March 2019 A Special Supplement to
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How to use opioids safely
f you are taking opioids or talking with your health care provider about this treatment option, now is the time to plan for safe use and disposal of these medications. Practicing caution can mean the difference between life and death for you, your loved ones and your neighbors. Opioid painkillers are highly addictive. After just five days of prescription opioid use, the likelihood that you’ll develop long-term dependence on these drugs rises steeply — increasing your risk of eventual addiction and overdose. And you don’t need a prescription to be at risk. Most people who misuse prescription painkillers report getting them from a family member or friend. Find out what steps to take to keep you and your loved ones safe. Opioids aren’t safe for some people. Your medical, family and personal history of substance use all help determine whether opioids are safe for you. It’s important that health care providers prescreen populations before they initiate these drugs. Medical conditions that increase your risk of dangerous side effects from opioid medications include: • Sleep apnea. • Obesity. • Anxiety or depression. • Fibromyalgia. Mental health and substance abuse problems that increase your risk of opioid abuse and addiction include: History of severe depression or anxiety. • Heavy tobacco use. • Prior drug or alcohol rehabilitation. • Family history of substance abuse. • Personal history of substance abuse. Your health care provider will ask
about all of these risk factors before prescribing any new opioid medication. Be honest, and don’t be afraid to ask your own questions. The safest time to prevent opioid-related problems is before you start these medications. What to expect from your health care provider When a health care provider begins a therapy for a patient related to a controlled substance, it’s always important that, No. 1, they prescreen the patient and that, No. 2, they follow that patient closely throughout the course of therapy. The Centers for Disease Control and Prevention provides guidance to health care providers for safe prescribing of opioid medications. Following the CDC’s recommendations, you should expect your health care provider to: • Prescribe the lowest effective dose, for the shortest period needed, when treating acute pain. In most cases, acute pain, such as pain that follows surgery or a bone fracture, is not severe enough to require opioids for more than three days. • Avoid or delay prescribing opioids for chronic pain. These medications are
not often safe or effective for chronic pain unrelated to cancer or cancer treatments. Your health care provider should help you evaluate many other therapies, including nonpharmacological treatments and nonopioid medications, before considering a trial of opioids. • Work with you to establish realistic treatment goals. Your health care provider should help you determine how much pain relief you need to improve your ability to function and quality of life. There’s no cure for chronic pain — even with drugs as powerful as opioids. And there are risks associated with all pain medications. You and your health care provider should partner in maximizing your enjoyment of life, while minimizing medication-related health risks. • Ask you to sign an opioid therapy agreement before you start a long-term course of opioid medications. Typically, these agreements clearly state your responsibilities while using opioid medications. You’ll agree to use opioids only as prescribed and obtain painkillers from only one health care provider and one pharmacy. TNH Healthy Living 2019 1
Being heart healthy in Havasu By SARAH DIXON
SPECIAL TO TODAY’S NEWS HERALD
The Centers for Disease Control and Prevention (CDC) reports, “Heart disease is the leading cause of death for both men and women.” With more than 600,000 deaths per year in the United States alone, it is extremely important to understand what heart disease is, how to detect it, and how to prevent it. There are over 10 different types of heart disease with coronary artery disease (CAD) being the most common. CAD is caused by a buildup of plaque or deposits of cholesterol. As the plaque builds up, it causes the arteries in the heart to narrow and blocks the blood flow. The lack of blood flow causes chest pain and overtime, weakens the heart which will
lead to an irregular heartbeat, heart attack, and eventually, heart failure. CAD is common among people with high cholesterol, high blood pressure, diabetes, obesity, stress and depression, an unhealthy diet, and sleep apnea. The symptoms of CAD include shortness of breath or fatigue, chest pain which most people mistake for heartburn, discomfort in your shoulders, arms, back, or jaw, nausea with lightheadedness and/or cold sweats. Medical experts highly recommend calling 911 if any of these symptoms arise. To avoid the effects of CAD, switch to a diet with foods that are low in trans fats, sugars, and sodium, quit smoking, spend at least 30 minutes a day doing something active (know limitations, a slow walk around Bridgewater Channel will
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suffice), and manage stress. Doctors may also prescribe medications such as blood thinners and beta blockers to assist the changes of a healthier lifestyle. If these methods don’t work as well as they should, receiving an angioplasty, a procedure to open the arteries with a tube and balloon, will unblock the
artery and keep the blood vessel open. Another common heart disease is cardiomyopathy which, according to the National Heart, Lung, and Blood Institute (NHLBI), occurs when “the heart muscle becomes enlarged, thick, or rigid.” One of the most See HEART , Page 3
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dangerous effects of cardiomyopathy is that there may be no signs or symptoms; therefore, people do not receive treatment to prevent the lasting effects of the disease. The NHLBI reports, “In some people, the disease develops quickly, symptoms are severe, and serious complications occur.” Like CAD, cardiomyopathy is caused by diabetes and high blood pressure, as well as family history of heart disease and long-term alcoholism. The symptoms of cardiomyopathy include shortness of breath, fatigue, and swelling in the ankles, abdomen, and veins in the neck. Considering the symptoms may never occur, it is extremely important live a healthy lifestyle to avoid future problems. Now that the weather is comfortable, this is the perfect time to get out and enjoy some physical activity. The Mayo Clinic reports, “Getting some regular, daily exercise can reduce your risk of heart disease. You don’t have to exercise strenuously to achieve benefits. Activities such as gardening, housekeeping, taking the stairs, and walking the dog all count toward your total. And when you combine
physical activity with other lifestyle measures, such as maintaining a healthy weight, the payoff is even greater.” Medical experts recommend eating a diet rich in fruits, vegetables, whole grains, beans, low-fat or fat-free dairy products, lean meats, and fish. It is important to avoid foods with saturated and trans fats such as red meat, deepfried or fast food, baked goods, and chips. A healthy diet also includes limiting alcohol intake. The Mayo Clinic says, “One drink a day for women of all ages and men older than age 65. One drink is defined as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof distilled spirits.” A healthy lifestyle doesn’t only include diet and exercise, it also includes getting enough sleep and managing stress. Setting a sleep schedule and keeping the room dark and quiet will enhance nightly sleep. A good amount of sleep is a great way to help manage stress. Other ways to manage stress include meditation, deep breathing, and physical activity. There are alternative methods like drawing, coloring, listening to soothing music, or taking a nice, warm bath.
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Protect your skin from UV rays, melanoma By SARAH DIXON
SPECIAL TO TODAY’S NEWS HERALD
One of the best things about Havasu during the spring months is the amazing weather. Although it’s finally the perfect time to get outside and spend some time in the sun, the intense UV rays can cause some serious damage to the skin. According to Arizona Oncology, “Skin cancer is the most common form of cancer in the United States. In fact, it is estimated by the American Cancer Society that more than two million cases of skin cancer will be diagnosed this year.” There are three different types of skin cancer including basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. Of the three, malignant melanoma is the most serious and capable of spreading to other parts of the body. Some of the common risks towards being diagnosed with melanoma are sunlight, fair skin, moles, age, family history, immune suppression, and gender. Medical experts recommend studying the freckles and moles on the body to notice if any changes are happening. Arizona Oncology says, “The ABCD rule can help distinguish a normal mole from melanoma: Asymmetry- one half of the mole does not match the other half. Border irregularity- the edges of the mole are raged or notched. Color- the color of the mole is not the same all over. There may be shades of tan, brown, black, or sometimes patches of red, white, or blue. Diameter- the mole is wider than about ¼ inch.” Understanding the body and noticing any changes can mean the difference between life and death. The Skin Cancer Foundation reports, “The survival rate 4 TNH Healthy Living 2019
for patients whose melanoma is detected early is about 99 percent. Those treated more than 119 days after biopsy have a 41 percent higher risk of dying from the disease.” Melanoma doesn’t come solely from the moles or freckles on the skin, it can also be caused by getting a sunburn. According the Skin Cancer Foundation, it only takes five sunburns to risk getting melanoma. With that in mind, it is extremely important to wear sunscreen. Even if being outside will last ten
minutes; the more protection, the better. By wearing an SPF of 15 or higher, the risk of getting melanoma will reduce by 50 percent. If treatment is required for the melanoma, depending on the severity of the cancer, patients can expect surgery to remove it followed by immuno, chemo, and radiation therapies. The American Cancer Society provides alternative methods such as vitamins, herbs, special diets, acupuncture, or massage to help relieve the symptoms of melanoma; however, they do warn
that “some of these methods have not been proven to work. Some might even be harmful.” When it comes to treating the malignant melanoma, it is extremely important to consult with a professional to determine which option is best for the situation. In order to avoid needing treatment, it is important to protect the skin from harmful UV rays, check the body for any changes that may occur, and understand family history to know if any precautions should be taken.
