September 2013 Healthy Cells magazine/Phx by Healthy Cells Magazine Valley of the Sun

VALLEY OF THE SUN

east valley area

Promoting Healthier Living in Your Community • Physical • Emotional

SEPTEMBER 2013

FREE

HealthyCells

www.healthycellsmagazine.com

M A G A Z I N E

• Nutritional

PAZ DE CRISTO

The History of the Community Center

A New Treatment for Urinary Incontinence You’ve Got Nothing to Lose But Inches! When Do Burns Require Medical Attention?

• Integrated midwife and physician practice • Routine and high risk pregnancy • Minimally invasive and robotics surgery • Female pelvic medicine • Menopause • Urinary leakage testing and treatment • In office tubal occlusion • In office uterine ablation to treat abnormal bleeding • Pelvic reconstruction • Tubal ligation reversal

iWomen’s Health Care

atient and community education includes but not P limited to the following: • iWomen’s Sharing ~ prenatal education • Daddy Basic ~ daddy survival training • Menopause and a Movie ~ light hearted but valuable discussion about menopause

655 S Dobson Rd Suite 101 Bldg A Chandler, AZ 85224 Office Fax

480-855-5900 480-855-9171

www.iwomenshealthcare.com

Our Services Gemini Hospice is a family owned and operated company with the goal of providing care with compassion and dignity to those nearing the end of life. Our team of qualified professionals will partner with you and your loved ones to assure this goal is accomplished.

480-883-1353

• Nursing Care • Social Services • Bereavement Services • Personal Care • Volunteer Services • Medications for pain or other symptoms • Medical supplies and durable medical equipment • Homemaker services • 24 hour availability • General Inpatient Care • Respite Care • Spiritual Services • Physical Therapy, OT and Speech • Physician • Care and Comfort

www.geminihospice.com cathyp@geminihospice.com 3960 E. Riggs Rd #4 Chandler AZ 85249

letter from the owner

ummer is nearly over and the temperatures are cooling down, which gives us the opportunity to spend more time outside doing the things we enjoy. It’s also an op-

portunity to increase our activity level. The East Valley offers lots of designated bicycle routes and many of the canals are designed for biking and jogging. We’re surrounded by mountains with marked trails for hiking, and who knows; maybe you’ll find the Lost Dutchman Mine!

Another opportunity to spend time outside is gardening. Septem-

ber is the beginning of the fall planting season. It seems like more people these days are taking an active role to ensure the food they feed their family is healthy and safe. They are choosing to shop at local Farmers’ Markets and even grow their own food.

In the Phoenix area we have the opportunity to garden year-

round (although it can be tricky during the summer months). Many herbs and vegetables like squash, leafy greens, carrots, cilantro, cabbage, beets, garlic, and onions, to name a few, all grow well this time of year.

dening in the desert, consider volunteering at one of the many local community gardens. It’s an excellent way to learn everything you’ll need to know to start your own garden.

"It seems like more people

If you have never gardened before or would like to learn about gar-

On page 25 you’ll find an inspiring story about, a 10-year-old

Chandler girl with amazing courage and attitude. Take a moment to read about Mia McPoland and why her life depends on blood donations.

Sincerely,

these days are taking an active role to ensure the food they feed their family is healthy and safe. They are choosing to shop at local

Monica Tegg/Owner Healthy Cells Magazine, East Valley Monica@healthycellsmagazine.com

Farmers’ Markets and even grow their own food."

September 2013 — East Valley — Healthy Cells Magazine — Page 3

SEPTEMBER 6

Physical: Strike a Chord for Health

Emotional: The Sorrow of Suicide

This Month’s Cover Story:

2013 Volume 1, Issue 2

Paz de Cristo The History of the Community Center page 14

Nutritional: Master Mediterranean Grilling

Body Shaping: You’ve Got Nothing to Lose but Inches!

Wound Severity: When Do Burns Require Medical Attention?

Immune System: What Drug-Resistant Infections Should You Be Worried About?

Disease Prevention: Smoking Cessation

Hypothyroid Symptoms: “I Don’t Feel Depressed”

Myth-Busting Answers: What Exercise and Healthy Eating Can Do for Your Family

Skincare: Spa-Like Beauty at Home

Women’s Health: A New Treatment for Urinary Incontinence

Health Choices: How to Have “The Talk” About Advanced Directives

Community News: Ten-Year-Old Receives 100th Transfusion

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.

Quiz: Test Your Healthy Cells Magazine Knowledge

Healthy Cells Magazine is available FREE in high traffic locations throughout the East Valley, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the East Valley area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

For advertising information, contact Monica Tegg, owner Cell: 480-204-3090 • Fax: 309-691-2187 monica@healthycellsmagazine.com Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com

Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the East Valley.

Paz Cristo P AZdeDE Cristo Community Center Community Center Established September 15, 1988

Paz de Cristo seeks to serve those in need in the East Valley with a meal service, food boxes, and empowerment programs. At the same t Established Paz de Cristo15, is a1988 non-profit 501(c)(3) agency that provides food and other services our ministry provides community service and justice-minded volunt September to the homeless and working poor the East Valley. to directly serve people in need. withinan opportunity

September marks for Paz de Cristo. For the past 25 years, Paz de Cristo has served Services United Waythe 25th anniversary an evening meal, provided food boxes, as well as providing empowerment programs to those in need. Our #0065  Free meal service: Paz de Cristo serves approximately 250 evening meals mission has been to empower our guests to reach their full potential by removing barriers so they may people 7 days a week, 365 days a year from 5:30 p.m. to 6:45 p.m. Pazmore de Cristo become self-sufficient. Paz de Cristo exists to help them achieve self-reliance, pride and self-respect.  Food box programs: at Paz de Cristo, we distribute approxim In turn, this leads to improved economic standing, respect forEvery others,month and citizenship participation.

1400 food boxes on the 1st and 2nd Tuesdays, and 4th Saturday of each month from 11 a.m. to 1 p.m.

424 W. Broadway Rd. Mesa, AZ 85210

What We Do: Ph. 480.464.2370



Volunteer Coordinator



Roger Halvorson Opportunity Program Coordinator



Diapers - all **Your sizes donations may qualify for the



Mens/Womens Clothing (tennis shoes, jeans, t-shirts, backpacks)

Free hygieneHow products: You Every Can Friday, Help: Paz de Cristo distributes toothpaste, lotion, shampoo, and other personal hygiene products to more than 100 i viduals and Volunteer: families from 5:00 p.m. to 6:30 p.m. Call 480-464-2370 to learn about volunteer opportunities

Fax: evening 480.464.2379 Daily meal Emergency Food Boxes  Community Donate: Resources; Arizona ID Vouchers on Tuesdays at 1:00p.m.; Clo pazoffice@qwestoffice.net Mailing address for Homeless Non-perishable butter, Clothing jelly, box meals, Vouchers on Thursdays atfoods 1:00(tuna, p.m.;peanut Emergency on Tuesdays an Nurse providing limited medical care soup, etc.) Bus passes for employment and medical Thursdays from 3:00 p.m. to 4:00 p.m. Vouchers are given lottery style. Arlenappointments Westling Hygiene items including travel size Diapers, all sizes Birth Certificates Acting Director and AZ I.D. cards Clothing – men & women’s tennis shoes, jeans, t-shirts Prescription assistance Donations & new socks Hygiene and personal care products $5 gift cards for prescriptions Christine Oliviero Clothing The following donations areforalways appreciated: Bus passes employment and medical appointments Business Manager/ Water hydration station Designate Paz de Cristo (#0065) when donating to

John Farley Food Service Manager Joe Celaya Food Service Assistant Elidia Beltran Warehouse Coordinator Ricardo Moreno Warehouse Assistant



Non-perishableThe foods/High protein foods (canned tuna, peanut butter, etc United Way**

Visit www.pazdecristo.org and clicktoothbrush, “Donate” ** toothpaste, lotion, d Travel size personal care products (soap, Checks mailed to: 424 W Broadway Rd, Mesa, AZ 85210** ant, razors, shampoo & conditioner)

Arizona Working Poor Tax Credit

Donations are Accepted Monday through Friday from 10 a.m. to 2:30 p.m

Volunteer Opportunities

PAZ DE Cristo Paz de Cristo

Each month, nearly 1,000 people from more than 60 faith communities, civic groups, businesses, and schools work together to fulfill the mission of Paz de 424 W Broadway Rd, Mesa, AZ 85210 Volunteers opportunities are: Phone:480-464-2370

Community Cent



For Meal Daily 4:00 p.m. to 7:30 p.m. Volunteers must be 10 ye Fax:Service: 480-464-2379 Email: Info@pazdecristo.org age and older, all volunteers under 16 must be accompanied by an adult.



