San Joaquin Health Magazine 2020

2020 EDITION

SAN JOAQUIN’S

GUIDE TO A HEALTHY

OUR AREA’S TOP DOCTORS & DENTISTS

{ } YOU & MUCH MORE

Your GUIDE to HEALTH & WELLNESS IN THE CENTRAL VALLEY Published by San Joaquin Magazine

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2020 SJ HEALTH AND MEDICAL GUIDE

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CARE COULDN'T BE CLOSER. Your health needs don’t follow a schedule, so why should you? With the KP mobile app and website, you’re able to make routine appointments, email your doctor, refill most prescriptions and even view most test results. So you can stay closer to everything you need. Visit kp.org today because together we thrive.

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CONTENTS

HEALTH 2020

Departments 10

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16 18 20

22 24

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SANDAL SEASON Put your best foot forward this summer THE SKINNY ON FAT GRAFTING Plump your booty, lips, and bust TOO MUCH BLOOD SUGAR Learn more about diabetes management GUM DISEASE It’s one of the most common oral problems out there DIGNITY HEALTH’S Mako Total Knee Replacement Procedure NOT JUST SKIN DEEP Skin is made to be more than beautiful DRINK ‘TIL IT’S PINK Busting pregnancy myths SICK SMARTS Quick tips for staying healthy LOOK GOOD, FEEL GOOD Tips to get your sexy back GETTING CONTROL OF STRESS EATING The psychology behind this bad habit BEWARE OF BRITTLE BONES Understanding osteoporosis VARICOSE VEINS Not just a cosmetic issue

22 32 OVERWHELMED BY BAD NEWS? Find aolace in the face of a

constant bad-news cycle 34 MORE THAN A BAD COUGH

What exactly is Whooping Cough?

36 LABOR OF LOVE

Read up on delivery stats before your due date 38 SAN JOAQUIN GENERAL HOSPITAL Wins a Performance Excellence Award For congestive heart failure care 40 A HEALTHY PREGNANCY DIET What to eat when you’re expecting 42 WHEN IT’S TIME FOR WISDOM TEETH REMOVAL What to expect 44 PERSONAL COMMITMENT MEETS MEDICAL TECHNOLOGY Dameron Hospital takes a dynamic approach to weight loss 46 SAY ‘YES’ TO RED WINE A vino a day keeps the doctor away 59 THE RISE OF DENTAL IMPLANTS Pick the best option for your smile 66 EW-O-METER How gross is your home?

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SPECIAL ADVERTISING SECTIONS

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Senior Profiles Healthy Hospitals Health Profiles

SHARPS

MEDICATION

Safely Dispose of Medical Sharps

Safely Dispose of Unwanted Medications

COLLECTION PROGRAM

COLLECTION PROGRAM

What are Considered Acceptable Sharps?

Remove Information Remove or black-out personal information from all prescription bottles and containers.

The following are considered acceptable medical sharps: syringes, lancets, needles, auto-injectors and EpiPens.

Sharps Must be in a Container

Seal all Medications All medications must be in a container or sealed in a plastic bag. No loose medications!

Keep all liquids, powders and ointments in original containers.

No loose sharps allowed. FDA recommends always using FDA-cleared containers. An empty household container that has no leaks, a puncture-proof lid, and is made of heavy-duty plastic is also acceptable.

Take Medications to a Drop-Off Location

Take Container to a Drop-Off Location

Take medications to an authorized medication drop-off location.

Once sharps are collected in an acceptable container, take them to an authorized sharps drop-off location.

FREE DROP-OFF LOCATIONS STOCKTON San Joaquin County Household Hazardous Waste Facility 7850 R.A. Bridgeford St. Stockton, CA 95206 (209) 468-3066

El Dorado Drug Store 2005 E. Mariposa Rd. Stockton, CA 95205 (209) 464-7722

Community Medical Center 701 E. Channel St. Stockton, CA 95202 (209) 944-4700

Community Medical Center 1031 Waterloo Rd. Stockton, CA 95205 (209) 940-5600

TRACY Tracy Police Dept.

1000 Civic Center Dr. Tracy, CA 95376 (209) 831-6550

Stockton Police Dept.

22 E. Market St. Stockton, CA 95202 (209) 937-8377 Medications Only

MANTECA Grant Line Pharmacy Incorporated 2160 W. Grant Line Rd. Suite #205 Tracy, CA 95377 (209) 832-2999

Abala Pharmacy 550-B W. Eaton Ave. Tracy, CA 95376 (209) 832-7080

LODI Fairmont Pharmacy 1121 W. Vine St. Suite #13 Lodi, CA 95240 (209) 625-8633

Angkor Pharmacy 4555 N. Pershing Ave. Suite #7 Stockton, CA 95207 (209) 473-4706

Reich’s Pharmacy 39 W. 10th St. Tracy, CA 95376 (209) 835-1832

Manteca Police Dept.

1001 W. Center St. Manteca, CA 95337 (209) 239-8401

Community Medical Center 2401 W. Turner Rd. Suite #450 Lodi, CA 95242 (209) 370-1700

Lockeford Drug 14090 E. Highway 88 Lockeford, CA 95237 (209) 727-5527

RIPON Community Medical Center 200 Cottage Ave. Suite #103 Manteca, CA 95336 (209) 624-5800

Ripon Police Dept.

259 N. Wilma Ave. Ripon, CA 95366 (209) 599-2101

ESCALON

LOCKEFORD Lodi Police Dept.

215 Elm St. Lodi, CA 95240 (209) 333-6727

Rx Express 711 E. Market St. Stockton, CA 95202 (209) 465-1001

Young’s Payless IGA Markets 18980 N. Highway 88 Lockeford, CA 95237 (209) 727-3762 Sharps Only

Escalon Police Dept.

2040 McHenry Ave. Escalon, CA 95320 (209) 838-7093

Vineyard Pharmacy & Gifts 1900 McHenry Ave. Suite #202 Escalon, CA 95320 (209) 838-0511

Sponsored By The Communities Of San Joaquin County Published by San Joaquin Magazine

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from the publisher

STAY HEALTHY, SAN JOAQUIN!

If anything has been thrust into the spotlight this year it’s the healthcare industry. From every aspect we’re learning how to stay healthy, as well as how underlying illnesses, obesity, and other health factors can affect us in ways never imagined. In a way, it’s more important to be healthy now than ever before.

We as a publication are invested in the health of our readers and the entire San Joaquin County community and that’s why we put out this annual go-to health guide for residents. From trends that focus on outside appearance to those that get to deep rooted issues we may not even know we have, our health magazine addresses many of the must-know and want-to-know topics our readers are clamoring to learn more about. And as the only comprehensive health and wellness guide in the area, we know just how important this magazine is for many.

Within these pages we discover expert health advice from leading physicians including everything from how to ward off COVID-19 to how to boost your wellness with wine. From dietary trends to dental procedures, senior care to health in-utero, we cover health stories for everyone in the county—and that means men, too!

Some of our best takeaways from this issue are how local hospitals are developing new ways to treat patients. From Kaiser to Dameron, St. Joseph’s Medical Center to San Joaquin General Hospital, our area’s hospitals are leading the charge in everything from weight loss to heart disease.

Throughout this issue we hear the voices of leaders in healthcare, each working to make San Joaquin County a destination for quality healthcare. Sandwiched between Sacramento and the Bay Area, our care facilities don’t play second fiddle to anyone. Instead, the industry is booming right here in the Central Valley, making it possible to get quality care without leaving your neighborhood.

So, if you’re ready to prioritize health or simply want to be inthe-know about what’s new in the health world, we welcome you to settle in and get ready to learn. After all, when it comes to health, knowledge is—quite literally—power.

Stay healthy, San Joaquin,

LAST THOUGHTS

FOR ALL YOU DO, THANK YOU. We recognize that this is not an easy time for many, and we want to acknowledge healthcare workers on the front lines right now, doing all they can to care for those affected by COVID-19, which often means putting their own health on the line. If you’d like to help out, consider giving back to nurses, doctors, EMTs, and other healthcare workers by buying them a meal from a local restaurant, donating PPE equipment, or having your kids write thank you cards.

COVID-19 SAFETY TIP

READ YOUR FREE DIGITAL EDITION ONLINE @ SJMAG.com 2020 EDITION SAN JOAQUIN HEALTH 2020 EDITION SAN JOAQUIN HEALTH

Publisher/Editor

OUR ANNUAL GUIDE TO HEALTH & WELLNESS OUR ANNUAL GUIDE TO HEALTH & WELLNESS

TONY ZOCCOLI

2020 EDITION 2020 EDITION

SAN JOAQUIN’S JOAQUIN’S

GUIDE

TO AA HEALTHY TO HEALTHY YOU YOU{{ }} & &

MUCH MORE MUCH MORE

OUR AREA’S TOP DOCTOR’S OUR AREA’S & DENTISTS TOP DOCTORS & DENTISTS

Your GUIDE to HEALTH & WELLNESS IN THE CENTRAL VALLEY

Your GUIDE to HEALTH & WELLNESS IN THE CENTRAL VALLEY |

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D O C T O R

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P R O F I L E S

2020 SJ HEALTH AND MEDICAL GUIDE

// H E A L T H Y

H O S P I T A L S

// L O C A L

T R E N D S

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podiatry 

BY NORA HESTON TARTE

SANDAL SEASON GET YOUR TOES PRETTY—AND HEALTHY—FOR SPRING It’s that time of year where the sandals come out and the toes make their debut! We all want to put our best foot forward, but that’s hard to do when the winter has given your feet a beating. In addition to getting a fresh pedicure and using a foot mask to soothe dry skin, there are some more in-depth approaches you can take to making your feet look and feel better. “The feet are a complex part of the body that are designed to support your weight and help you stand, walk, and run,” says Rajdeep K. Sahota, DPM, podiatrist and a primary care provider at San Joaquin County Clinics. “As with any other medical issue, prevention is key, so even if you have healthy feet, a podiatrist can help you learn about common issues to watch for and also discuss proper shoe gear and orthotics.”

To tackle pain, discomfort, and unsightly bunions, corns, and structural deformities, talk to a specialist. “It is important to have these issues treated in a timely fashion to avoid more severe complications that may lead to pain and difficulty walking,” Dr. Sahota warns.

FOR THOSE WITH DIABETES

Those with diabetes need to be more diligent about footcare. Poor circulation makes it hard for the foot to heal on its own, plus numbness can lead diabetics to not notice foot problems before it’s too late. Check your feet daily and go to the doctor immediately with problems.

Diabetics should not attempt at-home self-care without first consulting a podiatrist.

ASK AN EXPERT:

San Joaquin General Hospital 500 W. Hospital Rd., French Camp (209) 468-6000 SanJoaquinGeneral.com

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CORNS AND CALLUSES Corns and calluses are thick, hardened layers of skin formed through friction and pressure, such as by wearing the wrong type of shoes or orthotics.

Not only do they not look pretty, but they can become painful.

TREATMENT “If painful, a podiatrist can shave down the thickened skin and provide recommendations for padding, shoe orthotics, and creams to prevent recurrence,” Dr. Sahota says. “If the corn/callus is caused by a deformity such as flatfoot or hammertoes, surgical intervention may be required.”

TRY THIS AT HOME:

• Change the type of shoes you are wearing or add orthotics into shoes • Moisturize regularly • Give yourself a fancy foot bath in an at-home foot spa • Use a pumice stone or similar device on affected areas

BUNIONS A bunion looks like a large bump on the big toe joint.

“Bunions are formed when the bone or soft tissue of the big toe joint becomes misaligned and causes the toe to move toward the lesser digits,” Dr. Sahota explains. Ultimately, this is caused by persistent pressure on the joint or abnormal motion, which can be connected to physical activity or poor footwear choices.

TREATMENT Conservative treatments will be used first. Custom orthotics, anti-inflammatory medications, and even cortisone injections can alleviate pain caused by a bunion. Severe cases, or cases that cannot be managed with conservative treatment, may require surgical intervention.

TRY THIS AT HOME:

“If mildly painful, wearing wider shoes and [a] toe spacer between the first and second toes and a good arch support can alleviate pain and help to slow the progression of the bunion,” Dr. Sahota says.

