Breaking Barriers Issue Caring for Yourself in the Midst of Stress Ways to Manage Back Pain Menopause Treatment & Breast Cancer Risk
Reese Witherspoon
Incredible & Inspirational
OCT OBER2013 az heal t handl i vi ng. com
OCTOBER 2014
VOLUME 5, ISSUE 62 azhealthandliving.com
5
Toxic Beauty Ingredients to Avoid Working on Emotional Intelligence Skills How to Detect & Protect Against Workplace Bullying Are Your Questions Sabotaging Your Relationships?
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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.
13
Contents
A Division of
Publisher Great Central Sun Media Group Executive Editor Lisa Padilla Celebrity Photo Editor Pure Intent B.C. Group Graphic Design Pure Intent B.C. Group
Contributing Writers
Grey Stafford Katie Snyder Nidah Chatriwala Alison Bailin Batz John Hartog Jim Kohles Haitham “Hutch� Ashoo Rakesh Malhotra Lynda Chervil Geoffrey Tumlin Kate Judge Tim Brown Joni Aldrich Marla Tomazin Bill Schultz Crystal Clear Acne Clinic
HEALTH & WELLNESS 26-29 Health
50 Celebrity Reese Witherspoon: Incredible & Inspirational
Seven Suggestions for the PostDiagnosis Medical Waiting Game; Menopause Treatment & Breast Cancer Risk; How to Manage Back Pain
Contact us: Great Central Sun Media Group, LLC 16845 N. 29th Ave. Ste. #754 Phoenix, Arizona ,85053 623.335.0771 Advertise@, Editor@, Calendar@,Press@ @ azhealthandliving.com www.azhealthandliving.com www.facebook.com/ArizonaHealthandLiving www.twitter.com/AzHealthLiving
About us: Great Central Sun Media Group, a media and marketing firm, 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.
52 Special Feature Product Guide
54 Skin & Beauty Posture, Beauty & Your Health; Five Toxic Cosmetic Ingredients to Avoid
Special thanks to God, our advertisers, community partners, contributors, and readers for making this magazine possible. Arizona Health & Living is published monthly. All rights are reserved. The entire contents of Arizona Health & Living are copyright 2014 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.
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30 Mind, Body & Spirit Caring for Yourself in the Midst of Stress
34-41 Healthy Chatter Local Doctors, Experts & Business Owners Answering Frequently Asked Questions
LIFESTYLE & LIVING 44-47 Family, Kids & Relationships Living Inside Your Integrity; Are Your Questions Sabotaging Your Relationships?
56 Career, Business & Finance How to Detect & Protect Against Workplace Bullying; Working on Emotional Intelligence Skills
SENIOR LIVING 60-63 Aging Well Driving Safely While Aging; Will Your Beneficiaries Beat the Odds?
COMMUNITY 14-22 Inside Every Issue
48 Fitness, Nutrition & Sports How to Prevent Muscle Soreness
12 October 2014 | azhealthandliving.com
Know Your Neighbors; Heart of the Community; Neighborhood Buzz; Community Activists; Hometown Doc
Together We Can Make a Difference...
“I can do all things through Christ who strengthens me.”~Philippians 4:13
W
elcome to our Breaking Barriers Issue. When you work for God and not for people, and you are closer to your destiny, the challenges you face may become tougher. However, remember God has equipped you to weather any storm. Your destiny is too great, and your assignment is too important to allow any barriers to come between you and your purpose.
Exodus 14: 27
When you find yourself on unfamiliar ground, remember God didn’t crown you with favor to be easily shaken- set your mind on things that are above, because the battle is not yours!
And it shall come to pass, as soon as the soles of the feet of the priests who bear the ark of the Lord, the Lord of all the earth, shall rest in the waters of the Jordan, that the waters of the Jordan shall be cut off, the waters that come down from upstream, and they shall stand as a heap.
Colossians 3:2 Set your mind on things above, not on things on the earth. 2 Chronicles 20:15 Be not afraid nor dismayed by reason of this great multitude; for the battle is not yours, but God's. Isaiah 40:4 The crooked places shall be made straight, and the rough places smooth;
And Moses stretched out his hand over the sea; and when the morning appeared, the sea returned to its full depth, while the Egyptians were fleeing into it. So the Lord overthrew the Egyptians in the midst of the sea. Joshua 3:13
Micah 2:13 The breaker is come up before them: they have broken up, and have passed through the gate, and are gone out by it: and their king shall pass before them, and the Lord on the head of them. Deuteronomy 33:25 Your sandals shall be iron and bronze; As your days, so shall your strength be. Philippians 1:6
Isaiah 54:17
Being confident of this very thing, that He who has begun a good work in you will complete it until the day of Jesus Christ;
No weapon that is formed against thee shall prosper; and every tongue that shall rise against thee in judgment thou shalt condemn. This is the heritage of the servants of the Lord, and their righteousness is of me, saith the Lord.
Until next time, May the Lord set you free! “And ye shall know the truth, and the truth shall make you free.” ~ John 8:32
Psalm 18: 29 For by You I can run against a troop, by my God I can leap over a wall. Exodus 14:16 But lift up your rod, and stretch out your hand over the sea and divide it. And the children of Israel shall go on dry ground through the midst of the sea.
God Bless You! Here to serve,
Lisa Padilla
editor@azhealthandliving.com
azhealthandliving.com | October 2014
13
KNOW YOUR NEIGHBORS
SUPPORT LOCAL
By Kate Judge
Luci’s Healthy Marketplace
A health-food shop, coffee bar and café Picture a place that allows you to shop local, get organic and natural products all while enjoying freshly cooked meals, and you get an idea of the vision behind Luci’s Healthy Marketplace. “We’re all about providing a place for people to come and be reminded of wellness,” Lucia Schnitzer, founder of Luci’s Healthy Marketplace says. “Not just eating healthy but taking care of yourself and surrounding yourself with people who reflect wellness.” The idea for the marketplace started when Schnitzer was diagnosed with breast cancer and began to eat healthy, nontoxic and chemical-free food to help in her recovery. “I noticed that it was very hard to find items that fit that criteria in conventional grocery stores, so with the help of my husband Ken, we sought out to create a place that would fill that gap,” Schnitzer says. In 2009, the Schnitzers opened Luci's Healthy Marketplace, located on the corner of a historic strip mall in North Central Phoenix. However, before the couples business could even take off they ran into another obstacle shortly after opening. “Three months after opening, a fire burned down a neighboring restaurant,” Schnitzer says. “Thankfully, the fire did not affect Luci’s, but water and smoke damage caused us to have to remodel and close for three months." After three long months of remodeling, Luci’s Healthy
Marketplace was finally open for business again, and the Schnitzers could not have been more thrilled. “We saw our vision vanish,” Schnitzer says. “As devastating as it was, we were able to use it as a way to re-evaluate our focus and create a better space for customers to enjoy." Today, Luci’s Healthy Marketplace has established itself as a landmark neighborhood market, with a large and loyal customer base. Inside guests are greeted with quaint charm and cheerful decor that has both a 1950s and a contemporary feel. An abundance of storefront windows let plenty of sunshine into the space, for both diners and shoppers. "And when the weather is nice, the roll-up garage doors make it really inviting,” Schnitzer says. “We feel we’ve created a neighborhood community living room.” On one side is a grocery department featuring frozen foods, organic and gluten-free items, supplements, shampoos and other household products Also, in that area are craft beers, small-batch sodas, organic dairy, other cheeses and organic packaged meats, among other gourmet grocery items. “We also made sure to make room for a fully loaded commercial kitchen that was capable of churning out made-to-order sandwiches, breakfast dishes, omelets, salad and soups,” Schnitzer says.
14
October 2014| azhealthandliving.com
Photos courtesy of Luci's Healthy Market Place
Commission’s Gold Seal of Approval™ for accreditation. They added gynecological treatment their At thealso coffee bar, guests can grabcancer their favorite hot to or cold growing list of patient services, another first for the West drink along with a fresh baked scone or other baked goods Valley. made daily. Today, the practice now boasts 52 physicians, more than 200 employees and 20 partner offices Valleywide, including several in the West Valley cities of Peoria, Avondale, Glendale, Surprise and Wickenburg. “We are a cancer center without walls whose services stretch into every inch of this community, offering the West Valley with the best doctors, best treatment technologies and best research in the country,” Dr. Reed says. “Cancer is a disease of survivors – and we want to keep it that way.” “We are so proud to be a vital part of this community and have such great customers,” Schnitzers says. “We hope to be a place for people of all ages to come and enjoy a great atmosphere, great food, and quality products for many years to come.”
Luci’s Healthy Marketplace
Arizona Center for Cancer Care 1590 Bethany 14155 N.E.83rd Ave.,Home #127, Rd. Peoria Phoenix 623.773.2873 www.lucishealthymarketplace.com www.arizonaccc.com
Cheetahs
By Dr. Grey Stafford
As the fastest land mammal on earth, Cheetahs are designed for speed being able to reach up to 60 mph in just a few seconds. Their ability to sprint at high velocity in pursuit of small, but speedy prey is short lived, often depleting their energy stores. Thus, it is imperative the cheetah trips up and subdues its prey quickly. Cheetahs are unlike most other cats in that their claws are only partially retractable, which helps to improve their traction while running. Given their sleek body shape, cheetahs are less able to defend themselves from other large predators like hyenas and lions. Such competition with other predators, along with a natural genetic "bottleneck" and conflict with humans has made the species vulnerable to extinction. Its former range extended across much of Africa and Asia. Today it is restricted to shrinking and increasingly isolated grassland and savanna habitats in Africa and is most likely gone from Asia. Wildlife World Zoo, Aquarium, and Safari Park have made a multiyear financial commitment to support wild cheetah conservation. WILDLIFE WORLD ZOO , AQUARIUM & SAFARI PARK 165th Ave. & Northern 623.935.WILD (9453) www.wildlifeworld.com This space is sponsored by Wildlife World Zoo & Aquarium
azhealthandliving.com | October azhealthandliving.com | July 2014 2013
15
HEART OF THE COMMUNITY
SUPPORT LOCAL
By Alison Bailin Batz
Elevate Phoenix
Empowering & educating Arizona’s youth Kids in urban areas of this Valley are struggling. Faced with poverty, gangs, drugs, violence and dysfunction; their futures are put into jeopardy every single day. One local group – Elevate Phoenix – is focused on doing something about it. Founded just a few short years ago, Elevate Phoenix is a unique and often life-changing program for Arizona youth that provides in-school teaching; after-school mentoring/ tutoring; career instruction/ post-secondary preparation; character, life skills and peer leadership development; community service; adventure activities; and reading/ literacy improvement within urban public schools. Its mission is to strengthen character, empower knowledge and elevate relationships, and its success is directly measured by the success of its youth participants. Currently, the organization reports a 98 percent graduation rate, and 90 percent post-secondary rate among participating youth in Arizona’s most urban communities. “The heart of our success is the work of our team of fulltime, primarily ethnic staff who serve as teachers, mentors, and life coaches to students over multiple years. Teacher mentors are available to students 24/7,” Elevate Phoenix executive director, Tim Cleary says. “These one-on-one connections make in-school learning more effective.
As a part of this relational approach, Elevate Phoenix standardizes its learning objectives and equips staff to meet the varied learning needs of their students.” Currently, Elevate Phoenix is serving 4,500 local students at a cost of just $222 per student. As the nonprofit organization got off the ground, it was funded wholly by contributions from businesses and civic organizations. However, with an eye toward growing the number of children it serves, Elevate Phoenix is pleased to announce the launch of its first-ever signature fundraising event, Weekend Jetaway. “Weekend Jetaway is the brainchild of AXA Advisors Southwest and partners as both a way to bring its own staff together on a volunteer effort and raise funds for local nonprofit – we are especially proud the funds will be used toward our local kids,” Dillan Micus, executive vice president of AXA Advisors Southwest, says. Weekend Jetaway will take place in a private jet hangar within the Scottsdale Airpark Saturday, Nov. 1. It will feature live music, gourmet food from chefs across the Valley, dancing, a luxurious silent auction, and games – with the winner of the games from the evening taking home a free trip for four on a private jet.
