Healthy November 2018 A Special Supplement to
Do you need the flu shot this year? • Where do you turn when a loved one has dementia? Is a low-carb diet dangerous? • Why a racquet and friends may be key to a longer life
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PAGE 16: Study: Using sunscreen in childhood cuts melanoma risk years later by 40 percent
MORE: PAGE 5: Where do you turn when a loved one has dementia?
PAGE 18: Why a racquet and friends may be key to a longer life
PAGE 6: What is a silent stroke?
PAGE 18: Coping with conjunctivitis
PAGE 9: Tips to improve memory.
PAGE 19: Women 65 and older may not need Pap tests
PAGE 10: Why whooping cough is making a comeback. PAGE 12: Is a low-carb diet dangerous?
PAGE 7: Do you need the flu vaccine this year?
PAGE 13: How to handle pain management during your colonoscopy PAGE 16: Lung cancer: What you need to know about symptoms and prevention.
PAGE 20: Treatment for restless legs syndrome focuses on relieving the symptoms PAGE 20: Are there health benefits to taking turmeric? PAGE 21: What is a liquid biopsy? PAGE 22: Having a bout with hiccups?
Meet Havasuâ€™s medical community: Pages 25-28 PAGE 14: A rare heart condition almost killed her. Now, she wants to protect other women.
2 TNH Healthy Living 2018-2019
PAGE 17: Hope for those with peanut allergies?
Care Healthy Living Health Provider Listings 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 Powers Family Practice Go Hear Hearing Aids 1810 Mesquite Ave. Ste. A (928) 855-4224
Midwest Internal Medicine Aliyar, Pareed MD 1840 Mesquite Ave. Ste. B (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
Mohave Skin & Cancer Jaldeep Daulat, D.O., Mohs Surgeon Jonathan Bellow, D.O. Chad Taylor, M.D.
Clinton Martin, PA-C (800) 447-8405
Havasu Valley Dental Sorkin, Ed D.D.S 1939 McCulloch Blvd N. (928) 855-5041
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
Family & General Practice Physicians Powers Family Practice Thomas J. Powers MD 1810 Mesquite Ave. Ste. A (928) 855-4224
Midwest Internal Medicine Chauhan, Hitendra MD 1840 Mesquite Ave. Ste.#B (928) 453-8500
Hair Implanting, Removing & Replacement Nuderm Treatment Center 1840 Mesquite Ave. Ste. #B (928) 453-7546
Health Food Products
Herbâ€™s Herbs and Organic Juice Bar Fresh Shots of Wheat Grass Available 2026 McCulloch Blvd. (928) 453-8182
Powers Family Practice Go Hear Hearing Aids 1810 Mesquite Ave. Ste. A (928) 855-4224
Midwest Internal Medicine Oâ€™Neill, Paul MD 101 Civic Center Ln. (928) 854-4497
Massage & Hypnotherapist New Meditation Classes Galvin, Katy MT (928) 453-9170
Internal & Emergency Medicine
Midwest Internal Medicine Kalin, Gene MD Persuad, Khamranie MD Ong-Veloso, Angelo MD Ulmer, Sandra DNP Wrona, Thomas MD 1840 Mesquite Ave. Ste. #B (928) 453-8500
Mohave Centers for Dermatology & Plastic Surgery Rohit Jaiswal, MD (928) 854-5400
Panacea Brain & Spine Chad E. Hartley, M.D., FAANS 297 S. Lake Havasu Ave. S Ste 204 (928) 453-2211
360 Grind and Grub 5601 N HWY 95 (By Star Cinemas) Lake Havasu City, AZ
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
Arizona Coast Ear, Nose & Throat, Allergy & Sleep Medicine Gibbs, Lisa J. MA-CCCA 1760 McCulloch Blvd. N. Ste. 100
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
Midwest Internal Medicine Pain Management Clinic Powar, Mandeep MD 1775 McCulloch Blvd. (928) 453-0696
Agave Physical Therapy Brett Qualls, PT, DPT, OCS Kylee Curtis, PTA Ronni Sikes , PTA 191 Swanson Ave. Ste. #102 (928) 855-7880
Mohave Centers for Dermatology & Plastic Surgery Rohit Jaiswal, M.D. (928) 854-5400
Mohave Mental Health Clinic Inc. Koch, Caroline 2187 Swanson Ave. (928) 855-343
Haven of Lake Havasu 2781 Osborn Drive Lake Havasu City, AZ 86406 (928) 505-5552
Arizona Coast Ear, Nose & Throat, Allergy & Sleep medicine Cunning, Devin M. MD, FACS 1760 McCulloch Blvd N. Ste 10 (928) 854-5368
TNH Healthy Living 2018-2019 3
A new approach to health that’s helping seniors not only survive but thrive By MELISSA BAILEY KAISER HEALTH NEWS
ea Lipsky shuffled into her wellness coach’s office one morning this fall and parked her walker by the wall. Lipsky, 89, had had a trying year, enduring a hernia operation and two emergency room visits for heart problems. She’s losing her hearing, and recently gave up her dream of riding in a hot air balloon for her 90th birthday. That day, though, she was filled with pride: She told her coach she’d achieved her goals for the year, including attending her grandson’s wedding in China. Lipsky spent two months training, doing leg curls and riding a stationary bicycle, to build up the strength to make it through a 10-day trip to China, accompanied by an aide. “It was absolutely divine,” she told coach Susan Flashner-Fineman, who works at the Orchard Cove retirement community in Canton, Mass., where Lipsky has lived for the past four years. Lipsky’s check-ins with FlashnerFineman are part of a wellness coaching program, Vitalize 360, that Orchard Cove started eight years ago. When seniors arrive at Orchard Cove, a coach measures their health and wellness in an hourlong, oneon-one session, assessing common problems for seniors, like loneliness, pain and distress. The coach also asks about seniors’ families, friendships, and spiritual life. Then the seniors meet with their coach every year before their physical checkup with a doctor, to talk about what matters most to them. The coaches, who come from a variety of backgrounds, including fitness, social work and chaplaincy, help seniors set goals for the year — which could be DID YOU KNOW? Individuals visit the doctor for many different reasons. Although serious illnesses or acute medical care may be seen as the primary reasons behind doctor visits, a relatively recent study from 4 TNH Healthy Living 2018-2019
physical, social, intellectual or spiritual. These goals become the focus for the senior’s medical team, and the seniors follow up with their coaches every three months to stay on track. Wellness coaching aims to rethink how we treat aging, said Aline Russotto, Orchard Cove’s executive director. “We used to be at our very best when somebody was in crisis,” she said. But Orchard Cove staff think they can help residents live healthier and happier lives by shifting the focus away from “fixing what’s broken,” said Russotto, to “living your best day every single day until the end.” Since the program started at Orchard Cove, fitness participation — the proportion of residents who exercise at least three times a week — has more than doubled, from 30 to 77 percent, and one study found participants felt significantly less depressed than a control group, with a notable jump in the number who said they felt “delighted with life.” The program itself has spread to 35 communities in 12 states, reaching more than 2,600 older adults in independent or assisted living. Since existing staff can be retrained to serve as coaches, the program isn’t costly, though there is an annual fee for training and data-tracking software. Programs like this have emerged
The Mayo Clinic suggests otherwise. In 2013, data published in the journal Mayo Clinic Preceedings uncovered that most people visit the doctor for skin disorders, such as acne or dermitis. In the United States, 42.7 per-
because seniors are living longer and defying predictions of cognitive and functional decline, said John Morris, a researcher at the Institute for Aging Research at Hebrew SeniorLife, which operates Orchard Cove. Morris designed the assessment tool that Vitalize 360 uses and is helping retirement communities track participants’ wellness. Esther Adler, a 93-year-old poet, writer and former Hebrew school teacher, moved to Orchard Cove in 2012, a few years after her husband died. She set a goal to “be a productive person” but didn’t know exactly how. After learning about her background in an extensive intake interview, staff invited her to start teaching Hebrew to patients on the skilled nursing floor. Adler discovered their memories were too short for language lessons, and started teaching Bible lessons and prayers instead _ a practice she has continued for three years. Adler, who also finds purpose in writing poetry and helping neighbors through hospice, has proved resilient amid physical setbacks: She broke her pelvis last year when she tripped in the lobby of a hotel room in Poland, the night before the premiere of a documentary about her life. “They thought I would never walk,” Adler said. “Here I am, I’m walking.”
cent of the doctor visits studied were for skin ailments. Skin ailments were followed by joint disorders, back problems, cholesterol, and upper respiratory conditions. The group BackCareCanada says 80 per-
cent of individuals experience pain in their spine at some point in their lives, and medical expenditures with respect to lower back pain are estimated at between $6 and 12 billion annually in Canada.
