June 2014 Quality Care

VALLEY OF THE SUN

east valley area

Promoting Healthier Living in Your Community • Physical • Emotional

JUNE 2014

FREE

HealthyCells

®

www.healthycellsmagazine.com

M A G A Z I N E

• Nutritional

A Gateway to Quality Care

Developing

R.E.S.P.E.C.T. For Your Body

Free the Fascia Elder Abuse,

Raising Awareness

I n - H o m e

S e n i o r

C a r e

S e r v i c e s

Interactive Caregiving®

Make Every Moment Matter

Interactive Caregiving® is the unique way our Comfort Keepers® deliver care to our clients. It centers on four interrelated aspects – engagement of the mind, an active body, proper nutrition, and safety. A Plan of Care which addresses these aspects, together, will enhance quality of life and ultimately, independence.

S e r v ic e s

Companion Care • Light Housekeeping Personal Care • In-Home Safety Solutions

(480) 659-9201

335 N. Alma School Rd, Suite B • Chandler, AZ 85224

C o m f o r t K e e p e r s . c o m

• Integrated midwife and physician practice • Routine and high risk pregnancy • Female pelvic medicine • Menopause • Urinary leakage treatment • In office tubal occlusion • In office uterine ablation to treat abnormal bleeding • In office lab work • In office ultrasounds

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

iWomen’s Health Care 655 S Dobson Rd Suite 101 Bldg A Chandler, AZ 85224 Office Fax

480-855-5900 480-855-9171

www.iwomenshealthcare.com

letter from the owner

I

t’s June and summer has arrived; time for backyard cookouts, swimming pools, and triple digit temperatures for the next few months. We love spending time outdoors but Arizona summer temperatures can be dangerous if precautions are not taken. If this is your first summer in the Valley of the Sun or you know someone vacationing here, be sure to share these tips.

•H ydration: Start your day off with a large glass or two of water. If you wait until you’re thirsty, dehydration has already started. After all, it’s a dry heat.

• Test before you touch: Business door handles, car door handles, seatbelt buckles, playground equipment, and anything else that conducts heat; use caution before touching. If the ground is too warm for your bare feet, it’s also too warm for your pet to go for a walk.

• Seek Shade: Avoiding the direct sun can be a challenge, but the umbrella you keep in the car for wet whether can also come in handy if you need to walk any distance.

• Swimming Pools: Already this year we’ve had several drownings, and not just small children. Assign a “lifeguard” when swimming and don’t be afraid to ask your guests if they know how to swim.

• Water: It's a good habit to keep water with you at all times. I carry a small cooler with ice packs and several bottles of water to drink and and on occasion I've encounter others that need it. Carry a gallon of water for car emergencies as well.

• Car: The interior of a car can reach 140 degrees or more in just a few minutes so never leave children or pets unattended. Distractions happen, you run into an old friend or the shortest line at the checkout always takes the longest time. It’s just not worth the risk of a life.

Happy Father’s Day to all the Dads, and to everyone have a safe and happy June!

“We love spending time outdoors but Arizona summer temperatures can be dangerous if precautions

Monica Tegg/Owner Healthy Cells Magazine®, East Valley Monica@healthycellsmagazine.com 480-204-3090

are not taken. ”

Know the Signs and Symptoms of Heat-Related Illnesses.

Heat Exhaustion

(requires immediate attention but not usually life-threatening): • Fatigue • Nausea • Headaches • Excessive thirst • Muscle aches and cramps • Weakness • Confusion or anxiety

• Drenching sweats, often accompanied by cold, clammy skin.

• Slowed or weakened heartbeat.

• Dizziness • Fainting • Agitation

Heat Stroke

can occur suddenly, without symptoms of heat exhaustion: • • • • • • •

Fatigue Nausea and vomiting Headache Dizziness Hot, flushed, dry skin Decreased sweating Shortness of breath

• Decreased urination • Blood in urine or stool • Increased body temperature (104 to 106F) • Confusion, delirium, or loss of consciousness • Convulsions • Very rapid or dramatically slowed heartbeat

Get medical care immediately and move to a cool place. Any delay can be fatal.

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 3

JUNE 5

Senior Safety: Elder Abuse, Raising Awareness

6

Physical: Managing Your Health to Protect Your Sex Life

8

Emotional: “You Have Breast Cancer”

10

Nutritional: Developing R.E.S.P.E.C.T. for Your Body

12

Holistic Approach: How Do I Use “Essential Oils”?

13

Insurance Plans: The Transition to Medicare

17

Disease Facts: Q&A of Cystic Fibrosis, Part II

18

Quick Pain Relief: Are You Among 10 Million With Chronic Tendon Pain?

19

Gastrointestinal Health: Diagnosis and Complications of Crohn's Disease, Part II

20

Always Prepared: Semper Paratus

21

Senior Care: Keeping Seniors Healthy is a Family Issue

22

Laser Weight Loss: Low-Level Cold Laser: A Non-Invasive Treatment to Reduce Inches

23

Tendon Overuse: What is Tennis Elbow?

25

Funeral Arrangements: Options for End of Life

26

Structural Physiotherapy: Free the Fascia!

2014 This Month’s Cover Story:

Volume 2, Issue 6

Banner Gateway Medical Center and Banner MD Anderson Cancer Center: A Gateway to Quality Care pg. 14 Cover and feature surgical photos by KimmyBee Photography Other feature photos provided by Banner Health

For advertising information, contact Monica Tegg, owner, Valley of the Sun Edition Cell: 480-204-3090 • Fax: 309-691-2187 PO Box 6233, Chandler, AZ 85246 monica@healthycellsmagazine.com Healthy Cells Magazine® is a division of: 1327 E. Kelly Ave., Peoria Heights, IL 61616 • 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.

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 health care 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.

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.

senior safety

Elder Abuse, Raising Awareness

By Patricia Day, Lifelong, LLC

Y

ou hear stories of elder abuse and neglect in the media, but unless this has impacted yourself or a loved one, you may not have had significant reaction to the news. With our 76 million baby boomers coming of retirement age, it is likely that you will be impacted closer to home in the years to come. An estimated 1 in 10 older adults experience some form abuse after the age of 75. This number increases to 1 in every 2 seniors when dementia is present.

The ability to identify forms of abuse is necessary for keeping our seniors safe. There are many types of abuse that can result from caregivers, family members, and even themselves.

Self-Neglect Self-neglect may be the most common form of abuse among older adults. You may see warning signs such as lack of basic hygiene and medical aids (glasses, dentures). The home may be cluttered, filthy, and in disrepair. Food may be spoiled or the cupboards empty. Fear of placement in elder communities often keeps one in this type of living environment.

Physical Abuse Signs may include bruising that is often symmetrical in nature, broken bones, dislocations, and unexplained sprains. The caregiver may refuse to let family members see the elderly patient alone. Look for subtle hints as well: broken glasses and/or frames, unexplained accidents, and fearfulness.

Emotional or Psychological Abuse Victims of emotional abuse may become withdrawn or noncommunicative and sometimes develop strange behaviors like thumb sucking, biting, or rocking. Other signs can include anxiety, mood swings, and easily becoming upset or agitated.

Other forms of abuse can include sexual abuse, neglect, abandonment, and financial exploitation.

Should you or a loved one suspect abuse or neglect, call us today. As members of Ageless Alliance, an organization against elder abuse, we have resources available to assist in identifying, reporting, and ending abuse.

