Taboo art form inspires women’s fitness program
One way to get plenty of climate controlled exercise
Senior citizens get fit in exercise classes
PUMPED UP DENTIST
How dentist built a bodybuilder’s body
Spring-Summer 2013 ON THE COVER
Photographer Hime Romero captured Diane Flores going through a pole dancing fitness routine.
Venus Pole Fitness: Climbing the pole to better health
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Sun block: Apply don’t fry Simple steps to a healthier heart Controlling diabetes through weight loss and exercise Free birth control gives women more choice Organ donations: A second chance at life Holistic approach to skin care Diagnosing ADHD Flip flops and your feet Relieving stress when remodeling 36 million Americans have hearing loss
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9 10 13 17 19 21 22 28
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Teens get fit through JROTC programs Dentist builds bodybuilder’s body Exercise care during summer workouts Fitness tips to prepare for summer fun What parents need to know about concussions Hitting the mall before stores open Physical therapists move to improve Recreation leagues: Getting fit while having fun
Medical solutions for better diet The connection between infertility & diet Garden grown herbs good for your health Pick your own blueberries for fun & exercise
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Senior Sneakers: Seniors make strides in specialized fitness class Meals on Wheel offers nutritional lunches for seniors Protecting Baby Boomers’ vision for driving Getting more ‘go’ for golden years Safety tips for seniors
209 HEALTH & WELLNESS A bi-monthly publication of Morris Newspaper Corp. of California Central Valley Group
Manteca Bulletin - Escalon Times - Oakdale Leader Riverbank News - Turlock Journal - Ceres Courier ADVERTISING ADVERTISING DIRECTOR In Ceres call (209) 537-5032 Chuck Higgs (209) 249-3505 In Oakdale, Escalon or Riverbank call (209) 847-3021 DISTRIBUTION In Turlock or Modesto call Drew Savage (209) 249-3525 (209) 634-9141 In Manteca, Ripon, Lathrop, EDITORS Tracy, or Stockton call Dennis Wyatt (209) 249-3519 (209) 249-3500 Kristina Hacker (209) 634-9141 Jeff Benziger (209) 537-5032 Marg Jackson (209) 847-3021
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HIME ROMERO/209 HEALTH & WELLNESS
Fitness instructor Diane Flores helps student Gina DeRoos of Manteca with some moves at her Modesto studio.
VENUS POLE FITNESS
Climbing the pole to better health By J A M E S B UR NS 209 Health & Wellness
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4 • Health & Wellness
on’t mistake Diane Flores’ sultry dance and floor-toceiling pole for adult entertainment. She doesn’t move, twist, hang or twirl for lonely men or $1 bills. Flores’ target audience: The stay-athome mother; the 30- to 45-year-old woman with body issues, low selfesteem and/or a desire to transform themselves. Flores is the co-owner and master instructor at Venus Pole Fitness, and she and her sister, Tina Soares, have introduced health and fitness to thou-
AT A GLANCE Venus Pole Fitness has two locations in the Central Valley: u MODESTO: Currently, 1501 Coffee Road. Phone: (209) 529-7653. New location as of June 15: 660 Bitritto Court, Suite A in Modesto. u TURLOCK: 116 S. Center Avenue. Phone: (209) 485-5045. u WEB: www.venuspolefitness.com. sands of women from Manteca to Turlock using a taboo art form: Pole dancing. “It’s my passion. It’s my love and it’s been exciting,” said Flores, whose 5-year-old business has spawned stu-
dios in Turlock and Modesto and created a cult following throughout the Central Valley. “It’s turned into so many different things – boot camps and pole dancing. We’ve developed a program that burns fat and builds muscle. I have women in their 40s flipping upside down; doing stuff they’ve never done in their lives.” Pole dance fitness is a total body workout tailored for women, placing an emphasis on core and upper body strength, as well as the mind. The exercises include “Heavy hair,” which Flores characterizes as a sexy push-up; hip circles; head tossing, which is a hair flip with zest and flair; shoulder mounts; butterflies; and for the
HIME ROMERO/209 HEALTH & WELLNESS
Student Tara Garrison of Ripon has her form checked by fitness instructor Diane Flores.
advanced student, inside and outside leg hangs. The moves are meant to tap into a woman’s fantasy and sexuality, areas, Flores says, so often neglected or suppressed by those in their 30s and 40s. “Women lose that sensual part of them; that sexy identity,” Flores said. “It’s brought out in our structure, but that’s not how we draw them in. We draw them in with fitness, but once they come in, it transforms them.” ‘SEXY YOGA’ Cheri Davis has been attending Venus Pole Fitness for a little more than a year. In that time, the Modesto resident has lost 45 pounds and “tons of inches,” she says, by giving herself to workouts and a diet carefully crafted by Flores, a licensed dietician. She fits Venus’ target demographic: Davis is a 38-year-old mother of two with a full-time job and little time for self.
“When you’re a working mother you don’t have downtime. You’re always busy with the kids,” Davis said. “That’s my escape. “You go in and nothing is expected of you. You’re there to relax and be yourself. It’s one of the most comfortable places I’ve been.” Manteca’s Gina DeRoos, 35, waved the white flag about eight months ago, surrendering her inhibition and fears to Venus Pole Fitness. DeRoos was near her rock bottom when she discovered pole fitness. She was in a rut physically and emotionally, and a traditional gym membership was doing little to lift her spirits. She was stuck. “I’ve had some past traumatic events as a child and wasn’t able to come out of my shell,” DeRoos said. “The environment, the staff and the women ... I started to feel better about myself and continued on Page 6
Health & Wellness • 5
VENUS POLE FITNESS continued from Page 5
love myself as a woman.” Her transformation has only just begun, but already change is evident. Look at her arms. DeRoos can perform 61 push-ups in a minute -- a far cry from the 10 she completed as a newcomer. She attends classes at Venus Pole Fitness three to four days a week and stopped her traditional gym membership. “It’s not what people think it is. People think we’re in there practicing to become strippers,” DeRoos said. “It’s nothing like that. “It was a moment in my life when I needed to do something different. I took a risk and I’m glad I did. The first class you feel silly. What got me through was Diane and the staff. She makes you feel comfortable and not ashamed to feel like a woman.” It is, for now, a women-only workout. In time, the sisters may expand to include men’s classes or co-ed sessions, but there is a consensus amongst their regular clients: They enjoy the privacy of a man-free zone, where they can feel protected and free and sexy. “It’s sexy yoga. They lose themselves in the moment. It’s remarkable what it does for women,” Flores said. “They
Venus Pole Fitness instructor Diane Flores helps student Natyelhi Aguirre with some moves. HIME ROMERO/ 209 HEALTH & WELLNESS
tend to walk taller, embrace their bodies and quit the war with themselves.” ‘BURNING DESIRE’ Venus Pole Fitness was born out of a
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regular Ladies’ Night. Flores served as the host for most of these get-togethers, while Soares handled the invitations. At the time, Flores was living life according to script: She was a mother of three working as a medical assistant, who routinely put the needs of her husband, children and bosses ahead of hers. She later took a job as a medical transcriber so that she could be a stay-athome mother. At one point, her weight ballooned to 205 pounds. “My sister and I decided we needed some ‘me’ time,” Flores said. “We started with traditional parties -- purse parties, candle parties and passion parties. We did every kind of party imaginable and it was great. Lots of fun.” Then a Google search produced an enticing new adventure -- pole dancing, the perfect activity for a private party for her girlfriends. At the time, pole dance fitness was offered only in California’s major metropolitans, San Francisco and Los Angeles. In the Central Valley, the phenomenon existed only in conversation. “Most women out there would be lying if they said they didn’t find that intriguing in some way – the whole girl up there that exudes hypnotic power and extreme confidence,” Flores said. “Most women, if they say they don’t have that burning desire to carry that kind of confidence in the bedroom or in
life, I think they’re lying.” The sisters bought a pole, received an online certification and began training themselves to be instructors. Before long they were hosting private parties. Soon thereafter, Flores, who had very little dance experience, found herself hosting workouts on Tuesday and Thursday nights. The demand on her time became so great that her husband, Shilo Flores, dipped into his 401K retirement fund, secured a space in Turlock and put up four poles. In 2008, Venus Pole Fitness was born. One year later, Flores and Soares opened the Modesto studio. Early on, there was backlash from the community. Flores was accused of being a stripper and her children the mother of a stripper, and she struggled with the stigma attached to the pole dance. Eventually, Flores found the confidence that she inspires in so many of her students today. “I made it my mission to bring that to every single woman I can touch in my life,” she said. “Every woman deserves it, we just typically don’t give ourselves permission to be 100 percent authentic and true to who we are … It’s actually pretty magical. When my students embrace their femininity and give themselves permission to not take themselves too seriously (regarding the pole dance classes) the weight loss follows almost effortlessly.”
Seniors make strides in fitness with classes tailored for them
o matter the age or fitness level, it’s a pretty good bet that all senior citizens can benefit from a new pair of sneakers. Or, more aptly put, a class named after the footwear Silver Sneakers. Case in point: 82-year-old Joanne Packer transitions between exercises with the deftness of a panther as weights, tubes and workout balls are extended to the realm of her wiry but athletic frame. It’s hard to believe that just a relatively short time ago — before Packer was tackling the Silver Sneakers Muscle Strength, Range of Motion class at Oakdale’s Fitness Plus — she was hospitalized with a broken shoulder. The cause of her injury is even more baffling. “I was helping load cows into a trailer and one stuck his head under a panel I was holding,” Packer explained. “He pulled up and flipped me. “They said I went six feet into the air but I don’t remember the flight.” Packer is one of the star students at the local class, a unit associated with the Silver Sneakers fitness program. It’s led by licensed instructor and Fitness Plus co-owner Corrine MachadoChing, who operates the gym with her husband Bryan. She aptly directs the traffic of senior citizens as the group of over 25 participants work through a variety of over 40 exercises across an hour’s span on Tuesdays and Thursdays. Oakdale Fitness Plus is one of 23 nearby central valley locations to host Silver Sneaker programs. The facilities range from Tracy (two) to Turlock (three) and include Stockton (five), Lathrop (one), Manteca (three), Salida (two), Modesto (four), Riverbank (one), Oakdale (one) and Ceres (one). Some members use the class to rehabilitate injuries, while others enjoy the added strength, agility and mobility the exercises stimulate. “The class works your mind and body with balance, coordination and muscle strength,” Machado-Ching said after a Thursday class. “It’s also
geared for people in wheelchairs, so anyone can do it. “As you get older it is real important to keep moving and build energy.” For Packer, the class has been instrumental in building added strength and coordination to enhance her daily life. She said it has been very important for her. “It’s a life saver,” Packer said. “If it had not been for Corrine, then I would have been in really bad trouble, because (husband) Bill had some medical problems and I have had to physically pull him places. “Because of this class I have felt myself getting stronger, more limber.” Packer isn’t the only one reaping the benefits. “When I back out of a parking space now, I can actually swivel my head around,” 75-year-old Cecelia Estrada said. “I can also reach up to get stuff out of cabinets and I have much more energy.” The instruction is a brilliant combination of vital exercises and fluid motions to mirror important daily movements. Work with weights and tubes mimic actions like opening doors and putting on a seat belt, while precise hand and finger movements build both mental and physical dexterity. Since it’s sanctioned through Silver Sneakers and covered by many insurance carriers, several of the members participate for free. “It works really well with a lot of insurance programs, but anyone can come in, whether they are involved in Silver Sneakers or not,” MachadoChing said. “It makes me happy to get more people to join. “It’s a great atmosphere with good energy, where everybody feels good and feeds off each other.” The class was alive with spunk and laughter recently, as members convinced onlookers to undergo exercises amidst the merriment. “We have a lot of fun in the class, and that’s part of it,” added MachadoChing. “Everybody really enjoys it and we have a lot of people who come back with their friends.” To learn more about Silver Sneakers or discover nearby locations that host such programs, visit www.silversneakers.com.
IKE DODSON/209 Health & Wellness
Group leader Corrine Machado-Ching works participants through a variety of exercises.
