Ahwatukee Medical 2016 - 2017 by Times Media Group

advice • fitness • health care

WAR ON SKIN CANCER

Dr. U fights on the front lines

Ahwatukee Skin & Laser Pages 6-7

DR. NATHAN UEBELHOER

PUBLISHER

Steve Strickbine

EDITOR IN CHIEF

Roberta Peterson

EDITOR

Paul Maryniak

CONTRIBUTING WRITERS

Shelley Gillespie, Michelle Talsma Everson

ADVERTISING DIRECTOR

Scott Stowers

ADVERTISING SALES

Terry Davenport, Karen Mays, Laura Meehan, Jane Meyer

DESIGN AND ART

Veronica Thurman

Ahwatukee.com Eastvalleytribune.com

Even with the great strides in medicine in recent years, patient-doctor communication remains an

Ahwatukee dental practice aims puts a premium on patient satisfaction.

Ahwatukee couple’s holistic approach puts people on the path to wellness.

As science produces new ways to address concussions, doctors seek more research.

Chandler lab working on a computer chip for the gut’s well-being.

Chandler pediatrician sees hope for parents seeking nearby care for autistic children.

Renown lung treatment institute now at Chandler Regional Medical Center

TIMES PUBLICATIONS STAFF

Norton Thoracic Institute, a top-rated lung treatment program in the western United States, has expanded its services to Dignity Health Chandler Regional Medical Center.

Three physicians now provide the institute’s evaluation, diagnosis and treatment of diseases of the lungs, chest or esophagus.

“This program has grown significantly in a rather short amount of time. We have patients who come to Norton from around the world,” said Dr. Ross Bremner, the institute’s executive director.

“Expanding into the East Valley is a natural progression for us,” he added. “It allows our experts to continue providing excellent and innovative care for our patients who cannot drive downtown to St. Joseph’s.”

The Norton Thoracic Institute surgeons practicing at Chandler Regional include Dr. Shair Ahmed, Dr. Samad Hashimi, and Dr. Chirag Patel. They also see patients in Dignity Health’s Comprehensive Cancer Clinic in the East Valley.

Norton CardioThoracic and Transplantation Institute specializes in a multidisciplinary approach to evaluating, diagnosing and treating individuals with known or suspected diseases of the lung, chest or esophagus.

Programs include: lung transplant, advanced lung disease and genetic lung disease, lung cancer screening, Barrett’s esophageal, pulmonary rehabilitation thoracic oncology, and

interventional pulmonology. It also has clinics for cystic fibrosis, lung nodules and mediastinal staging.

The institute’s surgeons specialize in treating some of the most complex esophageal diseases in the Southwest by providing a comprehensive and multidisciplinary evaluation and some of the newest technology available.

Its manoﬂourography unit was the first in Arizona and one of the first in the nation. The acquisition of a confocal endomicroscopy machine allows physicians to detect cancer at its earliest stages, when there is greater chance of long-term survival.

Ahmed earned his medical degree from the University of Arizona College of Medicine and completed a residency in general surgery at the Alpert School of Medicine at Brown University in Providence, Rhode Island. He specializes in in lung transplantation, benign and malignant esophageal disease, and lung cancer.

Specializing in cardiothoracic surgery using minimally invasive and robotic approaches, Hashimi earned his medical degree at the University of Iowa, where he also completed a residency in general surgery and a fellowship in cardiothoracic surgery.

Patel’s clinical specialties include lung transplantation, lung cancer, esophageal disease, and esophageal cancer. He earned his medical degree from the University of Arizona in Tucson, and then completed his residency at St. Joseph’s.

In 2015, Norton Thoracic Institute was ranked the second busiest lung transplant program in the country with shorter-thanaverage wait times and above-average one-year survival rates.

Since opening in 2007, its lung-transplant team has performed more than 450 transplants for patients from more than 30 different states.

Norton Thoracic also provides a second-opinion service for lung cancer patients, conducts groundbreaking research, and trains young physicians to improve patients’ outcomes. n

dignityhealth.org/stjosephs/services/

Dr. Shair Ahmed

Dr. Samad Hashimi

Dr. Chirag Patel

New Dignity Health emergency room expands care for Ahwatukee patients

TIMES PUBLICATIONS STAFF

Anew level of health care has come to Ahwatukee with the community’s first free-standing emergency room.

The facility is a joint effort between Dignity Health, which operates the nearby Chandler Regional and Mercy Gilbert hospitals, and Adeptus, a health care provider that specializes in free-standing emergency rooms.

The facility is a full-service 24/7 emergency room staffed by board-certified physicians, emergency-trained nurses and radiology experts. As part of the Dignity Health Arizona General Hospital system, it also has access to Dignity Health’s network of physicians and specialists.

“We live to provide excellent patient care and do it in the spirit of kindness, but also the goal of Dignity Health is to partner with others in the community to improve the health of the communities we live and work in,” said Tim Bricker, CEO of Dignity Health. “We are very active in this community already with the urgent care clinic, and now we bring this wonderful 24/7 emergency care to the community.”

The emergency room, on the northwest corner of Chandler Boulevard and 44th Street, differentiates itself from oth-

er urgent cares in various ways.

For example, the Dignity Health General Hospital ER is equipped with a full radiology suite that includes an X-ray machine as well as a CT scan.

“This CT scanner is 16 slices, which is what is recommended for emergency care,” said Trinity Barnes, facility administrator and nursing leader. “This type of radiology suite allows us to see deep tissue, meaning we can identify problems within organs.

“The walls are also lined with lead to prevent any radiation from getting into the hallway or nearby rooms.”

Also setting it apart is the lab’s certification by the Commission on Office Laboratory Accreditation. It provides a new degree of testing, including cardiac markers tests which can show if someone is having a heart attack.

The facility also has a reverse-isolation room that will allow patients with potentially serious contagious illnesses to be set apart in an environment that includes a separate ventilation system.

Because the facility is staffed by emergency-trained physicians and nurses who are also pediatric-certified, several rooms are designed especially for children.

There are seven examination rooms in total.

“It sits in a really convenient position for most individuals in Ahwatukee,” said Bricker. “Those who are seeking emergency care can expect to come in and be seen and treated very quickly.”

Leading the facility is Dr. Frederick Johnson, who has more than 37 years in medicine and whose previous post was as medical director for Valley View Medical Center in Fort Mojave, Arizona.

Although the ER is equipped to handle far more procedures than typical urgent-care facilities in Ahwatukee, there are still numerous procedures that will require a fully-staffed hospital, including surgery and long-term care.

Patients requiring higher levels of care will be transported from the ER to Chandler Regional Hospital. n

Former Navy commander at cancer-fighting helm at Ahwatukee Skin & Laser

TIMES PUBLICATIONS STAFF

There’s a new commander in the treatment of skin cancer in Ahwatukee.

Dr. Nathan Uebelhoer, a former Navy commander, is Ahwatukee Skin and Laser’s top skin cancer surgeon.

Uebelhoer has more than 15 years’ experience in dermatologic surgery, including more than 3,000 complex Mohs surgeries under his belt and “is quickly becoming a well-known name in the Valley,” said Ahwatukee Skin and Laser manager Sarah Neumann.

Uebelhoer is in the right place.

“Skin cancer affects nearly one in three adults in Arizona and our state sees more skin cancer cases than any other state,” he said. “So, it’s important everyone knows about Mohs surgery and skin cancer prevention.”

mor and results in higher recurrence rates.

“Mohs micrographic surgery is different. During Mohs, 100 percent of the skin margin is examined under a microscope as part of the procedure, so the unhealthy tissue is removed stage by stage, ensuring complete clearance” he added.

Mohs “is great for highly sensitive areas on the head and neck when the goal is to minimize the risk of scarring,” Neumann noted.

Not all skin cancer is treatable with Mohs surgery, but it is curable when detected early, Uebelhoer said.

“You need to find a physician and practice you trust; that’s sometimes the hardest part in the journey to treat skin cancer” he said. “But time isn’t a luxury. Find a practice you like now, schedule routine skin evaluations (especially here in Arizona) and be vigilant about sun protection.”

Uebelhoer is no stranger to healing or

Mohs is a highly precise skin cancer removal technique that eliminates all cancerous skin while sparing healthy skin. It’s become the gold-standard to treat skin cancer since its method and results are more advanced than the traditional surgery, according to Uebelhoer.

“Traditional skin cancer surgery fails in two main ways,” he said. “First, it often removes more healthy, non-cancerous skin than is necessary resulting in larger scars. Second, due to the nature of the most common forms of skin cancer, non-Mohs surgery often misses the edges of the tu-

to giving medical advice.

Board certified in dermatology, he completed a one-year dermatologic surgery fellowship and has received numerous awards for his excellence in teaching other dermatologists and plastic surgeons internationally.

He helped pioneer laser-surgical techniques in the Navy for burn and traumatic scars, improving the quality of life for hundreds of wounded warriors and other victims of burn injuries around the world. He continues to lecture internationally on this work.

Though retired from the Navy, he stays connected by volunteering his time and expertise to the military to heal and treat active duty service members and veterans.

“Giving back, keeping people healthy and skin cancer awareness are important to me, so I found a practice with the same beliefs. Ahwatukee Skin and Laser hosts fundraisers, gives to charity and not only treats skin cancer, but promotes skin cancer awareness. They also treat the bigger picture to make sure the entire body is healthy” said Uebelhoer.

Neumann calls Uebelhoer “an excellent asset to the Ahwatukee Skin and Laser team.”

“With over 15 years of experience in Mohs surgery, wound repairs and cosmetic laser surgery, Dr. U brings a wide array of skills to the party that not many offices have the privilege of offering,” she said, adding:

“Even though you may hope to never meet him, rest assured you will be in excellent hands should the time ever come.”

Skin cancer diagnosis and treatment comprise the main focus at Ahwatukee Skin and Laser, but it’s not the practice’s only strength.

“Ahwatukee Skin and Laser follows a whole-body approach to treat all conditions that affect patients’ overall health,” said Neumann, noting her business has won back-to-back Best of Ahwatukee awards. Ahwatukee Skin and Laser has won Best of Ahwatukee for Best Derm, Skin Care and Neumann for Best Physician’s Assistant since 2013.

Neumann’s state-of-the-art facility also treats psoriasis, acne, hair loss and other skin related auto-immune conditions. n

For a check-up or skin cancer evaluation: 480-704-7546 or ahwatukeeskincare.com.

Dr. Nathan Uebelhoer

The types of skin cancer

TIMES PUBLICATIONS STAFF

Skin cancer is an abnormal growth of skin cells. It most often develops on areas of the skin exposed to the sun’s rays. Skin cancer affects people of all colors and races, although those with light skin who sunburn easily have a higher risk. Here are the basic kinds of skin cancer, explained by the American Academy of Dermatology.

Actinic Keratoses (AK)

• These dry, scaly patches or spots are precancerous growths.

Basal cell carcinoma (BCC)

• This is the most common type of skin cancer.

Squamous cell carcinoma (SCC)

• People who get AKs usually have fair skin.

Melanoma

• Most people see their first AKs after 40 years of age because AKs tend to develop after years of sun exposure.

• AKs usually form on the skin that gets lots of sun exposure, such as the head, neck, hands, and forearms.

• Because an AK can progress to a type of skin cancer called squamous cell carcinoma (SCC), treatment is important.

• Frequently develops in people who have fair skin, yet they can occur in people with darker skin.

• Looks like a ﬂeshcolored, pearl-like bump or a pinkish patch of skin.

• Develops after years of frequent sun exposure or indoor tanning.

• Common on the head, neck, and arms, yet can form anywhere on the body.

• Early diagnosis and treatment is important. It can invade the surrounding tissue and grow into the nerves and bones, causing damage and disfigurement.

• Second most common type of skin cancer.

• People with light skin are most likely to develop SCC, yet they can develop in darker-skinned people.

• Often looks like a red firm bump, scaly patch, or a sore that heals and then re-opens.

• Tends to form on skin that gets frequent sun exposure, can grow deep in the skin and cause damage and dis figurement. Early diagnosis and treatment can prevent this and stop SCC from spreading.

• The deadliest form of skin cancer.

• Frequently develops in a mole or suddenly appears as a new dark spot on the skin.

• Early diagnosis and treatment are crucial.

If you think you might have one of these forms of skin cancer, call 480-704-7546 or visit ahwatukeeskincare.com.

Bradley Rasmussen, MD

Sarah Neumann, MMS, PA-C

Bethany Cheatham, MSN, FNP-C

Lisa Cockrell, RN

Mark Weaver, MPAS, PA-C

Understanding pain and how physical therapy works can lessen the hurt

BY TED CARTER TIMES PUBLICATIONS GUEST WRITER

Let’s face it, no one likes to be in pain. Pain is the number one reason why people visit healthcare providers, especially physical therapists.

Most people do not understand how exactly pain works, or more appropriately why we hurt. The pain experience is a complex biopsychosocial experience, which means that tissues (biology), cognitive beliefs (psychological) and context (social) all play a role in determining if we will experience pain or not.

This makes pain a much more complex process than most people understand.

Here are two myths on pain and how physical therapy can help:

Myth 1: Pain only occurs when you are injured.

How many times have you finished yardwork and gone inside to get something cold to drink and noticed several cuts and scratches on your arms and legs? Have you ever woken up and noticed a bruise somewhere on your arm and don’t remember how it got there?

Your body can sustain tissue damage even if you didn’t have any pain. There have been several studies where people who are asymptomatic (no pain or symptoms) underwent medical imaging and 40 percent had a bulging disc or low-back degeneration that started in their 20s.

Myth 2: The body tells the brain when it is in pain.

The one basic concept is that pain is an output by the brain that comes from thousands of various inputs. There are no special pain fibers in your body.

We have nociceptors, which are special nerve fibers that send information from tissues to the spinal cord and up to the brain.

Nociceptors can send messages in the absence of tissue damage.

A few inputs that stimulate nociceptors include: movement, stress, thoughts, temperature, blood ﬂow, and immune system. For example, studies have shown that decreased blood ﬂow to tissues will cause increased nociceptive activity. This does not mean pain.

Think about how long you’ve been sitting in your chair reading the newspaper. Have you shifted your body position at all? Leaned forward or backward in your chair? Crossed one leg over the other?

The nociceptors in your body told you to move around because they weren’t getting enough blood ﬂow; you probably didn’t even notice that you changed positions until right now.