HAMMERTOE/ MALLET TOE Also referred to as a rotated toe, this references a toe that is bent at the joint. It is commonly caused by wearing high heels or shoes that are narrow at the front where the toes are. Dr. Sahota suggests avoiding prolonged wear of flip-flops and opting instead for sandals that have support at the back of the heel so as not to further progress a hammertoe deformity.

TREATMENT Some hammertoes, specifically those that are rigid and painful, require surgical intervention to treat.

TRY THIS AT HOME:

For flexible or less severe hammertoes, change footwear to roomier shoes with more room in the toe box and proper padding around the toes.

Published by San Joaquin Magazine

INGROWN TOENAILS Ingrown toenails have a variety of causes, including accidental and improper nail trimming, poor footwear choices, trauma, or even genetics. Regardless of the cause, ingrown toenails can lead to an infection that needs to be addressed, sometimes by a podiatrist. Prevention, when possible, is key.

Avoid shoes with narrow toe boxes and be sure to always trim toenails straight across. If you have sharp corners on your toenail, smooth them with a nail file and trim toenails if you ever feel pressure on them from your shoes.

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TREATMENT Redness, swelling, and/or drainage indicates an infection and should be addressed by a podiatrist.

A podiatrist will be able to remove the ingrown portion of the nail and prescribe an antibiotic if needed.

TRY THIS AT HOME:

• Epsom salt soaks • Antibiotic ointment • Bandaging the affected area

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beauty  BY NORA HESTON TARTE

THE SKINNY ON

FAT GRAFTING Do you wish your cheeks were plumper but your booty slimmer? What if your belly fat could help you go up a cup size? Well, it can. It’s called fat grafting, or fat transfer, a technique used to move fat from one part of your body to another.

Let’s break it down. Fat transfer is a three-step process that starts with liposuction, removing fat from an area you don’t want it such as the abdomen, hips, or thighs. Then, the fat goes through a purifying process to remove damaged cells and other impurities. Lastly, the fat is reintroduced into the body into an area of your choosing— commonly the butt, boobs, hands, or face.

Not everyone is an ideal candidate for this procedure. First, your body must have enough excess fat on it to be used.

Doctors also want to manage expectations, ensuring your beauty goals are achievable with a fat transfer procedure. And, as always, health matters. Candidates for the procedure must be in generally good health and are typically nonsmokers.

At McNemar Cosmetic Surgery in Tracy, the most popular fat transfer procedures are the following:

Brazilian Butt Lift This procedure results in rounder buttocks without the addition of synthetic implants.

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Breast Reconstruction – If you’ve had a full or partial mastectomy, fat transfer could be the best answer for reconstructing your breasts.

Cosmetic Enhancement for the Face/Hands If signs of aging are showing on your face and hands such as sagging skin or sallow cheeks, fat transfer can be used to give these parts of the body a youthful boost and a fuller look.

Lip augmentation Plump lips are in and you can give your kisser a boost with fat grafting.

Recovery from a fat transfer procedure isn’t typically too strenuous but it does vary depending on both the patient and the procedure. Procedures are typically on an out-patient basis so you are able to go home the same day. Some of the above listed procedures can be done in office without general anesthesia, which means patients not only go home the same day, but also recover faster. Then, expect about a week for soreness and bruising to go down.

After you heal, the incisions should be barely visible or not visible at all. However, this is still a cosmetic procedure and your body will need time to heal. Dr. McNemar recommends taking one week off of work to recover and waiting three to four weeks to resume most workout routines.

SCHEDULE A CONSULTATION: MCNEMAR COSMETIC SURGERY 2160 W. Grant Line Rd., #250, Tracy (209) 834-0626 McnemarCosmeticSurgery.com

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disease  BY FAITH LEWIS

TOO MUCH BLOOD SUGAR HAVING DIABETES ISN’T SO SWEET

glucose is in your blood. A healthy What’s your blood sugar right blood sugar level is less than 100 mg/dL now? What would happen if (milligrams of glucose per 100 milliliyou ate that slice of pizza? Most ters of blood) after not eating for eight people wouldn’t be able to answer that. hours. “Fasting blood sugar of 100-125 But for the 34.2 million Americans is prediabetes; greater than 126 is conliving with diabetes, it’s something sidered diabetic,” says Dr. Issa Fakhouthey ask themselves ri, an internal medicountless times cine physician with every day. Before Kaiser Permanente meals. After meals. in Stockton and KaiAmericans (10.5% of the populaBetween snacks. If tion) have diabetes. ser Permanente’s they feel dizzy, irriclinical lead for diatable, or have a headbetes care in the Central Valley. Carbs: ache. What most people can do withCarbohydrates are the sugars, starchout thinking, a diabetic must analyze. es, and fibers found naturally in fruits What is diabetes? If you’re going to unand veggies, dairy products, and grains. derstand diabetes, you’ll need to brush Carbs are broken down into glucose by up on a little vocabulary first. Blood the body and are an important fuel for sugar: This is a measure of how much

34.2 million

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when the pancreas stops creating insulin cells. Diabetes: Diabetes is the medical conaltogether and the patient must replace dition that results from a lack of insulin, the missing insulin through daily injeceither because the body is no longer able to tions. Typically, this means fast-acting inproduce insulin or cannot produce enough. sulin before each meal or snack exceeding Insulin: Insulin is a hormone produced by 15 carbohydrates and a long-acting insuthe pancreas that acts as the key to unlock lin shot once per day. Type 1 diabetes is cells and allow glucose to be processed. not reversible and this diagnosis means Though the symptoms of both Type 1 and the patient will be insulin dependent for Type 2 diabetes are similar, both the causes the rest of their life. There are several othand treatments differ drastically. “For T2 er types of diabetes that are significantly Diabetes, either the body does not produce less common, such as enough insulin or the Between gestational diabetes (a body cannot use incomplication of pregsulin properly, also known as an insulin the price of insulin doubled in the US. nancy where a woman develops diabetic resistance,” explains symptoms) or maturity-onset diabetes of Dr. Tarandeep Kaur, an endocrinology, dithe young, which may account for about abetes, and metabolism specialist with five percent of diabetes cases.

Dignity Health Medical Group in Stockton.

“Some of the most common symptoms Type 2 diabetes is often related to obesity of diabetes include frequent urination, and, while insulin might be prescribed, it excessive thirst, extreme hunger, unexis often possible to mitigate the symptoms plained weight loss, extreme fatigue, irriand severity by adopting a healthy lifestyle tability, and blurry vision,” says Dr. Fakand losing weight. houri. Some people report noticing their Type 1 diabetes, however, is caused

2012 & 2016

“For T2 Diabetes, either the body does not produce enough insulin or the body cannot use insulin properly, also known as an insulin resistance,” - Tarandeep Kaur, Dignity Health Medical Group

urine smelling oddly sweet before diagnosis, which was a result of their body expelling excess glucose that cells could not absorb. It’s important to remember that diabetes can develop at any age, so if you or your child develops any of these symptoms, talk to your doctor.

LEARN MORE: KAISER PERMANENTE OF CENTRAL VALLEY MULTIPLE LOCATIONS Thrive.KaiserPermanente.org/Care-NearYou/Northern-California/CentralValley ST. JOSEPH’S MEDICAL CENTER 1800 N. California St., Stockton (209) 943-2000 DignityHealth.org

Risk Factors and Prevention Risk factors for Type 2 diabetes include:

•Obesity •A family history •High blood pressure •Low levels of HDL “good” cholesterol •Previous gestational diabetes diagnosis •Having given birth to a baby weighing

nine pounds or more

•Some ethnicities are also at higher risk of developing Type 2 diabetes, such as African American, Hispanics and Latinos, Pacific Islanders, and others.

•The cause of Type 1 is still largely not understood, making it impossible to prevent – at least for the time being. There is evidence of a genetic component, but research is still ongoing.

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dental health  BY

JESSICA ZIMMER

GUM DISEASE WHAT YOU NEED TO KNOW ABOUT THIS WIDESPREAD ORAL AILMENT

CONSULT A PROFESSIONAL: KIDS CARE DENTAL Offices in Stockton, Lodi, Manteca & Tracy (844) 616-5437 KidsCareDental.com

Gum disease is one of the primary causes of tooth loss but proper brushing, flossing, and good nutritional habits can help reduce damage to teeth. Dr. Rafat Razi, a pediatric dentist in Tracy, says to diagnose gum disease, a dentist clinically evaluates the mouth for any bone loss. “[We also offer] preventive care to patients and parents [including] routine cleanings, periodic exams, x-rays, and fluoride treatments,” Dr. Razi says.

Dr. Page Hudson, a dentist with Children’s Choice Dental Care in Stockton, says his office provides dental cleanings, dental sealants, fluoride treatments, and oral hygiene instruction to help combat the issue.

“These services all help to strengthen the teeth. [They] can help reduce harmful bacteria in the mouth,” Dr. Hudson says.

NOTICING GUM DISEASE

Gum disease often goes unnoticed, so a patient or parent should always give attention to hidden spaces in the

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mouth. The gums should be pink, firm, and relatively painless. An individual who is in pain should contact a dentist.

Dr. Razi says there are two main types of gum disease.

The first is gingivitis, which involves inflamed bleeding gums, and is reversible. The second is periodontitis, which is an advanced chronic form of gingivitis that involves bone loss and loss to the supporting tooth structures.

One of the best ways to prevent gum disease is to remove plaque, a sticky coating of proteins and food byproducts that forms on the teeth. Brushing at least twice a day, flossing daily, and avoiding certain foods helps. “Chewy or sticky foods loaded with sugars and carbohydrates... sodas, energy drinks, sports drinks increase...risk of gum disease,” Dr. Hudson says.

CHILDREN’S CHOICE DENTAL CARE Stockton MyChildrensChoice.com

HOW DENTISTS HELP

A dentist helps a patient avoid gum disease by removing plaque and identifying root causes. At appointments, Dr. Razi performs a risk assessment for tooth decay and gum disease. “Many factors can contribute to gum health, such as predisposing factors [like] root anatomy, tooth position, crowding…[and] environmental factors, like medications and stress,” she says. Once the risk factors are identified, it’s easier to suggest preventive measures.

Hudson says to prevent gum disease, patients must stay vigilant. “It is only through constant daily oral hygiene, along with regular teeth cleanings by a dental professional, that you keep the numbers of bacteria down and prevent them from causing damage to the gums and bone,” Dr. Hudson says.

RAFAT S. RAZI, DMD, MPH 2160 W Grant Line Rd Suite 130, Tracy (209) 834-1307 RaziPediatricDentist.com STOCKTON DENTAL CARE 2389 W March Ln #1, Stockton (209) 952-6721 DrLouieStocktonDentist.com

BY THE NUMBERS A 2012 Center for Disease Control Report found that in the U.S.: ì 47.2 percentage of adults aged 30 and

older with periodontal disease. ì 70.1 percentage of adults 65 years and older with periodontal disease ì Gum disease is more common in men (56.4 percent) than in women (38.4 percent) ì 64.2 the percentage of smokers with gum disease

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healthy hospitals

DIGNITY HEALTH’S MAKO TOTAL KNEE

REPLACEMENT PROCEDURE REDUCES RECOVERY TIME, OFFERS BETTER JOINT PLACEMENT  BY NORA HESTON TARTE begins to move outside of the boundaries put in place while removing the damaged bone and cartilage, the robotic arm will offer correction. Lastly, the custom-designed and fitted implant is placed in the knee joint and the patient is closed and wheeled to recovery.

Wondering if you’re a candidate for MAKO knee replacement surgery? Those who experience pain during activity on the inner knee, under the knee cap, and/or on the outer knee; knee pain upon standing or beginning an activity after sitting; or failure to respond to more conservative treatments often make good candidates for MAKOplasty.

LEARN MORE: ST. JOSEPH’S MEDICAL CENTER 1800 N. California St., Stockton (209) 943-2000 DignityHealth.org

Dignity Health’s St. Joseph’s Medical Center’s premier spine and orthopedic services have expanded to offer the MAKO Total Knee Replacement Procedure, a total knee replacement surgery completed using a Mako Robotic-Arm that increases long-term comfort, reduces recovery times, and allows for more accuracy during surgery.

