Advantage

Page 1

ADVANTAGE

Healthy Living Over 55

In this issue

1 Cover Story: Spin Doctors

4 Senior Skin & Sun: Reducing Risks of Melanoma

6 Helping a Loved One Through Grief

7 7 Books for Summer Reading

8 Ask the Doctor: Symptoms of Iron-Deficiency Anemia

10 Prime Time: The Underrated Benefits of Walking

12 Upcoming Classes, Events and Support Groups

COVER STORY

Spin Doctors

Understanding why the room is spinning—and how to stop it.

You remember this feeling, perhaps when playing on a swing set or merry-go-round as a kid: The world is spinning around you. You need to grab something to steady yourself. Except you’re not a kid, and you’re not on the playground. It’s vertigo, and you’ve had this feeling again and again recently. Should you be worried?

Not immediately, says Torrance Memorial Physician Network otolaryngologist Alexander Gertel, MD. It’s probably a common and relatively harmless condition with a tongue twister of a name: benign paroxysmal positional vertigo (BPPV). It is a good idea to track any episodes of vertigo, because they can be symptomatic of other potentially serious issues.

While vertigo and balance issues are common as we age, staying active is an important step to take to minimize their effects.

ISSUE #28 SUMMER 2023

That’s the first thing to understand about vertigo, Dr. Gertel says: It’s a symptom. Vertigo is related to the body’s vestibular system, which senses the position, movement and acceleration of your head essentially by detecting the movement of fluid in the inner ear. If something makes your brain think fluid (called endolymph) is moving when it isn’t, it causes a disconnect in your brain’s sense of yourself—are you moving or not?

The second thing to understand about vertigo is it’s a specific sensation: the feeling of movement when you’re not moving. Vertigo is often experienced as spinning, but it also can be felt as other forms of motion—swaying, for example, or bouncing. Dizziness, similar to lightheadedness, is a more general term for feeling unbalanced.

Now that you know how to talk to your doctor about vertigo, here’s what your doctor may tell you: It’s probably BPPV, which affects about half of adults over age 65. “We think BPPV is caused by microscopic calcium carbonate crystals in the inner ear,” says Dr. Gertel. “These crystals, called otoliths, can become displaced and fall into the wrong part of the inner ear’s balance system. The brain senses extra inertia from these crystals, producing a sensation of vertigo.”

The displacement of otoliths is likely a normal aging process, Dr. Gertel adds, but in rare instances (less than 10% of all BPPV cases) it can be triggered by trauma—a bump on the head can shake otoliths loose. Episodes of vertigo caused by BPPV usually are brought on by certain body movements—laying down or getting up, for example, or bending over, looking up or turning your head quickly.

BPPV symptoms typically last up to four to six weeks before they spontaneously resolve, Dr. Gertel says. The displaced otoliths may dissolve on their own, or the brain may learn to compensate for the new signals it’s receiving from the inner ear. BPPV can be a problem before that happens though.

“It’s a very striking feeling and can cause nausea,” Dr. Gertel says. He recommends visiting your primary care physician (PCP), and possibly scheduling a visit with an ear, nose and throat (ENT) specialist if symptoms last longer than two weeks. BPPV can be treated with physical therapy and specific movement exercises to reposition the displaced otoliths.

A range of other conditions can cause vertigo as well, and that’s another reason to visit your PCP or an ENT specialist. One of the most common, after BPPV, is labyrinthitis, an infection of the inner ear. Besides vertigo, symptoms of labyrinthitis may include dizziness and hearing loss or tinnitus, a feeling of pressure inside the ear, fluid discharge from the ear, nausea, fever, headaches and vision changes. The symptoms usually resolve on their own after a few weeks, but they can be severe.

Any change to your hearing or vision should prompt a visit to your PCP. The underlying infection may be viral, in which case the treatment is bed rest and medication for the symptoms (if needed). In some cases the infection may be bacterial, in which case your doctor may prescribe antibiotics.

Less common causes of vertigo include vestibular migraines and benign tumors affecting the vestibular system. Certain medications used to treat high blood pressure or anxiety can cause vertigo. In those cases,

BPPV is believed to be caused by microscopic calcium carbonate crystals in the inner ear. They can become displaced, producing a sensation of vertigo.

2 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate
COVER STORY

changing the dosage or medication may help. Vertigo accompanied by vision changes can also be indicative of brain tumors or strokes—another reason to visit your PCP if you experience these symptoms.

Like vertigo, dizziness and loss of balance is a symptom. Mild balance issues may be part of the aging process, Dr. Gertel says. However, dizziness or a loss of balance can suggest underlying issues—from weakness within the inner ear’s balance system to diabetes, which affects sensation in the extremities, particularly the toes.

“Balance issues are multifactorial,” says Dr. Gertel. “So many things can impact our balance. Often with bal-

Top 1% Hospital in the World

TORRANCE MEMORIAL HAS BEEN RECOGNIZED BY NEWSWEEK as part of its list of World’s Best Hospitals 2023. This year, Torrance Memorial ranks as the 40th best hospital in the nation and 10th best in California along with placing in the top elite 150-250 hospitals in the world. Learn more at TMFirst.org

Ranked #10 in California - Newsweek

ance issues as we age, you might see different specialists—an ENT physician, a neurologist and a cardiologist—to diagnose the issue.”

While BPPV and balance issues are common as we age, there are simple steps (literally) you can take to minimize them. Try to stay active, Dr. Gertel advises. At a minimum, walk every day. Aerobic exercise and strength conditioning help too.