Whether you have a nagging pain from sitting at your computer all day, achy muscles from a long weekend of yardwork or are planning on surgery, physical therapy can help relieve pain and help people feel better.

Physical therapists can help explain the complexity of pain and work to create a plan to help reduce it in many cases.

Treatments can range from manual “hands on” therapy, such as joint mobilization, soft tissue mobilization and trigger point dry needling. These techniques are designed to stimulate blood ﬂow, improve movement, and alter nociception.

Therapists also use modalities such as electrical stimulation (TENS), heat and ice to alter nociception.

Another way to combat pain is through physical activity.

Exercise has been shown to increase blood ﬂow which brings oxygen and nutrients to tissues, decrease the sensitivity of the nervous system, regulate hormones such as adrenaline and cortisol, improve sleep, release our body’s natural pain relievers (endorphins and enkephalins), and improve mood. n

Ted Carter is a physical therapist at Foothills Sports Medicine Physical Therapy, 15410 S. Mountain Pkwy, Ahwatukee. Information: www.foothillsrehab.com or 480-940-8299.

Ted Carter

Migraines may signal need for brain stem check

BY CAMERON CALL TIMES PUBLICATIONS GUEST WRITER

Have you ever been in pain and were told, “Suck it up! It’s just a ______”? You can fill in the blank with whatever you want: It’s just a headache, a scratch, a sore foot, a bum knee, etc.

Sometimes we have difficulty empathizing with people in pain because we all experience it differently. However, when it comes to headaches, most people experience similar symptoms.

According to the Migraine Research Foundation, in the first nine months of 2016 alone, 38 million people suffered from migraines on a daily basis.

If you Google the phrase “causes and symptoms of migraines,” most of the sites give you the same information, mostly focused on pain and what medication you should take. Nothing really talks about how to get rid of migraines, but merely manage them.

You can read in multiple sources that a migraine is defined as, “a painful headache often accompanied by nausea, vomiting, and sensitivity to light.”

Well, that information doesn’t really help. If you have migraines, you don’t really need to have someone explain what it feels like to have one.

As far as treatments, most websites will recommend you see your medical doctor for prescription medication.

The medication options include anti-epileptic drugs such as Depacon, Depakote, Topiragen and Topamax. There are also beta-blockers such as Blocadren, Inderal, Innopran XL, Lopressor, ToprolXL.

Or you can try botox injections. Botox is a type of toxin produced by the bacteria clostridium botulinum. It weakens or paralyzes muscles.

Then there are standard pain relievers such as aspirin, or nonsteroidal anti-inﬂammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others). Those may help relieve mild migraines.

Yet, if you had the choice, wouldn’t you want a solution that didn’t require you to take anything?

Many “experts” talk about avoiding triggers, such as alcohol, caffeine, chocolate, and stress.

I would argue that these triggers do not cause migraines. If these triggers caused a migraine, why doesn’t everyone have a migraine when they eat chocolate? Why do some people have foods or situations that cause a migraine and others don’t have any problem at all?

So that brings us to the question, “What really causes a migraine?”

The Mayo Clinic has this to say: “Although much about the cause of migraines isn’t understood, genetics and environmental factors appear to play a role. Migraines may be caused by changes in the brainstem and its interactions with the trigeminal nerve, a major pain pathway.”

Read that last sentence again. (No, seriously. Read it again). If the Mayo Clinic says the brainstem could play a role in causing migraines, wouldn’t you want to see if your brainstem function was working properly, especially if you have migraines?

There are doctors out there who focus solely on checking

Cameron Call

brainstem function. Focusing on this area of the body allows them to help even the most chronic conditions—such as migraines—find resolution to their health conditions instead of just temporary symptom relief.

If you have an improperly functioning nervous system (and brainstem), it can lead to migraines and a whole lot more. The sad truth is most people have never had an evaluation of their nervous system or brainstem before.

There is hope to finding resolution to your chronic health conditions, especially your migraines. You can get better and back to living the life you truly desire. n

Dr. Cameron Call, clinic director of The Speciﬁc Chiropractic Center in Ahwatukee, focuses on restoring brainstem function treating chronic health conditions. Reach him at 602-7637782 or cameron@thespeciﬁc.com.

AZ Spine Disc & Sport provides one-stop care and coordinated communication

BY ROBERT BAWOL TIMES PUBLICATIONS GUEST WRITER

The landscape of today’s healthcare system is ever evolving.

New practices are being implemented almost daily. Cutting edge procedures—surgical, alternative, and otherwise—are resulting in better recovery times and a faster return to everyday life.

Better diagnostics, better medication and better technology are available to all.

Yet, while all the new advancements are being introduced at light speed pace, communication between healthcare and medical providers seems to have stayed inconsistent.

Whether it is a delay or a complete lapse, communication problems are a common concern among many patients across the Valley.

But what if communication problems didn’t exist? What if your team of providers can interact face-to-face with you daily? What if the topic of discussion was you, the patient, and how the healthcare providers could come together to make sure that your care is as effective as possible?

That is the kind of care that patients can expect out of AZ Spine Disc & Sport in Ahwatukee.

EYE PRIORITY, PC

Until recently, AZ Spine Disc & Sport offered sports medicine, pain management, chiropractic, physical therapy and massage therapy.

With a recent 20,000-square-foot expansion, AZ Spine Disc & Sport has added primary care, acupuncture, personal training and nutritional counseling to the list of sits menu of services.

By housing all these services in one location, AZSDS providers work together to improve patients’ quality of care and return them to the daily activities they love in a significantly shorter amount of time.

Say that an individual gets injured in a motor vehicle collision. That patient can come into the office for a preliminary evaluation by the clinic’s physical medicine and rehabilitation doctor.

After evaluation and diagnostic imaging, the patient would be referred to supportive rehabilitative therapies such as physical therapy and chiropractic care.

Patients also have the opportunity to utilize the clinic acupuncturist and massage therapists to help speed up the recovery process. Throughout their care, every provider stays on the same page without days or weeks of a lag in information.

In many other clinics, care stops when rehab is done. Not at AZSDS.

Once patients are able to return to daily life, they also have the option of improving on the life they had. With an exercise physiologist on staff, patients can dive into a fully customized training program to make sure that they stay healthy, active, and injury free.

Patients who aren’t suffering from injuries but just want to make sure that they are healthy also can benefit at AZ Spine Disc & Sport. A primary care provider on site provides their yearly physicals and check-ups in one spot.

If a physical shows that the patient needs to focus on a little bit of weight loss, AZSDS offers options for healthy weight reduction and lifestyle modification to get back on track.

All services are available to all patients no matter where they fall on the spectrum of pain, rehabilitation, preventative care, or basic self-improvement.

And patients only have to worry about going to one place to get all that care and feel confident that all the providers are communicating to get them the best results possible. n

Robert Bawol M.S., C.S.C.S, is ﬁtness and marketing manager for AZ Spine Disc and Sport, 4530 E. Ray Road, Ahwatukee. Information: 480-759-1668; azspinediscandsport.com.

Cutting the ribbon on the expanded AZ Spine Disc & Sport clinic in Ahwatukee are, from left: Ahwatukee Chamber of Commerce repreentative Devida Pi’ilani Lewis, clinic marketing and fitness manager Robert Bawol, office manager Ivonne Lopez, and co-owners Dr. David Stone and Dr. Angela Christopher.

Don’t mix aspirin and other pain relievers without a doctor’s advice

BY AGNES OBLAS TIMES PUBLICATIONS GUEST WRITER

Consider the following scenario: You are one of the growing numbers of individuals who, on the advice of a healthcare provider, takes an aspirin every day because of its cardio-protective properties.

Then, one day you sprain your ankle and you consider taking a couple of over-the-counter ibuprofen two or three times a day for a few days for its anti-inﬂammatory effects. Is it advisable to be taking aspirin and ibuprofen simultaneously?

Before answering this question, consider the workings of “anti-inﬂammatory” medicines.

When any body tissue is injured, the injured cells produce a chemical called prostaglandin. There are about 30 known prostaglandins that the body can produce.

These prostaglandins act as a signal for other blood components to commence the inﬂammatory response that often results in pain, swelling, and maybe redness and fever.

to promote clot formation. This is a good thing, especially for individuals who have already had a heart attack.

What about other anti-inﬂammatory medications, such as ibuprofen or naproxen? Although their mode of action is different from aspirin, their ability to minimize the symptoms of inﬂammation is similar.

So why should there be a problem for patients taking aspirin on the same days as taking any other anti-inﬂammatory medication?

The answer is that all these anti-prostaglandin medications compete with each other when ingested together or too soon to each other. In fact, aspirin’s beneficial effects are actually negated.

In the cardiovascular system, when the inner wall of a blood vessel is disrupted because of plaque formation, certain of these 30 prostaglandins are released. That signals blood components called platelets to get sticky for the purpose of patching up the disrupted blood vessel wall.

The sticky platelets then begin to coalesce, or glob up, to form clots within the blood vessels—generally not a good thing.

Aspirin is a potent anti-prostaglandin compound, which is why it works so well in cases of pain, swelling, and fever.

But in terms of heart health, the anti-prostaglandin effects make the above-discussed platelets less sticky, thereby less likely

If your healthcare provider has prescribed aspirin as part of your heart health regimen and you find yourself in a situation where you would like to use an additional over-the-counter anti-inﬂammatory agent, make sure you consult your prescriber first.

But a general rule of thumb would be to wait at least 30 minutes after taking the aspirin (as long as it is “baby” aspirin and as long as it is not enteric coated) and ideally eight hours before taking an ibuprofen or naproxen.

With occasional use, there is likely to be minimal risk of lessening the antiplatelet effect of aspirin.

If you could get by with using acetaminophen (better known as Tylenol) for the pain, wouldn’t you rather do that?

When in doubt, check it out. n

Agnes Oblas is a nurse practitioner in Ahwatukee and works at New Paths to Healthcare, LLC, Ray Road Medical Center, 13838 S. 46th Place, Ahwatukee. Reach her at 602-405-6320 or newspathshhealth.com.

Agnes Oblas

News about flossing could lead to gum disease resurgence, dentist fears

BY DR. RASHIMI BHATNAGAR TIMES PUBLICATIONS GUEST WRITER

Ahwatukee dental offices were bombarded by calls late last summer after shocking national news.

Prominent national television, radio, and online news sites announced that the U.S. Departments of Health and Human Services and Agriculture in 2015 issued guidelines negating the need for ﬂossing as a part of recommended oral hygiene.

For centuries, dentists and hygienist have been stressing the need to ﬂoss as a requirement in preventing tooth decay and gum disease.

The Associated Press reviewed the research over the past 10 years, evaluating the result of toothbrush only versus the use of toothbrush and dental ﬂoss. It found the evidence of ﬂossing’s benefits weak and unreliable.

Ahwatukee’s specialist in gum disease, Dr. Randy Fitzgerald, of AZPerio of Ahwatukee, sees on average 120 Ahwatukee residents per week specifically for treatment of gum disease.

“With the short-term studies, the data does show that ﬂossing decreases gingival inﬂammation,” says Fitzgerald.

“But to have more accurate and strong

data, research would require expensive studies, long duration, large data pool, and accuracy in the ﬂossing technique,” he added. “The researchers would basically have to bring the patients in daily to ﬂoss for them to obtain accurate data over the course of many years.”

The American Dental Association released an announcement in response to the national headline stating:

“The bottom line for dentists and patients is that a lack of strong evidence doesn’t equate to a lack of effectiveness. As doctors of oral health, dentists are in the best position to advise their patients on oral hygiene practices because they know their patients’ oral health status and health history.”

man Services said:

“Tooth decay and gum disease can develop when plaque is allowed to build up on teeth and along the gum line. Professional cleaning, tooth brushing, and cleaning between teeth (ﬂossing and the use of other tools such as interdental brushes) have been shown to disrupt and remove plaque.”

“If retained food or debris is not removed, patients are going to have an increased risk of bad breath, a bad taste in the mouth, and an increase in bleeding when brushing,” the ADA added.

The U.S. Department of Health and Hu-

On reaction to the ﬂossing story, Fitzgerald stated,

“My main concern is that if our patients read this information and feel ﬂossing is not needed, they may not follow the regimen we have recommended for them. Then, their gum disease may rebound.”

With 30 years at AZ Perio of Ahwatukee, Fitzgerald insists, “Flossing is instrumental along with brushing in maintaining oral health.” n

Dr. Rashmi (Rush) Bhatnagar, DMD, MPH, is an Ahwatukee dentist. Reach her at 480-598-5900 or www.BellaVistaDentalCare.com.

Dr. Rashimi Bhatnagar

Sonoran Hills Dental drills down to patient care

BY SHELLEY GILLESPIE

TIMES PUBLICATIONS CONTRIBUTING WRITER

Ever since he went into private practice 15 years ago in Ahwatukee, Dr. Collin Ito has been driven by a determination to be a people-friendly dentist.

Ito, 45, had no intention of cramming as many appointments in a day as possible, stranding already anxious patients in the waiting room. Nor did he want to send them off to a gamut of specialists.

He wanted his practice, Sonoran Hills Dental, to make patients feel their dentist cared about them, and that they didn’t have to worry about bracing for a dentist “with attitude.”

“I’m not here to conquer the world. I’m here to give the best care to patients,” he said.

So even before he became only the second business in the Ahwatukee Hills Plaza in 2001, Ito’s philosophy attracted his first patient.

Tess Powers had stopped to speak with him, explaining that even the thought of going to a dentist filled her with dread.

As a patient of Dr. Ito’s for the past 15 years, Powers now looks forward to her visits to Sonoran Hills Dental. She says she was especially grateful to him when a temporary crown fell off on a recent weekend. Powers is a singer and the thought of performing with her tooth missing was embarrassing.

So Ito met her on a Saturday and fixed her problem.

“Coming here feels like family. The care is fantastic,” Powers said.

Powers and her family are so pleased with their dentist that her grown daughter, who is out of state attending law school, returns to Ahwatukee for her dental cleanings.

In a recent visit, Powers reminded Ito of the Brownie troop she brought to his office to learn about dentistry. Ito nodded with enthusiasm; he says he enjoys reaching out to the community.

Ito’s own son, Lleyton, 14, was afraid of dental treatments. With a series of gradual, alternative approaches that Ito uses to assist any fearful patient, Lleyton lost that terror.