16
October 2014 | azhealthandliving.com
Photos courtesy of Elevate Phoenix
Bringing additional excitement to the big night, Tom Lehman will host the event. Lehman has been playing golf professionally for more than 30 years, and is the only golfer in history to have been awarded the Player of the Year honor on all three PGA Tours. Currently playing on the PGA Senior Tour, Lehman won the Open Championship, one of the PGA’s major titles, in 1996.
prepared for tomorrow,” Lehman, who serves with fellow local leaders including the Phoenix Suns’ own Ann Meyers Drysdale on the board of directors for Elevate Phoenix, says. Tickets are all-inclusive of food, drinks and entertainment and start at $100/person. To learn more about this event or to purchase tickets, visit www.weekendjetaway.org.
“I’m passionate about the work Elevate Phoenix does. I know how important it is to ensure that today’s youth are
3750 W. Indian School Rd. Phoenix 602.532.4873 www.elevatephoenix.org
azhealthandliving.com | October 2014
17
Be InformeD
NEIGHBORHOOD BUZZ
Suns Charities 88 Slam Dunk Street Party Join Sun Charities 88 as they host their annual progressive dinner, the Slam Dunk street party, presented by Trapp Corp., Saturday, Oct. 11, in downtown Phoenix. This event will tipoff with a cocktail reception, on the Suns main court at US Airways Center at 201 E. Jefferson St., in Phoenix, then move to Central Avenue for a sit-down dinner. The event will feature dancing under the stars, with dessert and music provided by Michael Wesley. Registration starts at 6 p.m. Individual tickets are $188. For more information or to purchase tickets, visit www.nba.com/suns/charities-slam-dunk.
Call for Entries, Seeking Amazing Teens Now celebrating its milestone 20th year, The Prudential Spirit of Community Awards, sponsored in partnership with the National Association of Secondary School Principals, will open its Call for Entries until Nov. 4, 2014. The award program is the United States' largest youth recognition program based exclusively on volunteer community service. The program's goals are to applaud young people who already are making a positive difference in their towns and neighborhoods, and to inspire others to think about how they might contribute to their communities. The top national winners, selected by a distinguished judging panel with representatives from some of America's leading service and education organizations, each receive $5,000, a gold medallion, a crystal trophy for their nominating organization, and a $5,000 Prudential Foundation grant for a charitable organization of their choice. More than 30,000 participated last year. One hundred-two State Honorees are named each year – two from each state, and there are 230 Distinguished Finalists. Then each May, the top 10 youth volunteers are selected and named, “America’s Top 10 Youth Volunteers.” For more information or applications, call 1.877.525.8491 or visit, www.spirit.prudential.com.
Sunfare Health Run/Walk to Benefit ProKids On Sunday, Oct. 19, put on your running shoes in support of ProKids at the Sunfare Health Run 2014. Sunfare, a leading provider of personalized healthy meals and delicious, family-style dinners delivered right to your doorstep, has joined forces with ProKids to support youth sports with this 5 & 10K run/walk. This health run is a 100 percent nonprofit fundraiser for ProKids, a Phoenixbased charity dedicated to improving the lives of at-risk youths through the power of organized sports. The event will take place at Reach 11 Sports Complex at 2425 E. Deer Valley Road, in Phoenix at 7 a.m. Entry fees start at only $25, all participants will receive custom medals, custom Dri-Fit Tech t-shirts and a preand post-race runner’s brunch, as well as awards for the top three racers in each age group. For more information on the Sunfare Health Run, or to register for the event, visit the Sunfare Facebook page www.facebook.com/sunfare. For more information on ProKids USA Charity, visit www.prokidsusa.org. 18
October 2014 | azhealthandliving.com
Join the Fight to End Breast Cancer in Phoenix
On Saturday, Oct. 25, join other Valley residents in uniting with the American Cancer Society in their fight against breast cancer during the 2014 Making Strides Against Breast Cancer walk. Making Strides is open to all ages. This event will take place at Tempe Beach Park located at 54 W. Rio Salado Pkwy, in Tempe. For more information, visit www.makingstrideswalk.org/phoenixaz.
Dance for the Health of it Club Presents “Boogie Nights Rock ‘n Roll” Dance
On Friday, Oct. 17, get your dancing shoes ready and join other Valley singles and couples for Dance for the Health of it Club’s “Boogie Nights Rock ‘n Roll” Dance. This event will take place at Palm Ridge Summit Hall, 13800 W Deer Valley Dr., in Sun City West from 6:30 – 9:30 p.m. DJ, Kort Kurdi, will spin the greatest hits from the 70s and 80s. Admission will be $5 members and $6 guests. Bring your own refreshments; ice and cups will be provided. For more information, call 602.679.4220 or visit, www.scwdanceforhealth.com. azhealthandliving.com |October 2014
19
Be InformeD
NEIGHBORHOOD BUZZ
Free Midwestern University Open House Showcases Health Care Careers Midwestern University’s faculty, admissions staff, and students are ready to help you embark on a career in health care. The University’s Glendale campus located at 19555 North 59th Avenue, in Glendale will host a free public open house in the campus Auditorium Saturday, Nov. 1, from 10 a.m. to 12:30 p.m. Current Midwestern students will conduct informative campus tours, which will allow you to experience the University’s facilities, clinics, and accommodations from a student’s perspective. University staff will be on hand to provide information on admissions, while Midwestern faculty will introduce and explain professional degree programs in osteopathic medicine, pharmacy, physician assistant studies, occupational therapy, cardiovascular science/perfusion, podiatric medicine, nurse anesthesia, biomedical sciences, clinical psychology, optometry, dental medicine, physical therapy and veterinary medicine. To register call 1.888.247.9277, email admissaz@midwestern.edu or visit, www.midwestern.edu/azopenhouse.
‘A Taste of Greece’ Hosts 33rd Semiannual Fall Greek Festival Join other Valley neighbors at A Taste of Greece 33rd Semiannual Fall Greek Festival Oct. 3-5. Enjoy traditional Greek food. Complementing the food will be performances by Greek Folk Dancers in authentic costumes, dance workshops, and a Kid Zone with arts and crafts. All proceeds from the day’s event will benefit St. Katherine Greek Orthodox Church and related philanthropic activities and community charities. Admission is $3 and free for kids under 12. This event will take place at St. Katherine Greek Orthodox Church, located at 2716 North Dobson Road, in Chandler. Free parking and a shuttle bus will be available at Dobson High School, located at 1501 West Guadalupe Road, Mesa. Disabled parking is available on the church grounds. For more information, visit www.atasteofgreecesz.com.
Don’t be a Chump! Check for a Lump! Amazing Race – Wig Out Rally your team and join the Amazing Race - Wig Out to fight breast cancer, Oct. 26. This family friendly event will benefit Don't be a Chump! Check for a Lump! in the fight against breast cancer. Teams will be racing around downtown Scottsdale doing crazy challenges in order to receive their next clue and making their way to the finish line for the grand prize of $500! All participants will receive a special event T-shirt, team spirit, and bragging rights that you are helping fight breast cancer! All teams are encouraged to dress up and “Wig Out” for the race, with prizes for the best team costume and more. Each team must consist of 2 - 4 people. For more information or to register your team, visit www.checkforalump.com. 20
October 2014 | azhealthandliving.com
Tolleson Community & Neighborhood Health & Pet Expo
On Oct. 25, join other valley neighbors at the Tolleson Community & Neighborhood Health & Pet Expo. This event will feature free pony rides, petting zoo and health screenings, Chihuahua and Weiner dog races, and an animal costume contest. Low cost vaccines for cats and dogs will also be available. This event will take place from 10 a.m. to 1 p.m. at Veterans Park, 8601 W. Van Buren Street. To learn more about this event, call the City of Tolleson Parks and Recreation Department at 623.474.4992 or visit, www.tollesonaz.org/healthfair.
'The Way You Walk Can Help You Stay On Your Feet' Lecture
On Tuesday, Oct. 21, discover what you need to stay on your feet by attending Midwestern University’s free public lecture. Dr. Judy Woehrle, associate professor, Midwestern University College of Health Sciences Physical Therapy Program will examine different gait evolutions and explain some of the causes of poor walking patterns. This lecture will take place from 6 to 7:30 p.m. at the Phoenix Juniper Branch Library, 1825 W. Union Hills Drive, in Phoenix. For more information, call 623.572.3353. azhealthandliving.com |October 2014
21
INSPIRATIONAL HOMETOWN DOCS
NEVER LOSE FAITH
By Katie Snyder
Dr. Jon McCaine Empowers high risk youth & adults Dr. Jon McCaine is convinced that the best way to help at risk youth is through education and mentorship. As a licensed clinical psychologist in the Valley, Dr. McCaine has a long history of working with youth and adults with chronic medical, mental health and disruptive behavioral disorders. “Individuals who make a wrong turn in life often face an uphill battle to succeed afterward,” Dr. McCaine says. “They need council and training to ultimately overcome those obstacles and reach their full potential.” Since graduating from the University of Maryland and moving to Arizona, Dr. McCaine has dedicated himself to providing therapeutic services to high-risk youth and adults, as well as consultation and training on effective strategic psychoeducational and cognitive - behavioral intervention to individuals and families across Arizona. “I’ve always worked in the behavioral health sector with social service, federal, tribal and state government organizations,” Dr. McCaine says. “But when the opportunity came to be part of Bayless Healthcare and set the foundation for different projects and new areas of behavioral health, I couldn’t pass it up.” Today, nearly 30 years later, Dr. McCaine works out of the Bayless Healthcare South Phoenix Clinic. There he is the Director of Training and Clinical Supervision for the Lighthouse High Risk Youth Program, where he helps young adults struggling with destructive behaviors develop new perspectives and skills for dealing with the obstacles they may encounter. “Today more than ever, there is a need for these types of services,” Dr. McCaine says. “So, I’ve made it my mission to support both the physical and emotional needs of individuals and families both in and out of the office.” When he’s not in seeing patients, Dr. McCaine is volunteering his time throughout the community—sitting on boards, committees and discussing behavioral health issues, such as child abuse, juvenile substance abuse and violence, intimate partner abuse, sex trafficking and prostitution. “Receiving the best education and training possible has been critical in allowing me to be effective at what I do,” Dr. McCaine says. “I have been fortunate to work and volunteer alongside 22
October 2014 | azhealthandliving.com
Dr. Jon McCaine some of the best behavioral health professionals and top leaders in the Valley, and it’s benefited my career.” So much, it’s garnered the Valley doctor both local and national recognition. Some of his recognitions include: · Honored with Attorney General’s Distinguished Service Award for work in the area of family violence prevention and education. · Keynote speaker on: Moments of Truth: Promoting Healthy Development in Youth at the Head Start 25 year Anniversary Conference; Intimate Partner Violence at the International Conference on Violence Against Women; The Eyes of Child: A Developmental Perspective on the Impact of Child Abuse at the James Baker National Institute for Public Policy. · Recipient of the Martin Luther King Memorial Award for Community Service and Education. “It’s not an easy job, but the end result of helping someone else makes it all worth it,” Dr. McCaine says. “With the support of my colleagues at Bayless Healthcare, I hope to continue to inspire others for many years to come and provide strategies to help at-risk youth and adults navigate obstacles, make good decisions and strive toward their dreams.”
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HEALTH & WELLNESS
“... Thus saith the Lord unto you, Be not afraid nor dismayed by reason of this great multitude; for the battle is not yours, but God's.� ~2 Chronicles 20:15
azhealthandliving.com | October 2014
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health
PREVENT
By Joni Aldrich, speaker and author of Connecting through Compassion: Guidance for Family and Friends of a Brain Cancer Patient
Tips for the PostDiagnosis Medical Waiting Game No matter what battle you may be facing, the pain of waiting and not knowing is still the same. Take it one day at a time. Control the things you can control, focus on the day ahead, and keep a positive attitude. The days and weeks following the diagnosis of a serious illness can be torturous. After the initial shock wears off, most patients and their caregivers are anxious for the next step so that they can begin to gear up for the fight that lies ahead – and what most find out is that the medical community doesn’t typically work on a schedule that is as hurried, as we might like. For many patients, after an initial diagnosis, getting an appointment to see a decent specialist can take several weeks, and that’s if you are lucky. For many patients it can take much longer. Your nerves will be on edge and you will likely jump at the sound of the phone ringing. It can be an agonizing, frustrating, and helpless time for patients and their families. Do everything that you can to expedite your consultation with a good specialist—no matter how many strings you have to pull or people you have to bother. Find ways to stay productively occupied in the days and weeks of waiting. Here are seven suggestions for keeping busy and being proactive while you “hurry up and wait”:
Research the basics. You have left your doctor’s office with a diagnosis but not much more, and the fear of the unknown can be overwhelming. If you haven’t requested copies of all medical tests already, now is the time to do so. This is the key to doing your own research before meeting with your medical specialist. The Internet can help you translate the big words that we laymen may not understand on the report. Create a long list of questions for your doctor to cover at your appointment. However, do not get too caught up in “Dr. Google.” There is a balance—you may find out more than you need or want to know. 26
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You may be walking a line between ‘TMI’ and your own safety zone, but one thing is for sure—a good specialist will appreciate the effort you have made to get information upfront. If you don’t want to review all of the medical mumbo jumbo on the report, skip right to the summary on the back. Use the search engine on your computer to find out more — and be sure to write down the details. If some of the facts you uncover are a little scary, remember that every patient is different.