For placement assistance and a free consultation, send an email to lifehealthplanning@yahoo.com or call Lifelong, LLC at 480-720-4651 or visit us at our website: www.lifehealthplanning.com. At Lifelong, LLC, we have taken the responsibility of elder placement to a personal level.

We understand that finding the right community for your loved one can be stressful and intimidating. Allow us to be an advocate and assist in your search.

Photo credit: phiksos/Thinkstock

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 5

physical

Managing Your Health to Protect Your Sex Life

Chelsie Reed, PhD Psychology

By Dr. Chelsie Reed, PhD Psychology, Licensed Professional Counselor

Y

our sex life is at risk more than you know. Physicians may mention the effects of your health concerns on your sex life, but often we do not notice the effects until we already feel broken and hopeless. Instead of waiting for your doctor to ask about your sex life, take control of your health to avoid these popular pitfalls.

Cardiac You may love with all your heart, but without a healthy pump, your love won’t get you too far. Sexual intercourse for men and women is reliant on an increase of blood to the genitals to better receive pleasure. The increase of blood flow to these areas, breasts, vulva, and penis, can be hard on your heart if you have risk of blockages, high blood pressure, or even low blood pressure. Men often can tell if their blood flow is not sufficient to the penis due to a softened erection; though women do not always associate their reactions, low response to sexual touch and lack of pleasure, with poor blood flow.

Weight Weight is a touchy subject. Often people feel that the standards made by physicians are too ridged and often mean with words like Page 6 — Healthy Cells Magazine — East Valley — ­ June 2014

“obese.” Let’s put aside the actual BMI or measurement of weight and look at the real-life effects that we experience. Gaining weight changes hormones in the body and is more work on the heart. People who lose 10 percent of their body weight can feel the effects and see them on a blood work-up, showing their hormones gaining a better balance. Testosterone, estrogen, and the thyroid hormones are all key players in your sex life and can be very reactive to your weight. Lastly, extra weight can make it harder to move and more likely to injure yourself, or even for a partner to injure themselves.

Beauty comes in all sizes, also be aware that problems are not always weight-neutral.

Diabetes Diabetes and pre-diabetes are not just about your waistline. On top of the effect of extra weight that may be a part of diabetes type 2, there are even more concerns. Diabetes effects nerve function and response, especially in the extremities. Sorry to say, the penis is an extremity. Poor circulation and neuropathy experienced in the feet and hands often then goes to the genitals. Some people blame this on aging, but often it is poor management of their diabetes.

Sleep When you don’t sleep, you don’t want sex. Your body again is a very sensitive and reactive mass of chemistry. Often the root cause of poor sleep is its own problem, such as with stress or pain, but even just not sleeping without any discernible cause is bad for your health and sex life.

Pain Physical pain utilizes many of the same neurological pathways in the brain as sex. One indicator of orgasm is an increase in painthreshold. So it is a circular battle in that due to pain, we often do not want to have sex, but by having sex, pain could be relieved.

There are many pain-related uses for sex, such as migraine headaches, cramps, lessening in chronic pain, and even the pain of depression or anxiety. When we hurt physically or mentally (or often both at the same time), it is hard to take extra stimuli and thus sex is not wanted and even feared to be more painful. However, arousal alone can produce pain-fighting chemicals in the brain to make us feel better.

Stress It is not new that stress can hurt your sex life. Little time makes it hard to find room for sex. The physical and mental nervousness/ anxiety and lack of focus make it hard to even sex enjoy if you do find the time. This lack of focus easily leads to erectile dysfunction, lack of orgasm by men and women, lack of lubrication in women, and lack of arousal all around. But again, like pain, stress can also be lessened with sex. All of the feel-good hormones produced from arousal and orgasm can help alleviate muscle tension, anxiety, de-

pression, and overall stress levels. Lack of arousal when stressed is often due to expecting that we can schedule sex, show up, and perform. This is not a good plan. We are not microwaves that can be warmed up with the push of a button — we need to slowly be warmed up through sexual thoughts all day long that build and create desire and then arousal. Desire is slow to come about and needs to be maintained to then be called upon for arousal and then sexual response — often culminating in orgasm.

The treatment for many of these issues is simple, though not always easy. Start with scheduling a physical with your doctor and a thorough blood panel to understand your chemistry. This may mean changes in diet, exercise, medication, or hormonal supplements.

The next step is looking at the effects of your life on your sex life. Are your life choices making your sex life less pleasurable, less often, or even less wanted? Even with physically-induced sexual health problems, we often have worries and stress about our sex life that then emerge from these problems — these psychological problems do not always go away once you tackle the root cause. Counseling can help bridge the problems of the past with a new happy future and pave the way for continued health and happiness in the bedroom.

Happy Orgasms.

Dr. Chelsie is in private practice in the Ocotillo area of Chandler, Arizona. Find out more at www.drchelsie.com or phone 480-855-4009.

Like her on Facebook.

Photo credit: Creatas/Thinkstock

Shoebox Ministry Restoring dignity to the homeless 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

Donations can be made online via paypal at www.shoeboxministry.org/ways-to-donate/ AZ residents may qualify for the state tax credit.

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. Drop off locations listed on website.

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

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 7

emotional

“You Have Breast Cancer”

By Michelle Madrid, Breast Cancer Warrior

W

e all fear that someday we will hear those three words… “You have cancer.” Breast cancer does not discriminate; it can strike when we least expect it, at any time in your life, any age, ethnicity, and yes, even men.

Breast cancer will affect all of us in one way or another, whether it’s a relative, mom, friend, sister, neighbor, teacher, hair stylist, or the local coffee shop barista.

When you hear a physician utter those words “You Have breast cancer,” you immediately become extremely overwhelmed with fear and emotion. I can assure you, from that moment on, you will not hear or remember anything else the physician says. A feeling of numbness comes over you and you feel as if you are looking down watching this all unravel right before your eyes.

The diagnosis of breast cancer not only throws your emotions into overdrive with so many unanswered questions it can feel as if a vice is squeezing your chest, taking away your every breath. The word cancer begins to consume your every thought, moment, and minute of the day.

At first, the diagnosis may make you may feel shock, fear and anxiety of the unknown, disbelief, anger, and grief at the prospect

Types of Breast Cancer Breast Cancer can be broken down into two categories known as non-invasive and invasive cancer.

Non-Invasive or in situ breast cancer stays within the breast and does not spread into surrounding tissue structures.

Invasive breast cancer spreads outside the breast into other parts of the body through the blood and lymph nodes.

Other forms of breast cancer include: Invasive ductal carcinoma: The most common form of breast cancer, it begins in the lining of the milk ducts, the tiny tubes that carry the milk from the lobules of the breast to the nipple.

Page 8 — Healthy Cells Magazine — East Valley — ­ June 2014

of losing a breast or possibly both. You may ask yourself questions like: how could this be happening to me, what treatment will I have to go through, will I lose my hair, and how sick will I become from the treatments? A cancer diagnosis can lead to depression, both

Invasive lobular carcinoma: Begins in the lobules or milk glands of the breast and is found in both breasts more often than other types of breast cancer.

Inflammatory breast cancer: Breast may become red and swollen, have a rash-like appearance, and a thickening of the skin that could resemble that of an orange peel.

Recurrent breast cancer: Disease that has a reoccurrence or re-appears after the initial cancer has been treated. May manifest in the breast, chest wall, or other parts of the body.

Metastatic breast cancer: Breast cancer that spreads from its primary original site to additional sites, and/or organs outside the breast and the lymph nodes.