Where to turn when a loved one has dementia By PAM ASHLEY
Misplacing a set of keys is not a sure sign of dementia. However, if lost keys are but the tip of the iceberg — and there are many other uncharacteristic behaviors — there may be cause for concern. Still, the only way to know for sure is to see a medical professional for an evaluation. There are several diagnostic tools that will provide an answer. If a loved one’s dementia is discovered, Lake Havasu City residents can turn to the Dementia Connection of Havasu. In addition to providing education and resources, the group offers support to individuals, loved ones and caregivers affected by Alzheimer’s or dementia. The non-profit’s volunteers offer regular gatherings and discussions. Topics include coping skills for those who live with dementia, education and news of developments. At these events, activities are offered to caregivers’ loved ones. The support group for caregivers meets on the first three Tuesdays of the month, 1-2 p.m., at the Havasu TAKE THE TOUR To find out what everyday life is like for those who suffer from dementia, there is a way to experience it. The Dementia Connection of Havasu offers a free Virtual Dementia Tour on the fourth Tuesday of every month. It is available by appointment only. Appointments are scheduled noon-4 p.m. by calling the Havasu Community Health Foundation at 928855-5000. While the 30-minute tour is a simulation, it is a real eye-opener. The senses are challenged simultaneously in numerous ways. Participants take part in several activities: • Wear headphones that play a recording with constant noise. It is intended to
Community Health Foundation Learning Center in the Shambles Village, 2126 McCulloch Blvd. Caregivers arriving solo can show up unannounced, but a reservation is requested for participation in the activity group. Call 928-4538190. “We also meet on the fourth Thursday of the month, but there are no activities at that meeting,” said Heather Minery. She is a Dementia Connection board member. The hour-long 1 p.m. meeting is at the Havasu Community Health Foundation, 94 S. Acoma. Minery, a member of the Dementia See DEMENTIA, Page 6
replicate dementia-induced confusion. • Wear goggles that make it difficult to see. • Shoe inserts simulate the onset of arthritis and neuropathy. • Sensory deprivation gloves simulate restriction in the hands. Once participants are geared up, they are asked to complete simple day-today tasks. Because of the sensory losses, completing the tasks is difficult. The gear used for the tour is not a hokey collection of items someone cooked up in their Havasu garage. The foundation purchased the patented kit from Second Wind Dreams, which provided a trainer for the dementia sensitivity program.
DID YOU KNOW? Dementia is a general term for a decline in mental ability severe enough to interfere with daily life. Memory loss is an example. Alzheimer’s is the most common type of dementia. • Every 65 seconds, someone in the United States develops Alzheimer’s disease. • Alzheimer’s disease is the only top 10 cause of death in the United States that cannot be prevented, cured or even slowed. The disease is the fifth leading cause of death in Arizona. • One in 10 people age 65 and older (10 percent) has Alzheimer’s dementia. • The number of people the US with Alzheimer’s disease and related dementias is expected to nearly triple by 2060, from 5 million to 14 million. Sources: Centers for Disease Control and the Alzheimer’s Association
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CONTINUED FROM PAGE 5 Connection for 10 years, is well-acquainted with the ins and outs of dementia. In addition to helping her grandfather struggle through dementia, she manages one of the three Gems Assisted Living facilities in Havasu. Many Gems residents suffer from dementia, so she has a deep understanding of the effects of memory loss. At the support group meetings, caregivers share tips and brainstorm together. Participants speak of difficulties connecting with their loved ones affected by dementia. Minery said this is a universal problem that is not unexpected. Safety is another common issue. “We talk about how maybe it’s time to put alarms on the doors and other things to set up in the house to keep the person safe,” she said. “We also talk about caregiver burnout and the need for in-home care. Or sometimes we ask, ‘Is it time to find other placement?’” Minery said the mission of the Dementia Connection is to let others know that they are not alone in their journey. “There are resources and there are people to help you. We watch out for each other. It is a journey. That’s the perfect word. When you live with dementia, it’s like climbing. You climb and climb. And then maybe you plateau for a while because a new medication slows the progression. But then you start climbing again, and reach another plateau. There are so many stages in the journey,” Minery said. “It take a village to get through it. That’s why our group is so important.”
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Alzheimer’s disease is a degenerative brain disease and the most common form of dementia. Dementia is not a specific disease. It’s an overall term that describes a group of symptoms. Ten early signs and symptoms of Alzheimer’s include: • Memory loss that disrupts daily life • Challenges in planning or solving problems • Difficulty completing familiar tasks at home, at work or at leisure • Confusion with time or place • Trouble understanding visual images and spatial relationships • New problems with words in speaking or writing
• Misplacing things and losing the ability to retrace steps • Decreased or poor judgment • Withdrawal from work or social activities • Changes in mood and personality If memory problems are persistent, the Alzheimer’s Association offers a list of questions to help define specific concerns about a loved one’s memory issues. It can be helpful to answer the 10 questions and present the answers at an upcoming doctor’s appointment. Find the questions at www.alz.org. Click on “10 steps to approach memory concerns” to access the downloadable PDF. Sources: The Alzheimer’s Association
What is a silent stroke? The brain is a complex organ responsible for controlling many different bodily functions. When working at optimal capacity, the brain is a wonder to behold. When illness or trauma affects the brain, various parts of the body may not work as they should. One of the more devastating things that can affect the brain is stroke. Stroke describes a sudden stoppage of blood from reaching the brain. If a large number of brain cells are starved of blood supply, they can die. With their demise, a person’s memory and ability to speak and move can be compromised. While many strokes come on suddenly, certain factors may indicate a person is at risk. Such factors may include prior heart attacks, genetics, high blood pressure, smoking, or a prior stroke. However, in a particular type of stroke — a “silent stroke” — symptoms are far more subtle and difficult to spot.
Silent cerebral infarction is a brain injury likely caused by a blood clot interrupting blood flow to the brain, offers the American Stroke Association. Silent strokes increase risk for other strokes and can be a sign of progressive brain damage. A silent stroke is typically only noticed as a side component of an MRI of the brain. Researchers have found that silent stroke is associated with impairments in tests of cognitive function rather than movement-oriented performance tests like rising from a chair. Another study showed associations between silent stroke and visual field deficits, weakness in walking on heels, history of memory loss, migraines, and lower scores in cognitive function tests. To reduce the risk of any stroke, consider managing high blood pressure and high cholesterol levels, quitting smoking, reducing the risk of diabetes and losing weight to prevent obesity.
Flu season is here again — do you need to get the vaccine? By PAM ASHLEY
Here we go again. Flu season kicks into a higher gear each fall. Are you ready? Perhaps 2018-19 flu season won’t be as nasty as last year. Influenza activity was low in the summer months and early October in the United States, according to the Centers for Disease Control. But just because reported cases are low — so far — it’s still a good idea to get a flu shot. Jeannie Bowen of the Mohave County Department of Public Health said to consider getting vaccinated sooner rather than later. “It takes a couple of weeks (for the body) to process the flu vaccine,” she said. That is two more weeks of vulnerability before the immunization becomes effective. Not everyone gets the same vaccine. A high-dose version is given to those age 65 and older. Those 6 months or older should be immunized. Flu shots are available at some doctor offices and most all local pharmacies in Lake Havasu City. The flu shot is one line of defense against the flu. Bowen of the health
department reminds that simple handwashing throughout the day is highly effective at keeping germs at bay. Also, don’t touch your face, particularly your eyes, nose and mouth. To protect others around you, sneeze or cough into the inside of your elbow, not your hands. And if you do become ill, stay home from work or school. Carry hand sanitizer with you in case you don’t have access to soap and water, Bowen added. For the 2017-18 flu season, Mohave County’s medical community reported See FLU, Page 8
School’s back, summer’s over, and pharmacies are enticing customers with low-cost flu vaccinations on every corner. The Baltimore Sun checked in with Dr. Kathleen M. Neuzil, director of the Center for Vaccine Development at University of Maryland School of Medicine, and pediatrician Dr. Dan Levy, about this year’s flu vaccine. Q: Who should get a vaccine? A: Almost everyone. The Center for Disease Control recommends that everyone older than 6 months get a flu vaccine. Q: I’m healthy. Why do I need a flu shot? A: It’s not all about you. “There are a lot of young healthy people who feel invincible and don’t believe they need the flu shot,” said Neuzil. “Also remember that you’re getting an influenza vaccine to protect the people around you,” such as babies, elderly folks and those with compromised immune systems.
Starting at far left: Cassie, Melaney, Dr. Cumbria, Dr. Syed, Rita, Becci and Dawn front center.