Healthy Living Alcohol & Drug Addiction Information & Treatment Centers Mohave Mental Health Clinic 2187 Swanson Ave. (928) 855-3432 Allergy & Immunology Arizona Coast Ear, Nose & Throat, Allergy & Sleep Medicine Cunning, Devin M. MD, FACS Prater, Michael E. MD 1760 McCulloch Blvd. N. Ste. 100 (928) 854-5368 Audiologist and Hearing Centers Arizona Coast Ear, Nose & Throat, Allergy & Sleep Medicine Gibbs, Lisa J. MA-CCCA 1760 McCulloch Blvd. N. Ste. 100 (928) 854-5368 Cardiology Midwest Internal Medicine Aliyar, Pareed MD 1840 Mesquite Ave. Ste. G101 (928) 453-8500 Child & Family Services Mohave Mental Health Clinic, Inc. 151 Riviera Dr., Suite B Lake Havasu City, Az 86403 (928) 855-3432 Counselors Marriage, Family, Individual and Spiritual Counseling/Alcohol and Drug Addiction Mohave Mental Health Clinic 2187 Swanson Ave. (928) 855-3432 Dentistry Havasu Valley Dental Sorkin, Ed D.D.S 1939 McCulloch Blvd N. (928) 855-5041 Dermatology Arizona Desert Dermatology Anderson, William DO 2091 Smoketree Ave, Ste. 103 (928) 453-3332 Mohave Skin & Cancer Jaldeep Daulat, D.O., Mohs Surgeon Jonathan Bellow, D.O. Chad Taylor, M.D. Clinton Martin, PA-C (928) 453-2636 Ear, Nose & Throat Arizona Coast Ear, Nose & Throat, Allergy & Sleep Medicine Cunning, Devin M. MD, FACS Prater, Michael E. MD 1760 McCulloch Blvd. N. Ste. 100 (928) 854-5368
Health Care Provider Listings
Erectile Dysfunction Dr. Nael Dagstani 2130 Mesquite Ave #108 (480) 861-3916
Ong-Veloso, Angelo MD Ulmer, Sandra DNP 1840 Mesquite Ave. Ste. #B (928) 453-8500
Family Medicine, Women’s Health, Behavioral Health North Country HealthCare 2090 N. Smoketree Ave. (928) 854-4800
Laser-Skin Therapy Arizona Desert Dermatology Anderson, William DO 2091 Smoketree Ave Ste. 103 (928) 453-3332
Gastroenterology Midwest Internal Medicine Chauhan, Hitendra MD 1840 Mesquite Ave. Ste.#B (928) 453-8500
Mohave Centers for Dermatology & Plastic Surgery Rohit Jaiswal, MD, Dr “J” Board Certified Plastic Surgeon (928) 854-5400
Hair Implanting, Removing & Replacement Nuderm Treatment Center 1840 Mesquite Ave. Ste. #B (928) 453-7546
Naturopathic Dr. Nael Dagstani 2130 Mesquite Ave #108 (480) 861-3916
Health Food Products Herb’s Herbs and Organic Juice Bar Fresh Shots of Wheat Grass Available 2026 McCulloch Blvd. (928) 453-8182 360 Grind and Grub 5601 N HWY 95 (By Star Cinemas) Lake Havasu City, AZ Hearing Aids Arizona Coast Ear, Nose & Throat, Allergy & Sleep Medicine Gibbs, Lisa J. MA-CCCA 1760 McCulloch Blvd. N. Ste. 100 (928) 854-5368 Miracle-Ear Hearing Aid Center 1731 Mesquite Ave. Ste. 1 (928) 855-3777 Hematology/Oncology Midwest Internal Medicine O’Neill, Paul MD 1840 Mesquite Ave. Suite A (928) 854-4497 Imaging & Diagnostics Centers Arizona Coast Wide Open MRI & Radiology Imaging Dunn, Jack MD 2130 Mesquite Ave. #108 (928) 854-9433 Internal & Emergency Medicine Midwest Internal Medicine Persuad, Khamranie MD
Neurosurgery Panacea Brain & Spine Chad E. Hartley, M.D., FAANS 297 S. Lake Havasu Ave. S Ste 204 (928) 453-2211 Ophthalmology/Retina Retinal Consultants of Arizona Sachin Mehta MD 1990 McCulloch Blvd. #101 (800) 640-6442 Retinal Consultants of Arizona Sujit Itty MD 1990 McCulloch Blvd. #101 (800) 640-6442 Orthopedic Spine Surgery
Panacea Brain & Spine Chad E. Hartley, M.D., FAANS John E. Lankenau, M.D. 297 S. Lake Havasu Ave. S Ste 204 (928) 453-2211
Pain Management Midwest Internal Medicine Pain Management Clinic Powar, Mandeep MD 1775 McCulloch Blvd. (928) 453-0696 Physical Therapy Agave Physical Therapy Brett Qualls, PT, DPT, OCS Kylee Curtis, PTA Ronni Sikes , PTA 191 Swanson Ave. Ste. #102 (928) 855-7880 Plastic Surgery Mohave Centers for Dermatology & Plastic Surgery Rohit Jaiswal, M.D., Dr “J” Board Certified Plastic Surgeon (928) 854-5400 Psychiatry Mohave Mental Health Clinic Inc. Koch, Caroline 2187 Swanson Ave. (928) 855-3432 Skilled Nusing/Rehab Haven Health Lake Havasu 2781 Osborn Drive Lake Havasu City, AZ 86406 (928) 505-5552 Sleep Medicine Arizona Coast Ear, Nose & Throat, Allergy & Sleep medicine Cunning, Devin M. MD, FACS 1760 McCulloch Blvd N. Ste 10 (928) 854-5368 Weight Loss Clinic Express Health 2150 McCulloch Blvd., Ste B (928) 208-1327
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sections and more, visit us on the web at www.havasunews.com TNH Healthy Living 2019 5
Be vigilant to protect eyes from sunny, dry desert conditions By SARAH DIXON
SPECIAL TO TODAY’S NEWS HERALD
People flock to Havasu for the warmer weather, laid back lifestyle, and slow-paced streets. What they don’t prepare for, or may not even consider is the effect the dry, desert air and intense sunlight may have on their health, especially their eye health. Ophthalmologist, Dr. Wallace Goldban says, “Dry eye is one of the most common issues that I see in my practice. Patients often have symptoms like burning, itching, red eyes, sensitivity to light, and significant tearing. Living in
the desert exacerbates the condition because of the dry, arid conditions.” To relieve eyes from the dry weather, use eye drops on a regular basis. It is also important to take into consideration that dry eyes may be caused by things other than the desert, such as an illness, side effect of medication, or hormonal changes. With that in mind, regular visits to the doctor when things begin to change or become irritated is the best way to keep eye health in check. Getting back to the desert weather, the harsh sunlight Havasu experiences may cause problems with the eyes as well.
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According to Dr. Stephen Slade, “Along with causing growths on the white parts of your eyes, sunlight can also damage your retina and cause cataracts.” To protect eyes from the possibility of cataracts, it is important to wear the right pair of sunglasses. Choose a pair that blocks 99 to 100 percent of the sun’s ultraviolet A and B rays. Medical experts recommend wearing sunglasses with wraparound and polarized lenses, this will protect eyes on all sides and reduce the glare. “If you remain careless and frequently expose your eyes to the glaring sunrays, it can cause keratoconus; visual distortion with symptoms such as ghosting, glares, halos,
multiple images, starbursts,” says Shahryar Qureshi, a keratoconus expert. When keratoconus arises in the eyes, doctors will prescribe glasses or contact lenses to correct the problem; however, if the symptoms continue to progress, surgery to transplant the cornea. While this sounds severe and quite scary to imagine surgery on the eye, it is important to understand that the ways to prevent this from happening are actually simple. Wear sunglasses and if eyes begin to feel dry, use eye drops to refrain from rubbing them. If any of the symptoms become bothersome, be sure to schedule an appointment with a doctor to prevent further damage.
What giving up added sugar gave us By ERICA PEARSON
STAR TRIBUNE (MINNEAPOLIS)
More energy. Changed taste buds. Better sleep. After a month without sugar, the (completely unscientific yet very compelling) anecdotal evidence is in from some of the more than 3,000 folks — myself included — who tackled the Star Tribune’s 28-Day Sugar-Free Challenge. Overwhelmingly, challengers said they found that going for a month without added sugar (no cookies, no cake, no fructose-laden sauces) made them feel better. Even if, like Maple Grove participant Tim Deets, they’re “not claiming perfection.” “I think my energy level is more balanced over the day,” he said. “I have not seemed to get the midafternoon crash.” But the benefits of reducing added sugar can go beyond energy. Researchers have found that cutting out added sugars can boost metabolic health and reduce the stress that consuming the sweet stuff puts on organs including the pancreas and liver, according to a scientific review by SugarScience, a site run by health scientists at the University of California, San Francisco. Studies by University College London
researchers and others have also found that accountability is a powerful motivator, something that the members of our closed Facebook group demonstrated as they supported one another, banding together to figure out how to get through tough moments and stay positive. A look at data from the monthlong, very active group showed that the posts that garnered the most comments were often ones from folks seeking help or in need of encouragement. All told, the group created more than 23,000 posts, comments and reactions — from recipes for cheese-stuffed dates
to suggestions of ¬mayonnaise brands without added sugars. Some were thrilled to discover that sugar-free peanut butter tasted so good. Others found that many of the packaged breads made without added sugars tasted like “cardboard.” Throughout February, many participants reported — in the Facebook group, in e-mails and even phone calls — that they were sleeping better, and that troubles such as inflammation, night sweats and aches and pains lessened as the month went on. “My arthritic aches and pains have greatly diminished,” said Kathy Obler of St. Paul. “After a couple of sugarless weeks I can hardly believe these are my knees!” “The mental fog that went with the roller-coaster quest for sugar is gone,” she said. “Now the overly sweet treats I loved have lost their appeal.” Not everyone noticed physical changes. Many reported simply feeling positive about being more in-the-know about what they were eating and drinking. “I found it eye-opening. Added sugar is in what I considered to be pretty healthy food,” said Paula Doll-Wildenberg of St. Paul. Being part of the challenge taught her to be a “better consumer by reading labels more carefully.”
Starting at far left: Socorro, Tammie, Dr. Cumbria, Dr. Syed, Dawn and Heather.
TNH Healthy Living 2019 7
Research finds ethnoracial differences in Alzheimer’s disease MAYO CLINIC NEWS NETWORK
JACKSONVILLE, Fla. — A team of Mayo Clinic researchers found Hispanic-American patients with Alzheimer’s tend to survive significantly longer with the disease than other ethnoracial groups, according to a study in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association. Hispanic-Americans were found to live an average of 12 years with the disease from the time of the onset of symptoms. “This study utilized one of the largest series of donated brain tissue to date, looking at demographic and clinicopathologic features of Alzheimer’s disease across an ethnoracially diverse group of cases,” says Melissa Murray, Ph.D., a Mayo Clinic translational neuropathologist and principal investigator on Mayo’s Florida campus. The research team examined 1,625 brain tissue samples and compared the disease progression and duration in individuals who had self-identified as Hispanic, non-Hispanic white, or African-American. HispanicAmerican patients had dementia symptoms characteristic of Alzheimer’s at an average age of 70, a year or more earlier than the other groups. They were more likely to have family history of dementia. And they had lower cognitive scores at the end of life. However, the average duration of Alzheimer’s — how long patients lived once they had symptoms — was 12 years for HispanicAmericans, compared to nine years for non-Hispanic whites, and eight years for African-Americans. The Mayo Clinic study compared the presence, location and composition 8 TNH Healthy Living 2019
Tribune News Service
A team of Mayo Clinic researchers found Hispanic-American patients with Alzheimer’s tend to survive significantly longer with the disease than other ethnoracial groups. of Alzheimer’s-related protein clumps, known as tangles, in tissue samples from the Florida Autopsied MultiEthnic (FLAME) cohort. Researchers found subtle differences among the ethnoracial groups in the severity of the tangles, but no differences in brain weight were found. Hispanic-Americans were slightly less likely to have the genetic variant, known as APOE e4, which is thought to increase Alzheimer’s risk. The study also found distinctions in the distribution throughout the brain of specific Alzheimer’s proteins and the presence of concurrent neurodegenerative processes, which may be relevant to research looking for biomarkers to diagnose the disease. The study also explored demographic details, such as patients’ education and employment, which are considered to have protective effects against cognitive decline. Compared
to non-Hispanic whites, Hispanic-Americans and African-Americans were found to have fewer years of education, which coincides with other risk factors for Alzheimer’s, such as lower socio-economic advantage and increased cardiovascular disease. “As the field works toward Alzheimer’s therapies, ethnoracial differences should be taken into consideration,” says Dr. Murray. Dr. Murray adds that the study is significant in the size of tissue samples from underrepresented groups. Sixtyseven autopsy-confirmed samples of Alzheimer’s came from individuals who had self-identified as Hispanic. Most described themselves of Caribbean origin, primarily from Cuba and Puerto Rico, while a few were of Mexican, Central or South American origin. The study also included brain tissue samples from 19 self-identified AfricanAmericans. “Hispanic and
African- American populations tend to be underrepresented in Alzheimer’s research, despite having 1 1/2 to two times the risk of getting the disease, compared to non-Hispanic white Americans,” says Dr. Murray. “Our hope is that our findings will help Hispanic- and African-Americans overcome the historical and cultural barriers that contribute to their reluctance to participate in research. Our findings of longevity may have important implications in terms of addressing disparities in caregiver needs, social and family impact, and cost of care.” The findings also prompt the next stage of investigations, looking at factors that may influence survival in Hispanic-American patients, says Dr. Murray. Her team will explore psycho-social contributors, such as family support and potential neuro-biologic factors that include protective proteins.
