azhealthandliving.com | May 2013
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FaceLift & Facial
TM
TM
The terms Vampire FaceLiftTM and Vampire FacialTM are recent hot media topics. So how do vampires play into the anti-aging arena? Anyone can appreciate age related changes such as sun damage, skin laxity, or textural changes such as lines and wrinkles. The latest in aesthetic facial advancements utilizes platelet rich plasma, or “PRP”, from blood drawn in the office at the time of treatment. When PRP is injected into the skin or applied topically following certain treatments, it has the ability to stimulate up to eight growth factors, which repair damaged skin cells and stimulate new cellular growth. Platelet rich plasma has been used in orthopedics for many years to repair sports injured tendons and degenerative joints. PRP “turns on” cells that will generate collagen and elastin resulting in improvement of fine lines wrinkles and scars, increase blood flow improving skin color, and repair of epidermal and dermal cells which improve texture overall. The Vampire FaceLiftTM involves the injection of a hyaluronic acid (HA) filler such as Juvederm, Restylane, or Perlane, in the same appointment as injecting the PRP. The combination of these injectable products, not only provides instant natural looking volume, but also encourages natural collagen thickening of the skin along with an improved canvas. PRP can also be injected safely in areas that are more risky with HA fillers such as under the eye. The Vampire FaceLiftTM utilizes a MicroPen, which creates painless tiny holes in the skin that allow the PRP to penetrate evenly and easily. One benefit to this version is the minimal downtime since there are no injections, bruising is not an issue, and treatments can be done days before a special event. Topical application may also be combined with laser treatments such as CO2 resurfacing which is clinically proven to speed up healing time. Since these procedures do not involve any foreign factors that may cause an allergic reaction, they are a safe option for almost all patients. Oral blood thinning medications taken on a regular basis, which cannot be discontinued in a safe manner, pose the only contraindication for these procedures. Both treatments involve the application of a topical anesthetic. One to two tubes of blood is drawn in the traditional way most patients are familiar with. The tubes are then spun in a centrifuge in the room with the patient. The “yellow, clear substance” of the blood is the PRP, and the portion that is used. Next either HA fillers and PRP are injected, or the facial is performed, both with very little discomfort. Each process takes about 30 minutes. These procedures take the cosmetic rejuvenation process to a higher level!
18275 N. 59th Ave., Ste. C-116 Glendale, AZ 85308 (602) 843-4040 physicianskinarrowhead.com
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REAL RESULTS FOR ALL AGES We use the best technologies to get the best Results. Call for a free consultation with Dr. Maltais. • Medical Injectables: Botox, Dysport, Juvederm XC, Restylane, Perlane, Radiesse, Sculptra, Selphyl • Injectable Liquid Lifts, Facial Contouring • Laser Skin Tightening & Rejuvenation • Laser/Light Acne
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Its our passion and mission to partner with you in your quest to look and feel great. Our experienced clinical staff is here to serve you with a combined 30 years experience in the aesthetic medical field. When the best results are desired the best team is required!
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18275 N. 59th Ave., Suite C-116 Glendale, AZ 85308 | 602-843-4040 | physicianskinarrowhead.com
Up Close and Personal
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azhealthandliving.com | March 2013
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TEETH IN A DAY
Replace bad teeth with secure implant supported teeth The teeth in a day concept was developed to provide patients that have failing teeth with efficient and immediate bridgework using only four implants to support a fixed bridge.
Jason J. Augustine D.D.S, M.S., P.C.
Dr Augustine is a licensed specialist practicing in Phoenix for 13 years
• • • • • • • •
Minimal recovery time Cost effective when compared to single implants Enhances self-confidence and quality of life Predictable treatment Non-removable Highly aesthetic Restores the ability to eat all types of food Confidence knowing they are secure
Dr. Jason J. Augustine DDS, MS, PC
602 978-6910
4025 W. Bell Road Suite #4, Phoenix Se habla español www.northphoenixperio.com
Fast-Acting Hair Restoration Procedure NeoGraft™ is a minimally invasive, automated hair transplant system that turns back the hands of time! • • • • •
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No scalpels, sutures or staples Quick recovery and no scars In-office procedure Least invasive hair restoration procedure Large areas addressed in a single session
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Before
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ArizonaHairRestoration.com 5620 W. Thunderbird Rd., D-4, Glendale azhealthandliving.com | November 2012 7
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Save a life. Don’t Drive HoMe buzzeD. DRIVING.
November 2012 | azhealthandliving.com BUZZED DRIVING IS DRUNK
azhealthandliving.com | May 2012
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Contents Publisher Great Central Sun Media Group Executive Editor Lisa Padilla editor@azhealthandliving.com
Senior Managing Editor Alfie Mendoza alfie@azhealthandliving.com
Celebrity Photo Editor Lori Romano
Graphic Designer KZ Creative Services Contributing Writers Alison Bailin Batz Heather Reed Dr. Matt Mumber Susan Mary Malone Gary Malone, M.D. Irine Krass Audrey Davis-Sivasothy Ben Newman Dr. Justin B. Karen Peterson Philip Rousseaux
Contact us: Great Central Sun Media Group, LLC 16845 N. 29th Ave. Ste. #754 Phoenix, Arizona ,85053 623.335.0771 advertise@azhealtthandliving.com www.facebook.com/ArizonaHealthandLiving www.azhealthandliving.com Arizona Health & Living is published monthly. All rights are reserved. The entire contents of Arizona Health & Living are copyright 2013 by Great Central Sun Media Group, LLC. Reproduction in whole or part, or use without written permission of the publisher, of editorial, pictorial, or design content, including electronic retrieval systems is prohibited in the United States & foreign countries. The trademark and tradename, Arizona Health & Living, is owned by Great Central Sun Media Group, LLC. The publisher does not assume responsibility for statements or work by advertisers. The contents in Arizona Health & Living, such as text, graphics, and other material ("Content") are intended for educational purposes only. The Content is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you have regarding your medical condition. The calendar of events presented is provided as a service and does not represent an endorsement or recommendation of specific events or sponsors. The publisher in no way sponsors, endorses, promotes or administers any products that are featured within the publication.
24 Health
Understanding and Diagnosing Hearing Loss; Sun & Skin Cancer
26 Mind & Body
Seven Tips to Increase Awareness; You Are Already Meditating
28 Spirit
How to Overcome Warped Thinking
30 Diet & Nutrition
Asthma and Eczema May be Linked to Fast Food
About us: Great Central Sun Media Group, a media and marketing firm, was founded in 2009 to empower individuals and businesses to make positive decisions that not only impact their health, but the health of the communities they call home. We are on a mission of successfully publishing community magazines, to be used as a powerful source by which the new generation can follow to be encouraged, motivated, inspired and educated to live a healthier lifestyle. We strive with faith to spread healthy living information that will enlighten everyone to know that the word "health" is not just about physical fitness but rather a combination of the mind, body and spirit - and when balanced, creates a synergy of well being and healthy living. We practice what we print by offering our services free to non-profits and charitable causes, as well as being accountable and environmentally responsible by publishing on recycled paper printed with soy ink.
Mother's Day Gift Guide
32-41 Healthy Chatter
Local Doctors, Experts & Business Owners Answering Frequently Asked Questions
LIFESTYLE & LIVING Five Hair Myths Busted; Women’s Guide to Hair Loss
48 Family, Kids & Relationships
Must-Haves & Have-Nots for Newborns
50 Healthy Fitness & Sports
Strength Training Tips for Women; Exercise and Pregnancy
Special thanks to God, our advertisers, community partners and readers for making this magazine possible.
Pick up a free copy now inside 109
52 Career, Business & Finance Pocket Truths for Graduates May 2013 | azhealthandliving.com
SENIOR LIVING 60-63 Aging Well
Five Must-Do Moves for Seniors; New Retirement Tools, Natural Ways to Ease Arthritis Pain; Tips to Reduce Risk of Bathroom Injuries
Local People & Places Inside Every Issue
locations
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56 Special Feature
46 Fashion & Beauty
A Division of
Arizona Locally Owned Business
54 Celebrity Heidi Klum
Know Your Neighbors Heart of the Community Neighborhood Buzz Community Activists Hometown Docs Travel & Leisure Calendar
TOGETHER WE CAN MAKE A DIFFERENCE
Women, Lift Our Youth! God’s Children! Praise them with words of encouragement Let God reign in their lives
I
t has been long and forthcoming, but now we can begin to see a shift in our future generation. It is time for all women of God to stand ground and be the mother and woman He has called us to be. If we stand straight and hold character with the mighty righteousness of God, we can create a world of peace and freedom for our children. This message goes out to all mothers, moms-to-be, stepmothers and women of faith mothering other children. Many of you may think it impossible in this 21st Century. However, I am here to remind you - nothing is impossible with God! This peace and freedom I speak of is the overflowing anointing mighty light of spirit flowing from within. A spirit so lit that, despite how others may see a setback or unfortunate event as bad luck hovering them like an overcast —your spirit remains in the faith with your heart telling you it is the best thing that could be happening to and for you! Why? Because, regardless of how circumstances may seem, if you believe He has a plan and trust it, then you know there will always only be one outcome and that is—blessed! As the grown woman you are, I would like to believe that you know when to listen to that inner voice many refer to as that gut feeling - and what I call my mighty I Am presence—God! However, children only acknowledge what they have knowledge of (Now let me pause on that for a moment). To make sure you are following me on this, I will repeat, children only acknowledge what they have knowledge of! Studies have shown that children act, to react. Let us explore this a little further. Let’s take for example kids and goal setting. Research indicates the use of setting goals by students produces several critical outcomes. Goal setting increases appropriate behavior in the classroom, positively affects students’ motivation and can change negative or selfdefeating attitudes. It has also been shown to increase students’ productivity, homework completion, school attendance, grades and academic achievement. It can reduce conflict in the classroom and at home. These studies have proven that goal setting improves responsible student behavior and promotes self-understanding. Now, with this expressed, can you see the pattern? Act, to react. Let us take for another example that God has created women
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to be, what I believe, is similar in comparison to an actor and reactor, because we live multi-dimensional lives holding various roles. We are constantly adding to our daily agenda planner, from planning of meals to scheduling kids’ extracurricular activities, to keeping things tidy and together for a healthier home. I believe, women are the financial and health care decision makers in today’s American household. We ensure that our children are taken care of, that our parents are taken care of, and that our families’ collective spending is reasonable. Yes—men do all of the above as well. However, statistically speaking, women are making these decisions. Now, what about our children? How does the research I mentioned about students and goals relate with praising our children with words of encouragement? I believe our children’s most important educator is God and if He chose you to raise one or more of His children, then you should trust He has a plan. To remind you of the definition of “plan”: Noun: A detailed proposal for doing or achieving something. Verb: Decide on and arrange in advance. Sounds to me like that of a Goal! If research has shown such positive outcomes for students with a goal, imagine what Bible research studies could reveal to our children with a plan—God’s plan, overflowing of praise and encouragement. Women! Rise and help strengthen our youth! The change we want to see in this new generation begins at home. Speak favor and praise over your children at all times—in their presence and in their absence, regardless if what they are doing is right or wrong and watch God’s mighty miracles occur! Until next time...
God Bless You! Here to serve,
Lisa Padilla
editor@azhealthandliving.com
Odds of having 3 multi-platinum albums
1/ 1,650,000
Odds of having a child diagnosed with autism
1/88
Toni Braxton encourages you to learn the signs of autism at autismspeaks.org Early diagnosis can make a lifetime of difference. azhealthandliving.com | November 2012
© 2012 Autism Speaks Inc. “Autism Speaks” and “It’s time to listen” & design are trademarks owned by Autism Speaks Inc. All rights reserved. Courtesy of Sony Music Entertainment.
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KNOW YOUR NEIGHBORS
SUPPORT LOCAL
By Sasha Graham
The Powerful Magic of Camelot
H
Local nonprofit helps people with disabilities slay their dragons from the back of a horse
eidi Miller has trouble holding a pencil, it is difficult for her to pick up a glass of water, or hold someone’s hand. Heidi was born with a rare congenital disorder called arthrogryposis multiplex congenita (AMC), which is characterized by joints that are permanently contracted. Arthogryposis derives its name from the Greek word meaning “curved or hooked” and can occur when the fetus does not have ample room to move about the uterus or when a pregnant woman takes thalidomide during pregnancy. While symptoms of the disorder vary, in Heidi’s case, it affects her hands and arms most dramatically resulting in almost no gripping ability. In spite of a cheerful spirit and a sharp mind, over the years Heidi became accustomed to saying, “Oh, I can’t do that.” Then one day, as a young woman, she found Camelot.
There is a popular proverb among horse people that, “There is nothing so good for the inside of a man as the outside of a horse,” and that has certainly been true for Heidi. Sitting astride a 1,200 pound horse at Camelot, Heidi discovered a strength, power and freedom she had previously only dreamt of. And, on a beautiful morning last spring she accomplished something she had never even dared to dream when she was awarded a beautiful third-place ribbon at a local horse show.
Camelot Therapeutic Horsemanship is a nonprofit organization in north Scottsdale that teaches horsemanship to children and adults with physical disabilities, at no charge. Each student’s curriculum is designed specifically to suit their experience and individual abilities. While every student is unique, they have three things in common; a love of horses, a desire to learn horsemanship and a disability. “At Camelot, our philosophy is that everyone faces personal dragons and every person is a potential dragonslayer,” says Mary Hadsall, Camelot’s Executive Director. “We do not charge for our services because we believe freedom and dignity cannot be assigned 14
May 2013 | azhealthandliving.com
a dollar value. Our funding comes solely from private donations, grants, sponsorships and fundraising events like our upcoming ‘Hooves & Heroes’ event. All funds are retained locally and all donations are tax-deductible according to IRS regulations relating to 501(c) (3) organizations.”
Camelot has offered no-fee horsemanship lessons to children and adults with physical disabilities for 30 years. With The U.S. Centers for Disease Control estimating that 1 in 88 children fall somewhere on the autistic spectrum, the need for social services to assist autistic children and their families has never been higher. Camelot is poised to help meet this need by launching an innovative, family inclusive, equinePhotos courtesy of Camelot Therapeutic Horsemanship
assisted program to serve those affected by autism. This program will develop in part through a strong partnership with Rupert Isaacson and his Horse Boy Method. In May, Rupert Isaacson and his team will visit Camelot to present a workshop to build Camelot’s pool of qualified volunteers for the program.
C
On May 4, Camelot Therapeutic Horsemanship will open its gates to the public for its annual open house and spring Fundraiser, “Hooves & Heroes”. This free, family-friendly event will celebrate the Kentucky Derby with live music, kids’ games and activities, a barbecue lunch by Bruce Brown Catering, riding demonstrations and a silent auction/raffle. Proceeds from the event will enable Camelot to continue offering no-fee horsemanship lessons to children and adults with disabilities and assist children on the autistic spectrum.
Camelot Therapeutic Horsemanship 6250 E. Jomax Rd., Scottsdale 480.515.1542 www.camelotaz.org
Kangaroos and Wallabies in Arizona By Grey Stafford
Wildlife World is home to several varieties of macropods, a distinctive group of animals known more commonly as kangaroos and wallabies. Easily recognized for their large rear feet, long tail and for getting around by hopping, these pouched animals are marsupials found on Australia, New Guinea and Tasmania. Marsupials have an unusual reproductive system. Females have a pouch, whereas young underdeveloped “joeys” continue the maturation process for many months after they are born. Kangaroos are herbivores eating mostly grasses. Depending on the species, they are able to tolerate hot and dry conditions by resting or sleeping throughout most of the day and foraging at night.