This procedure benefits both those with arthritis and those who have suffered a serious injury to the knee joint. Like other total knee replacement surgeries, the joint is removed and replaced with an artificial joint. However, this approach has been proven to help those who undergo surgery return to their normal daily activities as quickly as possible by utilizing a smaller incision and increasing surgical technique and accuracy.

How is that possible? With the use of 18

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the MAKO robotic arm, surgeons are able to be more precise, protecting both soft tissue and ligaments from damage during surgery. In a clinical study, MAKO patients surveyed six months after their procedure reported lower pain levels overall than those who underwent other joint replacement surgeries, as well as better satisfaction overall.

MAKO surgeries require a series of steps: plan, assess, prepare, and insert. The first step—surgical planning—involves developing a 3D virtual model of the joint using a CT scan to help doctors plan the best approach for your procedure as well as create a custom-fit implant. During surgery, the MAKO arm sends information to the surgeon on range of motion capabilities to assure the best placement is chosen during the procedure. The surgical plan put in place keeps its integrity using a virtual boundary, meaning if the surgeon

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Visit dignityhealth.org/virtualcareanywhere to get started or download the Virtual Care Anywhere app from the Apple App Store or Google Play Store.

Book Your ER Arrival Time When facing a non-life-threatening emergency, schedule your check-in online.

Then do some of your waiting in the comfort of your own home.

Learn more at StJosephsCares.org/ER

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my portal.

my care.

my baby.

My Portal is our patient portal app that gives you quick access to your medical records, test results, and crucial health information. You can also send messages to your doctor, view appointments, and pay your bill.

My Care is a one-stop shop for all things doctor and scheduling related. It’s a secure and convenient place to take care of everything, whether you’re already a patient, have a loved one who is.

My Baby offers trustworthy support, empowerment, and practical tools along every step of your pregnancy journey, and beyond.

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skin health  BY NORA HESTON TARTE

NOT JUST SKIN DEEP BEAUTIFUL SKIN IS HEALTHY SKIN We’re not just talking about beauty, here.

While healthy skin is certainly more luminous, hydrated, smooth skin is also indicative of overall health. “Our skin is the largest barrier against infection we have,” says Dr. Ruby Gill of Gill Aesthetic Institute in Lodi. “Keeping our skin healthy and hydrated helps keep this barrier durable.”

When skin becomes dry, it cracks and those cracks can let in debris and bacteria leading to infection.

There are a few steps people can take to ensure their skin stays healthy. Step one is establishing a legitimate skincare routine that involves moisturizer and sun protection. “Investing early in the health of your skin with a faithful skincare regimen will not only better protect it from harsh effects of the changing seasons, but also keep you looking and feeling your absolute best all year long.” Moisturize often using thirst-quenching products both in the morning and at night and include intensive hydrating products weekly or biweekly such as masks. You should also be using sunscreen everyday year round. Dr. Gill suggests grabbing one with zinc and titanium for the best protec20

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tion. The words “broad spectrum” should also be on your sunscreen. When choosing any products, especially for the face, look for ingredients such as SPF, retinoids, vitamin C, AHAs, and hyaluronic acid to protect skin. “Our medications and skin products utilize the purist ingredients and the most potent actives to achieve unparalleled outcomes,” Dr. Gill says.

The science behind the formulas goes like this: vitamin C repairs damaged skin cells, brightens skin, and evens skin tone; hyaluronic acid hydrates skin and reduces the appearance of fine lines and wrinkles; retinoids have powerful anti-aging properties; and AHAs exfoliate skin, alleviating dull complexions and promoting skin cell generation.

What you don’t put on your skin is sometimes just as important as what you do put on your skin. Harsh soaps or makeup and chemical-heavy products can cause skin to chafe and crack. Dr. Gill specifically suggests staying away from products with DEA, parabens, propylene glycol, and formaldehyde, all of which can wreak havoc on both health and appearance, dulling skin’s natural glow. When you’re at a loss or are experiencing especially problematic skin, visit a doctor who can provide a visual analysis of the skin to uncover answers about how to treat your biggest complexion woes.

CONSULT AN EXPERT: Gill Aesthetic Institute 999 S. Fairmont Ave., Ste. 235, Lodi (209) 334-0799 GillMed.com

Published by San Joaquin Magazine

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pregnancy  BY DEIRDRE CARLSON

DRINK ‘TILL IT’S PINK AND OTHER COMMON PREGNANCY MYTHS

When you’re pregnant, you’re likely to hear a lot of old wives’ tales, some of which can be amusing (carry high - it’s a girl, carry low - it’s a boy). Some, however, are not so amusing.

1

YOU CAN’T EXERCISE

This is a myth. Exercise is strongly recommended during pregnancy. It’s safe and better for you and your baby if you stay active during pregnancy.

Most women can continue the same exercise they did before pregnancy if a doctor signs off on it. If you were not very active before you became pregnant, start with gentle exercise, such as walking, and build up.

2

IT’S OKAY TO DRINK A GLASS OF WINE WHEN YOU’RE PREGNANT

Thinking it’s ok to have a few drinks here or there while pregnant?

Unfortunately, it’s not clear how much alcohol it takes to cause problems, so the best advice remains the same: women should avoid alcohol if pregnant or trying to become pregnant.

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3

DON’T DYE YOUR HAIR

Thankfully you’re not condemned to nine months of bad hair days.

Research shows it’s safe to color your hair in pregnancy. You’d need to use an extremely high dose of the chemicals far more than needed to color your hair - to cause harm.

4

YOU’RE EATING FOR TWO

Thinking of helping yourself to that extra scoop of ice cream? Yes, you’re eating for two, but that doesn’t mean two full adult size servings are necessary. Most women will only need an extra 200-300 calories per day to promote baby’s growth (on top of the 2,000 daily recommendation), assuming that you’re starting pregnancy at a normal weight.

5

YOU CAN’T FLY

Worried about booking a baby moon? Fear not.

Get on the plane, have a good time, and revel in the freedom of a holiday while you can. When

2020 SJ HEALTH AND MEDICAL GUIDE

you fly, the air is dry.

You’re also more likely to be sitting for a prolonged period of time. Just make sure to hydrate and get up and walk around every hour or so.

6

YOU CAN’T HAVE ANY COFFEE

You don’t need to rule out caffeine completely, but moderation is key here. Guidelines recommend that you limit yourself to no more than 200 mg of caffeine per day, which can be as little as one cup of filter coffee and a bar of chocolate.

More than 60 percent of women who checked their average intake were over the limit.

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23

general health  BY NORA HESTON TARTE

SICK SMARTS

“Washing your hands is extremely important.”

Dr. Elyas Parsa, San Joaquin General Hospital

QUICK TIPS FOR STAYING HEALTHY

Whether it’s the common cold or a pandemic like COVID-19, there are ways to avoid getting sick and spreading illness onto others.

Regardless of the type of illness, many of the precautions are the same. “As a primary care physician, I always emphasize that we need to do whatever it takes to boost our immune system,” says Dr. Elyas Parsa of San Joaquin General Hospital. Strong immune systems mixed with good hygiene habits can make all the difference.

A strong immune system “likely will impact your reserve to recover from common illness faster and or have less severe symptoms when you do get sick,” Dr. Parsa says. It’s near impossible for anyone to avoid all of the viruses that cause colds, flus, and COVID-19 because of how easily they spread. For example, a person can There are a couple of common pick up any of these illnesses by shaking someone’s misconceptions about illnesses like hand or touching a surface such as a countertop cold and flu.

One is how people or doorknob. It’s simply impossible to know where get sick.

While some illnesses are germs might be—and the fact that they can aerosolized, which means they can live on surfaces for up to three days makes travel from person to person spreading these germs even easier. in the air, this isn’t always a To protect yourself, avoid touching common way to get sick. your face as much as possible especially Another falsity is that when out in public and avoid contact the flu vaccine can infect with those who appear sick. Hand Kids, on average, someone with the flu. “From washing is perhaps the most important get sick nine a molecular level we know way to prevent illness. The goal is to times per year. that the flu vaccine is not a wash with soap and water for twenty life virus and therefore cannot seconds and use hand sanitizer as a make you ill,” Dr. Parsa says. backup when washing your hands isn’t possible. The rule of thumb is to sing the FEEL SICK? MAKE AN APPOINTMENT: happy birthday song as you wash, but we find it more SAN JOAQUIN COUNTY CLINICS fun to hum the chorus to Lizzo’s Truth Hurts (also 20 French Camp, Stockton, Manteca seconds).

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(209) 468-6820 SJCClinics.org SanJoaquinGeneral.org

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HOW TO BOOST YOUR IMMUNITY DR. PARSA RECOMMENDS THIS: ì Sleep six to eight hours per night,

ì Eat well-balanced meals that consist of mainly plants ì Maintain a healthy weight ì Get at least 150 minutes of moder ate-intensity aerobic activity per week ì Maintain stress levels through meditation, mindfulness, and other activities

healthy eating  BY DEIRDRE CARLSON ADDITIONAL RESOURCES: National Eating Disorders Association, NationalEatingDisorders.org

KP.org

GETTING CONTROL OF STRESS EATING HOW NOT TO FEED YOUR FEELINGS Sometimes it happens after getting an angry email from your boss, going through a break-up, or losing someone close to you. It starts with a handful of chips and the next thing you know you’re polishing off that pint of ice cream without even knowing what happened. This episode could be classified as stress or emotional eating.

Although there is no formal definition of “stress eating”, on a basic level it is the practice of consuming food – usually comfort or junk foods – in response to feelings instead of actual hunger. Whatever emotions drive a person to overeat, the result is usually the same. Once a person realizes what they have done, they beat themselves up, feel bad, and overeat again, resulting in an unhealthy cycle.

The good news is that if you are prone to falling into the trap of stress eating, you can take steps to regain control of healthy eating habits with tips from expert Jennifer Lombardi, MFT, Marriage and Family Therapist at Kaiser Permanente Stockton Medical Offices.

Published by San Joaquin Magazine

BE AWARE OF STRESS LEVELS

Many of us also turn to food for comfort, stress relief, or to reward ourselves.

When stress is chronic, as it so often is in our chaotic, fast-paced world, it is easier to fall into the trap of eating to feed your feelings. According to Jennifer Lombardi, MFT, it is concerning that “we pack our days full of ‘to do’ items and are often exhausted by the time we get home at night.” In her practice, Jennifer has witnessed younger and younger patients struggling with disordered eating.

FOCUS ON THE REAL ISSUE

We all know that food can become a crutch when we are stressed and it may be a symptom of unmet needs. Jennifer explains that it is important when treating her patients to identify what the motivation is to change it, or as she likes to say, the why behind the wish to make things different. She encourages her patients to

try to better understand their emotions and help them develop tolerance and coping skills instead of using food or another method as a numbing agent.

BE MINDFUL

According to Jennifer, “one of the most effective ways to take a step in the right direction is to engage in mindfulness.”

She defines mindfulness as slowing down, paying attention, and being curious, (not critical) about habits. So, next time you feel the need to reach for that bag of chips or pint of ice cream, take a step back to slow down and identify your feelings in that moment.

LEARN MORE: KAISER PERMANENTE OF CENTRAL VALLEY Multiple Locations Thrive.KaiserPermanente.org/Care-Near-You/ Northern-California/CentralValley

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women’s wellness  BY NORA HESTON TARTE

LOOK GOOD, FEEL GOOD: Beauty is certainly more than skin deep, but there is a connection between how we look and how we feel.

Many women—and men—can get a confidence boost just by having a good hair day or taking care of their bodies.

It’s more about feeling good about yourself than it is about conforming to traditional beauty constructs. If you’re feeling a little down lately, try one or two of these pick me ups. It’s amazing what a little TLC can do for your psyche.

HIT THE GYM (OR THE TRAIL)

Sweating does more than help you lose weight or tone your body. A gym sesh can have you feeling better instantly thanks to the release of endorphins. Plus, you’re likely to experience an energy boost. More than that, working out can make you feel strong, sexy, and accomplished.

There is nothing more empowering than feeling like you can take on the world.