For Emergency Food Boxes: 1st and 2nd Tuesdays and 4th Saturday of e Paz deto Cristo month from 10:30 a.m. 1:30 p.m.seeks to serve those in nee

www.pazdecristo.org

mealEvery service, food boxes, and empowerme  Hygiene Distribution: Friday evening from 5:00-6:30 p.m. Great for Established w/children under years old.provides community service Priscilla Frias September 15,lies our 10 ministry 1988

physical

Strike a Chord for Health: Music Matters for Body and Mind

usic can lift you up. It can bring tears to your eyes. It can help you relax or make you get up and dance. You probably hear it several times a day — on the radio or TV, in the supermarket, at the gym, or hummed by a passerby. Music has been with us since ancient times, and it’s part of every known culture. Music strikes a chord with all of us. “There’s something about music and engaging in musical activities that appears to be very stimulating for the brain and body,” says neuroscientist Dr. Petr Janata of the University of California, Davis. Singing favorite songs with family and friends, playing in a band, or dancing to music can also help you bond with others. “It’s a way of synchronizing groups of people and engaging in a common activity that everyone can do at the same time,” Janata adds. NIH-funded scientists are exploring the different ways music can influence our bodies and minds. Their research may also shed light on creative processes. Ultimately, scientists hope to harness the power of music to develop new treatments for people with stroke, autism, and many other conditions. Several well-controlled studies have found that listening to music can alleviate pain or reduce the need for pain medications. Other research suggests that music can benefit heart disease patients by reducing their blood pressure, heart rate, and anxiety. Music therapy has also been shown to lift the spirits of patients with depression. Making music yourself — either playing instruments or singing — can have therapeutic effects as well. Scientists have long known that when music and other sounds enter the ear, they’re converted to electrical signals. The signals travel up the auditory nerve to the brain’s auditory cortex, which processes sound. From there, the brain’s responses to music become much more complex. Page 6 — Healthy Cells Magazine — East Valley — September 2013

Over the past decade, new brain imaging techniques have shown that music activates many unexpected brain regions. It can turn on areas involved in emotion and memory. It can also activate the brain’s motor regions, which prepare for and coordinate physical movement. One brain area that’s drawn interest in recent years is the medial prefrontal cortex, located just behind the eyes. In a recent study, Janata showed that this region seems to be a central hub linking music, memories, and emotion. He used an imaging technique called fMRI to look at the brains of young adults while they listened to snippets of songs from their childhoods. When they heard familiar songs, the medial prefrontal cortex lit up. Activation was strongest when the song evoked a specific memory or emotion. “It turns out that the medial prefrontal cortex is also one of the last brain regions to deteriorate in Alzheimer’s disease,” Janata says. This may help explain why many Alzheimer’s patients can remember and sing along to tunes from their youth when other memories are lost. Janata hopes to conduct studies of older adults — including some with mild thinking impairments — to see how the brain processes nostalgic songs. The medial prefrontal cortex also seems to play a role in the creative expression of music. Dr. Allen Braun, a scientist at NIH’s National Institute on Deafness and Other Communication Disorders (NIDCD), and Dr. Charles Limb of Johns Hopkins University asked jazz musicians to play music on a keyboard inside an MRI scanner. When improvising, the musicians’ medial prefrontal cortex turned on. But the region wasn’t activated when they were playing memorized scales. Meanwhile, a different brain area that’s involved in self-monitoring shut down during improv. “The musicians were letting go and not watching themselves as much while improvising,” says Braun.

children since about age 6, when they first began learning an instrument. Just 15 months into training, and also at 30 months, young musicians had more complex connections between different brain regions and more elaborate auditory and motor systems than kids who didn’t play an instrument. “We found that kids who practiced the longest and with intensity had the most profound effects. Those who practiced the least did not show much of a difference compared to non-musicians,” Schlaug says. “When you make music, it engages many different areas of the brain, including visual, auditory, and motor areas,” says Schlaug. “That’s why music-making is also of potential interest in treating neurologic disorders.” Schlaug’s been exploring how music making may help adults regain their ability to speak after a stroke. When stroke damages the speaking area of the brain, some people can still sing words but not speak them. With an experimental technique called music intonation therapy, patients learn to sing and mimic the rhythms of simple songs. Gradually, different regions of the brain may take over some speaking functions. “Although this therapy has been around for about 30 years, no one fully understands how it works,” Schlaug says. With NIH funding, he’s now conducting a clinical trial to study the effectiveness of this therapy. Results are expected in about three years. Scientists continue to explore the relationship between music and health. While they search, try turning on the radio or grabbing your guitar. Enjoy whatever music brings your way.

Unfortunately, for some people listening to music can be an unpleasant challenge. About 1 in 50 people have a disorder called tune deafness. They have trouble hearing the differences between musical tones. They can’t carry a tune. “The most severely affected people can’t even recognize it as music. To them it just sounds like traffic noise,” says geneticist Dr. Dennis Drayna of NIDCD. Nearly 10 years ago, he and his colleagues studied twins and showed that both tune deafness and perfect pitch are inherited. “People with tune deafness can pass a standard hearing test with flying colors, but something we don’t yet understand is drastically wrong with their auditory system,” he says. A new clue came from a recent brain imaging study by Drayna and Braun. When a familiar tune hit a sour note, brain scans unexpectedly showed that tune deaf people registered the mistake, similar to people with normal hearing. However, the tune deaf people somehow didn’t realize they’d heard a mistake. Their brains failed to produce a second signal that occurs when the brain doesn’t hear what it expects. “Somehow, the melodic structure of the music is processed unconsciously by these people, but they can’t consciously recognize the errors,” says Braun. Some researchers suspect that the brain processing errors that lead to tune deafness may also be at play in some learning and developmental disorders. Several studies of musicians show that their brains are different from the rest of us. Over a decade ago, neuroscientist Dr. Gottfried Schlaug of Harvard Medical School found that professional musicians have an unusually thick bundle of nerves connecting the left and right sides of the brain. More recently, he’s been watching the brain development of

Source: www.newsinhealth.nih.gov/

T:7”

T:4.625”