TNH Healthy Living 2018-2019 7
CONTINUED FROM PAGE 7 1,077 confirmed cases of the flu. This number is most likely skewed, Bowen said. The actual number is thought to be much higher because several cases of the flu weren’t tested or reported. Also, many people stayed home while ill and were never diagnosed. The CDC notes that for the 2018-2019 season, manufacturers projected they’d provide between 163 million and 168 million doses of injectable vaccine for the U.S. market. With a good amount of vaccine to go around, there’s probably a flu shot with your name on it. That immunization will protect against the three or four flu viruses that research suggests will be most common, the CDC stated on its web site. Because there are many different flu viruses that circulate every year, a flu vaccine is effective but not foolproof, the CDC said. Even if the inoculated do happen to catch the flu, the vaccine can shorten the duration and severity of the viral infection. Immunization is especially important for people with a depressed immune system. The flu virus can also cause severe dehydration. It has been said that the U.S. flu season tends to mirror Australia’s experience, both in severity and the types of strains. The CDC, the World Health Organization and other health experts have been monitoring the 2018 flu situation in the Land Down Under. The news is good, but again, it’s not a firm prediction of what the U.S. will experience for its flu season. Although flu season in Australia has been described as mild, bear in mind that influenza viruses are notoriously unpredictable and will shift and mutate. Strike back by getting a flu shot. Think of it as your own version of duck and weave while fighting an agile, dicey enemy.
Q: Can I get a nasal spray? A: Yes. This year the nasal spray will be widely available in the United States. Neuzil says it’s just as effective as a shot for people ages 2 and older. “Traditionally the nasal spray has worked extremely well in children,” she said. Q: Are there any risks associated with the flu shot? A: No. “I think there is a lot of hesitancy about vaccines in general,” Neuzil said. But the flu shot has been around for a long time — and scientists have studied it to prevent side effects. Common side effects include a sore arm from the shot or a runny nose from the nasal spray. Q: Is it possible to get the flu even after being vaccinated? A: Yes. “The vaccine is never 100 percent effective,” Levy said. Still, even for those who do end up getting the flu, the vaccine will help it be less severe, and it will be less likely that the patient ends up in the hospital. Levy said about 180 children died in the U.S. from flu last year — he thinks many of those deaths could have been prevented had the kids been vaccinated.
How to clean your hands from germ-infested places Two effective ways to rid your hands of flu viruses, bacteria, germs and other microbes:
• Lather hands well with soap under warm running water
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8 TNH Healthy Living 2018-2019
Top germ lurking places
• Rub hands together vigorously for 20 seconds; scrub back of hands, wrists, fingers, under nails; rinse well • Dry hands with clean towel; use towel to turn off faucet and grab doorknob on exiting to avoid recontamination
Grocery cart handles
The gas pump
Use when soap and water are not available; must be at least 60 percent alcohol to be effective • Use at least a half teaspoon to coat hands • Rub hands vigorously at least 30 sec. 30 seconds; if sanitizer dries before then, use more and repeat • Not effective if hands are visibly dirty; use soap and water Source: Mayo Clinic, U.S. Centers for Disease Control and Prevention, weather.com
Tips to improve memory Forgetfulness can affect anyone. For example, few, if any, adults can say they have not experienced moments when they could not find their keys. And once the keys are found, people move on without giving much thought to why they did not immediately remember where they left their keys. Isolated incidents where people cannot recall where they placed their car keys or other minor bouts with forgetfulness do not occur by accident. In fact, the Harvard Medical School notes that they are likely byproducts of age-related changes in thinking skills. When people reach their 50s, chemical and structural changes in the brain may begin to occur, and these changes can affect a person’s ability to process memories. Father Time may be a formidable foe, but people can take steps to give their memories a boost as they get older. • Embrace recognition instead of trusting recall. Dr. Joel Salinas, a neurologist who specializes in behavioral neurology and neuropsychiatry at Massachusetts General Hospital, notes that human beings are better at recognition than recall. That means people are more likely to remember something they read, such as a note or a list, than something they’re simply told. • Recognize the value of repetition. People might be more inclined to remember what they hear if they repeat it out loud. Names and addresses might be more easily remembered after they’re repeated out loud because repetition increases the likelihood that the brain will record the information and be capable of retrieving it later. When studying for exams, many students repeat important points to themselves time and again, and that same approach can be applied by adults who are trying to improve their memories. • Eat a healthy diet. A study published in 2015 in the journal Neurology found that people who eat healthy diets with lots of fruits, vegetables, nuts, and fish and little alcohol and red meat may be less likely to experience declines in their memory and thinking skills. Authored by Andrew Smyth of McMaster University in Ontario and the National University of Ireland in Galway, the study following more than 27,000 people in 40 countries for an average of roughly five years. All participants were 55 and older and had diabetes or a history of heart disease, stroke or peripheral artery disease. Those who ate the healthiest diets were 24 percent less likely to experience cognitive decline than people with the least healthy diets.
Aging brain’s plumbing wears out New research on the vessels that drain wastes from the brain show that when they break down, Alzheimer's and age-related memory loss result – and the problem can be fixed.
A previously unknown system The brain’s lymphatic vessels were long thought not to exist; medical and anatomical texts did not mention them In 2015, neuroscientists discovered channels on the brain’s surface, draining into lymph nodes in the neck
Aging, failure ... and repair
1 Vessel wall
Lymphatic vessels are essential to the brain's ability to cleanse itself
Stained microscopic view of lymph vessel in brain’s meninges and immune cells inside it
3 Vessel size increased
They drain large waste molecules from the brain’s cerebrospinal fluid and carry them into the lymphatic system
As the brain ages, the vessels shrink, and the system becomes less efficient
Experiment reversed brain aging Researchers gave aging mice a growth factor chemical that improves lymph circulation in the brain – and the mice showed improved learning and memory
Source: Sandro Da Mesquito, Antoine Louveau and Jonathan Kipnis of University of Virginia School of Medicine; Nature (journal); micro image by TJK Graphic: Helen Lee McComas, Tribune News Service
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Sleep loss can affect memory Poor sleep can leave people feeling groggy, disoriented, depressed, and not up for facing the day. And now thereÕs new evidence that insomnia can contribute to memory loss and forgetfulness among the elderly. A study — the first of its kind — unveiled a new link between lack of sleep and memory loss. Researchers at the University of California, Berkley found that during sleep important brain waves are produced that play key roles in storing memories. These waves transfer the memories from the hippocampus to the prefrontal cortex, a portion of the brain where long-term information is stored. Sleep loss can cause the memories to remain in the hippocampus and not reach the long-term storage area, found researchers. This can contribute to forgetfulness and difficulty remembering simple details, such as names.
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www.PrestigeCare.com TNH Healthy Living 2018-2019 9
Why whooping cough is making a comeback By HELENA OLIVIERO TRIBUNE NEWS SERVICE
Whooping cough, a potentially life-threatening childhood illness, all but disappeared in the 1940s after a vaccine was developed. But in recent decades, the illness has been making a comeback. Changes in the vaccine and waning immunity are likely contributing to the resurgence of the illness, according to experts. In recent years, there have been outbreaks not seen since the 1950s. In 2012, the United States had the highest number of whooping cough cases in more than 50 years with 48,277 reported cases and 20 deaths. Most of the deaths occurred among infants, according to the U.S. Centers for Disease Control and Prevention. The highly contagious respiratory illness is not always on the radar of doctors and can be mistaken for a cold, bronchitis, reflux. The older vaccine for whooping cough was phased out in the late 1990s. It carried a high risk of serious but temporary side effects like pain and swelling at the site of injection, as well as serious complications such as febrile convulsions, which are fits or seizures caused by a sudden change in a child’s body See WHOOPING COUGH, Page 11
Whooping cough Microscopic droplets carrying Bordetella pertussis are inhaled
Doctors call the disease pertussis, after the bacterium Bordetella pertussis, which causes a severe infection with symptoms that can last for weeks. Here’s a look at how an infection 2 develops:
Cells Bacteria Cilia hook to cells lining the throat Bacteria whose hairlike “cilia” sweep away foreign objects
Bacteria release a toxin that paralyzes the cilia and kills cells
3 Bacteria reproduce and migrate toward ciliated cells of the lungs
Toxin released in the lungs spreads throughout the body
5 Pneumonia may develop if tiny air sacs deep in lungs become infected Source: Pediatric Infectious Disease Journal, University of Virginia Health Sciences Center
Graphic: Dallas Morning News
EXPLAINING THE DTAP VACCINE One inoculation parents have heard of but may not necessarily understand is the DTaP vaccine. DTaP refers to diphtheria, tetanus and pertussis, a collection of serious diseases that are caused by bacteria. • Diphtheria: Diphtheria causes a thick covering to develop in the back of the throat and can lead to breathing problems, heart failure, paralysis, and even death. • Tetanus: Sometimes referred to as “lockjaw,” tetanus causes muscles to tighten, typically all over the body, and is very painful. The AAP notes that tetanus can lead to death in up to two out of 10 cases. • Pertussis: Pediatricians may refer to pertussis as “whooping cough,” which can produce weeks-long coughing spells that make it difficult for infants to eat, drink or breathe. Pertussis can lead to other conditions, including pneumonia and seizures, and also may cause brain damage or death.
© 2010 MCT
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Debbie Quinn of Raleigh, North Carolina, with her 6-month-old son, Austin, who was diagnosed with whooping cough as a newborn. The disease has been on the rise for the past several years.