GET A MAKEOVER

We’re not talking Botox and plastic surgery (unless that’s what you want to do). Something as simple as a mini shopping spree or new haircut can make all the difference in how you feel about your outer appearance. And sometimes looking fierce translates to feeling fierce. So, pick up a new outfit before you ask for that raise or adopt a new makeup routine for date night. Whatever it is, if it helps you feel good then it isn’t silly.

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SURROUND YOURSELF WITH SEXY

Feeling sexy has to do with all of your senses. While your outward appearance may be a big part of that, feeling relaxed, accomplished, and good in the spaces you are in can also help. Put some pizazz in your office with bright colors and #girlboss swag that inspires you or turn your bedroom into a cozy oasis designed to soothe the stress that can build-up over a long day.

FAKE IT TILL YOU MAKE IT Sometimes when you don’t feel confident, f e i g n i n g confidence can help. It sounds counterintuitive, but for some it truly works. Stop focusing on your flaws and instead draw attention to your most appealing attributes. Soon, others will be focusing on those, too, and that false act of confidence may become natural faster than you thought.

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senior

BEWARE OF BRITTLE BONES THE 411 ON OSTEOPOROSIS 

BY DEIRDRE CARLSON

Osteoporosis is more than deteriorating and weak bones. The disease is responsible for an estimated 2 million broken bones per year and one in two women and one in four men over age 50 will break a bone due to osteoporosis. Breaking a bone is a serious complication of osteoporosis, and bone breaks are most likely to occur in the hip, spine, or wrist, but other bones can break too.

CAUSES OF OSTEOPOROSIS Although the exact cause of osteoporosis is unknown, the process starts early in life (mid-30s) when bone is continuously being replaced. When bones begin to lose calcium faster than they can replace it, the bones begin to thin. Osteoporosis by definition means “porous bone.”

The good news is that the right diet, exercise, supplements, or medication can help prevent osteoporosis or lessen its effects.

WHO IS AFFECTED? Women are more susceptible than men. Of the estimated 10 million Americans with osteoporosis, about 8 million are women. A woman’s risk of breaking a hip is equal to her combined risk of breast, uterine, and ovarian cancer.

EATING THE RIGHT FOODS The two most important nutrients for bone health are calcium and vitamin D. Each day, we lose calcium through 28

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our skin, nails, hair, and sweat, but our bodies are unable produce new calcium. When we don’t get enough calcium for our body’s needs, our bones must provide it, leading to low bone density.

Experts recommend a well-balanced diet with plenty of dairy, fish, fruits, and vegetables as well as an emphasis on foods high in calcium. The recommended daily intake (RDI) of calcium is 1,000 mg per day for most adults, though women over 50 and everyone over 70 should get 1,200 mg per day.

THE FOODS HIGH IN CALCIUM ARE: • Dairy products • Canned sardines and salmon • Beans and lentils • Green vegetables, including collard greens, turnip greens, kale, okra, Chi nese cabbage, dandelion greens, mustard greens, and broccoli The best foods for vitamin D are fatty fish such as salmon, mackerel, tuna, and sardines. Calcium and vitamin D are sometimes added to juices, breakfast foods, soy milk, rice milk, cereals, snacks, and breads. If you’re not getting enough calcium and vitamin D from food, you can also take supplements.

EXERCISE FOR BONE HEALTH Exercise not only prevents osteoporosis by strengthening bones but can also help maintain bone mass if you already have osteoporosis. Through exercise, you build and maintain your bones’ thickness.

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29

vein health  BY DEIRDRE CARLSON

VARICOSE VEINS NOT JUST A COSMETIC ISSUE Veins are blood vessels that return blood from organs in the body toward the heart, an imperative bodily function. I’m sure we have all heard the term varicose or ‘spider veins,’ but do you know the root cause of this common problem, its symptoms, or possible treatment options? No worries; we’ve got you covered.

WHAT ARE VARICOSE VEINS?

YOU COULD BE MORE SUSCEPTIBLE IF YOU ARE: • Pregnant • Going through menopause • Age 50+ • Stand for long periods of time • Obese • Have a family history of varicose veins

SYMPTOMS OF VARICOSE VEINS

The primary symptoms of varicose veins are highly visible, twisted veins, Varicose veins occur when veins usually on the legs. You may also become enlarged, dilated, and have pain, swelling, heaviness, and overfilled with blood. Varicose achiness over or around the enlarged veins typically appear swollen veins. In some cases, people develop and raised, have a bluish-purswelling and discoloration. In severe ple or red color, and are often cases, the veins can bleed significantpainful. The condition is very ly and ulcers can form. common with approximately 25 million cases in the U.S. per TREATING & year, and disproportionately affects women. Around 25 perPREVENTING cent of all adults, however, have VARICOSE VEINS varicose veins, and in most cas- In general, your doctor will likely es, varicose veins appear on the advise making changes to your lifelower legs. Left untreated, they style first before trying more aggrestypically worsen over time. sive treatments. These could include avoiding standing for extended periods of time, losing weight, exercising to improve circulation, and using compressions socks and/or stockings.

Veins have one-way valves that If lifestyle changes aren’t working, if prevent blood from flowing varicose veins are causing a signifibackward. When these valves cant amount of pain, or your overall fail, blood begins to collect in the veins rather than continuing health is threatened, your doctor toward your heart and the veins might suggest surgical intervention.

The preferences for doctors are become enlarged. The veins there are the farthest from your minimally invasive treatments (see heart, and gravity makes it hard- sidebar) prior to invasive surgery. er for the blood to flow upward.

CAUSES OF VARICOSE VEINS

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MINIMALLY INVASIVE TREATMENT OPTIONS SCLEROTHERAPY, using a liquid or foam chemical injection to block off a larger vein MICROSCLEROTHERAPY, using a liquid chemical injection to block off smaller veins LASER SURGERY, using light energy to block off a vein ENDOVENOUS ablation therapy, using heat and radiofrequency waves to block off a vein endoscopic vein surgery, using a small lighted scope inserted through a small incision to block off a vein ASK A SPECIALIST: THE MANSHADI HEART INSTITUTE 2633 Pacific Ave., Stockton (209) 944-5530 DrManshadi.com STOCKTON CARDIOLOGY MEDICAL GROUP 415 E. Harding Way, Ste. D, Stockton (209) 944-5750 StocktonCardiology.com

†In loving memory of Jerold Yecies, M.D 05/21/40 – 03/12/2020

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ALL LIFE’S JOURNEYS, EVEN THOSE WITH GREAT HAPPINESS AND FULFILLMENT HAVE AN END. Allergy, Immunology & Asthma Medical Group are saddened to announce the passing of Dr. Jerold Yecies. Jerold passed away on March 12, 2020. He practiced in Stockton for 47 years and felt very privileged to deliver his prestigious care to all his patients. He was dedicated to staying at the forefront of emerging science and treatments for asthma and allergy. He saw a full day of patients the day before he passed away and that is exactly as he would have wanted it. It was his life’s work. Jerold was always a man of honor and integrity, very highly respected and much loved by staff and his patients. He treated everyone with respect and dignity. We loved to hear him speak so lovingly and proudly of his family and of his travel adventures.

Dr. Yecies’ partners, Dr. George Bensch, Dr. Gregory Bensch and Dr. Michael Balduzzi will be available to continue allergy & immunology care with the same dedication that he provided. He will be greatly missed and fondly remembered. We send healing prayers and comforting hugs to his beautiful wife, Judith Yecies and the entire Yecies Family.

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healthy hospitals

OVERWHELMED

by BAD NEWS? Hit the Pause Button  BY DOUGLAS OAKLEY, KAISER PERMANENTE they can understand, and what ability they have of controlling the anxiety you may be inadvertently putting on them,” Dr. Balan said. “The idea is not to burden them with things they cannot control.”

For younger kids, reminding them to eat right, wash their hands, and go to bed on time in most cases is better than explaining the worst-case-scenario horrors of the coronavirus.

STRESS AT WORK

Yener Balan, MD, Kaiser Permanente Northern California executive director of Behavioral Health, offers insight on how to maintain your mental health, talk to children, and support colleagues during times of unrelenting bad news.

Just about every 5 minutes since the beginning of January, another round of frightening coronavirus news is released, often sensationalized, about the dangers of its spread around the globe.

Hospitalizations, travel bans, school closures, shortages, the economy, and on and on. Bad news browsing can be addictive, raising heart rates and stealing sleep.

HIT THE PAUSE BUTTON “It’s important to recognize the moment between the stimulus — bad news — and the response — coping habits — and to pause and check in with yourself,” Dr. Balan said. “People need to stop for a half second and say, ‘Do I need to eat that entire bag of potato chips, 32

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which I normally don’t do, or drink more than I normally do?’”

Dr. Balan said many people are drawn to bad news, because it offers a short dopamine high that quickly fades. The next round of news gives another high and crash, creating a cycle of addiction that soon may have you losing sleep, changing your eating and drinking patterns, and responding differently to stress.

“If I usually respond with a laugh when my colleague gives me a hard time about my funny hat, but now I am suddenly angry, that is a warning sign,” Dr. Balan said. “If you notice these kinds of changes, you are going to benefit if you take a few minutes and ask yourself, ‘Wait, how did I get here?’ You can also talk to a professional.”

Dr. Balan said employers and employees have a responsibility to look out for each other, especially if their work is impacted by the pandemic or other emergencies. People in the health care field, for example, may experience anxiety, fear, longer work hours, a barrage of changing strategies, and uncertainty, such as cancelled meetings or conferences.

“If you notice someone in your office who is experiencing all or some of these things, at the very least you should say, ‘Hey, you’ve been working 12 hours every day here, take tomorrow off and we’ll help you get the work done,’” Dr. Balan said.

In general, maintaining mental health during times that may seem apocalyptic requires an intentional awareness of how you are feeling and how you have changed, Dr. Balan said.

“Don’t default from anything other than who you are,” Dr. Balan said. “If you are not as nice as you used to be or if you’re losing or gaining weight, that’s a warning sign. The sooner you are mindful of your choices and patterns, you will have a better chance of staying healthy.”

TALKING (OR NOT) TO CHILDREN What to say to children about bad news such as natural disasters or pandemics depends on their age, Dr. Balan said.

“Be mindful of what they can tolerate, what

(NOTE: Northern California Kaiser Permanente members can access mental health care by visiting: https://mydoctor.kaiserpermanente.org/ncal/ structured-content/#/Health_Topic_Mental_Health_ Services_-_Family_Medicine.xml)

WE’RE ALL ABOUT THE BIG PICTURE. Working together, our doctors don’t just see you. They see the big picture of your overall health. By collaborating and seamlessly sharing your records, your care team stays on the same page, so your health always takes center stage.

Visit kp.org today because together we thrive.

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general health 

BY NORA HESTON TARTE

MORE Than a BAD COUGH THE 411 ON WHOOPING COUGH

tion (CDC) recommend that expectant mothers Every year 50-200 California infants are receive the whooping cough booster shot (also hospitalized with pertussis—also comcalled Tdap, or tetanus, diphtheria, and acellumonly referred to as whooping cough— lar pertussis vaccine) at the earliest opportunity and while that number isn’t high, it is certainly between 27 and 36 weeks of every pregnancy, even too many. Peak pertussis numbers hit around if previously immunized,” says Mamta Jain, chair 2012 with more than 48,000 cases of pertussis of the Department of Pediatrics at San Joaquin reported in the U.S., the highest number reportCounty Clinics. “Getting immunized during preged in more than 50 years. Case fatality rates are nancy boosts a mother’s immunity and passes on approximately 1 percent in infants younger than protective antibodtwo months and less ies directly to their than 0.5 percent in babies before birth.

“No baby should have to be infants two through This helps protect eleven months of age. hospitalized due to a vaccinenewborns until they Getting a vaccine can prevent whoop- preventable disease, and certainly are old enough to begin receiving their ing cough and is no baby should die,” Dr. Jain, own whooping cough a huge part of the San Joaquin County Clinics immunizations at reason spread of the six to eight weeks of disease is typically age.” low, despite being highly contagious. As long After the first vaccine is given at two months old as people are vaccinated when they can be, (although it can be given as early as six weeks if whooping cough will not become an epidemic. needed), kids receive a booster in seventh grade Babies under two months of age are susceptiand adults receive a whooping cough booster once ble because they haven’t yet had the vaccine, in their lives unless otherwise requested and/or however, maternal vaccination can help. “Calirecommended. fornia Department of Public Health (CDPH) and So, there is a well thought out plan for limiting the Centers for Disease Control and Prevenspread of whooping cough, but that doesn’t change the fact that some infants in California will still contract the disease. Part of the struggle is knowing when to seek care and when a cough is more than just a cough. The symptoms vary by age.