Beta blockers: Do they cause weight gain? MAYO CLINIC NEWS NETWORK
Yes. Weight gain can occur as a side effect of some beta blockers, especially the older ones, such as atenolol (Tenormin) and metoprolol (Lopressor, Toprol-XL). The average weight gain is about 2.6 pounds. Newer beta blockers, such as carvedilol (Coreg), don’t usually cause weight gain as a side effect. Weight may rise in the first weeks of taking the beta blocker and then generally stabilizes. However, the beta blockers that can cause weight gain usually aren’t prescribed unless other medications haven’t worked, or if you have a specific heart condition that requires taking those medications. Beta blockers are used to treat a host of conditions, including high blood pressure,
heart failure, migraines, glaucoma and anxiety. Doctors aren’t sure exactly why some beta blockers cause weight gain. It could be that beta blockers slow your metabolism. Also, if you switch from taking a water pill (diuretic) to a beta blocker as a treatment for high blood pressure, you may gain a few pounds of weight that the diuretic kept off. If you’re taking a beta blocker for heart failure, tell your health care provider immediately if you suddenly begin to gain more than 2 to 3 pounds in a day or 5 pounds in a week. This sudden weight gain may mean that fluid is building up in your legs, abdomen or chest, which may signal that your heart failure is worsening. Your doctor can help distinguish weight gain from the buildup of fluid that may occur in heart failure.
Avoiding wrist injuries resulting from overuse MAYO CLINIC NEWS NETWORK
It may seem hard to believe, considering that you use your hands and wrists to do almost everything, but some of the most common wrist injuries are caused by overuse and repetitive motion. Dr. Sanj Kakar, a Mayo Clinic orthopedic hand and wrist surgeon, says you have to get creative to avoid overuse injuries from activities that are hard to avoid. It can happen while doing the simplest of activities. “Holding a laptop, typing, texting, things like that,” Kakar says. It’s an injury from overuse, and Kakar sees it all the time. “Overuse injuries are very common in the hand and wrist, and what we’re talking about primarily are tendon problems,” he says.
The tendons are like ropes that help you move your fingers. “So every time they move their wrist, going into what we call ‘ulnar deviation’ or pointing their thumb down, they get exquisite pain in this area,” he says. You should try to cut back on doing the repetitive activity. “Therapy helps,” Kakar says. “Therapies can (include) ultrasound to calm this area down, and sometimes a splint can help.” If things still get worse … “ … sometimes we need to do a corticosteroid injection to decrease inflammation. And most of the times, it gets better. But sometimes we need to do surgery.” But as tough as it can be, Kakar says the best thing to do is to try and prevent these injuries.
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Study shows a healthy diet can help with symptoms of depression By KYLE NAZARIO
THE ATLANTA JOURNAL-CONSTITUTION
A new study published in Psychosomatic Medicine found that a healthy diet can reduce the symptoms associated with depression. The study, conducted at the University of Manchester, analyzed health data from almost 46,000 people. The analysis was a meta-review, or a study of previously conducted scientific studies. “Adopting a healthier diet can boost peoples’ mood,” said Joseph Firth, an Honorary Research fellow at the University of Manchester. “However, it has no clear effects on anxiety.” The study found, according to a writeup, “all types of dietary improvement appeared to have equal effects on mental health.” “Just making simple changes is equally beneficial for mental health,” Firth said. “In particular, eating more nutrient-dense meals which are high in fiber and vegetables, while cutting back on fast-foods and refined sugars appears to be sufficient for avoiding the potentially negative psychological effects of a ‘junk food’ diet.” This study also found women displayed “significantly greater” benefits to their symptoms of depression and anxiety when switching to a healthier diet. On that finding, Firth said, more research is needed.
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What is cat scratch fever? MAYO CLINIC NEWS NETWORK
Q. My cat scratched me while I was trimming his claws and the wound later became infected. Are cat scratches a special concern? A: A bite or scratch from a cat carries particular risks, and infection is common. Cat scratch disease (or cat scratch fever) is a specific type of bacterial infection that occurs when a cat bites or scratches hard enough to break the skin’s surface or licks an open wound. It’s estimated that 40 percent of cats carry this particular bacterium, usually after an exposure to fleas or another animal that was exposed. However, most cats with the infection show no signs of illness. Symptoms of cat scratch disease appear within two weeks after the contact with an infected animal. Swelling and redness occur around
the wound, and you also may experience a fever, headache, poor appetite and fatigue. The most notable characteristic of the disease is tender and swollen lymph nodes near the wound that typically remain swollen for months. Although the disease will clear on its own in healthy people, treatment with antibiotics may be recommended. Rarely, the disease can cause serious complications, especially in children younger than 5 and people with weakened immune systems. A Mayo Clinic study reported that 1 in 3 people seeking treatment for cat bites on the hand needed to be hospitalized. And most of those hospitalized needed surgery to remove infected tissue. This is because penetration was deep enough to deposit bacteria into the joints or protective layers around the tendons. There are steps you can
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Cat scratch disease (or cat scratch fever) is a specific type of bacterial infection that occurs when a cat bites or scratches hard enough to break the skin’s surface or licks an open wound. It’s estimated that 40 percent of cats carry this particular bacterium, usually after an exposure to fleas or another animal that was exposed. take to prevent infection from a cat bite or scratch. Wash your hands after contact with a cat. Don’t roughhouse or provoke a cat, and don’t allow young children to chase or grab your cat. If you are bitten or scratched, wash the area well with soap and running water. If it’s a bite, see your health care provider — even if the wound appears small. And report any bites from a feral or stray cat. Preventive treat-
ment for rabies may be recommended. If you are a cat owner keep your cat’s claws trimmed and use care when grooming your pet. Make sure your tetanus vaccination, which needs to be updated every 10 years, is current. Keep cats indoors to minimize their exposure to infected animals. Finally, treat your cat with flea prevention medication.
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What do I need to know about a cardiac stress test? MAYO CLINIC NEWS Your heart provides blood to all parts of your body. In order to determine if it’s pumping properly, your health care provider may order a cardiac stress test. It makes the heart pump harder and faster, and can reveal potential problems with blood flow. Stressing the heart might not sound like a safe thing for someone with a cardiovascular condition, but a cardiac stress test is an important tool for doctors. “We get information about the pumping function of the heart and specifically about the vessels which supply the blood flow to the heart, whether or not there are significant blockages,” says Dr. Paul McKie, a Mayo Clinic cardiologist. There are two types of cardiac stress tests.
“The most common and the preferred approach is to exercise. So a patient may walk on a treadmill, they may exercise on a bike,” says McKie. That takes less than 10 minutes, and heart rhythm, blood pressure and breathing are monitored. If a person has a blockage, often there is enough blood flow around the blockage at rest. McKie says, “It’s only with exercise — when there’s more demands on the heart — can they not get enough blood flow around the blockage.” If you’re not able to exercise, the other type of test is the use of medication to simulate the effects of exercise on the heart. Your doctor may order a cardiac stress test to diagnose coronary artery disease and heart arrhythmias. It also can determine treatments if you’ve already been diagnosed with a heart condition.
Secondary headache disorder could be a serious symptom MAYO CLINIC NEWS Headaches come with a wide range of accompanying symptoms and severity. Most often, they are due to a primary headache disorder, such as a tension-type headache or migraine. In older adults, most headaches are still primary in nature. However, older adults are more likely than their younger counterparts to experience a secondary headache disorder. A secondary headache is when the headache pain is a symptom of an underlying problem or condition. An “ice cream headache” is an example of a secondary headache that isn’t a worrisome cause. However, some secondary headaches may be warning signs of something more serious, such as an aneurysm or tumor. Certain “red flag” characteristics are more worrisome and should be discussed with your health care provider. Represented by the acronym “SNOOP4,” these headache characteristics are: Systemic symptoms: Headaches are accompanied by fever, chills, night sweats or unintentional weight loss. Neurologic symptoms: Headaches are accompanied by signs and symptoms, such as weakness, numbness, trouble walking, confusion, seizures, or difficulty staying alert or maintaining consciousness. Onset: They begin suddenly or abruptly, such as a severe headache that peaks within one to two minutes (also known as a “thunderclap headache”).