WHOOPING COUGH CONTINUED FROM PAGE 10
temperature, and loss of consciousness. One study by researchers at Kaiser Permanente’s Vaccine Study Center in Oakland, Calif., found the newer pertussis vaccine, while safer and with fewer side effects than the older version, is not as effective. The 2016 study from Kaiser Permanente’s Vaccine Study Center found that the booster vaccine known as Tdap provides moderate protection against whooping cough during the first year after vaccination, but its effectiveness wanes to less than 9 percent after four years among teenagers who have received only a newer form of the whooping cough vaccine (known as acellular pertussis vaccine) as infants and children. Pertussis can cause serious illness in people of all ages and can even be life-threatening, especially in babies. About half of babies under 1 year of age who get pertussis need treatment in a hospital, according to the CDC. The illness can have a lasting effect on lung function, leaving people with shortness of breath. Meanwhile, a team of researchers, including scientists from the University of Georgia, found in a new study while some people lose immunity relatively quickly, the vaccine can be protective for many decades. The study, published in a March issue of Science Translational Medicine, also found the dwindling number of people still alive who survived pertussis infections in the days before vaccination and therefore gained lifelong immunity, is also playing a role in the resurgence. When the vaccine was first introduced in the 1940s, there were very high rates of vaccination, which led to an overall decrease in transmission. Senior author Pejman Rohani, who has a joint appointment in the UGA College of Veterinary Medicine and the Odum School of Ecology, said the number of people who are susceptible to contracting pertussis is slowly rising _ setting the stage for an increase in the number of new cases, especially in older individuals. This is known as the “end of the honeymoon” period, he said. And even though the effectiveness of vaccines may wane over time, experts say people should still make sure to get them. Skipping the vaccines, Rohani said, “would be a terrible idea, especially the routine scheduled and maternal vaccination.”
TNH Healthy Living 2018-2019 11
Is a low carb diet dangerous? By KAREN D’SOUZA
TRIBUNE NEWS SERVICE
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 carbo-
hydrate 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 journal — 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. 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
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12 TNH Healthy Living 2018-2019
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. 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.
Pain management during colonoscopy MAYO CLINIC NEWS NETWORK
Q. I just turned 50, and my health care provider recommends that I get a colonoscopy to screen for colon cancer. I want to have the test done, but as a recovering addict, I don’t want pain medication. Is this possible, or would the pain be too much? What are my other options? A: For people in your situation, there are several alternatives to choose from when considering a colonoscopy. In addition to the option of forgoing pain medication completely, you could have the procedure with nonnarcotic medication, or you may be able to opt for a noninvasive colorectal cancer screening test instead of a colonoscopy. A colonoscopy is an exam used to detect changes or abnormalities in the colon and rectum. This test often is recommended as a screening exam for colon cancer, beginning at age 50, for people who have no colon cancer risk factors other than age. During a colonoscopy, a long, flexible tube, called a colonoscope, is inserted into the rectum. A tiny video camera at the tip of the tube enables your health care provider to view the inside of the entire colon. Although sedatives and pain medications may be used to minimize discomfort during a colonoscopy, it is possible to have a colonoscopy without pain medication or sedatives. That is often the way a colonoscopy is performed outside the U.S. When patients want to try colonoscopy without pain medication or sedation, they usually have the option for an IV line to be placed before the procedure starts. That way, the care team can give medication promptly through the IV if the procedure becomes intolerable. The medication
you receive in that case could be one that doesn’t contain a narcotic. This would avoid your addiction concerns. It is also possible to have a colonoscopy performed under monitored anesthesia care. In that setting, a nurse anesthetist administers only sedation medication during the procedure. Here, too, you can request that the medication you receive not include a narcotic. Another option would be a noninvasive colorectal cancer screening test, such as the stool DNA test (Cologuard). That test looks for abnormal DNA associated with colon cancer or colon polyps. The test also detects hidden blood in the stool, which can indicate the presence of cancer. This test is intended for colon cancer screening in people who don’t have symptoms. It’s not a viable option if a colonoscopy is being ordered to evaluate symptoms or for people who have a strong family history of colon cancer, particularly a history that suggests a hereditary pattern. It also should be noted that if the stool DNA test is positive, a colonoscopy would be required to check for polyps or colon cancer. An additional noninvasive option is a virtual colonoscopy, sometimes called a screening CT colonography. Unlike a traditional colonoscopy, a virtual colonoscopy uses a CT scan instead of a colonoscope to produce images of your abdominal organs. The images are combined and digitally manipulated to provide a detailed view of the inside of the colon and rectum. Sedation and pain medications aren’t necessary for this test. Be aware, though, that not all health insurance providers pay for virtual colonoscopy for colon cancer screening. TNH Healthy Living 2018-2019 13
A rare heart condition almost killed her. Now, she wants to protect other women By LEAH ASMELASH
TRIBUNE NEWS SERVICE
If Lauren Dungan had waited just 30 more minutes, she might be dead. On the morning of Oct. 25, 2017, she was sitting in her Huntersville apartment living room, scrolling through Instagram and drinking a cup of coffee. Five days earlier, she had given birth to her second son, Hunter. Though still recovering, she was finally starting to feel like herself again. Her husband, Evan, was sitting next to her. This is when it started — the pressure that felt like an elephant on her chest, the classic heart attack sign. “Something’s really wrong,” she recalled saying, immediately turning to Evan and sitting back into the sofa. “What do you mean?” She didn’t know. She repeated it: I don’t know, I don’t know. Lauren had never felt anything like this before, and at first, neither of them were concerned. She brushed it off. It’s low blood pressure, she thought, something she’d
experienced briefly while still in the hospital. She’d also had gestational diabetes, but when she checked her glucose, it was fine. A few minutes had passed since the initial pain. “I think we should go to the emergency room,” she recalls saying, growing increasingly worried. The pain hadn’t subsided like she’d hoped. The seconds stretched. While her husband hastily woke up their son and grabbed a diaper bag and a bottle, Lauren remained glued to the couch. “We gotta hurry,” she told him, unable to move and not feeling well. NO SIGNS OF HEART DISEASE Spontaneous coronary artery dissection, SCAD, is rare. It happens when the layers on the artery wall start to peel and separate — causing a blockage that can lead to a heart attack and, in some cases, death. There is little known about SCAD, which has been researched and diagnosed for only the last two decades. It typically occurs in young women — Lauren is 33 — who are often just a few
Tribune News Service
Lauren Dugan talks about living with SCAD (spontaneous coronary artery dissection) after suffering a heart attack because of it. days postpartum, like Lauren was. “If she were a man, we would call what she had a widowmaker, because it usually kills young men,” said Dr. Amjad AlMahameed, a cardiologist at the Novant Health Heart and Vascular Institute and Lauren’s doctor. AlMahameed has been in Charlotte for almost a year now, having spent five years on staff at the Cleveland Clinic and 11 years at Harvard Medical School. In both places, he saw many
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her heart to pump blood. She still has the scar on her inner thigh.
CONTINUED FROM PAGE 14 young women come in with similar issues to Lauren — having heart attacks with no signs of heart disease, the usual cause. At first, no one really knew what the problem was. Then doctors started talking to each other, and more reports came out about this type of condition. AlMahameed began to see it more and more, and was able to recognize it after seeing it multiple times in Cleveland and Boston. Lauren and her husband rushed to the emergency room in Huntersville, right next to their apartment. The cardiologist there took one look at Lauren’s EKG and sent the photo to AlMahameed. He didn’t like the look of it. He rushed Lauren down to Novant Health Presbyterian Medical Center, where AlMahameed and his team were on standby. Lauren had dissections in multiple major vessels in her heart and was living off of little blood flow. At Presbyterian hospital, they immediately placed a balloon pump in her heart for support and brought her into the operating room. Her heart function was at 20 percent. The doctors performed a double bypass on Lauren, taking a vein from her leg and using it to create a new path for
‘A LOT OF LAURENS OUT THERE’ Lauren was lucky. Though she’d had a severe heart attack, her heart function is now back to normal. She’ll need to have regularly scheduled follow-ups and take daily medication that makes her tired. By the time many SCAD patients arrive at the hospital, they have sustained so much damage to the heart that it becomes permanent or results in death, AlMahameed said. Timing is everything, and because the condition primarily affects young women, it could become more common in Charlotte. “I do believe that there are a lot of people who already live in Charlotte who might have these conditions and who aren’t aware of it,” he said. And as Charlotte continues to grow, he said he’s not sure the health care system is ready to handle a potential influx. Lauren sometimes still can’t believe what happened, or what could’ve happened. She has since started a Facebook support group, SCAD Survivors North Carolina, in an effort to raise awareness. Her advice to young women? Don’t discount your symptoms. If you’re having abnormal feelings, just go the hospital. “Don’t wait, don’t delay,” she said.
