WellHealth CareConnection: Spring 2017

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CareConnection Innovative Healthcare in Your Backyard SPRING 2017

Hit The Road!

Day-Trips to Discover

WellHealth Cares

My Story. My Life. The Sibling Gap

Ask the Docs

Diabetic Nutrition

Polycystic Ovarian Syndrome

A WellHealth Quality Care Publication


FEEL BETTER. TODAY! At WellHealth Primary Care

We Make It Easy. Prevention is the key to having a long, healthy and active life. Our caring physicians work with you to take simple steps to make sure an easily treatable condition doesn’t develop into a long-term medical problem. Visit either of our two convenient locations in North or Southwest Las Vegas. Don’t wait when you’re sick. Our offices feature short wait times to get you feeling better, faster!

Book Your Appointment Today! Visit WellHealthPrimaryCare.com

Services Include • Arthritis • Atherosclerosis • Diabetes • Heart Disease • High Cholesterol • Hypertension • Pre-Operative Evaluations • Preventive Medicine • Preventative Care • Sports Physicals • Thyroid Disorder • Urgent and Chronic Health Conditions • Wellness Exams

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WellHealth Quality Care Healthcare. The WellHealth Way.

Letter from the Medical Editor The holiday season has wrapped up, and spring flowers are now blooming. This time of year, the mulberry trees flourish, and my allergies kick in. That means it’s time to take steps to make sure my body is armed with what it needs to get through this season. This brings me to a very important concept that we often overlook - putting yourself first. Even though you are with yourself all day, we often neglect our own needs K. Warren Volker, MD, PhD CEO of WellHealth Quality Care

because of other demands that may seem more pressing and important. This has to change. Your long-term health depends on it. I challenge you to start keeping a health journal, which is similar to a food journal. Track how different

Even though you are with

seasons make you feel, both physically and mentally, your

yourself all day, we often

illnesses or injuries, allergies, and medications. This will help

neglect our own needs because of other demands

you become more mindful of your own health and start putting yourself first.

that may seem more pressing and important. This has to


I would also like to challenge you to go a step further and share this health log with your primary care provider, therapist or both. By allowing yourself to create relationships with your health care providers, you can continue being the best version of yourself.

Start your journey, Dr. K. Warren Volker

Spring 2017 WellHealthQC.com


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WellHealth Quality Care Healthcare. The WellHealth Way.

Tips, stories and guides for a

Healthier You In this issue:

Spring: 2017

Contents P.8 MY


Sibling Gap. STORY. The Moms give the scoop on when LIFE. having another child is reasonable.


Ovarian Syndrome


Credits Medical Editor

Dr. K. Warren Volker

Managing Editor Meghan Bailey

Copy Editors

Sara Williamson

Art & Design Brett Benton

Contributing Writers Alissa Dougherty MS, CDE, RD, LDN Melissa Gutierrez, MD Crystal Allen Nichole Jackson Tania Willford


Letter from the Medical Editor Achieving your goals


Varicose Veins Know the signs and symptoms


Letter from the Editor A look at the journey of CareConnection


My Story. My Life. Facts about spacing out your pregnancies


Ask The Docs Common questions about diabetic nutrition


Nine Types of Depression Depression types you should be aware of


Acne Through The Years How your skin reacts to acne with age


In The Community WellHealth Cares team


Hit The Road Local day-trips to discover


Polycystic Ovarian Syndrome (PCOS) Signs and symptoms of PCOS


The Path To Health A personal journey to fitness

Dedicated Doctors Southern Nevada’s best doctors


WellHealth Quality Care Healthcare. The WellHealth Way.

Know the Signs


For over 3 million people diagnosed with varicose veins, this common condition is generally benign, but the cause is not yet known. Symptoms of varicose veins are enlarged veins that become gnarled with pressure. It’s common to see them on your legs and feet. Symptoms of Varicose Veins:

legs and feet. Many factors, such as age, obesity and pregnancy can contribute to varicose veins. As we age, our veins lose elasticity causing them to stretch and weaken. When you are carrying extra weight, you are putting pressure on your veins, which can ultimately cause them to weaken from overuse. Women who are pregnant may develop varicose veins because of the volume of blood in their body. The change is to help your growing baby, but it also affects your blood flow.

For most, varicose veins may not cause any pain. Signs of varicose veins may include: • Dark purple or blue veins that appear twisted; often like cords on your legs • Burning, throbbing, muscle cramping and swelling in your lower legs • An achy or heavy feeling in one or both of your legs • Worsened pain after sitting or standing for an extended period • Itching • A painful cord in the vein with red discoloration of the skin

If you experience color changes, hardening of the vein, inflammation of the skin or ulcers near your ankle, you could have a severe form of vascular disease that requires medical attention.