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Study: High-fat Western diet could increase risk, severity of sepsis By KYLE NAZARIO
THE ATLANTA JOURNALCONSTITUTION
The traditional Western diet could increase your risk of deadly sepsis, according to a new study. In a study published in the Proceedings of the National Academy of Sciences of the United States of America, researchers found the traditional Western diet, which is high in fats and sucrose and low in fiber, could have an impact on sepsis. The study’s first listed author, Dr. Brooke Napier, told the Sun, “It looks like the (Western) diet is manipulating immune cell function so that you’re more susceptible to sepsis, and then when you get sepsis, you die quicker.” Sepsis is an immune system response to infection that causes organ failure. It is the 11th-most common cause of death around the world, according to the study. The experiments found mice who ate a Western diet had “increased sepsis severity and poorer outcomes.” The mice had a higher
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The traditional Western diet could increase your risk of deadly sepsis, according to a new study. baseline level of inflammation and “increased sepsis-associated immunoparalysis” compared to mice that ate more fiber. “Importantly, we found that the WD-dependent
increase in sepsis severity and higher mortality is independent of the microbiome, suggesting that the diet may be directly regulating the innate immune system through an unknown mech-
anism,” according to a statement from the researchers. Napier said the team will investigate if certain fats in the Western diet cause the immune system change.
Here’s what happens when you get goose bumps out of nowhere By KYLE NAZARIO
THE ATLANTA JOURNALCONSTITUTION
Everyone has experienced “the chills” at some point. Your skin gets goose bumps and your body shivers uncontrollably. But why does it happen? HuffPost consulted Hadley King, a dermatologist, to find the answer. King said there are two types of 12 TNH Healthy Living 2019
chills that cause a physical response. The first a physical input, like feeling cold. The second is a psychological input, something that makes you feel a certain way. Physical chills are easier to explain. George A. Bubenik, a physiologist, explained to Scientific American in animals with thick hair, a rising coat of hair helps insulate the skin beneath from the cold. For emotional chills,
however, the science is less clear. King said it may be that emotional stimuli trigger the release of dopamine, which causes temporary skin tingling. These emotional triggers can include being moved by a piece of art or being afraid. “The reason for all these responses is the subconscious release of a stress hormone called adrenaline,” Bubenik said. “In humans, adrenaline is often released
when we feel cold or afraid, but also if we are under stress and feel strong emotions, such as anger or excitement.” According to Bustle, these emotional chills are more likely to happen if something unexpected happens in the art a person in consuming. The science isn’t clear, but it seems a good place to start to give yourself the chills is consuming some great art that can surprise you.
Understanding the gender gap of depression MAYO CLINIC NEWS Women are nearly twice as likely as men to be diagnosed with depression and it can occur at any age. Some mood changes and depressed feelings occur with normal hormonal changes, but hormonal changes alone don’t cause depression. Other biological factors, inherited traits, and personal life circumstances and experiences are associated with a higher risk of depression. Here’s what contributes to depression in women. PUBERTY Hormone changes during puberty may increase some girls’ risk of developing depression. However, temporary mood swings related to fluctuating hormones during puberty are normal — these changes alone don’t cause depression. Puberty is often associated with other experiences that can play a role in depression. After puberty, depression rates are higher in females than in males. Because girls typically reach puberty before boys do, they’re more likely to develop depression at an earlier age than boys are. This depression gender gap lasts until after menopause.
For most females with premenstrual syndrome (PMS), symptoms such as abdominal bloating, breast tenderness, headache, anxiety, irritability and experiencing the blues are minor and short-lived. But a small number of females have severe and disabling symptoms that disrupt their studies, jobs, relationships or other areas of
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their lives. At that point, PMS may cross the line into premenstrual dysphoric disorder (PMDD) — a type of depression that generally requires treatment. PREGNANCY Dramatic hormonal changes occur during pregnancy, and these can affect mood. Other issues also may increase the risk of developing depression during pregnancy or during attempts to become pregnant, such as: • Lifestyle or work changes or other life stressors • Relationship problems • Previous episodes of depression, postpartum depression or PMDD • Lack of social support • Unintended or unwanted pregnancy • Miscarriage • Infertility • Stopping use of antidepressant medications POSTPARTUM DEPRESSION Many new mothers find themselves sad, angry and irritable, and experience crying spells soon after giving birth. These feelings — sometimes called the baby blues — are normal and generally subside within a week or two. But more-serious or long-lasting depressed feelings may indicate postpartum depression, particularly if signs and symptoms include: • Low self-esteem or feeling like you’re a bad mom • Anxiety or feeling numb • Trouble sleeping, even when your baby is sleeping • Problems with daily functioning • Inability to care for your baby • Thoughts of harming your baby
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Slow start, but it’s not over yet: 5 things to know about this year’s flu season By KATE THAYER CHICAGO TRIBUNE
As influenza season trudges on, public health officials report fewer cases than last year’s severe and deadly season. A Centers for Disease Control and Prevention report released recently shows a more effective vaccine compared with the previous two seasons and called this season a low-severity year so far for influenza — classified as having a fever, cough and body aches. But local doctors and public health officials also point out that flu season is far from over, with the illness typically lasting into April. They say those who haven’t received the flu shot this season could still benefit from one.
Here are five things to know about this year’s flu: • More typical season While this season seems mild compared with last year’s harsh one that sickened 49 million and killed nearly 80,000 people across the country, doctors say this year’s flu actually is typical of years prior to the 2017-18 season. The CDC estimated this year’s flu season so far has sickened between 13.2 million and 15.2 million nationwide. This includes an estimated 9,600 to 15,900 deaths, according to public health estimates, including two children in Illinois. CDC tracking also shows that the illness in Illinois is at more moderate levels than several other states in the Southeast, West and
Southwest. In Illinois, this year’s flu is on par with the six-year average, while last year was an outlier, said Melaney Arnold, spokeswoman for the Illinois Department of Public Health. Public health data from Chicago and the collar counties show similar numbers of flu-like illnesses as in years prior to the 2017-2018 season. • Slow start But doctors say the season was slow to start and they’ve noticed an uptick of patients this month. Dr. David Dungan, a Lombard internist and pediatrician with DuPage Medical Group, said while he’s had fewer patients than last year,
he’s also noticed an uptick in recent weeks. “I don’t think we should rest yet,” he said. “This is typical; this is why they give us a wide window of influenza season.” And while Dr. Erin McCann, a Chicago pediatrician at Amita Health, said she’s also seen “a lot more flu in the last couple weeks,” she’s noticed those who have had a flu shot have shorter, milder cases. • Vaccine success According to the CDC report, the 2018-19 flu season vaccine is 47 percent effective overall and 61 percent effective for children ages 6 See FLU SEASON, Page 15
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FLU: MAIN STRAIN THIS YEAR IS H1N1 CONTINUED FROM PAGE 14 months through 17 years. That compares with 40 percent vaccine effectiveness across all age groups for the previous two seasons. “They must’ve gotten it right,” Dr. Faith Myers, pediatrics chair at Advocate Good Samaritan Hospital in Downers Grove, Ill., said of this year’s flu shot. Myers said her Lemont pediatrics practice is “as slow as it’s ever been” during a flu season, and the only patients she’s seen with influenza didn’t get the flu shot. Last year, she saw even immunized patients get sick, she said. CDC spokeswoman Kristen Nordlund said the main strain of influenza circulating this year is H1N1, a strain “the vaccine tends to perform a little bit better against.” Last year, another strain, H3N2, was more predominant, she said. That could have contributed to the severity of the season because while the vaccine protects against H3N2, it’s not as effective at doing so. While preliminary study data can show vaccine effectiveness, Nordlund said that percent could change — and even increase — when the CDC studies vaccine effectiveness again at the end of the season. And there were some limitations to studying this year’s vaccine midseason, she said, because there are fewer people getting sick this year to test, especially given the slow start to the season. • ‘It’s not too late’ Dungan, along with the CDC and other public health officials, encourage anyone who hasn’t gotten a flu shot to make sure to get one, even though it
takes two weeks to become effective. Dungan also points out that during another H1N1predominant season, people were still getting sick in May. It was unusual, he said, but it’s possible. The milder season “should give people confidence the vaccine will be helpful to them,” Dungan said. “It’s not too late.” Nordland added that the milder season should give people confidence that the vaccine is working, pointing out that the vaccine aims not only to prevent flu but to lessen the duration and the severity. She also said last year’s harsh season could’ve caused the bump, nationally, in the number of people getting a flu shot this year. “Everyone remembered how bad it was, she said.” • Multiple peaks While local influenza cases had a spike in late December and trended upward again at the start of this month, according to local public health data, it’s not unusual to have a few peaks in a season, said Dr. Marielle Fricchione, medical director of the immunization program with the Chicago Department of Public Health. “We’re still hearing from doctors and hospitals about high volume,” she said. And influenza B has barely made an appearance locally or across the country. It’s typical for that strain to show up closer to spring, delivering another peak, Fricchione said. The second wave is another reason doctors recommend flu shots even late into the season. “It’s worth it,” she said.
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‘Ultraprocessed’ foods linked to risk of early death By NAJJA PARKER THE ATLANTA JOURNAL-CONSTITUTION It’s no secret ultra-processed foods can be detrimental to your health, but they can also increase your risk of early death, according to a new report. Researchers from health institutions in France recently conducted a study, published in JAMA Internal Medicine, to determine the relationship between overall mortality risk and the consumption of ultra-processed food. They defined ultra-processed foods as those “manufactured industrially from multiple ingredients that usually include additives used for technological and/or cosmetic purposes,” the authors wrote in the study. “Ultraprocessed foods are mostly consumed in the form of snacks, desserts, or ready-to-eat or -heat meals.” For the assessment, the analysts examined nearly 45,000 adults aged 45 and older for two years. The subjects submitted 24-hour dietary records every six months and completed questionnaires about their health, physical activities and sociodemographics. After analyzing the results, they found ultra-processed foods made up more than 14 percent of the weight of total food consumed and 29 percent of the total calories consumed.
Researchers from health institutions in France calculated a 14 percent higher risk of early death for each 10 percent increase of ultra-processed foods consumed. They also discovered ultra-processed foods were associated with younger age, lower income, lower educational level, living alone, higher body mass index and lower physical activity level. Furthermore, they calculated a 14 percent higher risk of early death for each 10 percent increase of ultra-processed foods
consumed. A total of 602 deaths occurred during the course of the study. Although the scientists acknowledged more testing is needed to confirm their results, they believe the additives, packaging and processing of such foods could all be factors that negatively impact our health.