Most children will experience a runny nose and cough that lasts one to two weeks. Then, the cough ramps up and children experience rapid coughing spells punctuated by a telltale whooping sound at the end. Infants, however, may never experience a cough. “Parents may describe episodes in which breathing briefly stops and the infant’s face turns red or purple,” Dr. Jain says. For older children and adults, the illness typically presents itself as a cough that lasts for several weeks It is likely to start with mild upper respiratory tract symptoms similar to common cold and progress to a cough with a “whooping” or gasping sound at the end. It’s common for vomiting to follow the cough, as well.

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side, with an average sick time of six to ten weeks.

“Approximately half of adolescents with pertussis cough for 10 weeks or longer,” Dr. Jain says.

For many, whooping cough is an awful illness that they will recover from, but it can be dangerous especially for infants under six months of age.

It is most dangerous in preterm and unimmunized infants.

The stats are scary.

Sixty-seven percent of infants will experience gagging, gasping, and/or apnea when they have whooping cough. Sudden death is also possible in infants. Complications among infants include pneumonia, pulmonary hypertension, and complications related to severe coughing spells such as conjunctival bleeding, hernia, severe coughing spells leading to hypoxia, and complications such as seizures, encephalopathy, apnea, and death. “More than two-thirds of infants with pertussis are hospitalized,” Dr. Jain says.

Pertussis is highly contagious, as well, and even previously immunized people can contract the disease. This is in part due to how and when the vaccines are given. If you’re unsure, a test is available to check for the presence of antibodies in the bloodstream. If needed, additional boosters can be given. Limiting exposure to the general public as well as asking those who come in close contact with your baby to receive the booster, can help mitigate risk. You should also avoid people who are coughing, and if your child will be in daycare, ensure they have received the vaccine before enrollment.

PREVENTION • Stay up to date on immunizations • Get a Tetanus Booster (Tdap) • Cover your cough • Wash your hands

Published by San Joaquin Magazine

CONSULT A DOCTOR: SAN JOAQUIN COUNTY CLINICS French Camp, Stockton, Manteca (209) 468-6820 SJCClinics.org SanJoaquinGeneral.org

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by the numbers

LABOR of LOVE After nine months of waiting, it’s finally time to meet the newest member of the family. From where babies are born to how – and how many – these birth trends from around the county, state, and country show what a labor of love it is to bring baby into the world.

5%

Sophia & Liam

of women deliver on their due date

the most popular U.S. baby names in 2019

31.9%

of all deliveries by Cesarean

99% of babies are delivered in a hospital setting

66.9

rate of births per 1000 women ages 15-44 in San Joaquin County in 2015

471,658

number of babies born in California in 2017

32.8%

Morning and Midday

the times of day when the highest percent of babies are born

3,400 number of U.S. triplet births in 2018

5.6 hours average active labor for subsequent deliveries

60%

of women opt to have an epidural

10

number of U.S. quintuplets and other higher order births in 2018

115

number of U.S. quadruplet births in 2018

August

most popular birth month

of new mothers are between 25 to 29

2 days

length of average hospital stay after natural birth

8 HOURS

average active labor for first time mothers

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123,536 number of U.S. twin births in 2018

BHAGYA NAKKA, MD, Inc. WOMEN’S HEALTHCARE BHAGYA NAKKA,MD,FACOG BOARD CERTIFIED IN OBSTETRICS AND GYNECOLOGY & FELLOW OF AMERICAN COLLEGE OF OBSTETRICS AND GYNECOLOGY

DR. BHAGYA NAKKA WOULD LIKE TO WELCOME YOU TO HER MEDICAL PRACTICE SPECIALIZING IN CHILDBIRTH AND ALL WOMEN’S HEALTH ISSUES. Dr. Nakka’s office is conveniently located opposite to St. Joseph’s Medical Center and offers a very centralized location to the residents of Stockton and neighboring towns. Dr. Nakka is affiliated with St. Joseph’s Medical Center of Stockton. Dr. Nakka has experience in high-risk obstetrical management and gynecologic surgeries including minimally invasive laparoscopic procedures. She also offers annual screening, contraception, management of abnormal pap, infertility treatment and other women’s health issues. If you are looking for a personal relationship with caring young physician who will listen to your needs, please visit or call our practice to schedule an appointment.

1805 N. CALIFORNIA STREET, SUITE # 202, STOCKTON, CA 95204 PHONE (209) 242-2690 I FAX (209) 242-2694 www.drnakkaobgyn.com Published by San Joaquin Magazine

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healthy hospitals

SAN JOAQUIN GENERAL HOSPITAL WINS A PERFORMANCE EXCELLENCE AWARD FOR CONGESTIVE HEART FAILURE CARE  BY CREIGHTON YOUNNEL

San Joaquin General Hospital has won the California Public Hospital Association’s (CAPH) prestigious 2019 Quality Leaders award for Improving Heart Failure (HF) Outcomes at San Joaquin General Hospital. The Statewide award highlights the Hospital’s Primary Medicine Department’s Multidisciplinary Team-Based Approach in the CAPH Performance Excellence category.

According to the American Heat Assn. reports that 5.7 million adults in the U.S. have heart failure costing the nation an estimated 30 billion annually. The congestive heart failure (CHF) rate in San Joaquin County 38

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2020 SJ HEALTH AND MEDICAL GUIDE

exceeds both the state and national rate.

San Joaquin General Hospital, under the leadership of Moshen Saadat, DO, FACP Chairman of the Hospital’s Internal Medicine Dept., assembled a clinical team to identify and address congestive heart failure outcomes coming to San Joaquin General and SJ County Clinics.

“Here at San Joaquin General we experienced the same escalating prevalence and challenges in HF management as exists nationally”, says Dr. Sadaat. “Despite having a “traditional specialty CHF clinic,” during a 12-month period of this study, our re-admission, length of stay when admitted, and number of ED visits for our HF patients increased, while utilization of the

clinic by our HF patients actually declined.

We saw the opportunity to improve and we acted on it. Seven out of ten pivotal issues addressed by the 2017 ACC (American College of Cardiology) expert consensus paper for the optimization of HF involves addressing the challenges of care coordination, improving adherence, managing co-morbidities, integration of palliative care, and transition to hospice care. Our institutional goal was to create a multidisciplinary clinic that reduces HF related admissions and ED visits, to provide whole person care while specifically addressing HF and related co-morbidities. We centered the care around the patients’ needs. Our aim was to engage and more importantly empower our patients to improve their health and try to make care not only more accessible, but more convenient for our patients.”

The new CHF Clinic assembled a Hospital and Clinic wide team consisting of the Hospital’s medical staff, pharmacy department, and nurse managers.

“When we see patients in the heart failure clinic, we spend extra time focusing on the medications. We ensure our patients are on the most appropriate guideline-directed therapy and understand the importance of taking all of their medications appropriately” says Hospital Pharmacist Jared, Pharm. D, BCPSAQ ID. The redesigned multidisciplinary CHF Clinic has reduced HF Hospital and emergency visits. San Joaquin General Hospital’s team approach to HF management follows the Hospital’s mission of providing the optimal, compassionate care to the residents of San Joaquin County. San Joaquin General Hospital sees over 30,000 patients annually and also has 105,000 primary care visits annually.

SAN JOAQUIN GENERAL HOSPITAL 500 W. Hospital Rd., French Camp (209) 468-6000 SJGeneral.org

96,323

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Stockton Dental Care

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209.952.6721 Published by San Joaquin Magazine

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2020 SJ HEALTH AND MEDICAL GUIDE

39

pregnancy

A HEALTHY PREGNANCY DIET  BY DIERDRE CARLSON

Congratulations! You are now eating for you and your baby. Good nutrition plays a key role in the health of both mother and baby. As a mom-to-be, you have higher nutrient needs than you did before conception. Yet the general principles of good nutrition—variety, balance, and moderation—still apply during pregnancy.

Calorie needs increase during pregnancy, but “eating for two” only requires an additional 200 to 300 extra calories from nutrient-dense foods such as lean meats, low fat dairy, fruits, vegetables, and whole grain products. It will be important to carefully consider the foods you consume during your pregnancy.

KEY NUTRIENT GUIDELINES DURING PREGNANCY: Calcium: 1,000 milligrams per day Calcium is needed in the body to build strong bones and teeth. Calcium also allows the blood to clot normally, nerves to function properly, and the heart to beat normally. Dairy is the best source of calcium. Other sources of calcium are dark, leafy greens, fortified cereal, breads, fish, fortified orange juices, almonds, and sesame seeds.

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FOLIC ACID: 400 MICROGRAMS PER DAY Folic acid is used to make the extra blood your body needs during pregnancy.

Foods rich in folic acid include lentils, kidney beans, green leafy vegetables (spinach, romaine lettuce, kale, and broccoli), citrus fruits, nuts, and beans. Folic acid is also added as a supplement to certain foods such as fortified breads, cereal, pasta, rice, and flours.

2020 SJ HEALTH AND MEDICAL GUIDE

IRON: 27 TOTAL MILLIGRAMS OF IRON PER DAY Iron is an important part of red blood cells, which carry oxygen through the body.

Good sources include whole grain products, lean beef and pork, dried fruit and beans, sardines, and green leafy vegetables.

VITAMIN D: 600 INTERNATIONAL UNITS OF VITAMIN D PER DAY Vitamin D works with calcium to help the baby’s bones and teeth develop.

Good sources are milk fortified with vitamin D and fatty fish such as salmon.

Protein: A woman weighing 150 pounds needs 75 grams of protein per day (each person is different.

To estimate, use your pre-pregnancy weight and divide by 2).

Protein is needed for energy and to build and repair different parts of your

body, especially brain, muscle, and blood. Choose a variety of protein-rich foods, which include seafood, lean meat and poultry, eggs, beans, and peas.

Use labels on packaged food to determine how many grams of protein each food provides.

FOR MORE INFORMATION: BHAGYA NAKKA, MD 1805 N. California St., Ste. 202, Stockton (209) 242-2690 DrNakkaOBGYN.com P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP Locations in Stockton, Lodi, Manteca & Tracy (209) 466-8546 GillObgyn.com

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una referencia. Ofertas de cortesía válidas 2020 MEDICAL this Magazine coupon at your visit. || Algunos seguros pueden requerir para nuevos pacientesAND sin seguro.

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dental health

WHEN IT’S TIME FOR WISDOM

TEETH REMOVAL  BY JESSICA ZIMMER What are wisdom teeth? Wisdom teeth are a third set of molars that typically come in between the ages of 17 and 25. For many patients, these teeth aren’t welcome. Wisdom teeth can remain trapped in the gums or develop too close to other teeth. Sometimes they impact other teeth and cause infections. A patient who is in their late teens or early twenties and experiencing pain in the back of their mouth should consult a dentist or oral or maxillofacial surgeon, a type of dentist that specializes in surgery of the face, mouth, and jaws.

WHAT EXTRACTION INVOLVES Extraction involves three steps: numbing the area, separating the tissue connecting the tooth to the jawbone, and removing the tooth. A dentist numbs the area where the wisdom teeth are erupting by administering an anesthetic.

The dentist uses a local anesthetic to numb a specific spot to remove one or two teeth.

They use a general anesthetic, which typically causes a patient to go to sleep, when removing several teeth.

The extraction of each tooth usually takes only a few minutes and when the dentist removes multiple teeth, they may stitch up the gum afterward. If the dentist has to cut a tooth into smaller pieces to remove it, the process can take up to 20 minutes per tooth.

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HOW REMOVING WISDOM TEETH HELPS Removing wisdom teeth leaves room for the back teeth to grow and develop normally. Removal also gives a patient more room to clean the back teeth, which are more prone to gum disease and cavities.

Removal of the upper wisdom teeth lessens the risk of sinus pain. This is because these wisdom teeth are located close to certain sinuses. When the upper wisdom teeth grow, they can put pressure on the sinuses.