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Health & Wellness • 7
MEALS ON WHEELS
Nutritious lunches provided to area seniors By JEFF BENZ IG ER
20 9 Health & Wel lne s s
eniors who are 60 years of age or older have an opportunity to not only get a nutritious meal but a chance to socialize with others at congregate meal sites scattered throughout San Joaquin and Stanislaus counties. The Meals on Wheels program also serves approximately 500 to 700 Stanislaus County seniors who are homebound. In Stanislaus County, approximately 12,400 fresh, hot meals are prepared at Howard Training Center in Ceres by ARC Catering and delivered to 13 congregate sites three days a week. HTC’s ARC Catering has been contracting with the Area Agency on Aging since October 2006, taking over from the Stanislaus County Jail kitchen which had been previously providing meals. About 30 clients - who are high functioning adults with developmental disabilities - and their supervisors work to provide the meals on days of service. Claudia Miller, executive director of the program, said homebound seniors in Stanislaus County are delivered frozen meals twice a week in an attempt to scale back on gasoline costs. “We had an effort to put more money into the meals versus gas and oil,” said
Tom Dimperio and Wilma and Claire Sahlman enjoy a meal at the Ceres senior meal site at Howard Training Center’s Witmer Hall. JEFF BENZIGER/209 Health & Wellness
Miller. Since seniors are supplied five meals for the week, some days see a delivery of three meals and others two. The meals may be microwaved or heated in a convection oven, and come with bread, milk, juice and fruit. Ceres resident Tom Dimperio makes his way to the site “every chance” he gets and says the meals are tasty and nutritious. “You get a chance to visit with nice seniors and spend the time with them,” said Dimperio. “It’s very good food.” “Most of the time it’s very filling,”
said Trudy Anderson, who finds herself cooking less at home. In San Joaquin County, lunches are provided through the Human Services Agency to 14 congregate sites which offer nutritional information, fun activities, and the opportunity to meet and make friends. Seniors who receive meals at home are not able to leave their home due to a short or long-term health, emotional, or physical condition. Often seniors on home delivery live alone and are not able to prepare a meal. Eligibil-
ity to receive home delivered meals is reviewed quarterly by an eligibility specialist who visits the seniors at home at least two times per year. Individually packaged meals are delivered to homebound seniors’ homes. Menus are developed by a registered dietician especially for seniors. Meals are free to seniors but a $3 donation is suggested for each meal which is used to provide more meals for seniors. Reservations are required to ensure a meal at congregate sites. Each site has its own separate number for reservations.
FAST FACTS STANISLAUS COUNTY CONGREGATE SITES u SOUTH MODESTO: Mancini Hall, 718 Tuolumne Rd., Mondays, Wednesdays and Thursdays, 9 a.m. to 1 p.m., 303-0495. u MODESTO: Bodem Senior Center, 211 Bodem St., Mondays, Wednesdays and Thursdays, 9 a.m. to 1 p.m., 303-0260; Marple Manor, 530 Coffee Road, M W F 9 a.m. to 1 p.m., 3031752; and Ralston Tower, 900 17th Street, Mondays, Wednesdays and Thursdays, 9 a.m. to 1 p.m., 3031937 (Ralston Tower and Marple Manor both open to only residents and their guests).
8 • Health & Wellness
u HUGHSON: Hughson Senior Center, 2307 Fourth Street, Tuesdays, Wednesdays and Fridays, 9 a.m. to 1 p.m., 303-0491. u CERES: Witmer Hall @ Howard Training Center, 1424 Stonum Road open Tuesdays, Wednesdays and Fridays, 9 a.m. to 1 p.m., 303-0704. u TURLOCK: Salvation Army Center, 893 Lander Ave.,) Tuesdays, Wednesdays and Fridays, 9 a.m. to 1 p.m., 303-1620. u OAKDALE: Gladys L. Lemmons Center, 450 East A Street, Mondays, Tuesdays, Thursdays, 9 a.m. to 1 p.m., 303-0946. u RIVERBANK: Riverbank
Community Center, 3600 Santa Fe Street, Mondays, Tuesdays and Thursdays, 9 a.m. to 1 p.m., 303-1015. u PATTERSON: Patterson Senior Center, 1033 E. Las Palmas Rd., Mondays, Wednesdays, Fridays, 9 a.m. to 1 p.m., 303-1591. u WATERFORD: Waterford Community Center, 540 C Street, Mondays, Tuesdays and Thursdays, 9 a.m. to 1 p.m., 303-1459. u WESTLEY/GRAYSON: Community Center, 800 Laird Street, Patterson, Mondays, Wednesdays and Fridays, 9 a.m. to 1 p.m., 568-6922. u NEWMAN: McConnel Senior Center, 1348
Patchett Drive, Mondays, Wednesdays and Fridays, 9 a.m. to 1 p.m., 303-1537. SAN JOAQUIN COUNTY CONGREGATE SITE u MANTECA: Manteca Senior Center, 295 Cherry Lane, 825-2301. u STOCKTON: Arnold Rue Community Center, 5758 Lorraine Avenue, 937-7350; Boggs Tract Community Center, 533 S. Los Angeles, 468-3978; Franco Center, 144 Mun Kwok Lane, 4664697; Jene Wah, Inc., 238 E. Church Street, 463-7654; Northeast Community Center, 2885 E. Harding Way, 468-3918; Stribley Center, 1736 E. Sonora, 937-7351;
Taft Community Center, 389 W. Downing, 4684168; and Venetian Terrace, 5020 Virtue Arc Drive, 9511545. u ESCALON: Escalon Community Center, 1511 Fisk Avenue, 838-7485 (Tuesdays and Thursdays only). u LATHROP: Lathrop Senior Center, 15557 Fifth Street, 941-7380. u LODI: Loel Center and Gardens, 105 S. Washington Street, 369-1591. u TRACY: Lolly Hansen Community Center, 375 E. 9th Street, 831-4230. u RIPON: Ripon Senior Citizens Center, 433 S. Wilma, 599-7441.
Physical training fits bill for NJROTC By V I RGI NI A S TILL 2 0 9 Heath & Wel lne s s
aster Chief Michael Foster has been teaching Naval Junior Reserve Officer Training Corps (NJROTC) at Riverbank High School for 13 years. And the Master Chief spent 25 years in the Navy. Harry Rushing is the Senior Naval Science Instructor and is a retired Chief Warrant Officer Four, also now working with students at Riverbank. The way the program is set up, the NJROTC program must have an officer and an enlisted Naval Science Instructor. Both Rushing and Foster teach the students in academics and physical training (PT). The program is chartered by Congress to help make the students better citizens. The Navy gives them the curriculum and also updates the curriculum as needed. The students, who participate in NJROTC above and beyond their normal school coursework, are outside two times a week doing PT. One day the students may be playing flag football, or volleyball, on another day they may be doing a series of different exercises like push-ups, sit-ups, and jumping jacks with bricks. There are
days that the students will do relays or use sledge hammers on tires. Recently, the master chief pulled out the sea bags and truck and tractor tires and placed one cone in the end zone and one at the 50-yard line of the football field where they were set up for the training. “I try to change it up,” said Foster. “I don’t like doing the same thing. Don’t want them to get bored. I always try to add something different every year.” The students will also be given a physical fitness test in the fall and one in the spring. They will be put through a series of physical fitness tests according to their age and will have to run a mile in a certain amount of time. If the students pass the test they will earn a ribbon for their PT shirt. “With the various things I have them doing, it gets them in shape,” said Foster. The Marine Corps has a new Combat Fitness Test (CFT) intended to keep Marines physically fit for contemporary combat situations. Master Chief Foster has incorporated some of the exercises and ideas from the CFT like an obstacle course into the NJROTC PT days. The obstacle course is set up on the football field and starts out with a quick sprint to an orange cone. Once they get to the cone, they drop down
into a belly crawl, which then turns into a hand-to-knee crawl. Then the students weave in and out of a section and pick up sea bags that weigh about 30 pounds and have to carry them back to the starting line. Once they are there they drop the sea bags and pick up filled ammo cans. They run with the ammo cans back down the field and get to a section where they have to pick up a brick (which symbolizes a grenade) and toss it into a specific location. After that they drop down and do push-ups. Finally they zig zag back through the course with the ammo cans and run back to the finish line. Each student is timed. “They all try to the best of their abilities and that’s all I expect,” said Foster. The results vary for each student but Foster expressed that the students seem to enjoy PT and give really good efforts. He has had students that are not in his class ask if they can participate in the activities that the NJROTC has set up, just to put more focus on their own physical fitness.
VIRGINIA STILL/209 Health & Wellness
Jennifer Avalos may have been a bit slower than her opponent during the obstacle course but she participated in every part of it and never gave up. Avalos put the sea bag on and finished the course in pretty good time.
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Jose Ariza, left and Khalid Gamil start the Naval Junior Reserve Officer Training Corps (NJROTC) obstacle course sprinting, dropping down into a belly crawl, and finishing that section with elbows and knees to the ground.
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Health & Wellness • 9
He can tell you how to build strong teeth & build a bodybuilder’s body JASO N C AMP BELL
20 9 Health & Wel lne s s
ean Sangalang can eat anything that he wants. Pizza. Cheeseburgers. Potato chips. But as a body-builder – and somebody committed to fitness – he chooses not to. The Manteca dentist recently took first place at a Sacramento-based bodybuilding competition and brought home a best of show title in the process – decorating the mantle of his practice with a fresh crop of trophies. And with plans to move up a weight class for a junior national competition next year in Michigan, Sangalang will have to pay attention to his diet now more than ever. That doesn’t mean, however, that what he eats has to be without flavor. While he’s in the offseason now, when he’s training – and consuming more than 3,000 calories every day – his diet is rich with chicken breast, 96-percent lean ground beef, vitaminrich greens, brown rice and russet potatoes. He doesn’t limit the amount of sodium that he takes in either, so sauces and flavor-enhancers of every type help make even the blandest food taste like it just came out of the kitchen of a four-star restaurant. And he gives himself some leeway when it comes to setting up his diet at the beginning of a show season. “I give myself a little bit of freedom at the start until something starts to affect progress and changes need to be made,” he said. “Sometimes you have to pull things and remove calories as
weeks go on depending on what’s needed. “You typically cut down to about 10 times your own bodyweight, but fortunately I never made it down that far.” But nutrition – at least in the bodybuilding sense – isn’t without its own issues. The idea, Sangalang said, is to trick your body to the point that it’ll start
burning its own fat as a fuel source – regardless of the fitness level of the person crafting the diet. When you get down to below 10 percent body fat, he says, your energy level just starts to plummet and even the smallest task seems impossible to handle. Simply taking out the trash can bring the chiseled, muscle-bound
dentist to his knees. “Lethargic – that is the best way that I can describe the feeling,” he said. “Your body isn’t supposed to get down to seven or six or five percent body fat, and you can feel it when it does. “It starts when you’re about fourweeks out and your body just doesn’t feel good. And you need it to. That’s when you start to feel rundown and terrible and being moody starts to set in.” Sangalang has more than a year before he plans to strut back out on stage and strike poses with the intent of coming home with another trophy, and that means that he has months before he needs to begin his pre-show routine. That, however, doesn’t mean that the offseason is time for slacking. His lunch still includes protein shakes and rice and he’s still thinking about what he’s going to do in order to be able to put on the 10 pounds of “stage weight” needed to make the jump to the light heavyweight division – which runs from 176 and one-quarter pound to 198 and one-quarter pound. He hopes to weigh-in somewhere in the middle. With his coach in Kentucky, it’s up to him and him alone to stick with the regiment needed in order to reach the goal that he sets for himself. And it starts with what’s on the end of the fork. “I use a lot what I call ‘fillers’ – greens like broccoli and spinach and green beans that add to every meal and are good for you,” he said. “What you put into your body is everything, and you need to stick to your goals. I’m cruising right now, but it’s about time to start focusing on what I need to do.”
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10 • Health & Wellness
APPLY, DON’T FRY
The importance of sun block to protect your skin
on tanning oil, set up shop on a beach chair, and baked to a crisp in the hot summer sun. adies and Gentlemen of Today we know we have to protect the class of ‘99, wear ourselves from the sun’s rays to keep sunscreen. If I could us from getting all fried and looking offer you only one like the main course from a lobster tip for the future, sunscreen would bake or a leftfielder’s mitt. be it. The long-term benefits of sunTo many the sun is deadly. It’s a screen have been proved by scientists, giant ball of fire, literally, and it will whereas the rest of my advice has no kill you . . . if you let it. basis more reliable than my own Ad meanto the medical commuparamad.qxp:param 1/8/13According 10:52 AM Page 1 dering experience. I will dispense this nity, UV exposure is responsible for advice....now.” up to 90 percent of the visible signs First lines of 1999 hit, “Everyone’s of aging. Free to Wear Sunscreen,” by Baz The difficulty is that it’s not as simLuhrman. ple as snatching a bottle of sunscreen Winter is over and the warmer from the local drug store and calling it weather is here. Almost everyone will a day. With so many different levels of be out and about, some catching a SPFs and active ingredients, choosing few rays at the local ballpark, maybe a sunscreen can be confusing. kicking back at a pool or beach lounge Hopefully, understanding some of chair, or in the backyard grilling. the mystery of sunscreen can keep you It wouldn’t be summertime without protected and gorgeous. the smell of hot dogs grilling and sunThe first sunscreens were developed screen. to prevent severe sunburn in military Gone are the days when we slathered personnel who spent long hours under B y RI C HARD P ALOMA 20 9 Health & Wel lne s s
Enjoy a Healthier and Happier Life
strong and direct sun exposure. Today, manufacturers claim all sorts of benefits of sunscreen from not only protecting against sunburn, but preventing skin aging and protection from skin cancer. Producers calculate SPF – Sun Protection Factor – based on how long it takes to sunburn skin that has been treated with the sunscreen as compared with skin that hasn’t been treated with sunscreen. Theoretically, the best sunscreen has the highest SPF number. Many dermatologists recommend using a product with an SPF of 30 or more. As you now get ready to go out to enjoy your days off, that outdoor vacation, or just being out and about, you basically can use any type of sunscreen – spray, lotion, cream, wax stick or powder – that is a matter of personal preference and which area of the body you’re covering. If you have dry skin, you might prefer a cream — especially for your face. A gel or spray might work better
for areas covered with hair, such as the scalp. “There’s no such thing as a healthy tan,” said Vena Hudgins of Vena’s Secrets, a health care studio in Oakdale. “When you’re changing skin color, you’re actually damaging your skin.” As a clinical skin care specialist, Hudgins recommends starting at an early age, stressing the importance of sunscreen and protection against the sun at an early age. “It’s so important that children learn to have protection applied at least a half-hour before going out under the sun,” she said. “A rule of thumb is the lighter the eyes, the less pigment you’ll have for natural protection. Keep applying the sunscreen at least every four hours.” When applying sunscreen lay it on thick and remember often missed spots such as the feet, backs of hands, crooks of the knees and elbows, and scalp. So go out and enjoy summer. “But trust me on the sunscreen.”