Review the credentials of the medical facility (and
potential second opinion facilities, too). Once you have a better understanding of the medical test results, you can then begin to search online for the best medical facilities for your particular diagnosis. It might not be the one you have been referred to; that may be only a starting point. Location, location, location isn’t just the credo for business and house hunting. Just because one hospital is renowned for treating heart disease, you can’t assume that it’s rated well for neurosurgery. Read up on the annual caseloads, if you can find them, and search around for recommendations from patients who have actually received treatment at those facilities. One of the most important things you can do in this phase is to network. Ask everyone you know about their own experiences with a local medical facility—whether it was a positive or negative experience. Many people stop short of simply asking for an honest evaluation, when it is the very information that could save their lives.
Call on your A-team. Even though the wheels may seem to turn slowly before the first meeting with your medical team, once you meet with them things can heat up quickly. It pays to be prepared. Are you going to need some help with child care so you can go to appointments? What about
your pets? Can someone pick up your mail? How will you pay your bills if your treatment is done out of town? These things may seem insignificant now, but having them handled can be a major stress relief in the midst of treatment. Friends and family will want to know how to help, and these tasks are the perfect response for you to give them when asked.
Keep up with your homework. Since you never know
what that first appointment will bring, it’s important to be as prepared as possible ahead of time. If you believe there is a chance the patient will be admitted, you may want to pack a small bag with necessities ahead of time to have on hand. Spend some time compiling lists of medical information, such as an up-to-date list of current medications, insurance provider information or a detailed write-up of symptoms and any previous treatment. Actual housekeeping isn’t a bad idea either. Having a clean home is essential when you are caring for a sick patient, and not having to come home to a pile of laundry after a hospital stay will give you peace of mind as well. My motto when it comes to scenarios like this is that it’s better to have it and not need it, than to need it and not have it—especially if the hospital is a lengthy commute. In the days leading up to your first visit, you might want to make a few meals to freeze, or make sure the grass is cut. Staying busy will keep your mind from focusing on concerns that you can’t do anything about yet. It will allow you to focus fully on the task at hand when the time comes, instead of worrying about small, ‘housekeeping’ details.
Quit procrastinating on the paperwork. No one likes
thinking about documents like their will, living will or health care power of attorney, especially when the shock of a diagnosis is still fresh. Most people look at these tasks negatively and so they avoid them. However, it’s important to think of it as something that you need to do for your family. It’s one of the things during this time that you can control and do proactively. Laws vary by state, so be sure to discuss specific requirements with an attorney or clerk of courts office. After you have completed your documents, store them in a safe place. Make sure that those closest to you know where they are and have a general idea of what your wishes are.
If you’re in a big hurry, there’s a document called ‘Five Wishes’ from an organization called Aging with Dignity. It covers your health care power of attorney, the kind of medical treatment you do or don’t want (including extreme measures), and many other pertinent decisions. It can be filled out in 15 minutes, but does have to be witnessed. It is, however, much faster and easier than doing the legal documentation. As a last resort, write down a list of your basic wishes and have it notarized.
Give yourself a little reassurance about your insurance. It’s no secret that medical treatments can be financially devastating if you don’t have cooperation from your insurance company. Receiving upsetting financial news at the peak of an illness or mid-treatment can cause unnecessary stress on both the patient and the caregiver. Take some time to get on the phone with your insurance provider before you begin any treatments or medical visits. Ask questions, get a detailed listing of benefits, fill out any necessary paperwork, and figure out what your upfront costs may be. Knowing this ahead of time will allow you to make a financial plan, or identify sources of financial aid.
A call that takes 10 minutes to make can save you thousands of dollars and hours of unnecessary stress. While the patient’s needs must always come first, you’ll benefit in the long run if you prevent any future surprises.
Be prepared for an emergency. Even though your
scheduled appointment may still be a few days (or even weeks) away, it’s entirely possible that you will find yourself in a situation where the patient’s condition worsens quickly. In these types of situations, you need to be prepared to take immediate action. It’s a tough decision, because you may be in an emergency room for hours on end, and hospitals contain a high volume of germs that you don’t want the patient to be exposed to unnecessarily. However, there are times when it will be unavoidable, and you should be prepared to take all of the medical test results, medications, and information that you have already accumulated from the general practitioner with you. azhealthandliving.com | October 2014
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HEALTH
PREVENT
By MS
Menopause Treatment & Breast Cancer Risk Upon reaching a certain age, women go through the natural process of menopause. This change typically occurs when a woman reaches her late 40s or early 50s. The transition to menopause happens over several years and results in fluctuations of hormone levels in a woman's body. During this transition, many women experience a variety of symptoms, from mood changes to hot flashes to vaginal dryness. These symptoms can be so severe they impact daily activities and can impede quality of life. Hormone replacement therapy, or HRT, may be prescribed to alleviate the side effects of perimenopause and menopause. However, HRT is not without risks, including an increased chance of developing breast cancer. According to The Mayo Clinic, HRT, which includes medications containing female hormones to replace the ones the body no longer makes naturally after menopause, used to be a standard treatment for women with severe symptoms. In the largest clinical trial to date, a combination estrogen-progestin pill was found to increase the risk of certain serious conditions, including blood clots, heart disease, stroke and breast cancer. This type of therapy also may make a woman's breasts appear denser on mammograms, making breast cancer more difficult to detect. When undergone for more than a few years, HRT has been confirmed by multiple studies to increase the risk for breast cancer. Women concerned about HRT and cancer risk, especially those with a significant family history of breast cancer, generally want to avoid the use of hormone therapies. However, what is a person who is experiencing many side effects of menopause that can be easily remedied by hormone therapy to do? Research into HRT alternatives has discovered a host of natural treatments that can provide relief.
Soy offers some promising results, especially with regard
to relieving hot flashes. Soy is very high in phytoestrogens, or plant estrogens.
Red clover and flaxseed are other sources of plant estrogens. Phytoestrogens are less potent than pharmaceutical estrogen, and scientists believe they do not contribute to breast cancer in the way natural or pharmaceutical estrogen may. Black cohosh is a member of the buttercup family and is a perennial plant native to North America. Preparations of black cohosh are made from the roots and underground 28
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stems. Black cohosh has long been used by natives of North America to treat malaise, gynecological disorders, rheumatism and other conditions. Black cohosh is now sold as an herbal remedy to alleviate hot flashes and excessive sweating in menopausal women. The National Institutes of Health awarded more than $7 million to the University of Illinois to study the efficacy of black cohosh and other herbs in treating certain symptoms of menopause.
Dong quai. This herb is in the celery family and native to
Asia. In Chinese medicine, dong quai has been considered a "female ginseng" because of its way of balancing the female hormonal system. As such, dong quai has long been used to relieve the symptoms of premenstrual syndrome and menopause. According to the University of Maryland Medical Center, researchers are unsure if dong quai acts like estrogen or blocks estrogen in the body, as studies have produced mixed results.
Lifestyle changes. Women may need to dress more
lightly, use a water atomizer to spray their bodies to cool down and keep their bedrooms cold to alleviate hot flashes.
Vaginal estrogen. If vaginal dryness and pain during
intercourse are the primary symptoms, vaginal estrogen rings or suppositories may be necessary. These provide estrogen directly to the affected area while only allowing very low levels to enter the bloodstream. In turn, vaginal estrogen may not increase breast cancer risk in the same way as other hormone therapies. Hormone replacement therapy can alleviate menopausal symptoms, but also it can elevate breast cancer risk. Other options are available, and women can speak with their doctors about alternatives to HRT.
How to Manage Back Pain According to the National Institute of Neurological Disorders and Stroke, lower back pain is the foremost cause of job disability around the world. The most common causes of back pain include bulging discs, pinched nerves, arthritis, muscle spasms or strains, and sciatica, a nerve condition that goes from the lower back through the hips. Some cases of back pain are a result of poor posture or tight muscles. Here are a few steps to make this condition more manageable.
Contact your physician. Visit a doctor if you experience
numbness or tingling in their back, legs or arms; suffer pain after a fall; and/or are feeling pain with additional symptoms, including fever, trouble passing urine or unexplained weight loss. Such symptoms indicate that the back pain is more than just a temporary nuisance, and something that may need to be treated by a professional.
Exercise regularly. Regular exercises such as riding a
bicycle or swimming can improve strength and flexibility in the back. Yoga improves flexibility and builds strength while also promoting strong bones, which can reduce a person's risk of injury. Injuries that limit movement can increase a person's risk of developing back pain, so an exercise routine that builds flexibility and strong bones can be an effective way to manage or even prevent back pain.
Sit up straight at work. Many people can trace their back pain to their offices, where uncomfortable chairs and poorly positioned desks don't provide the necessary support men and women need to reduce or prevent back pain. Chairs should provide adequate lower back support, and desks should be at a comfortable height that does not force the body to hunch or place itself in another awkward position just to get work done. When sitting, make sure you are sitting upright with your shoulders relaxed and your body against the back of your chair. Don't resort to too much rest. Too much sitting around has now been shown to worsen back pain. If you must rest, do so for only a day or two before gradually becoming more active. Swimming or walking can be great and less physically taxing ways to acclimate your body to physical activity after resting for a day or two due to back pain.
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MIND, BODY & spirit
CONNECT WITHIN
By Marla Tomazin, certified image consultant
Caring for Yourself in the Midst of Stress You can’t avoid going through rough times in life, but you can decide how to respond to them. Remember that your own health and sanity are paramount.
Everyone goes through rough spots in life—it’s an unfortunate but unavoidable fact. You might feel worried about an upcoming move, overwhelmed as you try to deal with an illness in your family or anxious about a looming project at work. Maybe you are simply worn down by the neverending stress and relentlessly hectic pace of modern life. If so, you’re not alone. If you don’t focus on your own well-being when times are tough, you won’t have the mental, emotional, or physical energy you need to change external circumstances for the better, either. Here are a few strategies that you can put into practice to help you make it through the next rough spot in your life.
Realize that things will get better. When you are in the midst of a tough time, it’s easy to believe that things will never change. However, eventually, there’s always a light at the end of the tunnel. No matter how you feel right now, the truth is that you won’t be stressed, anxious, or overwhelmed for the rest of your life. Think back on past obstacles you’ve overcome to give yourself motivation to press on and ask a trusted friend or family member to help you put your current struggle into perspective. This last strategy is particularly effective because not only will sharing your burden help to lighten it; the other person might be able to help you think of solutions you were unable to see on your own.
Hydrate. Drinking water is one of the best things you can do to keep yourself looking and feeling good when you are 30 October 2014 | azhealthandliving.com
under stress. Staying hydrated helps you, stay energized, ensures that your body operates optimally, and can even improve the appearance of your skin.
Exercise. Working out is often the last thing you want to
do when life is tough. However, even a little bit of physical activity can work wonders in terms of how you feel. Exercise makes you feel more capable mentally and physically. It can help you sleep better, reduce feelings of stress, and even relieve symptoms of depression as effectively as medication.
Give yourself credit. When you are upset or worried about one aspect of your life, those feelings can easily spill over into your general attitude and outlook. You start looking at your whole life through a negative lens, and you might start to focus on the mistakes you have made and the things you could have done better. If that sounds familiar, stop! Think of things you have done well in the recent past and give yourself credit for accomplishing them. Remember, nobody is even remotely close to perfect. Don’t make a tough situation even worse by remaining your own worst critic.