When to See Your Doctor If you are not experiencing painful symptoms, you may not have to see your doctor regarding your varicose veins. Self-care includes: exercise, elevating your legs or wearing compression stockings under your clothing. If you’re concerned about how your veins look and feel and self-care measures haven’t stopped your condition from getting worse, schedule a visit to see your doctor.

Causes of Varicose Veins Blood is carried through your arteries, and it’s the job of our veins to disperse blood throughout the rest of our body. Unfortunately, gravity works against the veins in our


Spring 2017 WellHealthQC.com

If you notice small dark purple or blue lines on your legs or feet, it’s not a cause to panic. In most cases this condition is more of a cosmetic concern versus a severe medical problem, but if you start to experience pain, visit your doctor.

WellHealth Quality Care Healthcare. The WellHealth Way.

Letter from the Editor When you listen to hear instead of reply, the result can become epic greatness. We are on issue 9 of CareConnection, and the success we have had is all due to the team of writers, creators and the active readers who share their thoughts on a regular basis. This magazine is shaking up normal healthcare by attacking overall well-being, including mental, physical and emotional health. The feedback we hear time and time again is that our small magazine fits the needs of almost everyone in a reader’s household, and that compliment overwhelms us with joy. Since our last issue, you’ve asked about ways to de-stress, have fun with your family and about nutrition, depression and acne. We have answered them all in this issue.

we touch on ways to cope with adult acne, and we asked real moms why they spaced their children out the way they did. There are also six road trips carefully selected (most tested) and plotted out, and we encourage you to grab the keys and hit the road with your family and friends.

We start by addressing the nine types of depression that are currently being diagnosed,

Meghan Bailey mbailey@wellhealthqc.com

While our team would like to finish some of the road trips, we may need to live through you. Send us pictures and please continue to give us feedback for our next issue. Cheers,

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MyTRAVEL Story. My Life

Real women describe first hand how the age difference between children can be a huge decision.

My Story. My Life.

The facts about spacing out your pregnancies. More than choosing how close in age your children will be, spacing can affect your body in different ways depending on the time frame you originally planned.

Risks of Spacing Pregnancies Within Five Years or More: • •

High blood pressure Kidney damage (preeclampsia)

Risks of Spacing Pregnancies Within Two Years or Less: • • • •

Premature birth Low birth weight Congenital disorders A woman’s placenta partially or completely peeled away from the inner wall of the uterus before delivery

Research has suggested that a pregnancy within less than two years of a live birth are also associated with the increased risk of autism in the second child. The mother also has a risk of not recovering from the first pregnancy enough. Pregnancy and breastfeeding can deplete your body of nutrients, and if you cannot restore them in time, you risk affecting yours and your new baby’s health. In addition to nutrients, you also need to make sure your body has healed from inflammation during delivery, and the size of your uterus has properly healed back to its original size.


Spring 2017 WellHealthQC.com

While there are not as many physical risks, there are still concerns that a mother and baby need to be aware of. A pregnancy with five or more years can put the mother at risk for high blood pressure. It is also possible that shorter pregnancy windows improve the capacity to promote fetal growth and support, but over time these beneficial changes disappear, which may make pregnancy difficult. While there may not be a perfect time to have another baby, careful planning and education to understand the risks associated with timing can help you make an informed decision for the health of mother and child. Beyond physical health, you need to make sure you understand what types of social and mental health comes into play depending on the spacing of your children. We asked three moms to share how they came to decide the spacing of their children. Meet Crystal, Nichole and Tania.

Crystal Allen

My Story. My Life

Mother to Mason, Avery and Thea Youngest Siblings Age Difference: 1 year and 4 months I’ve had many friends question my sanity, and would lie if I hadn’t looked into mine as well. But, our little Thea was a surprise, an amazing and beautiful life surprise. Both my husband and I were happy with our family of four, but the world had plans of its own, and just six months after having Avery, a positive pregnancy test told us we were about to be a family of five. There were so many thoughts flooding in, and I was so apprehensive on how this pregnancy would affect Avery. With my first, Mason, I had almost three years between having the two. I knew this age gap would prove to have struggles because they’d both be infants and need so much care.

Avery, Cryst

al, Thea an

d Mason

Tania Williford Mother of Chloe and Mason Sibling Age Difference: 12 years

Now I can say with confidence our family is complete, and it is nice to know my pregnancy chapter is over and we can make lasting family memories. Looking back, if I had the choice, I would have waited to have Thea until Avery was closer to three because there are certain things you have to forgo because they are so close in age. Mother’s shouldn’t be hard on themselves because a mother’s love never waivers no matter the age gap.