Enjoy a Healthier and Happier Life
209.664.9500 (209) 417-1628
Enjoy a Healthier and Happier Life
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Health & Wellness • 11
Simple steps to a healthier heart
or millions of Americans, the battle against heart disease and other cardiovascular conditions goes on year round. About 600,000 people die from heart disease in the United States each year, according to the Centers for Disease Control and Prevention, making heart disease the leading cause of death for both men and women. However, despite the grim realities of heart disease, the steps to achieve better heart health can be simple. Experts agree that heart disease can be both preventable and controllable with the appropriate lifestyle changes. Registered dietician Elizabeth Somer, author of “Eat Your Way to Sexy” believes there are clear steps a person can take to turn around his or her heart health. “Many people with heart disease may be able to improve their heart health by making a few changes to what they eat, how much they move and their lifestyle,” Somer says. “There are four key things to think
about for heart health: keep your blood fat levels down, keep your blood pressure in check, promote healthy blood flow and circulation, and keep inflammation down.” Here are five simple steps you can take to reduce your risk of cardiovascular disease and improve your overall health. Take control of cholesterol with oat fiber: Numerous studies spanning a decade or more of research support the claim that dietary fiber from whole grains, as part of an overall healthy diet, helps reduce blood cholesterol levels and may lower the risk of heart disease. The fiber in oats is a soluble fiber called beta glucan. This fiber works by flushing cholesterol out of the system. Additionally, fiber-rich foods such as whole grains help provide a feeling of fullness with fewer calories and so may help with weight management. Better your blood pressure: Nearly one-third of all Ameri-
can adults have high blood pressure and more than half of them don’t have it under control, according to the CDC. The risks that accompany uncontrolled high blood pressure are serious. However, taking easy steps will lower that risk. Exercising and maintaining a healthy body weight, in addition to eating a low-sodium diet, can all contribute to a healthier blood pressure. Also, if you smoke a pack of cigarettes a day, you have more than twice the risk of a heart attack than people who’ve never smoked. Keep your blood flowing: Products are now available that provide a natural way to help promote healthy blood flow by supporting normal platelet function. A tomato-based concentrate made from select Mediterranean tomatoes called Fruitflow is a natural, healthy and safe ingredient that has been proven through clinical research to keep platelets smooth, thereby promoting healthy blood flow. Try products with this ingredi-
ent like Langers Tomato Juice Plus or L&A Tomato Juice with Fruitflow as healthy daily beverage choices. Decrease inflammation: Research suggests that omega-3 fatty acids such as DHA and EPA may help reduce inflammation and may also help lower risks of chronic diseases such as heart disease. Load up on heart-healthy foods like colorful fruits and vegetables, salmon, mackerel, nuts and foods fortified with EPA/DHA Omega-3 fatty acids such as certain milks, snacks and even cooking oils. Shed the layers: It’s nothing new. We know that being overweight puts us at risk for numerous health problems, including an increased risk of both heart disease and stroke. The change in seasons can serve as the perfect springboard into a new exercise routine. Take advantage of extended daylight hours by sneaking a sweat session into your evening routine and take control of your diet, making sure to cut back on foods with saturated and trans fats.
T.O.W.E .R COMPOUNDING
P H A R M A C Y
12 • Health & Wellness
IN THE HEAT
Exercise caution with outdoor summer workouts By DAWN M. HENLEY
TOP PHOTO: A participant does pushups around a large tractor tire, rotating to stations in sun and shade, as part of an outdoor Boot Camp workout put on by The Weight Room in Escalon. BOTTOM PHOTO: Women in a workout Boot Camp in Escalon get their exercise at different stations in an outdoor setting with areas of shade, allowing times out of the direct sun.
20 9 Health & Wel lne s s
ummertime generally brings on the motivation to get into shape to look better in a swimsuit, or even shorts. While exercising in the outdoors can help prevent workout boredom, high temperatures and sunlight need to be treated with respect so an outdoor workout doesn’t turn into a trip to the emergency room. “There are a lot of things you can and shouldn’t do,” said Joe Foster, trainer and co-owner of The Weight Room gym in Escalon. “Most people know common sense – to stay hydrated and wear proper clothing.” Foster, who conducts an outdoor Boot Camp workout and deals with rain or shine conditions, said that there’s a little more to it than just “staying hydrated” and wearing the “right” clothes when it comes to working out in hot weather. Now that the warm weather is here, he provided some specific tips for working out safely in the heat. “Most people usually like to wear dark clothes because they’re slimming, or they like to wear bright clothes, but those are usually tight,” Foster explained. He said that with clothing, it’s best to wear light colors and loose clothing, which will reflect the heat and be more breathable. “As far as hydration is concerned, heat stroke can be a huge issue,” Foster added, noting that people who are around age 50 and older are at greater risk. He said that some people drink water that’s too cold. Taking in ice cold water during a workout in the heat, he said, could send the body into shock. He said it’s more ideal for the water to be closer to room temperature. Another important point is that some people don’t drink water in the proper timing to stay appropriately hydrated. He said that most people don’t drink enough water before they work out. “One to two full glasses of water about an hour to an hour-and-a-half before a workout helps hydrate the body and prepare for the workout. It plays a huge role in hydration,” Foster said. He further noted that some people drink too much water during their workout. “It’s common for people to overdrink and cramp up,” he said.
DAWN M. HENLEY/209 Health & Wellness
Foster added that a person may feel like they want to drink a lot of water during a workout but it’s best to hydrate before and not to drink more than eight ounces (one cup) of water during a break every 15 minutes or so, advising more like four to six ounces every 15 minutes. He said that as a general guideline, a person shouldn’t take in more than 16 to 20 ounces of water over an hour during the course of a hot weather workout, but noted that each individual has different requirements. Then there is the question of sports drinks. “Personally, in my opinion, when it comes to sports drinks, they’re good after a workout when you want to refuel,” Foster said. “Too much sugar, especially during the heat, can have a negative effect. Plain water is best.” Some people also sunburn easily and don’t notice the redness while they’re working out because their mind is elsewhere. One hour in the sun can result in a bad sunburn, he said. He noted that vitamin D from the sun is good but it’s wise to put on some SPF 15 or greater sunscreen. Another option, but one usually better suited for workout veterans, is to wear long sleeves. “Another big thing for those new to heat workouts is to get acclimated to the weather before you go too hard on yourself,” he said, adding that his new clients are introduced to the outdoor workouts more gradually than clients who’ve been
doing them for a while already. “No matter where I’m working out, I try to have a shaded area near,” Foster said. He noted that if a person hasn’t been working out in the outdoor heat and just starts out in an area with no shade or water access around, it can be detrimental. For beginners, he suggested having a shaded place nearby to cool down and added that having a water fountain nearby is a good idea in case a person needs to refill their water bottle. Foster said people can get into trouble when they push themselves and are not prepared. He said if a person starts to feel dizzy during their outdoor workout, they need to rehydrate, find shade and cool down or rest. These potentially dangerous situations can be easily prevented with proper preparation.
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Doc’s Diet offers medical solutions
BY N ANC Y ANG EL
20 9 Health & Wel lne s s
t’s no secret — almost half of all Americans are currently struggling with their weight and not many know how to lose those extra pounds in an effective manner. Hundreds of fad diets, weight-loss programs and outright scams promise quick and easy weight loss, but usually result in failure and eventual weight gain. Permanent weight loss takes time and effort — and a lifelong commitment. Whether you need to lose 10 or 100 pounds, healthy weight can be achieved. Doc’s Diet, a weight loss and support clinic that currently operates in four locations across California, gives the necessary tools for a healthy and happier life. Founded in 1999, by internal medicine-
Maggie Gianesin is pictured here in April 2012 with her husband, Tom, and daughter, Ashley. Gianesin has struggled with her weight for a decade. Photo contributed
trained, osteopathic physician, Daryl J. Wilkins, “Doc” has been
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14 • Health & Wellness
helping people reach their weightloss goals. “It takes a lot of discipline and some guts to start a weight-loss transformation,” said Wilkins. “It’s about changing how you approach food and how you put in the work, because it’s not easy.” Doc’s Diet uses a combination approach of medical assistance from FDA-approved appetite suppressants and vitamin B12 injections and personal guidance to help people meet their weight loss goals. Patients also undergo a medical evaluation to tailor a weight-loss plan that is right for their health and lifestyle. “We take our patients to a general orientation that consists of a
physical examination so we can efficiently create a plan specifically tailored for them. There are lots of different schedules and demands on each of my patients and I try to find the best approach that will help them with their weight-loss,” said Wilkins. At Doc’s patients will typically lose 8 to 10 pounds a month and some have been able to lose up to 100 pounds in a year, depending on how well the patient sticks to the program. “Our medical practitioners evaluate and treat each patient on an individual basis,” said Wilkins. “You will lose weight by monitoring calories and combining it with exercise. At Doc’s we’ll help
t takes a lot of discipline and some guts to start a weight-loss transformation. It’s about changing how you approach food and how you put in the work, because it’s not easy.” — DR. DARYL J. WILKINS, DOC’S DIET FOUNDER
your body adjust to the reduced caloric intake by prescribing appetite suppression medication.” Turlock resident Maggie Gianesin has struggled with her weight for nearly a decade, until she reached out to Doc’s two months ago. “I never had to worry about my weight for most of my life until I went to the doctor for a respiratory infection,” said Gianesin. “The doctor prescribed me medication that made me gain about 40 pounds and since then I have struggled to get off the weight until I started my weight loss journey at Doc’s. My thought process and how I approach food has completely changed. I had no idea how many calories I was consuming in a day. I ate a lot and I had no idea.” In two months, Gianesin has successfully lost 12 pounds and continues to make healthier decisions with her food intake. “Your body is naturally designed to lose weight,” said Gianesin. “If you pay attention to how many calories you put in your body, your body will do its work and lose the weight. Through Doc’s I’ve learn how to take care of my body and how I could maintain the weight in the future.” Gianesin started Doc’s with an initial weight of 199 pounds and currently weighs
187. She will continue her journey until she reaches a healthy weight of 140. “It’s nice to look in the mirror now because you start to feel a little bit like yourself,” said Gianesin. “This approach has completely changed my life and I hope I can make it a lifestyle to live by.” Doc’s Diet locations: Linden 4950 Bonham Street Linden, CA 95236 (209) 887-3891 Pleasant Hill 140 Gregory Lane Suite 105 Pleasant Hill, CA 94523 (925) 363-9530 Sacramento 5660 Freeport Blvd. Suite 200 Sacramento, CA 95822 (916) 422-6671 Turlock 3140 Hotel Drive Turlock, CA 95382 (209) 384-7877
Since starting Doc’s Diet two months ago, Gianesin has lost 12 pounds and says she has a completely different outlook on food.
