Timeless Aging Issue
4
Confidence Boosting Clothing Tips Are You Prepared for the Second Half of Life? Ovarian Cancer Signs & Symptoms How to Check Your Blood Pressure at Home
OCT OBER2013 az heal t handl i vi ng. com
SEPTEMBER 2014 VOLUME 5, ISSUE 61 azhealthandliving.com
Testosterone & its Role in Women's Health Screen Time & Childhood Obesity Wrinkle Treatment Reviews Understanding Cholesterol
Julianne Moore
Beautiful at 53
Topography Guided Lasik New generation of laser technology now available in Arizona
Topography Guided Lasik is the newest advancement in Lasik technology that was designed to produce results that are superior to the older Custom Wavefront technology. With this technology, the cornea is mapped with the detail of close to 7000 points of light (compared to only 200 in Wavefront technology). This precision mapping of the cornea is then transferred electronically to the computer that runs the Excimer laser, and the software then provides the information to reshape the cornea into an optimal configuration to focus light with its Final Fit Software. The resulting reshaping leads to an “Optimized” reshaping of the cornea combined with a Custom Aspheric Treatment Zone that preserves the natural curvature profile of the cornea. The result, according to the FDA studies, is an improvement in vision both in daylight and at night, with many patients achieving “Super - Vision” status. Topography Guided Lasik surpasses results of Custom Wavefront for the following reasons:
Before Lasik
After Traditional Lasik
• Precision mapping utilizing nearly 7000 points of light, compared to only 200 points of light in Custom Wavefront. • Preservation of the normal corneal curvature profile to be an optimal aspheric shape (which is not preserved in Custom Wavefront or Traditional Lasik), thus optimizing visual function in low light conditions. • Advocates of the older “Custom Wavefront” technology will state that their mapping of the visual system takes into account irregularities in the cornea as well as the crystalline lens. However, these advocates do not take into account that the crystalline lens changes frequently (because of its normal task of focusing) and also changes over time (significant irregularities can become more noticeable after age 40 and beyond, and particularly as lens dysfunction leads eventually to a condition of cataract.) Therefore measuring irregularities in a single moment in time does not account for the dynamic changes of the crystalline lens, and reshaping the cornea to accommodate the lens factor will not correct the focusing optimally for very much time, and in fact, may induce corneal irregularities that will eventually become symptomatic. The theory of Topography Guided Lasik is that the cornea will be precisely reshaped and have an optimized profile on its own that should not change. If the Crystalline Lens changes (as we always expect it to do), the patient that has had Topography Guided Lasik will always have a cornea that has a custom optimized profile to focus light at its best even if there are irregularities in the crystalline lens. • The Topography Guided Lasik procedure combines the benefits of a precise customized reshaping of any topographical irregularities with the optimized reshaping of the corneal profile to improve night vision as well as daylight vision. This is the first LASIK procedure that demonstrated, through the FDA studies, improved night vision after surgery compared to using glasses or contact lenses.
After Topography Guided Lasik Pictured above: A representation of possible view with Traditional Lasik vs. possible view with Topography Guided Lasik.
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Release Your Skinhibitions! Is your fear of cosmetic procedures inhibiting your skin’s radiance? For many people high cost, downtime, pain, and side effects are a major inhibitor for working on the skin imperfections that may affect self-confidence. With advancements in technology and experienced providers, you now can have it all!
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New Sublative® treatments utilize non-laser, nor-light based technology to provide desired results without the risk or worry of more invasive procedures. This fractionated bi-polar radio frequency (RF) technology precisely targets the skin at a level to stimulate new collagen and new healthy skin cells. The results are a marked reduction of acne scars, mild to moderate wrinkles, improvement in skin discolorations, and an overall smoother and more elastic skin texture. For best results three treatments are done 4-6 weeks apart, more may be required depending on your skins condition. A slight warm, prickly sensation is felt as the energy is penetrating the skin and a light pink or red flush is seen after the treatment. Makeup may be worn the following day.
One of the best advantages of Sublative® is its safety to be used in all skin types including darker pigmented skin. Therefore, if you have been nervous about trying a cosmetic procedure but you are looking for amazing results, Sublative® Skin Rejuvenation is an effective treatment for wrinkles, textural imperfections, and acne scarring with minimal downtime and is completely safe and comfortable, and can be done in a half-hour.
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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.
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Contents
A Division of
Publisher Great Central Sun Media Group Executive Editor Lisa Padilla Assistant Editor Alfie Mendoza Celebrity Photo Editor Pure Intent B.C. Group
Contributing Writers Grey Stafford Katie Snyder Nidah Chatriwala Dr. Duane Wooten Dr. Jack Wolfson Ashley Martini Barbara Penn-Atkins Alison Bailin Batz
Graphic Design Pure Intent B.C. Group
HEALTH & WELLNESS 26-29 Health DIY Fixes for Common Health Annoyances; Understanding Cholesterol; Ovarian Cancer Signs & Symptoms; Common Children's Eye Injuries
30 Mind, Body & Spirit
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.
Testosterone & its Role in Women's Health
34-41 Healthy Chatter Local Doctors, Experts & Business Owners Answering Frequently Asked Questions
LIFESTYLE & LIVING 44 Family, Kids & Relationships The Pros & Cons of Waiting to Start a Family
Confidence-Boosting Clothing Tips
56 Career, Business & Finance
Eight Ways to Outsmart the Overspending Impulse
SENIOR LIVING
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.
60-63 Aging Well
How to Check Your Blood Pressure at Home; Are You Prepared for the Second Half of Life?
Pick up a free copy inside
COMMUNITY 46 Skin & Beauty Wrinkle Treatment Reviews and Tips
48 Fitness, Nutrition & Sports Screen Time & Childhood Obesity
12 September 2014 | azhealthandliving.com
52 Special Feature
54 Fashion
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.
locations.
Julianne Moore: Beautiful at 53
Product Guide
Special thanks to God, our advertisers, community partners, contributors, and readers for making this magazine possible.
Arizona Locally Owned Business
50 Celebrity
14-22 Inside Every Issue Know Your Neighbors; Heart of the Community; Neighborhood Buzz; Community Activists; Hometown Doc
Together We Can Make a Difference...
“With the ancient is wisdom; and in length of days understanding.” ~Job 12:12
W
elcome, to our Timeless Aging Issue. Life is too short and precious, unfortunately many people live as if they don’t seem to know this, until an unexpected illness or event occurs
—and although it is never too late to be a good steward and show gratitude – special moments and opportunities can be missed! The Bible teaches that old age is a blessing from God.
greatness unto our God. He is the Rock, his work is perfect: for all his ways are judgment: a God of truth and without iniquity, just and right is he. They have corrupted themselves, their spot is not the spot of his children: they are a perverse and crooked generation. Do ye thus requite the Lord, O foolish people and unwise? is not he thy father that hath bought thee? hath he not made thee, and established thee? Remember the days of old, consider the years of many generations: ask thy father, and he will
Proverbs 9:10-11
shew thee; thy elders, and they will tell thee.
The fear of the Lord is the beginning of wisdom: and the knowledge of the holy is understanding. For by me thy days shall be multiplied, and the years of thy life shall be increased.
Joel 1:2-3
Proverbs 3: 13,15-16 Happy is the man that findeth wisdom, and the man that getteth understanding. She is more precious than rubies: and all the things thou canst desire are not to be compared unto her. Length of days is in her right hand; and in her left hand riches and honour.
Deuteronomy 32:1-7 Give ear, O ye heavens, and I will speak; and hear, O earth, the words of my mouth. My doctrine shall drop as the rain, my speech shall distil as the dew, as the small rain upon the tender herb, and as the showers upon the grass: Because I will publish the name of the Lord: ascribe ye
Hear this, ye old men, and give ear, all ye inhabitants of the land. Hath this been in your days, or even in the days of your fathers? Tell ye your children of it, and let your children tell their children, and their children another generation. Until next time,
God Bless You! Here to serve,
Lisa Padilla
editor@azhealthandliving.com
azhealthandliving.com | September 2014
13
KNOW YOUR NEIGHBORS
SUPPORT LOCAL
By Katie Snyder
Jewel’s Bakery & Café Offers gluten-free eats
J
ulie Moreno has always had a passion for baking. However, it wasn’t until one of her daughters was diagnosed with celiac disease - an autoimmune disorder of the small intestine caused by a reaction to gluten — that the longtime baker made the decision to start baking gluten-free (wheat less). “Our family has always loved creating and eating delicious food, but the diagnosis threw a wrench in our lives and we were required to rethink our way of cooking and baking,” Moreno, a mother of six says. Moreno tried buying gluten-free options, but found that the conventional items weren’t only overpriced but were also unpleasant. Determined, she decided to take matters into her own hands. The decision proved to be not only healthier for her daughter, but a successful business venture as well for the baker. “In late 2011, I began baking out of my own kitchen and started an online store offering gluten-free baked goods like breads, rolls, pies, pastries and cupcakes,” Moreno says.
“One day I’m baking in my kitchen for my family and then the next thing I knew I was running a successful online business, selling gluten-free items,” she said. “It was overwhelming but exciting all at the same time.”
It immediately became a success. Shortly after launching, Moreno began receiving special orders on baked goods and treats, showing there wasn’t just interest but a need.
After a two years Moreno decided to take her business offline and into a store. In December 2013, she launched Jewel’s Bakery and Café, a hybrid with an open concept and modern-contemporary feel nestled in the heart of Arcadia. I’ve lived here my whole life and there just isn’t anything like it,” Moreno says. “We are the only dedicated glutenfree, full-service bakery and cafe offering fresh baked goods and special orders in the area.” Jewel’s Bakery and Cafe offers dining both inside and outdoors. Upon arriving patrons can order from the menu of gluten-free breads, baked goods and sweet treats, as well as light cafe fare. All of which are made from scratch with her signature flour blends that can be purchased in the restaurant. "Because there aren’t many options for people eating gluten-free, I wanted to provide a place that allows people to watch their dietary restrictions and still have the ability to enjoy great food and a welcoming atmosphere,” Moreno says.
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September 2014| azhealthandliving.com
Photo courtesy of PR by the Book & Luca Lashes LLC.
Commission’s Gold Seal of Approval™ for accreditation. They also added gynecological cancer treatment to their Open forlistbreakfast, brunch andanother lunch—the bakery/café growing of patient services, first for the West has quickly become a dining destination for both glutenValley. free and non-gluten-free eaters. Today, the practice now boasts 52 physicians, more than 200 and 20 partner offices Valleywide, including “Weemployees are a family-owned business that really cares about several in the West Valley cities of Peoria, Avondale, our customers and strive to offer fresh, local and bakedGlendale, Surprise and Wickenburg. from-scratch products,” Moreno says. “We really believe that people nationwide should be able to get food and “We are a cancer center without walls whose services desserts that are allergy friendly and hope to one day be stretch into every inch of this community, offering the able to expand throughout the Valley to provide that to West Valley with the best doctors, best treatment everyone.” and best research in the country,” Dr. Reed technologies says. “Cancer is a disease of survivors – and we want to keep it that way.”
