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CareConnection Innovative Healthcare in Your Backyard FALL 2017

A Runner’s World Find The Perfect Fit

Postpartum Depression

My Story. My Life. Auto Immune Disorders

Ask the Docs

The Flu Shot & Kids

Holiday Gift Guide

A WellHealth Quality Care Publication


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WellHealth Quality Care Healthcare. The WellHealth Way.

Letter from the Medical Editor The season of change is upon us. We are now mere weeks away from kicking off the holiday season, which brings lots of laughing, joy and time to spend with your family. This year, I am going to challenge you to do two things. First, don’t give up on the healthy lifestyle you’ve been building throughout the year. All too many times people make a decision that calories don’t count during the K. Warren Volker, MD, PhD CEO of WellHealth Quality Care

holidays, or they can pick their workout regimen back up after the New Year. Make your healthy lifestyle a priority, and you will see that kicking off the New Year in a better state than when you left it is more satisfying.

Make your healthy lifestyle a priority, and you will see that kicking off the New Year in a better state than

Second, take steps not to get sick, and if you do, stay home from work or school. With dropping temperatures, cold and flu season will be back with a vengeance. In this issue, we cover the steps to take to avoid the cold and flu as an

when you left it is more

adult and for your children. Be vigilant with washing your

satisfying.

hands regularly and wiping down surfaces daily. Nothing can ruin the holidays more than having chicken noodle soup upstairs while your family celebrates over the dinner table.

Live in the moment and stay true to yourself, Dr. K. Warren Volker

Fall 2017 WellHealthQC.com

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5 THINGS YOU NEED TO KNOW ABOUT

3Dmammography

There is so much information out there today regarding screening mammography that it’s difficult to know what to do. And with the recent introduction of 3D mammography into the picture, now there’s one more thing to consider. So we thought we would try to help clear up the confusion and give you the facts about this new technology.

40% increase in Cancer Detection

Not all 3D is the Same

15% Decrease in false positives.

Are You Dense?

Need we say more? As a stand-alone statistic, this really says it all. 3D Mammography, or Digital Breast Tomosynthesis, is a breakthrough in breast cancer detection. When combined with standard 2D mammography, studies show up to a 40% increase in breast cancer detection as compared to using 2D mammography alone. This is a game-changer for women, especially those who have already been diagnosed with breast cancer and will need more frequent screening, and added peace of mind.

A false positive is when a study is interpreted as showing an abnormality when in reality the study was normal. Tomosynthesis is an especially effective screening technique for women with dense breast tissue, and has demonstrated a reduction in false positives by approximately 15 percent.

10% Decrease in subsequent imaging.

Because standard 2D mammography is not as accurate as 3D, patients are called back to conduct additional exams such as breast ultrasounds, breast MRI and breast biopsies. As a patient, when you get that call to say that you need to come back for further testing, it causes a great deal of stress and anxiety. 3D mammography has been shown to decrease these stressful subsequent exams by 10 percent.

When evaluating the different 3D technology, one brand stood out – the GE SenoClaire system. Only GE’s system delivers a screening mammogram with no more radiation than standard 2D mammography. Unlike the Hologic “Genius” system, GE’s SenoClaire 3D exam is conducted simultaneously with the 2D mammogram, so it delivers NO more radiation than your previous 2D digital mammogram, and only takes a few minutes more. In this case, LESS is definitely MORE!

Forty percent of women in the U.S. have dense breast tissue. And dense breast tissue is the Achilles heel of standard digital mammography. Dense tissue shows up as white on a mammogram, as does cancer. 3D mammography overcomes this issue in the way that it creates the images. As the scanner sweeps over the breast in an arc, it takes the images (called slices) of the breast from all different angles, making it harder for cancer to hide. This greatly enhances our radiologists’ ability to detect abnormalities and identify suspicious structures in the breast more easily.

Still not sure if 3D Mammography is for you?

Don’t hesitate to call us with your questions, or get more information at: www.sdmi-lv.com/3Dmammogram. 3D mammography is available at all seven Steinberg Diagnostic Medical Imaging locations. Physician referral required. Call (702) 732-6000 to schedule yours today.

Sponsored by Steinberg Diagnostic Medical Imaging


WellHealth Quality Care Healthcare. The WellHealth Way.

Tips, stories and guides for a

Healthier You In this issue:

Fall 2017

Contents 03.

Letter from the Medical Editor Entering the season of change

06. Osteoarthritis The wear and tear arthritis

P.10 MY

MY

Immune Disorders STORY. Auto Chuck explains the emotional and LIFE. physical effects of alopecia.

A Runner’s World

P.20

Credits Medical Editor

K. Warren Volker, MD, PhD

Managing Editor Meghan Bailey

Copy Editor

Sara Williamson

Art & Design Sarah Harper

07.

Letter from the Editor Breaking down stigmas

09.

Ask The Docs Common questions about breast cancer

10.