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Health & Wellness • 15
Cuts weight & controls his diabetes B y V INC E R E M B UL A T 209 H e a l t h & W e l l n e s s
A Personal trainer Reggie Arquines has his client, Ruby Garcia, pulling the tractor tire during a recent workout. VINCE REMBULAT/ 209 Helath & Wellness
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16 • Health & Wellness
bout three years ago, Reggie Arquines hit a low point in his life. Diabetes had controlled his life during those previous 10 years. This chronic disease, according to the World Health Organization, occurs when the pancreas fails to produce enough insulin or when the body can’t effectively use the insulin it produces. Hyperglycemia – that’s raised blood sugar – is a common effect of uncontrolled diabetes, which, over time, can lead to serious damage to many of the body’s system, in particular, the nerves and blood vessels. Arquines’ diabetes had reached the point where his body was dependent on a 24-hour insulin pump. “The worse of it was living with the pain, tingling and always having to poke a finger for blood – I wanted to die,” he said. Arquines, 38, opted to do something about it. With help from his wife, Beth – short for Elizabeth; they’ve been married for 10 years – he turned to a nearby health club, In-Shape /West Lane. Together, they signed on to have Jesse Serna serve as their personal trainer. “Jesse became my inspiration,” Arquines said. He and Beth also took to classes offered at In-Shape, including the group cycling as taught by the likes of Angela Leonardo and Michelle Stone. Arquines not only kept with his workout program but he changed his diet. He now eats six times a day, including three regular meals and three snacks of anything totaling 300 calories. “I used to eat all the bad stuff,” he said. The changes came along gradually – one step at a time – and Arquines soon saw his body go from a pudgy
265 pounds to 185 pounds in a span of 2 ½ years. More importantly, his body was no longer dependent on the insulin. He kept pump around as a reminder. In that span, he and Beth became proud parents of a daughter, Mikayla – Reggie also has an 18-year-old daughter, Chrystal, from a previous marriage – and Arquines, as an expression of his gratitude, turned to his gym family to serve as sponsors during his baby’s Baptism. “I couldn’t have got to this point without their support,” he said. Although an LVN, Arquines became certified to teach group cycling classes about 18 months ago. He took over the classes that were previously operated by his mentors and quickly developed a loyal following among the gym folks. At one point, he was doing about two classes daily almost every other day, but relinquished a few after shedding too much weight. “I was down to 175 but my body was feeling flimsy,” said Arquines, who is comfortable at 190 pounds. He also became personal trainer, with hopes of inspiring others living with physical ailments. Arquines oversees their workouts and talks about nutrition. “Nutrition and diet go hand in hand,” he said. His other workout tips include: • Do not get out of form. “Always make sure that your form is correct,” he added. • Do not over-train. • Do not over-cardio. Arquines is still amazed at how far he’s come along in the past three years. Now free of diabetes, he continues his own workout schedule while leading others to incorporate health and fitness to their lifestyle. Arquines is enjoying the best physical shape of his life.
he worse of it was living with the pain, tingling and always having to poke a finger for blood – I wanted to die.” — REGGIE ARQUINES, PERSONAL TRAINER
Fitness tips to get ready for summer fun
he sun is shining longer every day, telling you that it's time to get ready for vacations, activities with family and friends and of course, swimsuit season. To help you prepare, there are some simple fitness tips you can follow to look and feel good this summer season. Celebrity trainer and spokesman for the makers of Dr. Scholl's(R), Dolvett Quince, helps people to look and feel their best on a daily basis. "Summer is just a few short months away," Quince says. "Getting your body ready for summer requires full involvement of one's self. You need to be prepared mentally as much as you invest in yourself, physically. So, you need to be ready from your head to your toes - it's a full body commitment. Hard work aside, you'll be sure to enjoy the new you as you reach your goal." He has a few tips to help you tackle your workout routines and get your body ready for your summer wardrobe: • Stay hydrated. Drinking water helps
Being prepared for workouts in summer reaps benefits.
flush your system, and as a bonus, it keeps you from feeling bloated. • Swimwear, shorts and dresses show off the legs, so be sure to target that area. Do squats and lunges to help tone the thighs and glute area.
• Eat plenty of fiber. Remember you can get fiber from many different foods, including delicious summer fruits such as raspberries, blueberries and strawberries! • Wear the right footwear. You don't
want your workout routine halted by injuries or soreness in your feet or legs. Dr. Scholl's(R) Active Series(TM) Replacement Insoles offer targeted Triple Zone Protection - in the ball of the foot, the arch, and the heel - to help protect feet with every step. These insoles can help relieve and prevent pain for those suffering from shin splints, runner's knee and plantar fasciitis. • Add weights to your workout routine. They don't have to be heavy to help trim and tone your muscles. • Keep up the workout, even while on vacation. Add a little variety to the routine with yoga or a jog along the beach. Time your workouts in the morning so you can enjoy the rest of your day. • As always, be sure to exercise responsibly and consult with a fitness expert to ensure you use proper form. Summer and warmer weather will be here before you know it, so get started right away to show off your physical fitness and summer-ready body. Put Quince's fitness tips to use now to get your body toned and ready.
Health & Wellness • 17
Protecting your vision for driving
aby boomers, those born between 1946 and 1964, are aging differently than any generation in U.S. history. Today, older Americans remain more active later in life, working longer and engaging in hobbies and recreational activities. It is estimated that by 2030, nearly one in five adults will be 65 and older. In 2050, this group is projected to reach 88 million - more than double the 40 million in 2010. This will lead to a significant increase in older adults driving vehicles for both necessity and pleasure. Unfortunately vision, cognitive skills and motor functions decline as we age. As many as 5,288 people age 65 and older were killed and 187,000 were injured in traffic accidents, according to 2009 data from the National Highway Traffic Safety Administration. That group accounted for 16 percent of all traffic deaths and 8 percent of the injured, but accounted for only 13-percent of the population. As the 65 and over demographic increases to 20 percent of the population in 2030, the number of accidents and fatalities among this group is expected to increase. Most states have minimum vision requirements to possess a driver’s license. A 2006 Vision Council report indicates that the 10 states with the highest rate of fatal crashes include four that require no vision screening for license renewal and four that only require vision screenings at intervals of
eight or more years. The Vision Council also reported that only 20 states require more frequent vision screenings for older drivers. Importantly, there are proactive measures seniors can take to preserve and enhance their vision. Many clinical research studies have demonstrated that older drivers can improve their vision by eating foods rich in the nutrients zeaxanthin (zee-uh-zan-thin) and lutein or taking eye vitamins containing these nutrients. These nutrients create a protective film in the back of the eye known as, “macular pigment” to protect and improve vision. These nutrients have been scientifically proven to enhance driving vision and driver confidence. -Your eye care professional and the American Optometric Association website are excellent sources
of information regarding nutrition and eye health. Glare is a common complaint among older drivers, particularly at night. When a driver is “blinded” by an oncoming car’s lights, they are literally “driving blind” for a period of time until vision recovers.- Imagine driving at 60 mph with your eyes closed for five seconds. You would travel 440 feet during that five second period - the equivalent of one and a half football fields. Studies have demonstrated that recovery time from bright light-induced glare can be reduced by as much as five seconds by increasing macular pigment density through zeaxanthin and lutein supplementation. Dense or thick MPOD (Macular Pigment Optical Density) can reduce uncomfortable and dangerous glare caused by oncoming headlights, street
lights, and traffic lights; enhance contrast sensitivity to help drivers see pedestrians, vehicles, and other objects; and help diminish discomfort or sensitivity to bright sunlight. While lutein is commonly available in the average diet from dark green leafy vegetables like spinach and broccoli, dietary zeaxanthin is scarce in the average U.S. daily diet. Corn, orange peppers, brightly colored fruits and vegetables, and eggs contain low quantities of zeaxanthin, which means one would have to eat approximately 20 ears of corn to obtain the daily recommended amount of dietary zeaxanthin associated with healthy macular pigment. Eye vitamins like EyePromise are doctor recommended, proven and guaranteed to increase macular pigment. The dietary zeaxanthin contained in EyePromise eye vitamin formulas is derived from unique orange paprika peppers, a natural botanical source rich in this important nutrient. Many Optometrists and Ophthalmologists offer MPOD (Macular Pigment Optical Density) measurement through a simple, fast, and inexpensive exam. Contact your eye care professional about having your macular pigment measured, and increasing your MPOD if needed. Driving safety is important at any age, but as our population ages at an unprecedented pace, proactively taking care of your vision is vital to safety and independence.
Free birth control gives women more choice
hanks to the Affordable Care Act (ACA) also known as “Obama Care,” an estimated 47 million women are gaining access to all FDA-approved methods of birth control free of charge. This new law provides access to birth control methods that may have been too expensive for many women with private health insurance plans before the ACA provisions took effect last year. The result is that these women will now have more options to choose from as they decide what method works best
18 • Health & Wellness
for them. Awareness of the new birth control coverage is low, according to a recent survey by Phoenix Marketing International. The survey found that more than half of women aged 18 to 45 were unaware that birth control will be covered at no cost under the ACA for those with private insurance. Yet of those women who were aware, nearly one quarter said they were not sure what birth control methods will be included under the ACA. Further, only one in 10 women surveyed said she
had requested information from her doctor or health insurance company regarding what’s covered, such as a list of birth control options. Cost can impact a woman’s birth control choice. As more private insurance plans adopt the new ACA provisions, OB/GYN physicians across the country are helping patients find out whether their particular plans now provide free birth control. For instance, Dr. Gerard Reilly, at Seven Hills Women’s Health Centers in Cincinnati, offers a range of
birth control methods to his patients. But some options have been out of reach financially for patients with high-deductible insurance plans. As an example, Dr. Reilly offers the Essure(R) procedure for women whose families are complete and are seeking a highly effective permanent birth control solution. Essure is a minimally invasive procedure that can be performed in a physician’s office. However, some patients have been hesitant to get the procedure due to high out-of-pocket costs.
What parents need to know about concussions
arents of young athletes know that along with the many benefits of participating in sports, there comes a certain amount of injury risk. And while most would agree that the benefits of being active and involved in athletics outweigh those risks, it’s important to make sure your child gets proper treatment if an injury occurs. As more evidence surfaces about long-term health challenges related to concussions, it’s especially crucial that parents bring themselves up to speed on the proper procedures for caring for an athlete who experiences a concussion. The most important thing parents need to know about concussions is that if an athlete exhibits any signs or experiences any symptoms of a concussion, he or she should be immediately removed from play. While this recommendation is nothing new, the American Academy of Neurology (AAN) is again emphasizing its importance with the release of its updated 2013 sports concussion evidence-based guidelines.
More attention is being paid to sports concussions.
