HEALTHCare NORTHERN ARIZONA
2019/2020
MAGAZINE
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CON T E N T S 04 06 08 09 10 11 12 14 15 16 17 18 19 20 21 22 Publisher COLLEEN BRADY Editor MACKENZIE CHASE 928.913.8668
Care HEALTH M AGA ZINE NORTHERN ARIZONA
IMPORTANCE OF EYE EXAMS REGULAR SCREENINGS VISION TROUBLE IN CHILDREN SPOTLIGHT ON ARTHRITIS TAKING A GYM CLASS WHAT TO LOOK FOR IN A GYM HEARING BETTER FOR A HAPPIER LIFE A HELPING HAND IN JOINT SURGERY ARE YOU FULLY VACCINATED? HOSPICE CARE WHO ARE THE CAREGIVERS? EATING TO LOSE WEIGHT DENTAL EROSION BASICS DENTIST VISIT FAQS GET BOUTIQUE WORKOUTS AT HOME ADVERTISER DIRECTORY Sales Contributors ZACHARY MEIER AMBER BONNETT LYDIA SMITH Graphic Artists KEITH HICKEY
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Importance of Eye Exams
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f visiting the optometrist is not a part of your preventative health routine, you risk developing serious vision problems that otherwise could
have been treated. Signs and symptoms are generally so subtle you won’t even notice they are present until it is too late. Scheduling an appointment with your local optometrist allows him to spot problems early and determine the best strategy to maintain your vision. Through obser vation easy-to-perform testing, it ’s easy to learn the integrity of your eye health.
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U.S. vision statistics According to studies conducted by the Centers for Disease Control and Prevention, only half of the estimated 61 million adults in the United States classified as being at high risk for serious vision loss visited an eye doctor in the past 12 months. Here are more unsettling facts revealed by the study, which should urge you to get on top of
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your vision health: • 3.4 million Americans age 40 and older are either blind or visually impaired; • 20.5 million Americans age 40 and older have a cataract; and • 5.9 percent of Americans age 20 and older have some form of visual impairment, most of which can be corrected. What happens at an eye exam The process of preparing for an eye examination is simple and painless. A division of the College of Optometrists, Look After Your Eyes, has laid out how you can prepare: Getting to know your optometrist: If you are a new patient, it is important to answer the questions asked by your optometrist honestly. By understanding family history, general health and medications you take, your doctor will have a good grip on conditions to expect and how to correct them.
The exam: An important tool your optometrist will use is called an ophthalmoscope. It is a specially designed torch used to examine the lens inside your eye, revealing signs of a cataract or the health of your optic nerve and retina. After this examination, you will be asked to read the letters from a chart. You have likely seen this familiar chart in places such as the Department of Motor Vehicles, doctor’s offices and even schools. After the exam: Once you have completed your eye exam, your optometrist will have a detailed understanding of the health of your eyes. She might recommend prescription glasses or contact lenses. In serious cases, she might even recommend corrective surgery. Be honest about your concerns about your vision and create a game plan with your optometrist.
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Regular Screenings
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ealth awareness is the
That good news comes from D r. key to a longer life. Jean Bonhomme, a physician and board Simple screenings for member of the Men’s Health Network, a most of the top health challenges nonprofit organization devoted to men’s health that affect men early in life can lead awareness. Bonhomme to early diagnoses and treatment that cited prevention and screening as key to can help ensure positive outcomes. identifying health problems in an interview with the medical website, WebMd.com. “If you don’t get your cholesterol checked when it’s going high when you’re 20, and if don’t get your blood pressure checked when it’s going high when you’re 30, maybe your blood sugar is getting a little high when you’re 40, what do you think is going to happen when you’re 50?” Men die at higher rates than women from nine of the top 10 causes of death and are the 6
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victims of over 92 percent of workplace deaths. (Bureau of Labor Statistics) In 1920, women lived, on average, one year longer than men. Now, men, on average, die almost five years earlier than women. (Centers for Disease Control) Women are 100 percent more likely to visit the doctor for annual examinations and preventive services than men. (CDC) Top causes of death among men: heart disease, cancer, injuries, stroke, suicide and HIV/ AIDS. Many of the top 10 causes of death are preventable and can be treated effectively if diagnosed early. So what can be done? Prevention is key and the Centers for Disease Control and Prevention offers these tips for staying healthy and living longer. Get regular physical checkups and screenings. Eat healthy and include a variety of fruits and vegetables every day. Get regular physical activity to help control your weight, reduce your risk of heart disease and some cancers, and improve your mental health and mood. Set an example by choosing not to smoke and encourage the men in your life to quit smoking. Reduce stress by recognizing that physical and emotional tension and learn ways to manage stress.
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Vision Trouble in Children
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hildren are great about telling parents when something might be troubling them. You probably know your child’s communication
patterns well enough to know when a serious problem exists. Don’t let signs of vision problems go untreated. Vision problems can be spotted in children as young as three months old. At this stage of development, a child should be able to follow an object with his eyes. If you notice he has trouble maintaining focus, be sure to discuss it with your pediatrician. Visual signs that could mean trouble 8
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Sometimes signs of vision problems can be easily spotted by inspecting your child’s eyes. The American Academy of Pediatrics recommends alerting your pediatrician if you notice any of the following symptoms in your child: • White or grayish-white color in the pupil; • Pus or crust in either eye, or con-
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stant watering; • Drooping eyelids or eyes that appear overly sensitive to light; and • Redness in either eye that doesn’t go away in a few days. Behavioral signs to notice When your child reaches preschool age, she will begin relying more on her vision to accelerate her academic development. Activities such as stacking blocks, coloring, using scissors and even assembling puzzles help improve the eye-to-brain relationship. Tuning these fine motor skills can assist with learning to read and write. However, if a child is expe-
riencing troubles with his vision, he likely will struggle to keep up with the rest of the class. According to the American Optometric Association, you might notice some warning signs that must be brought to a pediatrician’s attention. Witnessing your child sitting too close to the television or holding books and magazines too close to their faces can reveal a struggle with vision. If a child displays a short attention span or avoids fun activities, such as coloring or puzzles, it is a sign of vision and focus problems. Children who frequently rub their eyes or complain of itchiness should see an eye doctor, so be aware of your child’s daily activities and behaviors.