MY WEAPON AGAINST ARTHRITIS What’s your weapon? Visit FightArthritisPain.org September 2013 — East Valley — Healthy Cells Magazine — Page 7

emotional

The Sorrow of Suicide

Awareness and Action Can Help Save a Life

uicide is tragic. It cuts a life short, and it devastates the family, friends, and loved ones left behind. Those who survive a suicide attempt might end up with severe disability or other injuries. The children of people who die by suicide are more likely to later die by suicide themselves. With such extreme consequences, why would anyone make the dire decision to choose death over life? That’s a question scientists have been struggling to answer for decades. “When you’re in a suicidal state, you’re kind of closing down your options. You see it as the only solution. You’re not really able to entertain other ideas,” says Dr. Jane Pearson, who heads a suicide research consortium at NIH. “What’s the science behind that? What’s happening in the brain that leads people to think so dysfunctionally?” Only 20 years ago, little was known about the biology of suicide. But NIH-funded research has helped to open up new avenues for exploring the underlying causes of suicide. While the biological details are still being worked out, scientists have uncovered many clues to identify people at greatest risk for suicidal thoughts and actions. Recognizing those at risk is essential. Suicide is the 10th leading cause of death nationwide, and it’s the third leading cause of death among adolescents. Nearly 37,000 Americans died by suicide in 2009, according to the U.S. Centers for Disease Control and Prevention. More than half of those deaths were from firearms. People of all genders, ages, and ethnicities are at risk for suicide. Women are more likely than men to attempt suicide, but men are more likely to die by suicide. That’s because men often choose deadlier methods, such as firearms or suffocation. “The highest risk groups are older men,” says Pearson. “In fact, white men who are 85 and older have a rate of suicide that’s four times the national average.” Suicide risk is also higher among people who have certain mental disorders, including schizophrenia and bipolar disorder. Depression affects more than half of those who die by suicide. Other risk factors include a prior suicide attempt, a family history of suicide, substance abuse, or having guns or other firearms in the home. In the past, many scientists believed that suicide was a terrible side effect of other mental disorders. But why is it that only a small proportion of people with depression or other mental conditions attempt suicide? A growing body of evidence suggests that there is something unique about their biology that can tip them over the edge. Page 8 — Healthy Cells Magazine — East Valley — September 2013

“We’ve found many systems in the brain that are broken with suicide, especially in the front part above the eye — called the orbital prefrontal cortex. That area of the brain is involved in inhibiting behaviors that are damaging, like being unable to inhibit the urge to kill oneself,” says Dr. Victoria Arango, a suicide researcher at the New York State Psychiatric Institute. Over the decades, Arango and her colleagues have conducted detailed studies of brain structure and biology in hundreds of suicide victims. They’ve found that certain brain regions in suicide have fewer nerve cells and altered receptors for neurotransmitters. Abnormalities related to the neurotransmitter serotonin have been linked to suicide in many studies. Scientists have not yet figured out if these flaws in serotonin directly contribute to suicide or — more likely — if serotonin is one part of a complicated chemical pathway to suicide. Serotonin is also believed to play a key role in depression and response to stress and trauma. “Stress and trauma certainly play a big role in suicide, especially early life stress,” says Dr. Douglas Meinecke, an NIH scientist who studies the molecular details of mental disorders. Several research teams have found evidence that traumatic childhood experiences — such as abuse or violence — can “tag” certain genes in the brain. These tags, called epigenetic markers, are actually molecules that attach to genes. They can have a lasting effect on whether the genes are turned off or on. Some NIH-funded studies have shown that suicide victims who were abused as children have unique epigenetic markers on certain genes. These markers were not found in suicide victims with

Suicide Warning Signs The more warning signs, the greater the risk of suicide. Get help from a mental health professional or the National Suicide Prevention Lifeline at 1-800-273-TALK. • Talking about wanting to die • Actively looking for a way to kill oneself • Talking about feeling hopeless or having no purpose • Talking about feeling trapped or in unbearable pain • Talking about being a burden to others • Abusing alcohol or drugs • Acting anxious, agitated, or reckless • Having sleep troubles • Withdrawing or feeling isolated • Having extreme mood swings • Giving away belongings, including treasured objects

no history of childhood abuse or in people who died in accidents. More research into how stress affects genes and suicide risk might offer new chances for early intervention. Current approaches to treating or preventing suicide generally aim to relieve the accompanying mental condition or other risk fac-

tors. “If you focus on making people who have mental disorders as well as they can be, managing life as well as they can, or reducing their suicidal thoughts, you can greatly reduce suicide overall,” says Meinecke. Medications — such as antidepressants and antipsychotics — can help. Psychotherapy, or “talk therapy,” can also be effective. One type, called cognitive behavioral therapy, can help people learn new ways to deal with stressful situations by training them to consider alternative actions when thoughts of suicide arise. One of the most effective tools for preventing suicide is to know the warning signs and take quick action to get the person into treatment. “One of the biggest indicators of suicide risk is when somebody begins talking about suicide,” says Dr. David Brent, a psychiatrist at the University of Pittsburgh who studies suicide in families. “We used to think that talking about suicide meant you weren’t going to do it, but it’s really the opposite. Other warning signs include withdrawal from usual activities, a change in mood, or a change in sleep patterns.” Never ignore someone’s talk of suicide. You can ask directly if the person has ever thought of harming himself or herself. Most people will answer honestly, and the question itself won’t push a person to attempt suicide. To learn more about the warning signs of suicide, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). This free, federally funded service is available to anyone, 24 hours a day, 7 days a week. All calls are confidential. Source: newsinhealth.nih.gov/

Shoebox Ministry is a Scottsdale-based, nonprofit service agency that has been providing personal toiletry kits to the homeless and working poor of Maricopa County since 1988.

We need your help getting some much needed toiletry products. The most needed items are: • Toothpaste • Shampoo • Shaving cream

• Wash cloths • Free hotel toiletries

Financial donors may qualify to take a dollar-for-dollar tax credit when you file your Arizona state taxes. Any donation amount qualifies, up to $200 for single filers or $400 for married filers. Shoebox makes bulk purchases and will put your donations to good use by purchasing items like deodorant for .33 cents each and toothbrushes for only .06 each. Please join us in making a difference in the lives of the Valley’s homeless and working poor.

www.shoeboxministry.org • info@shoeboxministry.org • 480-905-1610.

September 2013 — East Valley — Healthy Cells Magazine — Page 9

nutritional

Master Mediterranean Grilling Give Your Grill a Much-Needed Makeover

bundant plates of fresh vegetables, delicate fish from the nearby sea, and splashes of olive oil are all hallmarks of traditional meals found in the Mediterranean. The Mediterranean diet has been embraced for thousands of years by those living along the Mediterranean Sea, and is now followed around the world as consumers discover its delicious flavor components, and researchers uncover its countless health benefits, including helping to prevent heart attacks and strokes, according to a study conducted by The New England Journal of Medicine. It’s easy to embrace this healthy lifestyle during grilling season by giving your grill a Mediterranean diet makeover with the Pompeian family of oils and vinegars. You can enjoy the benefits of the diet without leaving home by making simple changes, such as swapping butter and vegetable oil for grapeseed oil or olive oil, and making homemade Page 10 — Healthy Cells Magazine — East Valley — September 2013

dressings and vinaigrettes by combining oils and vinegars in place of bottled versions. Grapeseed oil, which has one of the highest smoke points of all oils and is a rich source of vitamin E, has a light taste that will not disrupt the flavors of food while cooking. This versatile, all-natural oil is great to line your grill or pan with before cooking to prevent food from sticking. A healthy combination of canola, extra virgin, and grapeseed oils is the perfect all-purpose oil that represents key components of the Mediterranean diet and provides essential Omega-3 and Omega-6, monounsaturated fat, and vitamin E. Ready to adopt a Mediterranean lifestyle at home? Check out these easy grilling recipes from Hungry Girl Lisa Lillien. For more information, visit www.Pompeian.com.