Please refer to the Woman’s Health and Cancer Rights Act for more information on your rights as a breast cancer patient.

before surgery and then after surgery due to the feeling of inadequacy, devastation, and the loss of femininity.

This is all normal. There will be uncertainty of what the future holds, unanswered questions, and lots of tears. When dealing with a recent diagnosis of cancer, remember it not only affects you, it also affects your loved ones and friends.

Let’s face it; cancer is a life-altering experience to go through.

Don’t be shy or afraid to ask for help from your family and friends; you need them, and they will be more than happy to lend you a supportive hand, but may be afraid to ask about or mention “your cancer.”

It’s OK to talk about your diagnosis. Go ahead and get that second opinion. Start a journal so you don’t have to rely on your memory for appointments and what doctor said what. It’s also a good place to write down any questions you have so you can get the facts.

Create a network of survivors to help inspire you to keep your chin up and keep on going! Cancer is a journey that we may have to hurdle. No, it’s not fair and may seem tiresome during the way, but we need to remember we are all born with a purpose.

As a three-time survivor of breast cancer, I personally know what it’s like to feel like a piece is missing after going through mastectomy, chemotherapy, and radiation. For this exact reason, I want to let other brave women know that there are options available to them to help restore the pieces that cancer stripped away: your appearance as a woman.

Having re-pigmentation added to the skin to give the appearance of a nipple and areola may not sound like a big deal; it’s just a little color, like having a tan. For a breast cancer survivor, nothing

Breast Cancer Facts • 1 in 8 women will be diagnosed with some type of breast cancer during their lifetime.

• A new case of breast cancer is diagnosed every two minutes.

• Only 5–10 percent of breast cancer occurs in women with a genetic predisposition.

• Women with the gene mutation run a lifetime risk for developing the disease.

could be further than the truth. It helps a woman heal emotionally as well as improve her physical appearance. The re-pigmentation helps camouflage the scars, so it’s not the only thing she sees when looking in the mirror. For many women, they will again allow their spouse to see them nude. It returns her feelings of femininity and sexual appeal. Breast cancer tattooing is like a celebration of survivorship.

For additional information on breast re-pigmentation tattooing after mastectomy surgery, call 480-522-7865, email: tickledpinkaz@gmail.com. To view before and after photos visit www.tickledpinkaz.org.

Photo credit: Rudyanto Wijaya/Thinkstock

All June, July and August blood donors will be automatically entered to win a new 2014 Passat S! Donated by your Valley Volkswagen dealers.

GIVE BLOOD AND FIND THE HERO IN YOU.

CHANDLER

blood 1989 W.Give Elliot Rd., #32

N DOBSON RD.

W ELLIOT RD. CIRCLE K & FILIBERTOS

DONOR CENTER 3 times aCHANDLER year!

1-877-UBS-HERO (827-4376) (Elliot Rd. & Dobson Rd.) www.UnitedBloodServicesAZ.org

MESA

1337 S. Gilbert Rd., #101 (Gilbert Rd. & Hampton Ave.)

S GILBERT RD.

Visit one of our two convenient East Valley donor center locations!

MESA DONOR CENTER

E HAMPTON RD.

Schedule your appointment today: Give blood 3 times a year!

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

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 9

nutritional

Developing R.E.S.P.E.C.T. for Your Body Submitted by Garner Healthy Living Everyday

T

he fascinating human body is an incredible state-of-the-art vessel, operating 24/7; it carries us through our entire lives never shutting down! Every person has a great responsibility to protect and maintain their body in order to live an optimal quality of life. When properly cared for, the body is able to move and function with ease and can be free of debilitating pain, or disease — ruling out injuries, of course. A body in this condition allows for a healthier mind that can be used to fully explore and grow the nature of one’s personal spirit.

We are better able to contribute to others and enjoy a fulfilling journey through life with our loved-ones and friends.

Here are tips to develop lifelong R.E.S.P.E.C.T for your body: R = Regulate your consumption of food and drink. Become mindful of, and selective with, all the ingredients you are taking into your body every day. Nutritionists and scientists today have successfully identified about 47 basic nutrients our bodies need to function properly. Do you know what they are? And, what foods to eat that ensure this nutrition is absorbed?

Page 10 — Healthy Cells Magazine — East Valley — ­ June 2014

Judith Garner

E = Educate yourself about the mechanics of your body and understand what it needs to work properly at the cellular level. This makes it easier to select healthy foods. With learning and understanding, you will automatically begin to filter habits of health in preference over habits of disease.

S = Sleep is critical for your body’s ability to rejuvenate, as well as regenerate new healthy cells. Too little sleep — defined as less than seven hours a night in a 2006 Institute of Medicine report, affects the body in a number of negative ways. Research studies have linked poor sleep habits to anxiety, moodiness, depression, increased inflammation, higher risk of cardiovascular incidence, disrupted appetite regulation, and higher risk of obesity.

P = Protect your body by taking steps to prevent disease. In addition to adequate amounts of exercise, sleep, and proper nutrition, be careful about consuming unregulated synthetic vitamins and supplements.

Complete your own research and have a full understanding of the side

“The well-nourished American is a myth.

Despite the high level of education and the abundance of available food, many people make poor food choices and are badly nourished. The average human diet, nutritionally unfit for rats, must be equally unsatisfactory or even more so in meeting human needs.”

— Carl Pfeiffer, MD, PhD, Mental and Elemental Nutrients effects of any/all pharmaceutical drugs prescribed, or purchased over the counter. Consult your physician, ask questions, and complete any other due diligent research you deem necessary to fully understand the entire effect the consumption of these products will have in your body.

E = Eat a whole food diet versus a heavily processed food diet consciously for nutrition as well as for pleasure. Learn and understand the essential nutrients the body requires to avoid malnutrition! The average American diet does not support the biological needs of human cells.

According to the Worldwatch Institute’s State of the World 2000 report:

In the developed countries, 1.2 billion people, including most Americans are now “starving” and undernourished because they are overfed with too much of the wrong foods.

C = Care for your body in every way possible. It is never selfish to lovingly care for yourself so that you can live with energy and vitality, free of pain and disease.

T = Teach others, your children, parents, and friends, the importance of R.E.S.P.E.C.T for their bodies too. Healthy eating, sleeping, exercise, and practicing disease prevention may require taking initiative, developing some skills, putting new healthier habits into action to crowd out old bad habits, but people are worth it — each and every one of us! Honor your temple — that miracle that is your body.

Is your state of health thriving or simply surviving? Garner Healthy Living Everyday helps people discover principles and practices of health providing resources, education, and support in the areas of: weight loss, habits of health, healthy eating, and processed-free lifestyle. They offer certified independent health coaching with Take Shape For Life and certified independent Processed-Free America facilitator. We have mentors and coaches in every important area of our life — school, work, sports, and skills. Why should weight loss and maintaining our health be any different? For information, or to schedule a complimentary consultation, contact Judith Garner — certified independent health coach at 480-560-7842, or email: judithgarner@cox.net. Like us on facebook at www.facebook.com/judithgarnerhealthyliving.

Photo credit: Fuse/Thinkstock

V i s i t o u r N E W We b s i t e

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• Subscribe for notification of new online edition each month • Read Healthy Cells Magazine® on ANY of your electronic devices • New search feature for topics, authors, and healthcare companies

New features will be added frequently.

Be sure to check back often.

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 11

holistic approach

How Do I Use “Essential Oils”?