Wildlife World Zoo & Aquarium 165th Ave. and Northern Ave. 623.935.WILD (9453) wildlifeworld.com This space is sponsored by Wildlife World Zoo & Aquarium
Moving is the best medicine. Keeping active and losing weight are just two of the ways that you can fight osteoarthritis pain. In fact, for every pound you lose, that’s four pounds less pressure on each knee. For information on managing pain, go to fightarthritispain.org.
azhealthandliving.com | May 2013
15
HEART OF THE COMMUNITY
Support Local
By Alison Bailin Batz
The Arizona Commission for the Deaf and Hard of Hearing 35 years advocating for the community
T
he Arizona Commission for the Deaf and the Hard of Hearing (ACDHH) was established in 1977 and serves as a statewide information referral center for issues related to people with hearing loss. The commission aspires to be a national leader in communication access, support services and community empowerment throughout the state. The purpose of the commission, and its commissioners, is to ensure, in partnership with the public and private sector, accessibility for the deaf and hard of hearing to improve their quality of life. Things you may not know: • Three out of 1,000 newborns are diagnosed with hearing loss. • One out of 10 people experience hearing loss during their life. • One out of three senior citizens has hearing loss. • There are more than 700,000 deaf and hard of hearing individuals throughout Arizona. As the commission celebrates its 35th anniversary of advocacy and empowerment in the community, it reflects back on major milestones over the years, celebrates those who helped make them happen and looks forward to new goals over the next 35 years.
According to ACDHH Executive Director Sherri Collins, who was born deaf, among the dozens of major milestones the organization has accomplished over the years includes:
Newborn Hearing Screening Legislation Through several years of proactive advocacy, ACDHH was able to help pass Senate Bill 1250 in 2005, which requires that hearing test results be reported to the Department of Health Services and the Newborn Screening Program.
Sign Language Interpreter Legislation As the leader in the proactive support of Senate Bill 1151, ACDHH helped create statewide standards for sign language interpreters in 2000. 16
May 2013 | azhealthandliving.com
Apache ASL Trails Opens to the Public In 2011, the Apache ASL Trails, an independent living community for deaf seniors was established. The community allows deaf, deaf-blind and hard-of-hearing seniors to maintain
“Much has been accomplished over the past 35 years, and we couldn’t do what we do without the support of organizations and individuals committed to this mission,” states Collins. “In this celebratory year, we are so proud to take the time to shine the spotlight on just some of these amazing organizations and people.”
an independent lifestyle by providing residents with services and design features that help eliminate barriers of communication with other people, both hearing and non-hearing.
Entertainment for All ACDHH advocated for the installation of closed-captioning and videodescription technology in Harkins Theaters in 2012.
and Michael Trailor, the Director of the Arizona Department of Housing. Looking forward ACDHH plans to be on the forefront of ever-changing field of technology and help to keep deaf, hard of hearing and deafblind individuals equipped with the technological services they need to be empowered.
As such, during the organization’s official anniversary celebration on March 22, ACDHH thanked some of its staunchest advocates by presenting four key partners with the first-ever Advocate Awards. The honorees were: Jeanne Hollabaugh, a founding member of Arizona Hands & Voices; Donna Leff, a Phoenix Deaf Woman Organization volunteer and Arizona State University American Sign Language lecturer/advisor; Rose DalyRooney, an attorney currently serving as Unit Chief Counsel for the Civil Rights Division of Attorney General’s Office;
100 N. 15th Ave., Ste. 104 Phoenix 602.542.3323 www.acdhh.org
azhealthandliving.com | May 2013
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NEIGHBORHOOD BUZZ
Be InformeD
By Alfie Mendoza
Phoenix Rescue Mission to Help Arizona Homeless and Elderly Arizona ranks a staggering fourth in the nation for homeless men, women and children. Statistics show there are more than 13,000 people homeless in Maricopa County alone. May 1, the Phoenix Rescue Mission, a nonprofit Christ-centered organization, aims to help the homeless and elderly with the launch of “Code Red: Summer Heat Relief Campaign." This is the time of the year when scorching temperatures become a health hazard for the Valley’s homeless and elderly shut-ins. Valley residents can help by donating water, socks, toiletries, hats, T-shirts, sunglasses, sunscreen, money and more. Volunteers are also needed. To become a volunteer, visit www.phoenixrescuemission.org or for more information call 602.346.3342.
Valley Non-profit to Host Annual ‘Walk With Me’ Family Fun Walk Easter Seals Southwest Human Development will host their fifth annual ‘Walk With Me’ fundraising event on Saturday, May 4. The 1.25-mile family fun walk is a free event with activities for kids, community services, music, food, drinks and more. Walk will benefit services for young children with disabilities. Nearly 1,200 people participated in last year’s ‘Walk With Me’ fundraising event, raising over $213,000. Sponsored by Humana, Wells Fargo, Delta Dental of Arizona and Squire Sanders, the event will be held at Steele Indian School Park, located at 300 E. Indian School Road in Phoenix. Event check-in begins at 7:30 a.m. and the walk starts at 8:30 a.m. To register or form a walk team online, visit www.walkwithme.org/phoenix. For more information on this event, contact Kelsey Wolf at 602. 224.1759 or kwolf@swhd.org.
Super 3 Expo Coming to the Valley The Super 3 Expo, sponsored by Sears Vacations, will be held at the Phoenix Convention Center on Friday, July 19, through Sunday, July 21, from 9:00 a.m. to 5:00 p.m. The three expos consist of the Home Renovation and DIY Expo, the Entrepreneur Growth Expo and the Golf, Travel & Leisure Expo. Thousands of products and services from around the world will be available under one roof. Vendors will include AC/heating, home building, flooring, kitchens, inventors, small business owners, banks, hiking, boating and many more. Seminars, speakers and free demonstrations will also be available. Prizes will be given away to include a backyard or kitchen renovation, gift certificates to Home Depot/Lowe’s, U.S. Open tickets and golf clubs. The Phoenix Convention Center is located at 100 N. Third Street in Phoenix. For more information, visit www.scmbigevent.com. 18
May 2013 | azhealthandliving.com
Seniors ‘Pay it Forward’ for Younger Generation By Stephanie Ingersoll
The Grayhawk Classic Residents’ Foundation has helped nearly 200 young men/women fulfill their college dreams. In 2001, a group of residents at Vi at Grayhawk senior living community, came up with the idea of a resident-funded non-profit foundation to “give back.” Joe and Jan Larson started the fund with a personal donation that grew when Larson secured donations from Vi, the Plaza Companies and Northern Trust. Each spring, Vi employees may apply for college scholarships. Adrian Felix received a scholarship three years in a row, using his scholarship to help pay for a degree in Life Sciences at ASU. Ruby Sevilla received two scholarships while going to Phoenix College to become a Medical Assistant. Jane McGrath, president of the foundation’s Board of Directors, encourages anyone in the Valley to donate. The Grayhawk Classic Residents’ Foundation has awarded a total of 175 scholarships totaling $600,000. Call 480.563.5300 or visit, www.viliving.com for more information.
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Ann Taylor Now at Scottsdale Fashion Square The grand opening of an Ann Taylor concept store will take place on Friday, May 3, in the Scottsdale Fashion Square. The new store promises a stylish home type of atmosphere, providing an intimate shopping experience. The new super chic store offers more fashion choices for the modern working women balancing fashion and career-wear. If help is needed putting together a wardrobe, look no further. Ann Taylor’s expert stylists can assist in putting together a personalized and individualized look. The Scottsdale Fashion Square is located at 7014 East Camelback, Scottsdale, AZ 85251. For more information, visit www.anntaylor.com.
Call now and find out how to start!
602-451-8043
4545 E. Shea Blvd., Suite 203, Phoenix, AZ 85028
www.cognitionaz.com azhealthandliving.com | May 2013
19
INSPIRATIONAL HOMETOWN DOCS
NEVER LOSE FAITH
By Alison Bailin Batz
Pivotal Advances in Breast Cancer Treatment AZ radiation oncologist anything but “quiet” on cancer care
R
emember the story of Goldilocks and the Three Bears? “Throughout the story, the mama bear laments something is wrong in one way, while the papa bear finds the same thing – be it a chair, porridge, the bed – wrong for the exact opposite reason. But then the baby bear gets it all just right,” states Dr. Coral Quiet of Arizona Breast Cancer Specialists. “That’s my aim – to develop a breast cancer treatment for each of my patients that is ‘just right’.” And since she came to the Valley 20 years ago, that is all she has done – tried to get it all “just right,” which has led her to become one of the most respected breast cancer doctors.
The 1990s “When I moved to Arizona in 1993, only 20 percent of women diagnosed with breast cancer were being treated with breast conservation,” states Dr. Quiet. “This means that 80 percent of all breast cancer patients were treated with a mastectomy, a sometimes-necessary, but disfiguring treatment that can take years to overcome.” By 1998, technology was growing, but breast conservation numbers were not. Motivated to advocate for women in this state, Dr. Quiet co-founded the Arizona Institute for Breast Health (AIBH), which gives women the opportunity to receive information and education about the best possible treatment for their breast cancer completely free of charge. AIBH has a 20-member volunteer team of physicians and medical professionals whose specialties include breast radiology, breast surgery, medical oncology, radiation oncology, reconstructive surgery and breast pathology. This team, with Dr. Quiet at the helm as the volunteer medical director, evaluates the best medical and surgical options for the preservation of a woman’s life, body and emotional wellbeing, as well as the continued quality of her life.
The 2000s As Dr. Quiet was spreading knowledge about breast cancer throughout Arizona, something else happened – she learned about breast brachytherapy, a five-day radiation therapy alternative for women with early stage breast cancer developed by international breast cancer pioneer Dr. Robert Kuske. 20
May 2013 | azhealthandliving.com
Dr. Quiet
“I am proud to not only have helped bring this treatment option to Arizona women, but to have brought Dr. Kuske himself,” states Dr. Quiet. In fact, she did much more than just bring him here – she partnered with him in 2008 to found Arizona Breast Cancer Specialists, the first and only center in the world dedicated to exclusively treating women with breast cancer with radiation. In less than two years, amidst the worst recession in memory, they had expanded from one to three total centers in Arizona – Scottsdale, Gilbert and West Phoenix. And, through Arizona Breast Cancer Specialists, Dr. Kuske is currently acting as co-principal investigator in the largest breast cancer radiation trial in medical history. His trial,
sponsored by the National Cancer Institute, is testing 4,300 women with head-to-head, six-week whole breast radiation versus his five-day brachytherapy. “I am within months of finishing the trial, and believe the results will cause the biggest paradigm shift in how patients will be treated since Marie Curie herself discovered radium in 1896, which led to radiation treatment,” replies Dr. Kuske.
Today So, with the success of her nonprofit and three bustling centers, can Dr. Quiet – who was recently honored as one of the “Most Influential Women in Arizona” by Arizona Business Magazine as well as a “Health Care Hero” honoree by the Phoenix Business Journal, finally say she has gotten it “just right.”
W H AT T O O K Y O U A L I F E T I M E W OU U A A LL IIFFE ETTIIM MEE WH HAT AT T TO OO OK K Y YO TO LEARN CAN BE LOST IN MINUTES. TTO E L LO OS S TT IIN N M MIIN NU UTTEESS.. O LLE EA AR RN N C CA AN N B BE
Dr. Quiet with gals from ABCS
“Hardly,” exclaims Dr. Quiet. “Technology is evolving each day, and it is our job to evolve with it.” True to her word, most recently Dr. Quiet and her team became the first group in the Valley to use a Pivotal™ treatment solution for prone breast cancer care, a critical technology for large-breasted women that allows them to obtain treatment in the prone, or face-down, position. The advantages include a significant reduction in radiation to the heart and lungs as well as reduced skin toxicity. Dr. Quiet, her team, and colleagues at the Arizona Center for Cancer Care have entered into a partnership with Scottsdale Healthcare to operate the radiation oncology facilities at both the Virginia G. Piper Cancer Center on the Scottsdale Healthcare Shea campus as well as the facilities on the Scottsdale Healthcare Osborn campus.
W I T H A S T R O K E , T I M E L O S T I S B R A I N L O S T. WIITTH H A A SSTTRRO O K E , T I M E L O S T I S B R A IIN W N LLO OSST. T. If you suddenly have or see any of these symptoms, call 9-1-1 immediately: you suddenly suddenly have have or see any of these symptoms, IfIf you symptoms, call call 9-1-1 9-1-1 immediately: immediately: Numbness or weakness of the face, arm or leg, especially on one side Numbness or weakness of the face, arm or leg, especially on Numbness or weakness especially on one one side side of the body • Confusion, trouble speaking or understanding • Difficulty of the body • Confusion, trouble speaking or understanding • Difficulty of the body • Confusion, understanding • Difficulty seeing in one or both eyes • Trouble walking, dizziness, loss of balance seeing in in one one or or both both eyes • Trouble walking, dizziness, seeing dizziness, loss loss of of balance balance or coordination • Severe headache with no known cause or coordination • Severe headache with no known cause or coordination • Severe known cause
Learn more at StrokeAssociation.org or 1-888-4-STROKE. Learn more more at at StrokeAssociation.org or Learn or 1-888-4-STROKE. 1-888-4-STROKE.
©2004 American Heart Association ©2004 American Heart Made possible in part by aAmerican generousHeart grantAssociation from The Bugher Foundation. ©2004 Association Made possible in part by aa generous generous grant grant from Made possible in part by from The The Bugher Bugher Foundation. Foundation.
NOTE TO PUB: DO NOT PRINT INFO BELOW, FOR ID ONLY. NO ALTERING OF AD COUNCIL PSAs. NOTE TO PUB:Association DO NOT PRINT INFO BELOW, FOR ID ONLY. NO ALTERING OF AD COUNCIL American - Magazine - (4 5/8 xFOR 10) 4/C - ASNYR2-N-01065-P “Lifetime” 120 linePSAs. screen NOTE TOStroke PUB: DO NOT PRINT INFO BELOW, ID ONLY. NO ALTERING OF AD COUNCIL PSAs. American Stroke Association Magazine - (4 5/8 x 10) 4/C 689-8585 - ASNYR2-N-01065-P “Lifetime” 120 line screen digital--files at Schawk: (212) Ref#:211195 American Stroke Association Magazine - (4 5/8 x 10) 4/C - ASNYR2-N-01065-P “Lifetime” 120 line screen
digital files files at at Schawk: Schawk: (212) (212) 689-8585 digital 689-8585 Ref#:211195 Ref#:211195
“Despite my name, I will never be quiet when it comes to our war on breast cancer. And, despite my own ‘Goldilocks,’ there will always be a way to make just right even righter for those we love fighting this disease,” said Dr. Quiet. azhealthandliving.com | May 2013
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COMMUNITY ACTIVISTS
GET INVOLVED
By Alison Bailin Batz
A Stellar Steward of Servant Leadership
S
tella Shanovich completed high school at the top of her class, even though she gave birth to her oldest child at the age of 17, and had to attend an offsite school for pregnant moms. Starting a family so young meant that she needed to rethink her path in life, given her new responsibilities. “Our personal journeys can take many shapes and many turns depending on life’s circumstances,” says Shanovich, who started a home-based business so that she could attend college full-time and still be home for her children when her youngest child started kindergarten. It wasn’t until age 33, and through the help of family, friends and mentors who donated their love and time to her for many years, that Shanovich started her “career” in public accounting. It took about 10 years in public accounting plus the time she spent in industry to get to that pinnacle position of partner. However, she did it – the first female partner in Grant Thornton’s award-winning Phoenix office. Along the way, and because of all the help she received when she needed it most, Shanovich – a believer in the concept of servant leadership, which asserts that if you care enough to first serve others you will be enriched with personal and organizational success – helped to launch a giving program for the office. The program named Grant Thornton Community Awareness & Responsibility Expressed by Service program, or GT C.A.R.E.S., empowers its team members to become community leaders by contributing time, money and expertise to local organizations, charities, universities and associations. 22
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Since launching the program in 2009, Shanovich and the team have worked with numerous organizations, including Go Red for Women, St. Mary’s Food Bank Alliance, Phoenix Children’s Hospital, Phoenix Make-A-Wish House, Valley of the Sun United Way and more. “Through GT C.A.R.E.S. my passion for giving – and inspiring others to give – only grew,” says Shanovich, who was appointed to Grant Thornton’s NotFor-Profit Leadership team in 2011. She was also asked to speak about the office’s commitment to the Phoenix community at the 2012 National Firm Leadership Conference.