Spicy Mustard Chicken Kebabs

Hungry Grilled Romaine Salad

Servings: 4

Servings: 2

1/4 cup 2 Tbsp. 1/4 tsp. 1 Tbsp. 1 lb. 1/4 tsp. 1

1 Tbsp. Pompeian Extra Virgin Olive Oil 1 large heart romaine lettuce, halved lengthwise 2 dashes each salt and black pepper 1/4 cup diced tomato 1/4 cup diced red onion 1/4 cup crumbled reduced-fat feta cheese 2 Tbsp. finely chopped basil 2 Tbsp. Pompeian Balsamic Vinegar

plus 1 tablespoon spicy brown mustard Pompeian OlivExtra Premium Mediterranean Blend garlic powder white wine vinegar raw boneless skinless chicken breast, cut into 1-inch cubes each of salt and black pepper medium red onion, cut into 1-inch chunks

To make sauce, place three tablespoons mustard in medium bowl. Add oil and garlic powder, and whisk until uniform. Cover and refrigerate. To make marinade, in small bowl, combine vinegar with remaining two tablespoons mustard. Stir until uniform. Season chicken with salt and pepper. Place chicken and marinade in large sealable plastic bag. Remove as much air as possible and seal. Gently knead marinade into chicken through bag. Refrigerate for one hour. Meanwhile, if using wooden skewers, soak four in water for 20 minutes to prevent burning. Alternately thread marinated chicken and onion chunks onto four skewers. Bring grill to medium-high heat. Brush both sides of kebabs with sauce. Grill kebabs for five minutes with grill cover down. Flip kebabs and grill for six to eight minutes, or until chicken is cooked through. Enjoy.

Bring grill to high heat. Drizzle and brush 1/2 teaspoon of olive oil onto cut sides of each romaine half. Sprinkle with salt and pepper. Lay romaine halves on grill, cut sides down. Grill until slightly charred, 1 to 2 minutes. Plate romaine halves, cut sides up. Top with tomato, onion, cheese and basil. In small bowl, whisk vinegar with remaining 2 teaspoons of olive oil. Drizzle atop salad and enjoy. Nutrition per serving: 135 calories; 10g fat; 340mg sodium; 9.5g carbohydrate; 3g fiber; 5g sugars; 5g protein

Nutrition per serving: 215 calories; 8.5g fat; 415mg sodium; 5g carbohydrate; 0.5g fiber; 2g sugars; 26.5g protein

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September 2013 — East Valley — Healthy Cells Magazine — Page 11

body shaping

You’ve Got Nothing to Lose but Inches! Submitted by Holly O’Hare, Chromogenex i-Lipo Technician

he Diode Lipo Laser offers patients a safe and effective way to achieve immediate and measurable inch loss by using lowlevel laser technology. This technology stimulates the body’s natural process for releasing its stored energy from adipose tissue (fat cells), which shrinks those fat cells, delivering the desired body-shaping results. The low levels of laser energy create a chemical signal in the fat cells, breaking down the stored triglycerides into smaller fatty acids, glycerol, and water; the same natural response initiated by the body when it needs to use its stored energy reserves. These free fatty acids are then transported throughout the body by the lymphatic system to supply the body with energy. A recommended 30 minutes of exercise immediately following your treatment ensures the complete metabolism of these freed fatty acids, shrinking the fat cells, and delivering the body shaping results we all strive to achieve. Any part of the body where fat is stored can be treated, including the waistline, thighs, arms, legs, and even under the chin. This allows patients to get the results in those “target” areas that cannot usually be achieved with exercise alone. Patients typically report a 10 percent inch loss following a treatment regimen combined with exercise. Diode Lipo Laser provides a safe, non-invasive, and pain-free option to assist body shaping and cellulite reduction in as little as 20 minutes. Clinical studies have shown this low-level lipo laser technology delivers body-shaping results with the recommended two treatments per week for four weeks. This non-destructive approach to fat reduction can be used year-round on all skin types. No pain, no needles, no downtime! The Diode Lipo Laser is a nonsurgical alternative to liposuction and has many advantages compared to other systems. This procedure is one of the first direct skin contact laser devices designed for fat reduction and body contouring to receive FDA approval for circumferential reduction. Based on results from a recent double blind, placebo-controlled, randomized study of 34 volunteers, the FDA found that over 70 percent of participants experienced significant inch loss. Page 12 — Healthy Cells Magazine — East Valley — September 2013

For more information about Chromogenex i-Lipo, contact Holly, iLipo Technician at 480-963-1242 or hollyo@24fitnessllc.com. i-Lipo is manufactured in the United Kingdom and is the winner of "Best Slimming Treatment" by the prestigious "Victoire de la Beaute" Award, France and other awards.

wound severity

When Do Burns Require Medical Attention?

Dr. Moneesh Bhow

By Dr. Moneesh Bhow, Director of Emergency Services, Banner Good Samaritan Medical Center

Q: My child accidentally burned himself on the metal of the seatbelt in the hot car and it appears the skin is starting to blister. Does this mean the burn is serious, or can I treat it at home? A: During Phoenix summers, everything is hot. When certain objects — especially metal objects like seatbelt buckles — are exposed to the intense summer sun and heat they can become dangerously hot and hazardous for burns. Especially for parents of young children who are curious and touch everything in sight, this can be of particular concern. Burns are common accidents in children. Estimates suggest that nearly 90,000 children under the age of 14 are treated in emergency departments each year for burn-related injuries, according to the National SAFE KIDS Campaign. So when burns do occur, it’s important to recognize when the injury is minor and can be treated at home or if it is serious and requires medical attention. Burns range in severity and are categorized as first-degree, second-degree, and third-degree. • First-degree burns are the least serious and commonly include symptoms such skin redness, swelling, and minor pain or discomfort. First-degree burns can generally be treated at home by cooling the burn with room temperature or tepid water (do not apply ice), covering the wound with sterile bandages, and taking over-the-counter pain relievers, if necessary. • With second-degree burns, blistering may occur, the skin becomes red, and there is typically pain and/or swelling. Small second-degree burns can often be treated at home with the first aid measures mentioned above. However, large second-degree burns should receive medical attention. While first and second-degree burns are often minor, they still can become infected, so lookout for increased pain, redness, oozing from the wound, fever, or swelling. Seek medical care for any of these symptoms. • Third-degree burns are the most severe and always require immediate medical attention. Third-degree burns can appear charred black

to white and dry, or may have a leathery appearance. The burn may be painless but can result in serious complications. If you suspect someone has a severe burn, dial 911 immediately. It’s also important to note that regardless of the degree of the burn, medical attention should be sought for burns that cover the face, hands, feet, groin, buttocks, or major joints. If you are unsure about the severity of a burn or don’t feel comfortable with home treatment, don’t hesitate to seek medical care. Dr. Moneesh Bhow is Director of Emergency Services at Banner Good Samaritan Medical Center. His office can be reached at 602-839-6968.

September 2013 — East Valley — Healthy Cells Magazine — Page 13

feature story

Pa z de Cristo

The History of the Community Center By Pastor Sue Ringler, Former Director

his month Paz de Cristo Community Center (Paz) celebrates 25 years of serving the less fortunate of the East Valley. From the beginning, Paz has reached out to those without food, shelter, and basic necessities. Over the years, it has grown to include such services as bus tickets for employment and doctor visits, a mailing address for the homeless, prescription medication assistance, and employment assistance services such as assist with obtaining birth certificates and identification cards. In 1987, St. Timothy’s hired a social concerns director to coordinate various outreach projects the parish was involved in. Interest in this area Page 14 — Healthy Cells Magazine — East Valley — September 2013

of ministry soon grew, and a social concerns core group was formed to research major projects which would focus the church’s efforts. The parishioners were invited to a “town hall” meeting in February 1988 to discuss and vote for a project from two options presented by the pastoral council. The decision was to sponsor a food service and family shelter in the East Valley. St. Timothy's created Paz de Cristo as a “major outreach project,” a ministry that would be the focus of all of St. Timothy's Corporal Works of Mercy: feed the hungry, give drink to the thirsty, clothe the naked, shelter the homeless. The vision also included an interfaith component.