Spotlight on Arthritis
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reak or crack getting up in the morning? Trouble moving around? Swelling in the joints? You might have arthritis. There are several different
kinds of arthritis, some forms of which may cause problems in other organs, but the most common type is osteoarthritis, which is related to aging or an injury. Read on to learn more. Causes of osteoarthritis Cartilage is a slippery tissue in your joints that absorbs the shock of movement and keeps your bones from rubbing together. When you have osteoarthritis, this cartilage breaks down and the bones rubbing together can damage the joint. Risk factors for osteoarthritis include being overweight, getting older and injuring a joint. Treatments There are many treatments for osteoarthritis, including exer-
cise, medicines and even surgery such as hip or knee replacements. But there are things you can do to mitigate the damage and the pain from this condition. Even though it hurts at first, it pays to keep moving. The Mayo Clinic recommends low-impact exercises (avoid things like running, jumping and high-impact aerobics). Instead, start with gentle stretches and move up to range-of-motion exercises and strength training. Consult with a local physical therapist or gym
to learn a variety of beneficial exercises. Exercise can also help you lose weight, which will take pressure off your battered joints. You can also use hot and cold to relieve pain and relax muscles and joints. Apply heating pads to the painful joint or take a hot bath to temporarily relieve pain. Don’t use a heating
pad for more than 20 minutes at a time. Take cold packs to sore muscles to relieve pain after exercise. It can also be beneficial to quit smoking and to keep a positive attitude, which can be difficult when you’re in pain. Don’t be afraid to ask your doctor for a recommendation to a therapist if you need it.
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Taking a Gym Class
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any people like to go to fitness classes instead of doing solo workouts; working out in a group can help motivate you to
push yourself more than you might have otherwise. The Huffington Post and LiveStrong discussed the best classes to get you excited about going to the gym and achieving the results you want. With any class, know you can adapt moves to your fitness level. Zumba and other dancelike classes These classes are great if you want a high-energy, fun experience that still gets you moving and shaking. Benefits include getting your heart rate up and working different muscle groups without falling into a routine. Other dance classes are Batuka, a mix of aerobics and dance moves set to a Latin beat that offers a full-body workout, and belly dancing, which is doable for all fitness levels and are a good core workout in addition to the cardiovascular work. Strength training Want a workout that tones every muscle group? Most gyms offer a total body strength training class that hits every major muscle group. Depending on the class and instructor, it may be dedicated strength training, including free weights, bars, squats and core exercises. These 10
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classes can be good for people who aren’t as comfortable with weights, since the instructor can help you with form. If you want a class that combines weights and cardio, look for a boot camp, which is circuit training that takes its inspiration from military training. You can also look for classes that allow you to spend 30 minutes hitting one muscle group. Spin class Want a class that’ll get your heart racing but go easy on your joints? Take a spin class, which puts you in a dark room on a stationery bike with loud music and an instructor yelling at you to pedal harder. Spin takes you up steep hills, intense sprints and on long roads. Don’t forget your sweat towel and water bottle. Yoga and pilates These classes are more focused on stretching, flexibility and specific muscle toning, but don’t underestimate how hard they can be physically. These are good classes for people just starting a fitness routine or who need a break from a more demanding regimen.
What to Look for in a Gym
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ot all gyms are the same. Depending on whether you want a wide array of fitness classes, a variety of different offerings like a
swimming pool, a basketball court or child care, or you’re looking for a trainer, there’s a gym for you, but it might take a little work to find the right gym. VeryWell Fit offered tips for finding the gym that will help you achieve your fitness goals. Logistics: hours, location and parking The best way to ensure you regularly make it to the gym is its con-
Come by for a tour: 1521 N Pine Cliff Dr
venience. If it’s open early enough to go before your office or late enough for a late-night run, you’re more likely to go. And look for one close to your home, work or school. No matter how great the facility is, you’re way less likely to drive all the way across town after a long day at the office than to go
to a gym half a mile from your home. While you don’t need a frontrow parking spot at the gym, it’s also good to scope out the parking lot. Visit at the time you plan to work out to ensure you’ll have a place to park. Cost Most gyms require a contract, either annually or on a month-tomonth basis, and you pay monthly. Visit different gyms in your area and find the one you like, then see if they’re offering any specials. Many gyms also will negotiate; see if they’ll waive an initiation fee, throw in a few sessions with a personal trainer or let you have a month-to-month instead of yearly contract. As with anytime you sign a contract, read it.
Features and atmosphere Figure out your top priorities and make sure your gym offers those. If you want to use treadmills or stationary bikes, try out the machines and get comfortable. See how many machines they have; you don’t want to wait for half an hour to use the treadmill. Check out the pool and sauna, walk through the kids center and tour the locker rooms. You also want a sense of the gym’s atmosphere. Make sure you’ll want to work out there—the music isn’t too loud, the place is clean, there’s enough room for you to work out comfortably, there are ample spray bottles and people are wiping down equipment.