Her servant leadership commitment is not strictly external, however. Among her most successful “giving” program is the one she conducts among her 60-plus team members each day. “Believe it or not, while women comprise approximately 50 percent of newly hired accounting graduates and 45 percent of all accounting employees, we make up just over 16% of its partners,” says Shanovich. “Today, half of our leadership roles in Phoenix are filled by females. It’s impossible to turn on the television or radio or read the news without hearing the latest in a string of statistics on poverty, hunger, homelessness, financial insecurity, low academic achievement rates and more,” exclaims Shanovich. “Our goal is to raise more than $48 million this year, which will go a long way to helping those in our community who need it most.”
Romans 8:4
HEALTH & WELLNESS
“That the righteousness of the law might be fulfilled in us, who walk not after the flesh, but after the Spirit.”
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health
Prevent
By MS
T or loss.
Understanding and Diagnosing Hearing Loss
he ears are sensitive sensory organs of the body that are susceptible to damage, including hearing impairment
The National Institute on Deafness and Other Communication Disorders says approximately 15 percent of the U.S. population between the ages of 20 and 69 has high frequency hearing loss due to exposure to loud sounds or noise from work and leisure activities. School-aged children and even babies can have varying stages of hearing loss. Such loss might have been present at birth, but it also can be a byproduct of environmental factors. Anyone can experience hearing loss and at varying degrees. Medical professionals distinguish different levels of hearing loss as mild, moderate, severe, and profound. Deafness can be categorized in two main types: conductive and sensory-neural. Conductive hearing loss is sound blocked from reaching the inner ear. Sensory-neural hearing loss stems from impairment of sensory cells inside of the ear or neurological impairment that compromises reception of sound or understanding of language. Tests will determine the type and severity of hearing loss. The American Hearing Research Foundation identifies six types of hearing tests. Bedside testing. A doctor may use some sort of common sound, such as whispering, snapping, or a ticking watch, to quantify a patient’s ability to hear sounds. He or she also may use tuning forks to test at chosen frequencies. Audiometry. This test is conducted using an audiometer that gives off a 24
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variety of pitches. When higher levels of decibels are needed, this indicates hearing impairment. Tympanometry. This is a measure of the stiffness of the eardrum to evaluate middle ear function. Tympanometry can identify fluid in the middle ear, perforations and abnormal middle ear pressure. Brainstem auditory evoked responses. Often referred to as a BAER test, this measures the timing of electrical waves from the brainstem in response to clicks sounded at the ear. Electrocochleography. This test is a variant of the BAER and uses an electrode placed on or in the eardrum to amplify sound waves. Otoacoustic emission. This procedure is used to assess hearing loss in newborns and verify if the cochlea (spiral-shaped hearing organ inside of the inner ear) is working correctly. A small probe is inserted into the ear and quiet tones are sent to simulate movement of the hairs on the cochlea.
Often it is up to parents, spouses and caregivers to recognize the signs of hearing loss and suggest testing. Some signs of hearing loss are more noticeable. Here are some indicators. X Asking people to repeat themselves. X Turning up the radio or television volume to a level that is loud for others. X Difficulty hearing on a telephone. X Difficulty hearing when women or children speak. X Problems following a fast-moving conversation. X Feeling like others are always mumbling. X Difficulty making out conversations in noisy places. If you have repeatedly experienced any of these signs, the American Speech-Language-Hearing Association suggests scheduling an appointment with your doctor. He or she can determine if an appointment with a certified audiologist is necessary.
Sun & Skin Cancer Get the Facts By MS
Fun in the sun does come with the risk of overexposure to the sun’s potentially harmful rays. According to the Skin Cancer Foundation, one in five Americans will develop skin cancer in the course of a lifetime. Misinformation often reigns supreme about sun exposure. Here are some common sun myths debunked. Myth: I don’t have to worry about the sun on cloudy days. Truth: Up to 80 percent of the sun’s ultraviolet rays can still pass through the clouds. Myth: Most sun damage occurs before age 18. Truth: Recent studies indicate that only 25 percent of sun exposure occurs during childhood. Myth: Establishing a base tan provides a safe way to tan afterward. Truth: Spending time outdoors unprotected from the sun can damage the skin.
Health & Wealth Seminar for Couples
Why It’s Better to Balance Together!
Wednesday, May 1st 6:00 p.m. at Flemings Steakhouse
20753 North Pima Road, Scottsdale, AZ 85255 Complimentary hors d'oeuvres & wine will be provided
RSVP: www.AskDrPurcell.com/HealthandWealth or 800-318-8582 Free Event · Free Parking
Come Join Us for an Educational Evening Health with Your Host Dr. Andrea Purcell:
Myth: Light clothing reflects the sun’s rays while dark colors absorb it. Truth: UV rays tend to pass through light-colored fabrics easier than darker ones.
Anti-Aging Hormone Balancing Increased Sex Drive Weight Control
Myth: Sunrays do not pass through windows. Truth: UVB rays cannot pass through windows, but UVA rays can. Myth: A beach umbrella is adequate protection from the sun at the beach. Truth: Although the umbrella will shade you somewhat, the surrounding sand reflects up to 17 percent of UV radiation. Myth: Makeup that contains SPF is protection enough. Truth: Some makeup will offer a light measure of protection from the sun. Some shiny or glossy products actually can draw the UV rays to those areas. Myth: Sunscreens can increase skin cancer rates. Truth: When used correctly, sunscreens can lower skin cancer rates. Myth: Dark-skinned individuals don’t get sunburn. Truth: If sunscreen isn’t used, people with melanin pigment in their skin may not burn at the same rate as lighter-skinned individuals, but there is still the chance for skin damage. Myth: Vitamin D deficiency will occur if I don’t spend long times out in the sun. Truth: Sunlight exposure is necessary for the body to produce vitamin D naturally, but it doesn’t take that much exposure to do so.
Phoenix based physician, Dr. Andrea Purcell, NMD, specializes in digestive health, weight gain, and hormone balancing. Author of the gluten-free cookbook, Feed your Cells: 7 Ways to Make Health Food Fast, Easy, and Gluten-Free; join her online at AskDrPurcell.com.
Wealth with Special Guest Speaker Ken Edwins: Sustainable Investing ? Retirement funding strategies ? Protection products ? Financial analysis & investments ?
Ken Edwins, CHFC Sonoran Ridge Wealth Management (An office of MetLife)
azhealthandliving.com | May 2013
25
FIND BALANCE
mind & body By Dr. Matt Mumber, oncologist and author of Sustainable Wellness: An Integrative Approach to Transform Your Mind, Body and Spirit, coauthored by Yoga Therapist, Heather Reed
Seven Tips to Increase Awareness
H
perspective.
uman happiness and wellbeing are rudderless without awareness– the quality of paying attention to what’s going on in the present moment from an inquisitive, non-judgmental and focused
An easy way to think of optimal wellbeing might be to envision a three-legged stool. The three legs include physical activity, nutrition and that underappreciated component missing from too many Americans’ lives – stress management, or a healthy mental state. The key is mindfulness, which is defined as paying attention on purpose, non-judgmentally and as though your life depended on it. Framed another way, mindfulness means focusing on something without trying to change it. Here are the states necessary for attaining mindfulness:
Beginner’s mind. The ability to see things with new eyes. This opens people to the world of possibilities that exist in the present moment. Trust. Believe in your authority to know your body, your thoughts and your feelings. They have value.
Non-judging. The ability to see things for what they are,
without thinking of anything as categorically better or worse than anything else.
Patience. The willingness to continue with the process of paying attention on purpose even when it appears that no progress is being made. Acceptance. Allowing whatever comes up in the moment
to be held in your field of awareness. Acceptance is merely acknowledgement.
Letting go. Refusing to attach to specific thoughts, feelings or behaviors. Every time you let go, you open yourself to something new and potentially deeper. Non-striving. In our goal-oriented society, this may seem counterintuitive. However, non-striving refers only to practicing mindfulness without expectation of some future goal or dream. 26
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You Are Already Meditating By Nassim Sana, counselor and certfied life coach
Did you know you have been meditating every day? What you think about frequently, the thoughts, concerns and intentions are the focus of your meditation. When you are worrying or filled with anxiety and fear, your mind is meditating on that. Even when you are dancing, running, playing sports, your mind is focused in on that particular activity. Have you ever driven in your car while in deep thought about a something, becoming so focused in thought you become fully unaware of the outside world. Your mind enters a meditative state while your body continues on autopilot driving safely to your destination. Does any of this sound familiar? Imagine if we took this skill and incorporate it into our lives in an effective and powerful way, where you can get the results you need. Studies have shown various forms of meditations can increase emotional balance, increase immunity, lower blood pressure, create calmness and much more. A study conducted by Dr. Herbert Benson, founder of Mind-Body Medical Institute, reported that meditation induces a host of biochemical and physical changes in the body collectivity referred to as the “relaxation response.� The relaxation response changes heart rate, respiration, blood pressure, metabolism and brain chemistry. Here are three simple steps to help you begin meditating: 1. Decide when and where you want to meditate. 2. Once you get comfortable, close your eyes and begin taking long slow, deep breaths from your abdomen. Imagine yourself sitting on grassy ground, sunlight gently wrapping your body, the smell of fresh flowers all around. 3. Continue to be in that space for as long as you can. During the meditation, you can create a clearing in your mind. Once you are ready to come back open your eyes slowly and once again become aware of your surroundings. There are many ways to meditate. Investigate and explore what types of mediation work for you. The important thing to remember is that there is no right or wrong way of meditating; it is all about what works best for you. azhealthandliving.com | May 2013
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CONNECT WITHIN
SPIRIT By Gary Malone, M.D., Associate Clinical Professor of Psychiatry and Susan Mary Malone, author of By the Book
Warped by Your Family? Tips to overcome common issues
A
t the heart of almost all patients’ problems are issues that stem from the family that raised them, which can create problems when raising their own families. Almost everyone deals with this to some degree or another. Very few families are idyllic. Forget “Leave it to Beaver,” normal families are more like, “The Twilight Zone.” Despite that, most people manage to lead happy, productive lives. Once you recognize the childhood baggage you carried into adulthood, you can take steps to compensate, make corrections and change how you raise your own children. Here are some qualities of a healthy family along with what you can do for what you missed or had short supply of as you were growing up:
Show love
Family is usually the one place and time in life that a person experiences unconditional love. If you did not receive that as a child, you likely have difficulty loving and valuing yourself. There is no substitute for loving yourself, which is the number one cause of unhappiness in adult relationships. The first step in healing is recognizing the damage and being willing to believe your feelings of unworthiness are not based in reality, but are the product of a deficit likely handed down through generations in your family. Listen to what you tell yourself – if they are 28
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things like, “I’m an idiot” and “I am really messed up,” change that self-talk. Words are powerful!
Respect autonomy
Individuals in the family are encouraged to develop their own personal identity and separate from the family while maintaining a role within it. The family supports and even cheers on individuals in their personal quests. Children who are not allowed the freedom to express and explore their identities may become adults who develop codependent relationships – wherein they put the needs of others before their own and/or are dependent on the control of others. Ways to begin addressing autonomy issues as an adult include learning how to comfortably spend time alone, pursuing interests (whether or not they are valued by
friends and family), by taking classes, joining clubs and boosting self-esteem through positive self-talk.
Create structure and boundaries
Parents are the keepers of the rules. They provide structure for children, both to protect them and to foster learning and growth. People who grow up with little or no structure may fail to offer structure to their own children – or overreact and be too rigid. Provide structure and consistency by setting up routines that everyone in the family will be expected to follow daily, with occasional exceptions. These might include making your bed in the morning, daily chores and a set dinnertime with everyone at the table as well as “together” time, such as a game night.
azhealthandliving.com | March 2013
21
EAT HEALTHY
DIET & NUTRITION Contributed by Professor Innes Asher, Department of Paediatrics: By MS Child and Youth Health, The University of Auckland, New Zealand
E
Asthma and Eczema May be Linked to Fast Food
ating three or more weekly servings of fast food is linked to the severity of allergic asthma, eczema and rhinitis among children in the developed world. This is indicated in a large international study published online in the respiratory journal Thorax.
The findings prompt the authors to suggest that a fast food diet may be contributing to the rise in these conditions, and if proved causal, could have huge implications for public health, given the popularity of these foods. The authors base their findings on data from more than 300,000 children, ages 13 to 14, from 107 centers in 51 countries and findings from more than 181,000 children, ages 6 to 7, from 64 centers in 31 countries. All the participants were involved in the International Study of Asthma and Allergies in Childhood (ISAAC), which is a collaborative research project involving more than 100 countries and nearly two million children, making it the largest study of its kind. The teens and the children’s parents were formally quizzed on whether they had symptoms of asthma (wheeze), rhinoconjunctivitis (which produces a runny or blocked nose accompanied by itchy and watery eyes), and eczema and their weekly diet. Questions focused particularly on the severity of symptoms over the preceding 12 months—including frequency and interference with daily life and/or sleep patterns—and certain types of food already linked to protective or damaging effects on health. These included meat, fish, fruits and vegetables, cereals, bread and pasta, rice, butter, margarine, nuts, potatoes, and fast food/burgers. Consumption was categorized as never, occasionally, once or twice a week and three or more times a week. After taking account of factors likely to influence the results, the analysis showed that fast food was the only food type to show the same associations across both age groups, prompting the authors to suggest “such consistency adds some weight to the possible causality of the relationship.” Three or more weekly servings were linked to a 39 percent increased risk of severe asthma among teens and a 27 percent increased risk among children, as well as to the severity of rhinitis and eczema, overall. 30
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On the other hand, fruit seemed to be protective in both age groups, across all centers, for all three conditions among children. Eating three or more weekly portions was linked to a reduction in symptom severity of between 11 percent and 14 percent among teens and children, respectively. The authors suggest that there are plausible explanations for the findings - fast food contains high levels of saturated and trans fatty acids, which are known to affect immunity, while fruit is rich in antioxidants and other beneficial compounds. The authors emphasize that their results do not prove cause and effect, but they do warrant further investigation. They conclude that if the association between fast foods and the symptom prevalence of asthma, rhinoconjunctivitis and eczema is causal, then the findings have major public health significance owing to the rising consumption of fast foods globally.
HEALTHY CHATTER
Local Doctors, Businesses and Experts Answering Frequently Asked Questions
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ASK QUESTIONS
expert talk
Q. What kind of sunglasses are best for my eyes?
Q. What can be done about neck pain that will not go away?
Q. What endovenous procedures do you offer and how are they performed?
A. We are fortunate, living in Arizona, to enjoy the beautiful weather that all of our sunshine brings, but this abundance of sun has the potential of damage to the eyes if not protected with proper sunglasses. In today’s world, all sunglasses, whether prescription, or non-prescription from the drug store, will have a UV protection coating. The colors of the lenses, or the darkness, are factors that are up to individual preference, but make no difference regarding the protective value. As long as the glasses have a UV coating, you will be protected.
A. The vertebrae in the human neck are quite delicate. They support the head, which weighs about as much as a bowling ball. The head, ideally, can move in an infinite number of directions. Add trauma and injuries to the equation from sports injuries or motor vehicle accidents and it is no wonder neck pain is a common complaint.