It wasn’t a conscious choice to have my children with such a large age difference, and I always knew that I wanted more children. Once Chloe, my first, was born, that only solidified my yearning for more. However, life intervened, and my circumstances changed. Chloe’s father and I remain close friends, but we separated shortly after she was born. Then the man I had a long-term relationship with ended after eight years. I was 36 and my time clock was ticking. I had given up the idea of having another child. It wasn’t until a surprise positive pregnancy test I took when dating my son Mason’s father happened that I could relive the elated happiness that I would be able to bring another child into my family. I knew mine and Chloe, twelve at the time Mason was born, lives would change. With having such a large age difference between my children, I was able to give 100 percent of my attention to them during their infant and toddler years. It was also easier the second time around because I had wisdom and patience, things were not as hectic as I remembered when I had Chloe. The only drawback we experience is how to mesh as a family unit out and about. When you have a teenager and a toddler, family activities are not readily available, and you have to learn to be flexible. Looking back, the age difference doesn’t matter to me. Having two beautiful and healthy children to complete my family is what is important.

Tania, Chloe and


Nichole Jackson

Mother of Jace and Taylor Sibling Age Difference: 5 years When I conceived my first child, I just knew it had to be a little girl. I had talked about having a daughter for the longest time, and it is hard to admit when we found out the gender I was disappointed. The disappointment was short-lived because my son, Jace, became my little homie. As a new family of three, we did everything together, and boys love their moms so much deeper. It wasn’t until a couple of years later that I told my husband that someone was missing, my daughter. I knew I was meant to have one more, and while we tried conceiving, it was incredibly difficult. After time went on and many negative pregnancy tests, both my husband and I felt defeated and gave up. Just a couple months after we “gave up” we became pregnant. Five years after having Jace, we welcomed our baby girl, Taylor.

Jace and


It was fate and timing that decided our children’s age gap, and I couldn’t have been more grateful. Having our kids five years apart allowed for us to create strong bonds with each child individually and allowed for our children to create a strong friendship. To this day they are incredibly protective of each other, and without the five-year difference, I don’t know if they would be as inseparable as they are.

H Ask the Docs

WellHealth Quality Care Healthcare. The WellHealth Way.

Your Questions Answered About Diabetic Nutrition. We talked to Alissa Dougherty, a Registered Dietitian and Certified Diabetes Educator with WellHealth Medical Group, to learn more about a healthy, balanced diet for those with a diabetes diagnosis.

CareConnection: How much fat should be included in a diet and what foods are good sources of healthy fats? Alissa Dougherty: There is currently no ideal total fat intake for individuals with diabetes. However, this can be discussed on an individual basis with a Registered Dietitian. An eating pattern that emphasizes monounsaturated and omega-3 fats such as avocados, almonds, olives and salmon is recommended, as it may improve glucose metabolism and lower the risk for cardiovascular disease. Trans fats should be avoided, and foods high in saturated fats should be limited to 10 percent of your total fat intake.

Alissa Dougherty: Being aware of the amount of sodium in your meal plan can help you lower or maintain a good blood pressure level. This helps decrease your risk for a heart attack or stroke, which are both common diabetes related complications. The recommendation is to limit sodium consumption to 2,300mg a day.

CareConnection: What is the best way to keep energy levels up while watching your diet? Alissa Dougherty: Pack nutrient dense meals and snacks if you are on the go to help limit making poor choices. Try to be consistent in the timing of meals and snacks, as going long periods of time without food can often leave you tired or overly hungry for your next meal causing you to consume more than you would have before. Make sure that you drink plenty of water throughout the day to maintain hydration. It is recommended for most people to

CareConnection: Are some carbohydrates better for me than others? Alissa Dougherty: It is best to limit or avoid sugar sweetened beverages such as soda, sweet teas and juices as well as items like cakes, cookies and pies that contain refined carbohydrates. It is also important to watch out for processed foods that state “low fat” or “non-fat” as fat is often replaced with refined carbohydrates and added sugars. I encourage everyone to obtain their carbohydrate intake mainly through nutrient dense whole grains, vegetables, whole fruits, beans and dairy products.

CareConnection: What should be avoided when eating out? Alissa Dougherty: Portion sizes are typically larger at restaurants. If the serving size is large, try sharing the item with a dining partner or bringing the extra food home. If there is typically a bread or chip basket served, ask the server to not serve it at the table if it does not fit into your meal plan. Try to avoid foods that are breaded or fried, as this adds extra fat and calories to your meal. When ordering sides opt for steamed vegetables or a salad over french fries or other high calorie items. Finally, ask for sauces, gravies or salad dressings on the side.