Nutrition labels at Restaurants How much attention do you pay to the nutritional information that is printed on restaurant menus or posted in restaurants? Not at all
Not much Not at all
29% 43% Not much
26% Source: Pew Research Center Graphic: Staff, TNS
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Study: Using sunscreen in childhood cuts melanoma risk years later by 40 percent By MARI A. SCHAEFER TRIBUNE NEWS SERVICE
Slather that sunscreen on your kids and don’t hold back. It could help save their lives. A study out of Australia found that using sunscreen in childhood can reduce the risk of developing melanoma, the deadliest form of skin cancer, by 40 percent in young adults. As with most cancers, the risk of melanoma increases with age. But according to the American Cancer Society, melanoma is one of the most common cancers in young adults (especially young women). Researchers at the University of Sydney analyzed data collected from nearly 1,700 Australians, ages 18 to 40. They looked at those who were regular users of sunscreen in childhood and compared to those who rarely used the products. The results were published last week in JAMA Dermatology. “The association of sun exposure and sunburn with melanoma risk,
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particularly in childhood, is well established and this study showed that regularly using sunscreen was protective against the harmful effects of sun exposure,” said Anne Cust, lead researcher and director of the Cancer Epidemiology and Prevention Research group at the University of Sydney’s School of Public Health. Approximately two in three Australians will be diagnosed with some type of skin cancer by the time they are 70, according to the study. It is estimated that in 2018, more than 91,000 people in the United States will be diagnosed with melanoma. In the last 10 years, rates for new cases of melanoma have been rising on average 1.5 percent each year, according to the U.S. Centers for Disease Control and Prevention. The Australian study was funded by the National Health and Medical Research Council (NHMRC), Cancer Council NSW, Cancer Council Victoria, Cancer Council Queensland, and the U.S. National Institutes of Health.
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The CDC recommends these measures to avoid UV radiation: • Stay in the shade during midday hours. • Wear clothing that covers your arms and legs. • Wear a hat with a wide brim to shade your face, head, ears, and neck. • Wear sunglasses that wrap around and block both UVA and UVB rays. • Use sunscreen with a sun protection factor (SPF) of 15 or higher, and both UVA and UVB protection. • Avoid indoor tanning.
Lung cancer: Symptoms & prevention MAYO CLINIC NEWS NETWORK
Q: Are there ever any early signs of lung cancer, or is it usually found only in the later stages? Can anything be done to prevent it other than not smoking? A: It’s rare for lung cancer to trigger symptoms before it progresses to its later stages. Most cases of early-stage lung cancer are detected by chance in people without symptoms who have a chest imaging study for other reasons. Not smoking or quitting smoking still is the most effective way to prevent lung cancer. But there are other steps you can take that contribute to longterm lung health. Lung cancer remains the leading cause of cancer deaths in the U.S., among both men and women. Typical symptoms, which usually appear only when the disease is advanced, include a
persistent cough, shortness of breath, chest pain, coughing up blood and hoarseness. Smoking is by far the most common cause of lung cancer. People who smoke make up about 85 percent of lung cancer cases. Lung cancer risk for smokers goes up with the amount a person smokes each day, along with the number of years of smoking. Nonsmokers who may be at an increased risk for developing lung cancer include individuals who have prolonged exposure to secondhand smoke, long-term exposure to radon gas, workplace exposure to asbestos and other substances known to cause cancer, and people who have a family history of lung cancer. The best way to avoid lung cancer is not to smoke. Quitting at any age significantly lowers the risk of developing lung cancer.
Hope for peanut allergies? By YEN DUONG
TRIBUNE NEWS SERVICE
Every year, Americans make 30,000 emergency room visits because of food allergies, according to the Food and Drug Administration. Even touching a surface that previously held peanuts can trigger anaphylaxis, a life-threatening allergic reaction. When a peanut-allergic person starts feeling their throat close up, they stab themselves with an epinephrine, or adrenaline, device and then head to the ER for a few hours of monitoring. What if there was another way? Researchers, doctors and pharmaceutical companies are trying to make people less allergic to peanuts. A peanut pill and a patch could be widely available by the end of 2019. And in the meantime, a small number of private-practice allergists have been offering oral immunotherapy, in which you gradually eat more peanut products under a doctor’s supervision. Right now, the majority of allergists only prescribe patients an epinephrine device and tell them to strictly avoid peanut protein, in hopes of warding off
reactions such as hives, swelling, blood pressure loss and difficulty breathing. The FDA has not approved any treatments for peanut allergies, which affect 2 percent of children today. This spring, Aimmune Therapeutics announced that it had wrapped up a 10-nation trial for its “peanut pill,” AR101. “Our hope all the time is to make a cure, to make this go away permanently and never have to worry about it,” said Dr. Edwin Kim, a researcher at the Food Allergy Institute and the father of a peanut-allergic child. UPDOSING AND MAINTENANCE For decades, people with “hay fever” or other environmental allergies have received allergy shots. Allergists inject you with increasing amounts of serum derived from whatever you’re allergic to, building up your tolerance for the allergen. You start twice a week and stretch out the time between injections. After several years, you’ll no longer need the shots. “What we found out in the ‘80s and ‘90s was that doing something similar, like putting peanuts into an allergy shot, wasn’t effective,” Kim said. “That’s
where the idea of oral immunotherapy was born, since eating the food is how your body learns to tolerate it.” Oral immunotherapy, or OIT, works the same way the allergy shots do: slowly up your tolerance for the allergen, until you no longer have allergic reactions to it. You start with a very small amount of the food, check to make sure you don’t have any reactions, and then gradually increase that amount in a process called updosing. By the end of this year, Aimmune will apply to the FDA for a license to sell AR101 in the U.S. At the same time, another company hopes to offer a “peanut patch,” called Viaskin, which patients will wear for increasing amounts of time to updose and then will wear all the time for maintenance.
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Home remedies: Coping with conjunctivitis MAYO CLINIC NEWS NETWORK
Why a racquet and friends may be key to a longer life MAYO CLINIC NEWS NETWORK
Exercise is the best medicine and the closest thing there is to a fountain of youth. Any exercise can help you live longer, but new research shows some exercises can help you live longer than others. “And the study actually found that the team sports, the sports where you had some social connectivity, actually produced a greater longevity than those individual sports,” says Dr. Ed Laskowski, co-director of Mayo Clinic Sports Medicine. Laskowski says a recent study shows people who play social sports like tennis or soccer tend to live longer than those who participate in individual sports like swimming or running. But even among social sports, rac-
quet sports like tennis appear to extend life the most. He thinks one possible reason is that racquet sports are great for what’s known as interval training. “If you’re playing a point, you may have 30 seconds of very intense activity followed by a recovery period,” Laskowski says. “So we’re finding that that type of activity is very efficient at training the body, and a lot of times those ... short bouts of more intense activity produce greater efficiency and actually a greater training effect.” But Laskowski says if running or swimming alone is your thing, stick to it. You’ll still live longer than without exercise. But if you take up a racquet sport like tennis, one study says you may live even longer.
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Pink eye (conjunctivitis) is an inflammation or infection of the transparent membrane (conjunctiva) that lines your eyelid and covers the white part of your eyeball. When small blood vessels in the conjunctiva become inflamed, they’re more visible. This is what causes the whites of your eyes to appear reddish or pink. Pink eye is commonly caused by a bacterial or viral infection, an allergic reaction, or — in babies — an incompletely opened tear duct. Though pink eye can be irritating, it rarely affects your vision. Treatments can help ease the discomfort of pink eye. Because pink eye can be contagious, early diagnosis and treatment can help limit its spread. To help you cope with the signs and symptoms of pink eye until it goes away, try to: • Apply a compress to your eyes. To make a compress, soak a clean, lint-free cloth in water and wring it out before applying it gently to your closed eyelids. Generally, a cool water compress will feel the most soothing, but you can also use a warm compress if that feels better to you. If pink eye affects only one eye, don’t touch both eyes with the same cloth. • Try eyedrops. Over-the-counter eyedrops called artificial tears may relieve symptoms. Some eyedrops contain antihistamines or other medications that can be helpful for people with allergic conjunctivitis. • Stop wearing contact lenses. If you wear contact lenses, you may need to stop wearing them until your eyes feel better. How long you’ll need to go without contact lenses depends on what’s causing your conjunctivitis.
What is a need Pap test? Women 65 and older may not Pap tests New guidelines were announced for the Pap test used to find changes in cells of a woman’s cervix that could lead to cervical cancer.
