surgery. He earned his medical degree from the University of Texas Health Science Center at Houston before completing his residency at the University of California Davis Medical Center, Sacramento followed by a trauma, burns and surgical critical care fellowship at the University of Texas Southwestern Medical Center in Dallas.



n some municipalities, tattoo parlors are regulated by local zoning ordinances. However, according to Laura Oxley, communication director for the Arizona Department of Health Services, tattoo artists are not regulated by the state. Therefore, before you get inked or pierced, check with your local city or county about possible licensing and/or certifications, and then be sure to follow our experts’ advice.


“The greatest risk is infection with a blood-borne pathogen such as HIV, hepatitis and more,” said Pablo Prichard, M.D., the chief of plastic and reconstructive surgery at John C. Lincoln Hospitals. “This is the most feared risk and related to contaminated instruments or needles.” Other risks include skin infections, possible allergic reactions and keloid (a raised scar) formation.


“Treat this decision like it will stick around for a long time,” Prichard said, “because it will.”


Kenneth Komatsu, state epidemiologist for the Arizona Department of Health Services, suggested asking several key questions: • Does the shop sterilize their equipment and use sterile water/ink that is specifically for tattoos? • Does the artist wear gloves and open a sterile needle in front of you? • Are inks and ointments portioned out for individual use?


SPECIFIC ARTIST. “Make sure you look at their portfolio,” said Donavan Pribyl, a tattoo artist at InkBomb in Chandler. “Look for clean, consistent line-work, strong and smooth shading, as well as smooth gradients in color-work. Meet your artist in person and look at their other art.”

Banner Good Samaritan Surgical Associates Trauma and Acute Care Surgery Office 925 East McDowell Road, 3rd Floor • Phoenix 602.839.5895 •



TATTOO OR PIERCING. Carefully follow care instructions, including properly cleaning the tattoo or piercing and monitoring for infection, Komatsu said.

Pauline Mills, MD Dr. Mills is a pediatrician who treats children of all ages, with a particular interest in adolescents. She received her medical degree from the University of Nevada School of Medicine and completed her internship and residency at New York Medical College (Richmond Program), N.Y. and St Vincent’s Catholic Medical Center (now called Richmond University Medical Center) in Staten Island. Dr. Mills is certified by the American Board of Pediatrics and is a fellow of the American Academy of Pediatrics.


a tattoo can be complicated and expensive. “You might ask for photosensitive pigments which are more friendly with laser removal,” Prichard advised. Piercings are usually easy to remove unless they are gauged, he added.

Banner Health Center located in East Mesa Specializing in Pediatrics 1917 South Crismon Road • Mesa 480.610.7100 •

“Good tattoos aren’t cheap and cheap tattoos aren’t good.”

GENERAL SURGERY Corey Detlefs, MD, FACS Dr. Detlefs is a graduate of the University of Arizona College of Medicine in Tucson. He completed an internship and residency at the Phoenix Integrated Surgical Residency Program and a trauma surgery fellowship at the University of California, San Francisco, FresnoCentral San Joaquin Valley Medical Education Program. He is board certified in general surgery and surgical critical care and is active in a number of professional organizations.

— Donavan Pribyl, a tattoo artist at InkBomb in Chandler

Resources Centers for Disease Control and Prevention:

Banner Good Samaritan Surgical Associates Specializing in General Surgery 925 East McDowell Road • Phoenix 602.839.5895 •

Food and Drug Administration: AR-0008103400-01


TO UPGRADE YOUR MEDICARE BENEFITS. Enroll in a Cigna Medicare Advantage plan: • Prescription Drug Coverage • Comprehensive Medical and Hospital Coverage • $200 Reimbursement for the fitness facility of your choice

• Hearing and Vision Services • Preventive Care Coverage and Outreaches • Benefits to help improve your health

$0 Plan premiums** and $0 primary care office visits When you choose a Medicare Advantage plan from Cigna Medicare Select (HMO), you’ll get a plan that’s all about you. We’re rated 4.5 out of 5 stars for helping our customers stay healthy and happy.You won’t find a Medicare plan that’s rated higher in Arizona.* Our network has more primary care doctors than ever and a larger pharmacy network. Now you can fill your prescriptions at any Cigna Medical Group orWalmart1 location of your choice.

To learn more and to RSVP for an informational seminar near you call

855.298.4379 (TTY 711) 7 days a week, 8am to 8pm

Get affordable, quality benefits that improve your health and save you money.

* Most recent 2013 rating from Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. ** You must continue to pay your Medicare Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments and restrictions may apply. Benefits, premium and copayments may change on January 1 of each year. 1 Within the service area. “Cigna,”“Cigna Medicare Select Plus Rx” (HMO), and the “Tree of Life” logo are registered service marks of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries, including Cigna HealthCare of Arizona, Inc. (CHC-AZ), and not by Cigna Corporation. Cigna Medicare Select Plus Rx HMO plans are offered by CHC-AZ under a contract with Medicare. As of the date of publication, Cigna Medicare Select and Cigna Medicare Select Plus Rx plans are offered to employers and individuals in Maricopa County and certain zip codes within Apache Junction and Queen Creek, Arizona only. Enrollment in Cigna Medicare Select Plus Rx depends on contract renewal. This information is available for free in other languages. Please call our customer service number at 1-800-627-7534 (TTY 711), 8 am–8 pm, seven days a week. For accommodation of persons with special needs at a sales meetings call 1-800-627-7534 (TTY 711). A sales person will be present with information and applications. H0354_892012a Accepted AR-0008106105-01

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Not an actual patient of Laser Spine Institute


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