CareConnection: Do I need to stop drinking alcohol? Alissa Dougherty: Most individuals with diabetes can consume alcohol in

Alissa Dougherty MS, CDE, RD, LDN moderate amounts. Those with diabetes should follow the same dietary guidelines as individuals without diabetes if they do choose to drink alcohol. Women should consume no more than one drink per day and men should have no more than two drinks per day. One drink is equivalent to twelve ounces of beer, a five ounce glass of wine or one and a half ounces of distilled spirits.

QA &

CareConnection: Why should sodium be a concern for diabetics?

consume eight to 10 eight ounce glasses of water throughout the day. If you are looking to learn more about how to meal plan or what meal plan is right for you, working with a Registered Dietitian is highly recommended.

CareConnection: What are some examples of good snacks for diabetics?

Alissa Dougherty: When it comes to snacking, we often have a hard time overcoming the trip to the vending machine. I suggest planning ahead with nutritious food items that can help curb hunger pangs or give you the needed afternoon energy boost. Some examples would be a small piece of fruit, three cups of light popcorn, three celery sticks with one tablespoon of nut butter, six ounces plain Greek yogurt with three-quarter cup of berries or a hard-boiled egg.

Spring 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.


Spring 2017 WellHealthQC.com

WellHealth Quality Care Healthcare. The WellHealth Way.


Types of Depression To Be Aware Of

Depression does not care if you are middle-aged, a teenager, a retiree or a child, it can affect anyone. It’s much more than just being in a sad mood for a couple of hours, depression can also come with fatigue, physical pain and hopelessness. Just as symptoms vary from person to person, the actual diagnoses may vary as well. Below you’ll find nine types of depression. If one of these sounds like you or a family member, don’t be afraid to talk to your doctor. MAJOR DEPRESSION Major depression affects around seven percent of the adult U.S. population and has a debilitating effect. Major depression symptoms include feeling extreme sadness, lack of energy, irritability, trouble concentrating, changes in sleep or eating habits, feelings of guilt and thoughts of death or suicide. In some instances, an adult might only experience one extreme episode, but if conditions recur through the days, it is time to seek treatment. DYSTHYMIA Only two percent of the U.S. population has been diagnosed with this form of depression. It’s less severe then major depression, but it is still a very real diagnosis. This type of depression causes a low mood over a long period. People function, just not optimally. Symptoms of this diagnosis include sadness, trouble concentrating, fatigue and changes in sleep habits. POSTPARTUM DEPRESSION Studies have shown around 85 percent of new moms feel sadness after their baby is born. However, 16 percent of women are sad enough to be diagnosed with Postpartum Depression. This type of diagnosis is not permanent but includes feelings of loneliness, fears of hurting the baby, disconnect from the child and hopelessness. Prompt medical care and support are needed. SEASONAL AFFECTIVE DISORDER Around four to six percent of people in the U.S. haveseasonal affective disorder, also known as SAD. If you find yourself experiencing anxiety, daytime fatigue and weight gain during the winter, this may not just be winter blues.

ATYPICAL DEPRESSION Even though depression may sound like it is unusual, it is not. It is one of the most common diagnoses. Because this type of depression is less understood compared to major depression, doctors believe it’s under diagnosed. A common sign of atypical depression is a sense of heaviness in the arms and legs — like a form of paralysis. Oversleeping and overeating are the two most important symptoms for diagnosing atypical depression. People with the condition may also gain weight, be irritable and have relationship problems. Seek care from a medical professional immediately. PSYCHOTIC DEPRESSION Psychosis is a diagnosis of a patient who has an unstable mental state. Someone may have delusions, false sights and sounds. BIPOLAR DISORDER If you experience extreme lows followed by extreme highs, you could have bipolar disorder. This disorder affects about two to three percent of the U.S. population. Someone diagnosed as bipolar needs to be monitored closely as they are at the highest risk for suicide. PREMENSTRUAL DYSPHORIC DISORDER Also known as PMDD, this type of depression affects women during the second half of their menstrual cycles. Symptoms include depression, anxiety and mood swings. Unlike traditional PMS, PMDD only affects around five percent of women. If you are feeling any sadness, seek help, and know that you are not alone. Sourced from Everyday Health and Web M.D. Consult a doctor if you are experiencing any signs of depression.

Spring 2017 WellHealthQC.com


Educating. Entertaining. Inspiring. Issue after issue. Summer 2014

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Acne Through The Years Acne is the most common skin condition diagnosed and affects over 50 million Americans a year. Even with an arsenal of the most promising skincare remedies and high tech devices, the occasional breakout manages to crush a flawless complexion. Let’s take a look at how acne may occur throughout our lifetime and how to treat it accordingly.