Jewel's Bakery ___
AND
_
___
_
Cafe
602.714.5243
Arizona Center for Cancer Care 4041 E. Thomas Rd. 14155 N. 83rd Ave., #127, Peoria Phoenix 623.773.2873 www.jewelsbakeryandcafe.com www.arizonaccc.com
Black Mangabeys Black mangabeys are primates from Central African tropical and subtropical forests. According to the IUCN, these primates are declining in population and are nearing threatened status. Not much is known about them though they do prefer to eat fruits and seeds. They also tend to frequently use the middle height of the forest canopy. The biggest threats to mangabeys are rampant poaching for the bushmeat trade and loss of habitat due to deforestation. Both males and females have distinctive ear tufts and crests of hair giving their heads a somewhat triangular shaped appearance, not unlike some Dr. Seuss characters. 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 | September 2014 azhealthandliving.com | July 2013
15 15
HEART OF THE COMMUNITY
SUPPORT LOCAL
By Alison Bailin Batz
Arizona Association for Gifted and Talented 40 Years of Advocacy
“According to the National Association for Gifted Children’s 2013 State of the States in Gifted Education Report, in public schools alone, there are more than 86,500 identified gifted and talented students in Arizona,” Erica Bailin, board member for the Arizona Association for Gifted and Talented (AAGT), says. “Because gifted children have unique needs, providing education and support for parents and caregivers, as well as connections with other parents of gifted children, is critical.” Arizona Association for Gifted and Talented is a nonprofit organization of educators, parents and community members working together to better meet the unique needs of gifted and talented students in Arizona. AAGT provides an annual conference for parents, educators and community members as well as an annual Parent Institute. This year, AAGT celebrates its 40th anniversary advocating for the diverse population of gifted and talented students in the state. The organization will host a unique Parent Institute, which will take place Saturday, Sept. 27, at Grand Canyon University and will feature speakers, educational exhibitions, and interactive breakout sessions by professionals in the gifted community. Dr. Amy Serin, founder of The Serin Center, a multidisciplinary center for psychological assessment, treatment, and rehabilitation of adults and children, will serve as the one-day event’s keynote speaker.
“The goal of this program is to teach parents and caregivers effective tools to address and nurture their gifted children’s needs,” Bailin says. “While parents and caregivers attend the institute, their children are welcome to take part in the AAGT Super Saturday, an on-site enrichment program featuring handson learning opportunities as well as innovative educational games, arts and STEM workshops,” Bailin continues. “Providing educators, administrators, and families the opportunity to come together and learn the most current research, theories, strategies, programs, and resources available to them is essential in the development of building sustainable gifted programs and preparing educators to confidently meet the needs of gifted learners in the 21st century,” Bailin says. In addition to hosting the Parent Institute this fall, AAGT has been chosen to host the National Association of Gifted Children’s 62nd Annual Convention. “While we are still in the planning stages, the multiday program is focused on ‘Everything Gifted Under the Sun,’ and it is a remarkable opportunity to bring in state, national, and internationally renowned researchers and speakers on the topic to our own backyard – and our own local families,” Bailin says.
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September 2014 | azhealthandliving.com
Photos courtesy of AAGT
“Since 1974, our vision has not simply been to assist parents or teachers or students, but to be a voice for all,” Bailin says. “We are a resource for the information and guidance necessary for parents, teachers, administrators, counselors, community stakeholders, and legislators to develop and support gifted education in our state. All of us share in the challenge to meet the needs of Arizona’s gifted children with limited funds for their education and development.”
Active beyond special event programming, the AAGT also offer scholarships for teachers of the gifted and as well as scholarships for educational opportunities for gifted students. “We also volunteer our time to ensure gifted education, learners, and educators are properly advocated for here in Arizona and beyond,” Bailin says.
P.O. Box 51772 Phoenix 602.882.1848 www.arizonagifted.org
azhealthandliving.com | September 2014
17
Be InformeD
NEIGHBORHOOD BUZZ
Do You Have Computer Vision Syndrome?
On Thursday, Sept. 4, learn how to protect your vision from electronic devices at Midwestern University’s free public lecture. Dr. Balamurali Vasudevan, assistant professor, Midwestern University Arizona College of Optometry will explain the symptoms of Computer Vision Syndrome and how to reduce or eliminate its symptoms based on the kind of device you use. The Midwestern University Community Health Lecture Series offers FREE monthly public lectures on health and medicine by Midwestern University faculty. All lectures take place from 6 to 7:30 p.m. at the Phoenix-Juniper Branch Library, 1825 W. Union Hills Dr. in Phoenix. For more information, call 623.572.3353.
New Generation of Laser Technology Now Available in Arizona Walman Eye Center is the first and only in Arizona to offer this new generation of laser technology. Topography guided Lasik is the newest advancement in Lasik technology that was designed to produce results that are superior to the older Custom Wavefront technology. With this technology, the cornea is mapped with the detail of close to 7000 points of light (compared to only 200 in Wavefront technology). This precision mapping of the cornea is then transferred electronically to the computer that runs the Excimer laser and the software then provides the information to reshape the cornea into an optimal configuration to focus light with its “Final Fit Software.’ The resulting reshaping leads to an “Optimized” reshaping of the cornea combined with a Custom Aspheric Treatment Zone that preserves the natural curvature profile of the cornea. The result, according to FDA studies, is an improvement in vision both in daylight and at night, with many patients achieving “Super-Vision” status. To learn more about this new advancement, visit www.walmaneye.com or call 602.222.2020.
Enjoy a Night of Jazz & Support Olivia Dodson Join other Valley Neighbors on Sept. 7, for an afternoon of jazz, joy, and support for a gorgeous little girl kicking leukemia’s butt! Olivia Dodson was recently diagnosed with acute myeloid leukemia (AML). After several rounds of chemotherapy, the fight for Dodson continues. This event will take place at The Nash, 110 E. Roosevelt Street, in Phoenix. This event will feature smooth jazz artist, Pete Gitlin and Friends for 2 hours of drinks, jazz and giveaways. Additional artists include Jacqueline Dunford of American Idol fame! Tickets are $40 per person with all proceeds going to Olivia Dodson and her family in support of medical costs, ongoing treatments, and the overall burden AML has put on their family. 18
September 2014 | azhealthandliving.com
AZ Cancer Foundation for Children & AAMCO Total Car Care Team Up for Book & Backpack Drive
Arizona Cancer Foundation for Children (ACFC), a nonprofit organization dedicated to supporting clinical research and treatment options for children suffering from cancer in Arizona, is partnering with AAMCO Total Car Care to host a backpack and book drive to support ACFC’s Travel Assistance Program that will be available to families in 2015. The program will assist families that must travel out of state for care, providing support for a variety of expenses including airfare, ground transportation, lodging and food. Donated backpacks and books will go to children suffering from pediatric cancer. Donate items to any AAMCO Total Car Care location in Greater Phoenix, Sept. 1 - Oct. 1. To find a location, visit www.aamcoarizona.com.
Sixth Annual Tim Barber Walk for POP
On Sept. 27, from 8-10 a.m. join prostate cancer survivors and their families in leading hundreds of Arizonans in the sixth annual Tim Barber Walk for POP. This annual community event is a festive, educational walk to highlight National Prostate Cancer Month. Arizona Diamondbacks President/CEO and prostate cancer survivor, Derrick Hall, will be this year’s honorary chairman. The first 100 men that register receive a free prostate screening at the event! This event will take place at Tempe Kiwanis Park, 6111 S. All-America Way, in Tempe. The Celebration Ceremony will be held from 10-11 a.m., following the walk. To register, visit www.prostatecheckup.org or call 480.964.3013. azhealthandliving.com |September 2014
19
Be InformeD
NEIGHBORHOOD BUZZ
Teal it Up Golf Tournament & Tee for Teal Luncheon The Anne Rita Monahan (ARM) Foundation is joining forces with Teal It Up — a local nonprofit dedicated to creating awareness about ovarian cancer, and raising funds to continue the fight against ovarian cancer in Arizona, to host the first-ever Teal it Up Golf Tournament and Tee for Teal Luncheon Saturday, Sept. 20. For the golfers, the day will kick off with a breakfast at 7 a.m. followed by a shotgun start at 8 a.m. for a scramble golf tournament. Golfers will enjoy exciting on-course contests like longest drive, closest to the pin, and many more! Golf registration includes greens fees, golf cart, practice facilities/range balls, breakfast and lunch. Not a golfer? No problem! The Tee for Teal luncheon will feature a silent auction & raffle starting at 11:30 a.m. Lunch will start at 12:30 p.m., followed by programming and awards. The focus of this year’s donations will be on growing the scholarship fund to ensure that the ARM foundation can continue its support for years to come. This event will take place at Rio Verde Country Club, 18731 East Four Peaks Blvd., in Rio Verde. For more information or to register, visit www.anneritamonahan.org.
Kelly’s Kup Charity Golf Tournament It’s time to break out the golf clubs Monday, Sept. 8, for Kelly’s at SouthBridge’s second annual Kelly’s Kup Charity Golf Tournament. The event includes a modern spin on the four-person scramble: 18 holes of golf with nine Mad Ball holes. In addition, participants will be treated to a first-class experience with fabulous tee gifts, complimentary beverages, hole-in-one opportunities and fun contests. The festivities will wrap up with a cocktail and awards reception at Kelly’s at Southbridge for Monday Night Football. Registration opens at 10:30 a.m. with a shotgun start at 12:15 p.m. All proceeds will benefit Scottsdale youth, education, and local charities in partnership with the Scottsdale Charros. This event will be held at McCormick Ranch Golf Club, 7505 E. McCormick Parkway, in Scottsdale. To learn more about this event or to purchase tickets, visit www.kellyskup.com.