My Story. My Life. Auto immune disorders - alopecia

11.

Flu Season is Here How to protect your family

12.

Your Holiday Survival Guide Our best tips and tricks for the season

14.

Holly Jolly Healthy Keeping your nutrition goals in mind

16.

Holiday Gift Guide Something for everyone on your list

18.

Overcoming Baby Blues When is it postpartum depression

19.

Health Effects of Secondhand Smoke Health concerns just as serious as lighting up

A Runner’s World Finding the right shoe for your stride

Dedicated Docs The best doctors in Southern Nevada

Contributing Writers Alissa Dougherty, MS, CDE, RD, LDN Brett Benton Chuck Thielman David L. Howard, MD, PhD Dheeresh K. Mamidi, MD Evangelia Papageorge, MD Meghan Bailey Sarah Harper Sonia Ceballos, MD

20.

22.


WellHealth Quality Care Healthcare. The WellHealth Way.

OSTEOARTHRITIS THE WEAR AND TEAR ARTHRITIS Osteoarthritis, arthritis, degenerative joint disease and “wear and tear arthritis” is a common problem that affects about 30 million people in the United States. This disease mainly affects the spine, knees, hips, hands; however, can be found in other places like big toes, and other joints. Arthritis is mainly a breakdown of the joint, cartilage and tendons/ ligaments of the joints it affects. Common Symptoms Common symptoms for osteoarthritis include pain, swelling, stiffness or decreased range of motion. If you are experiencing any of the above symptoms, please visit your doctor.

Age - after 50 years old, there is a higher risk of developing arthritis. Genetics - some people are more prone to developing arthritis, as it runs in families. Obesity - carrying extra weight adds

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Fall 2017 WellHealthQC.com

help with specific arthritis. Therapy on a regular schedule, focusing on strengthening exercises will increase mobility and balance.

Prior Injury - prior injury of joints or overuse of certain joints can accelerate arthritic changes in the knees and hips.

Weight loss will significantly help to reduce pain, swelling and further wear and tear on joints.

Diagnosis Diagnosis of osteoarthritis can be done through physical exams, history of activity and genetics, x-rays or other radiologic modalities. Sometimes blood work tests can diagnose arthritis. Treatment There are multiple avenues for treatment of osteoarthritis, including but not limited to: Physical activity is very important in the management of arthritis. It is recommended to get at least 150 minutes of exercise weekly, with moderate exercises such as swimming, walking, biking, etc. This will keep body weight down and muscle conditions in good shape. Medication can be prescribed, and over-the-counter pain relievers can help with discomfort. Physical therapy, guided by a professionally trained therapist, can

Supportive devices like canes and walkers offer more stability for someone who has limitations in their joints due to arthritic changes. Surgery is a last option if all other treatments have not offered any relief. An orthopedic specialist makes the evaluation and recommendation for surgical options. Although there is no way to reverse arthritis, if you’ve been diagnosed, there are things you can do to manage your condition. Becoming more physically active, beginning a physical therapy program and losing weight are great ways to properly manage arthritis so that you may continue to live a happy, active and productive life.

For more information on living with osteoarthritis visit The Arthritis Foundation at arthritis.org.

Written by: Dr. Evangelia Papageorge

Risk Factors There are many risk factors that can play a role in the diagnosis of osteoarthritis. Some of these can include:

additional wear and tear (stress) on the joints, which can lead to arthritis changes especially in the knees and hips.


WellHealth Quality Care Healthcare. The WellHealth Way.

Letter from the Editor As we make our way toward holiday gatherings and New Years resolutions, I want to challenge you to consider how can you help break down stigmas in 2018.

More than 15 percent of women suffer through postpartum depression, and we need to support - not shame new moms.

As you turn through the pages of this issue of CareConnection, you’ll notice that our team took the challenge to open conversations and break barriers, starting with one of the most self-confident people I have ever met, Chuck.

This issue shows that anyone at any point can experience an out of the blue health diagnosis, and instead of cowering, they take steps to fight through it. It is our time to open our arms and support each other through the good and bad times. It takes only a moment to put yourself in someone else’s shoes and start to comprehend what they are going through.

I had never met anyone with an autoimmune disorder, and I was floored by his story. After hearing about his struggles, it solidified the importance of seeing the whole person and not being quick to make assumptions.

Being kind is free, I know I have had to deal with my fair share of people judging me for a health concern. It was difficult, but I needed to share my story and fight this issue with postpartum depression and the shame placed on someone for experiencing it.

Meghan Bailey mbailey@wellhealthqc.com

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Meet local “Momprenuer” and the face behind Bare Soles Moccasins, the best place to go for genuine leather moccasins for your infant and toddler. Located right here in Las Vegas, local mom and owner, Brittney Andersen, handcrafts each pair personally. Bare foot walking is recommended for all children until the age of 4. Bare Soles Moccasins provides all kids with the benefits of bare foot walking with a safe and stylish moccasin to promote the best orthopedic bone and muscle growth. With moccs starting at $25, you can’t go wrong. Use: shopsmallLV for a discount 4


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H Ask the Docs

WellHealth Quality Care Healthcare. The WellHealth Way.