Childhood Acne

lthough rare, children ages 1 to 7 can experience acne. Surges in androgen hormones in the body within the first couple years of life can produce mild bumps. In addition, genetics play a huge role in acne appearing before adolescent age. Children are at higher risk for developing acne if their parents had moderate-to-severe acne in their younger years. However, chronic acne at such young ages may signify endocrinology (hormone problem). If chronic acne continues, seek treatment from a healthcare provider as over-the-counter medication may be too harsh. As children reach puberty, hormones, specifically androgens, are released in the body at a higher rate. As a result, sebaceous glands (oil glands) in the skin enlarge and produce more sebum (oil) that breed perfect environments for acne. If hormones aren’t enough, sprinkle stress, sweat and cosmetics into the picture. Most adolescent acne can be treated with simple over-thecounter medication including benzoyl peroxide and salicylic acid. These ingredients work to clear the poor and prevent future breakouts.

Adult Acne

Yes, acne can follow people past their teenage years! The unwelcomed red blemish may reappear for many reasons including lifestyle changes, hormonal imbalances, stress and irritation. As hormone levels continue to fluctuate, acne can catch many adults who may have escaped it in their youth. However, a stable skincare routine can make all the difference. Try to add toner, cleanser, moisturizer and serum to your everyday routine. It is always best to talk to a dermatologist for the best options available for you.

Pregnancy Acne

During pregnancy, your body undergoes constant change. Two things conspire to cause breakouts during your nine-month journey. The first tends to strike around week six of pregnancy when progesterone levels surge. Progesterone is a hormone that can cause your glands to increase secretions of oil that clog up pores and cause bacteria to build up. Secondly, the bloating and fluid retention that many women face can also lead to acne. As your body retains more fluids, toxins can build up and lead to breakouts. Your dermatologist as well as OB/GYN can recommend tropicals (creams) that are safe to use during pregnancy to treat acne.

Menopausal Acne/ Later Years When menopause or later years arrive, men and women have different experiences relating to breakouts. Women tend to experience a period of breakouts as they reach menopause in response to estrogen decline. As women’s estrogen levels decline, their testosterone levels remain constant.

On average 80 percent of people will have a

breakout before the age of 30, making acne the most common skin disease.

Teenage Acne

Subsequently, the strong presence of testosterone triggers acne. On the other hand, older men will often experience the opposite as the decline of testosterone keeps acne at bay. Your dermatologist can help you with a gentle yet effective solution to your acne if it continues to appear in your life. Spring 2017 WellHealthQC.com



WellHealth Cares is a community project where team members of WellHealth Quality Care come together volunteering to become leaders in our local Las Vegas community. The WellHealth Cares team has made outstanding strides in 2016 from decorating Christmas trees for Opportunity Village, cleaning parks in our local communities with Outside Las Vegas Foundation, volunteering at Ronald McDonald House Charities and working with Clean The World Charities to recycle soap bars for the homeless. At WellHealth Quality Care, our community means the world to us and that is why we are so excited to share some of our experiences.

Some of the organizations we’ve been able to impact: Ronald McDonald House, Spread the Word Nevada, Three Square, Clean the World, Outside Las Vegas Foundation, Opportunity Village and The Salvation Army. We also want to give a big thank you to our selfless WellHealth volunteers and their families for giving their time to help in our local communities.

A special thanks to this year’s team: Adam Volker, Angelica Scott, Belinda Veloz, Betzabe Soto, Brett Benton, Claudia Guardado, Courtney Diggins, Donna Buss, David Howard, K. Warren Volker, Jemima Guardado, Jessica Lopez, Jessica Villegas, Kimberly Doan, Kimberly Martinez, Kimberly Novak, Kristina Pool, Lisa Lyons, Lisa Reighard, Lizet Perez, Lorraine Brown, Madelyne Mottle, Mae Cirillo, Mariana Zavala, Marveli Yepez, Meghan Bailey, Melissa Zuniga, Mirla Albino-Flores, Mirla Albino-Florez, Nessa Miguel, Pat Carney, Patricia Waters-Decker, Rebecca Carols, Sandra Whitten, Sarah Harper, Sheila Gordillo, Sheila Tack, Sonia Ybarra, Sophia Grubbs, Steve Keltie, Tatiana Candelo, Teresa Charniga, Tiffany Pickering, Vanessa Garcia, Vanessa Haylock, Veronica Pantojas, Viviana Morgan.


Spring 2017 WellHealthQC.com

START WITH A STRONG HEART. WELLHEALTH CARDIOLOGY Why WellHealth Cardiology? Heart disease is the number one killer of both men and women in the United States. At WellHealth Cardiology, we provide modern and efficient cardiac services to our patients who deserve, not only the highest levels of care, but extremely attentive and personalized service.