KEEPING WISDOM TEETH When wisdom teeth come in properly, they do not need to be removed. A patient should not attempt to determine whether they need removal on their own. It is hard to see far back in the mouth to determine whether there is a problem. In addition, if the patient has an issue with gum disease already, they may not be able to feel or see it.

A patient can learn more about which wisdom teeth they should get removed by getting dental x-rays. Before commiting to a procedure, always ask the dentist about different options regarding anesthetics, payment plans, and follow-up prescription painkillers.

CALL AN EXPERT: DR. TODD FRANKLIN 1208 W. Tokay St., Lodi (209) 334-4370 ToddFranklinDDS.com DR. CARESSA W. LOUIE 2389 W. March Ln., Ste. 1, Stockton (209) 952-6721 DrLouieStocktonDentist.com

Another dental visit?

Turns out, you have better things to do with your time.

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Short on time? No problem.

Technology today is changing our everyday lives. Many people, however, aren’t aware that technology is also impacting dentistry in new and exciting ways. Cutting-edge innovations in dental instruments are requiring less time in the dental chair. Trips to the dentist are becoming less and less fearful, thanks to high-technology in dentistry. Our office is making these visits even easier and more convenient with technology that repairs damaged teeth in one appointment.

We are pleased to offer our patients CEREC restoration services—a superior method of creating precisely designed, color-matched and highly durable ceramic restorations. From simple fillings to full crowns to veneers, CEREC delivers the results you need in one appointment.

Get back to whatever it is you’d rather be doing.

Published by San Joaquin Magazine

Ronald S. Noriesta, D.D.S. NEW LOCATION 4512 Feather River Dr., Ste. B Stockton, CA 95219

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209.472.7500

2020 SJ HEALTH AND MEDICAL GUIDE oneappointment.com

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healthy hospitals

PERSONAL COMMITMENT

MEETS MEDICAL TECHNOLOGY DAMERON HOSPITAL TAKES A DYNAMIC APPROACH TO WEIGHT LOSS  BY FAITH LEWIS

geon Dr. Tarig Samarkandy, it is this approach of taking into account both the physical treatment and the need for mental and emotional support that gives Dameron patients the tools they need to achieve lasting success. “My role as a surgeon is to provide patients with a tool to help them reduce their overall caloric intake,” he says. “However, that is just one part of the solution. The rest of it has to do with helping patients with lifestyle changes and commitment to ensure their weight loss and health improvements are sustainable for the rest of their lives.”

For patients who can show a commitment to these lifestyle changes and a motivation to reach weight loss goals, there are two possible options for weight loss surgery. Whether you choose a gastric bypass (where a small pouch is attached to the intestines to bypass the stomach) or gastric sleeve (where a portion of the stomach is removed), each surgery limits your food intake and reduces how many calories you consume to help you lose weight.

ATTEND A FREE SEMINAR

If you, like so many others, have fallen off the diet bandwagon and feel like you’re losing your battle to the bathroom scale, it might be time to step away from the diet food aisle and turn to the experts. At Dameron Hospital, the team of medical professionals recognizes how much of a struggle it can be to lose weight and they’re there to help.

Dameron Hospital’s Bariatric Weight Loss Surgery Program is designed to offer a physical solution for weight loss, as well as a support system that will keep you motivated and on track.

Dameron’s approach is tailored to each patient and their 44

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Learn more about our safe and highly effective options for weight loss. Sign up for a free seminar at DameronHosptial.org.

specific needs through weight-management education, behavior modification therapy, and the option of gastric bypass or gastric sleeve surgery. The team knows that weight loss will only be successful if long-term lifestyle changes are made and maintained. There is also a huge emphasis on building a support system with your medical team through monthly patient support groups. Here, patients have the opportunity to share their weight loss story, encourage and be encouraged by others, and develop relationships on their journey to weight loss.

According to Bariatric Sur-

2020 SJ HEALTH AND MEDICAL GUIDE

No matter where you are on your weight loss journey, Dameron’s team invites you to join one of their free monthly seminars to help decide if bariatric surgery could be right for you.

LEARN MORE: DAMERON HOSPITAL BARIATRIC WEIGHT LOSS SURGERY PROGRAM (209) 944-5550 DameronHospital.org/Bariatrics

Published by San Joaquin Magazine

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45

research

SAY ‘YES’ TO

RED WINE HEALTH BENEFITS OF RED WINE 

BY NORA HESTON TARTE

We live in the perfect region for indulging in big glasses of spicy zinfandel and other bold reds. So, let’s stop talking ourselves out of enjoying our favorite sips. When had in moderation, red wine offers many health benefits—and white varietals aren’t without their own perks. While we can’t condone guzzling a bottle of pinot, we can give you a few reasons to say yes to that glass of vino with dinner.

WHOLE BODY HEALTH

The key to much research championing wine, especially reds, as healthy in moderation is resveratrol. Resveratrol is a polyphenol, a type of compound said to act like an antioxidant protecting the body against ailments such as cancer and heart disease. The compound was found in the skin of red grapes, 46

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2020 SJ HEALTH AND MEDICAL GUIDE

which is why wine is one way to consume it. It is, however, important to mention that heavy alcohol consumption has a negative effect on the whole body so the key here is how much/ often you drink.

CARDIOVASCULAR HEALTH

A glass (five ounces) of red wine each day, or a few times a week, has been linked to good cardiovascular health, and recently white wine was also praised for its positive effects on blood pressure and lower risks of heart failure.

BRAIN HEALTH

What if we told you a single glass of vino per day could keep you from developing Alzheimer’s and other memory diseases? The flavanols in red wine support healthy blood cells

and good blood flow to the brain, preventing harmful plaque buildup and supporting cognitive function.

WEIGHT LOSS

Wine has a significant number of calories—about 120-150 per five-ounce pour—but that doesn’t change the fact that those who drink are less likely to suffer from obesity or even type 2 diabetes.

MOOD BOOSTER

While alcohol is a depressant, there is something to be said for having a glass when you’re in a funk. In uncomfortable or unenjoyable social situations, having a glass of vino was shown to increase the drinker’s mood substantially. This could be partially because wine has been linked to helping people relax or combat stress.

CHEERS TO A LONGER LIFE!

Moderate wine drinking can actually lead to a longer life, for all of the reasons above and more. Population studies have shown that those who drank in moderation—and not in excess—had longer average lifespans than those who didn’t drink alcohol at all. Part of the reasoning was linked to the lifestyles of those who drink in moderation being healthier overall.

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Explore 12 new home neighborhoods, 38 furnished models and everything else life here has to offer.

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Text RIMOBILE to 797979 for direct links to download our free App with directions to the Welcome Center and all the model home neighborhoods!

All neighborhood offerings, amenities and features are subject to change without notice. Map not to scale. Prices effective as of deadline of publication.

RiverIslands.com|

Published by San Joaquin Magazine

2020 SJ HEALTH AND MEDICAL GUIDE

FOLLOW US

47

- SPECIAL ADVERTISING SECTION -

HEALTH & MEDICAL

PROFILES THE AREA’S FINEST

HEALTHCARE PROFESSIONALS

San Joaquin County is home to many top medical professionals.

These select men and women strive to bring us the best, most innovative and effective care, keeping abreast of the latest research and cutting-edge technology. They strive for this excellence to provide quality service to everyone from infants to aging adults. Their passion stems beyond work, as they support and maintain our greatest asset: our health.

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HEALTH HEALTH

Professional Professional PROFILES PROFILES

Yusuke Suzuki, DMD & Associates

| FAMILY DENTISTRY

We are committed to providing you with the personalized, high quality dental care that you deserve. Dr. Suzuki and Benedictson stay up to date on the latest advancements in dentistry to provide our patients with the most current treatment options. If you hate going to the dentist because your past experiences left you scared, fearful, or downright terrified, there is a solution. Dental sedation helps you achieve the smile of your dreams with ease once more. Our sedation technique allows several treatments to be performed in a single visit. For many, the beauty of this sedation is how easy it is to wake up and remember very little to nothing at all about your visit. We help heal a lifetime of compromising dental disease, replace missing teeth, brighten your smile, and restore function along with creating the gorgeous smile you’ve always dreamed of. We provide Cosmetic dentistry such as crowns, veneers, and whitening; orthodontics with clear braces and 6 Months Smile short term system; dental implants for missing teeth. At the core of our dental practice is a friendly team of professionals that are dedicated to your utmost comfort and optimal oral health. We view each patient as a unique individual, and tailor each treatment to your specific needs. As part of our commitment to providing close, personalized attention to every patient, we want to encourage patient communication. Please know that we are here to provide outstanding patient care, and that we value the trust you have placed in us. Visit our website which contains a library of videos related to the dental procedures and treatment options we offer. www.suzukidmd.com. Contact our office today to schedule your appointment.

801 S. Ham Ln., Ste. L, Lodi, (209) 334-0630, SuzukiDmd.com

Published by San Joaquin Magazine SJ HEALTH AND MEDICAL GUIDE

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2020

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HEALTH

Professional PROFILES

Ronald S. Noriesta, DDS

| GENERAL DENTISTRY

Do you want to restore that youthful smile or replace missing teeth? Do you want to prevent dental problems? Do you have a toothache? We all have different priorities and reasons for going to the dentist, but one thing is certain: We don’t want to spend a lot of time there. Our goal is to care for your dental health while making everything as convenient, comfortable, and economical as possible. Today’s high technology allows dental work to be done in much less time and with minimal expense, but still provides long lasting, aesthetic restorations.

Experience for yourself our family-like atmosphere and personal service. Priscilla from Modesto says, “I couldn’t believe I got my cosmetic work done in one appointment, with no temporaries.” John from Stockton says, “I’ve had root canals and crowns done before, but I’ve never had a root canal and crown done in one visit. I’ll never go back to the old way of fixing teeth.” Brian from Missouri says, “I was in Stockton with a dental emergency and Dr. Noriesta fixed my tooth in one appointment. I couldn’t find a dentist like Dr. Noriesta in Missouri, so I drove back to Stockton and got the rest of my crowns done in one appointment.”

4512 Feather River Dr., Ste. B, Stockton, (209) 472-7500, OneAppointment.com

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Creating Beautiful Smiles

HEALTH

Professional PROFILES

Zeiter Eye Medical Group, Inc. |

VISION IS OUR PASSION

The physicians at Zeiter Eye Medical Group are pleased to welcome their newest ophthalmologist to the Zeiter team, Dr. Mohammad Pathan. Prior to joining Zeiter Eye, Dr. Pathan practiced comprehensive ophthalmology in western Pennsylvania. Dr. Pathan completed his undergraduate degree at Clemson University in South Carolina, he attended medical school at the Medical University of South Carolina in Charleston, and he completed his ophthalmology residency at the University of Pittsburgh’s Eye and Ear Institute.

At Zeiter Eye, Dr. Pathan will be practicing general ophthalmology to include: • Cataract surgery • Glaucoma management • Medical intervention for conditions affecting the retina such as diabetic retinopathy and wet macular degeneration.

As an ophthalmologist in Pennsylvania, Dr. Pathan was an avid member of the medical community and volunteered his services for several free eye clinics. He is an avid college football fan and enjoys cheering on his alma mater the Clemson Tigers.

Dr. Pathan is very excited to lay his roots in Stockton alongside his wife and dogs (Jake and Ali). Both Dr. Pathan and his wife are committed to forming long lasting relationships with the community.

ZEITER EYE MEDICAL GROUP | Multiple locations throughout San Joaquin County | (209) 466-5566 | ZeiterEye.com

Published by San Joaquin Magazine

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HEALTH

Professional

Allergy, Immunology & Asthma Medical Group

PROFILES

A L L E R GY I M M UNOLOGY & A S T HM A MEDICAL GROUP

During these uncertain times, as an essential business, Allergy, Immunology & Asthma Medical Group is committed to the health and safety of our patients. We understand everyone is worried and getting used to new routines.

Therefore, our office continues to practice social distancing and offers virtual doctor appointments to provide the utmost care. For those who need to come to the office in person, we have made your car your waiting room. This applies to those who need to be seen physically or those continuing immunotherapy.