MAYO CLINIC NEWS NETWORK
Q: I am way past my childbearing years and do not have any health problems. Do I need to continue getting Pap smears? At what age is this test no longer necessary? A: Getting regularly scheduled Pap smears is important for almost all women. That said, whether you need to continue getting Pap smears, also called Pap tests, depends on your age, risk factors for cervical cancer and results of past Pap tests. Pap smears often can catch cervical cancer in its earliest stages, many times before it has even progressed to being cancer. Therefore, they are one of the most reliable prevention steps you can take to protect yourself against cervical cancer. During a Pap test, your health care provider uses a brush to retrieve cell samples
from your cervix to look for abnormal changes. Pap tests also may be combined with an HPV or human papillomavirus test, which looks for the presence of high-risk strains of the sexually transmitted virus HPV, which is the biggest risk factor for cervical cancer. Women should start getting Pap smears when they turn 21unless they are infected with HIV or if their immune system is compromised. Women 21 to 29 with previous normal Pap smear results should have the test every three years. For women 30 and older, a Pap smear may be performed every three years as well; however, sometimes the Pap smear is recommended every five years if the procedure is combined with testing for HPV. In general, women older than age 65 don’t need testing if their previous tests were negative
The test Done in doctor’s office during pelvic exam 1. Speculum used to open vagina so doctor can see cervix 2. Cervix scraped with small brush to remove a few cells
3. Cells sent to lab for testing
New guidelines • Women should have first Pap test at age 21
Cancer rate drops
• Frequency: Younger than 30, once every two years; over 30, every three years
Cervical cancer per 100,000 women
• Higher risk women need more frequent screening Source: American Congress of Obstetricians and Gyecologists
Graphic: Judy Treible, Lee Hulteng and they have had three Pap tests, or two combined Pap and HPV tests, in the preceding 10 years. However, Women with a history of cervical cancer or abnormal Pap tests over the past 20 years should continue cervical cancer screening.
© 2009 MCT Others who should continue screening include those with a compromised immune system and those who were exposed before birth to diethylstilbestrol — a drug given between 1940 and 1971 to prevent pregnancy complications.
TNH Healthy Living 2018-2019 19
Treatment for restless legs syndrome focuses on relieving the symptoms MAYO CLINIC NEWS NETWORK
Q: Is restless legs syndrome hereditary? Is there an effective treatment, or does a diagnosis of RLS mean I will have it for life? A: Restless legs syndrome (RLS), is not always hereditary. But it does run in some families, and several genetic links have been found for RLS. While restless legs syndrome is most often a chronic condition, treatment is available that often can effectively control its symptoms. Restless legs syndrome is a condition characterized by an unpleasant or uncomfortable urge to move your legs. Some people describe it as a crawling, pulling or burning sensation in their thighs, calves or feet. The sensation is temporarily relieved when you get up and move around, especially by walking, or when you shift or stretch your legs. RLS symptoms typically begin after you have been sitting or lying down for some time. Symptoms also tend to get worse in the evenings and at night, and are less bothersome during the day. In many cases of RLS, the cause is unknown. But RLS appears to be hereditary in about half the people who have it. Several specific gene variations have been associated with this disorder. Familial RLS symptoms often begin earlier in life _ usually before age 40 _ than they do in forms of the disease that are not hereditary. In some cases, RLS may be related to another underlying medical condition. For example, some people with symptoms of RLS are found to have iron deficiency. In these situations, taking iron supplements may eliminate symptoms of restless legs syndrome.
Treatment for RLS usually focuses on relieving the symptoms. A variety of simple steps you can take at home may help. Taking a warm bath, massaging your legs, applying warm or cool packs, and trying relaxation techniques, such as yoga or meditation, can all be useful in calming RLS. Exercising at a moderate level on a regular basis and establishing good sleep habits can help, too. For some people, caffeine, alcohol and tobacco can trigger RLS symptoms or make them worse. You may want to try cutting back on these substances to see if your symptoms lessen. If lifestyle changes are not enough, your doctor may prescribe medication to reduce leg restlessness. Medications that have been shown to be helpful for RLS include several that affect a chemical in your brain called dopamine. Dopamine’s job is to send messages that control muscle movement from your brain to your body. Researchers suspect that RLS may be linked to an imbalance in dopamine. Using drugs that stimulate dopamine receptors in the brain, such as ropinirole, pramipexole or rotigotine, can help control RLS symptoms. Side effects of dopamine medications, however, may include nausea, sedation or, rarely, certain compulsive behaviors such as shopping or gambling. Caution and long-term follow-up for the use of these medications is necessary. Certain medications used to treat painful nerve conditions and epilepsy, such as gabapentin, also may effectively treat RLS. Other prescription drugs, including opioid analgesics, muscle relaxants and sleep medications, are sometimes used to help combat RLS symptoms as well.
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Are there health benefits to taking turmeric? MAYO CLINIC NEWS NETWORK
Can an ancient yellow root spice be good for you? A recent study published in the Proceedings of the National Academy of Sciences shows curcumin, an active ingredient in turmeric, effectively kills certain cancer cells. While research continues on the role turmeric plays in treating cancer, there may be other health benefits to ingesting the spice. You may have it in your spice rack or enjoy it in South Asian meals. Turmeric is derived from a plant similar to ginger and has long been used for medicinal purposes. “Turmeric has natural anti-inflammatory compounds called curcuminoids, and these curcuminoids have been associated with a positive effect on various diseases,” says Anya Guy, a Mayo Clinic dietitian. Those diseases include Type 2 diabetes, obesity, inflammatory bowel disease and cancer. “Although curcumin or turmeric has anti-inflammatory properties, if you are diagnosed with a condition such as cancer or diabetes, speak to your health care provider before taking the supplement,” says Guy. Turmeric can be ingested in powder form or in mixes such as curry or chutney. “I recommend choosing more of the powder or natural forms and also try to eat it with a meal to increase its absorption,” says Guy.
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What is a liquid biopsy? MAYO CLINIC NEWS NETWORK
Q. What is a liquid biopsy? Can it be used in place of a tumor biopsy to find cancer? A: A liquid biopsy involves examining cancer-related material (like DNA) from a blood sample. At this time, a liquid biopsy can’t replace a tumor biopsy. But researchers are studying the benefits of, and best uses for, liquid biopsies. They show promise in guiding individualized approaches to cancer management. Eventually, liquid biopsies also may be able to help health care providers screen for some forms of cancer. Cancer is characterized by cell changes, including mutations and other genetic alterations, which lead to the development of abnormal cells that divide uncontrollably. Identifying the specific alterations associated with a person’s cancer can help health care providers deter-
mine the best treatment for that individual. The diagnosis and characterization of cancers require tissue sampling through a tumor biopsy. This involves taking a sample of the cancerous tissue or cells through an invasive procedure and examining the sample in a lab. Tumor biopsies offer a wealth of information for health care providers to use when developing a cancer treatment plan. But biopsies have limitations. First, a tumor changes over time as it grows, spreads (metastasizes) and is exposed to anti-cancer medications. That means tumor biopsies taken when the disease is first diagnosed may not reflect the current state of the cancer. Second, repeating biopsies to get updated information about cancer is invasive and associated with potential complications, including pain, infection
and bleeding. Third, cancer cells that spread to different areas of the body may differ somewhat from the cancer at the site where it started. As a result, a tumor biopsy from one part of the body is unlikely to adequately represent cancer throughout the body. Going through multiple biopsy procedures is not practical and can be difficult on patients. Liquid biopsies may offer an alternative for monitoring cancer over time that is less expensive and less invasive, and thus easier to repeat, than tumor biopsies. In addition, genetic material from all sites of disease is released into the circulation, so blood sampling may provide a real-time, representative view of the evolving cancer throughout the body. Blood-based monitoring also may indicate the need to switch to a different treatment regimen before changes appear on an imaging exam. In the setting of early-stage cancer, periodically checking the blood for
cancer signals after potentially curative therapy could identify patients who are at risk for recurrence. Some research suggests that liquid biopsies may be able to detect when cancer returns long before a tumor reappears. That could lead to earlier intervention and improved survival. With continued research and technological improvements, the liquid biopsy ultimately may become a tool for cancer screening. Early detection is expected to improve cancer-related outcomes. This is particularly important for those cancers currently without effective methods of screening and prevention. Although liquid biopsies still are being researched, the potential they offer to provide a new way to monitor the presence of cancer, track cancer’s response to treatment and watch for a recurrence of cancer using a blood test could be a significant step forward in cancer care.
TNH Healthy Living 2018-2019 21
How to save money on health care
mericans on average spend more on health care than they do on groceries, according to the Bureau of Labor Statistics’ latest Consumer Expenditure Survey. Saving money on medical care is a lot tougher than saving money on food, however. Two big culprits: opaque pricing and ever-changing insurance company rules about what’s covered and what’s not. For help in cutting costs, I turned to a uniquely qualified individual: Carolyn McClanahan, an emergency room doctor turned certified financial planner. McClanahan, director of financial planning at Life Planning Partners in Jacksonville, Florida, frequently speaks at industry conferences, teaching other advisors how to help their clients best navigate the health care system. These are the three questions she suggests everyone ask:
HOW DO I USE HEALTH CARE? McClanahan divides people into low, medium and high health care users. Low users are generally in good health and rarely go to the doctor. High users tend to have chronic health conditions or young children and visit the doctor several times a year.