Services Include • • • • • • • • • • • • • • • •

Cardiac Consultation Electrocardiogram Treadmill Stress Test Thallium Stress Test Lexi Scan Test 24 Hour Holter Monitor Event Monitor Pacemaker / AICD Evaluation 2D Echocardiogram with Doppler Lower Extremity Duplex Exam Carotid Ultrasound Venous Duplex Ultrasound Lower Extremity Arterial Ultrasound Cholesterol Testing Wellness Exams And More...

WellHealthCardiology.com | P: (702) 383-0677 | F: (702) 383-0688


24-Hour Day Trips

To Discover Need a break from the busy lifestyle of Las Vegas? Here are six day-trip destinations you need to know about.

Throw that staycation to the curb and enjoy a day trip outside of Las Vegas. We have compiled six 24-hour trips for you and your family to get up and get out of your normal routine. All of these day trips are family friendly and require minimal travel. Gather the family and friends and head out on an adventure with one (or more) of these 24-hour day trips.

1 Laguna Beach, California Whether you drive through a luscious canyon full of art and wineries, or come in on Pacific Coast Highway, you will arrive in Laguna Beach, a small coastal city in Orange County, California. Laguna is known for its rich roots in art, coves and some of the most beautiful beaches in Southern California. During the summer you will find many beach goers setting up umbrellas and towels at Main Beach, which features tide pools and a boardwalk leading to the paths and gardens of nearby Heisler Park. If you follow the locals, you’ll end up at Thousand Steps Beach, a popular surf location. If you are not looking for a beach, simply strolling through the streets of the town finding hidden gems like Gelato Paradise, or eating at local favorites like Nick’s Laguna Beach, there is something for everyone.

Length of trip: four hours one-way Gas stations: plenty scattered throughout the trip Best photo ops: Thousand Steps Beach, Main Bean Lifeguard Tower, Heisler Park Gazebo Best place to eat: Nick’s Laguna Beach, Watermarc Restaurant or The Rooftop Lounge Be cautious of: parking one-ways and toll roads


Spring 2017 WellHealthQC.com

Laguna Beach, California

Trip Details:

WellHealth Quality Care Healthcare. The WellHealth Way.

3 St. George, Utah In the southwest part of Utah on your way to Zion or Bryce National Park, you’ll almost always drive through St. George, Utah. What looks to be a typical small Utah town is anything but. Just a short 90-minute drive, dubbed as Florida without the hurricanes and humidity, St. George is an outdoorsman’s dream, with hiking, rock climbing, kayaking and ATVing. You can also be drawn to the affordable spa treatments, amazing theater, eclectic shopping, dining and art galleries.

Trip Details: Length of trip: 90-minutes one-way Gas stations: Mesquite, Nevada or St. George, Utah Best photo ops: White Utah Thunder Garden Best place to eat: Texas Roadhouse Be cautious of: snakes, spiders and mountain lions

Palm Desert, California

2 Palm Desert, California The term “Desert Oasis” was coined by the city of Palm Desert, California. Home to mid-century modern style, Palm Desert not only feels like old Hollywood, but you may see traces of it throughout the main drag. Dining, shopping and general relaxation await. From nostalgic Palm Springs on the west end to Indio--the city of festivals--in the east, countless adventures await you in between. Besides dining and shopping, you can also enjoy endless outdoor activities such as cycling, swimming, golf and tennis.

Trip Details:

St. George, Utah

Length of trip: four hours one-way Gas stations: plenty scattered throughout the trip Best photo ops: any building you can find! Best place to eat: Le Vallauris or Tyler’s Burgers Be cautious of: wanting to stay there forever!

Spring 2017 WellHealthQC.com



4 Oatman, Arizona Are you looking to enjoy the wild wild west days? Head to Oatman, Arizona, a small town in the black mountains of Mohave County. Oatman became an old mining town after two men found over 10 million dollars worth of gold in 1915. Now, Oatman still continues to keep the old west charm with their building fronts, and if you keep your eyes open, wild burrow may venture around the main street. Visitors can head to the Oatman Stables, browse authentic Native American Jewelry, and of course, visit the Gold Rush Candy Shoppe.

Trip Details: Length of trip: two hours one-way Gas stations: plenty scattered throughout the trip Best photo ops: Main Street Best place to eat: Olive Oatman Restaurant Be cautious of: roaming wildlife and dehydration (bring lots of water) Oatman, Arizona

5 Duck Creek Village, Utah Duck Creek Village is located at the edge of a large mountain meadow in the Dixie National Forest. The elevation allows for visitors to experience all four seasons throughout the year, which is rare in Southern Utah. Duck Creek is quickly gaining recognition the premier spot to snowmobile, cross-country ski and mountain bike. Hiking at Duck Creek boasts some of the best trails, scenery and terrains in Southern Utah. Visitors can also experience great fishing, horseback riding, ATV riding and the ability to camp or stay in a lodge setting.