Voted the Best Allergist three years in a row and celebrating 47 years of high-quality patient care in the Central Valley, Dr. George Bensch, Dr. Gregory Bensch, and Dr. Michael Balduzzi, continue to deliver the best allergy and immunology care. AIAMG specializes in the evaluation and treatment of environmental, food, drug, insect sting allergies, hay fever, sinus disease, anaphylaxis, chronic respiratory conditions, asthma, and allergic skin conditions such as hives and eczema. We have eight convenient office locations in the Central Valley. Learn more by visiting our website at AllergyImm.com or call the office at (209) 951-5353.

In loving memory of Jerold Yecies, M.D. We are saddened to announce his passing on March 12, 2020. He will be greatly missed.

A L L E R GY I M M UNOLOGY & A S T HM A MEDICAL GROUP

4628 Georgetown Pl., Stockton (209) 951-5353, AllergyImm.com

A L L E R GY I M M UNOLOGY & A S T HM A

A L L E R GY I M M UNOLOGY & A S T HM A

MEDICAL GROUP

MEDICAL GROUP

Brookside Optometric Group

3133 W. March Ln., Ste. 2020 Stockton, (209) 951-0820 BrooksideOptometric.com

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At the Brookside Optometric Group we get it that the honor is that people allow us to see them, not for them to be allowed to see us. We get it that people live busy lives and need appointments that are not between the hours AofL L9E RGY and 5I MMonday through A L L E RGY I M MUNOLOGY & A S Tnecessarily HM A MUNOLOGY & AFriday, S T HM A hate having M E DI CA L GR OUP ME D IC AL GROU P to endure long waits for their doctor only to be seen by a technician followed by a brief 3-minute meet and greet by their doctor, and that people want answers to their questions instead of a simple pat on the head as they are being handed a prescription.

We provide extended hours for our patients, technologically-advanced equipment to better care for our patients, an in-house lab, access to any and all contact lenses necessary to fit any need and a frame inventory of over 1,500 frames to suit any desired style. Most importantly we wanted to create an environment where our patients would be seen on time, have time with their doctors for a very thorough examination and have any and all questions answered, whether that be for routine eye care or LASIK candidacy, and to be treated like family.

2020 SJ HEALTH AND MEDICAL GUIDE

HEALTH

Professional PROFILES

Ali Mirhosseini, M.D, FACC GENERAL CARDIOLOGIST

School: Shiraz university of Medical Sciences, Shiraz, Iran 1998-2005 Sinai Hospital, Chicago, IL 2011-2014 FELLOWSHIP: Rosalind Franklin University, Chicago, IL 2014-2018 CERTIFICATION: ABIM Internal Medicine: 2014, ABIM cardiovascular disease 2018 SNC Nuclear Cardiology 2018, Echocardiography board certified 2017 HOSPITAL AFFILIATIONS: Sutter Tracy Community Hospital, Tracy, Doctors Hospital Of Manteca, Manteca MEDICAL

RESIDENCY: Mount

AREA OF INTEREST:

CAD, CHF, HTN, preventive cardiovascular disease, arrhythmia I enjoy helping people; I treat my patients as one of family members and will do my best to help them to have a better quality of life. Seeing a satisfied smile on patients’ faces after helping them is very rewarding and I strive to experience that every day.

415 E. Harding Way, Ste. D, Stockton | (209) 944-5750 | StocktonCardiology.com

Published by San Joaquin Magazine

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HEALTH

Professional PROFILES

Salida Surgery Center AMBULATORY SURGERY CENTER

We are a California State licensed and certified Ambulatory Surgery Center located in Salida, between Modesto and Stockton. We provide complete dental care for patients while they are under general anesthesia.

Our professional credentialed staff includes Dentists, Anesthesiologists, Dental Assistants, and Registered Nurses.

For over 12 years we have treated children from ages 18 months to 15 years.

Once we receive your faxed copy of the treatment plan and completed referral form we will pre-authorize with the insurance plan(s) which is necessary for the use of general anesthesia. Usually appointments are made within 3-6 weeks.

We accept most dental insurance plans including Medi-Cal, Denti-Cal, Healthy Cubs, and Commercial types. Patients must be referred directly by your dentist.

Visit our website at SalidaSurgeryCenter.com or like us on Facebook at Salida Surgery Center, Dental Group for lots of information and up to date communications.

We can receive your referral 3 ways: You can fax to: (209) 543-9699, email to: Referral@SalidaSurgeryCenter.com or mail to 5712 Pirrone Rd. Salida, CA 95368.

5712 Pirrone Rd., Salida (209) 543-9299 SalidaSurgeryCenter.com

Caressa W. Louie, DDS COSMETIC & FAMILY DENTIST

Dr. Caressa Louie has called Stockton home for over 20 years. She is an honor graduate of both the University Of Pacific and the University Of Pacific School Of Dentistry.

She opened her private practice in 2002, with a professional goal to provide quality, state of the art general dentistry. Her excellent dental hygiene department possesses a strong emphasis on preventative care, and together the team provides each patient with a number of appropriate treatment options while truly listening to all patients’ concerns.

Dr. Louie has embraced the latest technological advances in various dental treatments. Her most wining quality, however, is her genuine concern for her patient’s well being. She wants only the best for her patients and has the experience and skill to provide that quality care.

You will feel that concern for the patient the moment you enter the practice. Her office staff is experienced, warm, friendly, and very professional. Most of the staff have been with her since the beginning of her practice. The combination of traditional skills coupled with the latest dental technology make her office a perfect destination for your dental care.

2389 W. March Ln., Ste. 1, Stockton, (209) 952-6721, DrLouieStocktonDentist.com

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HEALTH

Professional PROFILES

Hugh L. Vu, MD, MPH, FACS

| BOARD CERTIFIED PLASTIC SURGEON

Board-Certified and San Joaquin magazine reader-celebrated, Dr. Hugh L. Vu treats his plastic surgery patients like they are members of his own family. He meticulously plans and customizes every procedure to give his patients beautiful, natural-looking results. Dr. Vu specializes in facial rejuvenation, body contouring, and all breast procedures, while his Skin & Laser Center offers advanced medical grade services such as laser hair reduction, Botox, collagen remodeling, cellulite treatments, microdermabrasion, and much more. In addition to cosmetic surgery, Dr. Vu brings to Stockton his reconstructive surgery expertise from his teaching career at UC Davis and as senior plastic surgeon at Sacramento’s Shriners Hospital for Children. Dr. Vu’s commitment to safety and excellence has earned him the confidence of patients and colleagues in Northern California and internationally.

Thank you for voting Dr. Vu “Best Cosmetic Surgeon” for 11 Years in a row.

We look forward to serving you in 2019!

1617 St. Marks Plaza, Ste. E & F, Stockton (209) 476-7074, VuPlasticSurgery.com

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Over 55 years of Vision Care

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HEALTH

Professional

Cameron R. Wheeler, DDS, MS

PROFILES

BOARD CERTIFIED ORTHODONTIST

At Wheeler Orthodontics, we are dedicated to providing a fun, affordable, safe and quality orthodontic experience with interactive and individualized care to every patient. Whether you’re a child, teenager, or an adult, you deserve an attractive and confident smile. We believe in creating beautiful smiles, inside and out, and that a perfect smile is an investment our patients will benefit from for a lifetime. We feature Invisalign and clear ceramic braces for the aesthetically conscious patients. A specialist in the field of orthodontics for both children and adults, Dr. Wheeler has completed an advanced program of education and training. He graduated with honors and received his Doctor of Dental Surgery degree, a Master of Science degree, and a specialty certificate in orthodontics from University of California, San Francisco. When he is not practicing orthodontics, he is teaching it at his alma mater.

In addition to his academic qualifications, Dr. Wheeler prides himself on exceeding the standards of his profession by making continued education a priority to his practice. He stays on top of the latest developments in orthodontics, and therefore continues to provide top quality service to his patients. Furthermore, Dr. Wheeler and his staff do all their patients’ records in-house. Wheeler Orthodontics has been voted first place best orthodontist for eight years in a row by San Joaquin Magazine readers.

4568 Feather River Dr., Ste. D, Stockton, (209) 951-0151 WheelerOrtho.com

Funto Ayanleke DDS, MPH PEDIATRIC DENTISTRY

Dr. Ayanleke has dedicated her career to making a difference in dental care. She prides herself on her empathetic and compassionate hands-on clinical care. As part of her commitment to improving care, she holds multiple degrees: a DDS from University of Colorado, Denver, an MPH from The University of Southern Mississippi, Hattiesburg, and a BDS from University of Ibadan, Nigeria.

With over twelve years of experience in clinical and managerial dental practice, Dr. Ayanleke is a recognized healthcare leader, uniting her care teams to deliver high quality, patient-focused experiences. As a Choice pediatric dental provider, she loves to make people smile with empathy and compassion. Dr. Ayanleke embraces the latest technology to deliver best-in-class dental care.

Outside of clinical practice, she can be found spending quality time with her family and traveling.

1002 West Robinhood Dr., Stockton (209) 242-8240 MyChildrensChoice.com

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Care Team is Coming to Stockton!

2020 SJ HEALTH AND MEDICAL GUIDE OPENING JUNE 2020

HEALTH

Professional PROFILES

Hammer Lane Pharmacy Dr. Amir Khan is a Stockton native and has been serving his community as a pharmacist for over 20 years. Amir is an alumni of the University of the Pacific (UOP), where he received his Doctorate of Pharmacology. Aside from working as a community pharmacist, Amir has served as an adjunct professor with UOP for over 15 years, helping future pharmacists gain experience in the practice of community pharmacy.

To serve the community better, Amir opened Hammer Lane Pharmacy in 2018. It’s located next to Sutter Gould in the Food Source Shopping Center. Combined with Amir’s experience, knowledge, expertise and an amazing staff, the entire crew at Hammer Lane Pharmacy provides patients with a genuine caring attitude and superior service. Here patients feel valued and taken care of. This past July, Hammer Lane Pharmacy was the Winner of the Best Independent Pharmacy 2019 by San Joaquin Magazine.

The entire team is very proud and thankful for their award. The team at Hammer Lane Pharmacy feels what separates them from their competition is personalized service, short wait times, free local home delivery, being open seven days/week, accepting all insurances, having flu shots plus all other immunizations in stock and administered in a private room, compliance packaging and, not to mention, many OTC and home healthcare products.

2339 W. Hammer Ln., Suite J., Stockton (209) 477-7100 HammerLanePharmacy.com

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life

thegood

PLANNING FOR RETIREMENT GUIDE

Your Resource for Retirement:

THE RISE OF DENTAL IMPLANTS  BY

Published by San Joaquin Magazine

JESSICA ZIMMER

Dental implants are a well-fitting, long-lasting alternative to crowns and bridgework. Individuals who want to protect weak and damaged teeth should talk to a dentist, oral surgeon, or maxillofacial surgeon about the advantages of this device. Benefits include more biting force, an easy cleaning routine, and no requirement to adjust or refit. According to the American Academy of Implant Dentistry, over 3 million people in the U.S. have dental implants. Every year, an additional

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Services Provided Non-Medical In Home Care

Contact Amber/James Butler Phone: 209-373-6821 actsofkindness.com aokcaregivers@gmail.com

Live an independent and full life

in the comfort of your own home.

Peace of mind for you and your loved ones. Family owned and founded from personal experience.

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• Home Maker Services (light house keeping) • Respite Care • Sitter and Companionship • Personal Care Services • Transportation With the support of Acts of Kindness Caregivers, everything is going to be AOK!

CA License # 394700024

500,000 people receive dental implants.

Like crowns and bridgework, dental implants can improve the appearance, alignment, and shape of teeth. These devices guard against breakage and wear. Another advantage of dental implants is that they are not attached to other teeth. If a tooth near a dental implant develops a cavity and needs repair, a dentist can address that concern without having to remove the implant.

WHAT IS A DENTAL IMPLANT? A dental implant is a titanium post inserted into the jawbone below the gum line. A dentist mounts dentures and bridges on top of the post.

The implant remains stable because titanium is a metal that fuses with bone. Within a few weeks of surgery, bone cells grow and attach to the post. Whenever an individual chews, the movement applies pressure to the new bone surrounding the post. The pressure moves the root of the tooth slightly. This stimulates the bone tissue, which keeps it healthy.