A. An endovenous laser treatment (ELT) is a minimally invasive treatment in which a laser is used in a 45-minute procedure to close the incompetent vein. This procedure is performed right at the facility under local anesthetics and there is no downtime.
Q. I am outside a lot; what damage can the sun do to my eyes? A. As a result of our sun, we see a significant number of eye problems in individuals who are not persistent about wearing sunglasses. Solar damage over the years will cause a higher incidence of cataracts, macular degeneration, pterygium, dry eye and more. Q. The inside corners of my eyes are red and irritated; can that be treated? A. The problem most often is a pterygium, known as an inflamed growth on the white of the eyes caused by too much sun and dryness. Lubrication and protection with sunglasses helps prevent the pterygium from growing, but often, surgery, with no stitches, is appropriate to correct the problem, relieve the irritation, and prevent gradual vision loss. –Dr. Walman Walman Eye Center 602.222.2020
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The complexity of the neck and the many demands placed upon it, require complex treatments. Research shows that there is an optimal alignment of the head and neck. Deviation from this ideal configuration is associated with headaches, neck pain, shoulder problems and pain/numbness in the arms. Proper alignment of the head and neck is essential to relieve neck pain, which is just part of the equation. The muscles must be strong enough to support the weight of the head, but also must be synchronized to work as a team. This is known as motor (muscle) control. Poor motor control can make even the strongest muscles malfunction and produce neck pain. Unfortunately, patients will often exercise their neck muscles believing that they are weak, when the truth is they are painful and tight from poor motor control. Lastly, the nervous system must coordinate the position of the head and neck and optimize motor control. Effective and long-lasting relief of neck pain requires comprehensive management, which addresses all aspects of the head and neck. –Dr. Kukurin Kukurin Chiropractic, Acupuncture & Nutrition Network 623.547.4727
Endovenous radiofrequency ablation (Closure® procedure) is a clinically proven, minimally invasive procedure that treats varicose veins with little or no pain. Patients can walk away from the procedure and get back to their everyday activities – either at home or at work – typically within a day. The procedure can be performed in-office using local anesthesia. Ultrasound-guided sclerotherapy, or echosclerotherapy, is relatively pain free with no downtime. This treatment is a quick, office-based procedure. It usually lasts between 15 minutes to an hour, depending on how extensive the varicose vein removal. Sclerotherapy is a common procedure for both small and medium veins. Most sclerotherapy patients report little, if any, discomfort. A few may experience a mild burning sensation when the doctor injects the solution, but it stops within a few seconds. Ambulatory phlebectomy is a surgical removal of surface varicose veins and can be performed in-office using local anesthesia. Here at Arizona Vein & Laser Institute we help you decide which procedure and treatment method is best for you after clinically assessing the condition of your vein. Some candidates may not be suitable for one method of treatment. –Dr. Sharma Arizona Vein & Laser Institute & Med Spa 602.298.VEIN(8346),602.298.LIPO(5476)
Q. What is osteoarthritis? A. Osteoarthritis is referred to as the “wear and tear” type of arthritis since it will likely occur in all of us from repeated injury or stress on our joints. This idea conceptually distinguishes osteoarthritis from inflammatory arthritis, such as rheumatoid arthritis. Cartilage covers and protects our bones at moveable joints. As the structure of cartilage fails, stresses are transferred directly to bone. The bone responds to more direct stress by thickening and at some point the joint begins to hurt. There is a strong genetic component to osteoarthritis that is revealed in the big differences among individuals and families in the rate of degeneration of protective cartilage. Obesity is a risk factor for advancing osteoarthritis particularly in the hips, knees and lower back. A familial type of osteoarthritis occurs commonly in the small joints of the fingers that is genetically programmed to progress regardless of hand activity. Much is known about the mechanisms of cartilage metabolism and degeneration, but not how to stop the degenerative process or to re-grow new cartilage. Management begins with preventative joint protection including proper supportive footwear, available protective gear for sports and work, using proper body mechanics with lifting, maintaining normal body weight and avoiding carelessness that results in joint injury. Many modalities help the symptoms of osteoarthritis including stretching and strength maintenance, pain medications, joint injections of corticosteroids or biological lubricants, supportive devices for joints and walking aids. Surgical interventions by orthopedists, including arthroscopy or joint replacement, are appropriate for some with osteoarthritis. –Dr. Caldron Arizona Arthritis and Rheumatology Research 480.626.6650
Q. Are there specific activities I can do to improve my memory skills? A. The general idea of memory and
aging is to keep the mind highly focused and engaged in activities that demand concentration, or mastering new skills. I would like to address simple activities that we can do to spark memory neurons. The following is an activity to keep your brain working in the area of prospective memory, whereby you must remember to perform a planned action or intention at the appropriate time. 1. Pick two or three words, write them down and look them over until they connect in your brain (you can make up a story or think of funny ways to link them together). 2. In 30-60 minutes, remember to say these 2-3 words before you complete an upcoming task (i.e., I will remember to say my special words before I open the locker at the gym or before I leave the house). 3. Check to see if you were successful at remembering to recall the 2-3 words and if you remembered them correctly. 4. Working memory means remembering things within a very short span of time (minutes). To work this area of memory think of a word, spell it forward and then spell it backwards. As this skill improves, pick harder and longer words. Use the microphone portion of your phone, or write the word down, to check for accuracy. –Dr. Benson Excel Brain Gym 602.451.8043
Q. Is temporomandibular joint disorder (TMD) related to sleep-disordered breathing? A. Temporomandibular joint disorder (TMD) can be very painful and is often accompanied by headaches, toothaches and more bizarre symptoms. sleep-disordered breathing symptoms can both overlap and mimic those of sleep-disordered breathing. Many dentists consider temporomandibular joint problems to be somewhat of a gray area because the conditions associated with its complex task of permitting the movement of the jaw without friction is sometimes difficult to define and even more complicated to treat. Some dentists believe that sleep-disordered breathing is partly the existence of a temporomandibular joint problem and partly the manifestation of a sleep-disordered breathing problem. The simplest way to understand the connection: the bruxism (teeth grinding) or jaw shifting associated with sleep-disordered breathing (occurring when sleeping patients are unconsciously trying to find the best possible positioning of their airway) may inflame the temporomandibular joint or exacerbate a problem with the joint that was pre-existing. Headaches, a clicking jaw, malocclusion (misalignment of teeth) and condyle and disc displacement are all associated with sleep-disordered breathing . However, these symptoms often occur in patients with sleep-disordered breathing as well. Research in the journal Sleep determined in 1993 that nocturnal headaches may be caused by temporomandibular joint disorder, or triggered by sleep-disordered breathing —“with very similar clinical manifestations but very different therapeutic implications.” If you have temporomandibular joint disorder, I suggest you ask your dentist to screen you for sleep-disordered breathing . –Dr. Croft Vistancia Orthodontics 623.566.0800 azhealthandliving.com | May 2013
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GET ANSWERS
expert talk
Q. What is “flexion distraction” technique?
Q. What is the effect of light on eyes?
Q. What is a Quick Recovery Face/ NeckLift?
A. Flexion distraction is a technique commonly used to treat low back pain and leg pain caused by herniated disc or disc protrusion. The human spinal column consists of a series of vertebral bones.
A. Both the light we see (visible light) and the light we don’t see (ultraviolet or UV light) have the potential to damage our eyes in different ways. This is particularly true when referring to UV light. Harm to the eyes from UV light can occur from acute or chronic exposure to the UV rays.
A. The Quick Recovery Face/Neck Lift that I perform at Dermacare Cosmetic Surgery is a new, minimally-invasive surgical approach to the classical facelift.
Spinal disc is a cartilage consisting of an outer ligament layer called the annulus fibrous and a soft, jelly like substance in the middle surrounded by the annulus fibrous called the nucleus pulposis. The spinal discs function as a shock absorber between each of the vertebral bones. The spinal disc protects the spinal cord from the stress of our daily activities such as in heavy lifting. It also helps to maintain flexibility of the spine. Flexion distraction involves the use of a table specialized in moving gently in an up and down or “flexion and distraction” motion. The purpose is to gently stretch the spine and isolate the involved area with disc injury or protrusion. This gentle motion allows the nucleus pulposis to maintain its position or absorbed back to central if it goes out.
Acute exposure to excessive UV rays to the eyes is called photokeratitis. It is commonly known as “welder’s flash” or “snow blindness.” These exposures can be quite painful and can affect vision for several days as the eyes have to take time to heal as the surface of the eyes are affected. These conditions could be equated to the effects of sunburn on the skin. The effects could be easily avoided with use of protective lenses. In the case of welder’s flash, a dark shield with a UV filtering lens and with snow blindness (or other outdoor exposures) a good pair of polarized sunglasses.
Flexion distraction treatment is usually combined with acupuncture, physiotherapy and special exercise to reduce pain and inflammation and improve healing of the spinal disc.
Chronic exposure light both visual and UV has been linked to changes with the internal health of the eyes. Chronic UV exposure is a cause of cataract formation, which is a clouding of the lens and affects one’s ability to see. Chronic exposure to visible light has been linked to macular degeneration. Macular degeneration is a degeneration of the central retina and can lead to permanent vision loss. As with acute light exposure, chronic exposure to light can be greatly reduced by the use of protective lenses.
–Dr. Jack Kukurin Chiropractic, Acupuncture & Nutrition Network 623.972.8400
–Dr. Baird The Village Eyecare 623.931.2943
The treatment goal of flexion distraction is to reduce the tension on the spinal nerve by the herniated or protruded disc and relief-radiated pain into the leg, relieve muscle spasm, and back pain.
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May 2013 | azhealthandliving.com
This technique enables the procedure to be performed in-office and does not require general anesthesia. It has less risk and a shorter recovery period (10-14 days). This procedure is not to be confused with a “mini-lift” that only cinches up loose skin of the lower face. The dramatic, lasting result of this procedure is achieved by first lifting and tightening the underlying supporting tissues of both the lower face as well as the neck. Once the foundation has been lifted, the overlying skin can then be gently lifted to provide a naturally rejuvenated appearance. The results of the surgery are striking and often leave the patient looking years younger, but it will not leave you with an unnatural “pulled-back” look. While this procedure is safer than conventional facelift surgeries done in the past, there are risks associated with any surgery. Postoperative bleeding, swelling and visible scars are among the risks. Smoking cessation, blood pressure control and complying with pre/post-operative instructions significantly reduce these risks. It is important to choose an experienced surgeon who is Board Certified as a facial plastic surgeon. This board certification requires that a physician complete an additional five years of specialized surgical training after medical school,which focuses on the complex anatomy of the head and neck. –Dr. DeRouin Dermacare Cosmetic Surgery 602.680.5348
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March 2013 | azhealthandliving.com
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expert talk
Q. How can I treat the common aches and pains that occur as I get older?
Q. How can I manage my weight and feel great as I age?
Q. When pregnant, how can your gums affect the weight of the baby?
A. Finally, you are at the age where you can retire and enjoy golfing, bocci and long hikes. So what limits you? For many, its knee pain, sciatica or good old-fashioned arthritis. Your once annoying little pain in your knee has now grown to keep you from shopping and getting out of the house, climbing stairs. We often chalk this up to just “getting old.” Yet you earned this time to enjoy your retirement. Do not let pain interfere with this!
A. Imagine something as simple as spitting into a cup providing you with a wealth of health knowledge. Armed with this information you can make diet and lifestyle changes that will result in long term weight management and success. Tests, such as food allergy testing, work on a similar premise; avoid the foods that you are sensitive to and decrease the symptoms you may be experiencing. Genetic make-up is why some people can tolerate some foods and others can’t. When participating in certain lifestyle, diet and exercise choices that don’t “optimize the power of your DNA,” then optimal health cannot be achieved.
A. Periodontal disease causes bacterial infections. Pregnant women should avoid any situation where they can obtain an infection, knowing that there may be repercussions on their health or that of the unborn baby. It is becoming clear that an infection of gum tissues is no exception.
Pain needs to be diagnosed and treated by a specialist who understands what may be going on with you. As a physical medicine and rehabilitation physician specializing in pain management, I can look at the entire body’s “kinetic chain,” determine where the source of pain is and give you options for treatment. It is important to seek treatment not only to improve quality of life, but to decrease other problems that are linked to uncontrolled pain, such as sleep disturbance, high blood pressure, atrophy (muscles shrinking), bone loss from lack of activity, obesity, low testosterone and depression.
Other common sense lifestyle changes include losing weight, exercise, orthotics, smoking cessation and using aspecialized mattress and pillows.
New genetic testing is available, offered by a physician and is quite simple. This genetic fitness profile provides you with an individualized report with powerful information to help you understand how your genetics and lifestyle can affect your diet, nutrition and exercise. Armed with your genetic information, we gain insight into how your body processes sugars, fats, nutrients and vitamins. From this information, we provide a plan specific to you and your genes. You can also learn how your genes might affect the way you perceive and desire specific foods, as well as how they may influence your eating behaviors. This profile also screens for muscle potential, how your body responds to exercise, as well as your potential to maintain a healthy weight. This is the future of weight management and we would like to help you design your genetic fitness plan.
–Dr. Lundquist Active Life Physical Medicine & Pain Center 623.535.9777
–Dr. Maltais Physician Skin Solutions at Arrowhead 602.843.4040
Treatment options are numerous: Viscosupplementation (replacing joint fluid), radiofrequency treatment, platelet rich plasma therapy (regenerative medicine) and spinal cord stimulation for nerve pain or Botox for headache and neck issues. Also, more traditionally, cortisone injections can be done but should be limited. These interventions coupled with a structured physical therapy program can make a dramatic difference in quality of life.
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Most women are aware that smoking, drinking and drug use will have a negative effect on pregnancy.There are now studies that show pregnant women may be at a higher risk of giving birth to preterm and low birth weight babies when they have gum disease. Any active infection in pregnant women should be avoided at all costs and gum disease is a living and breathing infection in your mouth. Women who have experienced problems with their oral health are most likely to experience gingivitis (the earliest form of gum disease) during pregnancy. Even tissues in the mouth undergo changes during pregnancy. If your gums bleed when you brush and floss, this indicates that you have gingivitis. If a dental professional does not treat this, the condition can deteriorate to periodontal disease, eventually leading to tooth loss. Researchers at the University of North Carolina at Chapel Hill believe that toxins are then released into the bloodstream and the body reacts by producing chemicals that cause premature labor. If you would like to learn more or receive treatment, contact us for a free consultation. –Dr. Augustine Jason J. Augustine DDS, MS, PC 602.978.6910
Q. I’m afraid of getting breast cancer. Is there anything I can do to reduce my risk?
Q. What are the possible causes of balance problems?
A. When asked to identify their health concerns, most women put fear of breast cancer at the top of the list. This is understandable. Breast cancer is the most common cancer in American women, with over 200,000 new cases diagnosed and over 40,000 women dying every year due to the disease. Many times women feel powerless to do anything to lessen their chances of breast cancer, so they rely mostly on early detection with mammograms and breast self-examination. It would be better to prevent breast cancer from developing in the first place.
functions of our body that make us human. Being able to stand or walk without falling or holding onto support allows us to observe a wide range of things and other people and it allows us to use our remarkable hands. Fall injuries, especially in the elderly, carry a heavy price of disability and even death.