Prioritize. Especially when you are feeling, overwhelmed or stressed, it’s tempting to fixate on each shiny ball that rolls past instead of directing your energy and attention to the problem at hand. When your efforts are scattered, though, nothing gets done, and you end up feeling even more frazzled than you did at first. Remember, you can focus only on one or two big goals at a time, no matter how adept you are at multitasking.
As you work through the next rough spot in your life, sit down and decide what is most important to you. If spending time with your family is at the top of your list, then put them first and consciously make sure that other things remain on the back burner.
Say no. Many of us have trouble saying no for a variety of reasons. We don’t want to let others down, we don’t want to be seen as weak, we are afraid to refuse, etc. However, until you learn to say no when you need to, you’ll never be in the driver’s seat of your own life, and it will be more difficult to steer yourself out of draining, stressful situations. Realize that you don’t have to do it all—nor should you. You don’t have to make every decision, supervise every person’s schedule, chair every event, host every party, and come to the rescue every time something goes wrong.
Take time for yourself. Whether the current demands on your energy and time are coming from your family, job, friends, finances or something else, it’s important to get away every so often. To make sure that you don’t become too drained and burned out, do something for yourself. Maybe it’s sitting down to
enjoy a cup of coffee in the midst of running errands, locking the bathroom door and taking a bubble bath, reading a motivational book during your lunch break, or going on a walk through the park. When you unwind and take a breather, your perspective will stay clearer and your stress will be more manageable. In the end, you can’t avoid going through rough times in life, but you can decide how to respond to them. Remember that your own health and sanity are paramount, and most of all, have confidence that the sun will emerge from behind the clouds soon.
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HEALTHY CHATTER
Doctors, Businesses & Experts Answering Frequently Asked Questions “Together We Can Make a Difference”
azhealthandliving.com | October 2014
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ASK QUESTIONS
expert talk
Q. I have a parent with glaucoma; if my vision seems OK, do I have to worry about glaucoma? A. Glaucoma has traditionally been known as, the thief that takes your vision in the night. The disease damages delicate nerve fibers around the optic nerve when the pressure in the eye is too high. This elevation of pressure is, in the majority of afflicted individuals, not something that produces symptoms in its early stages. If left untreated for a long enough period, compression of nerve fibers in the retina leads to loss of areas of visual field. In general, when this loss progresses to the point of being noticeable, we have already lost the battle to preserve sight and we can only treat with medications, laser, or surgery to lower pressure to prevent future loss. The key to treatment is to have your pressure checked (glaucoma test) routinely by your ophthalmologist. If you have a family history, have diabetes, or have had other inflammatory eye diseases in the past, then the statistics are a little higher that you may develop a glaucoma issue as well. We routinely recommend a glaucoma evaluation every year for individuals over age 40. If detected early and treated, the chances of preserving vision through eye drops or laser is excellent. If glaucoma does not respond to conservative measures, there are modern surgical procedures such as shunts that can also be utilized.
–Dr. Walman Walman Eye Center 602.222.2020
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Q. How can I avoid the side effects of pain medications?
Q. Do breast implants affect the risk or detection of breast cancer?
A. When we are in pain, we want something
A.Breast implants may interfere with early
to give us relief and many medications available do a good job. There are NSAIDs for arthritic types of pain, anti-seizure medications that can help with nerve pain and opiates that are used for severe pain. These are great for short-term relief, but they are often only indicated for short-term use. Long term or overuse is associated with many serious side effects including internal bleeding, heart issues and addiction. The study of neuroscience is offering some great alternatives to long-term pain medication use and its associated risks. The human body has its own inherent pain suppressing machinery and through simple non-invasive means, our patients can often reduce or eliminate their need for more drastic measures. With electro-acupuncture, we can block pain transmission at the spinal cord level, which is terrific for spinal stenosis, sciatica and other forms of back pain. Specific stimulation of peripheral nerves can activate an area in the base of the brain, which blocks pain signals and provides excellent relief of neck pain, pinched nerves and headaches. Mild electrical stimulation of acupuncture points on the scalp can directly stimulate a part of the brain known as the motor cortex. Studies have shown this type of stimulation suppresses even the most difficult type of pain like post-stroke pain and RSD. These electro-acupuncture techniques are known as neuromodulation and they are the future of pain management.
–Dr. Kukurin Kukurin Chiropractic, Acupuncture & Nutrition Network 623.547.4727
detection of breast cancer. This could mean that women with breast implants have a reduced cure rate with breast cancer. More than 2 million American women have breast implants. Women with breast implants have not been shown to have an increased risk of breast cancer and, according to the FDA, “There is no evidence at present that women with breast implants are at an increased risk.” Studies are still in progress and the results may not be known for many years to come. The presence of breast implants may interfere with mammography and early detection of breast cancer. Some doctors suggest that when the implant is placed under the muscle, the implant pushes the breast tissue forward and can make cancer detection easier. Mammograms may be more uncomfortable since they require squeezing the breast with pressure. The pressure of mammography may rupture an implant or cause implant deflation with saline implants. The American Cancer Society recommends that women ages 35 to 40 have a baseline mammogram. Between ages, 40 and 50, mammograms should be done every one to two years. Women over 50 should have a mammogram every year. Mammograms should be done more frequently when there is a family history of breast cancer.
–Dr. Sharma Arizona Vein & Laser Institute & Med Spa 602.298.VEIN(8346) 602.298.LIPO(5476)
Q. Is there a connection between
Q. How do I choose the best pair of Q. Could my child be suffering from
A. When it’s difficult to make it to the doctor
A. This is somewhat of a loaded question. A. If your child sleeps in an abnormal
periodontal disease and overall health?
for annual health check ups, two visits to the dentist can fall off the radar. Everyone knows how important it is to brush your teeth everyday and flossing too, but do you really know what you’re putting at risk when you miss seeing your dentist?
There are more studies that are finding a connection between your oral health and many systemic illnesses such as heart disease, diabetes, stroke, and cancer. While making healthy choices may seem like a daunting task between what to eat, and how to exercise, that’s where the experts are your best resource. Your dentist can address and prevent many of the issues that can be red flags to your overall health. So how can the connection be made? When in balance, your mouth has a complex community of billions of bacteria that actually protect you and support your body’s ability to live. However, when disturbed, the oral biofilm produces pathogens that lead to gum disease. These bacteria can also get into your blood and do nasty things. When the pathogen bacteria are up, your immune system goes on alert and produces C-reactive proteins which have inflammatory effects on arteries allowing these bacteria to attach themselves and form dangerous plaques inside the linings of these vessels. Good oral hygiene at home is essential but making those two visits per year to your dentist will really help you to address any issues!
– Dr. Kim Litchfield Dental Care 623.738.3027
sleep-disordered breathing instead of ADHD?
glasses?
Many choices need to be considered when getting a new pair of glasses.
The first thing is to ask yourself “What do you want your eyewear for?” The answer could be work, reading, driving or playing sports. Depending on the answer is how you would go about choosing a frame or even multiple frames. Most individuals could benefit from more than one pair of glasses. A good comparison is shoes. Most people have multiple pairs of shoes because they participate in many different activities. The same shoes you were to a wedding usually would not work so well on the basketball court. The same principle applies to eyewear. If you spend a majority of the day on the computer, but also need glasses to see to drive to and from work then a pair of occupational glasses to use at the computer, as well as, a distance pair may make the eyes feel and function better. Another example is those that spend a large amount of time outdoors or a large amount of time driving may benefit from a pair of prescription sunglasses. Each individual has individual needs that need to be addressed when choosing a pair of glasses. With the recommendations from your eye doctor and with help from a good optician you can know which glasses are right for you.
–Dr. Baird The Village Eyecare 623.931.2943
position (with his head off the bed or propped up on pillows), snores, sweats heavily during sleep, is difficult to wake up, has headaches, is irritable, falls asleep or daydreams in school, wets the bed, or has been diagnosed with attention deficit/ hyperactivity disorder, he could suffer from sleep-disordered breathing.
In children, sometimes the problem results from swollen tonsils and/or adenoids that block the airway. It can also be caused by dental problems because malocclusion (misalignment) of the teeth is believed to affect the positioning of the airway. Even swollen nasal passages could cause your child’s problem breathing during sleep. In these cases, it is a good idea to talk to your child’s pediatrician, his dentist and an ear, nose and throat specialist. If your child is sleeping poorly and it isn’t due to a sleep-disordered breathing problem, the American Academy of Sleep Medicine recommends a relaxing setting at bedtime —low lights and quiet. Don’t substitute watching television or videos for personal interaction with your child before bedtime. When our children have trouble sleeping, it affects their lives, their health and our relationships with them. Be on the lookout for the signs—crabbiness, tiredness, headaches and the rest—as well as any possibility of attention deficit/hyperactivity disorder. While this could be a sleep-disordered breathing problem (or simply a problem sleeping) that deserves the attention of your child’s pediatrician, dentist and ENT, it also deserves yours. –Dr. Croft Vistancia Orthodontics 623.566.0800 azhealthandliving.com | October 2014
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GET ANSWERS
expert talk
Q. What are some suggestions to prevent injury and pain? A. Exercise builds up our body strength
and flexibility. However, vigorous exercise carries risks. It’s true that body movement helps us stay healthy, but if the joints and bones involved in exercise are not held stable with healthy ligaments and muscle tendons, they may result in injury and pain. A typical example in the daily life is the experience of excruciating low back pain while slightly bending forward for a range of motion movement. The muscles are formed with millions of muscle fibers and cells. As our daily movements become frequent and intense, a series of painless micro-injuries of the muscle fibers may slowly build up and initiate pain and spasm. While dealing with pain and injuries, the progress of healing depends on your body’s biomechanical function such as proper body posture, joint movement and nutrition. Here are some suggestions to help prevent injury and pain: Maintain proper bone alignment and movement. A proper spinal curve and body posture are able to help maintain proper body’s biomechanical function and joint movement. Exercise regularly. A simple, gentle range of motion exercise is essential to improve delivery of nutrients to and removal of metabolism waste products away from muscle fibers. Reduce stress and maintain adequate rest after exercise. These may help promote healing of muscle fibers through proper blood circulation that bring more oxygen and nutrition for healing. –Dr. Qiu Kukurin Chiropractic, Acupuncture & Nutrition Network 623.972.8400
36 October 2014 |azhealthandliving.com
Q. What is Tickle Lipo?
Q. I think I have a hernia. What are my options and when should I seek medical
A. Many people are inquiring about Tickle Lipo attention?
since it was demonstrated on the TV show The Doctors. The newest FDA approved liposuction technology is officially termed Nutational Infrasonic Liposuction, but it is so safe and gentle, it’s becoming known as, Tickle Lipo. How is Tickle-Lipo Different? Tickle-Lipo is unique in that it generates a 3dimensional vibration that breaks up and removes fat more effectively and more evenly than traditional liposuction methods. Its unique vibration pattern allows for precise body sculpting with less trauma to tissue. Patients experience less bruising and less discomfort. Some patients have commented that they are tickled during the procedure by the vibratory motion. Patients also benefit from a faster recovery and most return to work 24-48 hours after the procedure. How is Tickle-Lipo Safer?
The procedure does not have the risks associated with general anesthesia and is performed right in the office. Patients can actually walk-in and walkout for the procedure. Unlike current liposuction techniques that utilize laser or ultrasound energy, the cannula used in TickleLipo stays cool, thus eliminating the risk of burning any tissue. Additionally, the headpiece has an automatic shut off when it approaches non-fatty tissue such as skin or muscle, thereby protecting the surrounding tissue from injury. No other form of liposuction has this technology. These features enable Tickle-Lipo to safely and more effectively remove deep fat as well as the superficial fat and create high-definition sculpting.
A. A hernia occurs when an abdominal organ or other tissue has abnormally protruded through the abdominal wall cavity. They may cause little to no pain at first. A hernia can be in your groin, on your abdomen, or associated with a previous scar. A bulge or hernia that is associated with redness, nausea, or severe pain can mean a strangulated hernia. A strangulated hernia is always a dangerous condition in which the blood supply to the hernia and to its contents is cut off. It must be addressed immediately before sepsis sets in, which can lead to death. A hernia will not go away on its own and will not get better. Delaying treatment can only increase your risk for strangulation and increase your risk for complications. A strangulated hernia will require a traditional open surgery, a 3-5 day hospital stay, as well as a prolonged recovery time. Laparoscopic surgery is best instituted early on, where healing, recovery, and postoperative pain are all significantly improved over traditional open surgery. A laparoscopic procedure allows for smaller incisions, quicker recovery, less pain and no hospital stay. Typically, the procedure can be done through three micro incisions in less than an hour. Now is the time to address your hernia, don’t wait for complications. Your health should come first.