Your Questions Answered About Breast Cancer. We talked to Dr. David L. Howard, with WellHealth, a DaVita Medical Group, to learn more about a how to reduce the risk of breast cancer.

CareConnection: What are the signs/symptoms of breast cancer? Dr. Howard: There are multiple signs or symptoms of breast cancer to look for. Some of these include swelling of all or part of a breast, skin irritation or dimpling, breast or nipple pain, nipple retraction (turning inward), redness, scaliness, or thickening of the nipple or breast skin and nipple discharge (other than breast milk). If you experience any of these symptoms make an appointment with your doctor.

Dr. Howard: Yes, breast cancer is not exclusive to women; however, it is not necessary for men to get routine breast exams unless there is a family history of male breast cancer or symptoms of breast cancer arise.

CareConnection: What is a mammogram, and when should I get one? Dr. Howard: A mammogram is an x-ray picture of the breast that is used to look for early signs of breast cancer. Mammograms are the best tests for doctors to detect breast cancer early and are regularly recommended yearly for women over the age of 45 to 54. Women over the age of 55 should switch to mammograms every two years; however, yearly mammograms are still available.

Dr. Howard: Yes, breast cancer can be inherited if you have a family history of it. If breast cancer is common in your family, then seeing a doctor or genetic counselor is highly recommended.

CareConnection: How often should I be checked for breast cancer? Dr. Howard: Women should be checked annually for breast cancer after the age of 45; however, a breast self-exam (BSE) can be performed quickly, and, if symptoms are shown, schedule an appointment with your doctor.

CareConnection: What can I do to reduce my risk of breast cancer? Dr. Howard: There are multiple ways of reducing your risk of breast cancer, including: Limiting alcohol - the more alcohol you drink, the greater your risk of developing breast cancer. Not smoking - quitting smoking not only is great for your overall health, but there are studies that suggest a link between smoking and breast cancer risk. Controlling your weight - being overweight or obese can increase your risk of breast cancer. This is

David L. Howard MD, PhD especially true if obesity occurs later in life, particularly after menopause.

QA &

CareConnection: Can men get breast cancer, and should men get routine check-ups as well?

CareConnection: Can I inherit breast cancer?

Being physically active - physical activity can help you maintain a healthy weight, which, in turn, can help prevent the risk of breast cancer. Breastfeeding - breastfeeding has multiple benefits for your overall health, including reducing the risk of breast cancer.

Limiting dose and duration of hormone therapy - the combination of hormone therapy for more than three to five years increases the risk of breast cancer. Avoiding exposure to radiation and environmental pollution - many medical-imaging methods, such as computerized tomography, use high doses of radiation. Reduce your exposure and have these tests only when absolutely necessary.

Fall 2017 WellHealthQC.com

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WellHealth Quality Care Healthcare. The WellHealth Way.

My Story. My Life. Living with an Auto Immune Disorder – Alopecia

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Being an active person, I was concerned at first that I would have limitations with my diagnosis, but quickly found out that wasn’t the case. You don’t realize how much you count on hair in your everyday life though. Without eyebrows, I didn’t have a barrier for sweat getting into my eyes. No eyelashes meant dust and debris constantly get into my eyes, which is why you will see most people with alopecia wearing glasses. I can’t even explain what it is like to have a runny nose without nose hair. But, I have no limitations, and living life is not much different than anyone else.

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Fall 2017 WellHealthQC.com

Alopecia isn’t a death sentence, and it doesn’t take years off your life, it just is what it is. While it can be daunting being newly diagnosed or going throughout your life explaining your condition, you have to have confidence in who you are because people eventually look past your disease and look at who you are. If you or someone you know has been diagnosed with alopecia, visit naaf.org to learn more.