A major risk factor for breast cancer, unknown to many, is excess body weight. Obese women have twice the risk of breast cancer after menopause than those of normal weight. It has also recently been determined that recurrence of a treated breast cancer is increased by 30 percent. In addition, breast cancer-related death is increased by 50 percent, when an individual is obese or overweight. Carrying even 10 extra pounds can pose a problem. Weight is a factor you can do something about, and taking control can help reduce fear. Eat more fruits, vegetables, legumes and whole grains. Get regular moderate exercise – brisk walking in fresh air is probably the best. Losing weight can seem daunting, but it doesn’t need to be if you make changes in small, achievable steps. –Dr. Seale Renovo Clinic Center 480.214.5099
A. Balance is one of the most important
Balance requires four major components of the body’s function to work properly. Three of them are sensory systems: • •
• •
Vision allows you to orient your body with the ground, upright and moving toward your destination. The sense of proprioception allows us to sense the position of our bodies without looking. You know your foot is in front of you, about six inches off the ground and poised to strike the pavement. The vestibular system allows you to sense movement, even if your eyes are closed. The cerebellum allows you to coordinate the movements of the body, even when standing up straight.
Common things that can cause damage to these systems are diabetes, stroke and inner ear diseases. Things to watch out for are: widened, slowed, or unsteady gait, frequent stumbling or needing to hold onto support. Problems like this can worsen over time and can easily be overlooked. Luckily, your doctor can help you detect and treat balance disorders. While you are healthy, consider doing some sort of balance training exercises, like Tai Chi or yoga. Exercising regularly helps reduce the risk of falls and fall injuries. –Dr. Wen Sage Health Family Medicine 623.535.3857
Q. I’ve heard there are germs on my toothbrush that can possibly make me sick. Is this true and, if so, how can I decrease the amount of germs? A. The human body is actually quite adept in defending itself from introduced bacteria. In fact, the body’s defense mechanisms make it unlikely that possible bacteria from a toothbrush could cause a problem or make you ill. An action such as placing your toothbrush in the bathroom toothbrush holder generally doesn’t cause a problem. In fact, it’s recommended to keep the bristles open to the air to avoid moisture collection. Using a toothbrush case can actually increase the bacteria as it creates a warm, moist environment in which bacteria thrives. Of course, there are certain areas of the bathroom to avoid setting your toothbrush. For instance, it’s a good idea to keep your toothbrush far away from the toilet because every time the toilet is flushed, it sprays bacteria into the area. Here are the four best ways to keep your toothbrush clean from unwanted germs: 1. Make sure to rinse your toothbrush well after each use. 2. Always set your toothbrush upright so it’s off the counter and can dry out easily. 3. Avoid toothbrushes touching one another to avoid sharing germs. 4. It’s also recommended to replace your toothbrush regularly, particularly after being ill, because germs can remain even after your healed. Follow these simple guidelines and there is no need to worry about “germs” on your toothbrush! –Dr. Kim Litchfield Dental Care 623.738.3027 azhealthandliving.com | May 2013
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JOIN & SUPPORT
MEET OUR health partners Dr. Kukurin
Dr. Sharma
Dr. Kukurin was one of the nation’s first chiropractic physicians to attain board certification as a chiropractic neurologist. Over the past 20 years he has pioneered many techniques of integrative neurology which applies alternative medicine techniques like acupuncture and herbal therapies to the treatment of common neurological disorders like neuropathy, Parkinson’s disease and other chronic neurological conditions.
Kulbhushan Sharma, M.D., FACS, was included in the “2009 Top Surgeons” by the Consumer Research Council of America. Dr. Sharma is board certified in general surgery and is also a Fellow of The American College of Surgeons. He did his vascular fellowship at the Arizona Heart Institute under worldrenowned cardiovascular surgeon, Dr. Edward Dietrich. He has been practicing as a general and vascular surgeon for more than 14 years in the Valley and is the founder and medical director of Arizona Vein and Laser Institute, which opened in 2004.
Kukurin Chiropractic & Acupuncture kcpv.info| 623.547.4727
Arizona Vein & Laser Institute arizonaveinandlaser.com | 602.298.5476
Dr. Maltais
Dr. Augustine
Dr. Shannon Maltais is dedicated to the ongoing commitment of achieving optimal health and beauty by focusing on the whole body. Her philosophy supports the use of internal antiaging factors such as nutrition, IV therapy, homeopathy and detoxification, as well as external factors that support the correction and prevention of the aging process. She believes it is never too early or too late to begin the journey of prevention and correction via natural, safe and effective means.
Jason J. Augustine, DDS, MS, PC, has been practicing periodontics and implant dentistry in Phoenix for 11 years. He earned his doctorate degree in dentistry and a master’s degree in science and periodontal surgery from Ohio State University. Dr. Augustine performs a wide range of non-surgical, laser-assisted and surgical treatments for the management of gum disease. He also has extensive training in cosmetic gum procedures and surgical implant dentistry. In addition to his private periodontal practice in North Phoenix, he lectures privately, and is an associate professor at the Midwestern University College of Dental Medicine. Dr. Augustine maintains an active membership in numerous dental organizations, including the American Academy of Periodontology. In his recently remodeled office, Dr. Augustine stays current with the latest advances in his field.
Physician Skin Solutions at Arrowhead physicianskinarrowhead.com | 602.843.4040
Jason J. Augustine DDS, MS, PC northphoenixperio.com | 602.978.6910
Dr. Walman
Dr. Wen
Gerald B Walman, MD, FACS, FRCS(C) was born in Toronto, Canada, and obtained his MD and specialization in Ophthalmology from University of Toronto. He is a board-certified specialist in both Canada and the U.S. and has provided comprehensive eye care to Arizona since 1978. He has deep international experience in cataract, implant, Lasik and eyelid cosmetic surgeries and has developed a skilled team for excellence in eye care.
Stanley Wen, MD, board certified, Family Practice Medicine, received his biology degree from the University of Chicago and his medical degree from the University of Illinois. He moved to Goodyear with his family in 2004. While working for Banner Estrella Medical Center, Dr. Wen witnessed the shortage of primary care physicians and the long waits for patients. This prompted his desire to open a family clinic and, in December 2008, Sage Health Family Medicine was born.
Walman Eye Center walmaneye.com | 602.222.2020
Sage Health Family Medicine esagehealth.com| 623.535.3857
Dr. Lundquist
Wendi Lundquist is a dedicated interventional pain specialist uniquely qualified to evaluate and treat patients with musculoskeletal and nerve pain. Along with being board certified in physical medicine, rehabilitation and pain medicine, she is an osteopath that understands the complexity of pain and treatment of a patient as a whole person. Her primary focus is to treat and repair the underlying problem. Active Life Physical Medicine and Pain Center PLLC activelifepaincenter.com | 623.535.9777
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Dr. Croft
Devin Croft graduated from the University of Minnesota with a Doctorate of Dental Surgery degree. He practiced for two years as a general dentist in Minnesota before entering an orthodontic residency at Temple University in Philadelphia, where he earned a master’s of science in Oral Biology and specialty certificate in Orthodontics. Dr. Croft is a member of the American Association of Orthodontics, the Pacific Coast Society of Orthodontists, the American Dental Association, the Academy of Clinical Sleep Disorder Dentistry, and the American Academy of Sleep Medicine. He is a diplomat of the Academy of Clinical Sleep Disorder Dentistry and is working toward his diplomat status for the American Association of Orthodontics.
Vistancia Orthodontics vistanciaortho.com | 623.566.0800
Drs. Pamela and Gael DeRouin
Pamela DeRouin, M.D., and Gael DeRouin, D.O., are co-owners of Dermacare Cosmetic Surgery in Goodyear. Dr. Pamela DeRouin is a board-certified physician who has practiced in the Phoenix area since 1999. She has a special interest in aesthetic and anti-aging medicine and is a member of the American Society of Laser Medicine and Surgery. Dr. Gael DeRouin is a well-accomplished surgeon with more than 20 years of training and experience. He holds dual board certifications in both Head and Neck Surgery and Facial Plastic and Reconstructive Surgery.
Like what you're reading? Don't miss another issue of
Dermacare Cosmetic Surgery azdermacare.com| 623.535.7050
Pick up a free copy inside any Dr. Mallory
Dr. Mallory has been practicing dentistry for four years. He received his degree from the University of Nevada, Las Vegas School of Dental Medicine. He and his wife have four children and they enjoy trips to Disneyland and golfing with friends. Dr. Mallory is also a part of the American Dental Association, American Academy of General Dentists, a volunteer for Give Kids a Smile and parttime faculty member at University of Nevada, Las Vegas School of Medicine. Festival Dental Surprise | 623.584.4015
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Arrowhead Dental Peoria | 623.878.5400
Dr. Baird
Dr. Kim
Brian O. Baird, Optometrist, has has been practicing full scope optometry for more than 10 years. Dr. Baird was born and raised in Provo, Utah, and completed his undergraduate degree at Brigham Young University. He obtained his Doctorate of Optometry degree from Southern College of Optometry in Memphis, Tenn. Dr. Baird owned and operated Polson Family Eyecare, in Polson, Mont., for seven years before selling that practice and moving to the sunny state of Arizona in November 2007. Dr. Baird has been practicing in Surprise more than two years. His hobbies include spending time with his family, running and being outdoors.
Dr. Kim has been practicing general dentistry for 12 years, including implants and cosmetic dentistry. He is a member of the American Dental Association, Arizona Dental Association, and Central Arizona Dental Society. He graduated from New York University with a Doctorate of Dental Surgery and completed a general practice residency at St. Barnabas Hospital. Dr. Kim has a strong passion for dentistry and caring for his patients. He believes in developing a trusting relationship with his patients and helping them feel relaxed in his care. In his free time, Dr. Kim enjoys traveling with his wife and their two children.
The Village Eyecare thevillageeyecare.com| 623.931.2943
Litchfield Dental Care LitchfieldDentalCare.com| 623.738.3027
Dr. Qiu Dr. Jack Qiu is a board certified chiropractic physician and acupuncture practitioner. He received his training in Chinese Acupuncture and Tui Na therapeutic massage. His priority is to help his patients with quality care and to reach their health goals. He has been practicing in the West Valley since November 2011. Kukurin Chiropractic, Acupuncture & Nutrition Network litchfield-park-chiropractic.com | 623.972.8400
Dr. Seale
Stuart A. Seale, M.D. has over 30 years of experience in the management and prevention of obesity, type 2 diabetes, heart disease, high blood pressure, high cholesterol and other chronic diseases through proper nutrition and lifestyle modification. His health and wellness coaching style makes him different from the average doctor, which led to the opening of the Renovo Clinic located in Gilbert, Ariz. Renovo Clinic RenovoClinic.com | 480.214.5099
azhealthandliving.com | May 2013
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BUSINESS TALK
Q. With the school year about over, what educational opportunities are available during the summer months at Wildlife World Zoo & Aquarium? A. In addition to hundreds of informative graphics describing the more than 600 species that call Wildlife World home, we offer daily onsite and offsite programs. In fact, the summer months have become one of the busiest times of the year for our education department staff and collection of animal ambassadors. Visitors can experience fun and educational demonstrations at our Wildlife Encounters show held three times a day. Each program features a different combination of animal ambassadors including snakes, otters, porcupines, reptiles and birds of every shape, size and skill set, from the flightless emu to the soaring Harris’ hawk to a singing macaw. Wildlife Encounters is a perfect way to meet and learn about animals and the way each is trained by our educators to display cooperative husbandry and natural behaviors through positive reinforcement. Our daily public bird feeding and touch tanks are attended by knowledgeable staff members, which are happy to provide insight into birds like lory parrots, as well as tide pool animals like sea stars, horseshoe crabs, stingrays and more. For those families, schools, camps, daycare centers and community events looking to add an educational animal component to their experience, our education department conducts low cost offsite outreach programs throughout the Valley and region. There are a limited number of outreach slots available each month quickly! For more information, visit wildlifeworld.com and click on the education menu. Have a safe and fun summer! Be sure to watch your kids around water. –Dr. Stafford Wildlife World Zoo & Aquarium wildlifeworld.com
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Q. Why use wheatgrass juice as a health food? A. Wheatgrass juice is the single most effective, most cleansing, most nutritious, and least expensive, rejuvenation to your vitality, immunity and is gluten free. In our opinion, supplements, such as vitamin pills, do not contain the life force of the wheatgrass plant to promote optimal health. Scientific analysis has demonstrated that grass grown from wheat is a perfectly complete food in itself, capable of sustaining life in a healthy way. Dr. G.H Earp Thomas, celebrated American scientist and dietician, calculated that 15 pounds of fresh wheatgrass is equivalent in nutritional value to 350 pounds of choicest vegetables. Studies have shown that wheatgrass is an excellent source of vitamins A, B, C, E and K as well as calcium, chlorine, iron, magnesium, phosphorus, potassium, sodium, sulphur, cobalt and zinc. The many active compounds found in wheatgrass juice cleanse the blood, neutralizes and digests toxins in our cells. An important nutritional aspect of the chlorophyll within wheatgrass is its remarkable similarity to hemoglobin, the compound that carries oxygen in the blood. Thus, we can see that within the context of this optimal and easily assimilated nourishment, the human body has the fundamental components with which to promote health and prevent disease. Wheatgrass works! – Ken & Barb Hall Best Organic Wheatgrass 1.888.260.GREEN (4733) bestorganicwheatgrass.com
Q. If a care giving company only provides personal care and assistance with light household chores, why do they employ registered nurses as administrative staff? A. There are four important reasons why our nurses at Sun Cities CareGivers are an integral part of our company: 1. Registered nurses do the initial assessment of each client. That information is used to create a plan of care. The plan of care then provides the caregivers instructions regarding what needs to be done in the home during their visit. The RN will continue to monitor the client’s progress and make visits to the home. 2. The RN supervises your caregiver(s). If there is a change in your health condition or behavior, the caregiver’s first point of contact is the RN. The RNs also provide training to the caregivers when the doctor has prescribed special treatments. 3. If we are contacted to do an assessment while the client is in a healthcare facility, the RN can assist with the discharge planning. Having medically trained personnel providing the assessment is important. At times, home health care (physical therapy, occupational therapy, wound care, etc.) is also needed and our RN can bring that to the attention of the discharge planner. 4. Our RNs can be a very constructive and critical part of creating an aftercare plan during the discharge process and can help to avoid readmissions to the hospital. –Lola Judy Sun Cities CareGivers 623.974.2397
Q. What advantages are there to using the LaserTouchOneTM for knee pain?
Q. What causes hearing loss and how do you fix it?
A. Knee pain is the one of the most common musculoskeletal complaints that brings people to their doctor. With our society becoming increasingly active, knee problems are on the rise.