“Among the most important recommendations the academy is making is that any athlete suspected of experiencing a concussion should immediately be removed from play,” says Christopher C. Giza, MD, co-author of the AAN
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Golf is a good way to stay healthy & have fun
THE WALL SHADOWCHASE RUNNINGHITTING CLUB Climbing in Yosemite
Members hit the road running for fun, health, & friendship
for fitness & recreation
Wall’ tle BigD e’s ‘Lit By VIRGINIA STILL
209 Health & Wellness
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The club Then it and “This threeBarrett. 209 Health E BORBA run recently in t I steppe aboutsaid was more & Wellne up to do the instan only on ite only also hosts a number of events, handling Barrett theValley board of direcmay be fell been ss Modesto. Memr, I has there’s to passed up blew out ourtors Yosem 10 ancho NSON But ecently, forabove approximately years. depending tried everything from pre-event publicity to in bers of the club JOHA er, The pound. togeth there has into ess feet on how annual physica tied heart MATT speculat f 500 ShadowChase Running Club is based registration, to keeping times for runners BY are a combinah & Welln ion about been a lot of hides the problem well the individu ls ngton make myI pulled myselpitch again. swinging in theto determine the various winners and h toModesto, tance of the impornon-profit organiza209 Healt “We always . al tion of adults, the ite’s Washiup the ng but our ve, so is a up than enoug impro patients physical exams hope started running totion on Yosem halfway rd climbi that promotes and fitness, of placements. teens, and fami-tently who for are being truthful that our patients k and s sixth tforwa every bit to lead one way and about ran Barrett expressed that participating setbac climb’ straigh y turn was founded in 1978. Barrett said lies. BOTTOM asking healthy. Many remain consis- in for physica the it’s d when they taking y up, I nearly rs n arrived face. The because forget crack offere ls,” said come t Colum PHOTO: These tinue the same questionadults end up “Honestly, name cameone, fromdthe suggestion of in a club like this will help improve halfwa of stoppe a long The thewas Dr. Magoon foot rock le choiceed my modes I Arounthat were r supply 1,100ShadowChase thoughto pay for a routine : Should I con- history or talking about your overall health. He stated that you a group of people running so, a suitab stretch full pitch rope to finish.sent up anothe rope. Even r. any problem their social. I feel fine? checkup s pitch wasa route that runners hit the ancho do not have to start out running. 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Repea lead pitch at the end, , “Your year stand out a metal Next I attach higher me to the to protec bagdofull the runs together. Many of the club at Eastmy Lasingle Loma Park Modesto. body sumption, and smoking, alcohol like are importa after year and could me. llyindry just run climb Photos courtesy and our haul members, males and females, have before slings) so I painfu take sexual conencoura and s, physica nt up bring was The marathon on March 24 consisted to things gear e would health. ge look for ls novice and of ShadowChase that tic throat d to pull der-lik place more times They occur in about any their patients myself dramaweight loss and energy gain as of aMy full ed, marathon I hurrieof 26.2 miles, halfless seen Running Club dozen hours. every age different to anchor were above, ed which ments that over-the-count tell them followofwater. a terrific s a few group.” I would fringe benefits from participation in instant marathon and a 5K, Steve d 13.1 miles, er Who are being that follow it, we gotenough to this proces point where way. Theupon my counter used, whichsuppleclub. After running their first marapitches atthe is 3.1neede miles. thesumm event were Among the local runs overseen by The club also gives back to theChildre com- should get a physica r muchor t close the fourActivities quite that next belay r. n are not could prescrib dangerously affect to Dinne l? with a The last to include Barrett added, many members ShadowChase are the annual Oakdale munity by providing donationsneed ing. From partne scheduled a Race looked Expo with to area work out placed my weigh ed medicat the only us us backthon, on to see currently up my , which didn’t the crack and ions. still reward sign up for other marathons. ling took by g down to ensure 2 sponsored vendors, ExpoDome Dinner Chocolate Festival Run in May, River- middle and high school running pro- a doctor on an ones who 3 yet But things the atriers ripped out of One of Half beatin But thankproper growth. annual basis of rappel the kept sponit d into uce the “Gettingbystarted takes a lot of motiva- bank’s Run for the Cheese during the grams. also encoura Fuzio Universal Bistro, a kid zone view of hours sure. Dr. most commo What I steppe placement, flying. Dr. Magoon A few way, the heat of our water.tion me introd Steve ges adults behind It is importa to Expect n Anand BROOKE me sored CrossPoint Church, touch.byOn For more information visitmary the webthe track korotko Magoo findings in an BORBA/2 to visit jug left on their part,” he explained. “It’s a October Cheese and Wine Exposition care first let ition was the last entertaine first gear and sent . nt to note 09 Health annual to monitor physician regularl their pri- experience differs a gallon great fellowship.” Ledge ff sounds n utilizes a sphygm ment on thefinally main drank stage,there and race photos. r night. and Escalon’s Park Fete Run in July. site, shadowchase.org. later, butof our exped r, a longtim a & Wellness physica that each loud “pop” . r the stars, y in order ual doctors basic bodily on that based on progres omanometer l is high blood st, I’m can be neglecte until we discovered h to last us anothe More senior partne climbing pionee Steve and g under function individ- said. sively worse scaland stethos pres. In contra ite evenin a few beers the s that However, most each patient’ The fully, we rs, enoug All adults d over time. “I always over enjoys team. s needs. cope to second a Yosem and a friend physica weight, tell people time,” he under skill who physical other climbespent a hot dinner and good about blood pressure ls begin hand in your ‘you have Schneider, rescue guru moderate every one 30 should get a respiratory there felt pretty So we and r of Magoon own , heart rate with a to keep to two a wall the view, d along. I system checks. search . Young climbe permits. Yosemite climb Capiand yourself health. It is up to on it. even big enjoying the doctor’s women years, said will then listen healthy.’” The you recreational when time about every routes on El mne had led to check in; world these tfully packe I should doctor to office every pitch though visit irregular heartbe the heart, looking years if in Tuolumany ing granite and his d to the his wife done just sexually and the “big wall” tethere climb Steve called Florine pap smear active, andone to two other signals of ats, heart murmur for uted on done get Steve has well-known dozens of others nically friend Hans contrib record heart disease. s, or doctor will lf. I’ve the receive Then to d to Photo electro at 21 years to screen for cervical g a about is, from Half Dome usually s wante Then the rs are that our broken the speed shed himse sted lookin take breathe of out rs alway age. ask cancer climbe sugge When adults deeply while the patient found s and son risks tan and that he establi ld had Most climbe El Capitan. lungs; again classic So when Steve Column, ite’s Wash to ws Johan reach days. WeAlex Honno on listenin age, they easier Meado ngton er Matt in an attempt g to the on Yosem same day. foot route two hours and should see 30 to 40 years shorter, wall climbing. of Washi wall,” I was partner l climb year. Mammo pitch on that of irregularities. 2,900a physicia of the kable to detect Face “little big ationa clearing a of big Head and n every grams are The Nose to climb the in an unthin Recre a mended t faster a taste up on the South s it for neck exams also recom- importa days though he called heat by down while n. Steve which five and Alex did nt Once an women 40 and d 31 pitche we team ediate route him. are also n Colum summer from that over. ears, nose to check the adult the day, spell any- ingto of the 50, they had climbe a laugh conwith left in the next pitch of the Hans an interm and sinuses tonsils, eyes, . So should alsoreaches the age Phone: Phone: Phone: (209) (209) 634-8911 (209) 634-8911 634-8911 Toll-Free: | Toll-Free: | Toll-Free: (800) (800) 400-0930 (800) 400-0930 400-0930 | Fax: || Fax: |(209) Fax: (209) 634-8848 (209) 634-8848 634-8848 , they digit hot Phone: (209)|634-8911 | Toll-Free: (800) 400-0930 Fax: (209) 634-8848 minutes. We got The absurd rope up avoid the brunt l hours on colonos ainfor problem of Some annual physica expect to t a triple- water supplyhnee severa glad to the crux ted the 23 In other wordsto lead one! start to him. copies mount with caugh for head Kor Roof, undergo s. tulate to screen s be a comple ls may also me heavy CACA Lic CALic #:Lic CA #: Lic0G81319 #: 0G81319 Ahwa But #:0G81319 0G81319 132132 S. 132 Center S. 132 Center S. Center St., St., Turlock, St., Turlock, CA 95380 CACACA 95380 95380 test cer. S. Center St., Turlock, Turlock, 95380 We tried June, but get a congra will alway lly naviga te belay than it took for colon en the 14938_1 able g gear, large and ng in who would Hans to can- sis depending blood count or check formid the next there he skillfu If other climbi required a trips each betwe n, haulin s of we should on the doctor. urinalyed the d him as an anchor at with climbing and called ded me that t for those ite. Check-u rs, as obesity, factors come into the colum five gallon For over includ30 vemen way thatto make two ally offered ps for Yosema the built belaye Oak Valley Care quality care that makes difference in the lives of its residents. outdoo rope Center has I years like diabetes impro Spring base of & Wellness trast remin and annuals 2013 , and otherplay, such likely include a men will also slope and ding the it looked, especi per-• Health we had lot and the food and about r places sports, the climb. room for apers should testicula exam, or g diseases party of s overhanging turn. Ascenharder than ed with somedusk, sized elves in outdoo writes about rnia newsp My Life: be regardle r exam, most days. parkin a prostate g bags, , certified sand Close to physicians’ offices ss of age. made every d hernia . My waslicensed sleepin us for three a.m. as the firstthree pitche Federally exam, thems Johanson s for Califo “Game of Tales of Aroun year will experience station jumar out, but I manag rope, Steve. at one of theof Health sustain a breast while women — Matt andpolitic to check ng at 10 up the first posed granite Epics: Accredited thejuts Joint Commission Palliative careeavailable includ tools calledby More or pelvic ing from on Accreditation climbi water to for differen hly roof tion books exam “Yosemite ound.” om. task and where the timely coach ledge for dinner t cancers TM We startedg fairly smootthat made sun-ex ” andand Medicare Physicals Be Truthful ast educa st Playgrcertified en our to haul Care ” ines. His Medi-Cal Organizations andour received the “Gold Seal of Approval . nson.c e and can range ity examination sistenc ed back to anywhere. ate a quick breakf - magazFrancisco Giants ca’s Greate attjoha sive heat nce betwe day, movin Commo from a thoroug ascendof short, Ameri oppres differe was the necess ataswww.m rappelwith Oak n results s,We we partner Valley Hospital a system Recognized a provider by most private insurances Dr. Magoon was ng spots 100 pound are occasio to a brief checkup day, we to form us San ture from despite touch. One h before be found at least like the greatest campi the next Step one the previo stated that nally fitted Adven 2013 , and most commo distress hard to climbs I’d doneing together most of that g can Cared for by your physician acute care at dawn summit push. t point of the to I could of his writing n the keepinlong &Rising r d Springor request a physician referral their current patient may handle any physicals are results found todaythree highes pumping and our simple bags weighSteve handlekeeping up and Immediate to our including day. Step services Medical Directors are part of the care team in day-to-day services have about high blood obesity access torope hospital, 24-hour emergency by But are afraid condition. Many r and started two large d on my blood r scorching pressure , diabetes and it water. focuse of hearing ut got led Dinne . ing our fixed patients “A lot . anothe or half of is while I worko for so-cal refuse of the bad in he This at the ite ValleyForday. news, for granted. people take their lems they’veto tell their we were expert further call us today at (209) 847-3011 or visit our website at www.oakvalleycares.org tell information again we arrived of Yosem health ed. been experiedoctor prob- you may It doesn’t matter already hydrat 350 feet up, the east end way up and ncing, which healthy be. People assume what age es on the About overse Dr. Davi , but they Spring which overnight here common may have they are d Ledge, 2013 d to conditio relatively Deborah G. Eller tson, Med ns that We planne down. will become Babb, By JAMES BURNS way ical Se on our
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continued on Page 20
New Practice or Building Your Practice? Trying to Attract New Customers?
Immediate access to hospital, including 24-hour emergency services long & acute care We partner with Oak Valley Hospital to form a system of short, Care Organizations and received the “Gold Seal of ApprovalTM” Accredited by the Joint Commis ion on Accreditation of Health Federal y certified and licensed
guidelines. “We’ve moved away from the concussion grading systems we first established in 1997 and are now recommending concussion and return to play be assessed in each athlete individually. There is no set timeline for safe return
to play.” For parents unfamiliar with concussion signs and symptoms, they include: • Headache and sensitivity to light or sound • Changes to balance, coordination and reaction time • Changes in memory, judgment, speech and sleep • Loss of consciousness or a “blackout” (happens in less than 10 percent of cases) Removal from play is just the first step in properly treating a concussion. After a player who is exhibiting concussion signs or having concussion symptoms is removed, it’s equally important that the player be examined by a licensed health care professional trained in diagnosing and managing concussions. “Being seen by a trained professional is extremely important after a concussion,” says Jeffrey S. Kutcher, MD, co-author of the AAN guidelines. “If headaches or other symptoms return
-ups key to preve
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After tipping scales at 193 pounds she decides to get control of her life back 209 Health & Wellness
rooke Jansen took a glimpse in the mirror, staring through the tears and past all the hurt at a person she no longer recognized. The 25-year-old turned upside down had her world during a fourmonth stretch in 2011. Jansen lost both parents to heart father William, a formerattacks – her Alaskan fisherman, in March, and her mother Lela in July. “Those are your parents,” she said as emotion shook her voice. “You never really get over it. “My mother was My father lived acrossmy best friend. the country and I saw him maybe twice a year, but we were close.” Photo contributed Brooke Jansen, 25, Jansen found comfort shown board and refrigerator, in the cup- forming a core-strengthenihere perng workand before out, was motivated long the once tiny to get fit after become a candidate cheerleader had both her parents died of a heart attack for within four months She weighed nearly heart disease. of each other. 200 pounds and couldn’t play with her toddler son without feeling measured by tape, gassed. fit and She was uncomfortable in Jansen has lost four feel. her own skin and inches off her startled by her own waist, one inch reflection. on her arms, two “I looked in the mirror and real- inches in the thighs, and she feels ized I was 193 pounds,” unstoppable. she said. “I told myself, ‘That’s She doesn’t own not something about this.’ OK. Let’s do care to speculate a scale and doesn’t on “It was a rude awakening. because the scale her weight loss, no longer defines Both of my parents died of heart attacks. My her transformation. son is a little guy “My trainer doesn’t now, but I don’t want me weighwant him to have to bury me when ing myself. He doesn’t want me to he’s in his 20s. get If everything keeps obsessed with my numbers,” Jansen going like this, I’m going to die of a said. “He wants me to be feeding heart attack too.” my body right and working out. My Today, her heart main focus has been to lose fat and concern. It’s become is no longer a build muscle. It catalyst in change. her strength; her you weigh. You doesn’t matter what could be losing fat The 5-foot-3 Jansen but gaining muscle and not lose any pounds and 5 percent had lost 30 weight.” last official weigh-in body fat at her Jansen is committed with Custom to the process, Built trainer Cruz Quiroga at In Shape hooked by the challenge and results. Sport near Highway She works out at 99 In Shape four That was eight weeks in Manteca. to five times a week and keeps ago. a Since then, her strides high-protein diet. Quiroga, a have been Marine, has been her crutch, former her edu-
Brooke Jansen, 25, Photo contributed has lost more than cal transformation 30 pounds since in June. beginning her physi-
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Health & Wellness • 19
A gift of a second chance at life
hile organ transplantation is a remarkable story in the history of medicine, the need for organs is vastly greater than the number available for trans-
plantation. Any way you figure it, the math doesn’t add up to a promising picture. In 2012, there were more than 115,000 people in the U.S. awaiting an organ transplant - enough to overflow the country’s largest football stadium. Each year, more than 28,000 Americans receive a donated organ, but sadly, more than 6,500 people die each year waiting for an organ. While many are on the waiting list for years, their number increases at the rate of more than 50,000 people a year, nearly one new person every 10 minutes. Day after day the list and the problem grow. It is, however, a problem with a solution - one that depends a lot on education and selflessness. Professional snowboarder Chris Klug knows firsthand what the waiting game is like. After being diagnosed with PSC (Primary Sclerosing Cholangitis), a rare degenerative bile duct condition, Klug learned that he needed a liver transplant. He spent several years on the waiting list, eagerly anticipating the call that a donor organ had become available. After a successful surgery and aggressive rehabilitation regimen, Klug won the bronze medal in snowboarding in front of the home crowd in Salt Lake City - just a year and a half after his transplant. “I’m so blessed to be here today,” Klug says. “I will forever be grateful for my second chance. Every day I thank God and I thank my donor and his family for the decision to donate.” A new survey released by Astellas Pharma US, Inc. shows that while 60 percent of people are familiar with their state’s organ donor registry and 57 percent would be willing to donate their organs CONCUSSION
continued from Page 19
with the start of exercise, stop the activity and consult a doctor.” If your athlete is diagnosed with a concussion, it’s extremely important to follow the recommendations of the health care professional, and the athlete should not be permitted to resume any sports-related activities until he or she is cleared by a licensed health care professional to do so. Parents, coaches and officials should all work together to see that the health care professional’s recommendations are followed, ensuring the best possible short- and long-term outcome for the athlete. Parents, coaches and officials should familiarize themselves with concussion
20 • Health & Wellness
You can help other people live through donor donations.