As told by: Chruck Thielman Written by: Meghan Bailey

pproximately 6.8 million people in the United States and 147 million worldwide have or will develop some form of alopecia. While alopecia areata is a common autoimmune disease that results in the loss of one’s hair, it can start with one or more small, round, smooth patches. There is another condition, alopecia univeralis, which is a form of alopecia where you lose all of your The daunting part of having alopecia comes in two forms. body hair. Either of these disorders can occur in males and The first was becoming who I am today. I lived over 20 years females of all ages and races, but onset most often occurs with normal body hair, and then I didn’t. Many people who in childhood. Alopecia is not medically disabling; persons have this disorder can be hindered with low self-esteem and with alopecia are usually in excellent health. But emotionally, a regret of what was instead of seeing what is and living to this disease can be challenging. While sitting down with their fullest potential. When I lost my hair, I felt “off,” but over Chuck Thielman, a Las Vegas resident who has dealt with time I was able to stop caring what others thought or said some form of alopecia since his midand became who I wanted to be. The 20s, I couldn’t help but notice a fierce second daunting part is educating confidence and positive self-image, those around me. My family and friends “Losing your hair, which is something that many people were receptive and most made time to without this disorder fail to achieve. whether you are male or do their research, but society can be Here is his story, in his own words. relatively shallow, and many people will female, makes you feel stare when I walk into a room. Beyond Heredity can play a role for someone vulnerable and you have the staring, I’ve had people ask if I was being diagnosed, but I don’t have a a burn victim or sick with something like to become a new version family history of alopecia. When I was cancer. I politely take this opportunity diagnosed in my early 20s, I originally of yourself.” to educate them a little bit about only had alopecia areata, which is alopecia in hopes of helping others localized hair loss. Since alopecia they may encounter with the same doesn’t run in my family, it was disease. something that not only myself but everyone around me had to take time to understand. Just as we were figuring out what My daily life includes a lot of double takes, especially from alopecia areata was and understanding what to expect, the kids. Most of them comment that I look weird or scary, which unexpected happened. I started to lose more hair, and a few is why it is important to continue to teach compassion for years after my first diagnosis, I was diagnosed with alopecia others. I will never forget one little kid who asked me if I was universalis, which is complete hair loss, total body. allergic to hair because it is pretty accurate.


Flu Season Is Here. With the falling leaves and the baked goods that come with the changing of the seasons, coughs, runny noses and sore throats aren’t far behind. While the flu can hit anyone, children are especially vulnerable.

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ccording to the Center for Disease Control (CDC), children, especially those younger than five years, are at higher risk for serious flu-related complications. Each year, millions of children get sick with seasonal influenza; thousands of children are hospitalized and some children die from flu. We sat down with board certified Las Vegas-based pediatrician, Dr. Dheeresh Mamidi, to discuss one of the most common illnesses this season and how to protect yourself.

Written by: Dr. Dheeresh Mamidi

First, it is important to know if what your child has contracted is bacterial or viral because there are different treatments for both.

greyish that indicates a bacterial infection. If it is clear, then it is a viral infection. However, even a clear runny nose or coughed up transparent globule may still be a bacterial infection. “The flu vaccine offers the best defense against getting the flu and spreading it to others,” said Dr. Mamidi. “Getting vaccinated can reduce flu illnesses, doctor’s visits, missed work and school days,and flu-related hospitalizations and deaths in children.” Additionally, stay home when you are sick. Cover your nose and mouth with a tissue when you cough or sneeze. If a tissue is not available, cover your mouth and nose with your sleeve, not your hand. Wash your hands often with soap and water, especially after you cough or sneeze. If soap and water are not available, use an alcohol-based hand rub. Avoid touching your eyes, nose or mouth. Germs spread this way. Clean and disinfect surfaces or objects on a regular basis. While you can’t entirely prevent contracting the flu, you can take steps to lessen your child’s chances.

“The flu vaccine offers the best defense against getting the flu and spreading it to others.”

“Typically, a virus is a short lasting sevenday occurrence that can be characterized by a temperature, hot and cold sweats and aching in the muscles and joints. Sometimes there may be a sore throat or a runny nose or even a cough and sometimes there may not. You may just feel not well and listless,” he said. “A viral infection, however, can weaken your immune system and allow bacteria to sneak in and cause havoc to your child’s health.” Unfortunately, many of these symptoms may be bacterial in origin as well, though most nuisance bacterial infections in winter tend to settle in the chest or infect the sinuses. Sometimes they can infect the throat – like strep throat. Usually, if the sputum or mucous is green, yellow or

When to Call the Doctor Increased work of breathing including fast breathing, nostril flaring, use of rib, stomach or neck muscles to breathe Markedly decreased activity or responsiveness No improvement over a three to five-day period All children under three months of age with a fever Dehydration demonstrated by decreased fluid intake, urination less than three times in 24 hours, or decreased tears

FLU FAST FACTS

• Children commonly need medical care because of influenza, especially before they turn five years old. • Children younger than five years and especially those younger than two years are at high risk for serious influenza complications. • Children of any age with chronic health problems like asthma, diabetes and disorders of the brain or nervous system also are at high risk for serious flu complications. Fall 2017 WellHealthQC.com

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Preheat oven to 325° F. Baste turkey every 30 minutes with the juices on the bottom of the pan.

HOLIDAY

survival

GUIDE The holidays are a wonderful time for reconnecting with those you love over delicious meals, but they can also cause a lot of stress and anxiety.

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Fall 2017 WellHealthQC.com

Written by: Meghan Bailey & Sarah Harper

Don’t worry, this year we have you covered! With everything from our favorite meal hacks to dietitian-approved snacks for the road to the ultimate gift guide, we’ve got your back this holiday season, so enjoy! >>>


WellHealth Quality Care Healthcare. The WellHealth Way.