A. There are several different types of hearing loss and causes.
In all causes of knee pain, inflammation is a major factor. Inflammation is the body’s physiologic response to an injury. One goal in treating knee pain is to break the inflammatory cycle. After an injury, substances that cause inflammation invade the knee, which cause further injury and further inflammation. This cycle leads to continued or progressive knee pain. The cycle can be broken by controlling the substances that cause inflammation and by limiting further injury to tissue. The LaserTouchOne works at a cellular level to decrease inflammation and actually increases the efficiency of the cells. The cells will then work to remove waste and bring nutrients to the injured knee. The LaserTouchOne will restore range of motion and provide immediate pain relief. The two proven modalities of low-level Laser and Micro-Current electrical stimulation have shown knee pain relief 93% of the time. TM
TM
LaserTouchOne technology is currently being used in many doctor‘s offices as well as physical therapy settings, to address knee pain issues. TM
Some in-home techniques for knee pain that control inflammation are rest protection, ice, compression, elevation and use of the LaserTouchOneTM. –Cheryl L. Davis, LBMT Therapy Today 623.204.0800
Conductive hearing loss is the abnormal development of the bones in the ear, or trauma that has occurred with the bones or tympanic membrane. It is caused by a disturbance in the mechanisms responsible for transferring sound from the outer ear into the cochlea. That sound is then transmitted into electrical waves that the brain can break down and understand. Sensorineural hearing loss is caused by a deformity of the hair cells inside of the cochlea. This is the most common type of hearing loss. Abnormalities can be caused by abnormal development, but in most cases caused by exposure to noise. As the hair cells perform their function, they begin to wear out. Exceptionally loud sound accelerates this process, but occurs in everyone just by living in the noisy world. The longer and more extreme the exposure, the higher the chances are of developing this type of loss. It is also possible to suffer from what is known as a mixed loss, which is a combination of the two. The only way to know which type of hearing loss you are suffering from is through a thorough evaluation. Contact your local hearing healthcare professional today to schedule a test. In most cases, screening is free. Hearing loss, when untreated, can lead to a long list of medical problems. –Brian Emery Emery Hearing Centers State Licensed HIS 623.792.7151
Become one of our expert or business talk partners. Together we can make a difference. To learn more, call 602.348.9894 or email healthychatter@ azhealthandliving.com.
azhealthandliving.com | May 2013
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LIFESTYLE & LIVING
“Instead of going through the day worried, thinking about how it’s not going to work out, start meditating on what God says. Activate faith by speaking the Word of God. Let it sink down inside of you and transform your being. Always remember, His Word is alive, His Word is truth, His Word is your weapon.” ~ Joel Osteen
azhealthandliving.com azhealthandliving.com | | May May 2013 2013 43
travel
Relax & Play
By Irine Krass
Pointe Hilton Resorts
T
Not your average summer staycation
he Pointe Hilton Resorts are synonymous with fun, and this summer both properties are taking their family-friendly offerings beyond the traditional pool games to offer guests a truly memorable and enriching staycation experience. Pointe Hilton Squaw Peak Resort on 16th Street and Pointe Hilton Tapatio Cliffs Resort on 7th Street are offering two distinct, but equally as entertaining and innovative programs throughout the summer months. Families visiting Pointe Hilton Squaw Peak Resort this summer will be transported to a fantasy world at the property’s “Summer of Imagination.” From May 28 to August 31, the resort’s beloved waterpark, The River Ranch, will be transformed into an imaginary land for both children and adults with a different theme each month – Sci-Fi in June, Super Heroes in July and Sports in August. “Our River Ranch is one of the top destinations for Phoenix families in the summer, but this year we are taking things to the next level,” says Bryan Deutsch, Pointe Hilton Squaw Peak’s River Ranch Manager. “What child doesn’t enjoy a great excuse to dress up and play make-believe? With the ‘Summer of Imagination,’ we are encouraging our guests to 44
May 2013 | azhealthandliving.com
join us in a fantasy world, dress in costumes and enjoy all the fun games, crafts and snacks centered on the theme.” During the week, each theme will be prevalent in the games, activities and snacks guest will enjoy. The young and youngat-heart can delight the mad scientist within with cosmic putt-putt golf and green slime snow-cones. They can bring out their super-human strength by making super hero capes and enjoying healthy super snacks. Children can pretend they are the next big sports star with baseball and football training camps and mini tournaments, both on land and in the water. The highlight of each week will be a family-favorite Dive-In movie that represents the theme, like “Back to the Future,” “E.T. the Extra-Terrestrial,” “The Incredibles,” “A League of their Own” and many others. Pointe Hilton Tapatio Cliffs Resort is combining fun and education this summer with interactive activities and visits from the area’s premier family attractions including the Musical Instrument Museum, Arizona Museum of Youth, the Arizona Science Center and the Wildlife World Zoo for a summer of “edu-tainment.” The weekend of June 22, the Falls Water Village will turn into a world filled with music as the Musical Instrument Museum
Our Goal is to Get You
brings poolside crafts and musical activities. Artists of all ages can show their creative side on July 20, when the Arizona Museum for Youth visits with art activities that are fun for your child and the child within you. The Arizona Science Center will transform the resort’s lobby into a laboratory on August 2, where families can experiment with brainteasers and engineering puzzles. The Wildlife World Zoo will introduce the world’s furriest friends and creepiest crawlies to guests every Saturday morning from May 28 through September 7. Each weekend will also be topped off with a great Dive-In movie to compliment the theme like “The Muppets,” “Bedtime Story” and “Innerspace.”
Active for Life!
Guest of the Pointe Hilton Resorts can enjoy all of these activities as well as all-suite accommodations, simmering pools, a range of delicious dining options and much more. Prices start at as little as $75 per night at Pointe Hilton Tapatio Cliffs Resort and $95 per night at Pointe Hilton Squaw Peak Resort when booked by May 19.
Dedicated Board Certified Physical Medicine & Pain Specialists providing you with an individualized approach to improve pain, function & quality of life. We offer the latest innovative techniques in interventional pain including platelet rich plasma therapy, ultrasound guided interventions and spinal cord stimulation.
We offer treatments for: The resorts will also run their annual “SummerSplash” promotion with rates starting at $89 a night at Pointe Hilton Tapatio Cliffs Resort and $109 at Pointe Hilton Squaw Peak Resort for stays from May 28 through September 7, when booked seven days in advance. Late summer visitors can take advantage of the Pointe Hilton Resorts’ “Back to School” offer for stays during the month of August. When booked before June 30, suites are available starting from $69 a night at Pointe Hilton Tapatio Cliffs and starting at $79 a night at Pointe Hilton Squaw Peak.
Pointe Hilton Squaw Peak Resort 7677 N 16th St., Phoenix
D Neck and back pain D All joint pain (knees, hips, etc) D Muscle and nerve pain D Sciatica
Now Offering P-STIM! P-STIM is a safe, effective, and non-narcotic way to reduce pain. Many patients may have benefit including patients with headaches, fibromyalgia, RSD, joint pain, muscle pain, nerve pain and many other types of pain.
Schedule your consultation TODAY!
Pointe Hilton Tapatio Cliffs Resort 11111 N 7th St., Phoenix 1.800.283.9230 www.pointehilton.com
D Sports injuries D Headaches D Rotator cuff problems and more
623.535.9777 Dr. Wendi Lundquist, DO
3400 N. Dysart Rd., Ste. H131 Avondale
www.activelifepaincenter.com azhealthandliving.com | May 2013
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FEEL GOOD & REJUVENATE
FASHION & BEAUTY By Audrey Davis-Sivasothy, hair-care advocate, health scientist and author of Hair Care Rehab
Hair Myths Busted!
M
isinformation can be just as stubborn as frizz or those pesky flyaways – it is difficult to manage, impossible to reason with and just keeps coming back.
Old wives’ tales and ineffective products that claim to treat or rehabilitate hair often have a placebo effect because people want them to work. Many of these ideas and products actually do the opposite of what is intended. It’s time to debunk the following common hair-care myths: Myth #1: There are magic pills, serums, or balms to help grow hair faster or thicker. Hair growth is both genetically predetermined and controlled by our hormones. Unless the magic item affects our genes or hormones, there’s no hope that it might make our hair grow. This includes prenatal vitamins. Credit the upsurge in hormone levels during pregnancy for those vibrant tresses! Basic vitamin supplements can offer slight improvements in hair quality, but only if our body truly lacks the particular vitamin or mineral being taken. Myth #2: Trimming will make your hair grow longer, faster, and/or thicker. Since hair is dead, cutting the ends has no effect on what happens at the scalp. Strands will grow at the same predetermined rate each month, and individual strands will grow in at the same thickness as before. While trimming or cutting the hair does seem to give the appearance of thicker hair, this is only because all of the freshly trimmed hairs now have the same, clear endpoint. Myth #3: Expensive products do more. Always look for ingredients over brand names. There are just as many poorly formulated high-end products as there are bargain products – and just as many worthy expensive products as there are bargain ones, too!
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Myth #4: Products made for or marketed to (insert race/ethnicity) cannot be used by those of other backgrounds. False! The ingredients in a product matter much more than to whom the product is marketed. In fact, most products have the same set of three to five base ingredients. Products for “ethnic” hair types tend to be more moisturizing and have more oils and proteins than those for other hair types. Damaged hair needs a good dose of moisture, proteins and oil to regain its healthy appearance. The same holds true for products marketed to those with color-treated hair. Even if your hair is not dyed, using a product for colortreated hair can be beneficial. These shampoo formulas tend to be gentler (to preserve easily washed away hair color) and conditioners tend to be super-conditioning, but lightweight, to help reduce dryness from the coloring process. Myth #5: Washing your hair too often leads to dryness. Hair can be cleansed as often as you like without dryness, provided you use the proper products to retain moisture. Those who generally have naturally drier hair types (including those of us with curls and highly textured hair) often shy away from frequent cleansing – but water is not the enemy! The stripping shampoos and mediocre conditioners we use are to blame. Using the proper moisturizing and conditioning products at wash time will actually increase your hair’s hydration.
Women’s Guide to Hair Loss By MS
W
hile baldness is an issue most often associated with men, women can suffer from hair loss as well. You may be surprised to learn just how prevalent the condition is.
Hair loss, or alopecia, can affect the entire body and may be a hereditary condition, a side effect of medications or physical or psychological ailments. Research indicates as many as two-thirds of all women experience hair loss at some point. You might notice strands of hair at the bottom of the shower in the trap drain or caught in your hairbrush. It’s normal to lose 50 to 100 hairs a day. However, when hair falls out in clumps or thins conspicuously, it may be indicative of a more serious medical condition. Most women who experience hair loss notice it in their 50s or 60s, but doctors note it can happen at any age. Here are some of the primary causes of hair loss.
Telogen effluvium
Anemia Iron deficiency results in insufficient numbers of red blood cells to transport oxygen through the body. Anemia can cause weakness, pale skin, fatigue, headaches and hair loss. Increasing iron in the diet through leafy greens, fortified cereals and beans can help.
Poor scalp health Skin conditions present on the scalp may be the culprit behind hair loss. Psoriasis, seborrheic dermatitis (dandruff) and even fungal infections can affect the skin on the scalp, and, in turn, affect the hair follicles.
Alopecia areata This is an immune disease that affects roughly 2 percent of the American population and is characterized by small, round patches of hair loss.
Genetics
This condition takes place after pregnancy, major surgeries or even after drastic weight loss. Her hair shifts more quickly from the growing stage to the transition stage to the shedding stage. Women experiencing this will notice hair loss between six weeks and three months after a stressful event and may have to be patient and wait for hair loss to slow down. If it has been determined the hair loss is from medication, your doctor may be able to lower the dosage or switch drugs.
Do the women in your family have thinning hair, most pronounced at the crown of the head? Hair loss may be in your genes, and you may have a higher risk than other women for losing hair. Hair follicles that vary in size, with some thin and others thick, are telltale signs of female pattern hair loss known as androgenetic alopecia.
Hypothyroidism
Beauty styling
Hair loss can be a byproduct of an underactive thyroid. That’s because, in addition to regulating your basal metabolic rate, the thyroid also is responsible for the growth of hair, skin and nails. Blood tests can be given to test for hypothyroidism.
Dyes, chemical treatments, styling tools and aides, and rough or aggressive brushing can damage hair and cause breakage. Be gentle when toweling or styling hair to help minimize hair loss. azhealthandliving.com | May 2013
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FAMILY, KIDS & RELATIONSHIPS
be present
By MS
Must-Haves & Have-Nots for Newborns
C
ongratulations to the women who recently had children or are about to give birth. This Mother’s Day you have earned the title of “mom.”
Becoming a mother can be a wonderful, if not a nervewracking, experience. You want to be sure you do everything right by your baby. However, with mixed messages from experts and well-meaning friends and family members, it can be confusing. Plus, with so many baby products on the market, many new moms wonder what they should buy, and what they can pass up. Based on advice from veteran mothers, here are some tips for surviving those first few months with your new baby. When stocking up on baby essentials, here are the items you will likely use again.
Infant sleeping sacks It is recommended to place your baby to sleep on his or her back and in a place free of items that can potentially smother the child. This also means blankets. Therefore, skip the package of receiving blankets and opt for zip-up sleeping sacks instead.
Bassinet or co-sleeper Your baby spent over nine months nestled inside of your womb. Your newborn will not yet be able to appreciate the wide expense of a crib. A smaller area in which to sleep will create that safe environment desired. Plus, a bassinet can be kept in your room while you sleep or on another level if you don’t want to disturb other members of the household.
Anti-colic bottles Splurge a little on the bottles and/or nipples that are supposed to reduce the amount of air ingested while bottle-feeding. These also can be beneficial to breastfeeding mothers who may want to share feedings with a spouse or family member. 48
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Entertainment As your baby grows, he or she will want to try out new tricks. Simply being placed on a blanket or in the crib will not suffice. A swing can be a good way to have your hands free for a while. Today’s swings are innovative in that they offer vibration, music, lights, motion in different direction, and many other bells and whistles. You can also invest in an exercise saucer. They are safer than walkers and can be used with babies who are able to hold their head up adequately (from about 4 months on). This gives the child the feeling of being vertical and enables the child to stretch his or her legs.
Smaller sized bags of diapers Babies grow very quickly. If you stock up on cases of one particular sized disposable diaper, chances are your little one will outgrow the size before you use up the hundreds of diapers. Some manufacturers now offer dual-sized diapers, meaning they stretch the weight limit a little so you can get more use out of a particular size.
Here are a few items you can probably live without having: Bottle warmers. Some mothers swear by bottle warmers, while others simply swear at them. Bottle warmers often work by placing a small amount of water in the bottle of a heating area. The water creates steam, which heats up the bottle. It takes a precise amount of water to heat the bottle accurately – something that is often tricky when you’re sleep deprived and doing the warming at 3 a.m. It is not essential to heat baby bottles. There are no health implications if you give a baby a cold bottle. Heating is more for comfort. Running the bottle under hot tap water then placing the bottle inside is equally effective. Wipe warmers. Sure, the thought of wiping your baby with warm wipes seems very appealing. However, as your baby grows, you will be changing him or her on the go or in other
areas of the house not necessarily in the nursery where the wipe warmer is located. Fancy bottle sterilizers. You can sterilizer bottles by boiling them in water or running them through the dishwasher. Video monitors. Sure, the thought of seeing your little one while he or she is sleeping can be reassuring. However, is this more of a novelty than a necessity? Did you know that much like a cordless phone signal can be accidentally shared by someone on the same frequency, so too can the monitor? It’s possible for someone crafty to tap into the signal and “see” inside of your house. If you don’t believe you will be using the monitors that frequently, chances are you can simply use the audio models instead. Babies only detergent. Laundry detergent marketed to parents of infants tends to be some of the most expensive out there. There are other brands available free of dyes and preservatives that may be more affordable. Plus, you will not have to worry about doing separate batches of laundry from your own. azhealthandliving.com | May 2013
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healthy fitness & sports
stay active
By MS
Strength Training Tips for Women
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eightlifting has long been an activity associated with men. When asked to describe a typical weightlifter, many people would likely begin describing a man. However, more women have recognized the benefits of strength training and its impact on long-term health. Studies have shown that increasing muscle mass can reduce a person’s risk of diabetes and help them maintain a healthy weight. However, many women are understandably hesitant to begin lifting weights, fearing they may lose their feminine figures or simply because they are fearful to visit the section of their gym dominated by muscle-bound men. The following are a few strategies women can employ to get their strength training off on the right foot.
Establish goals Strength training requires effort. Without an end goal in mind, your efforts are likely to be fruitless. Strength training goals will evolve over time, as your body grows accustomed to it, but have some initial goals. If you want to bench press a certain amount of weight, make that a reality without putting yourself at risk of injury. Monitor your progress in the mirror. Do not be discouraged if your goals are not met. Reflect on your workouts to see if you could have done something differently then make those changes going forward. If you come up empty after careful reflection, chances are your routine is just fine and positive results are bound to come.