An individual considering dental implants should research these devices as soon as they learn their teeth are broken or weak. This is because a dental implant needs a certain amount of bone to remain steady. When time passes after an injury, a patient’s jawbone can start to lose density, making it more likely to fracture. Receiving an implant soon after an injury or diagnosis maximizes the chances of the bone being dense and healthy enough to anchor the implant.

WHAT’S NECESSARY FOR DENTAL IMPLANTS An individual considering dental implants must have healthy gums and enough bone to keep the implant in place. If an individual has receding gums, they can get gum grafts prior to surgery. Healing from the gum surgery takes additional time, but may be worth it in the long run. This is because the individual is likely to have needed a gum graft anyway and the dental implant will fit better than a denture or bridge alone.

An individual with a thin, soft, or weak jawbone may need a bone graft before getting a dental implant. A patient with sinuses close to the jaw may need a sinus lift—a procedure to raise the floor of the sinuses—before receiving an implant. The procedure helps the individual develop more bone to anchor the implant.

TYPES OF DENTAL IMPLANTS There are two types of dental implants approved by the American Dental Association.

The first is an endosteal implant, which is implanted directly into the jawbone. The second is a subperiosteal implant, a metal frame fitted onto the jawbone below the gum tissue.

An endosteal implant requires a second surgery to connect the post to the implant. The dentist then attaches artificial teeth to the post one by one. The dentist can also group the teeth on a bridge or denture. The process for a subperiosteal implant requires the gums to heal before the second step. As the gums recover, the metal frame affixes to the jawbone.

Posts stick out through the gums and a dentist can mount artificial teeth to the posts.

YOU DESERVE HIGH-QUALITY, DEPENDABLE HOMECARE. Nurse Next Door is a 24/7 full service senior homecare agency providing a comprehensive range of non-medical services on an hourly basis. Our experienced caregivers are bonded and insured; and since they’re our employees, your risk is minimized.

In addition to being known as hospital to home specialists, we offer the following:

q Meal Preparation q Medication Reminders q Light Housekeeping

q Personal Care & Hygiene q Errands & Transportation q Joyful Companionship

CALL US TODAY FOR A FREE CONSULTATION AT 916-524-7020 We promise to provide a WOW experience! www.nursenextdoor.com Kiran Samran, Cell: 916.524.7020 q 24/7: 916.900.CARE (2273)q q kiran.samran@nursenextdoor.com

CALL AN EXPERT: DR. TODD FRANKLIN 1208 W. Tokay St., Lodi (209) 334-4370 ToddFranklinDDS.com DR. CARESSA W. LOUIE 2389 W. March Ln., Ste. 1, Stockton (209) 952-6721 DrLouieStocktonDentist.com

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SENIOR

THE GOOD LIFE//SPECIAL ADVERTISING SECTION

Living

PROFILES

NURSE NEXT DOOR HOME SERVICES Nurse Next Door Home Care Services is a matchmaking service for seniors and caregivers, helping those who want to remain independently living at home do so with the help of the perfect caregiver handpicked just for them, taking into consideration needs, interests, and personality. The service takes burden off of family members by completing tasks such as meal preparation, light housekeeping, personal care, and transportation, while also providing care. Regardless of the client’s needs, companionship is a priority, which is why Nurse Next Door works to place the ideal caregiver in every home, helping to alleviate feelings of isolation and depression. All services are available around the clock, whether it’s 3 PM or 3 AM, and services can be scheduled on a daily, weekly, or monthly basis. Log online to book care in Lodi, Stockton, Galt, Elk Grove, or Sacramento, or learn more about the available services.

OUR TALENT IS CARING: Nurse Next Door Home Services (916) 524-7020 NurseNextDoor.com

HOSPICE OF SAN JOAQUIN Hospice of San Joaquin is one of the most trusted Hospice Providers in San Joaquin County, providing quality hospice care that allows their clients to live life to the fullest.

With the first and only Hospice House for hospice patients in the county, the Hospice House offers 24-hour nursing care, meals, laundry, activities, and all the amenities necessary to make their patients feel comfortable and at home. Their wide variety of programs at Hospice of San Joaquin include Camp Caterpillar for children who are experiencing grief and support groups for adults. Hospice of San Joaquin’s Pacific Palliative Care Program is for those who aren’t quite ready for Hospice Care. Hospice of San Joaquin’s mission is to honor life by ensuring patients and their caregivers are given the care and freedom they need to enjoy and live their lives fully.

HOSPICE OF SAN JOAQUIN 3888 Pacific Ave., Stockton (209) 957-3888 HospiceSJ.org

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THE GOOD LIFE//SPECIAL ADVERTISING SECTION

ACTS OF KINDNESS CAREGIVERS Acts of Kindness Caregivers is San Joaquin County’s premier non-medical home care provider, granting seniors and those in need personalized attention for all of their non-medical needs.

In a lot of ways, Acts of Kindness works to alleviate burden from those caring for elderly family members by taking on some of the care responsibilities. The goal is to have a qualified provider come into the home and manage tasks as needed, may that be for a couple of hours here and there or on a more consistent basis. As an added bonus, caregivers are available around the clock so they don’t disrupt routine. For many, this service allows seniors to remain in their homes longer, living independently while also giving their families the peace of mind that they are taken care of and safe. One of the most important functions caregivers from Acts of Kindness fulfill is companionship—simply being a caring person in a senior’s life. Duties include custodial care, meal preparation, hospice support, errands, shopping, walks, doctor’s visits, hygiene assistance, medication reminders, and more. All of the care duties are available on flexible schedules including options for weekend and holiday support, multiple shift care, and temporary or long-term care, with a dedication to offering affordable rates by caregivers who have undergone extensive background testing before hire.

ACTS OF KINDNESS CAREGIVERS (209) 373-6821 AOKCaregivers@gmail.com ActsOfKindnessCaregivers.com

STOCKTON PACE The goal of Stockton PACE (Program of All-Inclusive Care for the Elderly) is simple: helping people live independently in their homes and communities for as long as they can. For elderly people, PACE offers an in-between of independent living and a full-time care facility.

This all-inclusive care program offers services to make independent living feasible for many, including help managing medications, transportation, healthy meals, and more in a social and welcoming environment. Not only do PACE professionals assist with daily needs, the PACE center in Stockton offers a calendar of events to keep seniors active and social.

During Covid 19 PACE shifted to a remote home care model for all participants, maintaining regular video communication in the home. Staff is available to manage seniors’ medical needs and concerns, as well as complete social and behavioral health check-ins.

PACE services may be free or low-cost and it’s easy to qualify for services. To get started, visit StocktonPACE.com to see if you qualify.

Learn More: STOCKTON PACE 582 E. Harding Way, Stockton (209) 932-0367 StocktonPACE.WelbeHealth.com

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SENIOR

Living

PROFILES

THE GOOD LIFE//SPECIAL ADVERTISING SECTION

COMMUNITY HOSPICE As the oldest and largest nonprofit hospice provider in the Central Valley, Community Hospice has provided compassionate and quality care, education, and support for more than 40 years.

Community Hospice believes no one should face their journey alone, providing community members an array of services and programs that focus on enhancing quality of life for all. Programs go beyond the original concept of hospice care, offering palliative care for those with a serious illness. Grief support services and a crisis response team are also available to the community at no cost, providing education, support, and resources. Community Hospice also specializes in grief support for children through their school based program and Camp Erin® of the Central Valley—a free residential bereavement camp for grieving children and teens ages 6-17.

Service and programs are provided in Stanislaus, San Joaquin, Merced, Calaveras, Mariposa, Tuolumne, and parts of Contra Costa, Sacramento, Alameda, and Santa Clara counties.

FOR MORE INFORMATION: (209) 578-6300 HospiceHeart.org

OAKMONT OF BROOKSIDE – STOCKTON Oakmont of Brookside in Stockton is part of Oakmont Senior Living’s portfolio of senior living communities in California and Nevada.

The 54,515-square-foot senior living community sits on nearly two well-manicured acres and has 77 apartment homes, including 19 for memory care. Oakmont of Brookside is close to shopping, fine dining, the arts, and world-class entertainment.

Oakmont of Brookside features the Traditions program unique to Oakmont Senior Living that provides a soothing environment and specialized activities based on music, sensory, and tactile stimulation. Compassionate and specially-trained team members engage residents with the extra care and patience they may need. The community, the dining experience, and social connection continue to be the foundation of the program. “We consistently deliver quality care to our wonderful residents and welcome new ones,” says Patricia Holguin, executive director. “Our amenities are first rate and our staff make a difference in our residents’ lives each and every day.”

Residents enjoy a day spa, private movie theater, resident gardens, and a picturesque setting as well as premier amenities and services, including gourmet meals, on and off-site recreational and social activities, a library, movie theater, full-size fitness center with exercise classes, an onsite salon and day spa, private dining room, flower and vegetable garden, walking paths, a pet park, chauffeured transportation and concierge services, Wellness Center, on-site nurse, 24-hour staff care, Concierge Physician Programs, and activity rooms with scheduled social events, games, music, and art classes.

OAKMONT OF BROOKSIDE 3318 Brookside Rd., Stockton (209) 395-1136 OakmontOfBrookside.com 64

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CommunityHospiceCV HospiceHeart Chi_CommunityHospice Community Hospice

When choosing hospice care When choosing hospice care

Choose Choose

• Hospice Care • Hospice Care • Hospice House • Hospice House • Grief Support • Grief Support • Pediatric Care • Pediatric Care • Pacific Palliative Care • Pacific Palliative Care • Admissions 7 Days • Admissions 7 Days a Week a Week • 24-Hour Crisis Care • 24-Hour Crisis Care

We’re the We’re one withthe the one with the Butterfly!

Butterfly!

3888 Pacific Ave. • Stockton CA 209-957-3888 • hospicesj.org 3888 Pacific Ave. • Stockton CA 209-957-3888 • hospicesj.org

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clean  BY BY NORA HESTON TARTE

EW-O-METER GROSS LITTLE HABITS

WEARING YOUR SHOES IN THE HOUSE

Whether you can see the dirt or not we promise you any shoes you wore outside will track dirt, germs, and other gross stuff into the house. Whether you just stepped in from running errands, or were hiking near Lodi Lake, we suggest you drop your shoes at the door.

THE ULTIMATE CHECKLIST WHAT TO WASH AND WHEN

DAILY Make your bed Take out trash Wipe down tables/counter/sink WEEKLY Clean toilets Scrub showers and tubs Do a sweep of the fridge for old food MONTHLY Vacuum upholstery Disinfect surfaces such as doorknobs and light switches Clean stovetop Deodorize microwave SEASONALLY Deep clean fridge Wash curtains Wipe down baseboards Descale coffee maker 1-2X PER YEAR Dry clean pillows Wash comforter Empty and clean pantry shelves Clean oven ANNUALLY Wipe down walls Clean dryer duct Clean gutters Wash window screens

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FORGETTING TO CLEAN YOUR TOOTHBRUSH HOLDER (OR REPLACE YOUR BRUSH)

Those toothbrush holders, both for regular toothbrushes and electric ones, need a wipe down every once in a while to clean off yeast and mold that grow there. We suggest soaking it in soap and hot water once a week. Oh, and switch out your bristles every three months.

LETTING YOUR FRIDGE FILTER EXPIRE

That water filter inside your fridge should be replaced every six months if you want to keep your drinking water clean. If you have a BRITA machine or something similar, the filter should be replaced about every two months.

SKIPPING LAUNDRY

Laundering your clothes is part of the routine, but what about those other household items that need a good cleaning? Items like towels, bath mats, and sheets should all go into the

wash routinely. We tend to forget just how many germs linger on these items, including dead skin cells, sweat, and bacteria. Throw all these extras in once a week to keep clean, and every three uses for your bath towel.

FORGETTING TO WIPE DOWN SURFACES

Simple spills and quick sweeps are good for the daily, but once a week you should spend a little extra time disinfecting spaces like countertops, floors, etc. Wipe down kitchen and bathroom surfaces using a disinfectant every week, including appliances, mirrors, and sinks. You should also dust all hard surfaces, vacuum, and mop just as often.

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