Since the beginning of his dental practice, Ito has seen changes in the profession and in patient expectations.

First, he says, everything is digital now. When he first began, patient charts were stacked high, requiring him to ﬂip back and forth to see previous care and track progress.

Now, with digital X-rays, cameras and charting, there’s considerably less paperwork, and it’s easier to get the patient’s full history in one place.

When he started practicing, patients were accustomed to silver fillings and were less concerned about aesthetics.

Now, aesthetics are a major concern for patients, with tooth whitening, tooth-colored fillings and adult braces comprising a much larger portion of his services. Where one in 100 adult patients might have wanted braces 15 years ago, now as many as 20 percent of his adult patients requests them, Ito says.

More patients also are paying out of pocket for their dental care. Companies are less likely to offer a dental plan, so Sonoran Hills Dental offers a discount plan and a new patient special for $79.

While he embraces technological advances in dentistry, Ito prefers not to be an early adopter. For instance, CEREC crowns, which are constructed of non-metallic materials and inserted all in one day, are now becoming popular.

“I like technology to have the bugs worked out before I use it,” Ito explained.

His staff originally comprised his wife, Kristin, as office manager. But now Ito’s practice has grown to include office manager Michelle Mickus, doctor’s assistant Laura Rios, fulltime hygienist Jennifer Dahman, and part-time hygienist Jaime Brown-Roessing.

Family is an important value to Ito. He says he chose dentistry because it seemed to be the only medical practice where doc-

tors were able to have a normal family life. Being a dad, husband and community member was important to him.

One of Ito’s favorite parts of his practice is seeing long-time families bring their own children to him.

As more sole-practitioners are consolidating into group practices, Ito has bucked that trend.

For his own dental care, Ito trusts his hygienists for cleaning. If he needs to go to another dentist, he has a couple he trusts. Fortunately, he said, his teeth are in good shape. n

Information: 4909 E. Chandler Blvd., Ahwatukee. sonoranhillsdental.com, 480-785-9191.

Dr. Collin Ito and and wife Kristin

Ahwatukee couple’s healthcare practice

BY SHELLEY GILLESPIE

TIMES PUBLICATIONS CONTRIBUTING WRITER

Peter Pinto and Amy Puls got no respect when they moved their healthcare practice from Tempe to Ahwatukee in 1993.

At least that’s how the medical community in general made the husband-wife chiropractic team feel.

“My first year in practice, I literally had an orthopedic surgeon sneak in the back door for fear of being ridiculed by his peers because he was going to a chiropractor,” Pinto recalled.

“The good news is now they let medical doctors marry chiropractors. So, times have changed,” Pinto joked. “Mainstream has caught up to what we were promoting 20-30 years ago.”

Although they focused on chiropractic care when they first opened in Tempe in 1984, they brought a new vision to their Ahwatukee practice.º

They rebranded their business as Natural Healthcare Specialties to focus on a more holistic approach to the typical complaints they received from patients.

And they got a bonus moving to a building that had once been a Rural Metro fire station: it made the commute from their Ahwatukee home easier.

Their move cost them most of their patients, but they built a new client base by basing a path to wellness on pain management, stress control, lifestyle adjustments and nutrition.

Many patients come to them in frustration.

“They come in with shopping bags full of nutrition products, but nothing works,” Puls said.

Their patients’ typical complaints are often the byproduct of today’s high-pressured life: “Stress, overwhelmed, exhaustion, just being out of sync,” Puls said.

After medical doctors have ruled out active diseases as causes for those health concerns, Pinto spends considerable time talking with patients to understand their symptoms. Most of their patients are referrals.

“You can’t want more for the patients than they want for themselves,” said Pinto. “The patient needs to be receptive to what is available to achieve the best success.”

To help identify what might be available to address his patients’ symptoms, Pinto uses mainstream lab tests and specialized software.

“They come in with shopping bags full of nutrition products, but nothing works.”

He reviews the lab work with a patient and decides the best choices for treatment.

Treatments ranging from chiropractic to nutrition or lifestyle adjustments often can help him and Puls uncover the causes and learn how to apply the best pain management approach.

Patients who have achieved recovery sometimes return years later when their lives change or come back for a “tuneup.”

But Pinto said, “You don’t want them to be co-dependent on going to doctors.”

Two-thirds of their patients are female and most are 35-60 years old.

But some are professional athletes, and, through a contract with the Arizona State Fair, some have been musicians, including The Who’s lead singer Roger Daltrey and platinum record artist Kenny Loggins, who needed quick therapy after traveling and performing. n

Information: 13203 S. 48th St., Ahwatukee. 480-4964949, naturalhealthcarespecialties.com

Kristen Mayorga Jennifer Villalobos

Peter Pinto and Amy Puls

Sovereign Health of Arizona’s Chandler clinic helps women recover from trauma, addiction

TIMES PUBLICATIONS STAFF

For women who have suffered physical and emotional trauma, re-assimilating to everyday life can be a challenge. Treatment is critical, especially for those who haven’t succeeded with previous therapies.

That’s where Sovereign Health of Arizona comes in. Its programs in Chandler are aimed at helping women who need healing from a variety of traumatic episodes, ranging from addiction to physical abuse.

“We’re able to offer women a refuge where they’re with other women,” said Dr. Susanne Drury, one of the chief doctors for Sovereign Health of Arizona. “It makes them feel safe so they can address the trauma.”

Sovereign Health provides a safe and secure location in Chandler for women recovering from drug and alcohol addiction, mental health disorders and other conditions. Sovereign places special emphasis on helping clients with trauma through a range of therapies.

Its treatment centers in Chandler and across the nation are governed by The Sovereign Way, “a philosophy that recognizes each patient’s unique needs and circumstances by providing them with personalized treatment plans tailored to their specific treatment needs.”

It offers holistic programming to aid in the rehabilitation of brain function, but also educate patients on life skills to give them the tools they need to lead more productive lives and avoid future relapse.

Besides providing a safe and supportive environment where women can focus on their recovery, Sovereign also offers therapeutic activities such as equine therapy, art therapy, yoga, meditation and exercise.

Microneedling now offered by Christine Rock, RN Introductory pricing $175/treatment of $450 for 3 treatments

Skincare Services by Licensed Aesthetician, Kerrie Sammon

Accepting most major insurance plans

The treatment program at Sovereign Health’s Chandler facility is broken down into three phases: Stabilizing the women’s emotions, processing the trauma and putting fears to rest, and finally reconnecting them to life and helping them move forward.

Its Serenity House offers three-day to seven-day programs to provide an intake experience that calms them for the therapy awaiting them.

“During that time, the focus is on diagnostic evaluation. We also take them from the street into a treatment facility and in a calming, gentle way,” said Anthony Mele, the clinical director for Sovereign Health Group.

After their time in Serenity House, the women continue treatment in outpatient facilities, progressing until they are able to live on their own and complete their treatment.

“Most of the women we treat have been through a lot of drug and alcohol programs in their past, but those were not equipped to deal with the trauma,” Mele said. “By the time we get them, they may have been through five, six seven different programs and never had their trauma addressed.”

For women seeking treatment for addiction, Sovereign Health stresses that “recovery takes commitment.”

It uses a 12-step process originated by Alcoholics Anonymous. While this program is not mandatory for women in recovery, it is a dominant and effective method used by many patients, Sovereign said.

Chandler Councilman Kevin Hartke said the Sovereign facility is an important one for the city.

“I think Sovereign Health will be another asset for our community,” he said. “It’s also just a good organization.” n

Sovereign Health of Arizona’s women’s center accepts most major health insurance plans. Information: 866–598-7261.

Providing Care in Ahwatukee for 14 years

Board Certified Plastic Surgeon Cosmetic & Reconstructive Surgery

Procedures including, but not limited to:

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Face: Full & Mini Face Lift, Neck Lift, Blepharoplasty, Rhinoplasty, Laser

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Skin: Skin Cancer Reconstruction, Lesion/Cyst/Keloid Removal, Earlobe Repair

Injectables: Botox & Juvederm

15810 S. 45th St. Ste. 140 Phoenix/Ahwatukee, AZ 85048 480-759-3001 www drjrowley com

Doctors developing new tools to address concussions, but some say more research needed

BY NICK SHAW CRONKITE NEWS

Accelerometers. Mouthpieces that turn blue. IV dye. PET scores. Phone apps.

In the escalating battle against concussions, doctors are developing more and more tools to combat head injuries.

Primarily focusing on education, Dr. Javier Cardenas has seen a number of innovations in new equipment, but he has some reservations.

“There’s a lot of devices and tools that are upcoming,” said Cardenas, the medical director of the Barrow Neurological Institute and one of the nation’s leading neurologists. “The problem is the cart is before the horse with most of them. It really is important to do the research first before marketing devices and objects to families.”

While accelerometers may not be the best tool in determining if someone has sustained a concussion, Cardenas said the future is discovering when an athlete has suffered a brain injury and when they have completely recovered to return safely to play.

The Translational Genomics Research Institute, along with Arizona State University and A.T. Still University, has targeted

just that.

“(We are) looking for biomarkers, specifically micro-RNA biomarkers in the blood, urine and saliva of those who are injured but also those who have sustained the greatest number of hits and the greatest frequency of hits,” said Cardenas.

Dr. Roger McCoy, head athletic trainer at Arizona State, sees it as a part of the future of concussion detection.

“Instead of all of these tests on the sidelines and in the locker room, our hope would be something like a mouthpiece that would turn blue,” McCoy said. “When that protein is secreted and now you know that person is concussed, there is no question about it.”

When it comes to local high school and youth sports, the Barrow Concussion Network is closely working with the community. The Arizona Interscholastic Association has partnered with Barrow to provide concussion education and baseline testing to student-athletes.

Dr. Tamara McLeod, director of the athletic training program at A.T. Still University, has worked with AIA since 2009 and alongside Barrow since 2011. Together, A.T. Still and Barrow created simple tests that can be performed using your phone.

Strides have been made over the years

to develop equipment and protocols regarding concussions, but there have been some drawbacks in trying to implement rules and gear, especially around the state.

Cost is another issue preventing high school and younger athletes from receiving the best care. The allocation of resources plays a large role. The Barrow Concussion Network is hoping new equipment and medical testing currently being researched is available for everyone.

“If it’s a blood test, a saliva test, with technology hopefully there will be an affordable way of getting it down to that level or supplying it as a district,” McCoy said. “Each individual team may not need it, but at every game the devise is there.”

Cardenas and the network are hoping to change a culture and the approach teams and leagues take to tackle “hidden injuries.” McCoy said he thinks new equipment and testing will start to appear in the near future.

“Many of our tests are relying on the athlete being honest about their symptoms and how they feel. I think you’ll start to see some (equipment) as early as three to five years, especially the PET scans and advanced imaging that measure the tissue and physiological function of the brain. It takes a lot of guesswork out of it.” n

Ahwatukee pediatrician’s concierge service aimed at more personal care

TIMES PUBLICATIONS STAFF

Going to see the doctor can be a pain when you have a child who’s hurting and you’re trapped in the waiting room.

Ahwatukee resident Dr. Duane Wooten is looking to change that. In addition to his current pediatric practice, he has developed a concierge service.

Wooten said the service, called Just For Kids (JFK), enables him to make house calls and provide the kind of personal level of care he provided when he started his medical career.

“I used to do house calls all the time,” he said. “I was like the only person in town doing them for children and I always thought it was a situation where it was a convenience for my patients.”

Wooten noted that wait times to see a doctor can be upwards of an hour and if the child needs to go to the emergency room, the wait can be many, many times longer.

So, he thought, it would be easier to eliminate the wait altogether, especially for children with special needs.

“The concept is to not only take care of those people who want the convenience of

having a physician for their children who will come to them,” Wooten said. “But also for those special needs and those niche children, it makes it extremely convenient for those families.”

Ahwatukee parent Todd Heaton believes the concierge service would be a much easier process than the current routine.

“The biggest challenge as a parent when it comes to doctor visits is waiting,” he said. “If it’s not an emergency, like a broken arm or something dire, you’re waiting sometimes weeks just to get in. I think (concierge medicine) would be great.”

JFK is broken into two tiers.

Level I customers receive home visits, 24-hour cell phone and text access to the doctor, limited or no waiting for office visits, and annual physicals. The more comprehensive Level II service includes a personal Skype account in which customers can video-conference with Wooten and get prescriptions.

The cost for the JFK service begins at less than $4,000 for the year.

“Just For Kids won’t have any insurance plans,” Wooten said. “Just For Kids is a premium-based company that you pay a

premium per year and you get significant services.”

Wooten said he has taken care of all socio-economic levels of people, from the wealthiest to the most disadvantaged, and that he treats them all the same.

“I do it because I have a passion to take care of my people,” Wooten said. “This is just an avenue where I can do it.” n

Your Number One Heart Specialists

Dr. Duane Wooten

Ahwatukee, Gilbert, Mesa, Desert Ridge,

Visit our website to view full bios. English Dermatology.com

Dermatologist ofthe:

Gregory Wing, MD

Board Certified Dermatologist

Dermatopathologist

Gilbert

Dermatopathologist

Gilbert

ul E. English MD, FAAD

Paul E. English MD, FAAD

Board Certified Dermatologist

Paul E. English MD, FAAD Board Certified Dermatologist

English attended Weber State University aduating magna cum laude with a major in Zoology and a minor in Chemistry

Dr. English attended Weber State University graduating magna cum laude with a major in Zoology and a minor in Chemistry

Dr. English attended medical school at the University of Utah in Salt Lake City and after graduation, completed an internship in Pediatrics at the University of Utah and Primary Children's Medical Center. Dr. English completed a Dermatology residency at the University of Texas Southwestern Medical School in Dallas and served as Chief Resident.

Gregory Wing, MD Board Certified Dermatologist Dermatopathologist Gilbert

Dr. Wing is a board certi fied dermatologist who joined English dermatology in August 2015. Dr. Wing is a Utah native and earned his Bachelor's degree in Neuroscience at Brigham Young University. He received his medical degree from the University of Colorado where he was elected to the Alpha Omega Alpha Honor Society. Dr. Wing completed his Dermatology residency at the University of Colorado and served as a chief resident at various clinics including the Denver VA Hospital, Children's Hospital, and the University of Colorado Hospital.

Mindy Hendrickson, MMS, PA-C Ahwatukee

E. Fisler, M.D.

Rita E. Fisler, M.D.