“This movement helps strengthen the ear-brain connection,” Dr. Gertel explains. And if vertigo or balance problems are affecting your daily living or last more than a few weeks, see your PCP or an ENT specialist. You don’t have to live an unbalanced life. •

Ranked #40 in the Nation - Newsweek

Ranked #223rd in the World - Newsweek

Issue #28 Summer 2023 3
“So many things can impact our balance. Often with balance issues as we age, you might see different specialists—an ENT physician, a neurologist and a cardiologist—to diagnose the issue.”
Alexander Gertel, MD, practices at Torrance Memorial Physician Network ENT, located at 23550 Hawthorne Blvd., Suite 125, Torrance. He can be reached at 310-891-6733.

HEALTHY LIVING

Senior Skin & Sun: Reducing Risks of Melanoma

Sunscreen, regular checkups and early detection play a key role.

Two of the best things about the South Bay are its beaches and its temperate weather. Yearround sunshine draws residents outdoors for sports, relaxation, shopping and dining. Just about any day is the perfect day for tennis, a walk on the beach or a trip to the park.

Don’t miss out on the beautiful weather, but do take steps to protect yourself from UV light exposure and skin cancer. Skin cancer is the most common form of cancer in the United States, and melanoma is the most dangerous type of skin cancer. Even though melanoma is considered highly curable if it is caught and treated

Sunscreen with SPF 50 is highly recommended for the best protection against UVA and UVB rays. Don’t forget to reapply sunblock after swimming or sweating.

4 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

early, prevention is still the best approach. Use a sunblock with sun protection factor (SPF) of at least 30 but preferably 50, with protection for both UVA and UVB. Cover up with hats and clothing, and reapply sunblock after swimming or sweating.

Hugo Hool, MD, a board-certified oncologist and hematologist and director of the Hunt Cancer Institute at Torrance Memorial, says sun protection is especially important for seniors. “Older adults have a more extensive history of sun damage to their skin. This is from their many years of sun exposure. In addition, older adults did not routinely use sunscreens or sunblock when they were young, which led to more skin damage from the UV radiation than today’s younger population.”

The major cause of melanoma is UV light exposure. People with lighter skin, lighter hair color and light-colored eyes have a higher risk for melanoma and other sun-related skin cancers.

The best way to detect melanoma early is to be vigilant. Individuals should watch for any growing dark skin spot or area that changes in color, bleeds or becomes irregular in shape. Moles greater than 6 millimeters—about the size of a pencil

eraser—should be checked by a doctor. Itching, pain or bleeding from the skin, with or without a visible lesion, is a concern.

“Early detection improves outcomes for individuals with melanoma by finding the melanoma when it’s small, not deep, not ulcerated or bleeding, and without spread to lymph nodes. These early-stage melanomas have an excellent outcome since they can be completely removed by surgery,” Dr. Hool says.

Any growth on the skin should be evaluated by a medical professional. Annual visits to a primary care physician or dermatologist can help individuals keep track of moles and freckles. Ask your doctor to check any spots on the skin that have changed or are changing over time.

Treatment for melanoma is usually surgical, but in more serious cases immunotherapy and molecular-based treatment have dramatically altered outcomes for patients.

“The landscape has drastically changed over the last few decades. Now we give outpatient infusions of small molecules that stimulate our own immune system to help fight melanoma. We are excited about the future of oncology because of these breakthroughs,” Dr. Hool says. •

Outdoor activities are popular year-round in the South Bay. Don’t forget to wear a hat and protective clothing to prevent the dangers of melanoma.

Issue #28 Summer 2023 5 Torrance Memorial is now part of Cedars-Sinai’s extensive cancer clinical trials program. We Fight Cancer One Breakthrough At a Time THE HUNT CANCER INSTITUTE OFFERS THE LATEST ADVANCEMENTS IN CANCER CARE AND RESEARCH. Learn more at TorranceMemorial.org/Cancer
Torrance Memorial Physician Network oncologist Hugo Hool, MD, practices at the Hunt Cancer Center at 3285 Skypark Drive, Torrance. He can be reached at 310-750-3300.

Helping a Loved One Through Grief

When someone you love or care about is grieving, it can be difficult to know how to provide help. It is important to approach the conversation with sensitivity, empathy and respect. While you might expect someone to go through certain emotions, grief is a highly individual process and not everyone goes through the standard five stages—denial, anger, bargaining, depression and acceptance—in the same way.

According to Moe Gelbart, PhD, director of behavioral health at Torrance Memorial, the most helpful thing to do is listen and not judge. “People grieving want a supportive ear and are not likely looking for suggestions or advice. Help not asked for is often viewed as criticism.”

He also suggests avoiding overused phrases such as “time heals all wounds” or “it will get better.” While these words can be comforting, they often come off as cliché. Instead say something like, “I think about you, I care about you, and I am sorry you are hurting right now,” or “It’s OK to feel sad or angry. Your feelings are valid.”

Some general rules apply when reaching out to a grieving friend or family member. The first step is to understand a person can experience grief anytime an important relationship ends. “People usually talk about grief in relation to death, but it could be about losing a pet, the loss of a job or a divorce,” Dr. Gelbart adds. “Whatever emotion a person feels when they suffer a loss is their grief.”

Each person’s grief is unique, so refrain from comparing their experience to your own or that of others. Allow them to process their feelings without judgment or trying to “fix” their grief.