LIZ WESTON NERDWALLET People who spend a lot on health care will quickly meet a high deductible and often end up spending less overall on high-deductible plans, which have lower premiums. Conversely, people who use very little health care may also spend less on a low-premium, high-deductible plan. It’s people in the middle — who do visit the doctor, but likely won’t spend enough to meet a high deductible — who should consider lower-deductible plans, she says. Also, routine services that can detect or prevent illness — such as vaccinations and certain cancer screenings — are free in many health insurance plans, regardless of the deductible. ARE YOU COVERED IN MY NETWORK? This is a much better question to ask a provider than “Do you take my insurance?” An out-of-network provider may be willing to bill your insurer but can
Dental Specialist of NW Arizona
wind up costing you much more than an in-network provider. Also, insurance companies offer many different plans, and doctors that are in an insurer’s preferred provider organization may not be in its high-deductible health plan network. People should ask, “Is this in network?” for every aspect of their health care, from the laboratory that tests their blood to the anesthesiologist who’s scheduled for their surgery. Keep a written record of whom you talked to and when, McClanahan recommends. This can give you ammunition to get bills covered or discounted if the information you were given is wrong. WHAT ELSE CAN I DO? Sometimes, medications or surgery are less effective than alternative treatments. Treating lower back pain with exercise, cognitive behavior therapy and focused breathing is more effective than the treatments doctors usually prescribe, including rest, surgery and injections. Losing weight, exercising and quitting tobacco can lessen symptoms or prevent many diseases. Not all doctors welcome empowered patients who ask questions, McClanahan notes. If yours doesn’t, she recommends finding one who is more collaborative. “Doctors are not gods. They should work with you,” she says.
Having a bout with hiccups? MAYO CLINIC NEWS NETWORK
Ryan Lavene, DDS Rebecca Lavene, DMD Board Certified Endodontist
Board Certified Periodontist
Your local dental specialty office providing root canal treatment, re-treatment, emergency care, treatment of gum disease, bone grafting, implant therapy and more. The doctors have 30 years combined experience in the dental field. They have recently welcomed a baby girl to their family with their chocolate Labrador.
2152 McCulloch Blvd N Suite C Lake Havasu City, AZ 86403 928-854-5551 22 TNH Healthy Living 2018-2019
Hiccups may result from a large meal, alcoholic beverages or sudden excitement. In some cases, hiccups may be a sign of an underlying medical condition. For most people, a bout of hiccups usually lasts only a few minutes. Rarely, hiccups may persist for months. This can result in malnutrition and exhaustion. Hiccups are involuntary contractions of the diaphragm — the muscle that separates your chest from your abdomen and plays an important role in breathing. Each contraction is followed by a sudden closure of your vocal cords, which produces the characteristic “hic” sound. Although there’s no certain way to stop hiccups, if you have a bout of hiccups that lasts longer than a few minutes, the following home remedies may provide relief, although they are unproven: - Breathe into a paper bag - Gargle with ice water - Hold your breath - Sip cold water You may be able to decrease the frequency of hiccups by avoiding common hiccup triggers, such as: - Eating large meals - Drinking carbonated beverages or alcohol - Sudden changes in temperature - Excitement or emotional stress
Some Risks Are Worth Taking. Your Health Isn’t One of Them. Tribune News Service
Skin cancer is the most common of all cancers, accounting for 40 to 50 percent of all cancer cases diagnosed each year. While some
Nicole Tsong learns how to do the “Lizard Walk” with trainer Kyle Long in a crawling and locomotion workout.
Gravity is your friend during an intense workout that’ll bring you to your knees By NICOLE TSONG THE SEATTLE TIMES
In the midst of working on a lizard crawl, a complicated series of movements that involves balance and core and shoulder strength, I remembered that the ground — more specifically, gravity — is the best free training tool you have. I was at a park with trainer Kyle Long to learn more about crawling. Yes: on hands and knees. Crawling is a foundational movement for all sports, Long says, and any athlete can benefit. Working with your hands and feet on the ground helps you isolate different body parts for better body awareness, teaches you to engage your core and presents plenty of challenges. We did a few wrist warmups, then Long had me stand straight to focus on core engagement and form. After a plank hold and some rhomboid pushups to work my shoulder mobility and strength, we started with an inchworm. From a plank, I walked my feet forward in tiny steps to my hands, bending my knees as needed to get to a forward fold, then went back to a plank. It was a good warm-up, and I soon felt the intensity in my shoulders.
After the inchworms, we worked on hands and knees on a bear crawl. Long told me to dig into my toes, and keep my hips level, as I moved forward with opposite hand and opposite knee. He increased the challenge by putting a half-full water bottle on my lower back. If it rolled off or the water sloshed, it meant my pelvis wasn’t level. I moved slowly, and heard sloshing. I tried harder, and still there was sloshing. (Try it at home; you’ll see.) You can add reversing, or switching to moving your right hand and foot at the same time, then left. All the variations require coordination and concentration. Next, I straightened my arms and legs for an inverted V bear crawl to walk forward and back, head down, core engaged. Long added variations, including bending my elbows as I crawled (hard), and moving sideways, crossing ankles and wrists (very hard). It was easier than it looked, with Long cuing me forward. It also was fun, pushing my body far more than the previous crawls. Any of the crawls can be used as a warm-up, or as a daily exercise to strengthen core and improve body awareness. After an hour of crawling, I had gotten a full workout.
forms of skin cancer are more dangerous than others, early detection and prompt treatment of any malignant area is of the utmost importance.
ARIZONA DESERT DERMATOLOGY Medical and Cosmetic Treatments • • • •
Skin Care Diagnosis & Treatment MOHS Micrographic Surgery Rosacea Treatment Acne Treatment • Psoriasis Treatment
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 NP-BC Tammy Smith, FNP-C
Lake Havasu City
928-453-3332 • 2091 N. Smoketree Ave., Ste. 103
928-758-8885 • 3015 Hwy 95, Building 110
928-692-8885 • 1700 Sycamore Ave. Photo facial Laser Only
Facebook.Com/Azdderm TNH Healthy Living 2018-2019 23
Go for a walk! Keep up your endurance
Brisk walking is great exercise, and like other endurance exercises, it can increase your heart rate and breathing. Endurance exercises keep you healthy, improve your fitness, and help you do the tasks you need to do every day. For some, walking for the recommended 30 minutes a day might be difficult. If so, try walking for 10 minutes at a time and build up to three times a day. As your endurance improves, walk longer until
you can advance to a 30-minute walk. As your walk becomes easier, add new challenges, such as climbing a hill, extending the time you walk, increasing your pace, or adding an additional day of walking. Step counters can help you keep track of your walking, set goals, and measure your progress. Most inactive people get fewer than 5,000 steps a day, and some people get only 2,000 steps a day. Try wearing a step counter for a few days to see how you’re doing.
Get healthy while enjoying Havasu’s back yard
Jennie Dugo, M.S.R.N., FNP-C
24 TNH Healthy Living 2018-2019
Lake Havasu City’s hiking trails feature a wide range of terrain, natural diversity and scenic beauty. Whether your hikes are easy, extreme or somewhere in between, trails range from short, paved paths to steep, rocky slopes. Along the way, enjoy serene lakeside scenery, windswept desert views or sweeping vistas from atop a red rock mountain.
Here are some safety tips to keep in mind to better experience hiking around Havasu: • Take plenty of water • Wear a hat and use sunscreen • Wear sturdy, thick-soled shoes • Never head out alone and always let a responsible person know where you’re going and when you plan to be back.
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
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, FNP-C Tammy Smith is a Northern Arizona University Alumni and family 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 Nurse Practitioner’s 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
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 TNH Healthy Living 2018-2019 25
Healthy Living Professional Bios
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
Fadi Atassi, M.D.
Fadi Atassi, M.D., RPVI began his practice in Lake Havasu in 2011 with the intention of “bringing up-to-date practices in vascular care to the community.” Originally educated in Syria, Dr. Atassi received his training in internal medicine in Chicago and then moved to Virginia to obtain his fellowship in cardiology and interventional cardiology. Dr. Atassi holds five Medical Board Certifications – Internal Medicine, Cardiology, Interventional Cardiology, Nuclear Cardiology, and is a Registered Physician in Vascular Interpretation. His clinic offers the full services you would find in any large metropolitan office. Office hours are also available in Parker and Bullhead City.