What it takes to get patients 65 and older through surgery By STACEY BURLING THE PHILADELPHIA INQUIRER For months, Ann Chun, a 75-year-old retired casino game dealer from Galloway, N.J., had a horribly painful infection in her knee. Earlier this month, she wound up at Penn Presbyterian Medical Center where a new member of the orthopedic trauma team made sure Chun, who needed surgery for her infection, got the kind of special attention that helps prevent major complications among seniors. Geriatrician Mark Simone specializes in helping patients whose age puts them at higher risk for delirium and a host of other post-surgical problems that can reduce quality of life and increase overall costs. Teams where geriatricians work with surgeons and anesthesiologists to “co-manage” older patients are still unusual, 16 TNH Healthy Living 2019
Lisa Walke, chair of geriatric medicine at Penn Medicine, speaks with patient Mary Ann Lancaster Tyler. but the trend is growing along with the recognition that the elderly are not, as one expert put it, just more “wrinkled 45-year-olds.” They need different care than younger patients, such as closer attention to nutrition, hydration, pain control, vision and hearing problems, vital organ functioning and mental orien-
tation. This is especially true of patients in their 80s and older, but even younger seniors like Chun don’t bounce back from injury or illness the way they would have in mid-life. Getting older patients up and moving soon after surgery is especially important. “The muscle wasting and deconditioning can happen much
more quickly in an older person, even someone in their 60s and 70s, than when they were in their 20s,” Simone said. Figuring out how to provide better surgical care for the elderly is taking on more urgency as the vast baby boom generation ages. While people 65 and older make up 15 percent of the population, they represent a third of surgical patients. Many people are living longer, more vigorous lives. They want more aggressive care and can do well with surgery if managed properly. Others have chronic illnesses and can falter without care attuned to their diminished reserves. Increasingly, doctors talk to such patients and their families about what they hope surgery will accomplish. “Just because we can do things doesn’t mean we should do things,” said Lisa Walke, Penn’s chair of geriatrics.
Listening to older patients who want to stop dialysis By JUDITH GRAHAM KAISER HEALTH NEWS
Dr. Susan Wong sat down with an 84-year-old patient in the hospital, where he’d been admitted with a flare-up of a serious autoimmune condition and deteriorating kidney function. The older man told her he wanted to go home; he’d had a good life and was ready for its end. He didn’t want aggressive care — including dialysis — having witnessed his wife and son die painfully in intensive care years ago. Wong, an assistant professor of nephrology at the University of Washington, was prepared to follow the man’s wishes, but other physicians, eager to pursue tests and treatments, disagreed. For a week, the doctors argued about what to do. Finally, they discharged the patient, who died in hospice care a few weeks later. Older adults with advanced kidney disease who want to forgo dialysis often encoun-
Older adults with advanced kidney disease who want to forgo dialysis often encounter resistance from physicians, according to a new study. ter similar resistance from physicians, according to a new study in JAMA Internal Medicine by Wong and colleagues at the Veterans Affairs Puget Sound Health Care System in Seattle, where she’s an investigator. The researchers documented doctors’ reactions by reviewing medical charts of 851 older patients with chronic kidney disease who refused
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dialysis at the VA health system from 2000 to 2011. In their notes, physicians frequently speculated the patients were incompetent, depressed, suicidal or irrational. With dialysis, people are hooked up to a machine that removes waste from their blood, usually three times a week for four hours at a stretch. Many older adults find the treatments burdensome,
and medical complications are common. Yet patients who expressed reservations about this treatment were sometimes labeled as difficult or unprepared to confront the reality of their medical condition. “Still in denial about his kidney disease and his need for hemodialysis in the near future — repeat discussions with patient and wife regarding compliance,” one nephrologist wrote. “Clinical practice guidelines for advanced kidney disease are geared toward survival, not what would give patients the best quality of life or the greatest functional capacity,” Wong said. Another factor at play: Nephrologists aren’t trained to ask seriously ill patients what’s most important to them and shape treatment recommendations accordingly. Although most patients want to have such conversations with a kidney specialist, few do so, studies have found.
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Animals as healers MAYO CLINIC NEWS NETWORK
Pet therapy is gaining fans in health care and beyond. Animal-assisted therapy can reduce pain and anxiety in people with a range of health problems. What is pet therapy? Pet therapy is a broad term that includes animal-assisted therapy and other animal-assisted activities. Animalassisted therapy is a growing field that uses dogs or other animals to help people recover from or better cope with health problems, such as heart disease, cancer and mental health disorders. Animal-assisted activities, on the other hand, have a more general purpose, such as providing comfort and enjoyment for nursing home residents. How does animal-assisted therapy work? If you’re in the hospital
your health care provider might mention the hospital’s animal-assisted therapy program. If you’re interested, an assistance dog and its handler would visit your hospital room. They stay for 10 or 15 minutes. You’re invited to pet the dog and ask the handler questions. After the visit, you realize you feel a little less tired and a bit more optimistic. Who can benefit from animal-assisted therapy? Animalassisted therapy can significantly reduce pain, anxiety, depression and fatigue in people with a range of health problems: • Children having dental procedures • People receiving cancer treatment • People in long-term care facilities • People with cardiovascular diseases • People with dementia • Veterans with post-traumatic stress disorder
And it’s not only people with health problems who reap the benefits. Family members and friends who sit in on animal visits say they feel better, too. Pet therapy is also being used in nonmedical settings, such as universities and community programs, to help people deal with anxiety and stress. The biggest concern, particularly in hospitals, is safety and sanitation. Most
hospitals and other facilities that use pet therapy have stringent rules to ensure that the animals are clean, vaccinated, well-trained and screened for appropriate behavior. More than a dozen registered therapy dogs and their handlers are part of Mayo Clinic’s Caring Canines program. They make regular visits to various hospital departments and even make special visits on request.
Anti-cancer gene might actually fuel a tumor’s growth, study finds By BRADLEY J. FIKES
THE SAN DIEGO UNION-TRIBUNE
A cancer-fighting gene known as the “guardian of the genome” actually promotes certain tumors, according to a study by researchers at the University of California, San Diego. That means drugs that affect its activity may backfire in some cases, fueling a tumor’s growth. The gene, called p53, makes a protein that causes abnormal cells to self-destruct before they turn malignant. Mutated forms of the gene don’t perform this function as well. About half of cancers have a mutated p53 gene, making it the most commonly mutated gene in malignancies. As such, it has been a major target of drug development to restore normal function. But in certain instances restoring normal function could help the tumor 18 TNH Healthy Living 2019
grow. So knowing what these drugs will do to a particular cancer is vital. The study demonstrates a point that oncologists have been making for decades: Cancer is not one disease. What we call cancer is hundreds of genetic diseases that share certain characteristics. And as knowledge grows about the differences between cancers, the desirability of personalized treatment becomes more evident. Researchers led by Yang Xu based their results on studies of human patients, cell samples and mouse models of cancer. The study Cancers often occur gradually, with a series of mutations that weaken genetic defenses against abnormal growth. Their degree of aggressiveness also varies. Some cancers are rapid-growing and require immediate treatment.
Eyes on health: What you need to know about wet macular degeneration MAYO CLINIC NEWS NETWORK
Millions of people deal with age-related macular degeneration as they get older, but many don’t understand the difference between types of the condition or what they can do to lessen the effects. Dr. Sophie Bakri, a Mayo Clinic ophthalmologist and retina specialist, explains the differences between wet macular degeneration and dry macular degeneration. You’re getting older and notice you’re not seeing as well. You try out readers, but everything just seems blurry. And straight lines seem wavy. It could be age-related macular degeneration.
“The macula is the center of the retina,” Bakri says. “The retina is the camera of the eye that receives the light impulses and processes them, and the macula is responsible for the really fine visual acuity, the right precise vision.” Bakri says there are two kinds of macular degeneration: wet and dry. “The dry kind usually comes on first, and when we look in the retina of the dry kind, we see those little rocklike deposits under the retina,” she explains. “Sometimes we see areas of atrophy where the cells are not present or not really working as well.” For dry macular degeneration, there are over-the-
counter vitamins that can help, but mostly Bakri says a Mediterranean diet and exercise are the best things you can do for symptoms. “The wet type is usually in the later stages when a blood
vessel has grown under the retina and is leaking blood or fluid. And the No. 1 goal is to shut down that blood vessel to prevent it bleeding even more and to prevent patients losing more vision.”
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Vitamins: What men and women need By BARBARA QUINN THE MONTEREY COUNTY HERALD What’s the difference between men’s and women’s multivitamins? If a woman takes a formulation designated for men, will her voice lower an octave? Will a young man’s hair turn gray if he ingests a supplement for men over 50? Maybe these dreary days of winter cause me to wonder about such things. Truth is, males and females — at certain stages of life — do have some varying nutrient needs. And if we need a multivitamin supplement (not everyone does), it helps to be guided in the right direction. But that probably doesn’t mean dire consequences for a man who accidentally pops one of his wife’s prenatal vitamins. Let’s start there: During pregnancy, especially in the early weeks, a woman needs additional folate — a B-vitamin vital to the formation of the fetal brain and spinal column. (We all need folate but it’s especially essential during pregnancy.) Prenatal vitamins provide extra amounts of this nutrient plus more iron for the task of baby building. Some prenatal formulas also contain omega-3 fats from fish that may help with brain development. Interestingly, although a pregnant woman needs extra calcium, many prenatal vitamins do not contain extra amounts of this mineral. That’s because, during pregnancy, a woman’s body can absorb twice as much calcium. So the recommendation stays the same whether a woman is pregnant or not: 1300 milligrams a day for 14-18 year old ladies; 1000
milligrams a day for women 19-50. Once a woman hits the big 51, she needs 1200 milligrams of calcium from food and supplements combined. So do men over the age of 70. For younger women, the biggy is iron. Because of the monthly loss of this mineral through the menstrual cycle, young ladies need more iron than men from the age of 14 to 50, according to the current Dietary Guidelines for Americans. As she approaches menopause, a woman needs less iron. Multivitamin/mineral formulas for older women may supply half the iron of other preparations. And many vitamin/ mineral supplements for older men have no extra iron at all due to the risk for some men to accumulate excess amounts of this mineral. Most of our nutrient needs stay fairly
Treatment with medical cannabis MAYO CLINIC NEWS Medical marijuana, also called medical cannabis, can be helpful in treating a variety of conditions. The specific disorders it can legally be used to treat vary from state to state. To date, it appears to be most effective for treating muscle spasms, chronic pain and nausea. The U.S. Food and Drug Administration recently approved a form of medical cannabis to treat severe childhood epilepsy. There is no convincing evidence that cannabis used to treat medical conditions leads to cannabis dependence. Marijuana comes from the 20 TNH Healthy Living 2019
Cannabis plant. In its leaves and buds are substances called cannabinoids. The plant contains more than 100 cannabinoids, but two are of particular interest for medical purposes: THC (delta-9 tetrahydrocannabinol) and CBD (cannabidiol). THC is the primary mind-altering ingredient in marijuana that makes people “high.” CBD does not trigger changes in the brain that lead to a high. Possession of marijuana is illegal under federal law in the U.S. However, 30 states and the District of Columbia currently have laws legalizing medical cannabis in some form. To obtain medical can-
stable over the years. For example, from age 14 on, healthy boys and girls, men and women all need similar daily doses of potassium, vitamin E and selenium. And men generally need slightly higher amounts of vitamin C, zinc and certain B-vitamins than women. Vitamin D is another nutrient with the same dosage recommendation for all of us until the age of 70. After that, our skin is less able to convert sunshine to vitamin D (and we probably aren’t outdoors as much). That’s why vitamin formulations for older individuals may contain extra amounts of this nutrient. Confused? Maybe that’s why some manufacturers now market sex- and age-related multivitamins. Dosages can still vary, however. Stick with reliable wellknown brands.