Submitted by Holly Olmstead, Holly’s Home Health

E

ssential oils can be both profoundly simple and life changing at the same time. Working with someone who’s experienced with essential oils will help first-time users have a more beneficial and enjoyable experience. A large amount of information is readily available for those desiring to increase their knowledge of essential oil applications.

Essential oils are used for a very wide range of emotional and physical wellness applications. They can be used a single oil at a time or in complex blends depending on user experience and desired benefit. Essential oils are usually administered by one of three methods: diffused aromatically, applied topically, or taken internally as dietary supplements.

Aromatic Uses Our sense of smell influences many physiological pathways including the stimulation of hormones and other metabolic processes. Aromatherapy is founded on the body's predictable response to specific olfactory stimuli. Essential oils are widely used in aromatherapy applications.

Certain essential oils, when diffused in the air, can be very stimulating while others can be calming and soothing. Beyond emotional benefits, diffusing essential oils can purify the air of unwanted odors and some airborne pathogens. Low or no-heat essential oil diffusers are recommended as they do not change the chemical structure of the oil being diffused. Essential oils can also be used as cleansing and purifying additives to laundry and surface cleaners throughout the home.

Topical Uses Due to their natural molecular composition, essential oils are easily absorbed by the skin and can be safely applied topically.

Application of essential oils can have immediate, localized benefit to the target area of application. They have restorative and calming properties and can be used effectively with massage and beauty therapy. They are also natural disinfectants. The chemical structure of essential oils also allows them to be absorbed into the bloodstream via the skin for internal benefit throughout the body.

Internal Uses Essential oils can also be used as dietary supplements supporting a variety of healthy conditions. Some essential oils have powerful antioxidant properties while others help support a healthy inflammatory response in cells. Many essential oils are generally regarded as being safe for dietary use, but some oils should not be taken internally. Do not use any essential oil product internally that does not have the appropriate dietary supplement facts on its label.

Page 12 — Healthy Cells Magazine — East Valley — ­ June 2014

Be sure to use only 100 percent pure therapeutic-grade essential oils and follow all label warnings and instructions. Essential oils should not be used in the eyes, inside the ear canal, or in open wounds. If redness or irritation occurs when using essential oils topically, simply apply any vegetable oils such as fractionated coconut oil or olive oil to the affected area. Consult your physician before using essential oils if you are pregnant or under a doctor's care.

For your free sample of essential oil or an in-home 30-minute coaching session, contact Holly Olmstead at 480-540-8014, email: lifeisessential@gmail.com, or visit www.mydoterra.com/lifeisessential.

Certified pure therapeutic essential oils represent the safest, purest, and most beneficial essential oils available today. They are gently and skillfully distilled from plants that have been patiently harvested at the perfect moment by experienced growers from around the world for ideal extract composition and efficacy. Experienced essential oil users will immediately recognize the superior quality of our naturally safe, purely effective therapeutic-grade essential oils.

Photo credit: Steve Hix/Somos Images/Fuse/Thinkstock

insurance plans

The Transition to Medicare

By Patty Vieira, Independent Broker, Arizona Senior Health

T

he transition from an individual plan to Medicare can be filled with lots of questions. Often, people have been on group plans from their employer, where they haven’t been required to pay a premium. Some have been self–employed and on individual plans that are extremely expensive. As a person approaches retirement or age 65, they must decide what to do about health insurance.

First, you start receiving bundles of mail from all the various insurance companies. Medicare sends you a very large book with all the plans that exist, all the major insurance carriers send you pamphlets telling you why you should pick them, next comes all the insurance agents and your mailbox explodes daily.

A broker can be a lifesaver by helping you navigate through all the various insurance options and research what plans your doctors accept, coordinate the plans and benefits that will benefit you the most, and incorporate the insurance plans you’re comfortable with. This can save you time and money and help avoid lots of frustration.

Patty Vieira

Brokers can also help decide if a special needs plan is right for you.

Many people are not aware special needs plans exist to help people with certain medical conditions. They are designed to reduce the outof-pocket expense for certain medical conditions like diabetes and some heart diseases. Companies providing these plans frequently offer reduced co-payments and special enrollment periods.

Overall, a broker has your best interest at heart. With multiple companies to offer a client and the compensation being the same, you can feel good that their recommendation is truly for your benefit.

If you have questions or need help knowing what plan is best for you, Patty’s complementary services are available by calling 480-220-7233, by email: pattyjvieira@gmail.com, or visit www.insurancebypatty.com.

With 29 years of experience, she can simplify insurance quotes and policy terms so you can understand them.

Photo credit: Creatas Images/Thinkstock June 2014 — East Valley — ­ Healthy Cells Magazine — Page 13

feature story

A Gateway to Quality Care Submitted by Banner Health

N

estled conveniently between Gilbert and Mesa, sits one of the Valley's health care jewels, Banner Gateway Medical Center. The hospital campus boasts all the clinical expertise and amenities of a leading-edge medical facility, including a nationally recognized weightloss and bariatric surgery center. Banner Gateway is also home to the Southwest's foremost oncology destination, Banner MD Anderson Cancer Center, the Arizona extension of The University of Texas MD Anderson Cancer Center.

Banner Gateway's medical services include a wide array of clinical specialties to support this growing community's varied health care needs. From emergency care and maternity services to general surgery, orthopedic care, and everything in between, the experts at the Gilbert-based medical center are trained to deliver the best in clinical care by focusing on the whole person — mind, body, and spirit.

But what sets this campus apart is its prowess in addressing the very unique needs of the individual, by using the latest clinical advancements to support, for example, those battling weight issues or at risk for breast cancer.

David Podkameni, MD, (center) performs bariatric surgery on a patient at Banner Gateway Medical Center.

Page 14 — Healthy Cells Magazine — East Valley — ­ June 2014

Building Health by Losing Weight The Weight Loss Center at Banner Gateway Medical Center is a recognized Center of Excellence by the American Society for Metabolic and Bariatric Surgery. The center incorporates multidisciplinary approaches to weight loss, addressing the needs of individuals with moderate weight issues as well as those who are morbidly obese.

The programs offered through the hospital's Weight Loss Center include: • Jump Start, a 12-week, non-surgical program that integrates body composition with a medical analysis specific to the individual • A Non-Surgical Weight Loss Program for those with a high body mass index (BMI) but not at the level to qualify for metabolic surgery • A Bariatric Surgery Program, an approach requiring surgical intervention for those who have not been successful in losing weight through other non-invasive measures.

Dr. David Podkameni, MD, is the medical director of the Bariatric Surgery program at Banner Gateway. Originally from Brazil, where he graduated medical school, Dr. Podkameni completed his internship at Mount Sinai Hospital in New York and his fellowship in Bariatric and Minimally Invasive Surgery at the Cleveland Clinic.

Dr. David Podkameni, MD, medical director of the Bariatric Surgery program at Banner Gateway Medical Center

Stephanie Byrum, MD, general surgeon specializing in breast surgery at Banner MD Anderson Cancer Center

"I was a pediatric surgeon when I was awarded a fellowship position with the Cleveland Clinic and was interested in increasing my knowledge and skills in laparoscopy," says Dr. Podkameni. "Little did I know I would fall in love with this specialty. Doing the surgery I love, and studying and understanding, on a deeper level, nutrition and metabolism really connected with me."

Bariatric surgery, also known as metabolic surgery, is reserved for those who weigh 100 pounds more than their ideal body weight.