We would invite other faith communities to participate with us in this mission. We would pool resources — both financial and human — and develop a community center to help serve some of the needs of our poor brothers and sisters here in the East Valley. Those of us who started Paz had the experience of serving at Andre’ House, a Catholic Worker House in Phoenix. We were inspired by the vision of Dorothy Day, the founder of the Catholic Worker Movement and the profound needs we saw in the homeless people here in the East Valley. We wanted to develop a central place of service both for those with needs and for those with the need to serve. The rented, little, yellow house at 559 S. Country Club Dr. opened July 1988. Our first services were providing information and referrals to other community services, an Adopt-A-Family program to help homeless/near homeless families, an emergency food pantry, and a clothing bank. The first meal was served on the corner of Hibbert and Main Street in Mesa on Sept. 15, 1988. The meals were prepared at the little, yellow house and then transported, tables and all, to the parking lot of what was, at the time, the Tri-City Community Service Center building. We had more volunteers than guests that first night. The actual number of guests served was 12! (Remind you of another “supper”?) In the beginning, two meals a week (Wednesday and Thursday evenings) were served. Another evening was added in October and again in November, and then in January 1989, the ministry became an every night of the week operation. This big jump in January 1989 was in response to the efforts of cities and social service agencies to open armories to house homeless people. In order for the City of Mesa to commit to the

Employee Joe Celaya assists Judi Messer RN (Nurse Judi) prepare for another evening of free medical care to the homeless, a service she's provided for 11 years. September 2013 — East Valley — Healthy Cells Magazine — Page 15

feature story

continued

opening, Paz had to commit to serve a meal every night so that those being housed could be fed before they were transported to the Armory. This was before there was any coordinated, thoughtful response to homelessness. This was the beginning of the crisis. Unfortunately, that crisis continues to this day. At the same time Paz opened its doors in Mesa, there was also a meal outreach effort to the Chandler Heights Orchards on Wednesdays, Fridays, and Saturdays. This ministry actually began at St. Timothy's (in collaboration with other faith communities) before Paz de Cristo was born, but in the summer of 1990, this meal service became a part of Paz. Paz was serving seven nights a week in Mesa, and three nights a week in Chandler Heights. This effort continued until the late 1990's. That part of the Valley is now filled with houses and businesses. Paz quickly outgrew its home on Country Club Dr. In 1993, a building site was secured. The vacant land was purchased from the railroad and the shells of the metal buildings were donated — a donation secured by former Arizona Governor, Rose Mofford. Paz was the first organization that had to obtain a special use permit from the City Council for social service agencies in Mesa. The ground breaking was on Oct. 2, 1993. The blessing and dedication of the buildings was on Feb. 12, 1994, and the first meal in the new facility — our current home at 424 W. Broadway — was a breakfast served on Jan. 15, 1994, a forerunner to Mesa’s annual MLK celebrations. Reflecting back on the years that Paz has served makes us proud that we have stood the test of time and still offer a refuge to people in need. But those who started Paz would really have liked to see us go out of business — because we were not needed — because everyone had a home with food on the table, a job, and a family. Until that happens, we will continue to see parents bring Page 16 — Healthy Cells Magazine — East Valley — September 2013

Remember that when you leave this earth, you can take with you nothing that you have received — only what you have given: a full heart enriched by honest service, love, sacrifice and courage.

- St. Francis of Assisi

their children to serve, and those children grow up and bring their children to serve. The heart and soul of Paz de Cristo is its dedicated volunteers. Today Paz de Cristo, a private, nonprofit, 501(c)(3) charity, is a respected interfaith ministry that has become an integral part of the network of services for those in need in the East Valley. This year we celebrate the courageous witness of Paz de Cristo and the positive force for goodness and love it continues to be.

If you would like to learn more about Paz de Cristo, please call 480-464-2370, email: info@pazdecristo.org or visit: www.pazdecristo.org. They are located at 424 W. Broadway Road, Mesa, Arizona 85210.

immune system

What Drug-Resistant Infections Should You Be Worried About?

Dr. John Leander Po, MD, PhD

By Dr. John Leander Po, MD, PhD, Banner Health Clinic Q: I’ve heard that some infections are becoming drug-resistant. Which ones should I be worried about and how can I protect myself?

A: Antibiotics have been used for decades to treat people with infections caused by bacteria. These medications, when used correctly, are highly effective treatment options. However, because antibiotics have been used for so long and by so many people, some infection-causing bacteria have been able to adapt to and resist this form of treatment. Even more challenging is the fact that antibiotics are sometimes prescribed for viruses that do not respond to antibiotic treatment. When antibiotics are introduced into the body, they kill sensitive bacteria but other bacteria may survive. If an antibiotic is used for a virus, such as the flu, rather than for a bacterial infection, the virus will not be affected but the body's antibiotic resistance will increase. In recent years, several bacterial infections have been identified as resistant, including a methicillin-resistant staph infection called MRSA and antibiotic-resistant pneumonia. Other fungal infections, sexually

transmitted diseases, and certain bacteria like E. coli have also shown resistance. In most cases, a person in good health will not come into contact with a drug-resistant infection, as they are relatively uncommon and most often found in health care settings. However, we can protect ourselves by reserving antibiotic treatment for only those situations where it will be truly effective. Talk with your doctor about whether an antibiotic will be beneficial for your illness, never take an antibiotic for a virus, take all medication as directed and discard any remaining medication at the end of treatment, and do not take antibiotics prescribed for another person. If you are diagnosed with a virus, ask your doctor for other ways to relieve your symptoms. Dr. Po is an internal medicine physician at the Banner Health Clinic specializing in Infectious Disease and at Banner Estrella Medical Center. For more information on this topic, talk with your doctor or call Dr. Po's office at 623-327-4144.

A) Jumping Bean B) Jack’s Bounce C) Jumping Jacks D) None of the Above Even if you don’t know the answer, all you need to know is that any activity is a good activity. So play sports, run, dance, jump in place, ¡Lo que sea! whatever, just get up and play at least one hour a day! For fun activities and ways to stay healthy visit

www.letsmove.gov September 2013 — East Valley — Healthy Cells Magazine — Page 17

disease prevention

Smoking Cessation By Anne Borik, DO, Gilbert Hospital Medicine Medical Director & Gilbert Hospital Chair, Department of Medicine

obacco use is the most important source of preventable cause of death worldwide resulting in more than 5.6 million years of potential life lost, yearly. Smoking is an addiction with over 4000 chemicals found in cigarette smoke. Many are known carcinogens to humans and animals. Nicotine, a natural drug in tobacco, is highly addictive both physically and psychologically, which makes it harder to quit smoking. Smokers must overcome both dependencies in order to quit without relapse. What does nicotine do to your body? When smoke is inhaled, nicotine is carried deep into the lungs, absorbed into the bloodstream and carried to the heart, brain, liver, spleen, hormonal system and the body’s metabolism. It reaches the brain faster than intravenous drugs. During pregnancy, nicotine freely crosses the placenta and has been found in amniotic fluid and umbilical cord blood of newborn infants. This can result in long-term negative effects on the developing lungs, brain and neurologic system. The lung is a soft spongy organ. Many millions of alveoli, where air exchange takes place, cover the inner lining of the lungs. This is where the lungs take up oxygen. With each breath, oxygen is removed from the air and transported to the bloodstream throughout the entire body. The deeper the breath, the more the lungs expand resulting in more oxygen. The more oxygen the blood carries, the more relaxed the blood vessels will be. When the vessels are relaxed, they expand, or dilate, allowing more blood to flow. Inhaling fumes or tobacco smoke can affect your lungs’ function. Instead of the blood vessels expanding, they constrict, which results in less blood flow, which can cause high blood pressure and heart disease. Secondhand Smoke Facts: • Secondhand smoke from a tobacco product or being exhaled from a smoker’s lungs contains more than 4,000 substances, some of which cause cancer. Page 18 — Healthy Cells Magazine — East Valley — September 2013