THE PERFECT TURKEY TIPS

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or some, Thanksgiving is one of the best holidays of the year, but, whether you love cooking or not, making a feast for your guests can be stressful. Never fear, use these tips to save mushy vegetables, serve the best beverages and cook a juicy turkey.

If you are looking for that perfect brown crisp, baste your turkey with white zinfandel and coarse salt. Not only will it crisp the skin, but the alcohol also imparts a brown glaze to the outside of the meat. To make sure your turkey stays moist and tender throughout the cooking process, put your turkey in a cooking bag and glass pan. Add a vegetable broth with a little bit of milk to the bottom of the bag instead of water.

SAVING YOUR SIDES If you’ve put your heart and soul into cooking the turkey and may have overcooked your vegetables without realizing it, never fear you can fix that. Search your pantry for some tomato sauce or a mushroom cream soup and stir the veggies into the base, put bread crumbles on top and cook for 20-30 minutes in the oven. You’ll have a new dish to be proud of.

NO SPACE FOR POTATOES Turkey, pie, stuffing, glazed vegetables—you have the perfect menu and then realize you have no place for cooking your potatoes. No worries, dust off the crockpot you’ve stored in the corner and fire it up. Wash your potatoes, slice them into squares and put them in your crockpot. Then, add milk, sour cream, cream cheese, garlic, rosemary and salt. Cook on low for four hours, quickly mash the potatoes, and you are ready to go!

PUMPKIN PIE MINIS Sometimes you just need to buy your pumpkin pie, but you don’t need to tell anyone that. Purchase a pumpkin pie, grab a biscuit cutter and cut out perfect mini portions of pumpkin pie. You can layer with whipped cream, nuts and cinnamon for a chefinspired touch. Don’t stop with pumpkin—try this trick with apple or pecan pie and more. Plus, everyone loves little desserts.

THE BEVERAGE SITCH While wine, mulled cider and beer are staples to any Thanksgiving occasion, it is also nice to offer a fun new beverage. A pomegranate soda is easy and delicious. Mix a cup of sugar, club soda, a half cup of pomegranate juice and some whole cranberries for garnish, for a win-win.

Fall 2017 WellHealthQC.com

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WellHealth Quality Care Healthcare. The WellHealth Way.

H

OLLY JOLLY EALTHY

The holidays are right around the corner, and it can be easy to let your healthy eating habits fall to the wayside once those calorie-heavy meals and hectic travel plans appear on our already packed schedules.

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hat’s why we met with Alissa Dougherty, RD at WellHealth Endocrinology, to share her tips to stay on track, her favorite travel-friendly snacks, plus two delicious, dietitian-approved trail mixes to make before heading out of town. STICK TO YOUR NORMAL ROUTINE If you normally eat three meals a day and a snack or five small meals, try your best to do that on your trip. Traveling in a car, train or plane can often tempt us to graze throughout our journey or make unhealthy choices. PLAN AHEAD Prior to your trip, map out your travel route to determine where you may stop for meals and where you may be staying overnight. This can help you determine what you may want to pack versus eating out. MAKE THE RIGHT MENU CHOICE It’s no secret that portion control is key when stopping at a restaurant, since most menu items are actually multiple servings. If it makes sense, split a meal with a family member. Also, avoid super sizing sides like french fries or sodas, or replace them with produce like a side salad or apple slices.

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Fall 2017 WellHealthQC.com

Written by: Meghan Bailey & Sarah Harper

SCHEDULE AN APPOINTMENT Staying on a regular eating schedule is your top method for success, but what if you don’t have a solid diet plan already? If you don’t have a routine, a dietitian can help you learn more about meal planning and preparation so you can practice healthy eating habits year-round. Dietitians are also able to adjust your diet for your goals, taking into consideration any health conditions you may have.


WellHealth Quality Care Healthcare. The WellHealth Way.

convenient grabs

Your best bets when you’re on the road or running to a connecting flight.

fresh finds Many convenience stores sell fresh fruit and vegetables. Pair with a single-serving of nut butter or hummus for a wellbalanced snack.

balanced bars Look for KIND®, Quest™ or LÄRABAR® brands.

make your own mix

perfect portions Pre-portioned 100-calorie snack packs are a great option. Grab single-serving packets of nuts, cheese or even hard-boiled eggs for protein-packed snacking.

Simply combine all ingredients in a ziplock bag, shake and you’re out the door with a healthy sweet or savory trail mix!

sweet mix 1 cup almonds, 1 cup pistachios, ½ cup dried cranberries or cherries with no added sugar, ¼ cup mini dark chocolate chips and a dash of cinnamon and salt

savory mix 1 ½ cups of raw almonds, 1 ¼ cups pumpkin seeds, 1 ½ cups raw sunflower seeds (without the shell), 1 teaspoon garlic powder, 3 teaspoons onion powder and 1 teaspoon cayenne pepper

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WellHealth Quality Care Healthcare. The WellHealth Way.