after they pass away, only 43 percent are actually registered as organ donors and 48 percent don’t know how to register. “We are very encouraged by the number of Americans who view organ donation positively and are willing to donate,” says David Fleming, president and CEO of Donate Life America. “However, knowing the large number of people awaiting a transplant, we are committed to continuing to educate all Ameri-
protocols before they ever get to the field or court, but the AAN also offers a smartphone app should you need to review them. The Concussion Quick Check app can be downloaded free of charge and provides a handy guide to making sure your athlete gets the proper care. In addition to emphasizing proper care for athletes exhibiting concussion symptoms, the new AAN guidelines include the following concussionrelated findings: • Among the sports in the studies evaluated, risk of concussion is greatest in football and rugby, followed by hockey and soccer. The risk of concussion for young women and girls is greatest in soccer and basketball. • An athlete who has a history of
cans on the importance of registering in their state, and ensuring they know.” Registering to become a donor is a simple process that can be completed online or through many local departments of motor vehicles. Transplantation gives hope to thousands of people with organ failure and provides many others with active and renewed lives. Register today to become an organ donor at donatelife.net/register-now.
one or more concussions is at greater risk for being diagnosed with another concussion.• The first 10 days after a concussion appears to be the period of greatest risk for being diagnosed with another concussion. • There is no clear evidence that one type of football helmet can better protect against concussion over another kind of helmet. Helmets should fit properly and be well maintained. • Licensed health professionals trained in diagnosing and managing concussion should look for ongoing symptoms (especially headache and fogginess), history of concussions, and younger age in the athlete. Each of these factors has been linked to a longer
recovery after a concussion. • Risk factors linked to chronic neurobehavioral impairment in professional athletes include prior concussion, longer exposure to the sport and having the ApoE4 gene. • Concussion is a clinical diagnosis. Symptom checklists, the Standardized Assessment of Concussion (SAC), neuropsychological testing (paper-and-pencil and computerized) and the Balance Error Scoring System may be helpful tools in diagnosing and managing concussions but should not be used alone for making a diagnosis. To view the entire AAN concussion report and find more concussion resources, visit www.aan.com/concussion.
They hit the mall before stores open By JEFF BENZ IG ER 20 9 Health & Wel lne s s
ant to walk in a place that has plenty of security, is shielded against the heat of the summer or the cold of the winter, and is restroom accessible? Well, put on your walking shoes and head out to the Vintage Faire Mall in Modesto before all the stores open. The sprawling mall opens its doors as early as 6 a.m. seven days a week for walkers but Janice Curtin, Vintage Faire’s marketing manager said “walkers are here at all hours though.” Anyone is welcome to stroll the interior courtyard at their own pace but the mall has a Club FIT incentives program in which an estimated 850 walkers are enrolled. “If they walk once around the lower level, including all alcoves, it is a half-mile,” said Curtin. “The best part is that the mall offers a temperaturecontrolled, safe place to walk in all kinds of weather, extreme heat and cold, foggy days.” The mall itself encourages walking as a win-win situation for mall shops and walkers. Most walkers choose to walk the mall before customers arrive at 10 a.m. weekdays and 11 a.m. Saturdays. Mall walkers tend to be in the senior set – although “stroller moms” also show up – and tend to be highly responsible and require little supervision. The mall realizes it’s good public relations since prospective customers are exposed to the view of shop names and views of products on display. Many walkers hang out and buy food at the food court. Walkers also have a chance to meet others who are out trying to get healthy exercise as well. “There’s a pretty good sized group that walks and then they all congregate at the Cinnabon afterwards and have
Mall walkers like the controlled environment.
coffee and talk,” said Curtin. “There was a group of about 30 that all met out here walking and went on a cruise together. It’s a very inclusive group. There’s almost like a welcoming team that when they see somebody they get to know them and invite them to hang out with them. There’s been some real lifelong friendships and camaraderie that’s really formed in addition to all the healthy benefits of walking.” Open and free to the public, Club F.I.T is Vintage Faire’s walking program. Club FIT members are welcome to walk inside the Vintage Faire Mall starting at 6 a.m. every day. For security reasons, members must enter through Door #30 (located near J.C. Penney where it says “Security”) and sign in. A membership can be started by stopping by the Guest Services Center at Vintage Faire Mall located on the lower level next to Center Court. Fill out the registration form and you will be issued your membership card with mall. Members will be added to the
he best part is that the mall offers a temperature-controlled, safe place to walk in all kinds of weather, extreme heat and cold, foggy days.” — JANICE CURTIN, VINTAGE FAIRE’S MARKETING MANAGER
mailing list and kept you up-to-date on quarterly healthy breakfasts furnished by The Courtyard by Marriott, which is a Club F.I.T. sponsor along with Cen-
tral Valley Med Group and Healthy Aging Association. The breakfasts are held in the mall courtyard and include a presentation by a wellness expert as well as a presentation to the “Mall Walker of the Quarter.” Members who keep track of their mileage on Club FIT mileage cards submitted to Guest Services are eligible for “walking rewards” once they log in 50, 100, 250 and 500 miles within a year’s time. Rewards may include towels, T-shirts, water bottles, and other items. The concept of mall walking did not originate in Modesto but has caught on in the area. “I think the mall is really a gathering place for everybody in the community,” said Curtin, “and that’s a positive thing. Not only are we an economic engine but we can be the social heart of the community.” Because all the mall’s floors are cement hard, walkers are advised to get a good pair of shoes with plenty of bounce to absorb the shock on the feet.
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Physical therapists move to improve B Y BRO O K E BOR BA 2 0 9 Heath & Wel lne s s
efore Bobby Ismail became the CEO of Golden Bear Physical Therapy Centers, he was a patient with a devastating injury that crippled his health and self-esteem. In 1985, the Downey High School football player received an injury that forced him to reevaluate his goals as an athlete. The staff at Golden Bear not only helped Ismail back on his feet, but renewed his direction in life. Ismail grew close to the staff, and found that fostering relationships became a key facet in treating patients. What began as an accident turned into a life-long passion that has influenced thousands of patients throughout the Central Valley. To this day, Ismail swears that the greatest component of a physical therapist’s job is empathy. “We are just like a coach,” said Ismail. “You need trust and guidance to foster a relationship with your patient. Our physical therapists at Golden Bear embrace compassion and sincerity, which makes this process more effective for the patient.” Physical therapists are more likely to have suffered an injury than any other certified health physician in the medical field. Because of this, physical therapists have a high regard for their clients, and
act as a mentor and guide through the process. “Almost everyone that works in our facilities has had work done through therapy,” said Ismail. “They understand what it takes during that first assessment when you meet your patient. The patient can be doing well in a facility that fosters that attitude.” What exactly do physical therapists do? Physical therapists are health professionals who specialize in evaluating and treating various diagnoses that limit physical functions. They use specially designed exercises to restore or improve a patient’s physical functions and abilities. A physical therapist evaluates many different components of movement, including: posture, balance, coordination, mobility, strength, flexibility and range of motion. “Our main objective is for our patients to achieve freedom from pain, and improve their independent living standards,” said Ismail. Most PTs work in an out-patient facility, where patients are able to leave and return home after completing a session of treatment. Although some patients have caregivers, most are able to live at home without additional support, but visit the facility for four to five months on average.
Golden Bear Physical Therapy in Modesto uses specially designed exercises to help patients improve or regain their physical functions. BROOKE BORBA / 209 Health & Wellness
Who needs physical therapists? Almost anyone can be a candidate for physical therapy. Unlike other health or wellness centers, PTs are capable of handling conditions varying from a simple sprain to a complex neurological disorder. Day to day activities such as lifting a shoulder to brush your teeth, stepping into the shower, or climbing into the car can become a hassle for anyone with an injury. PTs not only heal injuries, but also address how to prevent additional disabilities. They provide services for people suffering from neck pain, low-back pain, arthritis, bladder incontinence, chronic fatigue,
cancer recovery, weight-loss, upper-body and lower-body problems, neurological disorders, strains, and orthopedic-related injuries. Golden Bear Physical Therapy Centers in the Central Valley treat over 800 patients weekly. Their services include aquatic therapy, sports therapy, and postrehabilitation. “Our main premise is to get people back to where they want to be,” said Brandon Nan, Doctor of Physical Therapy and Golden Bear associate. “We do not only cater to people who are here for sports injuries. We also help people who need assistance with their daily activities. It’s all the little things that we normally take for granted.”
The connection between infertility & diet B y Dr . DARY L W LKINS
ast week I cried as I listened to a patient. In the past 20 years as a doctor, me crying in the exam room has only happened a few times before. This person’s grief and frustration crumbled my well-constructed walls of medicalprofessional-emotional boundaries and laid my soul open to her anguish. She wanted to have a baby and couldn’t. She and her husband had seen many doctors and had done a lot of tests. Estrogen levels were too high, hormones were imbalanced. She was
22 • Health & Wellness
told she needed to lose weight and had tried all ‘the usual’ diets and weight loss gimmicks. Her tears were showing me just how much she wanted to be a mother, to become pregnant, to raise a child, to have that miraculous bond between husband and wife that would be the product of their love, hopes and dreams. So we talked. Over the next 15 minutes I explained to her how amazing the design of her body is. (Just so there is no confusion, I believe in God who created us for His purpose and plan.) I told her that within the design of a woman’s body is the mechanism that if you are too fat or too thin,
periods become messed up or stop. This makes getting pregnant difficult or impossible. It is a good plan and allows women with a healthy amount of body fat to conceive easier and gives the baby an optimum environment to develop well. As I shared with her the simple story of calories and fat, helping her visualize the changes she can make with some practical ideas in her everyday life, I watched her go from dismay and frustration to hope and power. I know I did my job well when I got goose bumps and I had them all over at that moment. She got it. Accomplishing that is the best part of my job. Helping
someone go from ‘lost to found’ by showing them what they have already inside of them is like scoring a touchdown. She will never forget the lessons she learned that day and I will never forget the impact she had on me. At Doc’s Diet we care. We know that losing weight helps a lot of people accomplish a lot of things. From helping or curing diabetes, high blood pressure, high cholesterol, sleep apnea, gastric reflux, joint and back pain, infertility, PCOS, and low metabolism issues…. learning how to use food as a tool properly and healthfully is what we do! We can help! Take care! Doc
Garden-grown herbs good for your health
erbs are one of the easiest things to grow and the simplest and healthiest way to flavor dishes, but they are very expensive when purchased in the store! You can grow herbs in your own yard for better eating that is so much cheaper! Choosing your herbs Which herbs do you use the most? How do you like to use them? All herbs have their best seasons to harvest but some can be harvested many months of the year. I dry most of my herbs so I have them handy when I need them but I only prefer rosemary fresh which is perfect since it is an evergreen plant, there are always leaves to cut! Growing herbs You will want to select the best growing location for the herbs that are easily accessible from your kitchen so
that you are more likely to use them. If you don’t have an area like that herbs grow very well in containers! All herbs will do well in a partially shady location, with the exception of rosemary and sage, these prefer as much sun as possible. When planting herbs in containers, be sure to start with a good potting soil (I use Gardner & Bloome Blue Ribbon Blend) as well as a good fertilizer like Gardner & Bloome Tomato, Vegetable & Herb fertilizer (I use this one too!). In the ground I use Gardner & Bloome Harvest Supreme mixed into the soil with the fertilizer mentioned above as well. Soil preparation is really important to plants and especially so when you want them to produce something for you! Cooking with Herbs Be creative with herbs, you can’t really go wrong. My favorite herb to
grow, cook and preserve is oregano. Pick some of your favorites and try using them. I like to chop fresh oregano leaves, add to cubed potatoes tossed with some olive oil and butter, place in a foil packet and grill until a fork pierces the potatoes easily. Yum! Preserving Herbs Any herb can be used fresh or dried. Cilantro is much stronger fresh (so I freeze it) however thyme, marjoram and oregano have a flavor stronger when dried. To dry herbs, cut them before they flower, wash and spin dry,
VanderHelm Farms is a family run blueberry farm just east of Modesto. We grow seven types of blueberries, Snowchaser, Springhigh, Star, San Joaquin, Abundance, Misty and Legacy.
place in a dehydrator or hang upside down until the leaves and stems are crisp and brittle. Strip leaves off stems, discard stems (or toss in compost pile!) and crush as fine as you can. Store in an airtight container in a dark, cool place for at least a year! To learn more about growing, using and preserving herbs and basic preserving, check out the upcoming seminars in June. Sign up online at www. greenerynsy.com, click on calendar and reserve your seat now. And for more gardening tips, sign up for The Greenery’s newsletter.