• Secondhand smoke can cause lung cancer deaths in nonsmokers. • Exposure to secondhand smoke causes irritation of the eyes, nose, and throat. • Secondhand smoke irritates the lungs, which can cause coughing, excess phlegm, chest discomfort, and difficulty breathing. • Children are most affected by secondhand smoke, putting them in danger of severe respiratory diseases and can hinder the growth of their lungs. • Ventilation systems in homes cannot filter and circulate air well enough to eliminate secondhand smoke. Preparing to Quit: • Set a day for quitting and ask a friend to quit with you. • Change your smoking routines: Smoke with opposite hand. Think about how you feel when you smoke. • Smoke only in certain places, such as outdoors. • When you have the urge to smoke, wait a few minutes. Chew gum, drink water or take a walk. • Practice relaxation techniques like deep breathing exercises. • Buy one pack at a time. Switch to a brand you don’t like. • Notice when and why you smoke. Identify daily habits that you often do while smoking (such as driving, drinking, morning coffee). Count up all the time spent alone smoking and realize that it is without a doubt the worst thing to do when it comes to health and well-being. Gilbert Hospital is a smoke-free campus providing the highest quality health care services to all. Your emergency is our emergency and is covered as “in network!” Please visit www.gilberter.com for more information.

hypothyroid symptoms

"I Don't Feel Depressed" By Dr. Yvette Saint Thomas, Sliding Doors Therapy

ecently, a woman in her mid-thirties made an appointment with me because she was diagnosed with depression by her family physician, as well as two independent MDs. She was given a prescription for an antidepressant and recommended to seek psychiatric counseling. The woman was visibly upset and hesitant to take the prescribed antidepressant. I asked the normal questions about her home life, professional life, and activities that would impact her emotional state of mind and physical health. This was an emotionally strong woman, and, like many of us, a wife and mother with a full-time career. Yet, she had become completely lost and distraught over the last few months because of her declining health. I discovered that after the birth of her fourth child she began to feel fatigued and exhausted by mid-day, but she assumed it was the demands of being a mother, wife, and full-time worker. As the months passed, she was cold all the time, sleeping more, and waking up feeling tired and even more fatigued. After noticing unusual amounts of hair loss, she visited her family physician. Many tests were performed, including blood work, but they all came back normal. She could not believe this; something had to be wrong. Her physician suggested she take a holiday to rest without family and prescribed an antidepressant to help her emotional status. She thanked the doctor for his time, and proceeded to visit two other physicians. All three physicians agreed she was overworked and could possibly have a hormone imbalance. They all suggested time away from work, rest, counseling, and, of course, an antidepressant. She was finally referred to me.

As I listened to her symptoms, it became apparent this once healthy woman was not suffering from depression but something physical, which, because of its manifestations, has now led to anxiety and emotional distress. I had encountered this before in my practice but I wanted to make sure that I placed her on a solid path toward recovery. After some research, I called the client and told her that I believed she was suffering from hypothyroidism. This can sometimes occur with imbalanced hormones in women and can affect the body adversely, mimicking the signs of depression. Some of the signs and symptoms of hypothyroidism include: • Low energy • Pasty/dry skin • Moodiness, depression • Constipation • Elevated cholesterol • Hair loss • Low body temp • Decreased libido • Fluid retention • Brain fogginess

A month later, my now former client called to thank me for recommending she consider desiccated thyroid supplementation. It had only been a month, but her energy levels were up, and she was starting to feel like her former self. For any additional information about hypothyroidism or other conditions you may be experiencing, please contact Dr. Yvette Saint Thomas at email: ymd@slidingdoorstherapy.com or 602-460-1229. For a complete list of signs and symptoms, visit www.thyroid.answers.com or Hotze Health and Wellness Center online to learn more about their innovative approach to treat hypothyroidism. September 2013 — East Valley — Healthy Cells Magazine — Page 19

myth-busting answers

What Exercise and Healthy Eating Can Do for Your Family Submitted by Terrance Johnson, TI Fitness

Truth versus Myth 1. It’s easier to pick up fast food than it is to cook for your family. True, but… Although it may be easier to stop and pick up fast food, spending time together with your family, sharing stories about your day, and teaching your children how to help in the kitchen is time well spent. The average time it takes to prepare, cook, and clean up can be as little as 45 minutes depending on the meal, and you’ll save some money too.

5. People may stare at me when I exercise. True, but… People are looking for motivation and companionship. Just seeing you work out helps encourage others not to quit. If you’re new to working out publicly, it is completely normal to be self-conscious. Don’t allow that feeling to hinder your goals. Keep in mind that everyone experiences a certain degree of self-consciousness. You just may be inspiring whoever is watching.

2. It costs more to eat healthy. Myth The typical burgers-and-fries dinner for a family of four costs twice as much as a balanced home cooked meal of chicken, potatoes, and a vegetable. We’re fortunate to have year-round growing seasons, so take advantage of the local farmers markets or volunteer at a community garden and learn how to start a garden of your own.

6. Exercising doesn't have long-term results. Myth Regular exercise has a positive long-term effect on you, your family, as well as your community. Since parents are a child’s first role model, a family that exercises together subconsciously creates a routine that will be passed along to the next generation. As we know, many health issues are a direct result of poor diet and not enough exercise.

3. Exercising requires at least a couple of hours each day. Myth To maintain healthy vitals and achieve some results, kids need to exercise at least three times a week for 60 continuous minutes. Adults need to exercise three times a week for 30 continuous minutes (Mayo Clinic & Accredited College of Sports and Medicine). To achieve more results, increase the frequency of days, challenge yourself with a wide variety of exercises, and have a plan.

7. I only need to eat 1200 calories a day. Myth Everyone’s body and metabolism is different, so there’s no set number of calories a person should consume. It will also vary according to your goals and what you want to achieve. To lose weight, you’ll need a calorie deficit; to build muscle, you may need additional calories. So eat what your body needs to achieve your goals and learn to decipher between emotional eating, when you’re craving sugar, and hunger, when you need a balanced meal. Counting calories is usually a short-term fix for weight loss.

4. Going to the gym takes time away from my family. True, but... Yes, going to a gym can take time away from your family, but it’s also an opportunity to teach your children the importance of regular exercise. On the days you don’t go to the gym, plan family outings like riding bikes, playing basketball, hiking, or going for a walk with your family. Page 20 — Healthy Cells Magazine — East Valley — September 2013

For more information or to start your own fitness routine, contact TI Fitness at 480-813-5624, www.tifitness.com or email: terrance@tifitness.com. TI Fitness is located in Gilbert on the SW corner of Greenfield and Warner.

skincare Photo courtesy of Getty Images

Spa-Like Beauty at Home F

eeling like you’ve booked a weekend at a luxurious spa resort doesn’t have to cost a fortune, nor does it require an appointment. You can create that magically refreshed feeling at home with a few simple pantry staples and a quick visit to your local drug store. Here are some ideas for pampering yourself without breaking your budget: Skin Rejuvenation For smooth, radiant skin that feels nourished and refreshed, give yourself a gentle scrub. Make a paste of 2 cups ground coffee, 1/2 cup raw sugar and 3 tablespoons olive oil. Rub in a gentle circular motion to exfoliate skin and remove dead skin cells. Rinse clean with warm water. Follow your scrub with a rich cleansing gel to rejuvenate and add moisture to your skin. Capture the illusion of a spa getaway with tropical-scented cleansers such as Softsoap Coconut Island Quench Body Wash, which is enriched with coconut oil extract to leave skin feeling soft and supple, or Softsoap Acai Berry and Tropical Water Body Wash, infused with antioxidant-rich acai berry extract and moisturizing beads to invigorate both body and mind. Perfect Pedicure To get your feet feeling smooth and clean, blend 2 tablespoons sea salt in a basin of warm water. For an extra spa-like experience, add

a few drops of lavender oil. After a nice soak, make a scrub using 3 parts salt and 1 part water. If more exfoliation is needed, add 1 part brown sugar to the scrub. Rinse. Use a nail brush and cuticle pusher to freshen up your nails. Finish with a rich moisturizer and a warm towel foot wrap. Let sit for 5 to 10 minutes, then add your favorite nail polish and a protective top coat. Banishing Bags For tired, puffy eyes, brew a large mug of tea using two tea bags. Let them cool to a comfortable temperature, then place one bag over each eye. To reduce an extreme case of puffiness, cool bags completely in the refrigerator and apply as cold compresses. Turn on some soft music and lay back to relax. Hair Care Help Baking soda helps remove the residue that styling products leave behind. To get rid of product buildup and leave your hair cleaner and more manageable, sprinkle a quarter-size amount of baking soda into your palm along with your favorite shampoo. Shampoo as usual and rinse thoroughly. You can find more ideas for at-home beauty at www.softsoap.com.