Tickle-Lipo offers a safer choice in liposuction with unbeatable results. – Drs. Pamela & Gael DeRouin Dermacare Cosmetic Surgery 602.680.5348
– Dr. Johnny Serrano Precision Surgery, Inc. 602.547.3300
Q. What is a good exercise routine for
Q. What percentage of eye injuries
people with limited movement?
occurs in or around the home?
Q. How can I tighten aging skin,
A. We all know that exercise is made up of three essential pillars – endurance, strength and range of motion – each a critical aspect of one’s overall health. It would be ideal if every person was able to work on each pillar but depending on the situation, he/she may be limited due to pain or weakness. Common exercises such as weightlifting, jogging, and yoga may be stressful and beyond one’s physical scope. Less exertive exercises such as Hard Qi Gong (Chi Gong) may be beneficial.
A. Nearly half of all eye injuries occur at home. Yet, only one in three people use protective eyewear at home.
A. With the aging process comes the realization
What is Qi Gong? Many different interpretations exist, but to keep it short and simple it is a series of movements with synergistic breaths developed to enhance one’s flow of Qi. Broken up into two categories of Hard and Soft, Soft Qi Gong involves larger movements, while Hard focuses more on stationary strengthening. Stationary position, repetition, and muscle contraction make Hard Qi Gong an ideal method of exercise for physically limited people. Hard Qi Gong has thousands of forms, but its common factor is based on a 2-step sequence: Inhale and relax drawing your limbs to your body, then exhale while contracting the entire body and moving your limbs away. It may sound simple and basic, but Qi Gong requires a level of caloric expenditure on par with traditional exercises. When done correctly Hard Qi Gong can allow people with pain and balance issues to get stronger, healthier and happier.
Over 90 percent of ocular injuries could be prevented by simply using a pair of safety eyeglasses. Using your own eyeglasses or contact lenses is not enough. Each home should have at least one pair of safety eyeglasses available for use during activities, which are high risk for injury. Be sure to choose protective eyewear marked "ANSI Z87.1" on the lens/frame, available in most hardware stores. Some of the most risky common home activities include: • Using hazardous products for cleaning ovens/ pools • Chopping wood or doing woodworking • Mowing the lawn and trimming trees • Jump-starting a car battery or working under a car • Operating any power tools • Popping a Champagne cork • Using bungee cords or heavy bands to secure unstable trees or loads • Hammering or drilling into hard surfaces Padding sharp corners that are at children’s eye level and cleaning the paddle surfaces on ceiling fans that collect loose debris regularly are additional ways to protect the eyes in the home. The information contained in this article is provided for informational purposes only and is not for use in diagnosing any condition. The information is not intended to be a substitute for professional medical advice, diagnosis, care or treatment. Always consult your physician or other qualified health care provider with any questions regarding any possible medical condition.
–Dr. Lundquist Active Life Physical Medicine & Pain Center 623.535.9777
-Dr. Kevin Helmuth Midwestern University Eye Institute Clinic 623.537.6000
reduce cellulite, and lose inches by the Holidays?
that body changes and problem areas that seem to worsen year after year are inevitable. While many people may be displeased with their body image, not many are willing to risk aggressive or painful procedures to get results. Diet, exercise, and a healthy lifestyle should always be a starting point, but sometimes results are desired more quickly, and often times a "cleanup" is necessary, to tighten skin or contour after a significant amount of weight loss. There are a number of non-invasive and highly effective procedures available to individuals that will enable them to achieve their desired results with no downtime and little discomfort. Laser body contouring has been available for many years and continues to improve each year; this combined with other types of body contouring procedures can achieve significant results. If debulking is necessary or if large areas of fat are present, fat cell freezing with CoolSculpting® is recommended, first. Often this will produce desired results, if adequate treatments are performed. When problem areas are in the lower portion of the body, such as thighs and knees, or small areas like arms are the focus, then laser skin tightening and circumferential reduction is favored.
The newest laser device that achieves this is the FDA cleared VelaShape™ Ill. This powerful deep thermal energy irons out cellulite, tightens skin, and reduces size in just about three treatments. This is a no downtime, comfortable, deep therapeutic body contouring treatment that delivers updated enhanced clinical protocols, offering consistent results that can be reproduced time after time. CoolSculpting and VelaShape III may be combined for even more amazing changes. Other devices, such as fractional R F Sublative lasers can be added to erase stretch marks or smooth knee wrinkles. A physician consultation is best to create an individualized body-contouring plan to achieve your Holiday body!
–Dr. Maltais Physician Skin Solutions at Arrowhead 602.843.4040 azhealthandliving.com | October 2014
37
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 www.kcpv.info| 623.547.4727
Arizona Vein & Laser Institute www.arizonaveinandlaser.com | 602.298.5476
Dr. Maltais
Dr. Wen
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.
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.
Physician Skin Solutions at Arrowhead www.physicianskinarrowhead.com | 602.843.4040
Sage Health Family Medicine www.esagehealth.com| 623.535.3857
Dr. Kim 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.
Litchfield Dental Care www.litchfieldentalcare.com| 623.738.3027
Dr. Serrano
Dr. Walman
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. Walman Eye Center www.walmaneye.com | 602.222.2020
Dr. Croft
Dr. Johnny Serrano is dedicated to providing the best care possible as the General Surgeon at Precision Surgery, Inc., in Glendale. As one of the first accredited pioneering general surgeons in Robotic and robotic assisted surgery, Dr. Serrano specializes in laparoscopic or minimally invasive techniques. He has performed over 5,000 laparoscopic surgeries.
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.
Precision Surgery, Inc. www.precisionsurgeryaz.com| 602.547.3300
Vistancia Orthodontics www.vistanciaortho.com | 623.566.0800
38 October 2014 | azhealthandliving.com
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. 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.
Dermacare Cosmetic Surgery www.azdermacare.com| 623.535.7050
Dr. Baird
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.
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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.
The Village Eyecare www.thevillageeyecare.com| 623.931.2943
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
Pick up a free copy monthly inside
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 www.litchfield-park-chiropractic.com | 623.972.8400
Dr. Lundquist
Dr. Helmuth
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.
Kevin Helmuth, O.D., specializes in general optometry and ocular disease at the Midwestern University Eye Institute in Glendale, Arizona. His previous experience includes work with the Indian Health Service, and he is a graduate of Pacific University in Forest Grove, Oregon. Dr. Helmuth’s specialty interests include glaucoma, diabetic eye care, uveitis and dry eye disease.
Active Life Physical Medicine and Pain Center PLLC www.activelifepaincenter.com | 623.535.9777
Midwestern University Eye Institute www.mwuclinics.com/az/ei |623.537.6000 azhealthandliving.com | October 2014
39
SHARE
BUSINESS TALK
Q. What is the latest news at Wildlife World Zoo, Aquarium & Safari Park, for the new fall season?
A. Readers may recall that Wildlife World
Zoo & Aquarium celebrated the beginning of its 30th anniversary year with the grand opening of an all-new 15-acre Safari Park expansion Jan. 25. The Safari Park is the largest expansion since the Wildlife World aquarium opened in 2008. Since that day, we have been patiently waiting on one more promised species to arrive. Well, the wait is finally over and Wildlife World is pleased to welcome a pair of young cheetahs, now settling in their new habitat located inside the safari park. Cheetahs are a vulnerable species due to competition with other species, conflict with humans, and a low degree of genetic variation among the entire population. Visitors can walk around the safari park as well as take an optional tram ride through several animal exhibits. Entrance to the Safari Park, located by the zoo's popular giraffe exhibit, is included with general admission. As a USDA licensed, private institution, accredited by the Zoological Association of America (ZAA) and the Alliance of Marine Mammal Parks & Aquariums (AMMPA), Wildlife World Zoo, Aquarium & Safari Park receives zero taxpayer funding. No tax dollars have ever been spent to build or operate Wildlife World. We are extremely grateful for three decades of visitor support from the hundreds of thousands of guests to Wildlife World each year.
– Dr. Grey Stafford Wildlife World Zoo, Aquarium & Safari Park wildlifeworld.com
40
October 2014 | azhealthandliving.com
Q. How can Wheatgrass be preventative maintenance against many illnesses?
Q. Is your business ready for the new requirements in 2015?
A. Research suggests that a diet rich in fruits
A. We are all familiar with “Obamacare” (ACA)
and vegetables can be preventative maintenance for many ailments, and wheatgrass is one more way to increase the veggie power of your overall diet. “Fifteen pounds of wheatgrass is equal in overall nutritional value to 350 pounds of ordinary garden vegetables. We have not even scratched the surface of what grass can mean to man in the future,” the father of Wheatgrass Therapy, Dr. Charles Schnabel says. As a health supplement, wheatgrass had a humble if not surprising beginning. Charles Schnabel conducted an experiment on his chickens in the 1930s. He dried and powdered freshly grown wheatgrass and fed it to his sick chickens. Not only did the chickens fully recover, they were also able to produce twice as many eggs as the other chickens. In addition, their life span was significantly longer. Wheatgrass powder is incredibly nutrient dense, it contains 17 kinds of amino acids, fiber 13 vitamins, chlorophyll, and over 100 types of enzymes. It also increases hemoglobin in the blood and boosts the functioning of the systems of our body while eliminating toxins. With all its widely acclaimed therapeutic benefits, wheatgrass has stepped into the spotlight of documented super foods. A wellnourished body functions better than a system depleted of necessary nutrients. Whether you want to get through a busy day with vigor and enthusiasm or looking for an alternative way to get rid of a certain health problem, start your health journey today, with Best Organic Wheatgrass.
– Ken & Barb Hall Best Organic Wheatgrass 1.888.260.GREEN (4733) bestorganicwheatgrass.com
and by now, most of the credible and legitimate agencies have developed and instituted a plan to provide health care to its staff. However, one of the most dramatic changes our industry faces on Jan. 1, 2015, is the Department of Labor’s requirement of payment of minimum wage and overtime to our care staff. Since 1978, there has been a payroll exemption for caregivers that provide companionship services to seniors in their homes based on the premise that much of the day and night is a balance between light chores, and “eyes and ears” on the ground with the latter being a higher percentage. There is an advantage to the client and the family if someone is around to see and hear what is going on and certainly prevents many unfortunate ER visits. This change could be challenging to those who have not been entirely fair to their care staff with wages and benefits. My concern is that many business owners will re-position their business model to an independent contractor model: where the caregiver receives a 1099 instead of a W-2 and is not deemed an employee of the business. This model could open a dangerous exposure to the current or prospective client, putting the onus of liability, both financially and physically, on the client. Sun Cities CareGivers has always provided health care and all staff is employed, including office personnel, caregivers, nurses and marketing representatives/educators. Always know who you are doing business with…a life depends on it!
–Lola Judy Sun Cities CareGivers 623.974.2397
Q. Can anyone relieve my chronic
pain without prescribing drugs or surgery or implants?
A. The answer is, yes. DR. Andrea McWhorter
of Vital Care Physical Therapy was suffering from plantar fasciitis and was treated with the LaserTouchOne, a small hand held device approved by the FDA that reduces pain and inflammation, and initiates a healing process in the tissue. Four hours after, a six-minute treatment Dr. McWhorter, no longer had any discomfort in her foot. Since then she has used the LaserTouchOne in treating 90 to 95 percent of her patients.
Q. Why is LaserTouchOne so successful where other treatments have not been?
A. The answer is in the modality of the device. It has been proven in medical studies that a combination of low level light lasers (class 2 level) and low micro current stimulation (approximately the same as the microcurrent our body produces) is 93.1 percent effective in reducing chronic pain. More importantly, LaserTouchOne is the only medical device that initiates a healing process at the cellular level. Dr. Oei a noted pain specialist in Scottsdale says that when cells are healthy pain dissipates and he has been treating patients for more than 14 years using the LaseTouchOne. If you would like more information on LaserTouchOne or an in-home treatment, call now and get your life back!
– Bill Yvon LaserTouchOne 602.403.4185
Q. Why are there so many different Q. I enrolled in a Medicare Advantage styles of hearing aids?
A. There are several different styles of hearing aids for different types of hearing loss as well as preference. The style of your hearing aid affects the overall performance of the instrument and the comfort level experienced while wearing it. Some wearers have options as far as the style that is appropriate for them, while others can be significantly limited due to their type of hearing loss.
plan by calling an 800 number after seeing an ad on television. I understand I’m able to make changes in the fall if I choose. Where can I go to find which plans are available in my area and what the differences are?