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Holiday GIFT GUIDE

‘Twas the night before Christmas, and all through the house, one creature scurried, snagging up last minute gifts

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in a hurry. Sound familiar? Get your shopping done early for everyone on your list with our hand-selected gift guide.

1. ESSENTIAL OIL DIFFUSER

Relax, focus or check off everything on your to-do list with the right essential oils. $23.99, amazon.com

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2. UNICORN LIGHT UP SLIPPERS

For the most magical person you know, or the one who needs a little light on the way to the bathroom. $39.99, smokonow.com

3. COLORING SET

De-stress and reconnect with your creative side. Book $7.53, amazon.com Pencils $21.99, michaels.com

4. MAGIC COLOR BALL BLUETOOTH SPEAKER Listen as all of your favorite songs come to life in a rainbow of colors. $36.99, theapollobox.com

5. NIGHT SKY MAP

Recreate the night you met, got married, had a child and more with The Night Sky print. Starting at $60, thenightsky.com

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Fall 2017 WellHealthQC.com

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WellHealth Quality Care Healthcare. The WellHealth Way.

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6. MAN CRATES

Bragworthy loot crates for the guy in your life, whether he’s into whiskey, bacon or poker, there’s a crate for him. Starting at $99, mancrates.com

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7. SIMPLE SUGARS

All natural sugar scrub that is safe enough to use on a daily basis. Perfect for dry winter skin. $14, simplesugars.net

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8. SKAGEN WATCHES

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Sleek and classic designs with high quality craftsmanship. Starting at $110, skagen.com

9. TEEPEE

A perfect place for your little ones to escape and jumpstart their imaginations. $60, walmart.com

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10. TERRARIUM

Make your own terrarium with this easy to use kit that includes a glass container with lid, hydrostones for drainage, green moss and soil mix. $27, etsy.com, GardenGoodsDirect

6 11. HANDBAGS

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Inspired by her love of handbags and Disney, Danielle Nicole takes handbag crafting to a magical place. Starting at $50, daniellenicole.com

Fall 2017 WellHealthQC.com

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Postpartum Depression Signs & Symptoms • • • • • • • •

Overcoming Baby Blues The birth of your child is one of the most joyous and exciting

Specific fears such as thoughts of harming yourself or the child Depressed mood Excessive crying Difficulty bonding with your baby Withdrawing from friends and family Loss of energy Lack of interest in activities you used to enjoy Thoughts of worthlessness, shame or guilt

While many of these symptoms can be classified as postpartum blues, if they don’t subside and become more intense and last longer, it is time to ask for help.

times in a woman’s life, but following the birth of your baby, it is estimated that around 80 percent of women will experience some level of postpartum depression.

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Postpartum depression and postpartum blues are different, and while one can have more of a significant effect, they are both critical to understand and recognize whether in yourself or a family member.

Dr. Sonia Ceballos, a board certified OB/GYN with WellHealth, A DaVita Medical Group, says, “many mothers commonly experience what is referred to as ‘baby blues,’ and that is normal because of high hormonal fluctuation that occurs after childbirth. However, it is when those symptoms intensify and begin to last longer that it becomes worrisome.” She also added, “when a new mother comes in for her postpartum checkup we are trained to look beyond traditional ‘baby blues,’ to make sure the mother isn’t showing signs of postpartum depression, which when left untreated, is not safe for the mother or the child.”

“After my son was born, I began to have thoughts of regret, and I didn’t connect with him immediately.”

Fall 2017 WellHealthQC.com

“I personally believe it is important for people to know what postpartum is; this is the only way they can help end the stigma. People don’t educate themselves before they have an opinion on a topic,” said Meghan Bailey.

“I was in shock, disbelief that I made a child, and with the additional health problems he had, I felt an immense amount of guilt that somehow I caused it by doing everything wrong. I researched my feelings, talked to my husband and ultimately talked to my doctor. But, not everyone has the mindset to get help when something is wrong because of judgment and shame, and that needs to change.”

Postpartum blues symptoms occur in up to 80 percent of women who just gave birth. With fluctuating hormones, you may see or experience anxiety, sadness, lack of concentration, appetite problems, trouble sleeping or mood swings. The onset of postpartum blues usually occurs three to five days after the child is born, and usually subside within a few weeks. If a loved one or friend is exhibiting signs of a postpartum illness, it is crucial to speak to them in a nonjudgmental, supportive manner that allows them to feel loved and cared for.

You’re not alone Download a resource guide at ppdsilencesucks.com, or talk to a trusted loved one or your doctor. If you feel like you are going to harm yourself or someone else, call 9-1-1 immediately for support and help.