Farm Fresh Blueberries You Pick for Family Fun We Pick for your Convenience
Research shows that there are many Health Benefits of Blueberries: -Blueberries are the highest antioxidant capacity of all fresh fruit -Blueberries aid in Reducing Belly Fat Come visit our family run farm, pick delicious -Blueberries are Cancer Fighters -Blueberries keep your Eyes Healthy blueberries, and enjoy the country. -Blueberries are Brain Booster -Blueberries are Heart Healthy
Hours: Thursday-Saturday 8am-5pm 1678 Albers Rd. • Modesto, CA
VanderHelmFarms@att.net Spring-Summer 2013
Health & Wellness • 23
Take a holistic approach to skin care
any women cite a number of external factors that can trigger sensitive skin flare-ups, including harsh ingredients, weather and makeup. What they may not know is that lifestyle choices can also influence the health and appearance of their skin. Different lifestyle factors, including diet, fitness and stress management can affect skincare in addition to the facial skincare products used. -Simple, a line of facial skincare products that is perfect even for sensitive skin, recognizes this, and therefore, takes a holistic approach to skincare by focusing on the link between all of the factors that impact skin. Simple is launching The Simple Advisory Board, a panel of leading industry experts who offer advice for a complete approach to skincare. Board members are sharing tips to help achieve natural, healthy-looking skin all year long through a balanced, holistic lifestyle approach. • Dr. Debra Luftman is a Board Certified Dermatologist who believes that healthy skin can have a positive impact on overall health. She also firmly believes skincare does not need to be complicated to be effective. Top tip: Sooth tired eyes with a cool home remedy Sometimes when eyes are feeling tired or irritated, the wakeup call they need might be found in the refrigerator! Chill spoons in the refrigerator and place them over your eyes for an instant soothing sensation and an immediate, chilly jolt back to life. Dr. Luftman says, “your eyes will feel cool and look refreshed, the blood vessels around your eyes will shrink and eye circles will appear to vanish!” • Trainer-to-the-stars, Kacy Duke whose client list reads like a red carpet who’s who - is one of the most soughtafter personal trainers and fitness consultants in the world, in addition to being one of the founders of Equinox Fitness Clubs. Top tip: Get moving and get skin fit Exercise can be hard to fit into busy schedules and often takes a back seat to
24 • Health & Wellness
You can have better skin through holistic care.
other priorities. On the days when you cannot make it to the gym, find alternate ways to squeeze in some movement so your daily routine can help you pick up the slack. Take the stairs over the escalator, get off the bus a few stops early or jump around the living room to your favorite song. By finding ways to move - even on non-gym days - you promote better blood flow and circulation, which show in the health and beauty of your skin. • Gita Bass is no stranger to the stars. She’s credited with creating amazing looks for many celebrities on and off camera and is the talent behind numerous editorial photo shoots and advertising campaigns. Top tip: Take it all off (makeup that is) before hitting the sheets One of my top tips for a great makeup look is to start with the proper base: prepping your skin. If your skin is smooth and even, then your makeup is halfway done, which makes getting ready for a night out much easier. Just because you look amazing for a special date or dinner with friends doesn’t mean that you can forget about your skin once you get home (even if it’s past your bedtime). The best way to ensure your
skin achieves a natural, healthy glow is by getting into the routine of cleansing before bedtime. Overnight, skin needs oxygen to repair itself, and sleeping in make-up can clog pores, causing breakouts and puffy eyes. Gita’s favorite way to cleanse gently and rid skin of impurities before sleep is with the new Simple Foaming Cleanser. • Ellie Krieger is a “New York Times” bestselling author and host of the Food Network and Cooking Channel’s hit show “Healthy Appetite.” A registered dietitian, Krieger holds a master’s degree in nutrition from Columbia University. Her success can be attributed in part to her unique way of offering real life advice without any of the gimmicks and crash diets that permeate today’s trends. Top tip: Put tomatoes to the test Fine lines are a natural part of aging, but you can help combat them with the right diet. Tomatoes, in particular, contain an antioxidant that is proven to reduce skin cell damage, which can often lead to fine lines. Try an easy spinach salad with chopped tomatoes. Go the extra mile and top your salad with almonds or sunflower seeds. The
vitamin E found in these nuts and seeds can help further protect against cell damage. • Dr. Josie Howard is a board-certified psychiatrist with a practice dedicated to general adult psychiatry. She specializes in psychodermatology, an area of medicine that focuses on the relationship between stress, emotional well-being and skin health. Top tip: Say it with a smile Any level of emotional stress we experience can readily be detected on our face, whether it is seen through breakouts, irritation, blushing and of course, frowning. When we smile, we look better, less tired and more refreshed. An added benefit of smiling is that our brains interpret this as a signal that we really are happy and content. Moreover, smiling can help others react to us in a more positive way, which can lead to better and less stressful interactions (or a better and less stressful experience). For more information about Simple and tips from the Simple Advisory Board visit www. simpleskincare.com. While there, check out the Simple Sense diagnostic tool to receive a personalized skincare routine that includes lifestyle tips.
Facts about your favorite hot weather footwear
t’s easy to understand why we all love flip-flops: They’re cute and comfy, keep your feet cool in warm weather, and are great for showing off that fab pedicure you just got. But no matter how much you adore your flip-flops, they shouldn’t be all-occasion footwear. Sometimes, they can lead to sore feet or even severe injury. “Flip-flops are hugely popular, but it’s important to remember they’re not appropriate for everyday wear or for all occasions,” says Dr. Matthew Garoufalis, a podiatrist and president of the American Podiatric Medical Association. “Every spring and summer, podiatric offices see an influx of patients with injuries and ailments directly related to wearing flip-flops at the wrong time or wearing the wrong flip-flops altogether.” The secret to safely enjoying flip-flops through summer is twofold, Garoufalis says. First, find the right style, and second, know when to wear flip-flops and when to wear something else. How to choose flip-flops Some styles of flip-flops may cause blistering and pain, and increase your risk of injury in certain situations. It is possible to find a better flip-flop. The
APMA offers some tips: • Look for high-quality, soft leather, which will minimize the risk of blisters and other skin irritations. Vinyl or rubber styles are more likely to rub your foot the wrong way. Check out the APMA website for footwear products that have earned the organization’s Seal of Acceptance. The seal indicates that a team of APMA podiatrists have evaluated the product to ensure it promotes normal foot function and health. • Choose a flip-flop with soles that bend at the ball of the foot. If you can bend the sole completely in half or wring it like a wet rag, the sole will not provide proper support. • The thong part of the flip-flop should fit comfortably, neither too loose nor too snug. Straps that are too tight could rub and cause blisters. Too loose straps may result in you losing the shoe at a critical moment - resulting in injury. Consider a flip-flop with extra padding on the part of the strap that fits between your toes. • Your foot should fit perfectly on
the sole. Your heel should not hang off the back, nor your toes off the front. • Dispose of worn flip-flips, no matter how much you loved them last year. Old shoes lose their ability to support and protect your feet, and it’s easy to find a new pair to replace old ones. • Still not sure which flip-flop is the right choice? Start with APMA Seal Accepted pairs at APMA. org/Seal. When to wear flip-flops A shoe style that was once relegated to beach or poolside is now considered acceptable in a variety of settings. It’s not uncommon to see people wearing flipflops to the mall or grocery store, when they’re out for a stroll, or even in the office. Flipflops have even made inroads into the bridal scene, with some comfort-minded brides wearing them for their weddings and receptions. Deciding whether wearing flip-flops is socially appropriate for the occasion
is up to you, but there are some times when you should not wear them for safety reasons. • When doing yard work - such as mowing the lawn or working in the garden - it’s best to wear shoes that cover and protect your entire foot. Flip-flops don’t offer sufficient support or protection. • For long walks, opt for a good walking shoe. Even the sturdiest styles of flip-flops don’t offer sufficient arch support and shock absorption for extended walking. • Playing sports calls for the right footwear. Choose a shoe that is designed for the sport you’re playing. Flip-flops don’t offer adequate support or protection for hard play and may come off your foot at a crucial moment. They might lose you the game at best, and leave you with a foot or ankle injury at worst. Finally, put away your flip-flops when the weather is bad. “This one may seem obvious,” Garoufalis says, “but some people continue to wear their flip-flops even when the temperature drops, rain falls, or snow is on the ground. Wearing flipflops in bad weather puts you at risk of injury if your foot slips out of a wet shoe or even frostbite if temperatures fall too low.”
Central Valley Medical Group puts more ‘go’ in golden years
ext year – 2014 – will be year three of Baby Boomers “coming of age” into Medicare eligibility. But these are not your father’s oldsters. No, today’s seniors are much active and engaged than before, rightly feeling they have a lot of life yet to live, and a lot of time to do it. Many of these seniors call Stanislaus County home. And, fortunately, Central Valley Medical Group (CVMG), a member of the Sutter Medical Network, is ready to help them live life to the limit, with virtually all the services and special-
26 • Health & Wellness
ties they need to be their healthy best. All about Stanislaus seniors—since 1993 Offering access to the region’s finest doctors and facilities (including acclaimed Memorial Medical Center), since 1993, CVMG is dedicated to helping people reach their full potential, thanks to an unrivaled network of professionals who truly understand senior health. Easy access to specialty care While excellent primary care is the
first step toward long-term wellness, as we age, many of us find we also need the help of one or more specialists. That’s why CVMG provides easy access to the finest in specialty care as well—urology, gastroenterology, ophthalmology, cardiology, plus many other disciplines. Choosing right—right from the start While CVMG accepts three popular Medicare Advantage Plans, sorting through the various benefits, services, and
facilities offered by each plan can be quite a challenge. “CVMG has a widely acclaimed and well-deserved reputation,” says Dr. Thomas Gray, Board President, notes. But if folks want us as their IPA [individual practice association], it’s important for them to be selective when the time comes to pick their plan options.” Top-quality health care “centered” around them. No wonder more seniors are turning to Central Valley Medical Group. For more information, go to www. centralvalleymedgroup.com.
Take the stress out of your kitchen remodeling B y C O L L EEN WINTER
S p e c ia l to 2 0 9 Health & We l lne s s
ealthy living begins in the kitchen yet remodeling your kitchen can add a lot of undue stress in your life. It’s a big project to undertake and there are many elements to consider; budgeting, the design process, hiring subcontractors, choosing appliances and the biggest one…agreeing with your spouse along the way. So, how do you alleviate anxiety and stress from your kitchen remodel? Work with a company that provides everything from Step #1 through the final step, a company that will provide you with expert advice that might not have occurred to you. This alone will take your project from possible chaos to the ultimate experience. Direct Appliance, an 18 year old Kitchen & bath remodeling and
appliance store is a one-stop shop. They offer high-end appliances in their McHenry location, discount (overstock & scratch ‘n dent) appliances at the K Street Outlet location, and everything in between. For the budget minded person who wants a stress free kitchen facelift, Direct Appliance will work with the existing bones of your kitchen by providing new doors and hidden hinges which can reduce the cost of a remodel substantially without sacrificing beauty or durability. Check out their facelift projects at www.facebook.com/DirectAppliance. The one-stop shop is convenient, saves time and gives you piece of mind. So, when you’re looking for flooring, counters and cabinets or appliances for your kitchen or bath remodel the locally owned and operated, Direct Appliance, is your first source to a stress free remodel.