These individuals have a BMI exceeding 40, or one over 35 with a health complication caused by obesity such as Type 2 diabetes, high blood pressure, or heart disease. Candidates will have attempted other weight loss programs, even those that are medically supervised, without success maintaining weight loss for a significant period of time.

"My best advice to a prospective patient is to engage with a program that will follow you for at least five years and one that provides nutritional, psychological, and educational support," suggests Dr. Podkameni. "The program should offer not just one surgical option but several."

A variety of surgical approaches are used at Banner Gateway depending on the individual patient's health condition. After surgery, these patients are typically able to forgo medications that were nec-

Banner Gateway Medical Center in Gilbert

essary prior to the procedure, such as those used to treat diabetes or high blood pressure. Patients who previously experienced sleep apnea will often find it has resolved. Most importantly, life expectancy and quality of life are often dramatically improved following bariatric surgery.

"We can make a huge impact on someone's health by correcting a problem often misunderstood or not adequately addressed by the medical community," shares Dr. Podkameni. "Bariatric surgery is a specific and efficacious approach to addressing obesity and all of its related conditions by helping reset the metabolism, giving people the chance for a new start."

The Center of Excellence designation means that patients who have undergone bariatric surgery at Banner Gateway have been able to lose 50 percent of excess body weight and maintain that loss for at least three years. The staff is trained to understand the health challenges of patients with obesity, to ensure complications are kept to a minimum, and any concerns are identified and addressed at the earliest possible stage. Banner Gateway offers an environment specially designed for bariatric candidates, including properly fitting hospital gowns, blood pressure cuffs sized correctly, and beds and bathrooms equipped to accommodate their needs. The program involves more than just surgery; experts in health, nutrition, and exercise provide guidance and planning to support the recovery and maintenance process for every patient.

Banner Gateway Medical Center • Family-centered maternity services • Weight loss program including bariatric surgery options and medical weight loss management • Dedicated cancer care unit • Emergency care • Inpatient and outpatient surgery including minimally invasive procedures, orthopedics and general surgery

Better Outcomes From Early Diagnoses Banner MD Anderson Cancer Center, located on the Banner Gateway campus, is celebrated for its approach to treating cancer at every stage, and just as importantly, identifying ways to facilitate prevention and early detection.

One of the many leading-edge programs offered by Banner MD Anderson is its Undiagnosed Breast Clinic. A primary goal of the clinic is to detect the presence of any potential cancer in its earliest possible stage to improve treatment outcomes. The experts at the Undiagnosed Breast Clinic understand the stress and anxiety caused by an abnormal mammogram screening or discovery of a breast lump through examination, and they mobilize quickly to provide a diagnosis within 24 to 48 hours.

A patient visiting the Undiagnosed Breast Clinic starts her day consulting with a clinic physician, such as Dr. Shefali Birdi, MD, an internal medicine specialist. All necessary diagnostic testing is performed during that appointment, ranging from diagnostic mammogram and ultrasound to MRI and biopsy and everything in between.

“Same-day testing offers a tremendous amount of peace of mind to our patients, and providing all of our services under one roof is very reassuring,” says Dr. Birdi. “I take the time to explain everything about the situation to the patient, talking to her about genetic counseling if appropriate — which we offer — and about the diagnostic procedures I’m recommending.”

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 15

feature story

continued

L to R: Matthew Callister, MD, Radiation Oncology Division Chief, Karen Pitman, MD, head and neck surgeon, and Thomas Shellenberger, MD, head and neck surgeon, treat patients at Banner MD Anderson as part of the cancer center's multidisciplinary team.

Banner MD Anderson Cancer Center • Evidence-based, multidisciplinary patient care where all care is provided in one location by a team of specialists • Physicians and providers who specialize in treating specific types of cancer • Access to clinical trials and new investigative therapies • State-of-the-art technology for the diagnosis, staging and treatment of all types of cancer • Expertise in supportive care services including nutrition, genetic counseling, palliative care, pain control, complementary therapies, education and much more.

The clinic's multidisciplinary care team also includes radiologists like Dr. Vilert Loving, MD, director of breast imaging at Banner MD Anderson. If something abnormal appears in one of the patient's imaging studies, Dr. Loving may recommend a biopsy.

“A breast biopsy can take as little as 15 minutes,” explains Dr. Loving. “If the biopsy is done in the morning, we usually get the results back that afternoon. Then I’ll discuss with the patient what her options are."

If a patient is diagnosed with breast cancer, she can be quickly referred to Banner MD Anderson's Comprehensive Breast Program for follow-up and development of a treatment plan that incorporates the latest and most innovative medical advancements.

Since opening little over a year ago, the Undiagnosed Breast Clinic has already provided care to hundreds of women — and even a few men.

“Our goals with the Undiagnosed Breast Clinic are to eventually have daily operation, continue to have result turnaround within 24 hours, and to continue to serve more patients,” says Banner MD Anderson's Dr. Stephanie Byrum, MD, a general surgeon who specializes in the treatment of breast disease. “The quick service helps to relieve that anxiety and provide relief. Everything we do is about supporting the patient.”

A Health Care Destination for Every Need Banner Gateway is the premier destination for health and wellness in the East Valley and beyond. With trusted and trained clinical staff prepared to care for virtually every condition across the health care spectrum, this region of the Valley has ready access to a gateway to quality care.

Banner MD Anderson Cancer Center in Gilbert Page 16 — Healthy Cells Magazine — East Valley — ­ June 2014

For more information about Banner Gateway Medical Center and its Weight Loss Center, please call 480-543-2606.

To learn about available programs at Banner MD Anderson Cancer Center, contact 480-256-6444 or go to www.BannerMDAnderson.com.

disease facts

Q&A of Cystic Fibrosis Part II Submitted by iWomen Health Care

L

ast month we looked at causes, signs, and symptoms of cystic fibrosis (CF). This month we will answer how a CF diagnosis is made and what types of treatments there are for the various symptoms.

How is Cystic Fibrosis Diagnosed?

Doctors diagnose cystic fibrosis (CF) based on results from various tests, such as: • N ewborn Screening: All states screen newborns for CF using a genetic test or a blood test. The genetic test shows whether a newborn has faulty CFTR genes. The blood test shows whether a newborn's pancreas is working properly.

• S weat Test: If a genetic test or blood test suggests CF, a doctor will confirm the diagnosis using a sweat test. This is the most useful test for diagnosing CF. It measures the amount of salt in sweat collected on a pad or paper and then analyzed. High salt levels confirm a diagnosis of CF. • Prenatal Screening: If you're pregnant, prenatal genetic tests can show whether your fetus has CF. These tests include amniocentesis and chorionic villus sampling (CVS). In amniocentesis, a small amount of fluid is removed from the sac around the baby.

The fluid is tested to see whether both of the baby's CFTR genes are normal. In CVS, your doctor removes a tissue sample from the placenta. The sample is tested to see whether the baby has CF. How is Cystic Fibrosis Treated?

Cystic fibrosis (CF) has no cure, so each symptom is treated.

Recent research has allowed for great advancements in treatment, resulting in improved lives for those with CF. Treatment for Lung Problems • C hest physical therapy: Breathing techniques also may help dislodge mucus so you can cough it up. These techniques include forcing out a couple of short breaths or deeper breaths and then doing relaxed breathing. This may help loosen the mucus in your lungs and open your airways.

• E xercise: Aerobic exercise that makes you breathe harder can help loosen the mucus in your airways so you can cough it up.

Exercise also helps improve your overall physical condition.