A. Before I provide the resource information you are requesting, I would like to make it clear that your question is specific to Medicare Advantage plans and not traditional Medicare or a Medicare Supplement.
“Open fit” hearing aids are equipped with a receiver in the aid (RITA), while others are equipped with a receiver in the canal (RIC). This style of instrument is usually reserved for wearers who suffer from mild to moderate hearing loss and especially effective for those who only suffer from high frequency hearing loss.
Medicare Advantage plans are offered and provided by private health insurance companies who have been approved by and contracted with Medicare (CMS). These companies receive a reimbursement from Medicare allowing the carrier to offer benefits that are equivalent to or more comprehensive than traditional Medicare. Many Advantage plans Custom fitted in the ear (ITE) instruments do not charge a monthly premium and include can assist wearers who suffer from mild to drug coverage. severe hearing loss. An ITE hearing aid allows us to increase overall gain in the instrument When doing a comparison most people look with a reduced chance of feedback (squealing). for the obvious things like premium, deductible, co-pay and co-insurance amounts. Power behind the ear instruments are typically These are important, but I would like to reserved for severe to profound hearing loss. advise you to look a little deeper to things They are the largest of all of the instruments like; star rating, financial strength, and the and an advantage for someone with a great length of time the plan has offered a Medicare Advantage plan in your area. This information deal of loss. will give you an indication of overall Contact your local hearing health care performance and stability. professional and schedule an evaluation to find out, which is appropriate for you. Living I recommend making an appointment with with hearing loss for a prolonged period a licensed, certified, and independent insurance can create even greater problems. Do not agent who specializes in Medicare plans for hesitate call, and schedule an appointment an annual policy review. today.
– Brian Emery Emery Hearing Centers State Licensed HIS 623.792.7151
– Tina Borges TRB Insurance Service 602.758.8998 azhealthandliving.com | October 2014
41
LIFESTYLE & LIVING
“Then shall thy light break forth as the morning, and thine health shall spring forth speedily: and thy righteousness shall go before thee; the glory of the Lord shall be thy reward.� ~ Isaiah 58:8
azhealthandliving.com |October 2014
43
FAMILY, KIDS & RELATIONSHIPS
BE AVAILABLE
By Geoffrey Tumlin, founder/CEO of Mouthpeace Consulting Llc. and author of Stop Talking, Start Communicating: Counterintuitive Secrets to Success in Business and in Life
Are Your Questions Sabotaging Your Relationships? Better questioning skills will reduce resistance to your queries, and will help you establish more productive and meaningful dialogue. Most people do not put much thought into the questions they ask—a mistake that can cause relationships to deteriorate and misunderstandings to abound. It is usually not hard to pinpoint the moment when a conversation goes south. Often that downward spiral begins with a question. Maybe you ask a colleague, “Why did you format the report like this?” You ask your spouse, “Are your parents coming to dinner again?” You ask a stranger on the bus, “Could you move over?” These questions—and many others—may have seemed innocent when they were coming out of your mouth. However, fail to provide context, emphasize the wrong word, or just forget to add “please,” and you are suddenly in hot water. Yes, questions can be tricky territory. The colleague in the scenario above gets defensive, the spouse assumes you hate her parents, and the stranger hears, “You’re taking up too much space!” Abrupt questions and the unanticipated responses they trigger are a peril of the times we live in. Consider the ease with which we can turn to the Internet to answer virtually any question. It lulls us into thinking that questions are simple and that answers exist to meet our needs. The frantic pace of life today just isn’t conducive to thoughtfulness or deliberation, which are two prerequisites of effective questioning. Questioning is a higher-order communication skill that we have not taken seriously for centuries. The days of Socrates masterfully using questions to lead a conversation are long past. Yet even in 2014, we can make an effort to improve our questioning skills—and the first step is to curb our tendency to ask faulty questions. In general, faulty questions are those we ask to indulge our personal, ‘I-based’ cravings to get an answer, to hammer 44
October 2014 | azhealthandliving.com
home a point, or to satisfy a narrow, personal curiosity. Whether they are critical, tactless, unwanted, offensive, embarrassing, intrusive or loaded, these types of questions are likely to stifle dialogue and can cause relationships to deteriorate. Instead, focus on what you can learn from or about another person. This “we-based” perspective, which reflects a broad curiosity about the person or topic you are discussing, will fuel conversations that are more meaningful and develop richer relationships.
Here are seven specific tips to help you improve your questions: Clarify your intent. It is especially important to know where you are going before you ask a question, because opening your mouth thoughtlessly can put distance between you and the other person. Think about what you are trying to learn, as well as your motives and the possible effects of your question, before you ask it. Remember, Ibased questions are often better left unasked.
Get and give permission. No one likes to have his or
her personal space invaded. When you are asking questions, remember that personal space is not just physical. It can extend to others’ memories, beliefs, identities, motives, etc. Before entering these territories conversationally, do not overlook the simple idea of asking permission: “May I ask you a question?” You can also tell the other person he or she does not have to answer.
Ask open questions whenever possible. If you are trying to gather information and expand your understanding, you will want to encourage the other person to talk more, not less. That is why open questions, which are designed to be answered in paragraphs, not in a few words, are so helpful.
They give the other person freedom to respond and help you to avoid unintentionally shutting off helpful information. Here are some of the most versatile open questions: •
What do you think?
•
How do you feel about this?
•
What else should I know?
•
What questions can I answer?
Additionally, you can readily construct open questions by using the phrases how did, how was, please describe, please explain, please discuss and please tell me more.
Use closed questions prudently. Closed questions are
easy to spot because they often start with words like who, when, where, is or do: “Who can help us get this done?” “When is the project due?” “Where do I get more information?” “Is this the job you want?” “Do you like your boss?” Closed questions are useful for simple informational queries, for limiting the range of potential responses, or for expediting a conversation. However, be very careful not to slip into the habit of closing off your questions when you are trying to establish dialogue and encourage conversational participation.
Be polite. You will notice that please occurs frequently in
many examples and phrases above. This is pragmatic etiquette. Remember the stranger on the bus? When you asked, “Could you move over?” you got an icy glare in response and then suffered through an uncomfortable 20minute ride. What if instead you said, “I’m sorry, could I please trouble you to move over just a bit? Thank you so much!”
Let people talk. When there is a pause in conversation,
your first impulse may be to jump into the breach and fill it with whatever words first come to mind. However, especially when you are asking important questions, do your best to tame that impulse and hold your tongue. People require some space to absorb information, formulate their responses and deliver them effectively.
Use nudges liberally. Nudges are stand-alone phrases like tell me more, I see and go on, which are often used following an open question to maintain the smooth flow of information. Nudges are a good way to let the speaker know that you are paying attention. People will usually be willing to share more if they believe that you are receptive and interested. Learning to ask better questions will improve your relationships at work and at home. azhealthandliving.com
|October 2014 45
FAMILY, KIDS & RELATIONSHIPS
BE PRESENT
By Tim Brown, author of Jumping into the Parade
Living Inside Your Integrity Parents imagine this: you are standing there with
your enthusiastic child who is ready to go off into the world and you are asked by that same child for one piece of parting wisdom on how best to live their lives. You think, “What? I have been equipping my child with life leadership tools since they were young enough to understand words and now it’s all come down to one piece of advice?”
The bigger question: what did you end up telling
them? I posed the same question to myself recently and came to the conclusion that if I could hand off the most important building block of my son’s inner character, then everything else would take care of itself. I could trust that most of his decisions would be OK because of where his core/center was grounded. My advice to him would be to “live inside your integrity” or, said more simply, be true to yourself. This really is not a revolutionary new concept, is it? You have heard and read this sentiment many times before, right? You cannot live inside your integrity unless you know who you are. You have to be honest - standing up for who you really are - not whom you think you should be, and definitely not, who someone else thinks you should be. Integrity is about honesty and orienting everything in your life from your truth. When you are living inside your integrity you are living your values, your own natural rhythm and you are honoring who you are as a person – from the inside out. If you recently discovered you have been living from the outside in, have faith. All is well and consider your self-awareness a true gift. Stepping into the real you will enable you to become a life leader, and you will lead as yourself – your authentic “Self.”
You cannot live inside your integrity unless you know who you are. You have to be honest - standing up for who you really are.
46 October 2014 | azhealthandliving.com
Here are 10 ideas to share with your child to ensure they are best equipped at living inside their integrity.
Define you to yourself. No one can tell you how
to do that. Understand now that what may be “true” for others may not be true for you. Own it. The more you know your truth, the more you can communicate your truth.
Develop and own the words that reflect who you are on the inside. You will find language for your truth
(words, phrases). If you read great writers, you will find a collection of words that speak to you and ways of thinking about your “Self.” The more aware and awake you are, the more you will find these new truths that will resonate with you in ways that words cannot describe to others.
Live out your own values. Understand your natural orientation about the things you value and why you value them. It’s a choice only you can make.
Follow your passions and nurture them. A person
can feel intense depression when they are living their life for someone else or their expectations. A person becomes lost at how to find joy inside themselves if they aren’t following their own roadmap and can become dead to themselves because truly feeling joy can’t be based on someone else’s expectations.
Stop judging yourself, and others. You don’t need to
judge yourself for how you live your life and you don’t need to judge others for how they live theirs.
Your choice is your choice. Do you like vanilla or chocolate ice cream? Stop giving reasons! If you like vanilla it is simply because it’s your choice. Guilt is the same way. It is a choice. You can choose to feel guilt, or to give love. No is a complete one word sentence. It takes 10 times the commitment to say no than it does to say yes.
Take care of yourself first, so you can genuinely take care and serve others. The reason why is that you
cannot understand the information coming in, the situation, and know what it is really about before you know it for yourself. So, you have to apply it to you, your life. This is not a justification to be self-centered in an egotistical way. Simply put, you cannot understand anybody else unless you understand yourself first. You cannot truly love someone else until you love yourself first. Only then can you understand others situations in relation to yours.
Be gentle on yourself. Everyone on the planet is on a personal journey unique to them, and we figure things out when we are ready. Don’t get caught up in the timing of your own awareness. Remain vigilant about being aware, awake and knowledgeable, about the person who you are currently and how you are developing. Honor it. azhealthandliving.com |October 2014
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FITNESS, NUTRITION & SPORTS
STAY ACTIVE & FIT
By MS
How to Prevent Muscle Soreness Daily exercise is an integral part of a healthy lifestyle. When paired with a nutritious diet, daily exercise can help men and women maintain their personal health and put them in a better position to battle many of the physical quirks that come with aging. However, even the most ardent exercise enthusiast is periodically confronted with muscle soreness, which can interrupt an exercise routine and have a very negative impact on an individual's quality of life. Muscle soreness often appears the morning after a workout and can make something as simple as getting out of bed feel as difficult as climbing Mount Everest. The frequency and severity of muscle soreness depends on a host of factors, including how old someone is, how often a person exercises and how well that person performs certain exercises. While muscle soreness may seem like another unfortunate side effect of the aging process, there are ways to prevent such soreness.
Stay hydrated. Many people forget to drink water
Strength training can result in muscle soreness if men and women do not take certain preventive measures before, during and after their workouts. 48
October 2014 | azhealthandliving.com
when working out, and such forgetfulness can lead to muscle soreness. Roughly, 50 to 60 percent of a person's total body mass is water, but the body loses a lot of water during exercise, especially when that exercise is vigorous and causes lots of sweating. Losing a substantial amount of water can be debilitating and lead to muscle soreness, as muscle cells need water to recover fully from a workout. Therefore, it is important that men and women stay hydrated both during a workout and throughout the rest of the day. Carry a bottle of water with you when working out. You will be more inclined to drink water and stay hydrated during a workout if you have water with you as opposed to relying on repeated trips to the water fountain. One way to determine if you are drinking enough water during a workout is to make note of the color of your urine in the hours following the workout. If your urine is light yellow or clear, then you are probably drinking enough water to stay hydrated during and after the workout. If your urine is dark yellow or has an orange tint, then you need to make a stronger effort to stay hydrated during and after your workout.