When people cope with loss, they are likely to be hypersensitive to their own feelings and what others say to them. “Encourage them to respect their process, as each person has a unique way to cope and no one way is correct,” says Dr. Gelbart.

Because everyone experiences grief differently, it’s important to adapt your approach based on their individual needs. Being a focused, compassionate listener and offering your support can make a significant difference in their healing process. •

Comfort 101

Don’t just lend an ear; lend a hand. Since a grieving person may be hesitant to impose, offer concrete assistance. Some suggestions:

• Offer to help with household chores.

• Take a walk together. Exercise helps alleviate symptoms of depression.

• Make sure they are eating well and getting enough sleep (maybe offer to deliver a meal).

• Help them find a local support group or mental health professional to speak to.

• After some time has passed, pamper your friend with a spa day or other indulgence.

• After a death, offer to help plan the memorial, write announcements or assist in any way you can.

• Help plant a tree or bring flowers in their memory.

• Check in regularly, especially on holidays, birthdays and anniversaries.

• Be open to conversation and let your friend know you are always available to listen.

6 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate HEALTHY LIVING
Being a focused and compassionate listener is one of the best ways to support a friend or family member who is grieving.

Remarkably Bright Creatures by Shelby

Van Pelt – A beautiful, funny story about human connection across generations, grieving, aging, moving forward and moving on. This will appeal to fans of A Man

Called Ove

7 Books for Summer Reading

Advantage magazine once again spoke to Linda McLoughlin Figel of {pages} a bookstore about her top summer reading recommendations for older adults. Located in Manhattan Beach, {pages} a bookstore is an independent book seller serving the South Bay. The store’s book-savvy staff is masterful at matching readers with just the right book, and the well-curated inventory makes finding your next read a delightful adventure. Here are some highly recommended suggestions to get you started.

Outlive by Peter Attia, MD – This holistic approach to longevity draws on the latest science to deliver innovative nutritional interventions, techniques for optimizing exercise and sleep, and tools for addressing emotional and mental health. From the host of the popular podcast The Drive

The Covenant of Water by Abraham Verghese – A stunning and magisterial epic of love, faith and medicine, set in Kerala, India. This story follows three generations of a family seeking the answers to a strange secret. Note: Currently Linda’s favorite book of 2023.

Saturday Night at the Lakeside Supper Club by J. Ryan Stradal – A good Midwestern story of families, mothers and daughters, food and cocktails, love and loss.

The Postcard by Anne Berest –Historical fiction at its finest. This is an autobiographical portrait of 20th-century Parisian intellectual and artistic life. An enthralling investigation into family secrets and a poignant tale of a Jewish family devastated by the Holocaust.

Properties of Thirst by Marianne Wiggins – Both universal and intimate, this is a story of a changing American landscape and an examination of one of the darkest periods in this country’s past—told through stories of the individual loves and losses that weave together to form the fabric of our shared history. Note: Linda’s favorite book of 2022.

Lessons in Chemistry by Bonnie Garmus – This original and vibrant novel is set in 1960s California and follows the career and personal life of Elizabeth Zott, a young, brilliant chemist who is forced to become a television chef when she becomes a single mother. Coming to Apple TV as a series this fall!

Issue #28 Summer 2023 7

Your primary care physician can diagnose iron deficiency with a special blood test that checks iron supply in the blood. A daily oral supplement is usually prescribed if you are determined to be anemic.

Symptoms of Iron-Deficiency Anemia

Talk to your doctor if you experience weakness, fatigue or breathlessness.

Of all the nutrients our bodies need, iron impacts every organ system and limb—including every breath we take. Iron transports oxygen throughout the body, and iron-deficiency anemia can have a serious effect on our health.

Sara Kanamori, DO, a Torrance Memorial Physician Network physician specializing in internal medicine and primary care, explains that while there are many causes of iron deficiency, its cures—a well-rounded diet and supplements—are easy to come by.

What is the function of iron in the body?

Iron produces hemoglobin, which is responsible for delivering oxygen to your organs. It also produces myoglobin, which delivers oxygen to your muscles and makes hormones in the body.

What are the symptoms of iron deficiency?

Iron deficiency can be asymptomatic or can cause generalized weakness, fatigue, loss of appetite, lack of energy and pale skin. You can develop brittle nails or hair loss,

and some individuals crave ice. If severe, it may cause shortness of breath with regular daily activity.

What causes iron deficiency in seniors?

Not consuming enough iron in your diet (for example, being vegetarian) or having chronic medical conditions are common causes of anemia in seniors. We don’t produce iron on our own. We must consume it in the food we eat. Chronic blood loss can also cause iron deficiency—for example, blood loss from your GI tract due

Primary care physician Sara Kanamori, DO, answers questions on iron deficiency.

8 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate
ASK THE DOCTOR

to gastritis, ulcers or hemorrhoids. Additionally, genetic conditions, recent surgery, kidney disease, heart disease, peptic ulcer disease, obesity and inflammatory disease can all affect iron levels and cause anemia.

What are the short-term and longterm health risks of iron-deficiency anemia?

In the short term, individuals will experience fatigue, irritability and headaches. If the condition goes on long term, it can sometimes cause dementia and heart problems.

What foods provide the most iron?

We know there is iron in beef, pork, lamb and organ meats such as liver. There’s also iron in poultry, especially dark meat, as well as shellfish, sardines and anchovies. Leafy green vegetables, broccoli, kale, turnip greens and collards, as well as legumes—including lima beans, peas, pinto beans and blackeyed peas—are great for iron levels. Iron-enriched pasta, grain, rice and cereal are also good sources of iron.