Fourth Annual Healing Hands for Arthritis Massage Envy Spa and the arthritis Foundation have joined forces to host the fourth annual Healing Hands for arthritis, a one-day national event to build awareness and raise funds to fight arthritis. On Sept. 17, 2014, Massage Envy Spa will donate $10 from every one-hour massage or facial to the arthritis Foundation. Since 2011, this one-day nationwide event has raised over 2 million for the Arthritis Foundation. All proceeds donated during Healing Hands for Arthritis will support the Arthritis Foundation's nationwide efforts to prevent, control and cure arthritis. Murad®, Massage Envy Spa's exclusive skin care partner, will donate 10 percent of all sales from their products sold at Massage Envy Spa locations during the event to the Arthritis Foundation. Additionally, Wyndmere and BioFreeze will donate 10 percent of all sales from their products from Massage Envy Spa locations. To make an appointment for the Healing Hands for Arthritis event, contact your local Massage Envy Spa by visiting www.massageenvy.com 20
September 2014 | azhealthandliving.com
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INSPIRATIONAL HOMETOWN DOCS
NEVER LOSE FAITH
By Katie Snyder
Dr. Al Borhan
Combines Business with Passion to Improve Men’s Health Some are born to help others. Dr. Al Borhan with Affiliated Urologists is one of those people. “I was raised to look at the community that I lived in as a social collective by my parents,” Dr. Borhan says. “We were taught to help those in our community and give back to the less fortunate.” After graduating from Cornell University and receiving his M.D. from Albany Medical College, Dr. Borhan went on to complete his residency in Surgery and Urology at the University of Rochester, where he was hand selected to be trained in Robotic and Advanced Laparoscopic, and Minimally Invasive techniques. Shortly after, Dr. Borhan found himself in Arizona, where he immersed himself in the community, connecting with like-minded individuals and sharing his philosophy. “I started with an easily obtainable goal that I was passionate about and before I knew it, I was running into others who were equally passionate about the same thing and wanted to make a difference,” he says. Today, a leader in his industry, Dr. Borhan joins three other like-minded colleagues at Affiliated Urologists, an award winning practice, providing service to patients in Phoenix, Scottsdale and surrounding communities. Together they use their knowledge and patient compassion to help others both in and outside the office. “When we aren’t in the office we join a local nonprofit organization called (POP)--Prostate On-Site Project, educating the public about prostate cancer and providing prostate exams on-the-go,” Dr. Borhan says. “Many men don’t take the time to get regular health exams, so this makes it easier for them.” This month, Dr. Borhan and his colleagues will hit the road again, in honor of Prostate Cancer Awareness Month, educating and screening for prostate cancer. The mobile unit is equipped with an exam room where a PSA – prostate specific antigen non-fasting blood test will be done. A board certified urologist will perform a digital rectal exam, testicular exam and consultation. Participants will know the results of their physical exam immediately, and blood tests in a week. 22
September 2014 | azhealthandliving.com
Dr. Al Borhan “Lots of men out there take better care of their loved ones, their pets, and even their cars more than they do themselves,” Dr. Borhan says. “It’s time men make their health a priority.” According to Dr. Borhan, all men with risk factors and/or a family history should have an annual exam by their doctors starting at the age of 40, and others at age 50. If not offered, men should request information and insist on having a PSA evaluation. There are no age requirements to start preventative care as Dr. Borhan emphasizes. “Preventative care can start as early as your 20s.” “Prostate cancer is one of the most common cancers among men but with early detections and treatment it’s curable,” Dr. Borhan says. “We’re excited to partner with such a great organization for such a good cause and hope to be able to improve the quality of life for men and their families through awareness and early detection of prostate cancer.” To learn more about the (POP) Prostate On-Site Project or to register, visit www.prostatecheckup.org or call 480-964-3013.
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Kids will spend 26 minutes texting really “important” messages. How about two minutes to brush their teeth? Brushing for two minutes now can save your child from severe tooth pain later. Two minutes, twice a day. They have the time. For fun, 2-minute videos to watch while brushing, go to 2min2x.org.
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November 2012 | azhealthandliving.com ©2012 Healthy Mouths, Healthy Lives
HEALTH & WELLNESS
“For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life.� ~ John 3:16
azhealthandliving.com | September 2014
25
health
PREVENT
By Dr. Duane Wooten
DIY Fixes for Common Health Annoyances We have all overdone it on a Saturday night, or put on extra pounds in all the wrong places. However, how do we undo the damage? Bloating, heartburn, and other common health annoyances can sometimes seem impossible to get rid of. Fortunately, there are some quick home remedies to some of life’s peskiest issues. So, what do you do when the unpleasant strikes?
Bloating and gas One study found that 75 percent of people with irritable bowel syndrome saw a major reduction in symptoms, including bloating and flatulence, after taking peppermint oil capsules. Therefore, the next time your stomach is rumbling and you’re experiencing flatulence consider sucking on a peppermint to alleviate inflammation and pain in the gastrointestinal tract.
Skin irritations
Heartburn
Dry skin? Oatmeal may be the cure for that. Full of vitamins, minerals and lipids, oatmeal contains both antiinflammatory and antioxidant properties and as such is ideal for sensitive skin and to treat a variety of skin disorders from poison ivy to eczema. Make an oatmeal scrub from home with oatmeal, baking soda and water and leave on the area for 10 minutes before washing off. You can also purchase over the counter skin product that contain oatmeal but it’s recommended doing a patch test on your skin as you could be sensitive to the products other ingredients.
What causes it? It is caused by acid reflux, which occurs when the ring of muscle that allows food into your stomach to relax when it shouldn’t. The searing pain in your chest known as heartburn occurs when stomach acid flows the wrong way back up the esophagus. Avoid heartburn by staying away from “trigger” foods such as caffeine, chocolate or anything spicy. Should heartburn strike, reach for an apple. Sweet apples are great at reducing acid reflux symptoms by neutralizing excess acids and aiding in digestion.
Bad breath Halitosis—aka stinky breath—comes from certain gasses released from your body or by bacteria, either in your mouth or your sinuses. The solution? Treating this underlying issue is easier than one might think. Make sure you are brushing and flossing your teeth daily to keep harmful bacteria at bay. Throughout the day, avoid eating foods with potent odors (such as garlic, onions and coffee). Also, drink plenty of water throughout the day to keep breath fresh. 26
September 2014
| azhealthandliving.com
Headaches People may not realize it but lifestyle is a big factor in how often one gets a headache. The good news is that a handful of supplements have proven to be effective in relieving headaches. When taken daily, magnesium may help reduce the frequency of migraines. The mineral helps to calm nerves, which tend to get overexcited during a migraine. Another option? Vitamin D. Studies show that vitamin D may play a role in the way you perceive pain. Taking up to 2,000 milligrams a day can help you tolerate headaches whenever they strike.
Understanding Cholesterol By MS
While cholesterol is too complex to categorize so easily, the widely known complications of high cholesterol make it easy to generalize cholesterol as something detrimental to human health. However, there's more to cholesterol than meets the eye.
Where does cholesterol come from? The human body makes all the cholesterol it needs and circulates it through the blood. However, foods, including meat, certain dairy products and poultry, also contain cholesterol, and the liver actually produces more cholesterol if you eat a diet that is high in saturated and trans fats.
Why is cholesterol potentially dangerous? According to the National Heart, Lung and Blood Institute, high blood cholesterol is a major risk factor for heart disease. If your body has too much cholesterol in its blood that excess cholesterol can form plaque in the walls of your arteries, gradually causing a hardening and narrowing of the arteries. Narrow arteries slow blood flow to the heart, which needs both the blood and the oxygen that blood carries in order to function at full strength. If plaque buildup in the arterial walls slows or blocks off that blood flow, a heart attack may result.
Bad vs. good? Cholesterol does not dissolve in the blood, so carriers known as lipoproteins must transport it through the bloodstream. Two types of lipoprotein perform this function, low-density lipoproteins, (LDL) and highdensity lipoproteins (HDL). LDL is what's commonly referred to as "bad" cholesterol because it contributes to the buildup of plaque, the thick and hard deposits that can line the arterial walls and impede blood flow. HDL is the "good" cholesterol, as it helps remove LDL from the arteries. According to the American Heart Association, experts believe HDL gathers LDL before carrying it away from the arteries and back to the liver, where it is ultimately broken down and passed from the body.
What affects cholesterol levels? Cholesterol levels are affected by lifestyle choices you can control and additional factors you cannot.
Diet is entirely within your control. A diet that's high in
saturated fat is unhealthy, and the American Hospital Association recommends a diet that emphasizes fruits, vegetables, whole grains, low-fat dairy products, poultry,
fish and nuts. Avoid red meat, sugary foods, and beverages as much as possible.
Weight is another controllable risk factor for high
cholesterol. Losing weight can lower LDL while increasing HDL.
Exercise. Regular physical activity can lower LDL and raise HDL levels. The AHA notes that 40 minutes of aerobic exercise performed at moderate to vigorous intensity three to four times per week is enough to lower LDL and high blood pressure.
Age. Cholesterol levels rise with age. You can make
healthy lifestyle choices to combat the impact that aging has on your cholesterol levels.
Gender is another uncontrollable factor that affects
cholesterol levels. Before reaching the age of menopause, women have lower total cholesterol levels than men of the same age. However, after they reach the age of menopause, women's LDL levels typically rise.
Heredity. High blood cholesterol can run in families, so
your genes might just be influencing how much cholesterol your body is making.
How great is my risk of heart disease or heart attack? The more risk factors, including high LDL levels and factors listed above, you have, the greater your risk of developing heart disease or having a heart attack. Monitoring cholesterol levels and making healthy lifestyle choices can greatly reduce your risk of heart disease and heart attack. azhealthandliving.com | September 2014
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HEALTH
PREVENT
By MS
Signs & Symptoms Ovarian cancer frequently goes undiagnosed until it has spread to the pelvis and other areas of the abdomen. Recognizing the early symptoms of ovarian cancer can help women get the treatment they need before the disease progresses. Cancers that originate in the cells of the ovary are classified as ovarian cancer. Tumors can occur in the epithelium or lining cells of the ovary itself or the fallopian tubes or lining of the abdomen. The American Cancer Society estimates that 21,980 new cases of ovarian cancer will be diagnosed in the United States in 2014, and approximately 14,000 deaths are expected to be caused by ovarian cancer in that same year. The Ovarian Cancer National Alliance says women need to know ovarian cancer is the deadliest of all gynecologic cancers. That's because the earliest symptoms are frequently subtle and can be confused with other conditions. If ovarian cancer is detected before it has spread, there is a 90 percent survival rate. However, only 15 percent of ovarian cancer cases in the United States are diagnosed early. Some of the earliest signs and symptoms of ovarian cancer include: • Bloating • Pelvic and abdominal pain • Feeling full quickly when eating • Urinary urgency or frequency • Fatigue • Back pain • Menstrual irregularities • Indigestion • Pain with intercourse • Constipation 28
September 2014 | azhealthandliving.com
According to the Mayo Clinic, certain risk factors can increase a woman's chances of developing ovarian cancer: age, inherited gene mutation, menstruation began before the age of 12, estrogen hormone replacement therapy, smoking, use of an intrauterine device, never being pregnant, fertility treatment and polycystic ovary syndrome. No specific test exists to detect ovarian cancer. A Pap test will screen for cervical cancer, but such a test is ineffective at detecting ovarian cancer. A doctor will conduct a pelvic examination and feel the uterus and ovaries. Imaging tests, such as ultrasound and CT scans, can help determine if there are abnormalities in the ovaries. A blood test, which will detect the protein CA 125, can help to determine if ovarian cancer is present. If cancer is suspected, a sample of tissue and abdominal fluid will be used to confirm ovarian cancer. There are four stages of ovarian cancer. Stage I means cancer has been found in one or both of the ovaries. Stage II means cancer has spread to other parts of the pelvis. In Stage III, ovarian cancer has spread to the abdomen. Stage IV cancer is found outside of the abdomen. Treatment of ovarian cancer typically involves the surgical removal of the ovaries, fallopian tubes, uterus and nearby lymph nodes. In addition, doctors may remove a fold of fatty abdominal tissues called the omentum, where ovarian cancer often spreads. Afterward, chemotherapy is frequently used to kill remaining cancer cells. Ovarian cancer is a serious condition that is not often diagnosed until it has spread. Women can be on the lookout for subtle clues that can indicate ovarian cancer and then alert their doctors immediately upon detection of such symptoms.
Children's Eye Injuries
The American Academy of Ophthalmology says that eye injuries are a significant health problem in the United States, second only to cataracts as a cause of visual impairment. Each year, more than 2.5 million eye injuries occur, and 50,000 people permanently lose part or all of their vision. While projectiles and flying debris account for the vast majority of eye injuries across all age groups, common types of eye injuries are:
Chemical burns. This is when a child gets any type of
chemical into the eye. Chemicals may be household cleaning objects. These injuries require immediate medical attention because they can cause permanent vision loss.