Trip Details: Length of trip: three hours one-way Gas stations: plenty scattered throughout the trip Best photo ops: almost anywhere Best place to eat: Aunt Sue’s Chalet, Martin’s Corner Deli, Hot Mama’s Pizza Be cautious of: what season it is and wildlife


Duck Creek Village Spring 2017 WellHealthQC.com

E.T. Highway

WellHealth Quality Care Healthcare. The WellHealth Way.

6 E.T. Highway, Nevada In 1996, Nevada State Highway 375 was officially named the Extraterrestrial Highway because of the many UFO sightings along this lonely stretch of road. The highway is close to the elusive Area-51, a top secret Air Force test facility. Visitors and locals alike often see strange lights in the night-sky while driving down the highway. You can expect to stop at the E.T. Highway sign, the Alien Research Center, a photo op with the famous Black Mail Box all before stopping for a bite to eat at the famous Little A’Le” Inn. In between Las Vegas and the Little A’Le” Inn you will come across the small town of Alamo which has two gas stations and Windmill Restaurant. The rest of the trip is just you and the open road.

Trip Details: Length of trip: two hours one-way Gas stations: one before entering the highway off I-15, two 90 miles later Best photo ops: E.T. Highway sign, Alien Research Center, Little A’Le” Inn, and the Black Main Box Best place to eat: Windmill Ridge or Little A’Le” Inn Be cautious of: cattle because it’s open range. Slow down!

E.T. Highway

Spring 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.

Polycystic Ovarian Syndrome We sat down with obstetrics and gynecology provider Melissa Gutierrez, MD to discuss Polycystic Ovarian Syndrome (PCOS) effects on women, signs and symptoms of PCOS and even treatment options available.


olycystic Ovarian Syndrome (PCOS) is a condition characterized by irregular and infrequent menstruation, symptoms due to elevated androgen (testosterone) levels, and ovaries with multiple small cysts. The menstrual irregularities are due to decreased ovulation, which can lead to fertility issues. Elevated testosterone levels may cause symptoms such as acne or male pattern hair distribution, such as unwanted facial hair, and male pattern hair loss.

Who does PCOS affect the most? It usually affects around 10 percent of women who are within their childbearing years (between 15 and 44). Most often, women find out they have PCOS in their twenties or thirties when they struggle to conceive. However, PCOS can happen at any age after puberty. It also can affect women of all races and ethnicities. Your risk for PCOS may be higher if you are obese or if you have a mother, sister or aunt who has been diagnosed with PCOS.

What are some of the signs of PCOS? Women with PCOS may be affected by symptoms such as acne and unwanted facial hair. Also, women with PCOS may not ovulate regularly, which could make it difficult to become pregnant. Women may also experience irregular menstrual cycles, or darkening of their skin around their neck, groin or breast area.

What treatment options are available? While there is no cure, you can manage your symptoms. Unfortunately, there is not a one size fits all treatment plan. It is something you will work on with your doctor based on your personal symptoms.

Is there anything you can do to prevent getting PCOS? No, Polycystic Ovary Syndrome cannot be prevented. But, early diagnosis and treatment help to prevent any longterm complications, such as infertility, metabolic syndrome, obesity, diabetes and heart disease.


Spring 2017 WellHealthQC.com







Triggers vary by person and can irritate the respiratory tract, possibly causing an asthma attack. If you have an attack, follow the action plan you created with your doctor, use your inhaler if necessary, and in the case of a severe attack, call 911.

For more information visit WellHealthPrimaryCare.com

WellHealth Quality Care Healthcare. The WellHealth Way.

THE PATH TO HEALTH A personal journey to fitness

Written by: Meghan Bailey

You just recently hit a personal milestone that most people would find surprising. Will you share? I am an athlete at heart. Growing up, I played football, was in track & field, raced motocross and showed internationally in horse shows. Into adulthood, I remained very active by working out on a weekly basis. Recently, I found myself not achieving the physical goals that I once was able to do. This affected how I felt both physically and mentally. Six months ago, I set out to physically and mentally challenge myself in a way I never have before - through obstacle course racing (OCR). Much like Iron Man and marathons, OCR is not agedefined, but rather a test of physical and mental aptitude. The Spartan Race competitions are the most extreme athletic events worldwide. Las Vegas hosts one of the most challenging and well-attended competitions, so on March 18, I competed in the Spartan Super, comprising of a grueling 8.5 miles with 30 obstacles. I finished in just over three hours and 35 minutes. What is your view of a healthy lifestyle? I am a firm believer in what I tell my patients every day; do something that can better your health, no matter how small or large it may be. I live by this motto each and every day, and you can too. It all helps, whether you are cutting back on alcoholic beverages, working toward quitting smoking through daily reductions or choosing fruits and vegetables over the stale donuts in the break room. Why did you attempt such an extreme fitness challenge? I think it’s important to practice what you preach. The feeling was incredible when I jumped over the fire log finish line at my first Spartan Race, knowing I was capable of achieving