What should I do if I am diagnosed as anemic?

If you are diagnosed with anemia, talk to your primary care physician to find out if it is due to iron deficiency or other reasons. They may send you out for blood work specifically for anemia to help pinpoint the exact cause. Your doctor will tell you if you will benefit from iron supplements alone or may recommend further tests such as a colonoscopy/EGD [a type of endoscopy] to rule out other causes of anemia.

When do you recommend iron supplements?

Most of the time, you do not need to check iron levels until you are diagnosed with anemia. Your doctor will confirm if you are iron deficient with a special blood test that checks the iron supply in the blood. They will also check why you may be deficient in iron (for example, if you have any blood loss anywhere in the body you are not aware of).

Once confirmed, your doctor will tell you the dosage of iron supplements you should be taking. This is usually an oral daily supplement. •

Issue #28 Summer 2023 9
Need to See
Doctor? O f f i c e s l o c a t e d i n : To rr a n c e , C a rs o n , M a n h a t t a n B e a c h , H e r m o s a B e a c h , P a l o s Ve rd e s a n d E l S e g u n d o A ppointments scheduled M - F , 8 a.m. to 5 p.m. C a l l O u r P h y s i c i a n Re fe rra l C o o rd i n a t o r t o S c h e d u l e A n A p p o i n t m e n t . 3 1 0 - 8 9 1 - 6 7 1 7 TMPhysicianNetwork.org Maliha Khan, MD Internal Medicine 705 Pier Avenue, Suite A Hermosa Beach 310-891-6708 Alya Torna, MD Family Medicine 29409 S Western Ave Rancho Palos Verdes 310-891-6684 Won Seok Shin, MD Family Medicine 3701 Skypark Dr , Suite 100 Torrance 310-378-2234 Mona Madani, MD Family Medicine 2110 E El Segundo Bl , Suite 200 El Segundo 310-517-7030 Jennifer Park, MD Family Medicine 3701 Skypark Dr , Suite 100 Torrance 310-378-2234 Yusha Siddiqui, MD Internal Medicine 602 Deep Valley Dr , Suite 300 Rolling Hills Estates 310-517-4692
a
Sara Kanamori, DO, practices at Torrance Memorial Physician Network, and is located at 3400 Lomita Blvd., Suite 104, Torrance. She can be reached at 310-784-4000.
These licensed agents are dedicated to providing objective Medicare information and recommendations to help you make the right choice. They can discuss topics that include: Information about Medicare, and Covered California Medicare Advantage, Part D drug and Med Supp Plans Assuring that your plan covers your medications at the lowest cost Assistance with applying for Social Security and Low Income Subsidy Have MEDICARE Questions? We can assist you through our Virtual Medicare Information Center Learn about the different Medicare plan choices from licensed agents that partner with Torrance Memorial IPA at no cost to you. Call today to speak with a licensed local agent! 800-858-7618, TTY 711 M-F, 8:30am-5pm medicareinfocenter.org

Memorial

Catch Cancer Early When It’s Easier to Treat

Regular screening test can improve and save your life

What Is Screening?

Screening is when you look for cancer before a person has any symptoms. This can help find cancer at an early stage when it may be curable and easier to treat. If the screening test result is abnormal, you may need to have more tests done to find out if you have cancer.

Why get screened for colorectal cancer?

Screening can help find cancer at an early stage, and may decrease the number of deaths from the disease. Colorectal cancer is the third leading cause of cancer deaths in the US.1

Should I get screened for colorectal cancer?

Yes! You should get screened if you are 45 to 75 years old. High-risk patients may need to start screaming before age 45.

What are the risk factors for colorectal cancer?

• Some factors that increase your risk for colorectal cancer can be modified such as diet, level of physical activity, alcohol use, and tobacco use.

• Other factors associated with colorectal cancer cannot be modified, but appropriate screening can be protective.

These include:

Personal or family, history of colon cancer or pre-cancerous polyps

Having inflammatory bowel disease

Having a genetic condition that increases the risk of colon cancer

• Data shows that black and people of Ashkenazi Jewish dissent have higher risk of colon cancer. Routine screenings are very important for people in these groups.

More information on risk factors is available at: https://www.cancer.org/cancer/colon-rectal-cancer/causes-risks-prevention/risk-factors.html.

What are my options to get screened?

FECAL IMMUNOCHEMICAL TEST (FIT)

We mail a test to your home and you collect a small sample of your stool. You mail this sample to the lab that looks for blood. No prep work is necessary.

HOW OFTEN:

Once a year, if positive then colonoscopy is required.

COLONOSCOPY

A doctor performs the procedure for you in a clinic. A doctor will use a long, thin, flexible lighted tube to check for polyps or cancer inside the rectum and entire colon. You take medicine before the procedure to clean out your colon and you are sedated during the procedure.

HOW OFTEN:

If results are completely normal, repeat every 10 years.

How to get screened?

Talk to your doctor today about which screening test is right for you.

Torrance
IPA
News A Publication of Torrance Memorial IPA Summer 2023
Health
1. American Cancer Society, Inc. (n.d.). Cancer statistics center – 2017 estimates. Retrieved from: cancerstatisticscenter.cancer.org/#/

Member Resources

Member Services:

Your Integrated Care Team

▪ Comprised of nurses, social workers and staff that are here to support you no matter what your healthcare need might be

Torrance Memorial IPA’s Integrated Care Team includes nurses, social workers and coordinators who help our members understand their medical conditions, work with their health plan benefits and identify community resources to help them manage and improve their health. They coordinate care with the member’s doctors while focusing on their complex health challenges – so they stay healthy and independent as long as possible.