Certified Dermatologist

Board Certified Dermatologist

Desert Ridge

Ridge ita Fisler is an perienced dermatologist graduate of Harvard Medical School in 2002. She is a diplomate of the American Board of Dermatology and a fellow in the American Academy of Dermatology. After an internship at Massachusetts General Hospital in Boston, M A, she completed her Dermatology residency at the University of Kansas Medical Center where she was chief resident, and practiced for 10 years in the Kansas City area before moving to Scottsdale, Arizona.

Mindy Hendrickson, MMS, PA-C Ahwatukee

Mindy has been with English Dermatology since October of 2007. She completed her Bachelor of Science degree at Arizona State University She then entered the Physician Assistant program at Midwestern University in Glendale, AZ where she completed a Master's portfolio and practicum in dermatology. She graduated from Midwestern University in 2007 with a Master of Medical Science degree.

Julio Hernandez, MD

Board Dermatologist, Mohs Ahwa

Dr. Hern was born and Puerto Rico. He icine at the University of Puerto Rico School of Medicine, followed by one year of internship in Internal Medicine in Pittsburgh, PA. He completed a three year Dermatology residency at the University of Puerto Rico in 1984 and became board certified by the American Board of Dermatology that same year. He taught Dermatological surgery as an Assistant Clinical Professor in the Department of Dermatology at the University of Puerto Rico until 1987.

andez was born aised in Puerto Rico. udied medicine at the University of Puerto Rico School of Medicine, followed by one year of internship in Internal Medicine in Pittsburgh, PA. He completed a three year Dermatology residency at the University of Puerto Rico in 1984 and became board certified by the American Board of Dermatology that same year. He taught Dermatological surgery as an Assistant Clinical Professor in the Department of Dermatology at the University of Puerto Rico until 1987.

Board Certified Dermatologist

Desert Ridge

Dr. Rita Fisler is an experienced dermatologist and a graduate of Harvard Medical School in 2002. She is a diplomate of the American Board of Dermatology and a fellow in the American Academy of Dermatology. After an internship at Massachusetts General Hospital in Boston, M A, she completed her Dermatology residency at the University of Kansas Medical Center where she was chief resident, and practiced for 10 years in the Kansas City area before moving to Scottsdale, Arizona.

Dr. Hernandez was born and raised in Puerto Rico. He studied medicine at the University of Puerto Rico School of Medicine, followed by one year of internship in Internal Medicine in Pittsburgh, PA. He completed a three year Dermatology residency at the University of Puerto Rico in 1984 and became board certified by the American Board of Dermatology that same year. He taught Dermatological surgery as an Assistant Clinical Professor in the Department of Dermatology at the University of Puerto Rico until 1987.

Mary N, CNP Gilbert

nolly, RN, CNP has been with Dermatology

Mary with English Dermatology since ior to EDC, Mary twenty years of hospital experience as an R.N. Her clinical background includes, Medical Surgical, ICU, OR, Psych ER, NICU, L&D, Hospital Management and Dermatology

Beginning her career in California, Mary worked as a staff nurse, charge nurse and assistant clinical director; always directly involved in patient care. Even as a Clinical Director of a Level III OB Department, with 24 hour accountability, she always remained hands on in patient care and as a patient advocate.

2001. Prior to EDC, had twenty years of hospital experience as an R.N. Her clinical background includes, Medical Surgical, ICU, OR, Psych ER, NICU, L&D, Hospital Management and Dermatology

Brian Brinegar, MP AS, PA-C Gilbert

(Cindi) Franco Valley a native Floridian graduated valedictoher high school Cindi completed her B.S. degree at Florida State University where she received the prestigious Florida Academic and Presidential Scholarship Award. After earning her undergraduate degree, Cindi attended the United States Sports Academy where she attained her Master's Degree in Sports Medicine with a 4.0 GPA. After a seven year engagement working in sports medicine, United States Air Force Civil Service, and as an Adjunct Professor; Cindi entered the celebrated MCP Hahnemann Physician Assistant Program at Drexel University Visit our website to view full bios.

Brian Brinegar has been English Dermatology since 2010. He is certified the NCCPA and is license to practice in the state of Arizona. Brian completed his Bachelor of Science degree at Brigham Young University in Provo, Utah. In 2003 he received his master's degree in Physician Assistant Studies from Western University of Health Sciences in Pomona, California. He specializes in dermatologic skin conditions, including skin cancer. Brian also has expertise in cosmetic dermatology including laser procedures, injectable fillers, and sclerotherapy for vein reduction.

Brian Brinegar has been with English Dermatology since 2010. He is certified by the NCCPA and is license to practice in the state of Arizona. Brian completed his Bachelor of Science degree at Brigham Young University in Provo, Utah. In 2003 he received his master's degree in Physician Assistant Studies from Western University of Health Sciences in Pomona, California. He specializes in dermatologic skin conditions, including skin cancer. Brian also has expertise in cosmetic dermatology including laser procedures, injectable fillers, and sclerotherapy for vein reduction.

Mary has been with English Dermatology since 2001. Prior to EDC, Mary had twenty years of hospital experience as an R.N. Her clinical background includes, Medical Surgical, ICU, OR, Psych ER, NICU, L&D, Hospital Management and Dermatology Beginning her career in California, Mary worked as a staff nurse, charge nurse and assistant clinical director; always directly involved in patient care. Even as a Clinical Director of a Level III OB Department, with 24 hour accountability, she always remained hands on in patient care and as a patient advocate.

Cynthia Franco MS, Santan

Cindi Floridian who valedictorian school class. completed her B.S. degree at Florida State University where she received the prestigious Florida Academic and Presidential Scholarship Award. After earning her undergraduate degree, Cindi attended the United States Sports Academy where she attained her Master's Degree in Sports Medicine with a 4.0 GPA. After a seven year engagement working in sports medicine, United States Air Force Civil Service, and as an Adjunct Professor; Cindi entered the celebrated MCP Hahnemann Physician Assistant Program at Drexel University

Cindi is a native Floridian who graduated valedictorian of her high school class. Cindi completed her B.S. degree at Florida State University where she received the prestigious Florida Academic and Presidential Scholarship Award. After earning her undergraduate degree, Cindi attended the United States Sports Academy where she attained her Master's Degree in Sports Medicine with a 4.0 GPA. After a seven year engagement working in sports medicine, United States Air Force Civil Service, and as an Adjunct Professor; Cindi entered the celebrated MCP Hahnemann Physician Assistant Program at Drexel University

Brinegar, MP AS, PA-C lbert

Brian Brinegar, MP AS, PA-C Gilbert

Julio Hernandez, MD Certified Dermatologist, Surgeon

Mindy Hendrickson, MMS, PA-C Ahwatukee

Julio Hernandez, MD Board Certified Dermatologist, Mohs Surgeon Ahwatukee

Mary Connolly, RN, CNP Gilbert

Cynthia (Cindi) Franco MS, PA-C Santan Valley

Casa Grande, Arcadia and Central Phoenix

Megan Shoen, MPAS, PA-C

Ahwatukee

Megan Shoen, MPAS, PA-C

Ahwatukee

Megan, an Arizona native, joined English Dermatology in 2013. She gradu ated with her Master of Physician Assistant Studies at A.T. Still University. Prior to receiving her master's, Megan had the prestigious honor to sign with The University of Texas at Austin where she was a scholarship athlete and a member of the Texas Longhorn's Division I Women's Rowing program. While attending UT Austin, Megan balanced her academics with her athletics and graduated, earning her Bachelor of Science in Kinesiology: Health Promotion and Fitness.

Annie Sullivan, MMS, PA-C Ahwatukee

Kenan Arkawi, PA-C

Annie Sullivan, MMS, PA-C Ahwatukee

has been with Dermatology since She has been practicing as a physician assistant for the past 6 years in dermatology and 6 years in family practice prior to that. She attended college on a full Division I athletic scholarship and graduated from the University of Wisconsin-Madison with a Bachelor of Science degree in Nutrition. In 2002 she received her Master of Medical Science degree in Physician Assistant Studies from Midwestern University-Glendale.

Annie has been with Enlish Dermatology since 2014. She has been practicing as a physician assistant for the past 6 years in dermatology and 6 years in family practice prior to that. She attended college on a full Division I athletic scholarship and graduated from the University of Wisconsin-Madison with a Bachelor of Science degree in Nutrition. In 2002 she received her Master of Medical Science degree in Physician Assistant Studies from Midwestern University-Glendale.

Melanie CLT Aesthetician Ahwatukee

Melanie licensed medical aesthetician and field laser ician. She received her training at Southwest Institute of Natural Aesthetics. Prior to becoming an aesthetician, Melanie spent 10 years in the Education field. Along with her passion for helping people she has always been interested in the Medical field and the beauty industry. The transition to aesthetics was a natural step for her but more importantly, her patients appreciate the benefit from the unique blending of skills she derives from this background.

is a licensed aesthetician and laser technician. She received her training at Southwest Institute of Natural Aesthetics. Prior to becoming an aesthetician, Melanie spent 10 years in the Education field. Along with her passion for helping people she has always been interested in the Medical field and the beauty industry. The transition to aesthetics was a natural step for her but more importantly, her patients appreciate the benefit from the unique blending of skills she derives from this background.

Melanie is a licensed medical aesthetician and field laser technician. She received her training at Southwest Institute of Natural Aesthetics. Prior to becoming an aesthetician, Melanie spent 10 years in the Education field. Along with her passion for helping people she has always been interested in the Medical field and the beauty industry. The transition to aesthetics was a natural step for her but more importantly, her patients appreciate the benefit from the unique blending of skills she derives from this background.

Kenan Arkawi, PA-C

Nationally Certified Physician Assistant Indian School Rd, Phoenix

Kenan Arkawi, PA-C Nationally Certified Physician Assistant Indian School Rd, Phoenix

Nationally Certified Physician Assistant Indian School Rd, Phoenix

Kenan Arkawi, PA-C began his career in the U.s. Navy as a Hospital Corpsman. As a Hospital Corpsman he was introduced to a wide variety of medical specialties and gained a desire to learn more about the vast medical field. After receiving training as a PACU ( post-anesthesia care unit) corpsman, Kenan was stationed at Navy Medical Hospital in San Diego, CA where he provided medical support to all branches of the military

Kelly Donald Chavez, PA-C

course of receivhis Masters of Physician Assistant from The University of Nebraska Medical School, Kelly Chavez realized his unique treatment style, "I like to get to know the patient by name and build a personal relationship." It's common for Kelly to laugh with his patients and the trust they build offers a comfortable platform to present any new concerns. Four years of services in the United States Navy, where he provided care for a crew of 400 on a daily basis-gave him exposure to a diverse and complex patient base.

In the course of receiving his Masters of Physician Assistant Studies from The University of Nebraska Medical School, Kelly Chavez realized his unique treatment style, "I like to get to know the patient by name and build a personal relationship." It's common for Kelly to laugh with his patients and the trust they build offers a comfortable platform to present any new concerns. Four years of services in the United States Navy, where he provided care for a crew of 400 on a daily basis-gave him exposure to a diverse and complex patient base.

Kathlynn Hurt, PA-C

Nationally Certified Physician Assistant Desert Ridge

Kathy received her Bachelor of Science degree in Pharmacy from Craighton University in Omaha, Nebraska. She then furthered her education by receiving her Bachelor of science degree in Physician Assistant Studies from Midwestern University in Glendale, AZ. "I was inspired to pursue Dermatology as skin is the largest organ of the body. I kept thinking that if I didn't take care of my earth suit, where would I live?" Kathy's goal when treating patients is that all of her interactions result in shared learning between she and her patients. She manages patient expectations by being realistic with each patient concerning potention outcomes.

Morrow, PA-C, her Bachelor of Neuroscience degree at Brigham Young University Provo, Utah. She then pursued her Master's Degrees in Health Science and Physician Assistant studies at The George Washington university, She completed an informal fellowship in Emergency Medicine at !NOVA Fairfax Hospital, a Level 1 Trauma center in Falls Church, VA. During her fellowship she worked with, and learned from a variety of specialists including Dermatologists, Podiatrists, Plastic Surgeons, and other specialists.

Alvin R. MD Board Certified atologist Mesa

Fulkerson, MD

Certified Dermatologist

While dermatology is both exciting challenging for Dr. Fulkerson, most rewarding aspect of his profession is the relationship formed between physician and patient. The friendships he has developed over the past 29 years have enriched his life and continue to inspire him. During medical school, Dr. Fulkerson was influenced to specialize in dermatology by an encouraging dermatologist, Louis Kellar. Since that time he has devoted his time and energy to the field of dermatology and extraordinary patient care.

dermatology is both and challenging for Fulkerson, the most rewarding aspect of his profession is the relationship formed between physician and patient. The friendships he has developed over the past 29 years have enriched his life and continue to inspire him. During medical school, Dr. Fulkerson was influenced to specialize in dermatology by an encouraging dermatologist, Louis Kellar. Since that time he has devoted his time and energy to the field of dermatology and extraordinary patient care.

While dermatology is both exciting and challenging for Dr. Fulkerson, the most rewarding aspect of his profession is the relationship formed between physician and patient. The friendships he has developed over the past 29 years have enriched his life and continue to inspire him. During medical school, Dr. Fulkerson was influenced to specialize in dermatology by an encouraging dermatologist, Louis Kellar. Since that time he has devoted his time and energy to the field of dermatology and extraordinary patient care.

Rebecca Morrow, PA-C, earned her Bachelor of Neuroscience degree at Brigham Young University Provo, Utah. She then pursued her Master's Degrees in Health Science and Physician Assistant studies at The George Washington university, She completed an informal fellowship in Emergency Medicine at !NOVA Fairfax Hospital, a Level 1 Trauma center in Falls Church, VA. During her fellowship she worked with, and learned from a variety of specialists including Dermatologists, Podiatrists, Plastic Surgeons, and other specialists.

Rosenberg, FAOCD Board Ce Dermatologist Desert Ridge

Rosenberg, DO,

Mark Ro D.O. completed Bachelor of Arts De pre-medical studies from the University of Illinois, U r b ana. He then attended graduate school at the University of Illinois where he earned his Master of Science degree in Human Anatomy. He completed his Doctor of Osteopathic Medicine degree from Michigan State University followed by an internship in general medicine/surgery and a residency in dermatology. His interest in dermatology developed while he was a graduate student at the University of Illinois.

senberg, D.O. completed his Bachelor of gree in pre-medical studies from the University of Illinois, U r b ana. He then attended graduate school at the University of Illinois where he earned his Master of Science degree in Human Anatomy. He completed his Doctor of Osteopathic Medicine degree from Michigan State University followed by an internship in general medicine/surgery and a residency in dermatology. His interest in dermatology developed while he was a graduate student at the University of Illinois.