Lakeside Heart and Vascular Center 2082 Mesquite Ave., Suite #100A Lake Havasu City, AZ 86403 • 928.453.2727 Parker Office 1200 Mohave Rd., Parker, AZ • 928.669.5482 • Bullhead City Office 3003 Highway 95, Ste. 102 • 928.299.5333 ~ www.lakesideheart.com
Dr. G. Mason Garcia, Board Certified Invasive Cardiologist Dr. George Mason Garcia, M.D. FACC, FCCP has been involved in medicine for more than 22 years. His practice incorporates invasive as well as clinical cardiology both in a solo and large group setting. His passion centers around the patient, a lifelong commitment to improving the quality of medical care and leading an avant-garde change in how to access it. Dr. Garcia trained in internal medicine from 1989 to 1992 at Christ Hospital and Medical Center in Oak Lawn, IL affiliated with Rush University. He continued with his cardiology fellowship at Christ Hospital where his last year was the rank of chief cardiology fellow. In 1996 he completed his interventional cardiology training at Scott and White Hospital in Temple, TX affiliated with Texas A&M University. The last 22 years have been in clinical practice in Tucson, AZ, Idaho Falls, ID and now in Lake Havasu City, AZ. Office hours are also available in Parker and Bullhead City. Lakeside Heart and Vascular Center 2082 Mesquite Ave., Suite #100A Lake Havasu City, AZ 86403 • 928.453.2727 Parker Office 1200 Mohave Rd., Parker, AZ • 928.669.5482 • Bullhead City Office 3003 Highway 95, Ste. 102 • 928.299.5333 ~ www.lakesideheart.com
Dr. Alex Benjo, Board Certified Interventional Cardiologist Dr. Benjo specializes in routine cardiac evaluation & management, pacemaker/ICD monitoring, EKG and treadmill testing, Holter/Event monitoring, cardiac ultrasound testing, cardiac nuclear testing, vascular evaluation testing, hospital care advanced interventional cardiac procedures, pacemaker/ICD placement. Dr. Benjo also will be opening a vein clinic. Office hours are also available in Parker and Bullhead City.
Lakeside Heart and Vascular Center 2082 Mesquite Ave., Suite #100A Lake Havasu City, AZ 86403 • 928.453.2727 Parker Office 1200 Mohave Rd., Parker, AZ • 928.669.5482 • Bullhead City Office 3003 Highway 95, Ste. 102 • 928.299.5333 ~ www.lakesideheart.com 26 TNH Healthy Living 2018-2019
Healthy Living Professional Bios
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, Nevada and Kingman and Lake Havasu City, Arizona.
Mohave Centers for Dermatology and Plastic Surgery • 1801 Mesquite Ave, LHC, AZ 86403 • 800.447.8405
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 Las Vegas, Laughlin, Kingman, Bullhead City and Lake Havasu City. 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 • 800.447.8405
Rohit Jaiswal, M.D., 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 • 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 PostDoctoral 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. Mohave Centers for Dermatology and Plastic Surgery • 1801 Mesquite Ave, LHC, AZ 86403 • 800.447.8405
TNH Healthy Living 2018-2019 27
Healthy Living Professional Bios
June Franzen, Board Certified Women’s Health Nurse Practioner June has had over 25 years of experience as a Women’s Health Nurse Practitioner and has been in Lake Havasu for 6 years. Her specialty is Women’s Health Care and she has extensive experience in in treating women for a variety of health concerns such as menopause (conventional & natural therapies), incontinence, pessary care, birth control, menstrual problems, chronic skin conditions of the vagina and vulva and sexual health for women and couples. Now offering Juliet laser therapy to decrease vaginal dryness, mild incontinence, improve vaginal tone and treat lichen sclerosis and other skin conditions. June also provides primary care for her patients including management of blood pressure, depression, cholesterol, diabetes and other common health problems. New patients are being accepted and appointments are available. Most insurances are accepted, including Medicare. Innovative Women’s Healthcare of Havasu 1951 Mesquite, Suite I
Lake Havasu City, AZ
Heather Anderson, Nurse Practioner Heather Anderson, DNP, APRN, CNM---Heather is a Board certified Nurse Midwife who specializes in Women’s Health. She received her Doctorate of Nursing practice from Frontier Nursing University with honors. She specializes in normal healthy pregnancy care, general gynecology, contraception, menstrual disorders, menopause, and annual exams. She recognizes each patient as an individual and tailors care to their specific needs through education and evidence based practice. Along with serving the community of Havasu, she works for a large OB/GYN practice in Rochester, Michigan part-time. This contributes to bringing advanced medicine and practice to our community. Heather is married with five children and spends most of her free time watching her kids play sports and enjoying outdoor activities. Innovative Women’s Healthcare of Havasu 1951 Mesquite, Suite I
Lake Havasu City, AZ
Dr. Summer Tilgner Summer moved to Lake Havasu from Canada 17 years ago. After pursuing a nursing degree, she continued her education to obtain her Doctorate degree in 2014. Dr. Summer Tilgner was the first to practice as a Doctor of Nursing Practice in Lake Havasu City. Summer married the love of her life Dr. Theron Tilgner, Orthepedic Surgeon. He is the owner of Orthopedic Innovations, where she also practices her medical skills. In 2012, Summer opened her own medical practice and continued to explore and expand her interests in medical esthetics. Now, the proud owner of four facilities, she continues to expand to meet the ever growing needs of Lake Havasu. After opening her medical practice, Summer found a deep love for wellness and esthetics. Together, with Dr. Tania Sobchuk (Owner of Lake Havasu Family Eye Care), they opened Innovative Health & Wellness Center (IHWC). This state-of-the-art spa is like nothing Lake Havasu has ever seen. The luxuries were based on the best of the best treatments and services that Summer herself sought out to ensure her facility was the top tier of wellness. In 2017, Dr. Tilgner introduced Lake Havasu to Coolsculpting - a nonsurgical fat reduction treatment that took this town by storm. Havasu residents fell in love with the ability to sit in a comfortable room and effortlessly lose stubborn fat. Not to mention, being able to go back to the gym in just a few days. This treatment allows for 20-25% volume reduction in just one treatment. A second unit was purchased to help with the volume and ease the burdens of time constraints on patients.IHWC is able to perform two treatments at once and is the only facility in the tri-state area to offer this service! The year 2017 was a busy one! In 2018 IHWC opened a full time location in Kingman as well. Dr. Tilgner opened another medical esthetic practice in Bullhead City and Parker, and a second location to the Wellness Center on Main Street (McCulloch). This appropriately is named Health, Love, and Happiness (HLH) and is otherwise known as The Uptown Market. Surrounded by over 30 teammates, Dr/ Tilgner prides herself on her accomplishments and is excited to offer the highest quality of care to Havasu, Kingman, Bullhead City and Parker. The countless jobs created by Summer and her four businesses has been a blessing to Havasu. In the year 2018, her team achieved The Diamond Award from Zeltiq holding the number one spot in Arizona for Coolsculpting, #1 Ranked Medical Spa for Medical Grade VIPeels, the only DiamondAccount in Lake Havasu City with Allergan for large volumes of Botox and Dermal filler use. As icing on the cake, Dr. Summer Tilgner designed and patented her own wine glasses and bracelets that are available at Health, Love and Happiness. Come see what these great businesses have to offer and support local Havasu! Check them out on Facebook, Instagram and Twitter. 2019 holds another adventure, the IHWC team will become a teaching facility with the opening of a Advanced Medical Esthetic School. The school will be accredited as a Private School and will be able to teach advanced esthetics practices to providers from all over the Country. With the opening of the new school-the team hopes to create more jobs in LHC. Innovative Health & Wellness 297 S Lake Havasu Ave, Ste 200 28 TNH Healthy Living 2018-2019
Lake Havasu City, AZ
Comprehensive Cardiac Care our cardiac treatments include:
• Routine Cardiac Evaluation and Management • Pacemaker/ICD Monitoring • EKG and Treadmill Testing • Holter/Event Monitoring • Cardiac Ultrasound Testing • Vascular Evaluation • Vein Clinic “new” • Coumadin Testing and Therapy • Hospital Care • Advanced Interventional Cardiac Procedures • Pacemaker/ICD Placement • Heart Failure Clinic • EECP Treatment
Fadi Atassi, M.D., RPVI
Board Certified in Interventional Cardiology & Cardiovascular Diseases
Alexandre Benjo, M.D., FACC
Board Certified in Interventional Cardiology & Cardiovascular Diseases
LAKE HAVASU CITY 2082 MESQUITE AVE., STE 100A & 112A
Lakeside Heart & Vascular Center offers a full service clinic for diagnosing and treating cardiovascular diseases, with several small specialty clinics dedicated to particular needs, including the Coumadin Clinic, the Heart Failure Clinic, the Pacemaker Clinic, and the Vascular Clinic for the testing and treatment of Peripheral Vascular Disease. All testing is done in our office. Lakeside Heart is the first clinic in the area offering cardiac catheterization via wrist, rather than the traditional entry through the groin area. As promised, Lakeside Heart is always adding new services to the area. This year they also expanded their Heart Failure Clinic which is the only one in the area. The goal of this clinic is to minimize hospital visits for heart failure. This clinic also provides educational reference materials about heart failure. Patients will be seen within 24-48 hours from being discharged from the hospital.
Please call a Lakeside Heart & Vascular Center near you for an appointment.
G. Mason Garcia, M.D., FACC, FCCP
Board Certified in Cardiology
BULLHEAD CITY 3003 HWY 95 #102
Paul Mahnke ACNPC - AG
1016 S. JOSHUA, AVE.