Embrace consistency Consistency should be your friend when strength training. It’s easy to skip a workout after a long day at the office, but sticking to a consistent workout schedule is almost certain to produce positive results. Skipping sessions and only working out sporadically will make it hard to get into a good rhythm, putting your goals in jeopardy and increasing your risk of injury. Stick to a consistent workout schedule and work out each muscle group equally. Consistency also comes into play with regard to technique. Improper technique can lead to injury or discomfort. If 50
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"Strength training exercises can reduce a woman’s risk of developing certain health problems, including osteoporosis." at any point a strength training exercise is making you uncomfortable, stop the exercise immediately and speak to a trainer or physician.
Build strength in your upper body This can help women protect themselves against osteoporosis, a disease of the bones, which weakens the bones and makes them more susceptible to fractures. The National Osteoporosis Foundation notes that roughly half of all women older than 50 will break a bone because of osteoporosis. Upper body strength training strengthens muscles in bones in your arms, upper back and shoulders, decreasing your risk of poor posture, a problem associated with osteoporosis. Weight-bearing exercises like running, walking and using an elliptical machine may prove adequate at strengthening your lower body.
Do not overdo it Two to three days of strength training per week are enough to produce positive results and reduce your risk of developing health problems like diabetes, cardiovascular disease or osteoporosis.
Exercise & Pregnancy By MS
Discover the Healing Power of Successfully Treating: ∙ Tinnitus ∙ Neuropathy ∙ Fibromyalgia Though women commonly gain weight during pregnancy, such weight gain is perfectly natural. Some women still want to maintain a healthy weight and hope to avoid gaining a few too many pounds while they are pregnant. Exercise can be a great way for women to fight off those extra pregnancy pounds, but a woman should discuss any exercise regimen with her physician before beginning. Certain activities, such as skiing and horseback riding, should be avoided during pregnancy. The following are a few exercise options for pregnant women, courtesy of the American Pregnancy Association.
Swimming.A great exercise for anyone, but especially
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pregnant women who often find their joints ache as their pregnancy progresses. Swimming makes you essentially weightless, helping reduce stress on your joints, while providing beneficial cardiovascular exercise and helping tone your body’s muscles.
Running. You can continue running during a pregnancy. However, pregnant women who plan to keep running must remain hydrated and avoid overheating. Women who were not runners prior to pregnancy should avoid this activity, as they can be at risk of injury. Kegel exercises. These exercises strengthen the pelvic floor muscles to help women have better control of them during labor and delivery. The American Pregnancy Association also notes that Kegel exercises, in the process of toning the pelvic muscles, reduce the likelihood of developing bladder leaks and hemorrhoids. Many women continue Kegel exercises after pregnancy to promote healing and further strengthen these muscles. Yoga. Yoga is known for helping to relieve stress and pressure on the body; just be sure to avoid especially rigorous yoga, including hot yoga. When exercising during a pregnancy, women should stop if they start to feel shortness of breath, fatigue, or dizziness. Once again, pregnant women should always discuss physical activity with their physician prior to participating. azhealthandliving.com | May 2013
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Save & Plan
Business, Career & Finance By Ben Newman and Dr. Justin B. authors of, Pocket Truths for Success: 365 Daily Principles to Become the Most Successful Person You Know
Brief Words, Big Difference Pocket Truths for success to inspire and guide graduates
I
t can be difficult for graduates to determine what direction to travel and what decisions to make after receiving their diplomas. However, brief bits of wisdom called “pocket truths” will inspire, guide and teach each day, providing graduates with the positive fundamentals they will need.
The first impression is made in the first 90 seconds. Don’t underestimate the value of a well-groomed
appearance, firm handshake, a friendly smile and a genuine demeanor—they will help you start relationships off on the right foot every time.
Dress the part. When you dress as though you’re already in the position you would like to have, you’re one-step closer to being there. Be the plow horse. Focus on doing diligent, reliable,
honest work, not on receiving accolades. If you put in the 52
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hours and truly earn the respect you want, your time in the spotlight will last longer and be much more fulfilling.
Set bigger goals. If you’re not challenging yourself you’re probably not growing—so set goals that you know will stretch your intellect, your persistence, and your ingenuity. In addition, once you have achieved them, set more. Take great notes. Whether you have just had dinner with
your significant other’s parents or have just left an important meeting at work, jot down important points. Your memory is never as good as you think it is—and when you record important information, you give yourself a meaningful way to connect later.
Never overestimate the competition or underestimate yourself. It’s good to have respect for
the competition, as well as an accurate understanding of your own weaknesses. Remember, no one is perfect—and you yourself possess many strengths and assets!
Admit if you don’t know the answer. When you don’t have the answer, your immediate inclination might be to fib, hedge, or prevaricate. Resist those impulses. Be honest about what you don’t know. This will win you the respect of others with integrity. Cheaper isn’t always better. You can get by with a secondhand kitchen table, but realize some things are worth the money. For example, a quality suit that fits will look better and last longer. Be a great self-promoter. You are your own best advocate—period. Learn to volunteer when your skill is in need and always try to add value to any organization.
Be humble. The truth is humility doesn’t mean being a
meek, weak pushover…it just means you’re not a showboat and others will feel comfortable approaching you.
taking responsibility for tasks that are given to you and not shifting the blame.
Be on time. Punctuality is a good trait to have for
many reasons. Being late also makes you seem less responsible to others and it makes you a nervous wreck.
Pay for lunch. Offering to pay occasionally gets people’s attention. It will mark you as a team player who truly cares for others. Learn what the best do and imitate it. Throughout your life, you will meet people who have done well for themselves, but not at the expense of others. Watch them carefully and ask them for advice. Be observant and put together a “best practices” manual to use as you move forward.
Own great suits and tie a good knot. You’ll need a
classy, good-quality suit to wear to interviews—and possibly to your first job. Men need to make sure they can tie a tie well. Sloppy knots and clip-ons will not do you any favors. Never forget that what people see forms a large part of their opinion of you.
Donate money to great charities. Useful donations
don’t have to be large and not all valuable donations are monetary. Giving back will make you feel good, help you to grow and give you a valuable connection to humanity at large.
Don’t burn bridges. You never know when a word
spoken in anger, frustration, or even disgust might come back to haunt you. Remember that people change and realize that treating everyone with respect, will give you a reputation for fairness and integrity.
Between wealth and character, choose character. Our culture seems to value success—in other
words, money, power and status. However, this kind of “wealth” comes at the expense of integrity, balance, and healthy relationships. Choose to preserve and develop your character over your bank account and you will attract the sorts of people and opportunities that you really want.
Support your peers. Seek success for yourself, but not
by throwing others under the bus. When you support others, your collective efforts will achieve much more.
Celebrate success! When something positive happens, acknowledge it! Celebrating your own successes (as well as those of others) serves as a great motivator and reward. Be your own boss. Be in charge of steering your own
course in life and don’t allow other people to make important decisions for you. Be accountable for your own actions,
Be a person of your word. Period. Gaining a reputation
for reliability will set you apart, will help you build genuine relationships and will make others want to partner with you.
Be committed to self-improvement. Constantly strive to improve your mind, relationships, knowledge base, empathy and more. You will notice new things about yourself, others and the world around you that will continue to open doors and propel you forward. Putting others down is the quickest way to lower oneself. In business and in your personal life, make this your mantra. Saying negative things about other people in a non-constructive way only displays your own insecurities.
Treat others well. In fact, treat them better than anyone else treats them—you will see your honesty and kindness reflected back into your own life. More people will seek you out, will respect you and be willing to put in a good word (or action) on your behalf. Focus on what you do best. You will do much better for yourself (and for the world at large) if you identify your strengths and passions and develop them to the best of your ability. azhealthandliving.com | May 2013
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Celebrity
ENJOY
By Alfie Mendoza
Model, Mom and Entrepreneur
H
eidi Klum holds many titles under her belt — supermodel, television host and producer, fashion designer, actor, entrepreneur and most recently, supermom. At the age of 18, while still in high school, Klum, won a televised modeling competition, winning 30,000 other contestants. Having no career success in Europe, Klum decided to move to New York, where she initially modeled in JCPenney catalogs. It was not until 1997, six years later, when she received her big break into the career of modeling. She signed a contract to become a Victoria Secret lingerie model, a stint that would last 13 years, and in 1998, she graced the cover of a Sports Illustrated swimsuit edition. “I liked modeling, but if I’m just in front of the camera for 14 hours a day, I’m not doing much with my head,” Klum said to Forbes Life magazine.
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After Klum’s modeling career with Victoria Secret ended, she decided to take a chance at television as the host, a judge and executive producer of Lifetime’s Project Runway, a designer reality contest. Klum also owns a small portion of the show. With the show now in its 11th season, it has estimated earnings of $2.5 million a year and Klum has received eight Emmy Award nominations for her role. Klum, who will turn 40 in June, is involved in many business ventures, purposely targeting the midmarket she reveals to Forbes magazine. She has her own perfume line and designs jewelry. Klum also offers beauty tips on her AOL website. This past February, she unveiled her fitness wear line for New Balance. More recently, Klum launched her summer collection “Lavish” for A Pea in the Pod maternity wear. The inspiration came from her fashion challenge during her four pregnancies and the desire to feel beautiful and fashionable, she says in an interview with Redbook. Released earlier this year was a line of personalized T-shirts for Babies "R" Us, designed by her 6-yearold son, Johan, she revealed to US Weekly.
Change Your Words. Change Your World. Sponsored by
As if one television show and a host of businesses are not enough, Klum has been hired as the newest judge on television show, America’s Got Talent. “She’s the hardest-working woman in television,” says Nancy Dubuc, president of entertainment and media at A&E Networks. According to Forbes it is estimated that Klum will earn more than $20 million dollars this year. In addition to her career and business ventures, Klum is a mother of four. Her children range in age from three to eight. She was recently dubbed “super mom” after her oldest son, Henry, age seven, along with his nanny, were sucked into a riptide during their Hawaiian vacation. “We got pulled into the ocean by a big wave. Of course, as a mother, I was very scared for my child and everyone else in the water,” Klum told Entertainment Tonight, “Henry is a strong swimmer and was able to swim back to land. We were able to get everyone out safely.” Whatever the future may hold for Heidi Klum, she has the talent, intelligence and business sense to succeed.
azhealthandliving.com | May 2013
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Special Feature
HAPPY MOTHER'S DAY
Moms & Moms-to-be Gift Guide Compiled By Alfie Mendoza
SnoozeShade Plus Deluxe The breathable sun and sleep shade that fits all strollers and designed to protect baby from the sun, blocking up to 97.5% of the sun’s UV rays. Ensures that baby does not miss naptime while parents are out. Use while traveling or in restaurants so your little one can enjoy the sites or nap peacefully. $59.99, www.snoozeshadeusa.com.
Sakura Allure Gift Set Hanami is the Japanese custom of enjoying the beauty of cherry (sakura) or plum blossoms. From the end of March to early May, Sakura bloom all over Japan. Bamboo is the base of this blend, enhancing the clean refreshing taste of cherry, pineapple, mango, rose, and hibiscus. Stoneware tea tumbler, stainless steel infuser basket, airtight tea tin and 6 oz. tea included. $49.95, www.teavana.com.
The BodyMedia LINK Armband This body monitoring system determines the most accurate information about your body. The armband has four sensors, galvanic skin response, skin temperature, heat flux and a 3-axis accelerometer. Bluetooth-enabled and can connect to selected mobile devices and give you real time updates of your calorie burn and activity level. Log a food diary and workouts on a mobile app. $149.00, www.bodymedia.com.
Nuu-Muu These no-fuss dresses are flattering to real women’s bodies and designed to perform from the trail to the gym and charm everywhere in between. They layer gorgeously for yearround versatility. There is nothing built in, so choose your favorite undergarments. Choose from 15 designs and 2 options (with or without pockets). They are made in the USA and recyclable packaging/tags. Starting at $45, www.nuu-muu.com.
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Violin Lullabies The perfect CD for baby, mother and child. Rachel Barton Pine’s Violin Lullabies features 25 of the most beautiful lullabies written AS lullabies by Ravel, Schubert, Brahms, Gershwin and others of every gender and nationality from around the world. Performed on piano and violin. Authentic lullabies designed to soothe mother and child. $19.05, www.amazon.com.
Diamondback Airen 2 This women’s road bike offers a smooth running, mile loving, and budget conscious ride, whether you are, out on a weekend tour or just commuting to work and back. The women’s-specific frame offers a more comfortable ride for a female build without sacrificing performance, all in an affordable package. MSRP: $900, http://www.rei.com/product/848533 diamondback-airen-2-womens-bike-2013.
BubbleBum
Liquid Palisade Stop unwanted nail polish mishaps! Simply paint liquid palisade wherever you do not want polish. After applying your favorite nail polish, peel off liquid palisade like a stretchy string...leaving polish where you want it, not where you don’t! $22, http://www.liquidpalisade. com/index.php.
The first inflatable car booster seat that is perfect for traveling including fly-ins with car rental, cabs, but also carpooling and everyday use. Parents will love the narrow design making it possible to fit three kids in boosters in the back seat. Designed for ages 4-11, 40-100 lbs. $39.99, www.bubblebum.us.
Dream Balls These are a special tradition in Balinese villages that are quickly making their way over to the states. In Bali, expectant mothers carefully choose a dream ball to wear during their pregnancy. There is an ageold belief that the tranquil chiming sound helps to soothe and relax their unborn child. Sterling Silver and a variety of styles/sizes. Starting at $48, www.sandpiperimports.com.
Forget Me Not and Mom Heart Pendant
Telikin An easy to use, all in one, touch screen computer. Today, with families being geographically separated, the ability to keep closely connected via video chat, email, and photo sharing, is important. Extremely virus resistant! The Telikin interface is easy to navigate. Applications are accessible with a single touch/click. Wi-Fi ready. Free/ automatic software updates. $699, www.telikin.com.
Give her a diamond captured in her favorite flower with the Forget Me Not Collection Mom plus Child pendant, priced at $79.99 or show she is in your heart forever with heart-shaped pink sapphires to, priced at $49.99… and receive a FREE picture frame with the purchase of this pendant, www.fredmeyerjewelers.com.
Trudeau Tea Maker Say goodbye to tea bags and enjoy a perfect cup of tea in style. This 20 oz. glassmaker allows tea lovers to visually watch and enjoy the rich colors of their favorite teas. The ergonomically designed handle will protect your fingers. Tea maker will catch drips and hold your tea basket. SRP: $34.99, www.shoptrudeau.com. azhealthandliving.com | May 2013
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JOIN
Lead paint poisoning affects over one million children today. Learning disabilities, hearing loss, speech delays, violent behavior and, in rare cases, seizures and even death: these are just some of the effects lead paint poisoning has on young children. If your home was built before 1978, lead paint on your walls, doors, windows and sills may be dangerous. And it’s not just large paint chips that can cause damage. In fact, three granules of lead dust are enough to poison your child. Let’s make all kids lead-free kids. To learn more about the simple steps you can take to safeguard your family, log on to LEADFREEKIDS.org or call 800-424-LEAD.
azhealthandliving.com | November 2012
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SENIOR LIVING
“How do you sow the Word? By simply putting it into practice. By obeying it and applying it to your everyday life. The verses in Mark 4 tell us that the seed of the Word can be sown into different types of soil. The soil represents our heart condition. The key is to make sure that nothing steals the Word of God out of your heart.� ~Joel Osteen
azhealthandliving.com azhealthandliving.com | | May May 2013 2013 59
stay healthy
aging well By Karen Peterson, author of Move with Balance: Healthy Aging Activities for Brain and Body
Five Must-Do Moves for Seniors
F
or Americans 65 and older, falling down can be the worst thing to happen to them. According to statistics from the National Council on Aging:
• One in three seniors experiences a significant fall each year. • Every 18 seconds, a senior is admitted into an emergency room after losing balance and hitting the ground. • Every 35 minutes, an elderly person dies from a fall – the leading cause of death for seniors. Seniors of all ages need to work on improving their balance, coordination, strength, vision and cognitive skills. When these are improved, they are less likely to fall – and more able to enjoy life. A fun, social program of games and activities that include exercises specifically designed for seniors helps them address multiple issues, including those that tend to keep them sedentary – which only lessen their strength and balance. Here are a few suggested moves, which address many different areas of the body:
The cross-crawl: After various light warm-ups, begin with the basic cross-crawl, which focuses on the fundamentals of balance. March in place, lifting the knees high. At the same time, reach across and touch the lifted knee with the opposite hand or elbow; alternate and keep going. This can be done sitting, standing, or lying down. Once any of these exercises are mastered, participants should continue to challenge themselves. For even greater balance work, and to exercise the vestibular system, close your eyes and count backwards from 100 by threes. It’s not fun if you’re not conquering a challenge. Forward toe-touch dancer: To improve motor
skills, physical coordination and cognition, there are many dance exercises that are appropriate for seniors. If needed, use a chair for assistance. Place your feet shoulder-width 60
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apart. Now, simultaneously extend your left foot and your right arm forward. Keep your left toes pointed down, touching the floor; or for more difficulty, maintain the toes a few inches off the floor. Repeat this move with your left arm and right foot. Hold each pose for several seconds, and increase holding time.