Bruising. Black eyes or ecchymosis occurs from some sort
of trauma to the eye. The tissue around the eye becomes bruised, but usually the eye itself is spared. However, only a doctor can determine if the eye is unscathed.
Corneal abrasions. The cornea is the clear, dome-shaped covering at the front of the eye. A foreign item entering the eye, like sand or debris, may scratch the cornea. A fingernail or an insect that flies into the eye also can scratch it. A doctor can determine the severity of the abrasion and if any treatment is required. Hyphema. This is a condition of blood in the anterior chamber of the eye where fluid normally flows in and out to nourish eye tissues. Hyphema is caused by an injury, and blood can be seen in the eyeball. It requires prompt medical attention.
Eyelid lacerations. This is a cut on the eyelid. An eyelid
laceration may be paired with bruising or even corneal abrasion, depending on what struck the eye.
Fractures. The orbit is the bony area around the eyeball,
and when the bones around the eye are broken, the condition is called orbital fracture. This may cause severe eye damage depending on where the eye was struck. Fractures require immediate medical assistance, and facial reconstruction may be necessary.
Burns. Sunburn not only occurs to the skin but can affect
the eyes, too. It is important to wear UV-protective sunglasses outside.
azhealthandliving.com |September 2014
29
MIND, BODY & spirit
CONNECT WITHIN
By MS
Testosterone & its Role in Women's Health Men are not the only ones with testosterone in their bodies. Although present in much smaller concentrations, testosterone is key to many functions of the female body.
T
estosterone is commonly thought of as a male hormone, but people may be surprised to learn that testosterone is present in the female body as well. Testosterone serves several purposes in the female body, and could be instrumental in some therapies, including menopause and low sexual drive.
breasts and genitals and can further enhance the sexual mood and experience. Because testosterone levels begin to diminish when a woman begins menopause, testosterone therapy may be considered to renew libido.
Testosterone is a steroid hormone found in the androgen group, and is derived from cholesterol. Women produce testosterone in their ovaries and adrenal glands. Even after a woman enters menopause, her ovaries will still produce testosterone. Although women produce only a fraction of the testosterone found in men, it still serves some key functions in the female body.
Women of childbearing age may be surprised to learn that testosterone, in addition to estrogen and progesterone plays a role in fertility. Testosterone, which peaks around the middle of the menstrual cycle when ovulation occurs, can increase the chances of conception, according to a paper published in the Reproductive Biology and Endocrinology Journal. Some androgens, such as testosterone and dehydroepiandrosterone, may work together to encourage development of eggs in the ovary in the early stages of oocyte (egg) maturation.
Muscle development One of the main functions of testosterone in the female body is muscle development. It is the key in maintaining the structure, cell growth, and function of muscles in the body. Testosterone also helps turn fat into muscle. Since women produce less testosterone than men do, females may not be thought of as overly muscular. However, without testosterone, women's muscle tone may be minimal and women would feel weak.
Sexual health Testosterone affects libido and sexual response in both women and men. Low testosterone in the body can cause a lack of sexual desire, as the hormone will not trigger the receptors in the brain that signal sexual awareness. Furthermore, testosterone in women is responsible for sensitivity in the 30 September 2014 | azhealthandliving.com
Fertility
Mood and mental health Testosterone is sometimes referred to as the "personality hormone," as it can play distinct roles in mood and emotional health. According to the organization Natural Hormones, healthy levels of testosterone have been found to produce a sense of power, motivation, well-being, assertiveness and happiness. Testosterone may protect against depression and alleviate stress. Testosterone also affects brain health, potentially protecting against conditions such as dementia and Alzheimer's disease. Hormones can play pivotal roles in the female body, and it is important that women recognize the various roles testosterone plays in their bodies.
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HEALTHY CHATTER
Doctors, Businesses & Experts Answering Frequently Asked Questions
azhealthandliving.com | September 2014
33
ASK QUESTIONS
expert talk
Q. Now that I’m in my 40s, I am Q How can integrative neurology finding it harder to read things help with anxiety, depression and close-up. Is this serious and are mood disorders? there options, other than glasses, A. It is normal to have fluctuations in mood. available? It is part of the human experience. However A. Starting at birth, the natural focusing being sad day after day, anxious or even happy crystalline lens of our eyes start losing the ability to focus on near objects. By 1 year of age, a baby can generally focus on items within a couple of inches of their face.
for that matter is not considered normal. When abnormal mood episodes interfere with work, recreation and relationships there is a problem that needs attention.
As years go by, the ability to focus so close continues to regress until about age 40, or so, when we have no more arm length to stretch out our reading material for focusing. At that time, we need help with near focusing, in the way of glasses. Sometimes a simple pair of drugstore readers will help the situation. For some individuals, however, a prescription pair of glasses is necessary.
You may not be aware of it, but your mood is a product of the delicate balance of chemicals in your brain called neurotransmitters. Some of these chemicals make you happy and some make you sad. Others make you feel calm while others make you feel anxious. Having the proper balance of these chemicals is important to your emotional health.
For those who wish to strengthen their vision without glasses or contacts, there are Lasik procedures that can provide a permanent fix to the problem. In addition, some of the newest procedures, involving refractive lensectomies with multifocal implants, can also be an excellent option to strengthen your vision and free yourself from glasses or contacts. A visit with your ophthalmologist will help determine what options would be best for you.
Integrative neurology combines the knowledge of medical neurology (the study of the brain and nerves) with complementary techniques like acupuncture, chiropractic and herbals. Integrative neurology offers some unique perspectives in identifying imbalances in neurotransmitters and then helping the body bring the chemistry of the nervous system into balance. This can have a profound impact on mood and ultimately quality of life. Did you know that the food you eat can influence the levels of various neurotransmitters in the brain? So the old saying, “You are what you eat” is certainly true when it comes to your emotional health. Other cutting edge techniques that involve electrical stimulation of acupuncture points can also change brain chemistry and activation of those parts of the brain that deal with emotions. This means that integrative neurology techniques have much to offer patients with mood disorders.
–Dr. Walman Walman Eye Center 602.222.2020
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September 2014 | azhealthandliving.com
–Dr. Kukurin Kukurin Chiropractic, Acupuncture & Nutrition Network 623.547.4727
Q. What are varicose veins and some treatment options for them? A. Varicose veins are enlarged, gnarled veins
that can resemble the twisted roots of a tree. They develop when the one-way valves in veins that carry blood to the heart are faulty. Blood backs up in the veins as a result and stretches the vein. Varicose veins are very common; anyone can develop varicose veins, but women are at a greater risk than men are. Common symptoms of varicose veins are pain and swelling, night cramps, discoloration of the skin, tired legs with prolonged standing and popped up veins. Similar to varicose veins are spider veins, which are smaller and closer to the skin surface. Pregnancy, age, and stretching of the veins are contributors to varicose veins. Being overweight, standing for long periods of time and wearing restrictive clothing are other contributors. There are a number of treatments that have been developed for varicose veins. The most modern available is called EVLT (endovenous laser ablation therapy). A laser is used in a 45-minute procedure to close the incompetent vein. This procedure is performed right at the facility under local anesthetics. Another of the many treatments offered is sclerotherapy, where a solution is injected into a vein to scar it and close it. Feeling good about oneself involves being happy about what is on the inside and outside. Hiding legs and feet due to varicose veins can be embarrassing and uncomfortable, especially as the weather warms. Contact us for more information.
–Dr. Sharma Arizona Vein & Laser Institute & Med Spa 602.298.VEIN(8346) 602.298.LIPO(5476)
Q. What is most important about brushing your teeth and how can you pick the best toothbrush?
Q. How can I make wearing contacts Q. Why do women experience sleep-
A. Brushing your teeth can be one of the
contact lenses but have discontinued them due to discomfort. While contact lenses are not necessarily for everyone, there is often no reason a motivated individual should stop wearing them. It is often a matter of changing your lens type, your lens solution, or your own personal habits to make contacts more comfortable for you.
most routine parts of your day, and taking less than 5 minutes to take care of your oral health goes a long way. A simple break down of the keys to success when you are brushing and how to use your toothbrush to keep your smile up to snuff will help to make sure your oral health is on track. Choose a brush that has the ADA seal on the box to be sure the bristles are not too hard. Then find one that fits comfortably in your hand and mouth. If the brush is comfortable to use, you will use it more often and more effectively. Pick one that has bristles that are softer rather than harder, and that fits your mouth size. If you have a small mouth, choose a small toothbrush and if you have a large mouth, pick a large toothbrush. A larger brush doesn’t mean it does a better job of cleaning your teeth; it’s really based on your comfort! To get the most out of your daily brushing routine brush your teeth at least twice a day. Some experts recommend brushing after every meal, if possible. Take time — at least three minutes — to thoroughly brush and floss your teeth. When you brush along your gum line, angle your toothbrush slightly toward your gums. Don't brush too roughly — use a gentle motion so you do not damage your gums. Remember to replace your toothbrush or toothbrush head if you use an electric brush every three to four months. Simple and easy! Now don’t forget to floss!
– Dr. Kim Litchfield Dental Care 623.738.3027
more comfortable?
disordered breathing?
A. There are many patients who have tried A. Sleep-disordered breathing in women is
The type of lens a person wears can make a significant difference in lens comfort. For those that suffer from end-of-day discomfort, a type of lens called a silicone hydrogel can really help. These lenses transmit a much greater amount of oxygen thru the contact to the eye. Different contact lenses can be worn for different lengths of time. Often the more frequent we replace contacts the more comfortable they become.
frequently tied to hormone imbalances. The problems are internal and chemically related, therefore, telltale signs such as obesity and age that allows for easy diagnosis in men is not as clear in women.
Postmenopausal women are at a high risk for sleep-disordered breathing, according to a 2003 article in The American Journal of Respiratory and Critical Care Medicine. Their bodies cease to produce estrogen and progesterone, two hormones that are believed to be intimately connected to the ability to breathe. Estrogen dictates the location of fat on a woman’s body and when that hormone ceases to be produced, any weight gain will instead be dictated by testosterone, gained in places more common to males, such as the neck and abdomen.
Contact lens discomfort can sometime come not from the contacts but from the solution in which they are cleaned and disinfected with. It is important to use lens care products that are compatible with your contacts and with you.