• Do you see more than one doctor?

▪ Ensures you receive the right kind of care based on your individual needs using the appropriate staff to help you

Your personal Torrance Memorial IPA Integrated Care Team will help you with:

• Do you take more than three different medications and aren’t sure you are taking them correctly?

▪ Nurse case managers work with you on your medical care needs

Help is always just one call away!

Torrance Memorial IPA Member Services representatives are dedicated to helping members with customer service needs. You’ll get personal attention, whether you need help finding a doctor, paying a bill, or verifying eligibility/co-payment. Having a single point of contact makes navigating the health care system and getting to the right care faster and simpler than ever.

Understanding your health issues

• Could you use assistance from community resources to better navigate your healthcare benefits?

• Do you need support at home?

▪ Social workers help direct you to community resources and support

▪ Coordinators follow up to confirm your appointments and the delivery of your medical supplies

Locating community services and programs you may be eligible for and assist you with the application process

If you answered yes to any of these questions, please call us. Our Integrated Care Team can assist you with these concerns and much more.

Case Management

▪ Focused on making your life easier when managing your healthcare needs

310-257-7282 | TTY: 711

Monday–Friday, 8:30 a.m. to 5 p.m.

When you call Member Services at the number below our representatives can assist you with the following health plans:

Aetna

Anthem Blue Cross Blue Shield of California

Questions to ask yourself:

▪ Do you see more than one

TorranceMemorialIPA.org/your-care/case-management

▪ Facilitates coordination between you, your caregiver, family, primary care physician and specialists whether you’re at the hospital, a skilled nursing facility or at home to ensure you feel your best

Working with your health plan to make sure you receive all of your available benefits

Cigna

Wellcare by Health Net Humana

SCAN

▪ Do you take more than three and aren’t sure you are taking

Questions about Your Referral Authorization?

Scheduling appointments with your doctor or other providers

United Healthcare

▪ Could you use assistance resources to better navigate healthcare benefits?

Torrance Memorial IPA Member Services

▪ Do you need help with transportation medical appointments?

310-257-7250, Option #1 | TTY: 711

Understanding signs and symptoms related to your health conditions and actions you can take to stay healthy

Monday–Friday 8:30 a.m. to 5 p.m.

TorranceMemorialIPA.org

Reviewing and explaining your medications

▪ Do you need support at home?

If you answered yes to any of call us. Our Integrated Care Team these concerns and much more.

I can make my own decisions. an Integrated Care Team?

We Want To Hear From You!

Please

To learn more about the Case Management team and how we can help, visit: TorranceMemorialIPA.org/your-care/case-management

Some services require prior authorization. The Torrance Memorial IPA Utilization Management Department, in working with your provider, applies the industry standard guidelines and clinical criteria to make decisions to authorize care in accordance with your health benefits.

Questions? Call Member Services: 310-257-7250 | TTY: 711

Monday–Friday, 8:30 a.m. to 5 p.m.

The Integrated Care Team will for you. They will work with information and guidance so best decision.

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Our goal is to help you be independent, make your own healthcare decisions.

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Torrance Memorial IPA’s Medicare 101 a

Do you have Medicare? Are you turning 65 or on a retiree plan? Attend Torrance Memorial IPA’s no-cost, no-obligation Medicare 101 Educational Program to learn about Medicare and the different types of insurance plans available to you including: Medicare HMO & PPO, supplements (or Medigap) and Part D prescription plans. Moderated by Norman Panitch, MD, chair of the Torrance Memorial IPA Physician Council.

Dates:

July 26th, Aug 23rd, Sept 27th

Time: 6:30 – 8:00 pm

No registration required.

For more information, visit: TorranceMemorialIPA.org/ Medicare101 or call 310-257-7239.

Find out more about the benefits of walking. Get started with our handy “Walk this Way” guide by visiting TorranceMemorial.org/walkingguide.

The Underrated Benefits of Walking

Why this simple exercise is more powerful than you think.

Ilove to walk at the beach on any given day, breathing in the fresh air and taking in the beauty of nature. It not only grounds me, but it gets me outside and helps me clear my head—which reduces my stress and typically improves my mood. Yet walking is often underrated as not intense enough to provide any real health benefits or too simple and easy to be effective.

The truth is, walking is one of the most effective forms of exercise. It is a low-impact activity that can be enjoyed by people of all ages and fitness levels. And walking has numerous—often overlooked— health benefits.

First and foremost, walking is a great way to improve cardiovascular health. It gets the heart rate up, which strengthens the heart and improves the body’s overall circulation. This can help lower the risk of heart disease, stroke and other cardiovascular conditions. In fact, studies have shown walking can be just as effective as running for weight loss—and much easier on joints.

In addition to the positive physical aspects, walking can have a favorable effect on mental health as well. It releases endorphins, which are natural chemicals in the body promoting feelings of happiness and relaxation. This can reduce stress and anxiety, improve mood and boost overall feelings of well-being.

Walking is also a great way to improve one’s overall fitness level. It can help build strength in the legs, core and upper body, and help improve balance and coordination. This can reduce the risk of falls and injuries, especially as people get older.

Research has shown even low-intensity exercise like walking can have significant health benefits, especially when done consistently over time. Walking is a simple and effective way to improve cardiovascular health, manage weight, reduce stress and improve overall fitness.