Call for more information: 928-440-2350
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For 26 years, Flagstaff Athletic Club has been visiting FUSD elementary schools as part of an outreach program called Kids in Motion. We have donated more than $125,000 for FUSD elementary PE programs. Your membership includes: 2 Clubs, 3 pools (including a salt pool, a lap pool and an outdoor pool), 4 Steamrooms, 6 Jacuzzis, 2 Kids Clubs, 9 Courts, State of the Art Weight and Cardio Equipment, Indoor Track, Gymnasium, Personal Training, Massage Therapy, Small Group Training, Physical Therapy and Tanning on site, plus much more! over 120 Group Fitness classes aweek includinG: Beginner Classes, Yoga, Cycling, Zumba, Step, Pilates, Aqua X, Les Mills®, Aqua for Arthritis, Barre Fusion 45, Barre Above, Piyo, Heart Rate, RPM, Body Pump, Body Jam and more. Offer Expires 10/31/2019
FAC East: 779-5141 • FAC West: 779-4593
flagstaffathleticclub.com 2019/2020
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Hearing Better for a Happier Life
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ccording to the National Institute on Deafness and Other Communication Disorders, about one in three people between the ages
of 65 and 74 have hearing loss and nearly half of those older than 75 have difficulty hearing. If you are experiencing a decline in how you hear, it may be time to invest in a hearing aid. There are several considerations you should make before committing to a certain model. Make sure to get your doctor’s opinion on the option that is most efficient in your situation. Here are some factors to consider before you begin shopping.
Key features Hearing devices typically consist of four basic components: a microphone, a processor, a receiver and a power source. The microphone recognizes the sounds you hear and transfers them to the processor. Those sounds are enhanced by the processor, which then amplifies them to your ear canal via the receiver, or speaker. The system is
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• Residents of Coconino County • Have no medical insurance (including AHCCCS) • Living at or under 250% of the federal poverty level
powered by a power source, or battery. While most operate the same, you can find units with other high-tech features. Here are some to look for. • Automatic gain control picks up on soft sounds while maintaining loud noises at comfortable levels. • A feedback manager is helpful to minimize annoying whistling, while boosting amplification. • Noise reduction is great for reducing background noise so you can concentrate on speech intelligibility. Set reasonable expectations A hearing aid won’t completely restore your hearing, so it ’s important to understand what you should expect. Most users experience a better quality of life by picking up on sounds they couldn’t hear in the past and enjoying conver-
sations without asking someone to repeat themselves. You also should allow yourself time to adjust to the new type of hearing experience. There may be a short period before you feel comfortable with your new earpiece and its capabilities. Assistive listening device In addition to a hearing aid, take advantage of assistive listening devices that can make an aid more effective. Installing wireless systems or neck loops in rooms in which you have difficulty hearing can make the sounds more prevalent to someone with a hearing aid. Before making a purchase, check with your insurance policy to see if they help cover the cost. Some high-end models can be expensive.
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Hearing aids do not restore natural hearing. Individual experiences vary depending on severity of hearing loss, accuracy of evaluation, proper fit and ability to adapt to amplification.*Not valid on Audiotone® Pro. **If you are not completely satisfied, the aids may be returned for a full refund within 30 days of the completion of fitting, in satisfactory condition. †Our hearing test and video otoscopic inspection are always free. Hearing test is an audiometric test to determine proper amplification needs only. These are not medical exams or diagnoses nor are they intended to replace a physician’s care. If you suspect a medical problem, please seek treatment from your doctor. Dolby® and the double D symbol are registered trademarks of Dolby laboratories. Apple and iPhone are registered trademarks of Apple, Inc.
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A Helping Hand in Joint Surgery Arizona Daily Sun Staff
F
rom Apple’s iPhone 11 to Artificial Intelligence, we see technology evolving every day right before our eyes. Perhaps most importantly,
technological advancements in the medical field have also been reaching new heights. In 1985, the first documented use of a robot-assisted surgical procedure occurred. According to Robotic Oncology, a PUMA 560 robotic surgical arm was used in a neurosurgical biopsy, a nonlaparoscopic surgery. The PUMA allowed for greater precision during the very delicate operation and, ultimately, a successful procedure. Since the pioneering surgery, the da Vinci Surgery System broke new ground by becoming the first robotic surgery system to be approved by the Food and Drug Administration in 2000, paving the way for more normalized usage of robotics in surgery. Stryker, one of the world’s leading medical technology companies, offers innovative products 14
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and services in orthopaedics, neurotechnology, medical and surgical to help improve patient and hospital quality of care. One such product is its Mako Robotic-Arm Assisted Surgery systems. Acquired by Stryker in December 2013, Mako offers partial knee, total hip and total knee applications. To date, more than 100,000 total Mako procedures have been performed. “The beauty of [the Mako system] is that you can do a lot of upfront planning. For surgeons, that just makes it more comfortable,” Dr. Cody Martin, M.D. said. Martin is an orthopaedic surgeon fellowship trained in hip and knee replacement (arthroplasty) with Northern Arizona Orthopae-
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dics, and a member of the Arthritis and Fracture Care Center inside the Summit Center in Flagstaff. When he talks about the upfront planning, Martin is referring to Mako’s patient-specific, pre-operative plan which enables more accurate implant positioning. Further, its 3-D modeling allows for more accurate planning of implant size, orientation and alignment. Although not currently in use in Flagstaff, Martin used the Mako robotic-arm during his practice at Mayo Clinic Florida. Recently, Martin obtained privileges at Honor Health Thompson Peak, Honor Health Deer Valley and CORE Institute Surgical Hospital, where he plans to use the Mako systems. When talking with his patients about the technology, he receives mixed reactions, with some patients delighted by the idea and others who are skeptical. One concern is that the operation would be fully in the hands of the robotic technology, but Martin said that is not the case. “I think there’s this fantasy in America that this thing will do all
of it for you. It’s important to note the robotic arm is an assistant. I am still doing surgery, but the robotics gives you a boundary,” he said. Studies have shown the Mako Robotic-Arm Assisted partial knee application resulted in 92% patient satisfaction over two years, resulted in lower post-operative pain and more accurate implant placement, as well as a decrease in readmission rates. Despite its potential benefits, Martin asserted roboticassisted operations may not be for everyone, and to consult your healthcare physician about other options. Surgery, he said, should be a last resort. “When you look at outcomes, because it’s so early, this is not the clear standard of care,” Martin said. “This has the opportunity to improve quality of care. If you have a good surgeon, whatever they use can be equally as good.” Currently there are more than 300 Mako systems in operation worldwide, with continuing expansion in 19 countries.