Sleep-disordered breathing occurs because a woman’s body cannot handle excess fat on the neck and abdomen. Although not completely understood, scientists believe progesterone stimulates breathing. When progesterone production ceases, coupled with a lack of estrogen, sleep-disordered breathing Personal habits can also affect lens comfort. often results. Contacts can retain residue from lotions, soaps, perfumes and cosmetic. The residue Premenopausal women are also at risk, as from these products can cause a burning they are just beginning to enter menopause. sensation. Make sure your hands are Although their hormones are not depleted thoroughly cleaned before handling your yet, they do experience imbalances, which can contacts. also trigger sleep-disordered breathing. Visit your eye doctor to discuss all the options Thirty-three percent of women who are available for contact lens wear and care, to pregnant snore. According to a recent study, keep your eyes safe and comfortable. sleep-disordered breathing during pregnancy may cause growth retardation of the fetus. Also of concern is preeclampsia, high blood pressure during pregnancy, which can be fatal for both baby and mother. –Dr. Baird –Dr. Croft The Village Eyecare Vistancia Orthodontics 623.566.0800 623.931.2943 azhealthandliving.com | September 2014
35
GET ANSWERS
expert talk
Q. My pain starts from the neck, down to shoulders and arm, and increases when I turn. What could this be?
A. The common causes of neck pain include abnormal biomechanics (inappropriate posture during daily activity), neck injury, overuse of the neck muscle and joint. If you suffer from neck pain with discomfort in the arm, shoulder or hand, this may indicate the nerve around the neck joint is affected as well. All of these conditions could be related to cervical spondylopathy. Cervical spondylopathy is a term used to describe the degenerated change of the neck joint. This may be caused by injury of the cartilage, which is the soft tissue between bones, thickening of the joint ligaments or formation of bone spurs. The changes can pinch the spinal nerves that extend out of the neck joint, causing pain and a numbness sensation through the shoulder, hand and mid upper back. If it becomes worse, patients may experience headache, dizziness, visual disturbance, balance difficulties. Although the degenerated change of joint is considered part of the aging process, it may be seen in the working age group, such as those who spend much of the day in front of the computer, and those whose occupation requires they remain in a standing position for hours at a time. After ruling out the serious trauma, tumor, arthritic change and pathological disorder, spinal joint manipulation is primarily used for treating cervical spondylopathy. There is soft tissue therapy being applied with the manipulation. To manage pain and discomfort, acupuncture is being used to stabilize the manual treatment. –Dr. Qiu Kukurin Chiropractic, Acupuncture & Nutrition Network 623.972.8400
36 September 2014 |azhealthandliving.com
Q. What are the benefits of a brow lift? A. If you are bothered by a sagging forehead
or expression lines in the brow region, a brow lift may be right for you. A Board Certified Facial Plastic Surgeon can help you determine which of the following type of brow lift is right for your face. Minimally invasive brow lift Typically, the most evident sign of brow aging is descent and hooding of the outer third of the eyebrow. This exaggerates the wrinkling of the upper eyelid skin. The lateral brow (outer portion) usually descends more than the medial brow because that portion of the brow has no direct attachments to the forehead muscles or skull. This technique is used to lift the lateral portion of the eyebrow (up toward the temples). The procedure can be performed in-office and no IV sedation is required. When combined with an eyelid lift (blepharoplasty), this technique is effective in preserving or restoring facial harmony. Full brow lift This surgery is more comprehensive. It is designed to address the entire forehead and improves eyebrow position, forehead wrinkles, wrinkles high on the bridge of the nose and frown lines. Light IV sedation is required for this procedure. In this procedure, the whole forehead is mobilized. The muscles that produce the deep vertical wrinkles in the area between the eyebrows, (“the angry 11’s”) are partially removed. The result is a dramatic improvement and provides a freshened, revitalized look with a natural appearance.
– Drs. Pamela & Gael DeRouin Dermacare Cosmetic Surgery 602.680.5348
Q. How do I know if I have gallstones and if medical treatment is necessary?
A. The gallbladder is a storage place for bile which is a liquid produced in the liver. After eating fats, as your body begins the digestive process, your gallbladder contracts and pushes the stored bile into the common bile duct, which brings the liquid to your small intestine to aid digestion. Gallstones form when the liquid bile hardens and changes to hard pieces of stone-like material, which then can block the gallbladder from emptying or cause a blockage within the common bile duct causing symptoms such as nausea and vomiting, or what is often called a gallbladder attack. Other symptoms may include constant heartburn, abdominal pain and bloating after you eat, or pain radiating to your back or right shoulder. Some people will experience fever, chills, yellowing of the skin and eyes, dark color urine and gray color stools. Severe pain attacks or constant pain that interferes with your daily life may mean that surgery is the best option. There are now very minimally invasive surgical procedures available for gallbladder removal. These methods typically mean you will not have to stay in the hospital overnight, you will recover quicker, and you will have little to no scarring. It is critical to seek medical treatment to ensure the gallbladder is removed before it ruptures.
– Dr. Johnny Serrano Precision Surgery, Inc. 602.547.3300
Q. What alternatives are available for
chronic pain treatment when medications, physical therapy, injection therapy, and surgery all fail adequately to control pain?
A. Many people suffer with pain. Many of those who suffer from chronic pain after trying the aforementioned treatments without adequate pain relief feel they will be relegated to high-dose opioid medication in order to cope with the pain. Opioid medication treatment can be debilitating in and of itself, making it difficult to function on a day-to-day basis. A relatively new treatment to mainstream medicine is spinal cord stimulation. Spinal cord stimulation is a pain treatment modality based on reducing the intensity, duration and frequency of pain. Its mechanism of action involves inhibiting the pain pathways as they travel through the spinal cord. For appropriate patients, excellent pain relief can be obtained with this treatment from any number of pain syndromes, including failed back surgery syndrome, phantom limb pain, pain resulting from trauma, and pain from diabetes or other systemic diseases. In addition to inhibiting the pain pathways, it also works in modulating the sympathetic nervous system, which is helpful in treating pain resulting from complex regional pain syndrome (which results in severe pain to normal stimulation, such as light touch). Spinal cord stimulation has been shown to be beneficial in the treatment of several pain syndromes, which can reduce and possibly eliminate, relying on opioid medications for pain control.
Q. My child is not vaccinated. Should
I worry about the current measles outbreak? A. Measles is considered one of the most deadly childhood diseases and is highly contagious. While it appears as a rash and fever, complications can include ear infection, pneumonia, encephalitis and death. Pregnant women infected with measles can have early births or miscarriages. In 2000, the Center for Disease Control (CDC) declared measles eliminated in the United States due to widespread use of the vaccination. However, measles has run widespread in other countries. Unfortunately, between Jan. 1 and July 18, 2014, the CDC reported 580 cases of measles in the United States with 18 outbreaks. Most of these cases involved unvaccinated individuals who had traveled outside of the United States and brought the disease back to their communities. Unvaccinated children will most likely contract measles, if exposed. As a result, measles vaccinations are recommended for children at 12 and 24 months old. Children need two doses of the vaccination for full protection. If you plan to travel outside the United States, it is highly recommended to vaccinate your children long before departure. You can find more information about measles at www.cdc.gov/measles. 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. Dao –Dr. Lundquist Active Life Physical Medicine & Pain Center Midwestern University Multispecialty Clinic 623.537.6000 623.535.9777
Q. The summer has left me with brown spotted skin, how can I clean it up? A. The summer can be very harsh on our
skin, with more sun exposure and outdoor activity than any other time of year. While sunscreen and covering up is always, your best defense when playing outside, ofteninadequate reapplication of sunscreen or SPF can leave you with sun damage and more brown spots!
Depending on the extent of your sun damage and years of exposure there is something within the aesthetic menu or FDA cleared laser options to erase the resultant visible damage. Simple glycolic acid peels with little to no skin peeling can drastically lighten and brighten your skin. Add in some medical grade at home skin care and your skin can be back on track in no time. For more severe damage with large brown patches, redness and textural changes, more aggressive chemical peels or laser treatments may be required. Photofacial IPL/Broadband light lasers are excellent for erasing unwanted brown spots or veins, while Laser Genesis will smooth skins fine lines and drastically reduce redness associated with chronic sun exposure and Rosacea flares. Both of these laser treatments are pain free and offer no social down time. Often we will combine these treatments for optimal, dramatic results. A yearly maintenance protocol is also recommended for continued years of youthful looking skin. Remember a spotted, ruddy, red/brown skin tone is always more aging than a few wrinkles, so make this the fall you address clearer, brighter, more vibrant skin!
–Dr. Maltais Physician Skin Solutions at Arrowhead 602.843.4040
azhealthandliving.com | September 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. Dao DanThuy N. Dao, D.O., specializes in all areas of pediatric health and provides comprehensive care for children from birth to 18, especially those with chronic medical conditions. She is board-certified through the American Board of Pediatrics. Dr. Dao graduated from Midwestern University’s Arizona College of Osteopathic Medicine and has worked in Phoenix for 10 years. She is fluent in English and Vietnamese. Midwestern University Multispecialty Clinic www.mwuclinics.com /az/ms |623.537.6000
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 September 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. Kim
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.
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.
Active Life Physical Medicine and Pain Center PLLC www.activelifepaincenter.com | 623.535.9777
Litchfield Dental Care www.litchfieldentalcare.com| 623.738.3027 azhealthandliving.com | September 2014
39
SHARE
BUSINESS TALK
Q. With the new school year well
underway, what onsite and offsite educational opportunities are available through Wildlife World Zoo, Aquarium & Safari Park?
A. Our education department team offers daily
on-site and off-site programs featuring an array of animal ambassadors. Visitors to Wildlife World can experience fun and educational demonstrations at our Wildlife Encounters shows held each day. Each program features a different combination of animal ambassadors including snakes, otters, porcupines, reptiles and birds of every shape, size and skill set, from the flightless emu to the soaring Harris' hawk to a singing macaw. New this November, educators will showcase Arizona's only marine mammals, a trio of California Sea Lions, in daily educational shows at an allnew outdoor exhibit pool. Our daily public bird feedings and touch tanks are attended by knowledgeable staff members, happy to provide insight into birds and tide pool animals. School groups are entitled to reduced admission pricing for students and their chaperones. Last year, Wildlife World's longstanding policy of reduced admission for schools, made it possible for about 80 thousands Valley students to enjoy a day of learning about animals. For more information about low cost off-site outreach programs, hosting an educational animal component at your facility, contact our education department. There are a limited number of outreach slots available each month and they tend to fill up quickly! To learn more about school field trip pricing, including topics, costs and availability, visit www.wildlifeworld.com and click on the education menu.
Q. Why Do We Prefer Sprouted Wheatgrass? A. In 1920, Edmond Szekely classified sprouted seeds and baby greens as the most beneficial foods and recommended that they make up 25 percent of our daily food intake calling them life-generating Biogenic foods; he claimed they offered the strongest support for cell regeneration. In our daily life, various factors transpire to create free radicals within our bodies. Free radicals are highly unstable oxygen molecules needing an electron to stabilize their disorder. By stealing electrons from healthy cells, the causal effects of this are the breakdown of vital biological structures and the alteration of DNA. Once this has occurred, the affected cell will only reproduce the altered version. These super foods are a powerful source of antioxidants (minerals, vitamins and enzymes) which assist in protecting against this damage. The supply of vitamins (B complex and C) existing in seeds can be increased by the sprouting biochemistry by 100 percent or more. This biochemistry modifies the array of minerals in sprouts so that they are in a chelated form, which is more easily assimilated in the body. A healthy body is alkaline (i.e., not acidic). Biogenic foods have an alkalizing effect on the body. Double Nobel Prize winner Dr. Otto Warburg found growth of cancer cells were initiated by a lack of oxygen and these cells, along with viruses and bacteria, could not live in an alkaline and oxygen rich environment. Best Organic Wheatgrass is a sprouted super food, grown aeroponically (without soil, free from fungus and bacteria) and includes the roots and leaves.
There are a limited number of outreach slots available each month and they tend to fill up quickly! Have a safe and fun school year!