So what are you waiting for? Lace up your walking shoes and start reaping the benefits of this fun and easy-to-access form of exercise! •

10 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate PRIME TIME

Reasons to Love Walking:

• It’s a low-impact activity – Walking is gentle on your joints and can be done by people of all ages and fitness levels.

• It’s a great way to enjoy nature – Walking outdoors allows you to breathe fresh air and soak up some sunshine.

• It’s a stress reliever – Walking can help reduce stress and improve your mind.

• It’s a social activity – Walking can be a great way to socialize with friends or family, catch up on conversations or even make new connections.

• It’s a way to explore new places – Walking allows you to discover new neighborhoods, cities, trails, sights and sounds.

• It’s a way to improve wellness – Walking is a great way to improve your fitness level, increase endurance and build muscle strength.

• It’s a way to stay active and healthy – Walking regularly can help you maintain a healthy weight, reduce your risk of chronic disease and improve your overall health.

• It’s a great time for reflection – Walking provides uninterrupted

Issue #28 Summer 2023 11
Check out our handy “Walk this Way” seven-month progressive walking guide online. Click the QR code or visit TorranceMemorial.org/walkingguide. Your seven-month progressive walking workout

Upcoming Classes, Events & Support Groups

Advantage Calendar Summer 2023

In-person classes are back. All classes are hybrid unless otherwise noted. Please call 310-517-4711 to register for all paid classes. Pricing is $80 (or $72 for ADVANTAGE members) for each 8–week series, and $40 (or $36) for each 4–week series.

Torrance Memorial is excited to announce our return to in-person exercise classes in July! In order to benefit the preferences of all participants, we will offer LIVE classes at our newly renovated Malaga Cove facility, HYBRID classes at 3105 Lomita Boulevard, and in home ZOOM classes. Find out which option suits you best and join in!

Chair Yoga for Strength and Balances with Sharmone

July 10–July 31

July 13–August 3

September 11–October 30

September 14–November 2

Monday or Thursday, 2 to 3 p.m. This class uses a chair in seated and standing poses. Perfect for those with injuries or the need to get stronger overall. The focus is on increasing flexibility and strengthening muscles for balance, posture and your core.

Stretching for Better Balance with Randy

Zoom only

July 11–August 29

July 14–September 1

September 12–October 31

September 15–November 3

Tuesday or Friday, 10 to 10:45 a.m. This fun workout done in a chair is designed to help increase flexibility and mobility to help prevent injuries.

Class schedule for 3105 Lomita Blvd., Torrance

Essentrics Full-Body Stretch with Ai In-person only

July 10–August 28

September 11–October 30

11 a.m. to noon

This gentle, full-body stretch will activate all your muscles, free your joints and increase mobility. Essentrics draws on the flowing movements of tai chi, which creates health and balance. Perfect for injury recovery and prevention, pain and stress relief. Bring a yoga mat.

Yoga for Osteoporosis with Debi

July 11–August 29

September 12–October 31

Tuesday, 11 a.m. to 12:15 p.m. Class focus is on poses, breath work and body awareness to stimulate bone growth and range of motion in joints. Floor, chairs and standing poses. Bring a yoga mat.

Beginning & Intermediate Muscle

Strengthening with Randy

Zoom only

July 11–August 29

July 14–September 1

September 12–October 31

September 15–November 3

Tuesday or Friday, 11 to 11:45 a.m. Learn correct, safe techniques for strengthening your upper and lower body using a chair and flexible exercise bands.

Beginning Tai Chi with Richard

Zoom only

July 11–August 29

September 12–October 31

Tuesday, 2 to 3 p.m.

A sophisticated Chinese exercise that inspires physical and mental well-being. This class is an introduction to the form. It consists of slow, graceful, circular movements that improve balance and coordination.

Special Forms Tai Chi* with Richard

Zoom only

July 11–August 29

September 12–October 31

Tuesday, 3:15 to 4:15 p.m. Perfection of Slow Set and additional forms like Fast Set, Implements, etc. *Instructor permission required. Must know complete Yang form.

Mat/Floor Pilates with Karen In-person only

July 11–August 29

September 12–October 31

Tuesday, 4 to 4:50 p.m.

An all-levels class that focuses on strengthening core muscles to help improve balance and provide support for the spine. Participants should have a moderate fitness and flexibility level. Please bring a mat to class.

12 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

TranscenDance™ with Didi In-person only

July 11–August 29

September 12–October 31

Tuesday, 6:30 to 7:30 p.m.

TranscenDance™ takes the mindfulness of yoga off the mat and infuses it with free-form joyful movement. This class helps shake off stress, release tension, rejuvenate the body and center the mind. All fitness and mobility levels are welcome (can also be done in a chair or bed). Bring a yoga mat. Lightweight scarf is optional.

Yoga for Wellness with Debbie

July 12–August 30

September 13–November 1

Wednesday, 9:30 to 10:45 a.m. This class focuses on correct posture alignment, increasing strength, flexibility and range of motion, creating healthy breathing habits and restoring vital energy to the body, mind and spirit. Bring a yoga mat.

Chair Yoga for Osteporosis with Debi

July 12–August 30

September 13–November 1

Wednesday, 11 a.m. to noon

Designed for those with osteopenia or osteoporosis who can’t get up and down from the floor. The focus will be on strengthening your muscles, bones, posture, balance and fall prevention. Breath work for improved immune function and energy production. All levels welcome, and modifications will be offered.