Are You Fully Vaccinated?
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any people are familiar with the vaccination schedule for children, but did you know that adults need vaccines as well? According to
the CDC, immunity from childhood vaccines can wear off, requiring boosters. Additionally, adults are at risk of different diseases than children are so require different vaccinations. These shots are among the most convenient, effective and safest preventative care options available, particularly for people who are traveling to exotic places or working with atrisk groups. Vaccinations are generally covered by health insurance. What vaccinations do I need?
Adults and children should get a flu vaccine every year. Protection doesn’t last from year to year because the flu virus mutates; scientists determine the strains of the virus that are most likely to infect people each year and prepare a vaccine for those strains. Although getting a vaccine doesn’t guarantee you won’t get sick, those who get the flu will likely be less sick if they got the flu shot.
Take control of your joint pain Mako Robotic-Arm Assisted Technology, the latest in total hip, partial knee and total knee replacement, is now available in your area.
The Tdap vaccine protects against whooping cough, tetanus and diphtheria and is safe for use in adults and children older than 7 years. Other routine vaccinations include the measles-mumps-rubella, chicken pox and polio vaccines. Most people get those as children. What about when I travel? Depending on where you’re traveling, certain vaccinations are recommended or may even be required. The CDC recommends hepatitis A and typhoid vaccines when traveling to Mexico, for instance, as contami-
nated food or water could be a risk. Parts of Africa have an increased risk of cholera, and jungle areas are full of mosquitoes, so getting vaccinated for malaria is a good idea. Talk to your doctor about activities that could put you at risk for other diseases. Travelers who may come into contact with wild animals should consider a rabies vaccination. Depending on where you’re going and what you’re doing, meningitis, yellow fever and hepatitis B may be an issue. Check the CDC’s websites for recommended and required vaccines.
It’s your move. Speak with a surgeon to see if Mako Technology is right for you. Find a surgeon today! Call 1 888 STRYKER (1 888 787 9537) or visit meetmako.com. All surgery carries risk. See your orthopaedic surgeon to discuss your potential benefits and risks. Not all patients willl have the same post-operative recovery y and activity level. Individual results vary. var MKOSYM-PM-14_22150
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Hospice Care
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any people are unclear on what hospice care includes. According to the National Hospice and Palliative Care Organiza-
tion, this is high-quality care for “people facing a lifelimiting illness or injury” that brings a team of health care providers to handle a patient’s medical care, pain management and emotional support, including support for the family and caregivers of the patient. It is not solely for people who are dying; people can get into hospice care for a time to handle a difficult health situation but leave hospice care when it is no longer necessary. According to the NHPCO, close to 7 percent of patients in 2016 left hospice care because 16
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they were no longer terminally ill, while another 6 percent left on their own. In 2016, 1.43 million Medicare beneficiaries used hospice care, with 101 million days of care paid for by Medicaid. Based on your loved one’s dis-
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ease and condition, consider calling a local hospice provider and determining whether they can help with your relative’s care. Services available through hospice Hospice care providers help manage the care recipient’s pain and symptoms; provide medications, medical supplies and equipment; coaches the family on how to care for their loved one; offers short-term inpatient care as needed; and provides assistance with the emotional aspects of dying, including bereavement care for family members. Who’s on the team Hospice care providers work with the caregiver, the patient and the family to create a plan that meets the care recipient’s needs
and desires. The team includes the recipient’s doctor, a hospice physician, nurses, home health aides, social workers, clergy members, volunteers and speech, physical or occupational therapists, as needed. The recipient and family members are part of the discussion and planning, as well. Choosing a provider Most insurance plans, including Medicare and Medicaid, cover hospice, but you should check with your provider to see if there are specific providers. From there, talk to your loved one’s doctor. Look for services close to you; hospice care is often provided in a private home, which allows your loved one to continue living at home or with family members instead of a facility.
Who are the Caregivers?
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aregivers and those receiving care cover a range of ages, genders and relationships, but, according to the Family Caregiver Alliance,
older women are most likely to receive care, and women are by far the most likely to be caregivers. Two-thirds of people receiving care are women, with an average age of almost 70 years old, but almost half of people between the ages of 18 and 45 years old receiving care are men. Women, in addition to being threequarters of the informal caregivers, spend as much as 50 percent more time providing care than men. Half of caregivers are caring for a parent or parent-in-law. Fifteen percent care for a friend or neighbor; others, particularly older Americans who are acting as caregivers, are actually caring for their spouse, which sometimes puts people in the
position of caretaking in poor health themselves. Caregivers spend an average of 13 days each month doing tasks such as shopping, cooking or food preparation, housekeeping, laundry and administering medications; six days a month feeding, dressing, grooming, walking and helping with hygiene; and 13 hours a month doing research on their loved one’s condition and how best to help, managing finances or coordinating with doctors. Caregivers who provide complex care or spend more time providing care help with medical and nurs-
ing tasks and provide help with tasks such as getting in and out of bed and chairs. The average length of a caregiver’s work is four years, with 15 percent of caregivers helping their patients for a decade or more. Family caregivers say they spend more than 24 hours a week on caregiving, many on top of full-time jobs. (The average caregiver in the U.S. is in her late 40s.) Those who live with the care recipient spend more time on caregiving tasks than those who don’t. Caregivers also report having decision-making authority or
power of attorney over such things as treatment, communicating with doctors and other health care providers and advocating on the recipient’s behalf with health care professionals, community organizations, insurance companies and government agencies. Informal caregivers, many of whom do not have special skills suited to these tasks, do so because they feel a personal responsibility for their loved ones. Almost half say no one else can do it or insurance will not pay for home care.