• Medicines: If you have CF, your doctor may prescribe antibiotics, anti-inflammatory medicines, bronchodilators, or medicines to help clear the mucus. These medicines help treat or prevent lung infections, reduce swelling, open up the airways, and thin mucus.

Antibiotics are the main treatment to prevent or treat lung infections. Your doctor may prescribe oral, inhaled, or intravenous (IV) antibiotics. Anti-inflammatory medicines can help reduce swelling in your airways due to ongoing infections. These medicines may be inhaled or oral. Bronchodilators help open the airways by relaxing the muscles around them. These medicines are inhaled.

They're often taken just before CPT to help clear mucus out of your

airways. You also may take bronchodilators before inhaling other medicines into your lungs.

Treatment for Digestive Problems Nutritional therapy can improve your strength and ability to stay active. It also can improve growth and development in children.

Nutritional therapy also may make you strong enough to resist some lung infections. A nutritionist can help you create a nutritional plan that meets your needs.

In addition to having a well-balanced diet that's rich in calories, fat, and protein, your nutritional therapy may include: • Oral pancreatic enzymes to help you digest fats and proteins and absorb more vitamins.

• Supplements of vitamins A, D, E, and K to replace the fat-soluble vitamins that your intestines can't absorb.

• High-calorie shakes to provide you with extra nutrients.

• A high-salt diet or salt supplements that you take before exercising.

• A feeding tube to give you more calories at night while you're sleeping. The tube may be threaded through your nose and throat and into your stomach. Or, the tube may be placed directly into your stomach through a surgically made hole.

Other treatments for digestive problems may include enemas, mucus-thinning medicines, and sometimes surgery to treat or remove intestinal blockages.

For information or to schedule a consultation, contact iWomen’s Health Care at 480-855-5900, by 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!”

Source: www.nhlbi.nih.gov/health/health-topics/topics/cf/

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June 2014 — East Valley — ­ Healthy Cells Magazine — Page 17

quick pain relief

Are You Among 10 Million With Chronic Tendon Pain?

O

ver 10 million people in this country suffer from chronic tendon pain! You have a job that requires you to be on your feet frequently; you use the same motions in your work or play, day in and day out; or maybe you’ve suffered an injury in the past and, years later, you are experiencing pain. Chronic tendon pain, besides hurting, limits range of motion and prevents you from living your active life. Tendon pain is caused by damage to the tendon by trauma from a hit, twist, or pulls on the joint or by repetitive motion from overuse in work, exercise, or activity. In these situations, the tendon tissue breaks down. The damaged tissue causes intense pain and dramatically affects your ability to function every day. Other names for these conditions include: rotator cuff/swimmer’s shoulder or shoulder pain; tennis or golfer’s elbow; runner’s or jumper’s knee; achilles tendonosis; and plantar fasciitis. If a damaged tendon is not treated, your joint pain will likely become worse over time.

Common treatment options include rest, ice, compression, elevation (RICE), and stretching as a first treatment. Next, pain medication addresses the pain but not the source of the pain. Physical therapy is often ordered to help improve range of motion and strength. Finally, an open surgical procedure can be explored to remove the damaged

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tissue. This carries the risk of invasive procedures, may cause damage to the surrounding healthy tissue, and results in a lengthy recovery time and restricted activity.

There is now a minimally invasive procedure developed in collaboration with the Mayo Clinic, which combines ultrasound imaging with an innovative, micro-tip instrument (handpiece) not much larger than a ballpoint pen. This handpiece uses optimized ultrasonic energy to precisely break up and remove pain-emitting, damaged, soft tendon tissue without disturbing surrounding healthy tissue or other major structures.

The immediate removal of damaged tissue promotes a secondary healing response and patients enjoy less discomfort and faster recovery times versus traditional open surgical procedures.

Procedure benefits include: • Minimally invasive (not open surgery) • Quick pain relief •R apid return to normal activities (six weeks or less for most patients with normal activity levels, although individuals with significant tendon damage may require extra recovery time) •N o additional post-procedure treatment (i.e., narcotics, physical therapy) •P erformed with local anesthetic instead of general anesthesia (patient can be awake throughout procedure) • No sutures, no stitches (only a small adhesive bandage is needed) You no longer need to continue suffering with chronic tendon pain (in your shoulder, elbow, knee, ankle, or foot). For more information, or to find a physician in your area who offers this procedure, visit the Tenex Health TX™ website at www.tenexhealthpatient.com.

Photo credit: pixologicstudio/Thinkstock

Page 18 — Healthy Cells Magazine — East Valley — ­ June 2014

gastrointestinal health

Diagnosis and Complications of Crohn’s Disease Part II of III Submitted by Healthy Cells Magazine®

Points to Remember • C rohn’s disease is a disease that causes inflammation, or swelling, and irritation of any part of the digestive tract.

• C rohn’s disease affects men and women equally and seems to run in some families.

• T he cause of Crohn’s disease is unknown, but researchers believe it is the result of an abnormal reaction by the immune system.

•T he most common symptoms of Crohn’s disease are abdominal pain and diarrhea.

• No special diet has been proven effective for preventing or treating Crohn’s disease, but it is important that people who have Crohn’s disease follow a nutritious diet and avoid any foods that seem to worsen symptoms.

• Some people with Crohn’s disease report having a flare up when experiencing a stressful event or situation. The health care provider may suggest a counselor or support group to help decrease stress for people with Crohn’s disease.

Have questions or need support? The Crohn’s and Colitis Advocate Program offers free personalized support, education, resources, and information. Visit www.CDandUC.com to learn more and sign up.

Source: digestive.niddk.nih.gov/ddiseases/pubs/crohns/ * Weinstock LB, Bosworth BP, Scherl EJ, et al. Crohn’s disease is associated with restless legs syndrome. Inflammatory Bowel Disease. 2010;16(2):275–279.

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o diagnose Crohn’s disease, a doctor will perform a thorough physical exam and schedule a series of tests.

Blood tests are used to look for anemia caused by bleeding, a complication of Crohn’s disease. Blood tests may also uncover a high white blood cell count, which is a sign of inflammation or infection somewhere in the body. Stool tests are commonly done to rule out other causes of GI diseases, such as infection.

Stool tests can also show if there is bleeding in the intestines.

Flexible sigmoidoscopy and colonoscopy are used to help diagnose Crohn’s disease and determine how much of the GI tract is affected. Colonoscopy is used to view the ileum, rectum, and the entire colon, while flexible sigmoidoscopy is used to view just the lower colon and rectum. The computerized tomography (CT) scan uses a combination of X-rays and computer technology to create three-dimensional (3-D) images.

An upper gastinol intestinal (GI) series may be done to visually examine at the small intestine and a lower GI may be done to look at the large intestine.

The most common complication of Crohn’s disease is an intestinal blockage caused by thickening of the intestinal wall because of swelling and scar tissue. Crohn’s disease may also cause ulcers that tunnel through the affected area into surrounding tissues. The tunnels, called fistulas, are a common complication — especially in the areas around the anus and rectum — and often become infected. Most fistulas can be treated with medication, but some may require surgery. In addition to fistulas, small tears called fissures may develop in the lining of the mucus membrane of the anus. The health care provider may prescribe a topical cream and may suggest soaking the affected area in warm water.

Some Crohn’s disease complications occur because the diseased area of intestine does not absorb nutrients effectively, resulting in deficiencies of proteins, calories, and vitamins. Children with Crohn’s disease may fail to grow normally and may have low height for their age.

People with Crohn’s disease, particularly if they have been treated with steroid medications, may have weakness of their bones called osteoporosis or osteomalacia.