Mark Rosenberg, D.O. completed his Bachelor of Arts Degree in pre-medical studies from the University of Illinois, U r b ana. He then attended graduate school at the University of Illinois where he earned his Master of Science degree in Human Anatomy. He completed his Doctor of Osteopathic Medicine degree from Michigan State University followed by an internship in general medicine/surgery and a residency in dermatology. His interest in dermatology developed while he was a graduate student at the University of Illinois.

Kathlynn Hurt, PA-C Nationally Certified Physician Assistant Desert Ridge

Donald Chavez, PA-C Grande

Morrow, PA-C Nationally Physician Assistant

Mark

Megan Shoen, MPAS, PA-C Ahwatukee

Kelly Donald Chavez, PA-C Casa Grande

Rebecca Morrow, PA-C Nationally Certified Physician Assistant Mesa

Childs, LE CLT Aesthetician Ahwatukee

FAOCD tified Dermatologist Ridge

Casa Grande

Rebecca Morrow, PA-C Nationally Certified Physician Assistant Mesa

Melanie Childs, LE CLT Aesthetician Ahwatukee

Alvin R. Fulkerson, MD Board Certified Dermatologist Mesa

Mark Rosenberg, DO, FAOCD Board Certified Dermatologist Desert Ridge

Chip in the gut may become a future guide to personalized medicine

BY EDDIE KELLER CRONKITE NEWS

Meet HuMiX, the “gut on a chip” that may lead one day to personalized medical treatments.

Arizona researchers in Chandler are able to map, isolate and study the interactions between the microbes in your body and your tissues and organs—like the stomach—by using a chip half the size of an iPhone 6 Plus.

Multiple tubes are hooked to a HuMix chip to test how various compounds interact in the simulated gastrointestinal environment.

Scientists use the swirl-shaped chips to study the interactions between your body and the things that affect it, such as food, medicine and germs.

“We can look at the effect of drugs. We can look at the effect of nutrition,” said Frederick Zenhausern, lead researcher for

HuMiX at the University of Arizona’s lab in Chandler. “If you eat too much chocolate, maybe that will have an impact.”

Researchers connect a chip to multiple tubes that feed in compounds, microbes, and tissue samples from the gastrointestinal tract. Then, scientists study the interactions among all the substances, trying to determine the impact on an array of health issues.

The chips may offer answers as simple as figuring out what makes a person have a stomach ache, or as complex as determining whether brain disease, Parkinson’s disease or Alzheimer’s are connected to microbes in the gut.

“In the gut, you have a lot of neurons and nerves that connect with your brain. So maybe that communication between those cells can generate a neurotoxin” that inﬂuences the brain, said Zenhausern, director of the university’s Center for Applied NanoBioscience and Medicine.

The potential medical breakthrough could mean individualized medical treatments could replace an all-purpose, onesize-fits all approach to a health issue, researchers said.

“Your body is completely different from my body. So, the probiotics that might improve your digestion might not be so good for me. That’s one potential application,” said Marc Macgiollaeain, a visiting scientist from Luxembourg. n

• General Orthopedics

• Hand Therapy

• Sports Training

• Pediatric Therapy

• Sports Injuries Rehab

• Alter-G Treadmill

• ASTYM

• Breast Cancer Rehab

• Pelvic Floor Health

• Dry Needling

• TMD Rehab

• Spooner FIT/Personal Training

Spooner Ahwatukee (Pecos Rd. & 40th St.) (480) 706-1199

Spooner Sun Lakes (Alma School Rd. & Riggs Rd.) (480) 802-7081

Spooner East Chandler (Cooper Rd. & Loop 202) (480) 351-8721

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Frederick Zenhausern

Barrow Institute concussion survey called ‘encouraging and troubling’

TIMES PUBLICATIONS STAFF

Almost one-third of Arizona high school senior athletes report they have sustained a concussion, according to the first statewide concussion-related study of teenagers conducted for Barrow Neurological Institute.

Brain experts at Barrow released called the study’s conclusions were both encouraging and troubling.

“While the number of teens who have suffered a concussion is disturbing, we are pleased that the survey also shows that Arizona youth are becoming informed about concussions and the dangers of not being treated,” said Dr. Javier Cárdenas, a sports neurologist at Barrow’s Concussion and Brain Injury Center and a national leader in concussion research.

Barrow is part of Dignity Health’s St. Joseph’s Hospital and Medical Center.

The survey also revealed that concussions are having a direct impact on sports participation, with one in four boys deciding not to play football because of concussion concerns and one in 10 girls declining to play soccer for the same reason.

The study was conducted by WestGroup in June 2016 with a sample of 304

males and females, ages 14 to 18, living in Arizona. Of these, 169 reported playing school and / or club sports.

While the issue of concussion in football has been widely discussed, the high rate of brain injury in girls’ soccer is less well known.

Cárdenas said he was encouraged by the report’s finding that 79 percent of student-athletes said they would tell their coach if they thought they had suffered a concussion.

The web poll of teens in June 2016 is the latest in a series of Barrow surveys aimed at gauging public understanding of concussion.

Previous surveys polled parents and other adults. This survey was conducted to determine concussion awareness among Arizona teens and to understand behavior based on personal experience or potential future experience. It sampled those who play sports and those who do not and broke down responses by age and gender.

“With each survey, we’re seeing more sophisticated opinions,” said Cárdenas. “Keeping a pulse on the public’s view of concussion is incredibly important in Arizona, where we have taken a national lead in creating a safe environment for all students.”

Cárdenas credited the increased concussion awareness among teens to Barrow Brainbook, the pioneering concussion education program launched by Barrow in August 2011.

All Arizona high school student-athletes are required to take it before participating in sports. Arizona State University athletes will also be required to complete the Barrow Brainbook module before play. ASU is the first NCAA-affiliated university to introduce the education to its student athletes.

Still, even with the education, about a quarter of student-athletes polled say they did not receive information about the signs and symptoms of concussion. “One hundred percent awareness and education is the goal,” Cárdenas said.

As teen athletes learn more about concussions, they appear less likely to try to play through them. Asked what they would do if they suffered a concussion, 79 percent said they would immediately tell their coach, while 30 percent would tell their parents. Only 13 percent said they would wait for a stop in game action and four percent said they would not tell anyone.

“What’s really encouraging is that they’re reporting concussions to their coach,” Cárdenas said. n

Flanked by two high school athletes, Dr. Javier Cárdenas, a sports neurologist at Barrow’s Concussion and Brain Injury Center and a national leader in concussion research, discusses the survey results.

New heart procedure reduces patient recovery time

BY ISABEL MENZEL CRONKITE NEWS

Arelatively new heart surgery procedure radically lowers the recovery time for patients and may help save lives, according to medical experts who are training physicians in Arizona on the method.

Clinical trials show patients undergoing heart-valve replacement surgery spend an average of two to three days in a hospital, compared to a minimum of one to two weeks for patients undergoing open-heart surgery.

The team of cardiac surgeons and cardiologists demonstrated the procedure on two patients at Abrazo Arizona Heart Hospital. The hospital was one of 80 sites participating in the trials that aim to demonstrate the effectiveness and durability of the procedure known as a transcatheter aortic valve replacement, or TAVR.

In one Arizona demonstration, doctors from around the country watched on video monitors as a team of surgeons inserted a catheter into a patient’s groin, thread it into an artery and into the heart, where an artificial valve is placed. The surgery is described as minimally invasive compared to open heart surgery that involves cracking open a patient’s sternum.

Early results are promising, said Dr. Timothy Byrne, a cardiologist and lead surgeon for the Arizona demonstration.

“Is the transcatheter valve going to replace traditional surgery? Well, the data will tell us,” Byrne said. “We believe that all the way down the road that the answer is ‘yes.’”

The surgery is for patients suffering

from a blockage or narrowing of an aortic valve leading to aortic stenosis, which restricts blood ﬂow to the brain. An estimated 1.5 million Americans have the progressive, life-threatening condition.

Clinical trials for the surgery, have involved high-risk heart patients who are in a frail state and aren’t good candidates for open heart surgery, but trails are being conducted to determine if the surgery is a better option for low-risk patients as well.

Not all patients are good candidates for the procedure. The surgery is less likely to be performed on people with severe or advanced dementia and severe lung disease. The durability of the replacement valve is still unknown, said Tammy Querrey, a director of cardiovascular care at Abrazo.

The first patient who received an aortic valve in 2005 in Venezuela is alive and healthy, Byrne said.

The recovery time is shorter and less stressful for patients than traditional open heart surgery.

According to medical experts, heart-

valve patients typically spend an average of two to three days in the hospital with an overall recovery of only a few days. In comparison, open-heart surgery patients spend one to two weeks or longer in the hospital, with a total recovery time of six weeks. Less than 30 percent of patients continue to use their pacemakers six months after the heart-valve surgery.

Byrne said valve-replacement patients had a lower mortality rate and less strokes than open-heart surgery patients.

Surgeons believe the procedure will ultimately prove to be more efficient and less risky than traditional surgery. And, it will return quality of life.

So far, the procedure has had excellent outcomes and changed the lives of thousands, including a 95- year old patient.

“It’s very inspiring when they say, ‘Well, I want to get back on the golf course, or I want to get back to walking around this pond,’” Querrey said. “‘I just want to be able to walk a couple times a day around the pond that I like to see the ducks, the birds the nature, just experience that simple thing again.’” n

Cardiologist Timothy Byrne and his team look into the monitor while feeding a catheter into the heart chamber.

Brian Thorsen/Abrazo Arizona Heart Hospital

medical ahwatukee/chandler bios

Rashmi Bhatnagar, DMD, MPH Dentistry

BellaVista DentalCare 15715 S. 46th St., #104 Phoenix, AZ 85048

480-598-5900 www.BellaVistaDentalCare.com

Dr. Bhatnagar, the founder of Ahwatukee’s BellaVista DentalCare, began her successful practice with a vision. She said, “I was determined to provide exceptional dental care with state-of-the art procedures and highly skilled, gentle, caring providers.”

In order to fulfil her vision, Dr. Bhatnagar understands that advances in techniques require life-long learning. She continues to take over 200 hours of advanced dental education a year to share and implement in her teams’ care of her precious patients. She states, “Dentistry is ever-evolving. The practice, procedures, equipment, and materials we use should follow that upward trend to create dental success for our patients long-term.” Recently, Dr. Bhatnagar completed course work required for fellowship and mastership degrees with the Academy of General Dentistry which involved being evaluated by a board of her peers. These degrees are achieved by only the top dedicated dentists in the country.

Dr. Bhatnagar obtained her Doctorate in Dental Medicine and Masters in Public Health from the University of Pittsburgh, and completed an advanced residency program at Albert Einstein Medical Center in Philadelphia.

2016-17

Bethany Cheatham, MSN, FNP-C Dermatology

Ahwatukee Skin & Laser

4425 E. Agave Rd., Suite 148 Phoenix, AZ 85044

480-704-SKIN (7546) www.ahwatukeeskincare.com

Bethany is a board certified Family Nurse Practitioner. Originally from a small town in Iowa, Bethany grew up in Chandler, AZ. She earned her Bachelor’s of Science in Nursing from Arizona State University in 2007. While working as a labor and delivery nurse, she returned to school at University of Phoenix to become a Family Nurse Practitioner to purse her long-term goal of working in dermatology. With a family of severe acne and psoriasis, her interest in the skin began in high school and grew. Bethany loves that in treating the health of the skin, the self image of the patient may be improved, as well. She provides care focused on compassion and respect for the individual needs of the patient.

medical bios 2016-17

Angela

Christopher,

DC, ART,

MUAC

Chiropractic Physician & Physiotherapist

AZ Spine Disc & Sport

4530 E. Ray Rd #110 Phoenix, Arizona 85044

480.759.1668

www.azspinediscandsport.com

Dr. Christopher has been a practicing chiropractic physician and physiotherapist in the Ahwatukee area since 2005 after graduation from Logan University, in St. Louis, as a Doctor of Chiropractic. Dr. Christopher was previously the owner of “Ahwatukee Spine and Disc Center” until 2014 when she teamed up w/ her husband, Dr. David Stone, M.D., to open “AZ Spine Disc and Sport.” Both Dr. Christopher and Dr. Stone noticed holes in the medical system that stemmed from communication. The doctors decided to bring together Primary care, Sports Medicine, Pain Management, Chiropractic, Physical Therapy, Acupuncture, Personal Training, Weight loss and nutrition. Having all of these specialties in one facility allowed them to treat the patient rather than the condition and to combine eastern and western medicine. They have found that increased communication between provider types has helped to find diagnoses and treatment solutions much more quickly and helped to decrease both time and money spent for their patients.

Dr. Christopher is well respected in the community and was voted “Best Phoenix Chiropractor” in 2010 by Phoenix Health and Wellness Magazine and a “Best of Ahwatukee” chiropractor by the Ahwatukee Republic in 2011, 2012, 2013, 2014, and 2015. AZ Spine Disc and Sport was voted on of the top 20 Chiropractic offices in 2016 by Expertise.

Dr. Christopher uses many types of adjustment techniques and therapy techniques to create a unique plan for each of her patients. She is currently certified in Active Release Technique, Manipulation under Anesthesia, and Kinesio Tape. She has an advanced Active Release Biomechanics Certification and is proficient in biomechanics analysis and active exercise training. She recently became certified in FAKTR technique and performs myofascial release techniques both hands on and with tools. She has also dedicated continuing education hours to understanding diagnostics and the treatment of specific injuries relating to work related accidents and automobile collisions.

Lisa

Cockrell, RN Cosmetic Injectables

Ahwatukee Skin & Laser

4425 E. Agave Rd., Suite 148 Phoenix, AZ 85044

480-704-SKIN (7546) www.ahwatukeeskincare.com

Lisa Cockrell is Certified as a Registered Nurse Injector by the American Society for Aesthetic Plastic Surgery, and has been performing cosmetic injectables since 1999. She is also a National Trainer for Galderma®, and travels across the country training doctors and nurses in injection techniques.