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Journey of Life
Sunday, October 6th, 2019 4:00 PM to 7:00 PM
Flagstaff Ranch Clubhouse
Tim Munderloh D.C., F.I.A.C.N
Services Provided:
Please join us for music, food and wine! Featuring special guest speakers, a raffle and a silent auction. Proceeds will benefit Elaine’s Forest House and the Olivia White Hospice Home.
Chiropractic Adjustments • Osteopathic Manipulations Regenerative Amniotic Tissue Injections (containing stem cells) Simpatra Hormone Replacement Trigger Point & Joint Injections • Lumbar & Cervical Decompression Cervical Rehabilitation • BioMechanical Taping Graston Technique • Soft Tissue Therapies
Travis Stiegler D.O.
AquaMed Hydrotherapy • Craniosacral Therapy Custom Orthotics • Allergy Immunotherapy
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452 N. Switzer Canyon Dr., Ste. A Flagstaff, AZ 86001 Call us for more information: (928) 779-1227 Tickets: $50.00/person
We are a non-narcotic, integrated medical rehabilitation-based clinic in Northern Arizona, offering a variety of pain-relieving options to assist patients in achieving optimum health.
Blake Pennock
Peptide Therapy and IV Vitamin Drips now being offered
D.C.
1501 S. Yale St. #250 • Flagstaff, AZ 86001 • 928.556.0707 azintegratedmedical.com 2019/2020
HEALTHCAREDIRECTORY
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Eating to Lose Weight
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osing weight and getting fit and toned is a combination of working out and
eating better. Most dietitians will say that reducing the number of calories you eat is the biggest step; while true, it can be tricky to cut back on your calories without feeling hungry much of the time. Smart eating, however, can help you to feel full and keep you feeling full longer. WebMD has some advice on how to lose a few pounds while still having the energy for your day, including a good workout. Eat the right kind of protein Protein helps to slow the digestive process, which will help you stay fuller longer and helps with building muscle and providing longterm energy. Find lean proteins like fish, nuts, avocados and beans and keep red meats to a minimum. Eat lots of produce One good way to get more vegetables into your diet is to eat lots of salad. Try replacing a meal with a salad full of good stuff like romaine
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lettuce, spinach, carrots, celery, tomatoes, cucumbers, grapes, berries, apples and more. But be careful with your add-ons; croutons, bacon bits, cheese, nuts and heavy salad dressing can add more calories to your salad than you realize. Keep these additions light, adding a tablespoon or two of those calorie-heavy items and use vinaigrettes or lighter dressings. Eat fiber Whole grains like oatmeal, whole wheat bread, beans and brown rice, along with fruits and vegetables, are full of fiber, which help curb your appetite and help prevent constipation and bloating. This helps your stomach look flatter as well. Just make sure to include a lot of water in your diet as well. Avoid salt and beer Salt causes water retention, which leads to bloating, and that can last for days. The best ways to reduce salt in your diet is to reduce how much processed food you eat. Cook your meals from scratch and look for ways to spice up your food without using as much salt. As much as summer fun includes drinking, cutting back is a good way to get healthier. One can of beer is about 150 calories, beer and sparkling wines cause bloating and alcohol slows down your body’s ability to burn fat.
Dental Erosion Basics
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our smile is the front door to your body; the first thing many people notice and often judge. Regular trips to the dentist are the best way to
ensure your oral health is at its best, but sometimes daily habits sabotage our mouths. Learn the effects of enamel erosion and the steps you can take to prevent the condition in between visits to the dentist. The Oral Health Foundation defines dental erosion as the loss of tooth enamel caused by acid attack. Enamel is the shell of the tooth which acts as a protective layer of sensitive dentine beneath. As teeth begin succumbing to erosion, it’s common for them to appear stained or yellow.This is because the white coating of enamel is wearing down and the paler dentine is becoming more prevalent. Causes of erosion It may surprise you that each
time you ingest something acidic, tooth enamel becomes softer for a period. Eventually, saliva will begin to balance the acid content and it will return to its normal state. The problems begin when the attacks happen too often and your mouth doesn’t have enough time to repair itself, causing small amounts of enamel to be brushed away. Here are some tips from the OHF that you can use to prevent the issue from becoming a serious problem: • Chew sugar-free gum after meals, especially if you cannot brush right away.
Primary care for the whole family
• When consuming acidic drinks, avoid swishing it in your mouth. Use a straw to help them reach the back of your mouth without contacting teeth. • Finish meals with cheese or milk to balance acids from other items. Treatments For the best results, dental erosion should be addressed at the first sign of trouble. Usually, a dentist can
simply apply a filling to a tooth and repair the damage. However, if the problem persists, the only option may be replacing damaged teeth with veneer. Usually, regular check-ups and advice from a dental team can create a solution before the issue is able to cause any permanent damage. Don’t be afraid to contact your professional if you suspect you are suffering from the early stages of dental erosion.
PERSONALIZED QUALITY CARE 1 of 177 Nationwide Dr. Larson is 1 of 177 physical therapists certified in clinical electrodiagnostic and nerve conduction studies (EMG/NCS) in the United States. His testing labs are located in Flagstaff, Lakeside and Payson.
PHYSICAL THERAPY AND ELECTRODIAGNOSTICS At Larson Rehabilitation our focus is on high quality, patient centered care. Whether you have chronic pain, a work or sports injury, or need post operative rehabilitation, our goal is to accelerate your return to optimal activity. Sports injuries for all ages and any level of athlete
Two locations in Flagstaff to serve you!