Get some sleep. Sleep is another way to prevent or reduce the likelihood of developing muscle soreness. The body needs time to recover from exercise, and sleep is an integral part of that recovery process. Adults typically need between seven and eight hours of sleep per night, so be sure to get enough rest so your muscles can recover before your next workout. Muscle soreness may be your body telling you it was not given enough time to fully recover from a previous workout.
Cool down after a workout. If weight training is part of your workout routine, then it helps to cool down with some easy cardiovascular activity and light stretching after the weight-training portion of your regimen is over. This can improve blood flow throughout your body, and improved blood flow can speed your recovery time and reduce post-workout muscle soreness by bringing fresh oxygen and healing nutrients to the parts of your body that may feel sore after a workout.
Don't fight fire with exercise. Some people are tempted to fight muscle soreness by putting their muscles back to work. However, such an approach can lead to injury. When muscles are sore, they also experience a loss of strength, which makes them more susceptible to damage and injury. Rather than fighting muscle soreness by challenging the muscles, give them a rest as they recover from soreness and fatigue. Work muscle groups not experiencing soreness, or avoid weight training in favor of cardiovascular exercise and stretching. For many men and women, muscle soreness is an unfortunate side effect of any active lifestyle. However, such active men and women can take various preventive measures to reduce their likelihood of developing sore muscles after workouts.
azhealthandliving.com |October 2014
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Celebrity
ENJOY LIFE
By Nidah Chatriwala
Incredible & Inspirational Reese Witherspoon Reese Witherspoon is not only an actress who has established style statements in the fashion world and proven her gift for acting in Hollywood, but she’s also a woman of substance. Her inner core is solid and evidence of it is demonstrated in her brave professional and personal choices. So let’s explore the human empowerment capabilities Witherspoon has honed. Witherspoon’s journey to becoming a global ambassador for humanity started a few years ago when Avon reached out to her to join their series of strong voices to speak out against domestic violence and alike issues concerning women of today. “The mission could not have been closer to my heart, and it seemed like an amazing opportunity,” Witherspoon enthuses in an interview with leanin.org. It was a great opportunity indeed, but Witherspoon fought counter thoughts internally before jumping into agreement with Avon. “This was my chance to help create change in the world, and to reach out to other women in need in a way I never had the ability to do before. I could continue to contemplate, ruminate, and basically drive myself crazy with endless questions and visions of failure and embarrassment, but deep down, I knew I needed to face my fears and accept the challenge,” Witherspoon reveals to leanin.org. “I was touched by how supportive everyone was, and how much they believed in me,” Witherspoon shares with leanin.org. 50 October 2014 | azhealthandliving.com
In the end, listening to her heart paid off. Witherspoon continues to represent women in her lobbying efforts against domestic violence. She has met with icons such as Michelle Obama and Hillary Clinton as an Avon global ambassador to discuss issues and solutions. This power to inspire that Witherspoon has grasped today wasn’t always present. “I can still remember when I gave my first speech – at the UN of all places! – in my role as Avon’s new global ambassador. I was so nervous, I could barely speak as I walked up to the podium. My speech was on a piece of paper that rattled audibly in my hand because I was shaking so hard. I’m not sure how I made it to the end, but I can still remember feeling relieved as I walked away from the podium and sat back down,” Witherspoon admits on leanin.org So how did she discover the power to inspire others? It was her own thoughts that echoed in her ears quietly call it empowering whispers. All she had to do was listen, and take appropriate action toward her calling and she did.
“I’m a firm believer that action can solve so many worries, and just powering through, no matter what, can give you the confidence you need when you feel like you’ve got nothing to offer. It’s in those moments that we must dig deep, ignore the noise and lean in,” she concludes in her interview with leanin.org. Inspiring indeed. So fans, watch out for this streaking star in the sky as well as catch her upcoming film, ‘The Good Lie’ releasing soon! azhealthandliving.com | October 2014
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SPECIAL FEATURE
ENJOY LIFE
Product Guide
A bold-flavor, zero-calorie sparkling mountain spring water. In honor of its support of Breast Cancer Awareness Month, Sparkling ICE has created a specialty “Sip Pink for the Cure” Cocktail using its Pink Grapefruit Sparkling ICE flavor, proudly displaying a pink ribbon on the bottles all yearlong. ICE donates a minimum of $25,000 to research facilities nationwide to help find a cure, in addition to aiding local affiliates and communities with more than $100,000 in donations annually. A hand woven in Medjugorje featuring 10 Benedictine medals and a silver cancer ribbon charm in addition to a signature “blessed” tag. The sliding www.sparklingice.com slipknot closure enables them to fit nearly everyone perfectly. Proceeds will benefit Breast Cancer research.
Sparkling ICE
The Blessing For A Cure Bracelet
www.mysaintmyhero.net
These stylish FDA cleared wristbands for the relief of nausea provide consumers with a drug-free option that does not interfere with other medications and does not cause dry mouth or drowsiness, which are common complaints about the drug options on the market. These bands are also waterproof, reusable, adjustable and available in different colors. For every set of Psi Bands’ Color Play design (the pink striped band) purchased during the month of October, a donation will be made to National Breast Cancer Foundation, Inc. ®
Psi Bands
www.psibands.com Get beautiful curls in as little as 30 minutes with SoCal Curls hair tie. The tie is filled with an organic mix that retains heat after only 30 seconds in the microwave. Wrap hair strands around it, and then untie it to release your hair and achieve gorgeous curls. Twenty percent of sales proceeds will benefit the National Breast Cancer Coalition.
SoCal Curls
www.socalcurls.com
The Mammography Top from Patient Style features wrap around tie design, allowing for easy medical access while providing full coverage, and the soft fabric comes in attractive designs. A thoughtful gift to show your support in the fight against breast cancer.
Mammography Top
www.patientstyle.com/mammography_top This tote is really three bags in one. One day a tote, the next wear it hobo style, the next maybe a satchel. Great interior pockets and comes with a detachable shoulder strap making it great for traveling. BagInspiration is a one-stop shop for small clutches, large purses, wallets, totes for tablets, weekender bags and reusable grocery bags. When you shop at BagInspiration, you are not only supporting breast cancer awareness, but also being eco-conscious because everything is made from recycled materials. In October, BagInspiration will donate 5 percent of ALL online sales to the Susan G. Komen Fund.
BagInspiration’s The Urban Junket Convertible Tote
www.baginspiration.com 52
October 2014| azhealthandliving.com
A healthy energy drink you'll feel good about drinking! FUGA Life is 100 percent natural, and every purchase supports the National Breast Cancer Foundation. FUGA Life is the first and only energy drink to partner with the National Breast Cancer Foundation . FUGA is also the official energy drink of the Arena Football League. All FUGA Energy Drink formulations consist of a list of healthy ingredients, including 100 percent natural caffeine from Yerba Mate combined with Prickly Pear (Nopal) Cactus, Ginkgo Biloba, Guarana, Milk Thistle, Acai Berry and many other nutrients containing essential amino acids, vitamins and minerals to support overall health and well-being.
FUGA Life Pink-Lemonade Energy Drink www.fugaenergy.com
Support Local FUGA is an Arizona locally owned family business.
Keep track of your family’s busy schedules and support a great cause with these day planners from the Dotmine Group. In honor of Breast Cancer Awareness Month in October and extending through the end of 2014, the Dotmine Group will donate 5 percent of online profits of all of their planners to the Young Survival Coalition.
These hydration packs can hold a liter of water, hands-free. Comfortable and lightweight with climate control 3D Airmesh moisture wicking fabric to keep you cool and hydrated on the go. The pink WilsonPac has two front pockets to fit your essentials such as keys, I.D., and cellphone. It’s a great gift for women participating in a race for the cure! In addition, upgrade to a 1.8-liter reservoir if you need a little extra H2O.
Dotmine Planners
VestPac
www.timemine.com
www.vestpac.com
This vibrant Pink Metallic Braided Leather bracelet is available in one adjustable size fitting 6.9 to 7.9 inches / 17.5 to 20.1 cm. The Her Gift of Strength sterling silver cluster charm accompanies the bracelet, conveying an empowering message of courage and tenacity.
Limited Edition Breast Cancer Gift Set
www.chamilia.com
A revolutionary new way to obtain a beautiful and healthy summer glow without the risk of damage caused by being out in the sun or use of a UV tanning bed. Engineered and designed to deliver multiple tans on a single charge. Its attractive cordless design allows the unit to be used in multiple locations. Tan refill kits can be changed with ease in less than 5 minutes. Kit changeover requires no tools based on our unique design the lightweight durable plastic construction and compact size will provide years of carefree use. The system comes fully assembled, and requires about three to four hours to fully charge and you’re ready to mist. Tropic Spa will donate 5 percent of all US sales to the National Breast Cancer Foundation during the month of October.
Tropic Spa Home Mist Tanning System
www.tropicspatan.com
azhealthandliving.com |October 2014
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Skin & Beauty
LOOK & FEEL GOOD
By Bill Schultz, president and founder of AlignMed
Posture, Beauty & Your Health To some extent, beauty is in the eye of the beholder, but the things we consider beautiful usually share certain characteristics, with symmetry and vitality being chief among them. The human body is an excellent example. The people we view as physically attractive are usually healthy and symmetrical in appearance. That’s not a coincidence; postural symmetry and good health go hand in hand. Good posture – holding the head, shoulders, and trunk in perfect alignment – creates balance, which allows our many physiological systems to function optimally. When we habitually sit, stand or walk-in a less than a fully aligned position, muscles stretch or contract to accommodate. This can result in chronic imbalances that can lead to pain. Studies dating back to the 19th century also suggest our posture affects mood, energy and self-confidence, all of which affect how attractive we appear to others. You don’t see supermodels, A-list actors or the rest of the ‘beautiful people’ slouched over as they strut down the runway or red carpet. Think about the importance of posture among the most challenging sports; for track runners, ballerinas and gymnasts, optimal posture is essential.
It’s not just sitting for hours on end that’s bad for you; it’s how one sits. The dangers of sitting have
garnered plenty of attention in recent years, especially since we have become a society of sitters. Sitting for long periods comes with many health risks, including obesity and cardiovascular disease. However, sitting with less than perfect posture – most frequently, sitting with the head and shoulder in a forward position over a desk – can cause significant neck pain, which involves muscles and nerves from the neck down. Proper posture can prevent neck and spinal damage.
More than 116 million Americans, or a third of the population, suffer from chronic pain at some point in their lives. That is according to a recent report from
the Institute of Medicine. Chronic pain means that a sufferer has anywhere from 30 to 60 days of lasting pain, and this massive problem is estimated to cost Americans $635 billion. For many, treatment and/or prevention is out of reach, however, a reliable and easy way to prevent chronic pain is to maintain good posture. 54 October 2014 | azhealthandliving.com.
A strong, well-functioning core is crucial for training and optimal health. The bulk of a body’s
mass is located at and around one’s core, including the trunk and pelvis region. Today’s fitness fanatics firmly grasp the importance of a healthy core. Surprisingly, however, much of the health-conscious population today is muscle-centric and does not fully appreciate the importance of posture, even though proper posture facilitates core strengthening, especially while exercising.
Using passive therapy to improve posture. To feel
and look your best, it’s important to maintain good posture throughout the day, but that’s difficult, especially for sedentary people. Neurologists at Rush University Medical Center say passive therapy can be even more effective than active therapy. Posture enhancing apparel worn by professional athletes, offer neurologic biofeedback that constantly reminds the skeleton and muscles to selfcorrect. The shirts are not compression shirts worn primarily for aesthetics and squeeze the body. The shirts map muscles in the same way Kinesio tape – used to reduce inflammation, relax muscles and enhance performance.
Cosmetic Ingredients to Avoid
Courtesy of Crystal Clear Acne Clinic
We live in a world where makeup is big business. In fact, sales are estimated to reach over $58 billion this year for cosmetics. With the natural and organic makeup sector growing to $9 billion in sales, according to the Organic Monitor, it’s clear that people are searching for safer products. As people focus on how the makeup they wear looks, they may be missing what is lurking inside that may potentially damage their health. People love to wear makeup, and that’s understandable, but it is important to pay close attention to the quality of makeup and the ingredients in it. Even being natural or organic doesn’t necessarily mean there’s nothing harmful in it.