nabis in those states, your health care provider certifies that you have a condition that allows you to buy medical cannabis from a dispensary. The conditions that qualify for treatment with medical cannabis differ considerably among the states where it’s legal. Some states have only a few qualifying conditions, while others have dozens. A recent report from the National Academies of Science reviewed and summarized the medical literature published about medical cannabis, specifically examining its effectiveness and safety. It concluded that medical cannabis was particularly effective for easing chronic pain, especially pain caused by nerve damage. It can effectively control nausea
and vomiting and is often used to manage those symptoms in people undergoing chemotherapy. Medical cannabis also has been shown to be useful in relieving painful muscles spasms caused by conditions such as multiple sclerosis or spinal cord injuries. The drug approved by the FDA for epilepsy is a liquid medication that’s sold under the brand name Epidiolex. It can be used for patients age 2 and older to treat two rare and severe forms of epilepsy: Lennox-Gastaut syndrome and Dravet syndrome. Epidiolex is a pharmacy-grade product composed almost entirely of CBD. It’s the first FDA-approved drug that contains a purified drug substance that comes from marijuana.
Lies patients need to stop telling their doctors By HEATHER DOYLE NEWSDAY “My injury isn’t sex related.” “I don’t smoke that much.” “These are the only medications I take.” Whether it’s out of embarrassment, fear of being judged or simple ignorance, plenty of patients lie to their doctors. What a patient believes to be a simple fib, however, could be downright dangerous to their health. Here are a few statements Long Island doctors wish their patients would stop saying in their office. — This is not a sex injury. “Patients often lie about medical conditions or diagnoses that arise during private or embarrassing situations, especially anything sexually related,” said Dr. Sanjey Gupta, vice chairman of emergency medicine at LIJ Medical Center. “When patients lie, even if we confront them, it is difficult to provide them the proper care or to help ensure them a safe discharge,” he said. These situations can be worse when an ailment was caused by abuse, Gupta says. In these cases, the patient may not only be misdiagnosed and mistreated, but also return to a dangerous environment. — I don’t take any supplements.
Vitamins and supplements, which aren’t regulated by the FDA, can skew test results and impact a doctor’s diagnosis, according to Dr. Sunil Sood, chairman of pediatrics and an infectious disease specialist at Southside Hospital. Many herbal supplements or over-thecounter medications “have active compounds that may interfere with the medications that we are attempting to prescribe,” said Gupta. • Neither do my kids. While accounting for supplements is important for treating adults, the issue is particularly important when it comes to diagnoses for children. “Parents are unwittingly hiding something from us” because they “think it’s normal,” said Sood. “They don’t mention the vitamins, probiotics or supplements when they list the medications their children are taking.” In reality, “none of these are necessary to give to children,” he said. • I don’t smoke very often. Patients don’t just lie about smoking. They also underestimate how much they smoke, believing it’s not enough to cause their other health problems, according to Dr. Puneet Gandotra, director of clinical cardiology at Southside Hospital. “They may not feel that their heart dis-
ease or peripheral arterial disease is due to their habit,” Gandotra said, noting that smoking is one of the leading causes of heart-related incidents. “Patients may feel ashamed of their usage or do not want to discuss their habit” he said. “It is imperative to know this information to diagnose and treat and prevent further events.” • I don’t have diabetes. “Diabetes is a risk for complications from a surgical wound, and it could dictate which way you manage the patient’s recovery,” said Dr. Adam Bitterman, orthopedic surgeon at the Northwell Health Orthopedic Institute. This goes for any condition, whether it’s diabetes, cardiovascular disease or an ankle injury. “All should be openly and fully disclosed,” he said. “No piece of medical history is too trivial to mention.” • I don’t eat that much. “People tend to underestimate food consumption. We all do,” said Christine Santori, a registered dietician and program manager for the Center for Weight Management at Syosset Hospital. Those who are trying to focus on their nutrition may disregard what they take in from smoothies, alcohol and other beverages, said Santori.
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You’re washing your hands all wrong MAYO CLINIC NEWS
Flu is active in much of the U.S. Along with getting a seasonal flu vaccine, a 20-second way to prevent illness is to wash your hands properly. Knowing when and how to wash your hands will help you avoid sickness from the flu along with a number of diseases. It seems simple enough, but you’d be surprised to find out many peo-
ple are washing their hands all wrong. Children often are taught at a young age to wash their hands — before eating and after using the restroom. It’s an easy and effective way to stay healthy and avoid spreading disease. But Dr. Gregory Poland, director of Mayo Clinic’s Vaccine Research Group, says adults could do much
better at the sink. “People go to the bathroom, and they run their fingers under the water. Well, that does nothing. And then they grab the dirty faucet, and they touch the dirty handle on the way out of the bathroom.” Dr. Poland says that, in public washrooms, there are often more bacteria on those faucets than in the toilet
water. Next time you’re at the sink, Dr. Poland says, “Wash your hands while singing ‘Happy Birthday’ to yourself. You get between the fingers, the fingertips, the thumb. You turn the water off with a paper towel. And you open the door to leave with a paper towel and dispose of the paper towel. That’s how you wash your hands — ideally with warm, soapy water.”
What do you know about Parkinson’s Disease? MAYO CLINIC NEWS
Parkinson’s disease is a progressive disorder of the nervous system that affects movement. It develops gradually, sometimes starting with a barely noticeable tremor in just one hand. But while a tremor may be the most wellknown sign of Parkinson’s disease, the disorder also commonly causes stiffness or slowing of movement. In the early stages of Parkinson’s disease, your face may show little or no expression, or your arms may not swing when you walk. Your speech may become soft or slurred. Parkinson’s disease symptoms worsen as your condition progresses over time. Although Parkinson’s disease can’t be cured, medications may markedly improve your symptoms. In occasional cases, your doctor may suggest surgery to regulate certain regions of your brain and improve your symptoms. 22 TNH Healthy Living 2019
SYMPTOMS Parkinson’s disease symptoms and signs may vary from person to person. Early signs may be mild and may go unnoticed. Symptoms often begin on one side of your body and usually remain worse on that side, even after symptoms begin to affect both sides. Parkinson’s signs and symptoms may include: • Tremor. A tremor, or shaking, usually begins in a limb, often your hand or fingers. You may notice a backand-forth rubbing of your thumb and forefinger, known as a pill-rolling tremor. One characteristic of Parkinson’s disease is a tremor of your hand when it is relaxed (at rest). • Slowed movement (bradykinesia). Over time, Parkinson’s disease may reduce your ability to move and slow your movement, making simple tasks difficult and time-consuming. Your steps may become shorter when you
walk, or you may find it difficult to get out of a chair. Also, you may drag your feet as you try to walk, making it difficult to move. • Rigid muscles. Muscle stiffness may occur in any part of your body. The stiff muscles can limit your range of motion and cause you pain. • Impaired posture and balance. Your posture may become stooped, or you may have balance problems as a result of Parkinson’s disease. • Loss of automatic movements. In Parkinson’s disease, you may have a decreased ability to perform unconscious movements, including blinking, smiling or swinging your arms when you walk. • Speech changes. You may have speech problems as a result of Parkinson’s disease. You may speak softly, quickly, slur or hesitate before talking. Your speech may be more of a monotone rather than with the usual inflections.
Is a low carb diet dangerous? By KAREN D’SOUZA THE MERCURY NEWS
Pasta. Sourdough. Mashed potatoes. If you are one of the legions of dieters out there who have been religiously cutting carbs in an attempt to get lean and fit, you may be surprised by a recent study that showed that low carb diets may not be healthy after all. In fact, they may be unsafe. Research presented at the European Society of Cardiology Congress in Germany found that diets very low in carbohydrates may actually increase the risk of premature death over time. Yikes. The author of the study, Professor Maciej Banach, of the Medical University of Lodz, Poland, said: “We found that people who consumed a low carbohydrate diet were at greater risk of premature death. Risks were also increased for individual causes of death including coronary heart disease, stroke, and cancer. These diets should be avoided.” The study — which has not been published in a peer-reviewed jour-
nal — used diet and health data from almost 25,000 people collected through the National Health and Nutrition Examination Survey between 1999 and 2010, according to Time. The researchers found that over an average of 6.4 years of follow-up, people who consumed the lowest amount of carbohydrates had a 32 percent higher risk of total mortality, a roughly 50 percent higher risk of dying from vascular diseases and a 36 percent higher risk of dying from cancer, compared to people who ate the most carbs. As Banach said: “Low carbohydrate diets might be useful in the short term to lose weight, lower blood pressure, and improve blood glucose control, but our study suggests that in the long-term they are linked with an increased risk of death from any cause, and deaths due to cardiovascular disease, cerebrovascular disease, and cancer.” Part of the problem may be that people who eliminate carbs might be pigging out on high fat foods instead. As Despina Hyde, a registered dietitian at NYU Langone’s Weight
Management Program, told Time: “When you’re not eating carbs, you have to eat something. We tend to eat higher protein and higher fat (on a lowcarb diet),” Hyde says. Plus, “carbohydrates are the only source we have of fiber, and fiber is great for reducing risk of breast cancer, lowering our cholesterol and making us feel full for longer.” Apparently it’s possible to have too much or too little carbohydrate in your life. “These findings bring together several strands that have been controversial,” co-author Walter Willett at Harvard T. H. Chan School of Public Health said in a statement that USA Today cited. “Too much and too little carbohydrate can be harmful but what counts most is the type of fat, protein, and carbohydrate.” Although it’s not a sexy answer, the best path may well be moderation. Eating carbs is good for us, as long as we are choosing good carbs. Think black beans, fruit, quinoa and whole grains. You can feel free to cut back on stuff like white bread, white pasta and cookies.