such a large goal with the proper amount of training and fortitude. Prior to that moment, I had trained for months, completing a variety of workouts and making those same small changes I mentioned above to achieve my goal. Persistence and patience were the biggest keys to my success. If a workout wasn’t going the right way one night, I didn’t allow it to derail the overall goal. When working toward a big goal, it’s important to take everything one step at a time and realize that if you continue to push through the tough days, you will ultimately succeed. What is your philosophy of a healthy and positive lifestyle? Committing to a healthy and positive lifestyle is a choice, and not always an easy one to make. As a doctor, I see sickness all the time. Humans are delicate and vulnerable. It’s about mind, body and spirit and how they all work together. We all get lost in our day-to-day lives, careers and the negativity of the world. Rid yourself of negative thoughts and people, and a you will begin to heal. We need to learn from one another. Just over one year ago, I found myself needing to completely change my life and surround myself with positive people and positive energy. The greatest thing about life is that you can change it at any time. It’s never too late! K. Warren Volker, MD, PhD, MS, FACOG Profession: CEO of WellHealth Quality Care and practicing physican Goal: Compete in a Spartan Race Steps Taken to Reach Goal: Found like-minded teammates, trained consistently, practiced yoga, focused on healthy eating and mentally prepared with meditation Future Goals: Beat previous time at next Spartan Race

Spring 2017 WellHealthQC.com


WellHealth Quality Care Healthcare. The WellHealth Way.

Dedicated Doctors: HO NGUYEN, MD, joined Steinberg Diagnostic Medical Imaging (SDMI) three years ago as the practice’s first Pediatric Radiologist. Before settling in Las Vegas, Dr. Nguyen emigrated from Vietnam, grew up and underwent residency training in Sacramento at the University of California Medical Center, then he completed fellowship training at Seattle Children’s Hospital. Dr. Nguyen is continually trying to improve himself as a physician and make positive changes so that he may provide the best possible care for our patients.Working full time as a Pediatric Radiologist is not the only excitement that Las Vegas has brought Dr. Nguyen. When he is not occupied with work, he will be the first to tell you he can usually be found at home trying to discourage his toddler son from pushing his stumbling baby sister around.

JODY CEARLOCK, MD, grew up in a small town in Eastern Washington actively participating in baseball, basketball, snow and water skiing. Dr. Cearlock graduated from Washington State University before attending Ohio State University for medical school, where he also completed his residency and fellowship.. He worked as an assistant professor in Interventional Radiology at Ohio State prior to moving to Las Vegas in 1998. Dr. Cearlock has been working with Steinberg Diagnostic Medical Imaging since 1998 primarily focusing on interventional procedures and CT angiography. When not working you can find him riding road and mountain bikes as well as competing in triathlons. Dr. Cearlock is a proud father and husband. During the last seven years, he has been traveling to Eastern Africa as a medical missionary administering medical care to villages in Northern Uganda.

ERICA STOCKWELL, DO, at a young age, was passionate about patient care and dedicated herself to becoming the most effective healthcare provider possible. She double majored in Biomedical Engineering and Physiology and double minored in Chemistry and Psychology. After receiving her Bachelor of Science degree, she went on to earn her osteopathic medical degree from Midwestern University, where she earned the prestigious departmental award in obstetrics and gynecology. She then completed her residency training at the University of Minnesota, where she served as Administrative Chief and even developed a special robotic surgical training program for the residents. She received the American Urogynecologic Society’s (AUGS) Excellence in Female Pelvic Medicine and Reconstructive Surgery award in 2014, and also the Society of Laparoendoscopic Surgeons’ award (SLS) for Outstanding Laparoendoscopic Resident in 2015. When she’s not working with her patients, designing new surgical tools, or planning her next medical mission, Dr. Stockwell enjoys the simple things in life, like spending time with her family, dancing, skiing and hiking.

EVANGELIA PAPAGEORGE, MD, is board certified in family medicine. She received her bachelor’s degree in Biological Sciences from the University of California Irvine, and went on to receive her medical degree from the American University of the Caribbean School of Medicine. Following graduation, Dr. Papageorge completed her residency in family practice at Allentown Family Practice/Temple University. During her last year of residency at Sacred Heart Hospital, she was named chief resident of her program. Dr. Papageorge has been serving the Las Vegas Valley since 2005, and enjoys reading, traveling and playing golf in her free time.


Spring 2017 WellHealthQC.com

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