– Dr. Grey Stafford Wildlife World Zoo, Aquarium & Safari Park wildlifeworld.com
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September 2014 | azhealthandliving.com
Q. Do all non-medical home care companies provide continuing education for their caregivers? A. At Sun Cities CareGivers, each caregiver
applicant must provide proof of at least two years of proven caregiver experience before being hired. Sometimes the experience includes caregiver certification with experience working in an assisted living community or home health aide training in a nursing home or hospital on track to become a licensed CNA. In either case, a minimum of two years of hands-on experience must be validated but certainly, the classroom training is a plus. Frequently, our applicants have “years” of personal care experience as witnessed by the ages and knowledge of our care staff. It lends well to the saying of “older is better.” I have always been a believer that we never should stop learning. This summer we took a step toward that belief. Jane Keys, a proven Memory Care Specialist in our community, joined our team and developed a continuing education program. On a monthly basis, each caregiver must attend a specialized class in dementia care. The curriculum is specific each time and addresses unique ways to accomplish some of the simplest tasks that are often very difficult with the dementia population. The caregivers have learned the basics of understanding the differences in each dementia diagnosis Part I and II; Communicating with the dementia client; and this month Bathing, Grooming, and Dressing techniques to improve their self-esteem and health safety. We have identified at least three additional classes that will follow as questions, interests, and concerns are expressed by the caregivers, as they interact with each other in these classes. I have made a commitment to make continuing education on all subjects available on a monthly basis. It is a real value to the care staff, you and your family members. Always know who you are doing business with…a life depends on it!
– Ken & Barb Hall Best Organic Wheatgrass 1.888.260.GREEN (4733) bestorganicwheatgrass.com
–Lola Judy Sun Cities CareGivers 623.974.2397
Q. How often should hearing aids
Become a community partner. Together we can make a difference. What are you waiting for? James 2:26
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be replaced? A. In the past, hearing aids were built with what is known as a prescriptive circuit. This means that any time your hearing loss changed, you would have to change your hearing aids to continue to receive the desired level of performance. It was common for wearers of these types of hearing aids to have to replace their equipment every two or three years. Now, most distributors are fitting programmable instruments that are capable of being adjusted, to fit your future needs, as your hearing loss becomes worse. This has resulted in the average life expectancy of hearing aids to double and even triple in some cases. In many cases, a person can wear the same pair of hearing aids until the literally “wear out.” If you are wearing a pair of programmable instruments and you are experiencing difficulty, you should contact your local hearing health care professional. In most cases, they will charge a nominal fee to reprogram your current instruments and many professionals will provide this service at no cost. Hearing is an ongoing deteriorating process and needs to be evaluated and re-evaluated on an annual basis, at the least.
do I sign up for Medicare?
A. With 10,000 people turning 65 every day
in the United States, when and how to sign up for Medicare is a very important topic. When to sign up Medicare provides a 7-month window called the Initial Enrollment Period (IEP) that begins 3-months before and ends 3-months after your 65th birth month. Let us assume you will turn 65, Dec. 10, your IEP will begin on Sept. 1 and end March 31. If you sign up during the first 3-months, your Medicare effective date will be Dec. 1. Delaying enrollment will also delay your Medicare effective date. Assuming again your birth date is Dec. 10, by delaying your Medicare enrollment until January (although still within your IEP); your Medicare benefits will not be effective until March 1. Most people enroll in Medicare prior to their 65th birth month to avoid the delays for coverage. How to sign up 1. Social Security handles this job and there are three ways to enroll: 2. An in-person session at your local Social Security office 3. Online at http://www.socialsecurity.gov/ medicareonly/ Once enrolled in Medicare you will want to complete your coverage by selecting a Medigap policy plus a Part D plan or enrolling in a Medicare Advantage plan that includes prescription drug coverage.
602.348.9894 or
advertise@ azhealthandliving.com
Q. I am turning 65 in four months, how
– Brian Emery Emery Hearing Centers State Licensed HIS 623.792.7151
– Tina Borges TRB Insurance Service 602.758.8998 azhealthandliving.com | September 2014
41
STROKES ARE THE NUMBER-THREE KILLER
IN THIS COUNTRY, YET MANY PEOPLE DON’T EVEN
KNOW WHAT THEY ARE. THEY DON’T KNOW THAT MORE
OF THE BRAIN CAN BE SAVED IF A STROKE IS DETECTED AND
TREATMENT IS RECEIVED IMMEDIATELY. STROKES BEGIN WHEN A
W I T H A S T R O K E , T I M E L O S T I S B R A I N L O S T. BLOOD VESSEL IN THE BRAIN BECOMES BLOCKED OR BURSTS. BLOOD FLOW
IS CUT OFF. TISSUE IS STARVED FOR OXYGEN, AND PARTS OF THE BRAIN DIE.
IF NOT TREATED QUICKLY, ABILITIES AND PRODUCTIVE LIFE CAN BE
LOST. YOUR BRAIN IS YOUR MOST PRIZED POSSESSION.
GUARD IT WITH YOUR LIFE.
If you suddenly have or see any of these symptoms, call 9-1-1 immediately: Numbness or weakness of the face, ar m or leg, especially on one side of the body • Confusion, trouble speaking or understanding • Difficul ty seeing in one or both eyes • Trouble walking, dizziness, loss of balance or coordination • Severe headache with no known cause
Learn more at StrokeAssociation.org or 1-888-4-STROKE.
©2013 American Heart Association Made possible in part by a generous grant from The Bugher Foundation.
LIFESTYLE & LIVING
“Trust in the Lord with all thine heart; and lean not unto thine own understanding. In all thy ways acknowledge him, and he shall direct thy paths.” ~ Proverbs 3:5-6
azhealthandliving.com |September 2014
43
FAMILY, KIDS & RELATIONSHIPS
BE AVAILABLE
By MS
P
The Pros & Cons of Waiting to Start a Family
resent-day couples are opting to start families later than their parents and grandparents before them. It is common for grown children to live with their parents well into their 20s, and many are opting for marriage, and children later in life, if they plan to have any children at all. According to the U.S. Census Bureau, the average age for men to get married is 27 and for women 25.5. However, couples who come from religious families, in which living together before marriage is often frowned upon may get married earlier. On the flip side, couples who live in communities and cities where cohabitating is readily accepted may wait until their thirties before tying the knot. In such communities, starting a family is often put on hold. In the 1970s, many women were having children in their early twenties, whereas now women tend to have their first child in their mid- to late twenties.
Although there is no right and wrong answer as to when is the best time to start a family, there are some advantages and disadvantages to waiting to have children.
Disadvantages Starting a family later in life can seem like a good idea but may cause some unnecessary obstacles. One of the first challenges is biological. Aging may make it more difficult for women to conceive a child. Not only is the number of unfertilized eggs a woman carries finite, there is a set number of years to conceive before reaching menopause. However, men, too, also have varying degrees of infertility, as they get older. One study conducted at Soroka University in Israel found semen quantity peaked for men between the ages of 30 and 35, while overall semen quantity was found to be lowest after age 55. Sperm motility is best before age 25 and lowest after age 55. Aging as well as sexual abstinence can have effects on the health of sperm. Waiting to have a baby may increase the risk of having a child with chromosomal abnormalities or increase the risk 44
September 2014 | azhealthandliving.com
of having a miscarriage, and an older woman's body may not recover from childbirth as quickly as a younger woman’s may. In addition to the physical challenges associated with waiting to have children, couples who wait longer to have children may find themselves the oldest parents at peerrelated events. School and extracurricular activities may make age disparities more evident. A couple who does not have a child until their forties may not have as many years as younger parents to see their children as adults with families of their own.
Advantages Couples, who wait longer for marriage and children, may be more financially secure than couples who start their families earlier. They may have already begun saving a nest egg and have established careers with high salaries. Individuals who have had a few years to acclimate to married life or who have enjoyed all of the activities of singlehood may end up in more stable relationships in the end. Children of parents who have a higher education may be more likely to succeed in school, according to scholars at the Office of History and Science at the University of California, Berkeley. Parents may interact with their children more to help them to do well academically. Since they have already completed their own schooling, older parents may not need to continue education or take time away from their children for their own educational needs. Engaging in enjoyable nights out socially before having children may help parents not to feel guilty about missing something as they raise their children. Such men and women will have already sowed their wild oats and will now be able to devote more attention to family life. However, raising a child does require a lot of energy and time, which may prove more difficult for older parents. Waiting longer to start a family has distinct pros and cons. ultimately, couples need to weigh their own situations and make decisions that best fit their lifestyles.
azhealthandliving.com
|September 2014 45
SKIN & BEAUTY
AGE GRACEFULLY
By MS
T
Wrinkle Treatment Reviews & Tips
here are many natural components of aging and wrinkles are no exception. As we age the skin becomes less elastic, thinner and drier. The skin is also less able to protect itself from damage. As result, wrinkles and fine lines can begin forming. Because many times people are judged first by outward appearances, women can become self-conscious of their wrinkles as they get into their 40s and 50s. Today, a number of procedures aimed at reducing the appearance of wrinkles and fine lines exist. The key is finding one that works for you and your budget. Here are some options to consider.
Gain a little weight. No one is advocating going on an
eating binge! However, a new study published in the journal Plastic and Reconstructive Surgery analyzed pictures of the faces of 186 pairs of identical twins, along with extensive questionnaires each twin filled out about lifestyle and skin care. The study found that for twin pairs under 40, the heavier one (a four-point difference in the (BMI) body mass index) looked significantly older. However, surprisingly, after 40 that same four-point difference in (BMI) made the heavier twin look significantly younger. Once you reach 40, it may pay to increase your weight by a few pounds, which can fill out your face and reduce the appearance of wrinkling.
Explore wrinkle creams. Wrinkle creams are found in
department stores and drug stores across the country. Most promise dramatic results. It is unlikely that you'll get the same results from creams and lotions as you would from a cosmetic procedure. But depending upon the ingredients in the products, you could see improvements in the skin over time. Most ingredients are antioxidants that help reverse cell damage caused by free radicals. Fruit acids are another popular ingredient, which exfoliate the skin to reveal newer skin underneath.
Skin resurfacing. There are a number of treatments that
damage the outer layer of the skin to promote newer, younger skin to grow in its place. Chemical peels, dermabrasion, or laser resurfacing are just some of these techniques. According to the Mayo Clinic, laser resurfacing is an effective treatment for minor facial flaws. It can wipe out fine to moderate wrinkles, liver or age spots, correct uneven skin tones, and even reduce the appearance of acne or chickenpox scars. Because the epidermis, or outer layer of skin, is removed, it's common to experience some irritation, redness or itching on areas treated.
46 September 2014 | azhealthandliving.com
Medicinal botulinum toxin type A. This is the same
bacteria that causes food poisoning, marketed under the popular name Botox(R). However, in the medicinal version, a much lower concentration is purified and injected into muscles to prevent contraction. When muscles aren't contracted, the skin on top of them flattens and appears less wrinkled.
Injectable fillers. Collagen fillers and other products are
injected under the skin to smooth out wrinkles. They can be effective when done correctly.
Surgery. This is one of the most expensive options for treating wrinkles. Face and eye lifts can pull the skin taut and smooth out wrinkles. Certain controllable factors also contribute to wrinkles. Therefore, elimination of these factors can lessen the chance for wrinkle formation.
Quit smoking. Blood supply changes in the skin as a
result of smoking, which can speed up the natural aging process. Simply quitting can help stave off wrinkling of the skin.