September 2013 — East Valley — Healthy Cells Magazine — Page 21

women's health

A New Treatment for Urinary Incontinence Submitted by Christopher Murphy, MD with iWomen’s Health Care

rinary incontinence is the untimely, inadvertent, and accidental loss of urine. It affects between 15 and 20 million men and women. It prevents them from living the life they want to lead, and reduces their activity level. Incontinence is not just a medical problem; it is a problem that also affects your emotional and psychological state. Fortunately, the InTone™ medical device is now available to help treat this troubling condition. The first step in treating urinary incontinence is diagnosing the problem. Getting a diagnosis starts with a complete history and physical. Often, providers will ask you to complete a bladder diary which details your dietary and bowel habits, fluid intake, exercise, and when you have leakage. Pelvic examination focusing on pelvic support is essential. Once all of the basics have been evaluated, typically, the next step is actual evaluation of the bladder physiology. This procedure is known as urodynamics. Urodynamics is a test performed in the office that involves placing two small catheters into the bladder and vagina to help measure pressure. The bladder is filled with water and readings are obtained. The patient is asked to cough and bear down during the Page 22 — Healthy Cells Magazine — East Valley — September 2013

procedure to evaluate potential leaking points. Finally, the patient is asked to void while the pressure measurements are recorded. Occasionally, a cystoscopy is necessary. A cystoscope is a camera placed into the bladder to visually evaluate the inside of the bladder. After thorough assessment of the underlying cause of incontinence, InTone is the first line treatment option at iWomen’s Health Care, when pelvic floor muscle training is considered to be the most beneficial approach. InTone and Pelvic Floor Muscle Training Kegel exercises can strengthen the pelvic floor and sphincter muscles, resulting in an improvement in urinary control. Now, there are pelvic floor clinics/specialists available, as well as devices you can use in the privacy of your bedroom, such as the InTone device. InTone uses muscle stimulation, similar to a TENS unit (transcutaneous electrical nerve stimulation). This medical device utilizes the most effective non-invasive treatments (pelvic floor muscle exercises, electrical stimulation, and biofeedback) to increase muscle strength in the pelvic floor, while calming spasms of the bladder.

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After prescribing InTone, the physician will customize the settings of the device specifically for the patient, and provide instruction as to how it should be used at home. A sensor in the unit measures the strength of the patient’s contraction while visual biofeedback is provided to further encourage the patient’s performance. The hand-held control unit uses voice-guided instruction to guide the patient through the exercise routine, reminding her to maintain relaxation in her abdomen, buttocks, and leg muscles. Each daily session takes about 10 minutes, and data from each session is recorded. However, when the symptoms are more severe, or when conservative measures have not provided adequate improvement, the next best treatment option is surgery. Periurethral Injections Urethral injections of various bulking agents can assist in the closure of the urethra. This procedure can be done in the office and often under local anesthesia or mild sedation. Unfortunately, the cure rate is low and temporary (10 to 30 percent). It can be repeated and results may improve after multiple injections. It is minimally invasive and has minimal postoperative pain and recovery time. Sub-Urethral Sling Procedures These are the most common procedures for incontinence and referred to as TVT or TOT. This operation involves placing a thin strip of material underneath the urethra to provide a hammock or kinking point of support to assist in improving urethral closure. This provides patients with a minimally invasive surgical option and allows for quick postoperative recovery. Not all cases of urinary incontinence require devices or procedures, sometimes relief can be found with the following relatively simple modifications, dependent on the diagnosis.

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This bracelet was a gift Amber Apodoca

This bracelet was where a giftshe Amber received from the center helped Apodoca teens with

Dietary Changes This can be as simple as replacing your morning Starbucks with the decaffeinated version. But don’t make the diet cola mistake, because the carbonation in soda can irritate the bladder as well. How about choosing a cup of yogurt over a chocolate-laced snack. Or choosing the mild sauce instead of the spicier version. Alcohol can also adversely affect your bladder.

drug and alcohol problems. She was wearing it received from the center where she helped teens with when an underage drunk driver took her life.

drug and alcohol problems. She was wearing it Friends Let Friends Drive Drunk. when anDon’t underage drunk driver took her life.

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Weight Reduction Excess weight increases abdominal pressure, which, in turn, places more strain on the pelvic support of the bladder and urethra. Weight reduction combined with exercise may help reduce or resolve leaking. Behavioral Modification Simple steps may lead to major results. Controlling fluid intake can help significantly. Setting your watch and voiding on schedule may also reduce accidents.

We are excited to announce a new treatment option for women. InTone Urinary Incontinence treatment is available at iWomen’s Health Care, for information or to schedule a consultation call 480-855-5900, email: info@iwomenshealthcare.com or visit www.iwomenshealthcare. com. iWomen’s Health Care is a boutique style practice that believes in partnering with patients for care. “Your care, your comfort, our expertise!”

Photo by Michael Mazzeo

Please do not be afraid to bring up urinary incontinence during a routine doctor's office visit. Granted, it can be embarrassing and difficult, but it is important.

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health choices

How to Have “The Talk” About Advanced Directives

Cathy Peterson

By Cathy Peterson, Gemini Hospice, LLC

lthough it may make you uncomfortable, letting your loved ones know of your wishes, should you become incapacitated, is one of the greatest gifts you can give. Advanced directives allow you to appoint the person you wish to make health choices when you are unable. By completing the proper forms, you can communicate your health care needs to your loved ones. How to Begin Consider sharing your thoughts with those closest to you, including your doctor, clergymen, accountant, lawyer, or anyone to whom you usually seek advice. What to Discuss Do you want to be resuscitated? Or, do you want comfort and care to enhance the quality of your life without artificially prolonging life? Remember, if you chose to be resuscitated, you could be confined to a ventilator or need medically invasive procedures such as intravenous feeding tubes inserted into your body. What are your wishes? It is important to know not only what you want done with your body, but also how you want your loved ones to honor you once you pass. Do you want to donate your body to science? Donate your organs? Do you want an autopsy? Do you want a funeral? Do you want to be cremated? Do you want a celebration of your life? Necessary Forms • Durable health care power of attorney • Durable mental health care power of attorney • Living will (end of life care choices) • Letter to your agent • Pre-hospital medical directive (do not resuscitate — DNR) Forms can be downloaded by going to www.azag.gov, go to communities, click on “Seniors,” then choose “Life Care Planning.” Legal documents can be stored in the Arizona Advance Directives Registry.