Intermediate Tai Chi with Richard Zoom only

July 12–August 30

September 13–November 1

Wednesday, 2 to 3 p.m. As students become more familiar with the techniques of balancing and relaxation, they will learn more of the movements to complete the form.

Advanced Tai Chi with Richard Zoom only

July 12–August 30

September 13–November 1

Wednesday, 3:15 to 4:15 p.m. Once the form is learned, students will go deeper into the fine points, refining the movements and their connections that lead to improved health and mental focus.

Line Dancing with Sharon

September 13–November 1

Wednesday, 4:30 to 5:30 p.m. Jump on line and join the fun! In this beginner’s line dance class, you will learn country and western classics such as Electric Slide, Tush Push and CowboyHustle, plus many more. Not only is line dancing great exercise, but it is also great for your brain. No partner needed.

Integrated Yoga with Robin

July 12–August 30

September 13–November 1

Wednesday, 7 to 8 p.m.

A yoga class integrating pranayama (breath work), asana (postures) and

deeply relaxing meditation, such as yoga nidra, which can be the equivalent of four hours of sleep. Bring a yoga mat.

Qi Gong with Gayla Zoom only

September 14–November 2

Thursday, 9 to 10:15 a.m.

A powerful but gentle practice of movement and meditation, this rejuvenates the body by reducing stress and strengthening the immune function (as your body connects to the qi energy life force). It helps the body detoxify and release stored negative emotions, leaving you feeling stronger physically, emotionally and spiritually. You can also participate seated.

Class schedule for Malaga Cove, 2550 Via Tejon, Palos Verdes Estates

All classes at this location are in-person only, unless otherwise noted.

Align the Spine with Joy

September 11–October 30

Monday, 9 to 10 a.m.

This class uses Feldenkrais Method lessons, without pain or strain, to restore or avoid deterioration of your posture. An aligned spine improves balance and reclaims more fluid mobility for your daily activities. Bring an exercise mat, hand towel and bath towel.

Don’t see what you’re looking for?

Check TorranceMemorial.org/classes for more information or call 310-517-4666.

Issue #28 Summer 2023 13

Stretching for Better Balance with Randy

July 10–August 28

July 13–August 31

September 11–October 30

September 14–November 2

Monday or Thursday, 10:30 to 11:15 a.m.

See description on page 12.

Beginning & Intermediate Muscle Strengthening with Randy

July 10–August 28

July 13–August 31

September 11–October 30

September 14–November 2

Tuesday or Friday, 11:30 a.m. to 12:15 p.m.

See description on page 12.

Yoga Basics with Laura

July 11–August 29

Zoom only

September 12–October 31

In Person

Tuesday, 4 to 5 p.m.

Harmonize body, mind and spirit through gentle stretching exercises, traditional yoga poses and breathing techniques. Bring a yoga mat.

Qi Gong with Gayla

September 12–October 31

Tuesday, 9 to 10:15 a.m.

See description on page 13.

Chair Exercise: Beginning & Intermediate with Pam

July 11–August 29

July 12–August 30

October 18–November 8

October 19–Novemer 9

Tuesday, 2 to 3 p.m. or

Thursday 11 a.m. to noon

Using a chair as a support prop, we will perform exercises to improve strength

and endurance without using a mat or going to the floor. Wear comfortable clothes and supportive shoes; bring an exercise band.

Movement to Music with Pam

July 11–August 29

October 18–November 8

Tuesday, 3:30 to 4:30 p.m. Standing warm-up, flowing into cardiovascular movement followed by light stretching and a meditation cooldown. Students must be able to stand through most of the class. Bring a mat and towel. Wear comfortable clothes and exercise shoes.

Stretch and Sound Bath Meditation with Ai

July 12–August 30

September 13–November 1

Wednesday, 9:30 to 10:20 a.m.

Beginning with gentle stretching and breath work, you will be introduced to different sounds and vibrations from various sound bath instruments. Benefits include reduced stress and anxiety, increased energy, better focus, better sleep and spiritual connection. Bring a yoga mat, a blanket, and a pillow. An eye mask is optional.

Be Kind to Your Joints with Pam

July 12–August 30

October 19–November 9

Wednesday, 12:30 to 1:30 p.m. A slow and gentle class using long stretches to promote joint movement. Wear comfortable clothes to move in. Bring a towel and mat.

Functional Aging with Anne

July 12–August 2

September 13–November 1

Wednesday, 5 to 5:45 p.m.

A fun, energetic class designed to help individuals over 50 develop and maintain their functional abilities as they age. A portion of the class will be in a circuitstyle fashion. Wear workout clothes and supportive athletic tennis shoes and bring a yoga mat, water and a towel.

Miracle of Living

Join us at 6:30 p.m. in person or via Zoom for Torrance Memorial Medical Center’s popular health lecture series.

Hoffman Health Conference Center, 3315 Medical Center Dr., Torrance TorranceMemorial.org/mol

July 19

Sleep

August 16

Vertigo & Dizziness

Don’t see what you’re looking for?

Check TorranceMemorial.org/classes for more information or call 310-517-4666.

Videos are available on-demand at TorranceMemorial.org/mol.

14 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Advantage Online Support Groups

Alcoholics Anonymous Groups meet on Thursdays at 7 p.m. and Saturdays at 7:30 p.m. Contact Jean Carfagno at 310-784-4879 for more information.