4 Street th
928.522.9400
University Avenue 928.522.1300
Pre and post operative rehab for orthopedic surgeries Treatment of muscle and tendon strains and ligament sprains Postural dysfunctions and overuse injuries Work related injury rehabilitation Injury prevention programs
Family Medicine • Women’s Health • Pediatric Care
northcountryhealthcare.org
LocaLLy owned & operated
1600 W. University Ave. #106 Flagstaff, Arizona • 928-526-3031 www.larsonrehab.com
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HEALTHCAREDIRECTORY
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O
Dentist Visit FAQs ptimal oral health has more to do with promoting healthy mouths — it impacts the integrity of our entire bodies.
Many Americans brush off visits with their dentist because cleanings and corrections often mean discomfort. If you have been avoiding this important part of your health-care routine, it’s likely you have several questions or concerns about what happens at the office. To ease your mind and find the motivation to schedule an appointment, learn what to expect and discover the answers to some of the most common questions about visiting the dentist, per the American Dental Association. 20
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How often should I visit? There is no correct answer to how often you should schedule an appointment as everyone is different. Depending on the level of your oral health, a professional may choose to see you annually or, in some cases, biannually. The easiest way to find the answer is to create an initial meeting so your health can be assessed. How do I find a dentist? A great way to discover the perfect place for your smile is to ask for
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referrals from friends and families. It is also a good idea to check with other health care professionals you visit; they can provide referrals to a quality dentist in your area. Consider the following when choosing the perfect office for your lifestyle. • Are appointment times convenient to your work and personal schedule? • Is the office easy to get to from places you frequent, like your home or office? • Is the dentist willing to explain techniques which can help you and clearly discuss the state of your oral health? Finding the care that is right for you may take a little research and a few meetings, but by asking the right
questions, you will be on your way to conquering your oral health. What should I expect at a checkup? After a visual examination, a dentist or hygienist will determine if X-rays are necessary. They will likely inspect gums for disease or damage before conducting an oral cancer screening.This procedure is as simple as holding your tongue and analyzing your mouth, jaw and neck. Do I need a dentist if there are no symptoms? Yes. The easiest way to catch problems before they cause discomfort or damage is by following a rigorous schedule based on your dentist’s recommendation.
Get Boutique Workouts at Home
H
ome fitness equipment isn’t new, from free weights to fad equipment (remember the Thigh Master?) and gym-quality equip-
ment like NordicTrack and StairMaster. Most lost their appeal — and began collecting dust — because they lacked a key ingredient: the inspirational, motivating force of other people working out alongside you. But home fitness has made a big comeback with the introduction of such products as Peloton and Mirror, which stream live or on-demand classes to their equipment. And while these products are expensive, so are gym memberships — especially if you opt for upper-tier memberships at such boutique studios as Orangetheory and SoulCycle. Peloton Peloton has almost singlehandedly revived the home fitness movement with its sleek, stationary bike that streams live and on-demand workouts. Since debuting in 2014, the now multibillion dollar company made its name with its $1,995 bike and ubiquitous TV commercials. Devotees of the equipment vow by the high-intensity workouts led by top New York City instructors, delivering a boutique-level workout in your own home on your own time. Now, Peloton (onepeloton. com) is introducing its latest product,Tread, bringing its video monitor to an upgraded treadmill. The Tread, priced at $3,995, features a shockabsorbing slat belt, 32-inch high-definition touchscreen, innovative speed and incline knobs, a sturdy carbonsteel frame and free mode function. Subscriptions to classes are $19.49 a month via its app or $39 a month via the monitor. While the price of the Tread may be out of reach for many, it’s worth noting that the investment
brings with it the live instruction and classes you’d find at more exclusive gyms. The success of its stationary bike bodes well for the Tread. The company’s press shines with glowing reviews that claims with its equipment your home is the hot, new workout trend. Mirror More intriguing — and spacesaving than a bike or treadmill — is Mirror. Like Peloton, Mirror (mirror.co) features live, instructor-led workouts that stream directly into the full-length mirror with a sleek, interactive display with an embedded camera and speakers. When it’s off, it’s a full-length mirror.Turn it on and, according to its website, get to work with cardio and strength training or yoga and boxing, streaming unlimited classes from Mirror’s New York studio. You can choose from 50-plus new, live classes each week or use Mirror’s on-demand library. Mirror also incorporates your personal fitness profile and biometric data to optimize each workout. You can even tune out the instructor if you choose to focus solely on your own image sweating to a curated soundtrack or own one of your own creation. Like Peloton equipment, Mirror isn’t cheap. For $1,495 you get Mirror, a starter pack and care kit, wall mount and stand, and its companion (iOS-only) app. Beyond that, a Mirror class subscription costs $39 a month and comes with a one-year minimum commitment. But for a high-tech workout and functionality, it’s hard to beat Mirror’s program.
Adult Primary Care
1350 Rim Drive (928) 213-5881 www.ryanim.com Ryan Internal Medicine has welcomed the addition of Cynthia Martin, MD and Sherrill Weller, DO. We continue to provide the highest quality care for acute and chronic conditions. With over 20 years in practice, Dr. Ryan, his colleagues and staff will provide you with timely, accurate, and compassionate care. Accepting new patients, we are contracted with most major insurance plans including Medicare.