Avoid UV exposure. Ultraviolet light from the sun and tanning beds can damage the skin. This can dry out skin, removing elasticity and even thinning out the skin years before nature would. UV exposure breaks down the skin's connective tissue, contributing to sagging and wrinkling. Always use a sun protection product when out in the sun, and avoid the strongest rays.
Be conscious of repeated facial expressions. Squinting,
smiling and other repeated gestures with the face can cause lines to form under the skin. For those who find themselves squinting, they can try sunglasses or have their vision checked. Smiling cannot be avoided; however, one can stretch the muscles of the face to improve in strength and flexibility.
Eat and drink healthily. The skin is the largest organ of
the body. Just like the heart and lungs, it needs healthy foods to stay in top form. Be sure to include a balanced diet and plenty of hydrating beverages in the plan for healthy skin. Avoid overindulgence in caffeine, sodium and alcohol, all of which can dehydrate and possibly compound skin dryness.
Exercise gets the heart pumping and brings oxygen to all
necessary systems of the body. Again, with skin being the largest organ, exercise can help promote a healthy appearance and ward off premature wrinkling.
Use care when washing. Tugging and rubbing of the
skin can damage connective fibers, leading to wrinkles. Massage the face gently when washing and avoid harsh exfoliating products that can scratch and damage the skin.
azhealthandliving.com |September 2014
47
FITNESS, NUTRITION & SPORTS
STAY ACTIVE & FIT
By MS
Screen Time & Childhood Obesity The World Health Organization (WHO) defines overweight and obesity as an abnormal or excessive fat accumulation that may impair health. Based on the Body Mass Index (BMI), people with a BMI of greater than or equal to 25 are classified as overweight and those greater than or equal to 30 as obese. According to data from the WHO, worldwide obesity has nearly doubled since 1980. Obesity is a leading risk for global deaths. Approximately 3.4 million adults die every year due to it while 44 percent suffer from diabetes, 23 percent from ischemic heart disease burden and between 7 to 41 percent of certain cancers, all attributable to obesity and overweight. As of 2012, more than 40 million children under the age of 5 were overweight or obese. Approximately 16 to 33 percent children and adolescents in the U.S. are obese. While there are many primary causes of obesity, excessive screen time has been a major contributor. A sedentary lifestyle spent in front of computers and video game consoles contributes to poor health. Of the leading industrialized countries, the United States has the highest obesity statistics, and Canada is not far behind.
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September 2014 | azhealthandliving.com
Smartphones and tablets appear to have staying power. The Pew Research Center confirms that smartphone penetration has surpassed the 50 percent mark among mobile subscribers. Many others are routinely using tablets to access books, television shows, movies and magazines. In multiscreen homes, televisions are still king. According to a 2012 Nielsen report, the average American over the age of two spends more than 34 hours a week, or more than 4 hours per day, watching live television. Those findings should raise an eyebrow, as health experts warn that excessive screen time can be hazardous to one's health. Obesity can impact cholesterol, cardiovascular health, risk for type 2 diabetes, and risk for stroke. Excessive screen time can lead to sleep and eating disorders, interfere with a person's ability to focus and negatively affect a person's performance at school or work. Getting a family active and reducing time spent in front of a screen can have profound effects, and reducing screen time doesn't have to be difficult.
Gradually implement changes Families immersed in electronic devices can cut down on screen time slowly and over the course of several weeks rather than tuning out cold turkey. Start by reducing time spent watching television or playing video games by one hour per week, and gradually reduce time spent devoted to such activities in the ensuing weeks.
Hide devices The mantra, 'out of sight, out of mind' can work with respect to digital devices. If tablets or smartphones are tucked away, family members may feel less inclined to reach for them at any given time. Just as you wouldn't stock your pantry full of fattening foods while trying to lose weight, don't make digital devices readily available throughout the day.
Keep televisions out of the bedroom Children who have televisions in their bedrooms tend to watch an additional 90 minutes of programming per day than those who do not have televisions in their room. Keep the television in a shared area of the house so that time spent watching the TV can be monitored and adjusted.
Establish guidelines Set firm limits on how much screen time will be allowed per day and stick with it. Adults can lead by example.
Plan more family activities Boredom can easily give way to time spent fooling around on the Internet or channel surfing. Parents should have a cache of ideas at the ready that promote active family time. Neighborhood walks or tossing around a baseball in the yard are enjoyable activities that cut back on time spent being sedentary. Encourage indoor activities, such as puzzles or board games, if the weather is not cooperating.
Be steadfast Do not throw in the towel too soon. Families should stand their ground when attempting to decrease their screen time in favor of healthier activities. azhealthandliving.com |September 2014
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Celebrity
ENJOY LIFE
By Nidah Chatriwala
Julianne Moore Beautiful at 53!
Aging gracefully is what Julianne Moore has exemplified. At 53, she is beautifully managing her personal and professional life. Her critically acclaimed films and growing bandwagon of advertisements keep her in the limelight. Moore’s efforts to redefining the “naturally beauty” tag has everyone curious. Vibrant red hair, glowing freckled skin and fit physique make her desirable. With time, Moore has gained confidence in her appearance and has found the middle path to being simply presentable. In an interview with Redbook, Moore says, “I want people to look natural and normal, and I'm all for showing that, but I don't like when magazines show pictures of someone looking terrible.” “We all have our moments when we look awful. My gosh!” Agreed, but let us get polished nails deeper into Moore’s beauty regimen, starting from her full head of electrifying red waves. How does she maintain it? “I shampoo and condition with Kérastase Elixir Ultime products, then L’Oreal has a great leave-in spray called Color Vibrancy Dual Protect Spray, which makes my 50
September 2014 | azhealthandliving.com
hair very soft,” Moore tells Redbook. “Plus, it has UV filters to protect the color.” Now let us move on to her glowing complexion. In her recent article in Redbook, Moore shared her habit of applying sunscreen started in her early 20s. Smart move! “Sunscreen is my number-one thing; I've worn it every day since I was 23,” Moore boasts to Redbook. Being an actor, touch-ups before “action” is said to be a norm in Hollywood. Therefore, Moore has learned a few beauty tips from her makeup artists. Tip: “Use foundation with discretion: Just put it where you need it, and really, really blend,” Moore emphasizes in her article in Redbook. Clearly, fight to look perfect is amplified in the media business. Maintaining or even enhancing them can lead one to go under the knife. How does Moore feel about plastic surgery?
“I'd like to think that I can age as naturally as possible; I don't want to come out condemning anything anybody does, because I think that all of these things can contribute to making people feel better about themselves, and that's great. But I also want to look like myself. I mean, we're not going to live forever. You could be dead at 45, and guess what? Then you don't have to worry about aging,” Moore candidly shares with The Edit. Either way, nobody can get enough of Moore. She is a woman of substance, talent, love, and beauty who is fearless of aging. Be sure to catch Moore in new movie, 'Maps To The Stars' coming to theaters this month! azhealthandliving.com | September 2014
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SPECIAL FEATURE
ENJOY LIFE
Product Guide A new line of anti-aging skincare harnessing the power of algae, to deliver smoother, more radiant and younger looking skin. This unique algae, found in the deep waters of northern Europe, is extremely resilient and effective in retaining moisture even in the most extreme environments. This unique strain holds the Algasome™ complex, a rich and concentrated source of essential fatty acids, amino acids, antioxidants and vitamins B, D and E.
EverDeep
www.everdeep.com Exert puts the body in a cool, microclimate that draws heat away whenever there is a temperature spike, i.e., a hot flash. a "before you need it" spray that regulates skin temperature by drawing heat away from the skin during temperature spikes and creating a cool, microclimate for the skin. When body temperature flashes above normal our patent pending technology “kicks in” and then when the body temperature drops back to normal, it quickly recharges to prepare for the next heat wave. Ideal for women going through menopause and having problems with hot flashes and night sweats.
Exert Smart Body Coolant www.exertco.com
A new plant-based skin-tightening cream from Nerium International containing the patented extract of the Nerium oleander plant (NAE-8) formulated to reduce the appearance of cellulite and dimpling to help smooth, tighten, and firm loose skin and to help restore the appearance of youthful contour, tone and texture. In addition to the patented NAE-8 extract, Nerium Firm Body Contouring Cream is a nature-based product that contains other ingredients derived from plants.
Nerium Firm Body Contouring Cream
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Firm Me Up is proven to help transform stubborn, bumpy cellulite into skin that looks and feels smoother, younger and more refined. Other results include increased skin hydration, tightened skin and the prevention of future buildup of cellulite. Its unique delivery system allows ingredients to penetrate skin more effectively and may boost microcirculation for better results over time.
Firm Me Up Anti-Cellulite Crème www.upbeautyonline.com
This female urinary device is a single use, waterproof disposable funnel allowing women to pee while standing. Perfect for athletes, travelers, the elderly, disabled, pregnancy, parents of young girls, post-surgery patients – any woman who might have to go while on the go. It fits easily into a purse or backpack and is a must-have for germ-conscious women who don't have access to a sit-down toilet or who don't want to use unfit facilities. Use without getting hands or other body parts wet.
THE PEE POCKETTM
www.thepeepocket.com 52
September 2014| azhealthandliving.com
You don’t have to be perfect to be a perfect parent. There are plenty of teens in foster care who would love to walk an extra block for you. 1-888-200-4005 • adoptuskids.org
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November 2012 | azhealthandliving.com
LOOK & FEEL GOOD
FASHION By Ashley Martini, styling consultant, founding member of Martini Fashions and author of Styletini
Confidence-Boosting Clothing Tips As if there were not enough to worry about in day-to-day life, people often find themselves frozen in front of their closets during the morning rush, panicking about what to wear. Almost everyone has that terrible feeling of insecurity from time to time when you just know you have on the wrong outfit – as if it’s not just your clothes that are frumpy and outdated, but you, too. Unfortunately, in today’s society, people do judge books by their covers – and perception is reality. You can sense how people respond to you, especially in relation to job opportunities and relationships. Getting your outfit right can be challenging. People want to be confident, comfortable and up-to-date but not necessarily hipsterific, professional but not overly formal. Most have a favorite outfit or two, but those get old quickly when worn twice a week. One of the first things you should understand is that your criteria really isn’t conflicting – you can be stylish, professional and comfortable, all with that stamp of individuality. You just have to know what to look for. Here are a few tips to take the stress out of the morning dress hour.
Not all trends work for all body types You have to be honest with yourself; skinny jeans may not work for you, and forcing yourself into a pair that’s semiworkable is not the best way to optimize your closet. The trendiest thing any individual can do is answer the question: Is it flattering?
Women have six basic body types
You can be stylish, professional, and comfortable, all with that stamp of individuality. You just have to know what to look for.
Triangle: narrow above the waist and wider on the bottom. Inverted triangle: fuller shoulders, chest, slim hips and thighs. Rectangle, also known as athletic: little definition in the waist and hips. Diamond: high-sitting, full stomach with wide hips and full thighs.
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Apple, also known as oval–shaped: similar to diamonds, but with a lower-sitting stomach. Hourglass: with equal upper and lower halves with welldefined waists.
Know your measurements Measure the parts of your body that most define your shape: your hips, shoulders, waist and bust. Wear underwear (but not shapewear) when measuring hips, and wrap the tape around the fullest part of your hips and butt for the most accurate measurement. Don’t tug too tightly or loosely when measuring; the number in the center front is your hip size. To measure shoulders, keep your back straight and your shoulders relaxed, and extend the tape from the outer edge of one shoulder to the outer edge of the other. To measure your waist, bend forward and note where your body creases – that’s where to measure.