As told by: Dr. Sonia Ceballos Written by: Meghan Bailey

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nfortunately, our society still has a stigma of shame associated with a mother who has postpartum depression. Some argue that one million women per year struggle from some form of postpartum symptoms. In a perfect world, this is okay because there are professionals who can treat each disorder. However, a study shows that only 15 percent of women receive professional treatment, which leaves more than 800,000 women each year helpless.

By opening your mind and being highly vigilant about any warning signs you see in yourself and others, you can pocket mom-shaming tendencies and help. Know the causes of postpartum and symptoms to look out for.


WellHealth Quality Care Healthcare. The WellHealth Way.

Health Effects of Secondhand Smoke Just because you don’t smoke doesn’t mean your lungs are safe. According to the American Lung Society, secondhand smoke is a severe health hazard, causing more than 41,000 deaths per year.

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econdhand smoke can cause or make worse a full range of damaging health effects in children and adults, including lung cancer, respiratory infections and asthma.

Written by: Meghan Bailey

Some key facts surrounding secondhand smoke may shock you. Secondhand smoke causes more than 7,000 deaths from lung cancer and more than 33,000 deaths from heart disease each year. Secondhand smoke can also cause stroke and increase your risk of having a heart attack. Secondhand smoke contains hundreds of toxic and carcinogenic chemicals such as formaldehyde, benzene and arsenic ammonia among others. It is time to speak up about secondhand smoke. While doctors routinely ask their patients if they smoke, they may not always ask if their patients work or live around someone who smokes on a regular basis. By speaking up and letting your doctor know that you have regular contact with secondhand smoke you can arm them with the knowledge to test for secondhand smoking diseases with more intent. This is particularly the case for children who have young lungs and bodies that are still developing. Secondhand smoke in children raises their risk for ear infections, asthma attacks, lung infections, coughing and wheezing, heart disease and cancer.

PROTECT YOURSELF • Don’t allow anyone to smoke in your car. • Avoid bars and restaurants where smoke is allowed, including vaping. • If someone starts smoking around you, ask them to move, or move somewhere cleaner yourself. • Ask those who smoke to not smoke at your home. • If you live in an apartment or condominium building, talk to the management to create smoking only areas so central public spaces can stay clean and smoke-free. While it may be uncomfortable to ask someone to not smoke near you, it is worth it for your health. If you or someone you know is looking to quit smoking, visit lung.org for additional resources and support.

Fall 2017 WellHealthQC.com

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WellHealth Quality Care Healthcare. The WellHealth Way.

A Runner’s World What’s the right shoe for me?

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any of us dream of being able to run a 5K, 10K, half or more, but then reality strikes with shin splints, cramps, swelling and other ailments. By the end of your first couple of training runs, you think to yourself “how can anyone run long distances?” This is an all too common occurrence that usually ends in either fighting through the pain or giving up on running altogether. But what if there was a better way, one in which you could run longer distances without pain?

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Fall 2017 WellHealthQC.com

Written by: Brett Benton

Welcome to the world of running shoes, and we’re not talking about the “running shoes” found at your big box stores. We’re talking name brands like Brooks, Asics, Nike and Adidas who spend tens of millions of dollars every year on research and development to create the right shoes for pounding the pavement. I know what you are thinking, “running shoes are are expensive,” and I agree completely, especially when you need to change out your shoes every six months. But have you ever heard of the saying “you get what you pay for?” Well, in the case of running shoes and the future health of your arches, you certainly want to get the highest quality. Before you go out and purchase a pair of these shoes, you need to figure out what type of runner you are. This can be broken down into three different types of running stances: neutral, overpronation and underpronation. Let’s dive a little more into each and talk about the ways that this could impact your running health.


WellHealth Quality Care Healthcare. The WellHealth Way.

Neutral (basic) runners are those that run in a basic fashion, meaning that the shock absorbed by your body is distributed from the ball of the foot to the heel following the foot’s natural inward roll. Basic runners are able to absorb impact, relieving pressure on knees and joints, and most neutral runners are efficient and can run long distances. Neutral runners can wear most shoes as long as it has enough cushion to absorb the natural shock of your run. Recommended shoes – Adidas Supernova Glide Boost 8, Nike Flyknit Racer, Brooks Glycerin 14 Overpronation is identified by wear patterns along the inside edge of your shoe, and is an exaggerated form of the foot’s natural inward roll. Overpronation is a common trait that affects the majority of runners, leaving them at risk of knee pain and injury. Overpronators need stability or motion control shoes to adjust this exaggerated movement inward. Recommended shoes – Nike Lunarglide 7, Brooks Adrenaline GTS 15, Asics GT-2000 3

Relatively few runners supinate, but those who do need shoes with plenty of cushioning and flexibility. Recommended – Asics Gel Nimbus 18, Brooks Ghost If you are having trouble figuring out which type of runner you are, visit a podiatrist or a running store that offers foot exams to test how your foot lies while running. Once you have concluded which type of runner you are, and you have purchased your first correct pair of running shoes, you can begin your lifelong journey of running. Start by focusing on small goals, like running a consistent 10 minute mile or beating your last record. Then work your way up through 5K’s, 10K’s, half marathons and more. A good way to focus on these goals and put those new shoes to the test is to use a running program. Apps like Nike Run Club and Couch to 5K are great free programs that can improve your technique and get your feet adjusted to your new shoes. Now that you have the knowledge and the equipment to make the run great, Get up and get running!