Keith Ryan, MD
Cynthia Martin, MD
Sherrill Weller, DO
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ADVERTISER DIRECTORY
Miracle Ear 2700 S. Woodlands Village Blvd. #320 Flagstaff, AZ 86001 (928) 255-1006
Arizona Oncology Oncology Peter Mathern, M.D. Paul Kuefler, M.D. 1329 N. Beaver Street, Suite 1, Flagstaff, AZ, 86001 (928) 773-2260 ArizonaOncology.com
Munderloh Integrated Medical Chiropractic/Osteopathic Timothy Munderloh D.C. Blake Pennock D.C. Travis Stiegler D.O. 1501 S. Yale St., Suite 250 Flagstaff, AZ 86001 (928) 556-0707 azintegratedmedical.com
Barnet Dulaney Perkins Eye Center David McGarey, MD Thomas Johnson, OD Marshall Palmer, OD Jordan Graff, MD, FACS Suhail Alam, MD Zachary Berbos, MD, FACS 350 N. Switzer Canyon Drive Flagstaff, AZ 86001 (928) 779-0500 goodeyes.com
North Country HealthCare Flagstaff - 4th St. Dental Kristin Salamon, D.D.S Kimberley Williams-Barnes, D.D.S. Eric Black, D.D.S. Lydia Cockayne, R.D.H. Kim Freeman, R.D.H. Shirl Simkins, R.D.H. Jeffery Weber, D.M.D., M.P.H. Ryan Wood, R.D.H. 2920 N. 4th St. Flagstaff, AZ 86004 (928) 522-9400 northcountryhealthcare.org
Comfort Keepers Non-medical In-Home Care 214 N Sitgreaves St. Flagstaff, AZ 86001 (928) 774-0888 flagstaff-527.comfortkeepers.com
North Country HealthCare Flagstaff - 4th St. OB/GYN Katie Lee, M.D., M.B.S Esther Ellsworth Bowers, C.N.M Joyce Garcia-Gonzales, C.N.M. Bethany Davis, M.D. Ruth Goldberg, C.N.M. Andrea Keller, D.O., F.A.C.O.G. Kim Anne Lockart, W.H.N.P. Cora Salvino, M.D., F.A.C.O.G. Beverly Tew, M.D., M.P.H., F.A.C.O.G. Jessie Thibedeau, C.N.M., W.H.N.P. 2920 N. 4th St. Flagstaff, AZ 86004 (928) 522-9400 northcountryhealthcare.org
Flagstaff Athletic Club Fitness & Wellness 1200 Historic Rte. 66 Flagstaff, AZ 86001 (928) 779-4593 Flagstaff Athletic Club West Fitness & Wellness 1500 N. Country Club Dr. Flagstaff, AZ 86004 (928) 526-8652 flagstaffathleticclub.com
Larson Rehabilitation Physical Therapy and EMG Dr. Zane Larson, Physical Therapist 1600 W. University Ave. #106 Flagstaff, AZ 86001 (928) 526-3031
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North Country HealthCare Flagstaff - 4th St. Pediatricians Brandon Abbott, D.O., M.P.H. Julia Eskuchen, M.D., I.B.C.L.C., F.A.A.P. Rosalie Marinelli, M.D., F.A.A.P Miran Song, M.D., F.A.A.P. 2920 N. 4th St. Flagstaff, AZ 86004 (928) 522-9400 northcountryhealthcare.org
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North Country HealthCare Flagstaff - 4th St. Primary Care Claire Veltkamp, D.N.P. Edward G. Paul, M.D. Krissie Maxwell, F.N.P. Paul Fader, M.D. Brandon Abbott, D.O., M.P.H. Elaine Accomando, P.A.-C Shipra Bansal, M.D. Bethany Davis, M.D. Emily Lieder, D.O. Theresa Salvatore, F.N.P. Charles Smith, M.D. 2920 N. 4th St. Flagstaff, AZ 86004 (928) 522-9400 northcountryhealthcare.org North Country HealthCare Flagstaff - University Ave. Family Medicine Jane Dill, M.D. Steven Ochi, M.D. Patti Wamuyu Mugo, M.D. 1120 W. University Ave., Suite 101 Flagstaff, AZ 86001 (928) 522-1300 northcountryhealthcare.org North Country HealthCare Williams Physical Therapy Vicki Noack, P.T. Daniel Walden, D.P.T. 301 S. 7th St. Williiams, AZ 86046 (928) 635-4441 northcountryhealthcare.org North Country HealthCare Williams Primary Care/Urgent Care Kathleen Buchanan, F.N.P. Kimberly Callahan, F.N.P. Timothy Jackson, P.A.-C Rebecca Lietzow, FNP Daniel Knight, F.N.P. Kristi Kolek, P.A.-C Tom Myers, M.D. Rick Valdes, F.N.P. Sara Courtney Zmrzel P.N.P 301 S. 7th St. Williiams, AZ 86046 (928) 635-4441 northcountryhealthcare.org North Country HealthCare Winslow Dental Florencia Hernandez, D.D.S. Ryan Wood, R.D.H. 620 W. Lee St. Winslow, AZ 86047 (928) 289-2000 northcountryhealthcare.org
North Country HealthCare Winslow Primary Care/Pediatrics Shanna M. Ramat, M.S.N., A.P.R.N., F.N.P-C Theresa Salvatore, F.N.P-BC April Alvarez Corona, M.D. Theresa Salvatore, F.N.P. 620 W. Lee St. Winslow, AZ 86047 (928) 289-2000 northcountryhealthcare.org