Some people with Crohn’s disease may have restless legs syndrome — extreme leg discomfort a person feels while sitting or lying down.* Some of these problems clear up during treatment for Crohn’s disease, but some must be treated separately.

Other complications include arthritis, skin problems, inflammation in the eyes or mouth, kidney stones, gallstones, or diseases related to liver function.

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June 2014 — East Valley — ­ Healthy Cells Magazine — Page 19

always prepared

Semper Paratus

By Keith Dorson, WinWin Investment Planning

I

t’s wise to speak a little Latin sometimes (also Greek and Hebrew, but that is a topic for another time). As you may know, Semper Paratus means “always prepared” and is the motto for both the United States Coast Guard and the Boy Scouts of America. We can all learn something from these two mighty words. But exactly how can we as a people be always prepared?

The Chinese have an ancient curse: “May you live in interesting times.” And indeed today we do. I, however, choose to see this as a blessing instead of a curse.

Let’s agree that we do live in interesting times and need to be prepared. This will be the focus for our time together today.

Today there are realtors who are having their best year ever and realtors who are quitting the business forever. Today there are restaurants that are enjoying record success and others that are closing their doors.

Why? It is not the business or the industry you are in. It’s you and the choices you make every day.

How we spend our days is how we spend our lives.

Our lives are a collection of days. Are we prepared? A choice. Do we have a plan? A choice. Do we live in interesting times? A choice…

Are you seeing a pattern develop?

Keith Dorson

When there are things we do not know how to do, we should not reinvent the wheel (or the mousetrap). It is OK to have “unknown unknowns” and then ask questions. When you stop to count your blessings, you may come up with some of the following: • • • • • • • • • • • • • • • • • •

Time (aka Life Energy Units) Health Solid thinking mind Family Ability to create Intellectual property Friends Freedom(s) Choice Information Networks Allies Rich history Experiences Lessons learned Lessons unlearned Ability to savor Values

• Goal setting • Dream(s) • Memory • Memories • Focus • Decision making • Belief • Stable economy • Ability to read • Ability to move (be active) • Change your mind • Begin again • Use a “lifeline” • Start something • Learn for yesterday and today • See trends • Make trends • Create vital behaviors, etc.

You get the idea; you have been blessed and were created by a creator. So what have you created today? What are you in the process of creating? What does your vision for the next 7–10 years look like?

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1600 W. Chandler Blvd, #250 Chandler, AZ 85224 Page 20 — Healthy Cells Magazine — East Valley — ­ June 2014

Your outside world reflects your inside world.

Do you keep your computer’s software more up-to-date than your own personal software? When was the last time you upgraded your reading software module from the children’s version “I can read!” to the adult version of “I can read 10 times faster with improved comprehension.”

When was your last memory boost to be able to walk into a room of 30 people and know all of their names by memory as you left?

What is the name and major lesson (taken away) of the last 12 books your have savored?

To be prepared and to live in interesting times, it is now time to: • Stop and think proactively for 20 minutes out of every 24 hour period • Stop and read proactively for 40 minutes out of every 24 hour period • Begin moving and being active in your current favorite exercise for at least 60 minutes each day. You may walk twice for 30 minutes (take a friends or dog — they love it), go swimming, ride a bike, etc.

These three small, vital behaviors and habits will begin you on the road to always being prepared, while you continue to live in these interesting times.

If you would like to talk, run an idea past me, I am here. Call 480-890-0100, email: kdorson@winwinfireteams.com, or visit winwinfireteams.com

senior care

Keeping Seniors Healthy is a Family Issue Submitted by Sheriolyn Curry, CSA, Comfort Keepers

I

t takes a family working together to choose the most appropriate option for a loved one’s senior care — to make sure all the senior’s needs and wishes are addressed.

Why is it important for families to work together? For starters, seniors are at a vulnerable stage of life. They often face multiple health concerns and loss of physical and cognitive function. More than ever, seniors need the support and love of family members.

Seniors often have difficulty expressing their needs, desires, and preferences, so they must have someone to advocate for them. And who is more qualified for that than the people who know them better than anyone else in the world?

Even if your family chooses to involve outside help in providing your loved one’s elder care — an in-home care agency, an assisted living community, or a nursing home — you need to be involved. You can communicate to the professional caregivers your loved one’s likes and dislikes, habits, routines, concerns, and all the other things that make them an individual. Without your help and involvement, their senior care may fall short of what they deserve.

Today, 80 percent of older Americans prefer to stay at home as they age. This means families are more directly involved than ever in their loved ones’ senior care. So, it is more important than ever that families be involved in the planning stage together. No single individual can adequately handle the responsibilities of caregiving alone — certainly not on top of other work, family, and community responsibilities.

In most families, there is usually one sibling who, based on proximity to the aging parent, becomes the chief caregiver. Deciding who that person will be is a good topic for the first conversation with aging parents. Parents, of course, need to be involved in every step of the decision-making process, so they can maintain as much control of their lives as possible.

But no matter who the chief caregiver is, all siblings need to share the responsibility in some way. This could involve home maintenance, managing bill paying and finances, or taking care of insurance and medical claim issues.

Also, do not forget the importance of frequent visitation. As you brighten your parents’ day, you can monitor their health and mental status and share concerns you have with their professional caregiver.

You may find that their elder care plan needs to be modified to address changing circumstances.

In choosing the most appropriate care for a senior loved one, there are a number of decisions to make and questions to think about.

• How do I begin talking with my parent about their care needs?

• How will the care be funded?

• What is the safest, most comfortable, most appropriate care option for my parent?

• Is a family member nearby who can be of assistance at a moment’s notice?

• What types of help does my parent need — for instance, bathing, eating, transportation, etc.?

• How do my parent’s religious affiliation and other personal preferences influence the type of care we choose?

• What types of senior care are available? How do they differ? And how does each one address my parents’ needs?

To help find the senior care solution most appropriate for your parents, you may consider having their physician conduct an evaluation.

You may also consider options that match your parent's unique traits and temperament.

Choosing the best senior care option is a difficult decision. Involving family members helps ensure that you consider all factors and choose the best possible solution for your loved one. Comfort Keepers is available to help you talk through these options.

Comfort Keepers of Chandler provides all levels of care and a wide variety of services. Caregivers are certified and have ongoing training to give them all the skills they need to be the best caregiver they can be. For additional information, call 480-659-9201, visit www.comfortkeepers.com, or email: chandler@comfortkeepers. com. Se habla español.

Photo credit: monkeybusinessimages/Thinkstock June 2014 — East Valley — ­ Healthy Cells Magazine — Page 21

laser weight loss

Low-Level Cold Laser

A Non-Invasive Treatment to Reduce Inches

By Jade Heglie, American Laser Skincare

O

ur physical appearance is the first impression we make when meeting someone. How other people see us can influence our emotions; we may feel ashamed of our appearance or try to hide by wearing baggy clothing. Many times, we may exercise and diet and still have those stubborn places that just don’t seem to go away. Or we need a boost losing those first few inches when starting an exercise routine. The low-level cold laser may provide that help.

What is low-level cold laser?

A low-level cold laser is a monochromatic (single color) diode laser that emits a single wavelength of divergent light, meaning the beam of light spreads out.

How does it work?

The treatments form transitory pores or openings in the protective membranes of adipocytes (fat cells), which enables stored intracellular lipids (fat) to be released. Our body then safely removes the substance through the lymphatic system.