Bereavement Support Group

Meet in a caring and safe environment with other people experiencing grief or loss. Groups consist of eight to 10 members and meet once weekly for six to eight weeks, for 90 minutes. To participate or for more information contact Olivia Licea at 310-784-3751.

Between Starving and Stuffed

Mindful eating for a healthy weight. Meets every second and third Thursday, 6 to 7:30 p.m. via Zoom. Call Community Health Education at 310517-4711 for more information.

Cancer & Nutrition

Whether you are currently going through cancer treatment, have had cancer in the past or are simply looking for general nutrition guidelines to help prevent the development of cancer, this class is for you! Focusing on the role good nutrition plays in cancer prevention, treatment and survivorship. Meets every third Wednesday, 5 to 6 p.m. via Zoom. Call 310-517-4711 for more information.

Caregivers Support Group

Information and nurturing support for people providing care for another. All types of caregivers are welcome. Group meets every Tuesday from 12:30 to 1:30 p.m. via Zoom. To register, call 310-517-4701.

Depression and Bipolar Support Alliance

A peer-based support group for those dealing with mood disorders. The group meets via Zoom every second and fourth Saturday, 10 a.m. to noon, and the first and third Thursdays, 6:30 to 8:30 p.m. Contact Scott Wood at 310-4978801 or woodscott516@yahoo.com or Barbie Johnson at 310-293-9185 or barbiejohnson150@gmail.com. Visit dbsasouthbay.org for more information.

Multiple Myeloma Support Group

The Los Angeles Multiple Myeloma Support Group offers patients and their supporters a place to go for shelter and comfort in dealing with myeloma. Meets every third Saturday from 10:30 a.m. to 12:30 p.m. Call 310-516-6828 for more information.

Women in Treatment

This group is for women going through cancer. It provides them an opportunity to share their stories, vulnerabilities and insights—from diagnosis through treatment—in a safe, supportive space. Meets every second and fourth Wednesday, 5 to 6 p.m., via Zoom. Contact Brittany at 310-517-1230 or Brittany.rudinica@tmmc.com for details.

WE CAN: Women Empowered Cancer Support Group

This group empowers women to face their diagnosis, recurrence or experience as a cancer survivor with resilience and support. Meets every second and fourth Tuesday, 10 to 11:30 a.m. via Zoom. Register with Anne Milliken at 310-5171115 or anne.milliken@tmmc.com.

Financial Health Checkup

Join Torrance Memorial’s Professional Advisory Council for its series on a variety of financial topics to help you take care of your financial health. Seminars are strictly educational and will be held on select Saturdays from 9 to 11 a.m. in the Torrance Memorial Hoffman Health Conference Center (3315 Medical Center Drive, Torrance). A Zoom option is also available.

July 8

Long-term Care Options, Planning and Insurance

Learn what considerations are necessary in long-term care planning for in-home help, residential options and how longterm care insurance works.

September 9

Investing | Real Estate | Reverse Mortgage and more!

Hear from a panel of experts about investment strategies including real estate and the use of reverse mortgage.

RSVP to Margaret Doran at 310-517-4728 or foundation@ tmmc.com. You may also visit TorranceMemorial.org/healthyliving/classes-lectures-supportgroups for online registration and up-to-date information on topics and schedules.

Issue #28 Summer 2023 15

Torrance Memorial Medical Center

310-325-9110

TorranceMemorial.org

ADVANTAGE Program Information

310-517-4666

Monday through Friday, 9 a.m. to 4:15 p.m.

Torrance Memorial IPA

Learn More: 310-257-7239 TorranceMemorialIPA.org

Members: Toll-Free: 866-568-4472 TTY/TDD: 711

Monday through Friday, 8:30 a.m. to 5 p.m.

Torrance Memorial Physician Network

310-891-6717 TMPhysicianNetwork.org

Monday through Friday, 7:30 a.m. to 4 p.m.

3330 Lomita Boulevard, Torrance, CA 90505-5073

If you do not wish to receive future issues of this publication, please email publications@tmmc.com with your name and complete address as it appears on the mailing panel.

WHEN YOU NEED EXPERT CARE, TORRANCE MEMORIAL IS HERE FOR YOU.

Emergencies happen. Don’t delay care for heart attacks, strokes, falls or other urgent health situations. Torrance Memorial’s Emergency Department is safe, ready and open. If you think you are having a heart attack or stroke, call 911 or go to the nearest Emergency Department if you are experiencing symptoms.

Comprehensive Stroke Center – Torrance Memorial emergency care staff are trained to identify the signs of stroke early and deliver early intervention care that limits damaging effects.

Emergency Department Approved for Pediatric Patients –Torrance Memorial is a designated Emergency Department Approved for Pediatrics by L.A. County Department of Health Services.

L.A. County Paramedic Base Station – Torrance Memorial’s 24-hour Emergency Department serves as a paramedic base station.

STEMI (Heart Attack) Receiving Center – Torrance Memorial is a STEMI-receiving hospital, and has the equipment, expertise and facilities to administer percutaneous coronary intervention, a mechanical means of treating heart attack patients.

NON-PROFIT ORG US POSTAGE PAID TORRANCE, CA PERMIT NO 381
Published by Vincent Rios Creative, Inc. VincentRiosCreative.com ©2023 Torrance Memorial Medical Center. All rights reserved. Reproduction or use in whole or in part without written permission is prohibited. This publication is for informational purposes only and should not be relied upon as medical advice. It has not been designed to replace a physician's medical assessment and medical judgment. Always consult first with your physician regarding anything related to your personal health. Like us
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