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Bring this ad into Turlock or Linden clinics and get $10 off new OR returning patient visits. One coupon per patient only please. Offer expires June 30, 2013.
please call for an appointment Linden Office Turlock Office 4950 Bonham Street 3140 Hotel Drive 209-887-3891 209-384-7877
Doc’s Diet Medical Weight Loss Center
Health & Wellness • 27
ADULT REC LEAGUES
Burning calories while having fun BY FRANK I E TOVAR 20 9 Health & Wel lne s s
orking out; the ever important activity that many dread. It’s commonly understood that exercise is a vital part of a healthy lifestyle, necessary for longevity, confidence, and squeezing into skinny jeans. While all that’s true, working out can also be tedious and boring. Whether you’re running circles around a track or channeling your inner hamster on a treadmill, working out can be a drag, and it only gets worse with age. Instead of succumbing to the effects of time and letting difficulty get in the way of their health, a large number of adults in the Valley have opted to battle the perceived lack of fun associated with exercise by joining recreational sports leagues. One emerging alternative to traditional workout regimens is the open men’s and co-ed recreation leagues at Turlock Indoor Soccer. On Tuesdays, Thursdays, and Sundays multiple teams comprised of former high school players and average soccer enthusiasts come together to burn calories while they compete. “I’ve played soccer pretty much all my life; outdoor and indoor,” Roger Aguilar said. “I come out here to get in shape and get exercise; it lets me eat a little more.” Aguilar—a 1998 Hilmar High graduate and athlete—has been competing in recreation soccer leagues for most of his adult life. With Turlock Indoor Soccer and Livingston Premiership Soccer, Aguilar has been able to get his soccer fix while
FRANKIE TOVAR / 209 Health & Wellness
An Acoreano player dribbles the ball as he speeds away from his opponent during an open men’s recreation league match at Turlock Indoor Soccer earlier this month.
simultaneously keeping his 32 year old body active and in shape. Though he’s had to cut back on his soccer schedule, playing once a week
instead of two to three times a week, Aguilar says he intends on playing in recreation soccer leagues until his legs fall off.
“It’s a team sport, there’s a purpose behind it instead of running on a treadmill where there’s no end in sight,” Aguilar said. “It’s fun for me.” George Palacio shares Aguilar’s sentiments but his outlets are the sports of softball and basketball. The 1986 Denair High alumnus played football, baseball, and basketball as a Coyote and continued his athletic streak right out of high school with various recreation leagues. Now, as a 45-year-old father of two, Palacio gets his exercise through the city of Turlock. Every Friday during softball season Palacio can be found with his friends at Pedretti Fields, and once that’s over he can be found at Turlock Junior High shooting hoops in the gym. “I work out at home and then I play softball and basketball in rec leagues,” Palacio said. “It’s more fun to be outside with friends instead of going to the gym, and at my age I don’t really want to lift a bunch of weights.” It’s not all old men with a longing for their glory days, though. Palacio is part of a wide demographic of athletes who compete in recreation leagues, young and old, extremely athletic — or not. “In my head I’m still young. I see these young guys playing and I want to compete with them,” Palacio said. “It’s good fun and good cardio.” As with most things, it seems the answer to exercise as an adult is fun. So next time your dad, husband, mother, or wife complains about the rigors of working out, point them in the direction of a recreation sports league and tell them to play ball.
Blueberry farm: Exercising while picking healthy food
ake a little drive out in the country and you may just end up at the VanderHelm U-Pick Blueberry Farm. Located in Modesto at 1678 Albers Road, this 5-acre farm offers seven different varieties of the delicious
28 • Health & Wellness
and healthy fruit. This family farm offers an environment that people of all ages will find intriguing and memorable. Blueberry picking has proven to be a tradition for many families, year after year. However, Vander-
Helm Farms also offers pre-picked berries for your convenience. Pickers at the farm express how excited they get for the blueberries to ripen and most have found early morning to be the most pleasant time for picking. Adding to the pleasant
experience, is the fact that blueberry bushes are thorn less, providing easy and quick picking. Come on over with your friends and family, to pick blueberries and play on a swing or in the sand to build unforgettable memories.
Reducing risk, increasing peace of mind
f you’re just entering retirement, chances are you have many years of good health and independence ahead. But the normal aging process still brings limitations that we all need to prepare for - such as slower reaction times and declining vision - which can lead to accidents and injuries. Many accidents are preventable though, and you can take simple measures to enhance your safety as you age. In your home Falls are one of the greatest agerelated risks inside the home. One in three adults older than 65 falls each year, and the risk of injury rises with age, according to the National Safety Council. Many falls are caused by hazards that are easy to avoid if you know what to look for. To prevent tripping, eliminate clutter on floors, remove throw rugs or tack them down with double-sided tape, and make sure electrical and phone
Following basic tips can enhance a senior’s safety.
cords are kept out of the way. You might need to rearrange some of your furniture as well, to ensure that there are unobstructed pathways into and out of every room. In the bathroom, use a nonslip rub-
ber mat or stick nonslip adhesive strips to the bottom of the bathtub or shower. You may also want to consider installing grab bars. Keep a night light on in the bathroom at night, and remove any obstacles in the path from the bedroom
to the bathroom. If your house has stairs, make sure they have good lighting (with light switches at both the top and bottom of the staircase) and sturdy handrails (preferably on both sides). Attaching nonslip rubber treads is a good idea if the steps are potentially slippery. The kitchen presents a slightly different set of potential hazards. To reduce the risk that you’ll cut or burn yourself, make sure there is bright, nonglare lighting over all food preparation areas. Also, it’s better to store sharp knives in a knife block or rack rather than loose in a drawer. And make sure any hazardous substances (such as cleaning supplies) are well marked and stored in a place where they’re unlikely to be misidentified or come in contact with food. Outdoors To make your yard safer, replace or repair any broken or loose pavcontinued on Page 30
(209) 634-9031 www.westernvalley.com Spring-Summer 2013
Health & Wellness • 29
• Your healthplan WILL change • Will you qualify for Federal Subsidy? • Enrollment begins Oct. 1st, 2013 • You have ?’s. We have answers.
For better hearing, work with an audiologist
hen it comes to startling health statistics, here are several you may not have heard: 36 million American have a hearing loss, yet only one out of every four people who could benefit from a hearing aid actually wears one, according to the National Institutes of Health’s National Information Center on Deafness and Other Communication Disorders. Millions of Americans “miss or misunderstand” much of everyday conversation. “People who experience hearing loss are often like Joni Mitchell’s song ‘Big Yellow Taxi,’ “ says Dr. Kathy Landau Goodman, chair of the Audiology Awareness Campaign. “ ‘You don’t know what you’ve got till it’s gone.’ We often take our hearing for granted until we have difficulty hearing and communicating with our family, friends and coworkers. Yet searching for a quality, cost-effective solution can be confusing.” The first step for finding the right hearing aid is to see an audiologist. Audiologists hold doctoral degrees and are uniquely qualified to evaluate hearing loss and communication needs such as hearing in noisy environments like restaurants, in business meetings, church services, lectures, or just listening to the TV or an iPod. An audiologist can prescribe, program, fit and customize a hearing aid’s high tech capabilities to improve your listening and communication experiences. “Today’s hearing aids are quite amazing,” Goodman says. “They are natural sounding, fashionable and they work. There is no reason you should
continued from Page 29
ing stones and clear the walkways of overgrown branches or any other potential tripping hazards. Make sure all handrails are firm and secure. Mark the edges of steps with reflective tape and check that there is enough light to see obstacles at night. You might want to consider a timer or motion-detector light near the front door so you don’t have to fumble with your keys in the dark. And, just in case, make sure your house number is visible and lighted so emergency
30 • Health & Wellness
miss out on what could be the most important conversation of your life. Consumers have numerous options for purchasing hearing aids, and an audiologist can help you find the right solution for your communication challenges.” No best model or brand Finding the right hearing aid is not about the model or brand - or even price. While it may not be necessary to pay a lot to find the hearing technology that works well for you, keep in mind that rock-bottom-prices often come with poorer quality. It is not just about a product--being fitted with hearing aids is a process.Modern hearing aids are sophisticated high-tech digital devices, with capabilities and options that vary from manufacturer to manufacturer. Every ear is unique. Every brain deciphers sound differently. There is no “one size fits all.” What works for your friend may not work for you. It’s important to work with an audiologist that can help you select and optimize the hearing aids to meet your needs. Finding the right hearing professional Having a hearing test and getting fitted for hearing aids are the next steps, but it’s also important to get counseling on how to use your hearing aids most effectively in different listening situations. You’ll need adjustments to get the settings just right, and audiologists can manage this for you. Remember, an audiologist who carries several brands is more likely to help you find personnel can find it quickly. In the car To increase your safety on the road, have your vision and hearing checked every year, and, if you need them, wear your glasses or hearing aid when driving. Know your limitations and avoid situations that make you uncomfortable - for example, you may decide to avoid driving at night or on extremely busy roads. Have your car checked regularly by a trusted mechanic to make sure it stays in good working order, and keep a cellphone with you so you’re pre-
Some 36 million Americans have a hearing loss.
the best hearing aids for your communication needs. Your audiologist should have: • Well-established credentials and all applicable licenses. • Satisfied clients who are willing to give a recommendation. • Courteous support staff. • Convenient office hours. • A convenient location. • Multiple brands of hearing aids. • Hearing assistive technologies such as listening devices for phones or televisions.
• Services beyond the sale of hearing aids, such as communication training and auditory training. The nonprofit Audiology Awareness Campaign, which provides the public with information on hearing loss, is sponsoring the sixth annual “Listen Up America Week, National Hearing Screening Week” May 13 to 17, 2013. In communities throughout the country, audiologists will offer free hearing screenings. Call (888) 833-EARS (3277) or visit www.audiologyawareness.com to find an audiologist in your area.
pared in case of an emergency, which can’t be emphasized enough. It’s good to have a cellphone on hand for any type of emergency - not just in the car. In a 2011 survey by the Pew Research Center, 40 percent of respondents who owned cellphones said that in the past 30 days they had found themselves in an emergency situation in which having their phone with them helped. Knowing that you can call for help at any time provides great peace of mind, and a cellphone doesn’t need to be complicated or expensive. Consumer Cellular (www.consumercellular.
com), the exclusive wireless provider for AARP members, is one carrier that provides no-contract, cost-effective wireless service and cellphones. Their senior-friendly Doro PhoneEasy 618 is an easy-to-use feature phone with a one-touch emergency button and a feature to store all your I.C.E. (in case of emergency) information. Most accidents don’t just happen. If you follow these simple safety tips, you’ll decrease your risk of injury - and increase your chances of enjoying a long, happy retirement in the comfort of your own home.
Central Valley Medical Group. We’re a choice well worth making. Picking the right medical group can really make a difference in your health — and your life. At Central Valley Medical Group (CVMG), we’re experts in providing the health care seniors want and need.
Specify CVMG on your Medicare Advantage Plan to get access to:
✔ Cardiology ✔ Gerontologists ✔ Internal medicine ✔ Neurology and stroke specialists
✔ Rheumatology ✔ Urology and prostate cancer specialists
✔ Orthopedics and joint replacement specialists
Memorial Medical Center & Sutter Medical Network
✔ Pain management
Visit centralvalleymedgroup.com to see the Medicare Advantage Plans CVMG accepts.
Make CVMG your medical group of choice.
(209) 573-7401 centralvalleymedgroup.com A Sutter Medical Net work Member
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Mark A. Hochhalter, DDS ServingÂ theÂ communityÂ sinceÂ 1979. Bonnie J. Morehead, DDS Serving the community since 1979. Serving the community since 1979. Rudy R. Ciccarelli, DDS Elizabeth C. Grecco, DDS Ron G. Joseph, DDS Daman P. Saini, DDS Harneet K. Saini, DDS
Mark A. Hochhalter, DDS Bonnie J. Morehead, DDS Rudy R. Ciccarelli, DDS Elizabeth C. Grecco, DDS Mohammad El Farra, Ron G. Joseph, DDS DDS* Prachi D. Shah, Daman P. Saini,DDS DDS Harneet K. Saini, *General Dentist Practice DDS Limited to Children
Mohammad El Farra, DDS* Oral & Maxillofacial Surgery Prachi D. Shah, DDS
Mark A. Grecco, DMD - Diplomate, American *General Dentist Practice Limited to Children Board of Oral & Maxillofacial Surgery
Oral & Maxillofacial Surgery
Mark A. Grecco, DMD - Diplomate, American Ĺ?Ä? Board of Oral & Maxillofacial Surgery
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