Page 24 — Healthy Cells Magazine — East Valley — September 2013

"It is important to know not only what you want done with your body, but also how you want your loved ones to honor you once you pass." For more information or questions, contact Gemini Hospice at 480-883-1353 or visit www.geminihospice.com.

community news

Ten-Year-Old Receives 100th Transfusion Submitted by United Blood Service

ia McPoland was born with Diamond Blackfan Anemia, a rare disorder that prevents her body from producing red blood cells. The Chandler 10-year-old depends on the generosity of blood donors to provide lifesaving transfusions every three to four weeks at Cardon Children’s Medical Center in Mesa. “Mia is alive today because of people who donate blood,” says her mom, Kristi. “Our family is beyond thankful to everyone who takes the time out of their busy day to simply donate blood.” Thanks to dedicated blood donors, Mia received her 100th transfusion in August. The McPoland family has organized a blood drive in honor of Mia on Sept. 14 at the Chandler Body Envy Fitness, 2450 E. Germann, from 10 a.m. – 2 p.m. By sharing Mia’s story, they hope to inspire more people to donate blood so that children across Arizona can always rely on a dependable blood supply. Advance appointments are requested: visit www.BloodHero.com (sponsor code: BodyEnvyFitness) or call 1-877-UBS-HERO (827-4376). Those unable to make the Sept. 14 blood drive in honor of Mia McPoland can give blood at United Blood Services’ donor centers in Chandler or Mesa. Donating blood is safe, simple, and it saves the lives of children like Mia. First, donors are asked about their medical history, their current health, and have their temperature, blood pressure, pulse, and blood iron level checked. Next, donors relax in a comfortable chair while a technician collects about one pint of blood. The entire process takes about one hour for a whole blood donation, or slightly longer for those willing to try a specialized MAX donation procedure that matches their blood type and physical attributes to the current patient need. Blood is separated into components to treat a variety of medical conditions. In fact, the majority of blood is not used by accident victims, but for everyday needs such as cancer treatments, surgeries, transplants, and blood disorders such as Mia’s Diamond Blackfan Anemia. Knowing that she is alive because of donated blood, the McPoland family is planning a day of celebration for Mia and the other young patients at Cardon Children’s Medical Center on Saturday, Sept. 7. It will be a special day for the children to enjoy music, cake, and some surprise special guests to brighten their day — an opportunity to take a break from their normal routines of medical tests and treatments and celebrate life by having fun at the hospital.

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.

September 2013 — East Valley — Healthy Cells Magazine — Page 25

quiz

Test Your HealthyCells Knowledge ®

M A G A Z I N E

The following questions are relevant to this month’s Healthy Cells Magazine.

Over 4,000 chemicals can be found in... a. a large chicken egg. b. cigarette smoke. c. formaldehyde. d. refined sugar.

Burn injuries are categorized as... a. first-degree, second-degree, and third-degree. b. pink, red, and black. c. low-level, mid-level, and high-level. d. ow, yikes, and aaaah!

10. The InTone medical device is useful for... a. assisting in many cases of urinary incontinence. b. training the ear to hear perfect pitch. c. developing “ripped” biceps. d. sleeping.

Page 26 — Healthy Cells Magazine — East Valley — September 2013

Answers:

An example of a pre-hospital medical directive is... a. a physician’s assistant. b. a referral. c. an order from hospital administration. d. a DNR.

1. Over 4,000 chemicals can be found in... b. cigarette smoke. If you are looking for more information on smoking cessation, look on page 18.

2. Burn injuries are categorized as... a. first-degree, seconddegree, and third-degree. To learn how to distinguish between the three categories, see page 13.

A Diode Lipo Laser is... a. used in a CD player. b. essential to a missile defense shield. c. an entertaining cat toy. d. a low-level laser used in weight loss.

3. A rare disorder that prevents the body from producing enough red blood cells is... d. Diamond Blackfan anemia. Read about Mia McPoland’s struggles with this disease on page 25.

4. The medial prefrontal cortex is... c. the outer layer of the human cerebrum. This term is mentioned in the column on the effects of music on the mind on page 7.

Mixing a small amount of baking soda with shampoo... a. creates volume when rinsed with vinegar. b. makes a wonderful toothpaste. c. helps remove product buildup in hair. d. is an effective alternative to glue.

5. MRSA stands for... a. Methicillan-Resistant Staph Infection. Learn more about drug-resistant infections on page 17.

6. Mixing a small amount of baking soda with shampoo... c. helps remove product buildup in hair. This and other tips can be found on page 21.

MRSA stands for... a. Methicillin-Resistant Staph Infection. b. Mars Rover Scanning Apparatus. c. Mitochondrial-Retentive Stem Adjustment d. Mission Ready, Stay Alert.

7. A Diode Lipo Laser is... d. a low-level laser used in weight loss. Read about it on page 12.

8. An example of a pre-hospital medical directive is... d. a DNR. Find out more about essential documents on page 24.

The medial prefrontal cortex is... a. a driverless transportation network b. a nebula near the Polaris star system. c. the outer layer of the human cerebrum. d. a tool used in tooth extraction.

9. Adults need to exercise... b. three times a week for 30 continuous minutes. The pennies are optional. See page 20.

10. The InTone medical device is useful for... a. assisting in many cases of urinary incontinence. Learn more about this new technique on page 22.

3. A rare disorder that prevents the body from producing enough red blood cells is... a. diabetes. b. psoriasis. c. myocardial infarction. d. Diamond Blackfan anemia.

Adults need to exercise... a. every Tuesday, around 4 o’clock. b. three times a week for 30 continuous minutes. c. outdoors only. d. with a penny in each shoe.

Last year, it hurt too much to stand. Today, she carries a nation on her shoulders. At her clinic in Freetown, Sierra Leone, Dr. Olabisi Claudius-Cole treated patients of all ages with any condition, and would often take no payment in return. When arthritic hips and knees kept her from the rigors of daily patient care, a disaster loomed. Dr. Claudius-Cole’s sister led her to an American orthopaedic specialist, who had just heard rocker/activist Bono issue his mandate for caring people everywhere to step up and make a difference. As he listened to Dr. Claudius-Cole, he saw his own chance to do just that. Donating his own surgical services, he helped mobilize an entire medical team to get Dr. Claudius-Cole back on her feet. He even arranged free hip and knee implants. Today, Dr. Claudius-Cole is fully recovered, and back at her vital healing practice in West Africa. Her story truly brings new meaning to the term “pro-Bono.” We share it here because it sends two of the most contagious messages we know. Don’t give up, and remember to give back.

Celebrating Human Healing orthoinfo.org

aaos.org/75years

Give blood. Save lives. Help save people like Mia... Mia was born with Diamond Blackfan Anemia, a rare disorder that prevents her body from producing red blood cells. She is alive today because of blood transfusions every 3 – 4 weeks at Cardon Children’s Medical Center

“Our family is beyond thankful to everyone who takes the time out of their busy day to simply donate blood.”

~Mia’s mother, Kristi

Give blood and save lives in honor of Mia by visiting one of our two convenient East Valley donor center locations!

MESA

CHANDLER

1337 S. Gilbert Rd., #101

1989 W. Elliot Rd., #32

(Gilbert Rd. & Hampton Ave.)

(Elliot Rd. & Dobson Rd.)

MESA DONOR CENTER

S GILBERT RD.

N DOBSON RD.

W ELLIOT RD. CIRCLE K & FILIBERTOS

CHANDLER DONOR CENTER

E HAMPTON RD.

You can also save lives in honor of Mia by giving blood at the

Body Envy Fitness Blood Drive Saturday, September 14, 10am - 2pm

Give blood 3 times a4450 year! E Germann, Chandler 1-877-UBS-HERO (827-4376) For more information about www.UnitedBloodServicesAZ.org

the drive, see the story on page 25.

Appointments are required to donate at the Body Envy Fitness Blood Drive. To schedule an appointment for the blood drive, visit BloodHero.com and use sponsor code:Give BodyEnvyFitness blood 3 times a year!

Schedule your appointment today: Give blood 3 times a year! 1-877-UBS-HERO (827-4376) www.UnitedBloodServicesAZ.org

1-877-UBS-HERO (827-4376) www.UnitedBloodServicesAZ.org

Give blood 3 times a year! 1-877-UBS-HERO (827-4376) www.UnitedBloodServicesAZ.org