Change Your Thoughts. Change Your Words. Change Your World. Sponsored by
Here are five potentially harmful chemicals that may be lurking in your makeup:
Phthalates. Occurring in many types of cosmetic and
personal care products, phthalates have come under fire for their possible link to endocrine disruption and developmental and reproductive toxicity, according to the Breast Cancer Fund.
Lead. Often found in sunscreen, lipstick, foundation, and
other cosmetics, lead is a neurotoxin, which can lead to behavioral and learning problems. It has also been linked to such things as infertility, early puberty, and miscarriages.
Aluminum. This metal is believed to mimic estrogen, which can lead to DNA damage. It is also under suspicion by many who find it may have an association with breast cancer occurrence.
Talc. A mineral, this has had mixed results that have linked it to certain types of cancer.
FD&C Colors and coal tar. Certain colorings give
people allergic reactions and have been linked to various health problems. Coal tar has also been linked to cancer. Rather than simply like the color or name brand on cosmetics, look at the ingredients. If you find harmful chemicals in there, choose something else. They are not worth the risks that you may be taking by using them on a regular basis. azhealthandliving.com |October 2014
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career, business & Finance
PLAN & SAVE
By Rakesh Malhotra, founder of Five Global Values and author of Adventures of Tornado Kid: Whirling Back Home Towards Timeless Values
How to Detect & Protect Against Workplace Bullying It is important to understand the signs and symptoms of a bully in order to help the victim and the victimizer deal with and exterminate the behavior.
Stories of workplace bullying are commonplace throughout the United States. In general, there are no legal repercussions for non-physical bullying except in specific cases, such as sexual harassment. In fact, bullying is a character trait that tends to be condoned in American society. Consider our national obsession – football. The object of this celebrated game is to get the ball to the other player’s goal, no matter what it takes trampling, hitting, pushing and screaming. If football is a metaphor for American society, then the winner is the person who pushes others out of the way and wins no matter the cost. Bullies win by controlling situations and people around them. They crave power and the attention that comes from getting what they want.
The effects of working with a bully Adults have a difficult time performing their jobs effectively when subjected to bullying by a co-worker. It takes a toll physically because of our physiological responses to emotional stress. Typically, victims endure feelings of depression, guilt and shame, and they suffer sleep loss and fatigue. In some cases, victims begin to believe the bully’s behavior is warranted, and they develop feelings of worthlessness. They cannot complete tasks at the same level as others in their units. The abuse takes a toll on victims in every way imaginable.
Are you a bully? Being accused of being the bully can be difficult to accept. You may believe your actions were unintentional, or a justified emotional response to provocation. Perhaps, you 56
October 2014 | azhealthandliving.com
see yourself as the only one in the office qualified to do anything right. However, whatever you have said or done, whether purposefully or not, you have created a culture of negativity for at least one person and you need to assess the situation and your role in it.
Symptoms that you may be the bully include: • Insulting a co-worker (remember, one person’s “joke” may be another's insult). • Undermining another employee’s work by creating a hostile environment or perhaps by consistently calling his or her attention to flaws. (Bullies focus on a person, while constructive criticism focuses on a task.) • As an employer, ignoring your employees’ suggestions. • Humiliating your employee in front of others. If any of these sounds like something that you may be doing, it is important to address this immediately with your victim. You may want to speak with your doctor about getting help, such as counseling, sensitivity training, anger management and other seminars. It is important to understand the signs and symptoms of a bully in order to help the victim and the victimizer deal with and exterminate the behavior. If you are a victim, diligently record workplace-bullying events. If you choose to make a formal complaint, you will be responsible for providing information should there be charges brought against the bully.
Working on Emotional Intelligence Skills By Lynda Chervil, author of Fool’s Return
Personal power is a core leadership competency that everyone needs to develop before they can lead others. It has to do with being able to lead yourself. We can help harness and learn to use our personal power by understanding and working on our Emotional Intelligence (EI) skills. Emotional Intelligence is the ability to monitor one's own and others' feelings and emotions, to discriminate among them and to use this information to guide one's thinking and actions, according to psychologists John D. Mayer and Peter Salovey, who co-developed the concept and were two of the three authors of the Emotional Intelligence Test. There are several emotional intelligence models. Here are Daniel Goldman’s five main EI mixed model constructs, and tips on how each of us can develop them.
Self-awareness: the ability to know one's emotions, strengths, weaknesses, drive, values, goals and recognize their impact on others while using gut feelings to guide decisions.
Tips for improving your social skills: · Pay attention to the feedback of friends and co-workers, good and bad. Train yourself to repeat the behaviors that get positive feedback and work on eliminating those that make people react negatively. · View constructive criticism as just that. When we become defensive, we don’t hear what can be very helpful feedback.
In order to become self-aware, you need to conduct an honest self-assessment to determine your strengths and weaknesses, such as powerlessness and inertia, and determine the root causes. You then need to create a plan that will help you overcome your fears, which are barriers to courage and stand between you and your successes.
· Learn to handle conflict and confrontation from a perspective of compassion and caring.
Caution: unless your gut feelings are often more right
when making decisions.
than wrong, you cannot make decisions solely based upon intuition. You need to use a balanced combination of intuition and logic.
Self-regulation: involves controlling or redirecting one's
disruptive emotions, impulses and adapting to changing circumstances. Exercise self-discipline, know how to control your emotions, and be flexible in order to adapt to changing situations. You cannot continue on the same trajectory or keep the same plans when the circumstances or facts have changed.
Social skills: managing relationships to move people in the desired direction.
Your social skills refer to your interpersonal skills or your ability to relate and connect with people, which can motivate them to deploy discretionary efforts to help you achieve goals that are best accomplished via partnership and collaboration.
Personal coaching can be very helpful in learning to be more diplomatic in your interactions with others.
Empathy: considering other people's feelings, especially Put yourself in the other person’s shoes and try to see situations from their perspective. Might they be feeling fear? Shame? Guilt? How do those emotions make you feel? Understanding and addressing the concerns of others is essential to EI. Always consider how your actions or decisions may affect individuals.
Motivation: being driven to achieve for the sake of achievement.
What motivates you? What are your benchmarks for success? Once you achieve certain levels of success, you need to set new benchmarks to keep chasing personal excellence! Practice your EI skills on yourself first, and you will develop greater personal power. That can lead to achievements you may never have dreamed possible. azhealthandliving.com | October 2014
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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.
SENIOR LIVING
“Is anyone among you sick? Let him call for the elders of the church, and let them pray over him, anointing him with oil in the name of the Lord. And the prayer of faith will save the sick, and the Lord will raise him up. And if he has committed sins, he will be forgiven.� ~James 5:14-15
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aging well
STAY HEALTHY
By MS
Driving Safely While Aging
According to the Centers for Disease Control and Prevention, as a person ages, his or her risk of injury on the road increases. Older adults and their family members need to make plans for handing dwindling skills behind the wheel, and the point in time when it is no longer safe for a loved one to continue driving. In rural and suburban communities, driving is a necessity for independent living. With limited resources available for older individuals to get around, seniors may hold onto the notion of driving longer than is safe and practical. The National Highway Traffic Safety Administration says that older people are involved in around 15 percent of all traffic accidents in a typical year. Getting older doesn't mean it's time for you or a loved one to turn in your license just yet. There are ways people can come together to make the driving experience go smoothly, and it often begins with an honest conversation.
Let a loved one know you are on his or her side. Make sure the first topic of conversation is that it is not your intention to take away the keys of the car. Indicate that you want to work together to help keep this person behind the wheel as long as possible. Being open and honest about intentions may eliminate arguments or animosity.
Figure out safe ways to keep your loved one driving.
This may include identifying a new car with upgraded safety features, such as brighter headlights, a backup camera and 60
October 2014 | azhealthandliving.com
a better safety record. Enroll together in a driving safety course to brush up on driving skills.
Go for a test drive. Family members can ride along with
an older driver to get a better sense of his or her ability behind the wheel. If drivers have too many close calls, frequently get lost in familiar places, exhibit slower response times or are easily distracted, this should be a wake-up call and the loved one should intervene.
Schedule a vision and hearing exam. Driving abilities can be affected by poor vision and hearing, both common side effects of getting older. Getting a senior a new eyeglass prescription or a better hearing aid may make all the difference in his or her driving ability.
Review prescriptions and over-the-counter medications. Many seniors take a bevy of different medications, and the side effects to these drugs could impact their driving abilities. If medications cause drowsiness or dizziness, speak with your loved one's physician about a possible alternative treatment that might make driving safer.
Be honest. If an older driver is no longer safe behind the wheel of their automobile, it is important to involve other family members and make a joint decision to remove driving privileges. Have other solutions available, such as senior busing or courtesy vans, so your loved one doesn't feel he or she will be confined to the house.
ITS COMING FAST IT'S ALMOST HERE!
ARE YOU READY?
Medicare’s Open Enrollment Period is October 15 – December 7th If you’re on Medicare it’s time to review your healthcare options! Is your current plan still the right choice? You need to know: What’s new? What’s changing? What’s available? Your 2015 benefits will be available for review on October 1, 2014. Remember! There is only a 7-week window of opportunity to make changes to your healthcare if necessary.
Call Today & Schedule Your Annual Policy Review Tina Borges Licensed & Certified
Insurance
Services
602.758.8998 tinab@trbinsurance.com
www.trbinsurance.net
aging well
STAY HEALTHY
By John Hartog, Jim Kohles and Haitham “Hutch” Ashoo, Financial Experts
Will Your Beneficiaries Beat the Odds? Two-thirds of baby boomers will inherit a total $7.6 trillion in their lifetimes, according to the Boston College Center for Retirement Research. However, they will lose 70 percent of that legacy, and not because of taxes. By the end of their children’s lives – the third generation – nine of 10 family fortunes will be gone. The third-generation rule is so true; it’s enshrined in Chinese proverb: Wealth never survives three generations. The American version of that is ‘shirtsleeves to shirtsleeves’ in three generations. There are a many reasons why this happens, and most of them are preventable. How can the current generation of matriarchs, patriarchs and their beneficiaries beat the odds? The solutions involve honest conversations – the ones families often avoid because they can be painful – along with passing along family values and teaching children from a young age how to manage money.
Give them some money now and see how they handle it. Many of the wealth builders, the first generation who worked so hard to build the family fortune, teach their children social responsibility; to take care of their health; to drive safely. However, they don’t teach them financial responsibility; they think they’ll get it by osmosis. If those children are now middle-aged, it’s probably too late for that. However, the first generation can see what their offspring will do with a sudden windfall of millions by giving them a substantial sum now – without telling them why.
The best way they’re going to be able to help preserve the wealth is if they understand what goes into creating it and managing it – not only the work, but the values and the risks.
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Be willing to relinquish some control. Whether it’s preparing one or more of their children to take over the family business, or diverting some pre-inheritance wealth to them, the first generation often errs by retaining too much control. We don’t give our successor the freedom to fail. If they don’t fail, they don’t learn, so they are not prepared to step up when the time comes.
In the family business, future successors need to be able to make some decisions that don’t require the approval of the first generation. With money, especially for first generation couples with more than $10 million (the first $5 million of inheritance from each parent is not subject to the estate tax), parents need to plan for giving away some of their wealth before they pass. That not only allows the beneficiaries to avoid a 40 percent estate tax, it helps them learn to manage the money.
Give your beneficiaries the opportunity to build wealth, and hold family wealth meetings. The first generation works and sacrifices to make the family fortune, so often the second generation doesn’t have to and the third generation is even further removed from that experience. The best way they’re going to be able to help preserve the wealth is if they understand what goes into creating it and managing it – not only the work, but the values and the risks. The first generation should allocate seed money to the second generation for business, real estate or some other potentially profitable venture. Holding ongoing family wealth meetings with your advisors is critical to educating beneficiaries, as well as passing along family and wealth values. It also builds trust between the family and the primary advisors. At this point, it’s no longer about what their money will do for them — it’s about what the next generations will do with their money.
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If an adult suddenly collapses, perform Hands-OnlyTM CPR. Call 911
then push hard and fast
in the center of the chest.
Hands can do incredible things.
handsonlycpr.org
“I can do all things through Christ who strengthens me (Philippians 4:13). The road to success is not straight. There is a curve called failure, a loop called confusion, speed bumps called friends, red lights called enemies, caution lights called family. You will have flats called jobs. But, if you have a spare called determination, an engine called perseverance, insurance called faith and a driver named Jesus—you will make it to a place called success.” – Author Unknown
For with God nothing will be impossible. Luke 1:37
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