Northern Arizona Healthcare Weight Management Clinic 1215 N Beaver St, Flagstaff, AZ 86001 (928) 214-3737 Northern Arizona Healthcare Flagstaff Medical Center Behavioral Health Jay Collier, M.D. Adam Graff, M.D. J. Blaine Henderson, M.D. Kara Larsen M.D., *Joining us Fall 2019 Joan Moore F.N.P. 1200 N. Beaver Street Flagstaff, AZ 86001 (928) 213-6400 Northern Arizona Healthcare Flagstaff Medical Center Hospitalists Flagstaff Medical Center Jennifer Cortes, M.D. Sharon Drake, D.O. Matthew Dunn, M.D. Rafael Fernandez, M.D. Kathryn Feuquay, M.D. Elizabeth Harding, M.D. Alexander Jacobs, M.D. Kristina Kezar, M.D. Christine Kneisel, M.D. Marian Lacy, M.D. Duane Lambert, M.D. Audrey Lee, M.D. Nagaraj Madugonde, M.D. John Mougin, M.D. Megan Rayman, M.D. Catherine Romano DeLange, D.O. Matthew Rybka, M.D. Elizabeth Sauvage, D.O. Joseph Scionti, M.D. Esther Smith, M.D. Nina Souders, M.D. Jeanine Thomas, M.D. Rachelle Tognacci, D.O. Kristina Trubey, D.O. Christina Veenstra, M.D. Alexander Watson, M.D. Shahryar Zamani Noor, M.D. 1200 N. Beaver Street Flagstaff, AZ 86001 (928) 214-2920
ADVERTISER DIRECTORY Northern Arizona Healthcare Flagstaff Medical Center Infectious Diseases David Keckich, M.D. Rita Medina, M.D. Joel Terriquez, M.D. Emilie Bowers, N.P. 1215 N. Beaver Street, Ste. 203 Flagstaff, AZ 86001 (928) 773-2200 Northern Arizona Healthcare Flagstaff Medical Center Neurology Justin DeLange, D.O. Paula Rauschkolb, D.O. 107 E. Oak Avenue, Ste. 101 Flagstaff, AZ 86001 (928) 214-2621 Northern Arizona Healthcare Flagstaff Medical Group Orthopedics Brandon Clark, D.O. Christopher Diefenbach, M.D. Peter Gibson, M.D. Scott Gibson, D.O. Stephen Ritland, M.D. Jon Shereck, M.D. *Joining us Fall 2019 Erin Engel, P.A. Tara Gordon, P.A.-C Jason Koczman, P.A.-C Michael, Mark A.C.N.P. 107 E. Oak Ave., Ste. 101, Flagstaff, Arizona 86001 (800) 656-7880 Northern Arizona Healthcare Flagstaff Medical Center Palliative Care (includes Supportive Care Clinic) Lila Ammouri, M.D. Heather Crittenden, M.D. Katie Hawbaker, M.D. Emmalee Kennedy, M.D. Cynthia Martin, M.D. Michelle Rhodes, M.D. Bridget Stiegler, D.O. Carol Gora, N.P. Kathy Matas, N.P. 1215 N. Beaver St. Suite 203 Flagstaff, AZ 86001 (928) 773-2200 Northern Arizona Healthcare Flagstaff Medical Center Pediatric Intensive Care Susan Haefner, M.D. Hee Won Kim, M.D. John Kuluz, M.D. Breanna Chamrof, N.P. Tara Salce, N.P. 1200 N. Beaver Street Flagstaff, AZ 86001 (928) 773-2112
Northern Arizona Healthcare Flagstaff Medical Group Primary Care Jane Bigler, M.D. Meghan Hughes, M.D. Byron Hutto, M.D. Neal Mogk, M.D. Mark Pico, M.D. Megan Alatorre, P.A. Denise Gomolak, F.N.P. Sarah Wyard, F.N.P. 107 E. Oak Avenue, Ste. 201 Flagstaff, AZ 86001 (928) 913-8800 Northern Arizona Healthcare Flagstaff Medical Center Specialty Clinic Elaine Laemmrich, N.P. 1215 N. Beaver Street, Ste. 203 Flagstaff, AZ 86001 (928) 773-2200 Northern Arizona Healthcare Flagstaff Medical Center Beth DuPree, M.D. 1215 N. Beaver Street (928)773-2261
Northern Arizona Orthopaedics Orthopaedics Timothy Bonatus, D.O. Bourck Cashmore, M.D. J. Michael Glover, M.D. John Ledington, M.D. Yuri Lewicky, M.D. Eamonn Mahoney, M.D. Cody Martin, M.D. Mark Mellinger, M.D. Joel Rohrbough, M.D. 1485 N Turquoise Dr. Suite 200 (at Summit Center) Flagstaff, AZ 86001 (928) 226-2900 northazortho.com
Northland Hospice & Palliative Care 452 N. Switzer Canyon, Suite A Flagstaff, AZ 86001 (928) 779-1227 vistahospice.org
Poore Medical Clinic Medical Clinic 120 W. Fine Avenue Flagstaff, AZ 86001 (928) 213-5543 pooremedicalclinic.org
Ryan Internal Medicine Keith Ryan, M.D. Katherine Costa, A.C.N.P. Christina Hagood, N.P. 1350 Rim Dr. Flagstaff, AZ 86001 (928) 213-5881
Welbrook Transitional Rehabilitation Physical Therapy/Occupational Therapy/Speech Therapy All-Private Rooms and Ammenities 1521 N. Pine Cliff Dr Flagstaff, AZ. 86001 928-440-2350 welbrookflagstaff.com NOTES:
Northern Arizona Pain Institutes Pain Management Dr. Robert J. Brownsberger, M.D. Tammy Newcomer D.N.P. Sondra Williams P.A. 705 N Leroux St. Flagstaff, AZ 86001 (928) 774-3919 northernarizonapaininstitutes.com
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A daily dose of joy Uplifting In-Home Senior Care • Personal care • Companionship and housekeeping • Shopping/Errands • Medication reminders
• Incidental transportation • Dementia and Alzheimer’s care • Respite care • Safety solutions
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214 SitgreavesSt., St.,Flagstaff,AZ Flagstaff, AZ 86001 86001 214 N.N.Sitgreaves Flagstaff-527.ComfortKeepers.com Flagstaff-527.ComfortKeepers.com © 2019 CK©Franchising, Inc. Most offices independently owned and 0619 2019 CK Franchising, Inc. Most offices independently owned andoperated. operated. 0619