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Does evening exercise make sleep worse? Many worry that evening exercise makes their sleep quality worse. A new survey of 23 studies found that moderate exercise in the evening is no problem at all. Sport physiciansâ€™ official recommendation: At least 150 minutes of moderate exercise each week
Effect on deep sleep phases (important for physical recovery) Healthy sleep Vigorous exercise
These test subjects could not recover enough in the hour before going to bed
Unable to talk while exercising
Can talk but not sing*
Person can sing while exercising 4
Their pulse was more than 20 beats per minute faster than their resting heart rate 3
End of exercise (hours before bedtime)
Some evening exercise better than no exercise at all After doing some sport in evening:
21.2% of sleeping time spent in deep sleep
After an evening without exercise:
19.9% of time spent in deep sleep
Source: Institute of Human Movement Sciences and Sport at Swiss Federal Institute of Technology in Zurich; TNS Photos Graphic: Helen Lee McComas, Tribune News Service ÂŠ 2018 TNS
24 TNH Healthy Living 2019
Spa-like treatments ease symptoms in cancer patients By SARAH MEEHAN THE BALTIMORE SUN
Until last year, Charlie Yommer would not have considered treating himself to a facial. That was before the cancer. In mid-2017, doctors discovered Yommer, 58, had prostate cancer. Then came a bladder cancer diagnosis the following June. The second diagnosis, a more aggressive cancer, meant Yommer, a Garrett County resident, was driving nearly three hours one-way to Johns Hopkins Hospital for chemotherapy sessions. But the day before his treatments, Yommer makes a stop at the Four Seasons Baltimore. Yommer is among the growing score of patients turning to spa-like treatments to ease their cancer symptoms. Facials, acupuncture and massage may seem more suited for spa clients looking to be pampered, but studies show such treatments can relieve pain, reduce swelling and improve patients’ outlook in ways traditional medicine sometimes can’t. Although such services are available at hospitals such as the University of Maryland Medical Center and Mercy Medical Center, the spa at the Four Seasons is among the latest non-medical settings in Baltimore to offer a facial designed for clients with cancer. The Harbor East spa in 2018 began offering the Harmony Cancer Care Facial, a regimen by IS Clinical designed to hydrate and rejuvenate patients’ skin. Yommer said the benefits go beyond serums and masks applied to his face. “Being a cancer patient, there’s just so much more than just the cancer itself. It’s thought process, the unknown. This is very relaxing,” Yommer said. “The radiation or the chemo treatments dries you out. Your skin gets red in different spots. And this helps hydrate the skin. You feel like a new person. It takes that irritation away, the inflammation, and it’s 25 minutes of relaxation and enjoyment.” While there’s little scientific evidence backing benefits of facials in cancer treatment, literature supports the positive effects of treatments like massage and acupuncture in cancer patients,
Esthetician Cristy Brenneman applies a variety of skin care products as part of a facial treatment for cancer patient Charlie Yommer. said Dr. Elizabeth Nichols, director of the University of Maryland Department of Radiation Oncology. She said those options are being more widely accepted and promoted by physicians as part of cancer care. “In the cancer community, there just overall is an increasing focus on the benefit of integrative therapies, and so I think this is something that’s definitely here to stay. It’s not a fad,” she said. Nichols has watched patients who have undergone acupuncture reduce or eliminate their pain medications, and she’s seen others suffering from chemotherapy-induced nausea have their symptoms fade. Donna Chang, a nurse and esthetician who heads the Mercy Medispa, agreed acupuncture treats a range of symptoms. “Whatever you’re going through — any kid of side effect from chemotherapy and/or stress-related — acupuncture is excellent for that,” she said. As for massage, the technique has been shown to reduce pain, fatigue and lymphedema, the swelling in arms and legs cancer patients sometimes experience due to fluid buildup in the lymphatic system. “The way that we think about oncol-
ogy massage is it’s a specialized focus,” said Mary Aguilera-Titus, a massage therapist who works at Suburban Hospital and Sibley Memorial Hospital, both in the Hopkins network. “You need to adjust your massage according with each specific person.” Massage therapists use many of the same techniques on cancer patients that they would in standard massages, but they take into account factors like blood counts and bone density, and adjust the speed, direction and placement of the massage to minimize discomfort. “The whole point is to not make a bigger demand on their body, mind, spirit,” Aguilera-Titus said. “The treatment is already demanding.” Nichols, who specializes in breast and gynecologic radiation oncology, and she encourages conversations about alternative therapies with her patients, who she said are increasingly interested in complementing their care with non-traditional medicine. Those therapies are readily accessible at the University of Maryland Center for Integrative Medicine, where Nichols encourages patients to seek a consultation at minimum. TNH Healthy Living 2019 25
Healthy Living Professional Bios Brett Qualls, PT, DPT, OCS
Dr. Brett Qualls is originally from the north coast of California, and has been living and working in Lake Havasu City since 2011. Brett received his Bachelor’s degree in Sports Sciences and his Doctorate of Physical Therapy from University of the Pacific. Brett was recognized as a Board Certified Specialist in Orthopedics by the American Physical Therapy Association and American Board of Physical Therapy Specialties. Brett also holds a Certification in Dry Needling. Brett’s clinical interests are broad and include sports medicine, general orthopedic rehab, movement analysis, and senior wellness. Brett enjoys clinical problem solving and excels at explaining movement systems and educating his patients on musculoskeletal pathology. In his free time, Brett enjoys snowboarding, road biking, hiking, spending time with family & friends, and travel. Agave Physical Therapy 191 Swanson Ave #102 Lake Havasu City, AZ 86403 928.855.7880
Mandy Shoemaker, PT, DPT Dr. Mandy Shoemaker is originally from Southern California, and has been living in Lake Havasu City since 2002. Mandy is a graduate of Lake Havasu High School. She attended Arizona State University and earned her Bachelor’s Degree in Kinesiology with a Minor in Psychology. Mandy attended A.T. Still University where she graduated with her Doctorate of Physical Therapy in 2018. Mandy’s interest in Physical Therapy began in high school after she experienced numerous sport-related injuries and eventually a shoulder surgery during her softball career. With her experience as a patient and now a clinician, she believes she can create a great team approach and positive atmosphere to promote healing. She really enjoys working with orthopedic and pediatric populations, as well as utilizing hands-on skills. In her free time, Mandy enjoys exploring nature, hiking, the beach, and off-roading. She also enjoys traveling, staying active, spending time with her amazing boyfriend, family, and friends, making crafts, watching sports, and giving back to the community. Agave Physical Therapy • 191 Swanson Ave., Ste. 102 • Lake Havasu City, AZ 86403
Karyn Abrahamson, NP-BC Karyn Abrahamson, NP-BC has been caring for patients at Arizona Desert Dermatology in our Lake Havasu City location since January 2014. She completed her Master of Science in Nursing at Grand Valley State University, Michigan in 1999. Prior to joining Arizona Desert Dermatology Karyn obtained 15 years of work experience as a Board Certified Family Nurse Practitioner in various specialties including Geriatrics, Women’s Health, Primary Care, as well as a Nursing Educator and Supervisor. Karyn is a Member of the Dermatology Nursing Association, and her practice encompasses treatment of Acne in Teens and Adults, Warts, Rosacea, Psoriasis, Shingles, Sun Damage, Skin Cancer Screening and Treatment, and Skin Biopsy. Karyn and her husband relocated to Lake Havasu City from Michigan to be near other family members and enjoy the Southwestern climate. Arizona Desert Dermatology 2091 Smoketree Ave N Suite 103 Lake Havasu City, AZ 86403 928.453.3332
Tammy Smith, DCNP Tammy Smith is a Northern Arizona University Alumni and Dermatology Certified Nurse Practitioner, certified by the American Academy of Nurse Practitioners Certification Program. She joined Arizona Desert Dermatology and Surgery in 2015. Prior to focusing on dermatology as a specialty, she provided emergency care within the hospital setting and emergency medical services in the community. She is a member of the American Nurses Association, Arizona Nurses Foundation and the Dermatology Nurses Association. Her evolving practice encompasses treatment of acne in teens and adults, eczema, warts, rosacea, psoriasis, shingles, sun damage, skin cancer screening and treatment and skin biopsy. Tammy and her husband have enjoyed living in Lake Havasu City for over 23 years. They have raised their children in the community and participate in local events and functions whenever possible. They are avid mountain bikers and travel frequently to race or ride in beautiful Arizona and points beyond. Arizona Desert Dermatology 2091 Smoketree Ave N Suite 103 Lake Havasu City, AZ 86403 928.453.3332 26 TNH Healthy Living 2019
Healthy Living Professional Bios Ed Sorkin, D.D.S.
Shortly after receiving his D.D.S. from Loma Linda School of Dentistry, Dr. Sorkin joined Havasu Valley Dental in 2000. He became sole owner in 2003 of this successful practice ,established in 1980. Always dedicated to expanding his dental expertise in cosmetic and restorative treatment, he strives to offer his patients the most modern treatment options. Currently he is an active member of American Dental Association, Arizona Dental Association and American Academy of Implant Dentistry. Ed, as his patients call him, is grateful for the trust and dedication that patients have shown towards him and looks forward to caring for their smiles for many years to come. Supporting various health, school, and charitable organizations is his way of saying thank you to our community.