Sensory integration – the arrow chart: Look
at an arrow chart, call out the direction indicated by each individual symbol then thrust your arms in that direction. In other words, say and do what the arrow indicates. For an additional challenge, do the opposite of what the arrow indicates.
Side-step walk: Walk sidestepping – bring your right foot across the left and step down three to five inches away from the left foot, ankles crossed. The closer the feet, the harder it is to balance. Alternate crossing the foot in front and then behind the other foot as you move along; repeat several times, then do the same with opposite feet. As a bonus challenge, try a reading exercise from a vision card, designed for stimulating the brain/visual system, while sidestepping. The cat jump: This activity is practice in case of a fall; the muscle memory of the movement will be etched in your body. Bend your knees in a squat. Jump a little off the ground with both feet, and land softly, like a cat, without jarring your body. Repeat until you are confident in your ability to prevent a spill.
Natural Ways to Ease Arthritis Pain By MS
Arthritis is a leading cause of disability in the United States. The Arthritis Foundation says one in every five adults has arthritis. A complex family of musculoskeletal disorders, arthritis consists of more than 100 different diseases that destroy joints, bones, muscles, cartilage and other connective tissues. This can compromise physical movement and lead to pain. Treatment of arthritis, which has no cure, typically involves reducing pain and improving mobility. While pain medications can be prescribed to treat arthritis, there are other more natural ways to handle arthritis.
Established Arizona practice is seeking a full-time academic, Arizona board-certified plastic surgeon to join their faculty. Candidates should have completed both an accredited program in plastic surgery as well as a fellowship program. Excellent opportunity! Please, email an updated Curriculum Vitae to md@azhealthandliving.com for consideration.
Eat foods that reduce inflammation. Arthritis
causes inflammation in the joints and connective tissues. A number of foods, including tart cherries, have been found to reduce inflammation. According to research from Oregon Health & Science University presented in 2012, tart cherries have the highest anti-inflammatory content of any food. Tart cherries have been specifically linked to high antioxidant capacity. They reduce inflammation, at levels comparable to well-known pain medications. Spinach, walnuts, garlic, and broccoli also can reduce inflammation.
Use hot and cold treatments. The University of Washington School of Medicine says hot and cold treatments can reduce swelling, relax muscles and relieve pain. Cold packs can numb sore areas. Heat sources, in contrast, can help ease pain gradually and limber up tight joints and muscles. Exercise a few times per week. Although it may hurt to move around, frequent exercise can actually be beneficial in the end. Low-impact exercises like walking, swimming and cycling three times a week can help to keep joint pain at bay. Always consult with a doctor before beginning an exercise regimen to find out if it is right for you. Once you get the green light, start gradually. If you are experiencing pain for more than an hour after a workout, it was too much for your body to handle and you need to lighten the load. Lose weight. Being overweight can put added pressure
on joints and cause more pain. Shedding a few pounds may be all it takes to get substantial relief from pain associated with arthritis. azhealthandliving.com | May 2013
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aging well
stay healthy
By Philip Rousseaux, financial advisor and co-author of Climbing the Mountain to Financial Success
New Tools for Retirement
I
f there is one thing Americans have learned from the financial crisis of 2008, it’s that they do not want to lose their money again, especially for folks of a certain age. Losing nearly everything you’ve worked for throughout your entire adult life is right up there with being diagnosed with a major medical condition. It means the lifeblood of your future has been drained. Aggressive investment strategies that offer potentially huge rewards are fine for people younger than 40, but even they should have at least a portion of their retirement portfolio in investments that will provide a guaranteed income. The closer you get to your retirement age, or if you’re already retired, the more important it becomes to change the tools in your financial toolbox. Whether investors are far from retirement, near retirement, or currently retired below are tips and tools to help you stay retired.
Look for the hidden fees in your employer-sponsored 401(k) A Department of Labor rule required all hidden fees attached to retirement plans and mutual funds be disclosed to employers and employees. By some estimates, up to 90 percent of fees attached to retirement plans are hidden! Get an accounting of all fees and if you can’t decipher the information, attend a financial workshop or talk to a financial adviser. It may be time to roll some your money into a less expensive plan. According to an AARP survey, 71 percent of those with a 401(k) had no idea they were paying fees for their retirement accounts.
Explore fixed-rate indexed annuities Investing all of your retirement savings in Wall Street exposes you to a lot of risk. That may be acceptable when you’re in the prime of your career, but it’s important to find alternatives that provide for growth while protecting savings. Fixed-rate indexed annuities, where you loan an insurance 62
May 2013 | azhealthandliving.com
company money and it guarantees you payments over a specified length of time, allows you to forecast the income you will generate. While these annuities will have a ceiling on interest rates, they will also have a floor. Your principal is safe and you can ride an up market without the risk.
Turn your IRA or 401(k) into a joint account For many people this may sound like a new concept. While it’s true the IRA, which stands for Individual Retirement Account, is something only one person can own, many alternative investments, such as a fixed annuity, offer benefits such as guaranteed lifetime income. Within these plans, the owners have the option to guarantee income on both lives, thus creating a joint income for both spouses.
How much you have is not as important as you think For years, planners have touted finding your magical number so that you can afford retirement. This is simply not an accurate measurement and is not what matters. With interest rates at 60-year lows and people living longer due to health care advances, the priority in planning is how much income can you generate and will that income last for your lifetime.
Safety Tips to Help Reduce Risk of Bathroom Injuries By MS
F
alls cause many injuries inside a home. Seniors are especially susceptible to harmful falls in the bathroom, where slippery tiles can prove too difficult for elders to navigate. Slips and falls caused more than 80 percent of bathroom-related injuries. Most of these injuries occurred while getting in and out of the tub or shower, and about 30 percent of those injuries included cuts, scrapes and bruises.
Bathrooms can be more dangerous than other rooms of the house for a variety of reasons. The bathroom is generally comprised of hard surfaces that can become slippery when wet or exposed to high humidity. A bathroom may become hotter than other rooms because of the steam that accompanies a hot shower. Heat may dilate peripheral veins and lower blood pressure in some people. This may lead to dizziness that can result in falls. Installing safety features in the bathroom is a key way to reduce the risk of accidents. Consider the following options, when renovating bathrooms for safety:
Anti-scald features. Burns can be serious business.
Many people have experienced the momentary burst of hot water that occurs in the shower or at the faucet when another household member flushes a toilet or uses a large amount of cold water elsewhere in the house. Anti-scald showerheads and faucets prevent sudden bursts of hot water.
Non-slip mats. Bathroom injuries often occur when people are getting in and out of the shower. Having a nonslip mat on the inside of the shower or tub as well as one with a gripped surface and plush top layer on which to step after exiting the shower can reduce falls.
Bath bench. The elderly may want to invest in a bench or seat to put into the shower. This enables sitting while washing. Safety bars. It can be tempting to grab onto towel racks or faucets to get in and out of the shower, but these items cannot provide the necessary advantage needed. Safety bars with a brushed surface for traction are more secure. Grab bars need to be securely attached to a wood stud in the wall and not into drywall or the tub enclosure.
Raised toilet seat. A raised toilet seat reduces the amount of squatting and the distance needed to sit on the commode. Grab bars on the raised seat itself will provide added safety. Telephone. The bathroom may seem an odd place to install a telephone, but having one nearby in the event of injury can ensure help gets to the injured party much more quickly. Regular cleaning. Routinely ridding showers and
tubs, of soap scum and mildew can reduce the slippery coating that forms because of these substances. Also, be sure to keep clutter in the bathroom to a minimum to stop trips and falls over errant items in the area. Bathrooms can present many dangers, but certain safety tools and renovations can help reduce the risk of injury. azhealthandliving.com | May 2013
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WEDNESDAY 1
Health & Wealth Seminar for Couples 6 p.m., Flemings Steakhouse www.askdrpurcell.com/healthandwealth Free event/parking
THURSDAY 2 Ironcare Splash & Dash + Swim Only – Race 3 6 p.m., Tempe www.4peaksracing.com
FRIDAY 3 The Engineers Club of the West Valley – Luncheon 11:30 a.m. Briarwood Country Club, Surprise www.engineersaz.com
SATURDAY 4 Cinco de Mayo Phoenix Festival 10:00 a.m. Downtown Phoenix http://festivalnet.com
Pilates in the Park 9:30 – 10:30 a.m. Cityscape, Phoenix www.cityscapephoenix.com Roots & Shoots 1 – 3 p.m. Phoenix Zoo www.phoenixzoo.org For ages 10-14; learn about environmental issues
Whiskey Row Marathon 6 a.m., Prescott http://marathons.ahotu.com/race/whiskeyrow-marathon Catalina State Park 30th Anniversary Celebration 9 a.m. – 4 p.m., Tucson www.friendscsp.org/catalina-state-park-30thanniversary.html Hooves & Heroes – Camelot Therapeutic Horsemanship 11:00 a.m. – 4:30 p.m. Scottsdale, www.camelotaz.org
5th Annual Walk With Me Fundraiser 7:30 a.m. check in; 8:30 a.m. walk Steele Indian Park, Phoenix www.walkwithme.org/phoenix Benefitting Easter Seals
SUNDAY 5
Momma’s Organic Market (North Peoria/Sun City Farmer’s Market) 9 a.m. – 2 p.m., every first and third Sunday Linden Tree Nursery 111th Ave and Beardsley Rd., Sun City www.mommasorganicmarket.com Petting zoo, fresh produce, face painting and more
TUESDAY 7
West Valley Women’s Cinco de Mayo Phoenix, http://westvalleywomen.org
SATURDAY 11 The Tinnitus Foundation 5k Fun Run Phoenix, www.thetinnitusfoundation.org
The Bubble Run 8 a.m., Phoenix www.bubblerun.com/events/phoenix Neon Splash Dash 5k 5:30 p.m. gates open; 7:30 p.m. race begins Scottsdale, www.neonsplashdash.com Gold Tournament – Autistic Kids Golf Program 7:30 a.m., Sun City www.suncitycountryclub.org
SUNDAY 12
MONDAY 13 Phoenix Job Fair 11 a.m. – 2 p.m., Phoenix Airport Marriott http://nationalcareerfairs.com
FRIDAY 17
Veteran Job Seeker Workshop 2:00 p.m., Phoenix http://veteranstoyou.wufoo.com Free event
SATURDAY 18
Bike MS: Ride the Vortex Today and Sunday Sedona/Cottonwood www.bikemsarizona.org Benefitting Multiple Sclerosis research
SUNDAY 19
Tempe International Triathlon 6:30 a.m., Tempe Town Lake www.tucsonracing.com
SATURDAY 25
Recycled Collage 12 – 2 p.m., Tempe Center for the Arts 480.350.2867
Momma’s Organic Market (Peoria Farmers Market at Park West) 9 a.m. – 2 p.m., every Saturday www.mommasorganicmarket.com Petting zoo, fresh produce, ace painting and more
SUNDAY 26
Silent Sunday 5 – 7 p.m., South Mountain Park 602.262.7393 Roads closed for non-motorized users to enjoy
MONDAY 27
Memorial Day
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Calendar times and dates may change. Please confirm before attending.
May azhealthandliving.com | May 2013
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CoolSculpting is a registered trademark and the CoolSculpting logo, the Snowflake design, and Let’s Get Naked are trademarks of ZELTIQ Aesthetics, Inc. Results and patient experience may vary. Consult your physician. © 2012. All rights reserved. IC1037-A
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Look No Further!
Relief is right here in Arizona Dr. Kukurin was named a Top Chiropractor by the Consumers Research Council of America. He is listed in Who’s Who in Medicine and Healthcare. With over 20 years of experience using acupuncture, chiropractic and science based nutritional therapies, the results produced by our methods have been featured on local TV newscasts, published in scientific journals, indexed in the National Library of Medicine and have been presented Knee Pain at medical conferences at Johns Hopkins and the Peripheral Nerve Society.
Diabetic Neuropathy, Peripheral Neuropathy Tarsal Tunnel Syndrome, Plantar Fasciitis If you are suffering from lower back, buttocks and or leg pain or your feet or legs are cramping, numb or burning especially at night, you almost certainly have a condition which involves the nerves of the legs. The largest nerve in the body, the sciatic nerve (pictured in red to the right), starts in the lower back, runs through the muscles of the buttocks and down to the tip of the toes. If this nerve gets irritated, you can experience really terrible pain anywhere along the course of the nerve. You may also experience burning, numbness and odd sensations in your muscles. Irritation of this nerve may produce severe cramping or crawling sensations in your muscles. Of course, your back and leg pain can be caused by a pinched nerve in your lower back. This can be from a vertebra that is out of place, it can be caused by a slipped disc or it can be caused by spinal stenosis or any combination of these problems. Each of these conditions, bad discs, spinal stenosis or displaced vertebrae have very different treatments. Knowing exactly why you have your back and leg troubles is absolutely essential for effective care.
Headaches, Vertigo, TMJ, Migraines, Sinus Headache Neck and Shoulder Pain, Pinched Nerves, Tennis Elbow and Carpal Tunnel Syndrome
Spinal Stenosis, Sciatica, Lower Back, Hip and Leg Pain
So how do you find results? The answer is called Integrative Neurology. Neurology is the study of the nerves. This allows us to diagnose tough nerve conditions like spinal stenosis, disc problems and neuropathy. What happens next truly separates our integrative neurology approach from anything else available to help correct lower back, hip, leg and foot problems. We have pioneered techniques to decompress nerves, but also use a number of natural substances that have been shown in recent scientific studies to help nerves re-grow and repair. There are no current drugs that can do this. But that’s not all. We combine special electrical stimulation techniques with acupuncture. A combination that has been shown to correct abnormal nerve function and promote nerve repair. There simply is no better or more comprehensive system for diagnosing and correcting the cause of spinal stenosis, neuropathy and other conditions that cause lower back, hip and leg pain and numbness. To find out how we can help you or learn more about our award winning doctor and treatments, visit our website at www.kcpv.info or if you need help now, call us at 623.547.4727. You’ll be glad you did!
KUKURIN CHIROPRACTIC, ACUPUNCTURE & NUTRITION NETWORK Dr. George Kukurin, DC DACAN
12409 W. Indian School Rd. #C304, Avondale AZ • www.kcpv.info azhealthandliving.com | November 2012 67 Preferred provider for most insurance plans including BCBS, Cigna, Aetna & more.