Lisa offers Dysport® or Botox® to minimize wrinkles of the forehead and around the eyes. She also offers Restylane® Lyft, Voluma®, and Juvederm® to restore volume in the cheeks and lower face, and Restylane® and Restylane® Silk to restore and enhance the lips.

Her goal is to provide a refreshed and more youthful look, while maintaining a natural appearance, and she encourages her patients to return for a visit in 2 weeks to ensure that she has met her goal and her patient’s expectations.

Janet Euzarraga, DDS Dentist

Dr E’s Cosmetic & Family Dentistry 4206 E Chandler Blvd #20 Phoenix, AZ 85048

480-494-2435 www.drEfamilydental.com

Janet Euzarraga, DDS, “Dr. E,” a rare gem in the world of dentistry, focuses on quality, personalized care. Inspired by reconstructive dental work she received as a child, she has dedicated her life to perfecting her craft.

Dr. E majored in Biology at Loyola University of Chicago, received her Dental degree from Loyola University School of Dentistry and advanced her skills with studies in cosmetic and restorative dentistry. After 14 years in northern IL, she came to Arizona and in 2001 the Ahwatukee community, where she lives with her husband and two sons. She said, “In my practice I use the most modern, high-tech dental equipment available to give others the self-confidence that comes with a healthy and beautiful smile. Above all, my team and I share a strong passion to treat our patients as we would like to be treated—like family.”

Kelly Fields, LPN, LE, CLT, LSO, ARRA

Certified Laser Instructor

Ahwatukee Skin & Laser

4425 E. Agave Rd., Suite 148 Phoenix, AZ 85044

480-704-SKIN (7546) www.ahwatukeeskincare.com

Kelly Fields has been in the Medical Aesthetic industry for 15 years. She started her career and training under world renowned Dr. Stephen W. Perkins, MD (past president of the American Academy of Facial Plastic and Reconstructive Surgery). Throughout her career, she has worked with multiple respected Plastic Surgeons, Dermatologists, and top laser companies providing, high end medical aesthetic services and clinical education. As a Licensed Practicing Nurse (LPN) and a Licensed Aesthetician (LE) she focuses on anti-aging procedures and a variety of cutting edge laser treatments. The treatments Kelly offers include Ultherapy, Cosmetic injections, Micro Needling, IPL, miraDry, Chemical peels, and a variety of laser treatments. Kelly is a past West Coast Clinical Educator for Ulthera, Inc. (Ultherapy) and Alma Lasers. This allows her to be a part of the most current technology. Her focus is to keep you feeling youthful and enjoying every step of the way!

Jeff Foucrier, PT, DPT, OCS

Physical Therapy

Spooner Physical Therapy

16611 S. 40th St., #130 Phoenix, AZ 85048

480-706-1199

www.spoonerpt.com

Jeffrey Foucrier, Doctor of Physical Therapy, graduated from Regis University in 2011 and is a Board Certified Orthopedic Specialist (OCS). His mission is to strive to be resource for quality rehabilitative and evidence-based medicine for his patients and other medical professionals. He has pursued additional qualifications as a Certified Myofascial Trigger Point Therapist (CMTPT) and has undergone extensive continuing education in the management of chronic pain syndromes, vertigo, headaches and migraines, as well as neck and jaw pain. In an effort to practice professional excellence while promoting inter-professional best practices, Jeff is an adjunct professor at A.T. Still University’s Doctor of Physical Therapy Program. He is a clinician at Spooner Physical Therapy in Ahwatukee.

Janet Jordan, DDS Orthodontics

Ahwatukee Orthodontics

12010 S. Warner-Elliot Loop #2 Phoenix, AZ 85044

480-598-3659

www.ahwatukeeorthodontics.com

Dr. Janet Jordan established Ahwatukee Orthodontics 20 years ago with a mission statement of providing each patient and family a comprehensively exceptional experience. Dr. Jordan is committed to catering to each patient’s individual needs in a gentle, professional and respectful manner in all aspects of their experience with Ahwatukee Orthodontics, from the front office to the dental chair. She and her staff are experienced and caring. Dr. Jordan is a specialist provider for Invisalign® and is a specialist in Dento-facial Orthodontics. She received her Doctorate and Specialty in Orthodontics from NYU where she graduated in the top of her class earning awards and honors. Subsequently, she worked as an associate professor at NYU and later at UOP in California before returning to Arizona where she now lives with her husband and family.

Ziad El Khoury, MD Electrophysiologist

Premier Cardiovascular Center

77 S. Dobson Rd. Phoenix, AZ 85224

480-814-0266

pcvc.md

Dr. El Khoury grew up in Lebanon where he attended medical school at the American University of Beirut, and moved to the US in 2006 for his medical training. He completed a residency in Internal Medicine at Emory University in Atlanta and fellowships in Cardiology and Cardiac Electrophysiology at Indiana University in Indianapolis. Dr. El Khoury joined Premier Cardiovascular Center in 2013. Dr. El Khoury sees patients at both Casa Grande and Chandler locations and is board certified in Cardiovascular Diseases and Clinical Cardiac Electrophysiology.

Practicing cardiology is one of his passions, and being able to have a positive impact on his patients’ lives always brings him the greatest satisfaction. He strives daily to achieve that, whether it is through counseling, patiently listening to their concerns or through safe and effective delivery of therapeutic interventions. In his leisure time, Dr. El Khoury enjoys hiking in the mountains, listening to music and spending time with friends.

Romas Kirvatis, MD

Interventional

Cardiology

Premier Cardiovascular Center

77 S. Dobson Rd. Phoenix, AZ 85224

480-814-0266

pcvc.md

Dr. Romas Kirvaitis received his Bachelors of Science degree from Marquette University in 1988. He completed his Doctor of Medicine at the Medical College of Wisconsin in 1992 and began his general surgical residency at the University of Illinois Hospitals in Chicago, Illinois. He moved to Boston, Massachusetts to complete a research fellowship in cardiac surgery at the New England Deaconess Hospital, an affiliate of Harvard Medical School. Dr. Kirvaitis completed internal medicine residency at St. Joseph’s Hospital in Phoenix, Arizona in 2005 and completed his cardiology fellowship at Aurora/Mount Sinai/St. Luke’s Medical Center in Milwaukee, Wisconsin in 2009 followed by an interventional cardiology fellowship in 2010.

In 2010 Dr. Kirvaitis returned to Arizona to practice cardiology. He is an interventional board certified cardiologist and able to perform percutaneous structural heart, peripheral vascular, and endovascular procedures.

medical bios 2016-17

Mary Jo Kutler, DO Pediatric Medicine

Ahwatukee Pediatrics

15715 S. 46th St., #102 Phoenix, AZ 85048

480-496-6444 www.ahwatukeepeds.com

Dr. Kutler founded Ahwatukee Pediatrics in 1993 and has been serving the East Valley’s pediatric population since then. She was born and raised on Long Island, New York. She completed a pediatric residency at Phoenix Children’s Hospital and Maricopa Medical Center. She is Certified by the American Board of Osteopathic Pediatricians and the American Board of Pediatrics. Dr. Kutler is married for 32 years and has two children and one grandchild.

Dr. Kutler is passionate about pediatric medical care, prevention, and wellness and has an emphasis on allergy testing and treatment, as well as, weight loss for adults and children in her practice.

“Weight loss discussions revolve around a multifaceted approach and lifestyle changes. I think we offer that opportunity for patients if they are willing to accept the challenge.”

Jody Murray, L.Ac, ATC

Acupuncturist & Athletic Trainer

AZ Spine Disc & Sport

4530 E. Ray Rd #110 Phoenix, Arizona 85044

480.759.1668

www.azspinediscandsport.com

Jody comes to AZSDS from Connecticut, with 30 years of healthcare experience. She is one of only a handful of practitioners nationwide to possess dual credentials in Acupuncture and Athletic Training, making her the premier Sports Medicine Acupuncturist in the area. Jody has a BS in Athletic Training from Springfield College, an MA in Exercise Physiology from UNC-Chapel Hill and graduated first in her class from the New York College of Health Professions.

For the past 18 years, Jody has taken an integrative Eastern and Western approach to orthopedic injuries, pain management and sports medicine. She has successfully treated professional, Olympic and other elite athletes, as well as recreational participants and armchair quarterbacks. Jody is particularly proficient at evaluating and treating difficult to manage injuries and returning patients safely back to activity. Jody really enjoys helping everyone find their inner athlete, regardless of their level of competition!

Jody is trained in Traditional Chinese Medicine, Trigger Point Needling, Cupping, GuaSha, as well as other traditional therapeutic techniques.

In her free time, Jody has been volunteering on the Sports Medicine Team with the Grand Canyon Pro Rodeo and has been to Mexico with the Flying Samaritans. She believes strongly in volunteerism and looks forward to opportunities in the Ahwatukee community.

Sarah Neumann, MMS, PA-C Dermatology

Ahwatukee Skin & Laser

4425 E. Agave Rd., Suite 148 Phoenix, AZ 85044

480-704-SKIN (7546) www.ahwatukeeskincare.com

Sarah has been a practicing dermatology PA since 2001. She grew up in Wisconsin where she received her Registered Dieticians (RD) license after completing her undergraduate degree in Community and Medical Dietetics and Psychology. She went on to travel and find her true passion for medicine. While completing a medical mission in Central America, she found herself wanting more advanced training to better serve the people. After returning to Arizona, she received her Master’s of Medical Science in Physician Assistant Studies from Midwestern University. Sarah’s passion for skin started as a teenager who battled severe acne for years. After she was successfully treated, she committed her life to helping others achieve self esteem about their appearance. Her practice style is one of compassion, understanding and commitment to quality care. Sarah takes pride in developing meaningful relationships with clients and strives to create a positive welcoming environment in her office.

Georges Y. Nseir, MD

Invasive Cardiologist

Premier Cardiovascular Center

77 S. Dobson Rd. Phoenix, AZ 85224

480-814-0266 pcvc.md

Dr. Georges Y. Nseir, a founding member of Premier Cardiovascular Center (PCC) is an Invasive Cardiologist with over 15 years of experience in cardiovascular medicine. He is board certified in Cardiovascular Medicine and Interventional Cardiology and Vascular and Endovascular Medicine. Previously, Dr. Nseir practiced at the Arizona Heart Institute (AHI) – East Valley in Phoenix, Chandler and Casa Grande from 2000 to 2009. He joined AHI after completing his fellowship in interventional cardiology at Charleston, West Virginia.

Dr. Nseir received his medical degree from the Lebanese University School of Medical Sciences in Beirut, Lebanon and completed his residency at Staten Island University Hospital in Staten Island, New York. In addition to his fellowship at Charleston Area Medical Center, Dr. Nseir is a past fellow in cardiovascular disease at State University of New York in Brooklyn and Cardiovascular Interventions at Arizona Heart Institute, Phoenix, AZ.

He specializes in interventional cardiology, peripheral vascular interventions; including atherectomy, intravascular stenting, balloon angioplasty, thrombolysis, and carotid artery stenting. He is a fellow of the American College of Cardiology, and professional memberships include: American College of Cardiology; Society of Catheterization and Cardiovascular Interventions and the American Heart Association.

Dr. Nseir provides outpatient cardiovascular services at the PCC Chandler and Casa Grande office locations and inpatient cardiology, peripheral and interventional services at all participating area hospitals, including Banner Casa Grande, Chandler Regional Hospital, and Mercy Gilbert Medical Center.

Agnes Oblas ANP-C Certified Nurse Practitioner

New Paths to Healthcare, LLC

13838 S. 46th Place, Suite #340 Phoenix, Arizona 85044

602-405-6320

www.newpathshealth.com

Agnes Oblas, as a Nurse Practitioner, my aim is to keep you healthy and to care for you during illness. The Arizona State Board of Nursing recognizes Nurse Practitioners as licensed providers of high quality health care without the need for physician supervision. I have two Graduate degrees in Nursing; sat for the National board Certification in 1980 and have maintained certification ever since.

In 2004, I was awarded the American Academy of Nurse Practitioners Arizona Award for Excellence in Nursing. I was voted Ahwatukee’s Best Nurse Practitioner in 2010. I am an active member of the Nurse Practitioner Chapter of the Arizona Nurse’s Association. Come to New Paths to Healthcare, LLC where you get “Medical Care with a Nurse’s Touch”.

• Contracted with Medicare and major commercial health plans

• Competitive, reasonable cash-pay fee schedule

• 30-60 minute office visits

• Same day appointments

• Phone calls answered/returned personally and promptly

Murray S. Pratt, OD Optometry

Lifetime Eye Care

3961 E. Chandler Blvd., #106 Phoenix, Arizona 85048

480-706-3060

www.azlifetime.com

Dr. Murray Pratt, and his team at Lifetime Eye Care provide comprehensive eye care and optical services to patients of all ages. They are proud to give friendly and personalized service, using cutting-edge technology in a comfortable atmosphere.

Dr. Pratt graduated summa cum laude from Southern College of Optometry and continues to stay abreast of the latest research in eye care. He is a member of many local and national societies. He is experienced in fitting specialty and gas permeable contacts, treating glaucoma, diagnosing diabetic eye disease, treating all types of pink eye, as well as routine glasses and contact lens services.

Outside the office, Dr. Pratt is an active member of the Ahwatukee community with his wife and best friend, Margaret, and their three wonderful daughters.

Bradley Rasmussen, MD Dermatology

Ahwatukee Skin & Laser

4425 E. Agave Rd., Suite 148 Phoenix, AZ 85044

480-704-SKIN (7546) www.ahwatukeeskincare.com

Dr. Rasmussen is a Board Certified Dermatologist, and has been in the field for the past 18 years. He currently splits his time between Department Chair at IHC in Salt Lake City and Ahwatukee Skin and Laser focusing on skin cancer surveillance, education and surgical intervention.

Dr. Rasmussen graduated from George Washington University and completed his residency at Mayo Clinic in Rochester, MN. He remains an active member of the American Academy of Dermatology (AAD).

Dr Rasmussen enjoys spending his free time with his three children, golfing and enjoying the outdoors. He looks forward to meeting you.