Havasu Valley Dental
1939 McCulloch Blvd., Suite #2
Lake Havasu City, AZ
Dr. Summer Tilgner Summer Tilgner, Doctor of Nursing Practice has been providing care in LHC for over 18 years. Summer moved here from Canada in 2001 as an x-ray technologist and decided to go back to school to obtain her nursing degree at our local college. She chose to continue her education and obtained her doctorate degree in 2014. Summer enjoys the medical profession and found her passion in Medical Esthetics. Over the past 5 years Summer has grown her small business into something she is now very proud of. Innovative Health & Wellness Center specializes in multiple medical esthetic treatments and is hosted in a 4200 sq/ft spa facility at Bay View Plaza. With a second location on McCulloch - Health. Love. & Happiness and locations in Kingman and Bullhead City, her team stays very busy. Summer now employs over 35 people and takes pride in a team that constantly strives for nothing but the best. Summer (in her spare time) manages her husbands practice-Orthopedic Innovations, also located in Bay View Plaza. In the summer of 2019, IHWC will be launching their newest adventure and opening their Medical Esthetics Education Program. This program will be advertised nationwide and strives to bring awareness and continued education at an advanced level to Lake Havasu City. Surrounded by a strong team of 6 providers, Summer is able to achieve all of her goals with their support. IHWC offers services such as: Botox, Dermal Filler, Coolsculpting, Laser CO2, Vaginal Rejuvenation, PDO threading, PRF, PRP, Plasma Pen, Laser Hair Removal, Skin Tightening, Tattoo Removal, Hormone Pellets, Medical Grade Chemical Peels, Massage, Facial, HydraFacial’s, Waxing, Eyelash Extensions, Nail & Hair Services, Body Wraps & Scrubs. Stay tuned for the grand opening of the HIMALYAN SALT ROOM! Please see her ad inside. http://www.innovativehealthandwellness.com Innovative Health & Wellness 297 S Lake Havasu Ave, Ste 200
Lake Havasu City, AZ
Jonathan Bellew, D.O., Dermatology Dr. Jonathan Bellew D.O. completed undergraduate neuroscience research through the Barrett Honors College at ASU, graduating magna cum laude with a bachelor of science degree in microbiology and a bachelor of arts degree in political science in 2001. He completed his Doctor of Osteopathic Medicine degree in 2006 at Philadelphia College of Osteopathic Medicine. His internship and residency was with Valley Hospital Medical Center in Las Vegas, Nevada, in 2009. Dr. Bellew has worked for Mohave Centers for Dermatology and Plastic Surgery since 2010 where he provides dermatologic services to patients in Laughlin, NV, Bullhead City, Kingman and Lake Havasu City, AZ.
Mohave Centers for Dermatology and Plastic Surgery • 1801 Mesquite Ave, LHC, AZ 86403 • 928.453.2636 TNH Healthy Living 2019 27
Healthy Living Professional Bios Jaldeep Daulat, D.O., Board Certified Dermatologist Board Certified in Dermatology Dr. Daulat established his Dermatology practice in 1987 in Lake Havasu City. He has been trained to perform highly specialized microscopic skin cancer surgery known as Mohs. He was asked to partner with the Cancer Association of Havasu’s low cost screening programs that provide skin cancer screenings for residents of Lake Havasu City. Since he started his practice, he has successfully performed well over 25,000 Mohs surgeries and skin cancer reconstructions. Passion, dedication and ambition were the driving forces that fueled Dr. Daulat to open Mohave Skin and Cancer to serve the communities of Pahrump, Mesquite, and Laughlin in Nevada and Kingman, Bullhead City and Lake Havasu City in Arizona. He is known for his exceptional patient care and his outstanding character as a physician and is licensed to practice medicine through the Nevada and Arizona Boards of Medicine. Mohave Centers for Dermatology and Plastic Surgery • 1801 Mesquite Ave, LHC, AZ 86403 • 928.453.2636
Rohit Jaiswal, M.D., Board Certified Plastic Surgeon Dr. Jaiswal completed his undergraduate degree at the University of California, Berkeley and attended medical school at The Ohio State University College of Medicine in Columbus, Ohio graduating with honors. He completed a vigorous and prestigious plastic surgery residency at the University of California, Davis Medical Center in Sacramento, California. During training, Dr. Jaiswal developed an interest and talent for many office-based procedures such as fat transfer, facial contouring, injectables, and re-shaping procedures, in addition to a full spectrum of operating-room based procedures to the breast, body, and face. Dr. Jaiswal completed a one year fellowship in advanced training at the University of Nevada then joined Mohave Centers for Dermatology and Plastic Surgery to bring the latest in advanced plastic surgery to Lake Havasu and northern Arizona! He believes in bringing aesthetic improvements to everyone who wants it, in as safe, effective, and easy manner as possible. His priorities have always been safety and quality to produce beautiful results, with as little discomfort and downtime as possible. He is a supporter of blending technology, medicine, and art to bring the best possible results to Lake Havasu City. Mohave Centers for Dermatology and Plastic Surgery • 1801 Mesquite Ave, LHC, AZ 86403 • 928.854.5400
Clinton Martin, PA-C, Board Certified Physician Assistant Clint gained his bachelors of science from Oklahoma State University in 2005. He graduated in 2009 from the nationally acclaimed physician assistant program at Emory University in Atlanta. Clint is certified by the NCCPA and possesses extensive experience in dermatology, dermatological surgery, advanced applications of cosmetic injectable and laser applications. Clint also has experience in alternative medicine (homeopathic and Traditional Chinese Medicine). Clint’s comprehensive understanding of dermatology of conventional medical/surgical care with non-western and cosmetic treatments provides patients with an array of options for all types of conditions related to the skin, hair, and nails. Clint’s dedication and work in the field of dermatology and dermatological surgery has led him to be amongst the most distinguished physician assistants in the field of dermatology as a Diplomate of the Society of Dermatological Physician Assistants. This mark of distinction as Diplomate is only bestowed to those PA’s that have worked in length beside a board certified dermatologist; and completed a rigorous training and testing curriculum put forth by the Society of Dermatological Physician Assistants. Mohave Centers for Dermatology and Plastic Surgery • 1801 Mesquite Ave, LHC, AZ 86403 • 800.447.8405
Chad Taylor, D.O., Dermatology Dr. Chad Taylor began his college career at Minnesota State University, Mankato, MN. He later attended A.T. Still School of Osteopathic Medicine (SOMA) in Mesa Arizona where he earned his Doctor of Osteopathic Medicine. While at A.T. Still, he Founded SOMA’s involvement in the Free Family Health and Wellness event. He also represented SOMA on the 2013 D.O. Day on the Hill in Washington, D.C. While assigned to meet with Senators’ McCain and Kyle he discussed issues effecting patient care, and lobbied to raise awareness of osteopathic medicine. Chad’s Post-Doctoral Training was with Kingman Regional Medical Center Family Medicine and received his Board Certification through American College of Osteopathic Family Medicine Physicians in 2016. Dr. Taylor’s volunteering includes caring for under served patient populations in various clinical and non-clinical settings offering free influenza vaccinations, sports physicals and other free clinical exams which were all focused on serving patient populations with low access to healthcare throughout his educational and professional career. Dr. Taylor has been practicing at Mohave Skin and Cancer since 2016 where he provides dermatologic services to patients in Kingman and Lake Havasu City, Arizona. Mohave Centers for Dermatology and Plastic Surgery • 1801 Mesquite Ave, LHC, AZ 86403 • 928.453.2636 28 TNH Healthy Living 2019
Keep an eye on these four girls, they’re changing lives!
Innovative Health & Wellness Center (IHWC) proudly provides advanced medical esthetic care to thousands of patients in the tristate area. Providers: Dr. Summer Tilgner-DNP, Anna Williams RN-BSN-Master Injector, Patricia Folden-FNP & Brianna Jones, RN-BSN have extensive training in medical esthetics. Dr. Summer Tilgner is a Doctor of Nursing Practice and Owner of Innovative Health & Wellness Center. Summer strives to offer more natural treatments by using non-invasive, patient product services. Summer has been living in LHC for 18 years and has strong roots in our city. Summer has taught our local nursing program at MCC, accepted nurse practitioner students to her practice for advanced training, resided on the Hospice of Havasu Board of Directors and served as president of the Board. Anna Williams is a registered nurse who has obtained her bachelor’s in nursing and also has been certified as a master injector through Allergan. She has proudly brought in multiple new services by constantly innovating and researching the least invasive, yet most resulted procedures. Anna is certified in all procedures offered at IHWC and has helped grow the business over the years. Anna shows compassion, kindness and enthusiasm to every client she treats. Trish Folden is a Master’s educated Nurse Practitioner that specializes in Medical Esthetics, Orthopedics & Rheumatology. Working closely with Dr. Theron & Summer Tilgner, Trish is able to help meet a need in Parker and LHC. Trish is certified with BioTE and treats many patients with hormone deficiency. Trish is actively helping with the medical esthetics program curriculum and takes pride in education, both with patients and her colleagues. Brianna Jones is a registered nurse who has obtained her bachelor’s degree and has been with IHWC for over 5 years. Brianna grew up in LHC and has many ties to our community. With her experience as an esthetician and now registered nurse-her skin care knowledge is irreplaceable. Brianna is certified in laser treatments and prides herself in creating plans for patients to obtain their optimal skin health goals. August of 2019, IHWC will be opening a National Medical Esthetics Program bringing 200 students per year from across the nation to study and become certified. They are proudly partnering with the London Bridge Resort and hope to bring awareness to LHC and the National Medical Esthetics community by offering extensive, advanced, hands on training. IHWC has also recently partnered with Allergan Cosmetic-the makers of Botox, Coolsculpting and Juvederm. IHWC will be one of 3 featured medical practices that has signed a contract allowing Allergan to use their medical practice to promote and educate their exceptional company. IHWC will be featured in the 2019 and 2020 marketing campaign across the nation. Stay tuned for the grand opening of the HIMALYAN SALT ROOM!
HEALTH & WELLNESS CENTER
LAKE HAVASU CITY 297 S. Lake Havasu Ave. Suite 200
BULLHEAD CITY 2580 Hwy 95 Suite 211
HEALTH LOVE & HAPPINESS 2078 McCulloch Blvd. N Lake Havasu City
KINGMAN 2331 Hualapai Mountain Rd Suite B
Dr. Summer Tilgner • 928-854-7666 • InnovativeHealthandWellnessCenter.com
• Medical Grade Products • Chemical Peels • Laser Resurfacing • Epidermal Leveling • Microdermabrasion • Laser Hair Removal • Brow Design/Tinting • Latisse • Facials • Facial and Leg Vein Treatments • Photofacial & Laser Genesis Treatments • CO2 Laser Resurfacing
Arizona Desert Dermatology Medical and Cosmetic Treatments • Skin Cancer: Diagnosis & Treatment • MOHS Micrographic Surgery • Rosacea Treament
• Acne Treatment • Psoriasis Treatment • Juvederm© • Botox® • Sculptra
3015 Hwy 95 Building 110
The Only Dermatology Practice in Mohave County that has SRT-100 Non-surgical alternative procedure for Basal Cell and Squamous Cell Carcinomas William G. Anderson, D.O. Karyn Abrahamson, FNP-C Tammy Smith, FNP-C
2091 N. Smoketree Suite 103
1700 Sycamore Ave.