Who is a good candidate?

A good candidate is any man or woman who is looking to jumpstart their weight loss journey or someone who just wants to shed a few inches quickly from stubborn areas like saddlebags and their waist — inches that don’t seem to go away with basic diet and exercise.

Is it safe?

There’s no down time, no pain, and no side effects with this procedure. The low level cold laser is a safe non-invasive treatment for slimming the body. Many patients have described the procedure as relaxing, and some even use the time to catch up on phone calls and their work load.

What else do I have to do to see results?

Clients are recommended to cut their alcohol and caffeine intake, drink half your body weight in ounces of water each day, and take supplements designed to work with the treatment.

How many treatments are needed?

The process takes anywhere from two to four weeks, depending on the package best suited for you. The procedure is performed every 72 hours, for 40 minutes per session. Not only will the cells shrink in the area targeted by the five diodes, but surrounding areas may shed inches as well.

Treatments are performed by a physician assistant, who will consult with you before starting to help you achieve your fatloss goals. To receive a FREE consultation and more information about Zerona, the first FDA approved, non-invasive inch loss treatment, contact American Laser Skincare at 480-406-6720, visit www.americanlaser.com,or email jheglie@alcpartner.com.

American Laser Skincare is located at 936 W. Chandler Blvd., Suite 3, Chandler AZ, 85225.

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tendon overuse

What is Tennis Elbow?

By Eric Shifley PT, MPT, CertDN, Ideal Physical Therapy

T

ennis elbow or lateral epicondylitis is a painful condition of the elbow caused by overuse. It’s an inflammation of the forearm extensor muscles and common tendon, originating along the outside of the elbow. The damage being microscopic tears that form in the tendon where it attaches to the lateral epicondyle.

Common activities that aggravate the area are racquet sports due to the repetitive movements.

The groundstroke in tennis is a major contributor to the weakening occurring with overuse. Painters, plumbers, carpenters, auto mechanics, and cooks are particularly prone to injuring this area due to the repetition and weightlifting required during daily job performance.

The signs and symptoms are pain or burning along the outer part of the elbow along with weakened grip. Your physician will ask you about the activities that cause pain, and test the ROM (range of motion) and strength of the elbow, wrist, and hand. You may require diagnostic testing (i.e., X-ray, MRI, or EMG) depending on the severity of your condition.

Treatment involves rest, non-steroidal antiinflammatories, physical therapy, bracing, steroid injections, and in severe cases, surgery may be necessary. Physical therapy will involve manual/soft tissue mobilization, modalities (such as ultrasound and/or electrical stimulation), stretching and strengthening exercises, moist heat and/or cryotherapy, dry needling, and a home exercise program. The exercises and stretches will involve working with both a bent and extended elbow, along with repetitive resistance training to the wrist and hand.

The progress during treatment can vary depending on the severity of the injury and the patient’s ability to refrain from using the injured arm. Rest and rehab are necessary for nonsurgical treatment. The other important factor is determining the cause of the initial irritation; was it faulty mechanics or equipment, or a result from trauma to the arm? Proper medical assessments and treatment are important in determining the answer to these questions and putting the patient on the road to recovery.

Have an injury? Call Ideal Physical Therapy at 480-222-0655 to schedule a FREE screening at a location near you, or visit Ideal Physical Therapy in Chandler at 235 S. Dobson Road, Suite 3, NE corner at Frye Road.

Photo credit: Wavebreakmedia Ltd/Thinkstock

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 23

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A

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Page 24 — Healthy Cells Magazine — East Valley — ­ June 2014

funeral arrangements

Options for End of Life

By Cathy Peterson, Gemini Hospice

I

t seems as though talking about anything to do with the end of life is a taboo subject and makes most people uncomfortable. However, having your wishes documented and even pre-arranged, is one of the greatest gifts you could leave to your loved ones.

I would like to discuss Pre-need funeral planning. This refers to prearranging and pre-funding your own funeral.

First, I recommend you meet with the funeral director at several funeral homes to discuss pricing and learn the many options available to you.

Should you have a burial, cremation, or donate your body? If you choose a burial, what kind of casket would you like, do you want a cemetery plot or a mausoleum crypt? If you choose to be cremated, how do you wish to have your ashes disposed? Do you want them stored in a columbarium niche, buried, scattered somewhere special, or kept in an urn at a loved one’s home? If you choose donation, will you donate to a medical school and will you donate your entire body or just the organs and tissue? What are the costs involved?

What kind of ceremony do you want? Regardless of whether or not you have a burial, cremation, or donate your body, you can still

Cathy Peterson

have a traditional ceremony. When planning your ceremony, there are many things to consider. Do you want a large or small ceremony, will it be traditional or a celebration of life? Do you want music, prayer, recitations, open or closed casket, viewings? Where should you have the ceremony? At the funeral home, church, at your home, or the home of a loved one?

Financing your funeral arrangements now can help reduce and sometimes eliminate the costs your loved ones will be left with should you pass before your financial obligations have been met.

Unfortunately, all funerals costs must be paid at the time services are rendered. Therefore, any balances due, must be paid upfront by the next of kin.

If you or a loved one needs hospice, we can help. Gemini Hospice is family-owned and operated with care and compassion being our main goals. For information about Hospice, call 480-883-1353 or visit www.geminihospice.com.

Photo credit: akiyoko/Thinkstock

June 2014 — East Valley — ­ Healthy Cells Magazine — Page 25

structural physiotherapy

Free the Fascia!

By Dustin Hall, LMT,SIP, Structura Bodies Therapy

Dustin Hall, LMT, SIP “

B

y its action we live and by its failure we die.” “This connecting substance must be free at all parts to receive and discharge all fluids, and use them in sustaining animal life, and eject all impurities, that health may not be impaired by dead and poisonous fluids.”— A.T. Stills, MD. This means fascial restrictions are slowly killing us. Fascia consists of several extremely thin layers of tissue where the musculoskeletal system, circulatory system, and nervous system all converge. Since our fascia is connected throughout our entire body, everything else connects through the fascia. Blood vessels and nerves travel through our fascia from point A to point B. With the nerves running through the fascia, the fascia gains tremendous amounts of nerve endings.

“All... nerves go to and terminate in that great system, the fascia.” — A.T. Stills, MD. The human body is a unity of function.

When we have restrictions in our fascia, they will cause imbalances in our muscles, which then cause pain. Fascial restrictions can exert up to 2,000 pounds of pressure per square inch in the body. Wow! Talk about some pain and lack of range of motion. Restriction can develop from accidents, sports injuries, surgeries, repetitive movements, and overuse, to name a few. The good news is there are therapies to help reduce and get rid of the restrictions.

The most effective way to free the fascia is to find a licensed massage therapist who specializes in structural physiotherapy, structural integration, and/or myofascial release techniques.

Although the bodywork may be intense, it gets the job done and the result is a healthier, balanced, and pain-free body. The specialists that are certified in these techniques understand fascia, movement, and structural dysfunctions.

By manipulating the fascia and releasing its layers, it allows for increased range of motion, postural stability, increased mobility, and greater quality of life. Don’t let fascial restrictions dictate how you live your life!

Stop by Structura Bodies Therapy to see how we can free your fascia and help with your pain today. Call to schedule your free consultation at 480-686-8647, or check us out online at www.structurachandleraz.com.

We heal by design!

Photo credit: kzenon/Thinkstock Page 26 — Healthy Cells Magazine — East Valley — ­ June 2014

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.

• 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

480-883-1353

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

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