Underpronation (Supination) is marked by the wear along the outer edge of the shoe. It is an outward rolling of the foot, resulting in insufficient impact reduction at landing. Fall 2017 WellHealthQC.com

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WellHealth Quality Care Healthcare. The WellHealth Way.

Dedicated Doctors PAUL V. TOMASIC, MD, is the Medical Director of Endocrinology & Primary Care Services at WellHealth Quality Care, a DaVita Medical Group. He is a native southern Californian who moved to Las Vegas in 2005 after completing a career in the United States Navy at the rank of Captain, Medical Corps. He received his doctor of medicine degree from the Uniformed Services University of the Health Sciences. He completed his internal medicine residency at Naval Hospital, San Diego. He completed his fellowship in endocrinology, diabetes and metabolism at the National Naval Medical Center in Bethesda, Maryland. He received “Top Doc” in endocrinology honors from Vegas Seven magazine in both 2014 and 2015. He lectures and serves as moderator at educational events throughout the state of Nevada for both the Nevada Chapter of AACE and the Nevada Chapter of HIMSS.

DHEERESH K. MAMIDI, MD, grew up in Hyderabad, India and began medical school in South India at Gandhi Medical College. He received his Master of Public Health degree in epidemiology and biostatistics from the University of Massachusetts Amherst in 2004. Following graduation, he completed his paediatric residency at University of Texas Medical Branch - Galveston in 2007. Upon completion of his residency, Dr. Mamidi practiced with Specialty Medical Center in Pahrump, Nevada. In 2011, he joined HealthCare Partners, a DaVita Medical Group, and currently sees patients at its Durango paediatric clinic. When he is not practicing medicine, you can find him watching movies, playing badminton and researching stocks. Dr. Mamidi is also a proud husband and father to two beautiful little girls.

ALYSSA SMALL LAYNE, MD, was born and raised in Canada with deep Caribbean roots, which sparked her interest in diversity and healthcare disparities. She graduated with honors from the University of Toronto with a Bachelor of Science degree in Neuroscience. She had varied interests that she satisfied with minors in both Caribbean studies and psychology. Her interests in science and community well-being led her to pursue a career in medicine. She graduated from medical school at Meharry Medical College and then trained to be a women’s health specialist with a residency in obstetrics & gynecology at the University of Illinois at Chicago. Her medical career has focused on urban and undeserved populations with projects in Canada, USA, Barbados, and Honduras. Dr. Small Layne is currently a junior fellow in Minimally Invasive Gynecologic Surgery Fellowship Program at Las Vegas Minimally Invasive Surgery Women’s Pelvic Health Center.

NATHANIEL KLEIN, MD, grew up in a small country town in Michigan before attending Michigan State University, where he double majored in human physiology and nutrition. He then continued his education at Rosalind Franklin University of Medicine and Science, where he received his Master of Science in Biomedical Sciences and a research certificate for clinical sciences. Dr. Klein then went on to obtain his medical degree from the Chicago Medical School, completing his OB/GYN residency at St. Joseph Hospital in Chicago. While in residency, he served as the chief resident as well as the administrative chief. Dr. Klein is currently a junior fellow in Minimally Invasive Gynecologic Surgery Fellowship Program at Las Vegas Minimally Invasive Surgery Women’s Pelvic Health Center.

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Fall 2017 WellHealthQC.com


LIVING WITH DIABETES The Education Series

Interactive Demos Join certified diabetes educator, Alissa Doughtery, during her monthly Living with Diabetes Education Series. This is a great resource to help you understand diabetes lifestyles. The classes include open discussions about diabetes basics, nutrition, physical activity, blood sugar monitoring, medication management and much more.

Open Discussions Professional Education Safe Enviornment

The Living With Diabetes Education Series requires a referral from your Primary Care Provider. Talk to your provider today to gain access to this specialized class.

American Diabetes Association Accredited Program

(702) 863-9663 WellHealthEndocrinology.com Southern Hills Hospital Medical Office Buildings


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Call 702.870.2099 to schedule an appointment today When it comes to the health of your family, rely on the people you trust.

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Profile for WellHealth Quality Care

WellHealth CareConnection: Fall 2017  

A local Nevada Healthcare Magazine highlighting research and innovation. Featuring wellness articles, personal health stories and healthy li...

WellHealth CareConnection: Fall 2017  

A local Nevada Healthcare Magazine highlighting research and innovation. Featuring wellness articles, personal health stories and healthy li...

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