John M. Rowley M.D. Plastic Surgery

15810 S. 45th St. Ste. 140 Phoenix/Ahwatukee, AZ 85048

480-759-3001

www.drjrowley.com

is certified by the American Board of Plastic Surgery, and is a member of the American Society of Plastic Surgeons as well as the American Society for Aesthetic Plastic Surgery. Attending continuing medical education courses and aesthetic meetings to provide his patients with the highest quality of care. He has been practicing in Ahwatukee for the past 14 years, and is committed to providing patients with a pleasant and rewarding experience. Dr. Rowley has been voted one of the top doctors in the valley by his peers in Phoenix Magazine for the last several years. Performing both cosmetic and reconstructive surgery, he is contracted with most insurance plans. His staff is welcoming and professional, and strives to make each office visit a personal and comfortable experience.

Dr. Rowley, his wife and two daughters reside in Ahwatukee, and he is a member of the Ahwatukee Chamber of Commerce.

medical bios 2016-17

Ashok C. Solsi, MD Invasive Cardiologist

Premier Cardiovascular Center

77 S. Dobson Rd. Phoenix, AZ 85224

480-814-0266

pcvc.md

Dr. Ashok Solsi is the President and Founder of Premier Cardiovascular Center (PCC), established in 2010. He has been practicing in the valley for past 20 years. His prior practice includes service at Arizona Heart Institute – East Valley in Mesa, Sacaton, Phoenix, Chandler and Casa Grande from 1997 to 2009 as an invasive cardiologist.

Dr Solsi received his medical degree from Mysore Medical College in Mysore, India and he completed his internal medicine residency at Brooklyn Hospital Medical Center where he was chief resident during his final year.

Dr. Solsi is Board certified in Cardiovascular Medicine, Internal Medicine and Nuclear Medicine. He completed his Cardiology fellowship at Brooklyn Hospital Medical Center at New York University in New York (1997). He is member and fellow of the American College of Cardiology and has published several articles on various cardiovascular topics. Currently he provides services at Chandler, Maricopa and Casa Grande.

David Stone, MD

Physical Medicine & Rehabilitation

AZ Spine Disc & Sport

4530 E. Ray Rd #110 Phoenix, Arizona 85044

480.759.1668

www.azspinediscandsport.com

Dr. Stone is a board certified Physical Medicine & Rehabilitation doctor specializing in sports medicine, interventional spine procedures and general pain management. He graduated from medical school at the University of Virginia in 2009, where he was honored as the Bowman Scholar (given to the top medical student during clinical rotations, voted on by school faculty and attending physicians). After completion of his intern medical year, he moved to Denver, Colorado where he completed his residency training in Physical Medicine & Rehabilitation. After his time in Colorado, he moved once again to Arizona in the summer of 2013 to train under the supervision of the physicians at Southwest Spine & Sports for a one year fellowship position. He joined the group at AZ Spine Disc and Sport in September 2014 as the medical director for the facility.

During his undergraduate years at the University of Virginia, Dr. Stone was a 4 year starter for the varsity baseball team (UVA was 2014 College World Series runner up). He still owns multiple career records at UVA including most games played (2nd all time), at bats (4th all time), runs scored (6th all time), hits (2nd all time), stolen bases (1st all time) and walks (1st all time). He was drafted in the 2002 Major League Baseball draft by the San Francisco Giants. His professional career was cut short by a series of arm injuries, from which he was unable to successfully rehab. Due to repeated injury, he decided to retire from his baseball career and started the process of applying to medical school.

Dr. Stone’s mission in the office is to help his patient’s restore function and reduce pain through the most conservative means possible. He is excited to work with an excellent team of Medical Doctors, Chiropractors, Massage therapists Physical Therapists, Acupuncturists and Athletic Trainers who all have similar goals to him.

Voted Best Chiropractor and Best Medical Specialist of 2015 by Ahwatukee Foothills News!

John Tretter, MD

Non-Invasive Cardiologist

Premier Cardiovascular Center

77 S. Dobson Rd. Phoenix, AZ 85224

480-814-0266

pcvc.md

Dr. John R. Tretter is board certified in Cardiovascular Medicine, Internal Medicine, Echocardiography and level 2 CT Angiography. Dr. Tretter received his medical degree from Autonomous University of Guadalajara, Guadalajara, México. He completed his internal medicine residency at Harbor Hospital, Baltimore, Maryland in 1989 and completed his cardiology fellowship at the Mount Sinai Medical Center in Cleveland, Ohio. Dr. Tretter is a member of the American College of Cardiology and the American Society of Echocardiography. He practiced with the Slocum-Dickson Medical group in upstate New York for nearly 20 years.

In 2009 he traded snowboarding on the slopes of upstate New York for mountain biking in the beautiful Arizona desert terrain to join Premier Cardiovascular Center (PCC). He has extensive experience in various cardiovascular diseases and provides services at our Casa Grande location and Banner Casa Grande Medical Center, where he serves as the Chief of Cardiology.

Tina Tretter, MA, NP-C

Primary Care / Internal Medicine

AZ Spine Disc & Sport

4530 E. Ray Rd #110

Phoenix, Arizona 85044

480.759.1668

www.azspinediscandsport.com

Christina (Tina) Tretter brings more than 18 years of diverse healthcare experience to AZ Spine Disc and Sport. With advanced certifications in medical weight loss and esthetics she is also a member of Sigma Theta Tau, (Honor Society of Nursing) as well as the National Association of Nutritional Professionals. She is the owner of Hiker Chicks of Arizona meet-up, (fostering active lifestyles for women) and is active with the American Heart Association. Tina has worked in many areas of nursing from critical care to oncology. During this time she continued to maintain her passion for sports, health and wellness. As a certified athletic trainer she volunteered for high school track & field and cross country as a trainer and coach. Simultaneously she counseled and trained vegan and vegetarian endurance athletes and worked to bring healthy meals into the school system. Tina also has experience working with overweight and obese patients and helping manage their weight. She strives to inform, educate and guide patients into healthy livable lifestyle choices. Just as she educates all her patients, Tina continues to broaden her professional horizons on a regular basis. She has pursued additional certifications in coronary care and ACLS, HCG weight loss, and trigger point and joint injections. Tina’s personal philosophy incorporates holistic and complementary alternatives to traditional medicine and feels that “as every patient is an individual—so is their treatment plan.” In her spare time Tina enjoys trail running, hiking, mountain biking, weight training and almost anything active. Her mellow side relishes in gardening and cooking. She lives here in Ahwatukee with her husband John and son Peter. She has 3 grown children, Ed, Chiane and Joe.

Nathan Uebelhoer, DO

Dermatologic Surgery/Mohs Surgeon

Ahwatukee Skin & Laser

4425 E. Agave Rd., Suite 148 Phoenix, AZ 85044

480-704-SKIN (7546) www.ahwatukeeskincare.com

Dr. Nathan S. Uebelhoer, began practicing dermatologic and laser surgery 19 years ago. As an expert in his field, he has since lectured across the United States and throughout the world, authored numerous peer-reviewed articles and book chapters on the subject, and won awards for his teaching and military service. He grew up in Massachusetts and after completing medical school at the University of New England, he went to the Naval Medical Center in San Diego for internship and dermatology residency. Following Board Certification by the American Board of Dermatology, he obtained sub-specialty training in cancer surgery and facial cutaneous reconstruction through a one-year fellowship in Cosmetic and Laser Surgery at SkinCare Physicians of Chestnut Hill in Boston, Massachusetts. Since then, he has served as the division head of Mohs and Laser Surgery with the Navy in San Diego until retiring as a Commander in 2013. Dr. Uebelhoer was also trained as a Naval Flight surgeon and private pilot and proudly served in this capacity for over 3 years with the U.S. Marine Corps. In addition to Procedural Dermatology, he has been heavily involved in rural and tropical medicine, and he continues to lecture throughout the world on his pioneering work with scar rehabilitation in wounded warriors. When not in the operating room, Nathan is with his two daughters and occasionally takes the time to play golf and the piano.

Mark Weaver, MPAS, PA-C

Physician Assistant

Ahwatukee Skin & Laser

4425 E. Agave Rd., Suite 148

Phoenix, AZ 85044

480-704-SKIN (7546) www.ahwatukeeskincare.com

Mark Weaver is a board certified Physician Assistant with a deep passion for dermatology. He grew up in northern Utah and worked as a phlebotomist during his undergraduate college years, planning on a career in medicine. Unexpected opportunities came his way, however, and led him to earn his MBA degree and launch into a successful business career. After a few years, Mark knew his desire for a life in medicine wasn’t going away. With his young family on board for the adventure, he made the career switch.

Mark has always been fascinated by the skin and how its health can deeply impact a person’s daily life. From the first day of his dermatology rotation, he knew he wanted to spend the rest of his career in the field. Mark met and married his wife in Phoenix and is excited to be able to return and practice in the Valley of the Sun. In his free time, he and his wife love traveling with their three young daughters.

Lindsay Whipple, PT, DPT

Lead Physical Therapist

AZ Spine Disc & Sport

4530 E. Ray Rd #110

Phoenix, Arizona 85044

480.759.1668

www.azspinediscandsport.com

Lindsay has been practicing Orthopedic and Sports Physical Therapy in the East Valley since 2011. She earned her undergraduate degree in Exercise Science from the University of Tampa in 2006 where she was awarded Graduate of the Year for academic achievement and community involvement. She then returned to her home state of Vermont to complete her Doctor of Physical Therapy degree at the University of Vermont where she served as a teaching assistant for DPT students in areas of musculoskeletal diagnosis and treatment.

Lindsay is certified in Integrative Dry Needling and utilizes detailed biomechanical assessment, a variety of soft tissue and myofascial release techniques, and specific corrective exercise to create an individualized plan of care for each patient to alleviate pain and assist them in achieving their rehabilitation goals. Through her career Lindsay has enjoyed working with patients of all levels including MLB, NFL and Olympic athletes and strives to help her patients achieve their highest level of performance. She is thrilled to be part of the team at AZSDS as she believes strongly in a multifaceted and holistic approach to rehabilitation.

Lindsay and the Physical Therapy team at AZSDS offer Dry Needling, Myofascial Release, Cupping Therapy, IASTM/FAKTR, Postural Restoration, Craniosacral Therapy, Sports Performance Training, Post-Operative Rehab, Vestibular Rehab, Gait Analysis, and Aquatic Therapy utilizing the Hydroworx300, the only aquatic treadmill of its kind in the state.

New program offers hope for parents seeking earlier treatment for autism

BY DR. JUDY PENDLETON TIMES PUBLICATIONS GUEST WRITER

Arizona has one of the highest rates of autism in the United States. According to the Centers for Disease Control, one in 66 children living in the state has autism spectrum disorder.

In addition, in order for children with autism to receive medically necessarily services and interventions, Arizona’s Division of Developmental Disabilities of the Department of Economic Security (DDD) stipulates that only a developmental pediatrician, licensed clinical psychologist or psychiatrist can diagnose autism.

Meanwhile, there are few developmental pediatricians in Arizona, and most are located within Maricopa County, forcing children around the state to compete for appointments.

In my pediatric practice in Chandler, I have witnessed firsthand the frustration of parents who must wait months to see a doctor and access the resources their children need.

But thanks to grant funding and a vision created by Dr. Robin Blitz, director of developmental pediatrics at Barrow Neurological Institute at Phoenix Children’s Hospital, Early Access to Care – AZ (EAC-AZ) is removing these roadblocks. It is training physicians across the state in assessing children for autism and providing them with a medical home.

In fact, I completed the EAC-AZ training program earlier this year in order to provide my patients with a highly needed and sought-after service.

Created in 2015, EAC-AZ trains medical providers around the state to diagnose and treat children with autism.

After a provider completes the program, Dr. Blitz works with DDD to get the pediatricians’ diagnoses approved for DDD ser-

vices, thus providing much-needed early access to medical intervention, therapies and school services to children living in the Phoenix area and across Arizona.

The Board of Visitors, a charitable organization in Phoenix that supports the health care needs of women, children and the elderly, has been supportive because of the impact of Blitz and her team on educating those working with these children daily. Their work is allowing for improved diagnosis and access that did not exist before.

The long-term goal of EAC-AZ is to change the landscape for children with autism and their families in Arizona by providing earlier diagnosis and earlier access to interventions and medical homes, resulting in better outcomes for children and support for their families.

The first teams began training in August 2015. I am a member of the second cohort of pediatricians who completed their training in June 2016.

We are now working toward final certification, which will allow us to diagnose patients, a crucial step that opens the door for children and their families to access the services and interventions they require.

So far, EAC-AZ has trained 12 providers in the regions of Casa Grande, Flagstaff, Lake Havasu, Pinetop-Lakeside, Prescott Valley, Tucson, Yuma and Maricopa as well as 11 pediatricians in Maricopa County and one in Cottonwood.

EAC-AZ is open to board-certified pediatricians across Arizona. The six-month training course for primary care providers consists of learning modules, independent readings, webinars, online case discussions and two, in-person trainings at Phoenix Children’s Hospital.

Providers interested in participating in EAC-AZ may contact earlyaccesstocareaz@phoenixchildrens.com. Parents who would like more information can visit barrow.phoenixchildrens.org. n

Pendelton Pediatrics, 1445 West Chandler Blvd., Building B, Chandler, is part of Phoenix Children’s Care Network, Arizona’s only pediatric network. Contact: pendletonpeds.com, 480-3855055.

Dr. Judy Pendleton

Gynecologic oncologists may

a woman’s best friend in fighting cancer

BY DR. SNEHAL BHOOLA TIMES PUBLICATIONS GUEST WRITER

Outcomes studies show that women with gynecologic cancer who are treated by a gynecologic oncologist have a greater likelihood of prolonged survival compared to care rendered by non-specialists.

Gynecologic oncologists are specialists trained in the entire treatment of patients with gynecologic cancers, including advanced surgery and chemotherapy.

This allows for expert, comprehensive care directed by one physician. Arizona Oncology has the largest group of gynecologic oncologists in this region who specialize in:

They specialize in the treatment of ovarian, uterine, cervical, vulvar and endometrial cancers, trophoblastic disease, and complex pelvic surgery; genetic counseling and testing; colposcopy evaluation of the cervix, vulva and vagina; and ovarian cancer screening for women at high risk.

Arizona Oncology is the first in the state to utilize the DYSIS Advanced Cervical Imaging System, the latest technology and advancement in the early detection of cervical cancer and pre-cancers.

At Arizona Oncology, we understand that a new diagnosis of cancer can be overwhelming and frightening.