For bust, wear a top without a bra, which often alters measurements. Wrap the tape across your back and under your shoulder blades and arms – and around the fullest part of your breasts.
Own your plus-size, petite or tall body. You have probably heard the statement, “Real women have curves.” Yes, they do, but there are also real women with smaller busts; long and lean women, and some built like the ancient fertility goddess statues. All of us are real.
Plus-sized women. Highlight your assets .Shapely legs and well-toned arms are meant to be flaunted.
Petite women. Opt for pieces that come in naturally shorter lengths, such as cigarette pants, knee-length, or higher skirts and three-quarter and shorter sleeve tops and jackets. Showing more skin will make your limbs look longer.
Tall women. Wear high heels if you want to – just because you are taller does not mean they are off limits.
azhealthandliving.com | September 2014
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career, business & Finance
PLAN & SAVE
By Leslie Greenman, financial advisor and author of Dating Our Money: A Women’s Guide to Confidence with Money & Men
Ways to Outsmart the Overspending Impulse Studies have shown that we are inclined to pay more for items when we are sad. However, we all know that the happiness we achieve through spending is fleeting.
Many of us have emotional triggers that lead to overspending. Understanding how the need for stress relief or the need to demonstrate your own self-worth can lead to overspending is essential in order to curb the dangerous habit. Women especially can have a tendency to take on a what-Idon’t-know-can’t-hurt-me mentality when it comes to spending. We convince ourselves that is OK to overspend because we are celebrating a promotion or because we are pleasers by nature and want to buy a great gift for our spouse or best friend’s birthday. Here is some advice on how to understand the psychology of overspending and what you can do stop it.
Get real about your financials. Sit down with your spouse at least once a month to have a heart-to-heart about your financials. Make sure you both understand what the budget will allow for in spending that month, and more importantly, plan how you are going to meet your saving goals. Establish an “Operation Saving” plan. Once you know what your budget is, start mapping out what expenses you can and cannot cut and set savings goals. Be very specific. If you buy Starbucks every morning that has to 56
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be accounted for in your spending report. If you have been sneakily hiding clothing purchases from your spouse, then it is time to fess up. The specificity will override the “vagueness trap” that allows us to fool ourselves about how much we are really spending. The more specific your plan, the easier it will be for you to hold yourself accountable to it.
Do not let the psychology of the sale get the best of you. If you are a chronic over spender, sales pose a special temptation. When there is a great sale, two factors are usually used to justify spending. First off, we fear that if we don’t take advantage of the sale now we might not be able to get that item later. Secondly, most women love to feel like they have gotten a great deal when they are shopping. Going over budget is going over budget. It doesn’t matter what purchase is deepening your debt; just that your debt is increasing. Get an accountability partner. Your accountability partner will be there for you whenever you have the impulse to overspend. If you are married, your spouse could be your accountability partner and vice versa. Do not shop when you have the blues. Studies have shown that we are inclined to pay more for items when we are sad. Have you ever been down in the dumps and
indulged in a yummy dessert or gone back for seconds of whatever your comfort food of choice might be? Well, the same emotional triggers that lead you to seek comfort through food can lead you to seek comfort through spending if you head to the mall instead of to your favorite restaurant. However, we all know that the happiness we achieve through spending is fleeting. Soon we are right back to being down in the dumps.
Invest in relationships, not in 'stuff.' It is perfectly natural to want to give back to those who give to you. It feels good to treat a friend to lunch or to see your son’s face light up when you agree to buy him the video game he wants. This satisfies the nurturing instinct in women, in particular. In addition, it helps us assuage the guilt we often feel for the shortage of time we have to spend with our loved ones. What we need to realize is that what other people really want, children and adults alike, is to spend time with us. Use cash! The average American spends 12 to 18 percent more when they use credit cards versus cash. Buying on credit is a trap to be avoided if possible—and the best strategy for defeating temptation is to use cash whenever possible. If you use your credit card, you will probably end up paying two or three times over in interest payments. Bring only cash with you when you are shopping, or at the very least, use your debit card. Reaching for your credit card to pay for something you would not otherwise be able to afford is no longer an option.
Remember, small amounts add up to huge consequences. Sometimes you can overspend by missing opportunities to spend less. Do you and your family order sodas when you eat out? Do you buy coffee on the way to work each morning? If so, spend a moment filling out one of the cost calculators available online. The results will be eye opening! There is never a bad time to start living more financially responsibly. Sure, you will have to make sacrifices, but those sacrifices will be made up multiple times over through the wonderful things you can achieve through saving and strengthening your financial outlook. azhealthandliving.com
|September 2014 57
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
“The aged women likewise, that they be in behaviour as becometh holiness, not false accusers, not given to much wine, teachers of good things; That they may teach the young women to be sober, to love their husbands, to love their children,To be discreet, chaste, keepers at home, good, obedient to their own husbands, that the word of God be not blasphemed..� ~Titus 2:3-5
azhealthandliving.com |September 2014
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aging well
STAY HEALTHY
By Barbara Penn-Atkins, author of ’70 is the New 40-Bonus Years Here We Come!
Are You Prepared for the Second Half of Life? At this stage in life, new beginnings are the pinnacle of memories and new possibilities as one looks forward to their ‘bonus years ahead.’
Thirty years may seem like an eternity between age 40 and 70. However, it really is not, especially for those who look at life from a holistic point of view as a time to enjoy beauty in the world that surrounds them. During this period of transition through retirement and beyond, individual focus begins to shift from ‘wants and desires’ to ‘what matters most’ to them in life. A shift in priorities emerges, and the bucket list gathers more important items than simply a ‘wish list’ for the tangibles of life, but a sustaining list to be inclusive of life’s tangibles and intangibles for personal satisfaction, meaning, fulfillment and purpose. Change in life patterns also present a period for self-discovery, as you seek answers to ‘what is my perception of aging, what do you look forward to doing in your bonus years, and what is your passion in life?
Visualization
Over 78 million baby boomers are drastically changing the global landscape of a world that is shaping a new image of aging, maturity and transformation. The ‘new-young-olds’ are redefining retirement stage beyond age 50.
If you will, take a sentimental journey to the top of life’s bell-shaped curve to view increments of decades beyond the teens, 20s, 30s, 40s and 50s – see each transitioned phase with its own discoveries of growth, learning curves, physical, mental, spiritual, psychological and social changes. What transpired during these decades chronicles your history and have earned you the status of belonging to an elite group known as ‘Mat-Gen’s’ — the Mature Generation. No, this title does not reflect seniors, retired or elders. It’s a credentialed position earned and well deserved. At this stage in life, new beginnings are the pinnacle of memories and new possibilities as one looks forward to their ‘bonus years ahead.’
Images Images of aging are about how you see yourself when you look into the mirror of your mind with a reflection from the heart – a combination that creates ones perception of self. Images perceived reflect thoughts of who you are, and who you wish to be. It’s a mind-set combination of your personal characteristics defining your inner beauty, mental acuity, spiritual strength and emotional stability. The fruits of aging are from the seeds of life planted in youth, nurtured by values, personality and culture, and enhanced by one’s maturity, knowledge, skills, experience and ultimately wisdom. 60
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Use your imagination, visualize life’s journey as a bell shaped curve with new beginnings, middle and an end. Then visualize it as a combination of both roller coaster and a bell-shaped curve. The roller-coaster effect depicts life’s difficulties that frivolously chart our emotional and sometimes physical challenges that happen to us, by us and for us. Now, visualize the bell-shaped curve (also known as the learning curve) — it represents the progressive path of choices, options, and opportunities as one transition and transform through phases of life into new decades with options and opportunities from birth to death.
Journey
Your knowledge, skills, experience, and wisdom accumulated over the years are now the portfolio of wealth, and well honed tools you may use to transfer ‘life skills’ for living a productive life to the next generation.
HAVING TROUBLE
FINDING YOUR WAY THROUGH THE
MEDICARE MAZE?
Do you need answers to any of the following questions? What is Medicare? What does it cover? How much does it cost? When is it available to me? Is “traditional” Medicare all I need? Does Medicare cover my prescriptions? What are the A, B, C, & D’s of Medicare? What options are available to me with Medicare? These are only a few of the many questions that require honest and accurate answers before a well informed healthcare decision should be made. I can provide the answers and options to help you choose the right path.
Call today!
Insurance
Services
Tina Borges
602.758.8998
aging well
STAY HEALTHY
By Dr. Jack Wolfson D.O., F.A.C.C., Wolfson Integrative Cardiology
Monitoring Your Blood Pressure at Home
Y
ou probably get your blood pressure taken at the doctor’s office, but did you know for some people that checking it at home could be just as important — if not more so? High blood pressure or hypertension is a sign that poor nutrition and chemicals are affecting your body. Stress and lack of exercise contribute to elevated numbers. Most people will have high blood pressure at some point in their lives. In fact, it’s estimated that by age 55, those who don’t already have high blood pressure face a 90 percent chance of developing the condition. Home monitoring can help you monitor your blood pressure and alert you and your doctors to potential health complications. If you find that your numbers are high, something is not right with your nutrition and lifestyle. Because blood pressure monitors are available widely and without a prescription, home monitoring is an easy way to monitor your condition. Before you get started, it’s important to know the right technique and to find a good home blood pressure monitor.
Home monitoring can help you monitor your blood pressure and alert you to potential health complications.
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Your doctor will be able to advise you on the best type of machine to buy, and you should ask the doctor or nurse to check its accuracy, and your ability to use it, before you start taking readings. At home readings When you have your blood pressure taken at the doctor’s office for the first time, it’s recommended that it be taken in both arms. However, if you’re measuring your blood pressure at home,
readings are often more easily taken in the nondominant arm. Keep in mind, there are many things that can temporarily affect the outcome of your blood pressure. Here are a few reasons why blood pressure normally rises. • • • • • • • •
Poor nutrition Stress Smoking Cold temperatures Exercise Inadequate sleep Caffeine Certain medicines
To get the best results, always take the reading after sitting for five to ten minutes. If your home blood pressure readings are different from those taken in the doctor’s office, be sure to discuss this with your healthcare professional. Bring your blood pressure monitor into the doctor’s office to compare. The guidelines for ideal blood pressure are:
120/80 or less: Normal blood pressure reading. No problems identified. 120-139/80-89: Pre-hypertension. This measure is a warning sign of potential problems, and a doctor may recommend you begin lifestyle changes to reduce your pressure. 140/90 and above: Hypertension, or high blood pressure. These numbers indicate you should find a way to reduce your blood pressure. This can be safely done with a healthy diet, exercise, and natural supplements. Pharmaceuticals are commonly prescribed, but not addressing the cause. 180/100 or above: Readings this high can be dangerous and should be addressed immediately by a physician. Health screenings are an important part of healthy aging. If you choose to measure your blood pressure at home, technique matters. Do not place the cuff over clothing. Keep your arm relaxed and at heart level. When done properly, monitoring your own blood pressure is a great way to stay heart healthy and help manage your overall health. azhealthandliving.com | September 2014
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If an adult suddenly collapses, perform Hands-OnlyTM CPR. Call 911
then push hard and fast
n 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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