Our team of experts arrange consultations quickly so patients can get needed information in a compassionate, patient-focused approach. We help patients and their families navigate through the diagnosis and treatment planning as eas-

How women can prevent, fight cancer

Arizona Oncology advises women to follow these tips to prevent gynecologic cancer or catch it early.

• Breast cancer screening and mammograms are recommended to find breast cancer early.

• Get cervical cancer screening. The Pap and/or HPV test can find abnormal cells in the cervix that may turn into cancer. Pap tests also can help detect cervical cancer early, when the chance of being cured is very high.

• Colon cancer screening can find precancerous polyps, so they can be removed before they turn into cancer. Screening tests also can find colorectal cancer early, when treatment works best.

• Lung screening annually with low-dose computed tomography (LDCT) is recommended for people who have a history of heavy smoking, smoke now or have quit within the past 15 years, and are between 55 and 80 years old.

• Skin cancer screening and wearing sun screen are the best defenses against this disease.

• Maintain a healthy diet.

• Get a regular women’s health exam with a primary care physician.

ily as possible so that they are not overwhelmed.

Women diagnosed with cancer of the female reproductive tract want advanced care from physicians who will provide the best chance for long-term survival – no matter how complex their disease.

At Arizona Oncology, we provide advanced surgical skills by board-certified gynecologic oncologists coupled with targeted and personalized chemotherapy, radiation treatment, aggressive surgery, and access to clinical trials.

Arizona Oncology physicians are up-to-date on genetics and molecular profiling of tumors to direct individualized treatment in an evidence-based approach.

We also focus on prevention and predisposition to cancers through genetic testing. Our strong cancer genetics program includes genetic counseling and experts in the field of genetics.

Early diagnosis of cancer is extremely important, women should be aware of the risk factors and symptoms and consult their healthcare provider if they are at risk or notice any changes that may be signs.

Factors that may increase the likelihood of developing women’s cancers include:

• Age. Most ovarian cancers develop after menopause, and half of all ovarian cancers are found in women over the age of 63

• Obesity. A study by the American Cancer Society found a higher rate of death from ovarian cancer in obese women. Obesity is a significant risk factor for endometrial cancer.

• Fertility drugs. _Prolonged use of the fertility drug clomiphene citrate, especially without achieving pregnancy may increase the risk for developing ovarian tumors.

• Family history. A woman’s chance of developing ovarian cancer is increased if her mother, sister or daughter had ovarian, breast or colorectal cancer.

• Breast cancer. Women with BRCA mutation have an increased risk of ovarian cancer.

• Estrogen or hormone replacement therapy. Some studies suggest using unopposed estrogen replacement therapy may increase a woman’s risk of developing the certain gynecologic cancers.

• Smoking and alcohol use. Some studies have found an increased risk for one type of ovarian cancer (mucinous). n

Dr. Snehal Bhoola is a gynecologic oncologist with Arizona Oncology, a practice in the US Oncology Network. Information: 888-972-CURE or ArizonaOncology.com.

Dr. Snehal Bhoola

Hysterectomies can be less invasive, Chandler surgeon says

BY MICHELLE TALSMA EVERSON TIMES PUBLICATIONS CONTRIBUTOR

Ahysterectomy can be recommended to women of any age for various health reasons, but that means the patient faces an often overwhelming task in accepting the diagnosis and navigating through various alternatives.

One option for patients is a minimally invasive hysterectomy, a procedure that often involves less post-operative pain, minimal scarring and a quicker return to normal life, according to Dr. Richard Haines Demir, a nationally recognized pelvic surgeon at Desert Women’s Care in Chandler.

“For someone who has been told they need an abdominal hysterectomy in a hospital, the greatest thing I can do for them is do the surgery with little holes and get them back to their life as soon as possible,” Demir said. “We’ve implemented numeral strategies to accelerate the recovery.”

Demir has performed more than 1,450 minimally invasive hysterectomy procedures.

“We now have it to the point where we do the hysterectomy in the surgery center, the woman goes home, treats it with home nursing and, in three to four days, she’s back up and about,” he explained.

“Twenty-five years ago, women would have a hysterectomy and lay up in the hospital for four days and then they would lay around more at home,” he added.

Demir uses the latest technology and years’ worth of research and hands-on experience with minimally invasive surgery.

It’s not only hysterectomies that he performs.

“The other procedure that I do that really attracts people from other places is laparoscopic transabdominal cerclage,” he says. “We do it as an out patient and it’s for women who have had a repetitive miscarriage in the third trimester with a diagnosis of cervical insufficiency. These are people who have lost some pregnancies in the 18- to 28-week range.

“We put a band around the cervix with the laparoscope,” he continued. “It feels good to help a couple have a baby when they’ve had some pretty sad outcomes.”

“I’m not aware of anyone else who offers outpatient minimally invasive procedures; I believe I am the only one who offers this in the state of Arizona,” he said.

In addition to his successful surgeries—which number in the thousands—Demir has won multiple industry awards, has been published in more than 40 papers, and has given presentations on the topic of minimally invasive procedures nationwide.

At Desert Women’s Care, which he helped to found in 2010, he is the director of gynecology, obstetrics, and ultrasound. He’s been practicing medicine in both the Valley and Chicago for more than 25 years.

“If you’ve been told you need a hysterectomy—specifically if you’ve been told you need a hysterectomy with your tummy cut open—those are the ideal candidates to give us a call and evaluate their alternatives to keep them out of the hospital and costs low,” Demir said, adding:

“It’s a lifestyle enhancement; there are a lot of ways to reduce periods and control fertility. Again, if a woman has been told she needs it in a bad way with her tummy cut open, we are an ideal source of second opinions.” n

Information: Desert Women’s Care, 80 N. McClintock Drive, Tempe, desertwomenscare.com.

Valley Fever guidelines, treatment changing

BY NATALIE TARANGIOLI CRONKITE NEWS

Doctors are recommending new detection and treatment guidelines for Valley Fever, a deadly and debilitating fungal infection that mimics the ﬂu.

More than 4,000 cases emerged in the first eight months of 2016 alone, according to the Arizona Department of Health Services. People inhale fungus in soil, causing a bacterial infection that can leave patients exhausted and with muscle aches, a fever, cough, headaches and night sweats. It can last for weeks, even months.

The illness is often misdiagnosed as a cold, ﬂu or pneumonia, leaving people to suffer and leading to costly medical tests and hospitalizations.

Dr. John Galgiani, director of the Valley Fever Center for Excellence in Tucson, said early diagnosis is key to combating Valley Fever. Galgiani led a panel of 15 other medical experts, who developed new guidelines that make it much easier for doctors to pinpoint a patient’s symptoms with the corresponding illness.

when she feels short of breath. She sleeps on a couch on the first ﬂoor of her home because it’s difficult to make it up the stairs.

“Right now I’m in a vicious cycle,” Gargiulo said.

Galgiani said patients and their health-care professionals should seek Valley Fever tests if the patient experiences Valley Fever symptoms.

“These guidelines in many respects reinforced what we said before,” said Galgiani, whose center is based at the University of Arizona College of Medicine. “They specifically ask questions; if you have a patient with a certain set of symptoms, do you start an anti-fungal drug or not? And then there’s a basis for why that answer is our recommendation.”

For example, different procedures are recommended based on factors including the presence of an immunosuppressing condition like HIV, if the patient was recently diagnosed with Valley Fever or if the medication should be taken orally or intravenously.

There also are new protocols for treating pregnant women and people who have traveled to an area where Valley Fever is prevalent. Knowing someone’s travel history can make a difference in a proper diagnosis.

“If it were done better and earlier diagnoses were made, a lot of care would be considered unnecessary and you wouldn’t have to do it,” Galgiani said. “Many procedural imaging like CAT scans and things may not be necessary.”

Registered nurse Carla Gargiulo said she went through several urgent-care and hospital visits before a 2 1/2-centimeter nodule on her right lung confirmed she had Valley Fever.

“I kind of went back and thought, ‘Oh my gosh, maybe I should have pushed this a little further, maybe I should’ve been a little more aggressive with my own care,’” said Gargiulo, who was diagnosed in December 2014.

Her mild asthma became so severe after her illness she now relies on three inhalers a day and uses a small-volume nebulizer

Another change in the guidelines is certain drugs previously thought to be unsafe to use during pregnancy are now known to be safe, according to Galgiani.

He said a vaccine would protect those in high-risk areas such as Arizona and the Central Valley of California, where the most cases of Valley Fever occur. He thinks one for dogs, who are three times more likely than humans to become infected, could be available in five years.

“The University of Arizona actually is working on a drug which might potentially cure this disease,” Galgiani said. n

Specialty pharmacy helps patients with difficult conditions

BY MIKE BUTLER TIMES PUBLICATIONS

There’s a new pharmacy in Chandler. But DaVita Rx isn’t the typical corner drugstore doling out monthly supplies of statin pills and tubes of toothpaste. DaVita Rx specializes in dispensing medications for patients with kidney disease, hepatitis C, multiple sclerosis and other complex conditions. Housed in a 76,000-square-foot office

building off the city’s 101 Science & Technology Corridor, DaVita Rx really provides intensive patient counseling and improved outcomes, said Mark Carlson, vice president of specialty operations for DaVita Rx.

“We’re not just sending prescriptions out the door,” Carlson said. “We’re managing care.”

Carlson said that unlike retail pharmacists, DaVita Rx pharmacists devote about 90 percent of their time to patient care, and about 10 percent to filling prescriptions.

When a new patient calls with a medication program, Carlson explained, a pharmacist will ask the client what his or her goals are. They take time to answer patient questions. They discuss side effects and how to administer the medicine, especially if it requires a specialized injector. Technicians also ensure that patients aren’t taking prescriptions they might be allergic to or that shouldn’t be taken together.

Support staff answer questions about insurance, co-payments and investigate whether the patient qualifies for financial assistance from the drug maker or a particular foundation. Patients get a follow-up call every 30 days to see how

they’re doing and to make sure they’re sticking with the plan.

Many medications are highly perishable and need to be kept cold. They are shipped overnight for morning delivery. DaVita Rx’s 10,000-square-foot, secure dispensing room includes access to 2,400 square feet of walk-in cooler/freezer space. Cool storage is independently powered and backed up by generators.

Carlson, a registered pharmacist himself, said DaVita Rx expanded to Chandler because of its educated and skilled workforce.

“It’s a good culture fit for us. We’re really excited to be here,” he said.

The Chandler facility has about 100 employees so far, who are providing business continuity for pharmacies in Florida, Texas and California. At full capacity, DaVita Rx Chandler, which employees have nicknamed Canyons, will have 550-600 staff members.

Sister company DaVita Kidney Care operates nearly 2,300 outpatient dialysis centers with about 185,000 patients in the United States. About a half-dozen of those centers are located in Chandler, Tempe, Mesa and Gilbert. n

Information: 485 N. Juniper Drive, Chandler; 480-665-5100.

ATTENTION MEDICAL PROVIDERS

Sleep affects more than a child’s mood, so make sure routines are in place

TIMES PUBLICATIONS STAFF

It’s a nightly ritual that many children dread: bedtime.

The parents of sleep-averse kids share in the misery, too. Getting a child to go to sleep is sometimes a battle of wills, and mom and dad are often on the losing end of that battle, so they tend to concede another 30 minutes of screen time or cuddling to extinguish a tantrum.

But it’s important for parents to know a good night’s rest isn’t the only thing at stake.

Dr. Mary Jo Kutler, D.O., a pediatrician at Ahwatukee Pediatrics, said the benefits go far beyond waking up on the right side of the bed.

“Sleep affects much more than your mood,” Kutler said. “When children get enough of it, a good night’s rest can fight infection, promote adequate growth, and even fend off obesity.”

The key is setting healthy sleeping habits, she explained. Establishing them may take time, but it’s important for parents to introduce and maintain a bedtime routine, the elements of which are consistent and non-negotiable.

Kutler recommends the following tips for better sleep:

• Be consistent. Go to sleep and wake up at the same time, even on weekends.

• Limit screen time. Activities such as watching television or playing on the computer should be avoided as bedtime draws near.

• Ritualize relaxation. Have your child take a warm bath or read a book before lying down for the night.

• Mind environment. Be sure to keep your child’s bedroom dark, quiet, and cool.

• Ban soda and physical activity. Avoid caffeine and exercise before bedtime.

While adherence to a routine helps most kids, it may not solve all sleep problems, Kutler warned.

“Disorders like sleep apnea, restless leg syndrome, night terrors, and narcolepsy are very real and compromise healthy sleep of thousands of children,” she said. “These types of disorders require the help of specially trained sleep medicine physicians who work with children and their families to diagnose and treat the problem.”

Kutler says symptoms that warrant evaluation by a sleep medicine physician include: excessive snoring, lapses in breathing, gasping for air, bed wetting in children older than 6, multiple nighttime awakenings, difficulty initiating or maintaining sleep, restless sleep, hyperactivity, a decline in school performance, excessive drowsiness, sleep walking and night terrors.

“If I suspect a sleep disorder that cannot be managed by the implementation of a consistent sleep routine, I’ll refer patients to a sleep medicine specialist like the ones at Phoenix Children’s Hospital,” Kutler said.

“Children will undergo a comprehen-

sive exam and consultation process, and if necessary, an overnight sleep study will be conducted, during which oxygenation, sleep quality, staging of sleep, leg movements, and heart rate are closely monitored and evaluated,” she explained.

Sleep quantity–not just quality–is also important, and it varies by age.

“A 1-month-old infant requires as much as 16 hours of sleep every day, whereas a 17-year-old will do fine with eight or nine hours,” Kutler said.

Ensuring that children get enough sleep can be difficult, and sports activities, long work hours for mom and dad, and an ever-growing list of cool digital distractions only complicate things. But a good night’s rest must be a priority, Kutler stressed.

“A restful and adequate night of sleep is a key to a healthy lifestyle,” she said. “You’re not just saving yourself from dealing with a grumpy little one in the morning, you’re protecting your child from serious health problems.” n

Dr. Mary Jo Kutler is a pediatrician at Ahwatukee Pediatrics, which is part of Phoenix Children’s Care Network, Arizona’s only pediatric network that includes half of all independent pediatricians, 80 percent of pediatric subspecialists in greater Phoenix. Reach her at Ahwatukee Pediatrics, 15715 S. 46th St., Suite 102, Ahwatukee. 480-496-6444.

Dr. Mary Jo Kutler, D.O.