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VALLEY OF THE SUN

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Promoting Healthier Living in Your Community • Physical

MARCH 2016

HealthyCells

®

www.healthycellsmagazine.com

• Emotional

FREE

• Nutritional

Biltmore

Sweet Dreams Fighting Sleep Apnea, Snoring, and Headaches

Killer Cramps How to Tell If a Person with Alzheimer’s Disease Is in Pain Are Your Joints at Risk of Gout?

M A G A Z I N E

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letter from the owner

Enjoying All Arizona Has to Offer

I

believe the month of March has to be one of the best months to visit or live in the Phoenix Valley. First of all the weather is almost always great, pleasantly warm, and sunny, making it ideal to enjoy the outdoors. It’s amazing how many activities you can do that are free. To name just a few, we have a countless number of beautiful parks and many dog parks throughout all the Phoenix area cities. Within an hour drive, we have several lakes for water sports and fishing. Through many cities, often along the canal system, is a network of bike paths where you can safely ride without the worry of auto traffic. Many of our local museums offer free admission on certain days and some are always free. If you’re up to a challenge, hike some of the local mountain preserves. A few popular activities to enjoy if you have a budget include golfing, the Renaissance Fair, and Spring Training Baseball.

As always, take plenty of water, our climate is dry! Although the temperatures are not triple digit yet, the sun and dry air can cause dehydration quickly even during light and moderate exercise. For several reasons, I always recommend taking double the amount of water you expect to need for the activity. First of all, you never know when you will be delayed or take a wrong path and your one hour hike turns into three or four hours. Secondly, this allows you to share just in case you come across someone with an injury or in crisis.

Every year we hear the tragic stories of someone that did not realize how difficult a hike would be or just how much water they needed. If you are trying a new activity or are working to get back into healthy activities, start off slow. It’s better to come back another day and try again rather than needing emergency help.

Share your adventures with us on Facebook, so others can be encouraged to get out and enjoy the sunshine, too.

Monica Tegg/Owner, Healthy Cells Magazine®, East Valley, PO Box 6233, Chandler AZ, 85246 Monica@healthycellsmagazine.com, www.healthycellsmagazine.com/phx, 480-204-3090, #healthycellsAZ, Facebook.com/healthycellsmagazine.phx

Here’s what our advertisers are saying about Healthy Cells Magazine:

I

“ had the pleasure of meeting Monica Tegg in January of 2015. I had worked previously with an owner of Healthy Cells Magazine in another state. I really enjoyed Healthy Cells Magazine and

the articles and I had positive results from advertising. Last year when I met Monica at a monthly networking group, I was so excited to see that she was an owner of Healthy Cells Magazine. I have been advertising with her and I am receiving once again positive results. Monica is a great lady and I truly enjoy partnering with her. She is very knowledgeable and offers great advice for effective marketing. I love this magazine and being able to reach a large market with educational articles.

A big THANK YOU to Monica and her staff. I look forward to working with you in the years to come.”

Hilary Samples Advance Planning Specialist Mountain View Funeral Home and Cemetery To Promote your Business, Contact Healthy Cells Magazine Today.

480-204-3090

monica@healthycellsmagazine.com March 2016 — East Valley — ­ Healthy Cells Magazine — Page 3

MARCH 5

The Act of Love: A Story of True Peace

6

Physical: Botox® — It’s for Both Women and Men

2016 This Month’s Cover Story:

Volume 4, Issue 3

Koala Center for Sleep Disorders Sweet Dreams — Fighting Sleep Apnea and Headaches page 20 Cover and feature story photos by Jenn Sutton, Simply Sage Photography

8

Nutritional: Savor The Flavor Of Eating Right

10

Emotional: Grieving the Loss of a Loved One

12

National Sleep Month: Sleep...Zzzzzz

14

Foot Health: Foot Pain — Is It Gout?

15

Eating Habits: Choosing Healthy Meals as You Get Older — 10 Healthy Eating Tips

16

Courtesy: A Lesson on Driving — A Lesson on Life

18

Stress Less: Rest, It’s a Matter of Choice… Yours!

19

Women’s Health: Strange Migrations and Killer Cramps

23

Pain Signature: How to Tell If a Person With Alzheimer’s Disease Is in Pain

24

Brain Disorders: Lewy Body Dementia

26

Reader Survey: Win a Gift Card or Massage!

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.

the act of love

A Story of True Peace

By Hilary Samples, Mountain View Funeral Home and Cemetery

Hilary Samples

E

very day I have the privilege to meet with families on the worst day of their lives. When you lose someone special in your life your world is turned upside down, emotions are running high and it is a very stressful time. There is nothing worse than watching families trying to make arrangements when there are no funeral plans in place. It is difficult watching them struggle to come up with family information for the death certificate or trying to make a decision of having a traditional funeral or cremating their loved one, or worse yet trying to figure out how to pay for everything.

All of this can be avoided by taking the time to plan your funeral The Denker children releasing doves at their Mom’s service. or cremation service before the need arises. It is a final gift of love to do this for your family.

When families are faced with a death, they experience a wide variety financially draining when it’s left for loved ones to be handled during the of emotions, but one family really stands out in my mind when I think of emotions of a death. Every life deserves to be celebrated. Let me help the benefits of preplanning. I had the honor of meeting with a family who you share your story! lost their loving wife and mother. We all gathered in the arrangement room together. Everyone was sharing stories of their mother. While I was sitting there with this family, I thought to myself this is what every arrangement should feel like. It should feel peaceful. There was such a sense of peace during this arrangement. The reason was because Join Hilary for Dinner on March 24, 2016 these parents gave their children one last act of love. They took time Mountain View Funeral Home and Cemetery at 5:30pm and preplanned their funerals ahead of time to make it less painful for their children. The children were all in agreement, there was no bickerRSVP by March 21, 2016 ing over little things, and no worry about costs or gut wrenching decisions to make. When the parents prepared their final wishes they were also looking out for one another, so the surviving spouse didn’t have to be burdened with making decisions. Everything was documented and (Seating is limited) in place for this family.

When this family completed their preplanning, they arranged everything from top to bottom. All the vital statistic information was gathered for the death certificate, information for the obituary, music, favorite Save 10 percent on your prearrangement by mentioning this poems and scriptures, flowers, the burial spot, and the dove release article. For questions or to schedule an appointment, please conthat would happen at the graveside service. On the day of the funeral, I tact Hilary Samples by phone 760-391-3456 (cell), 480-832-2850 had tears in my eyes just watching this beautiful family and how much (office), or email: hsamples@mvfuneralhome.com. Serving the comlove they had for each other, especially the parents, who took the time munity for 61 years, locations include Mountain View Funeral Home to make things so easy on their children. As each child released a dove, and Cemetery in Mesa, San Tan Mountain View Funeral Home in the smiles on their faces were priceless. This was truly a celebration of Queen Creek, and Superstition Cremation and Funeral Services in life, and her story was told!

Apache Junction. I am able to meet you at the funeral home or in Everyone has a story — whether it is big or small. You need to share the comfort of your own home. that story with your friends and family. Preplanning is a simple process Photo courtesy of Mountain View Funeral Home and Cemetery when arranged ahead of time. It becomes an emotional process and

Learn About the Benefits of Funeral Planning 760-391-2456

March 2016 — East Valley — ­ Healthy Cells Magazine — Page 5

physical

BOTOX

®

It’s for Both Women and Men

By Derma Health

W

omen are not the only ones who desire to curtail the inevitable lines and wrinkles that begin to appear on their face. Men are also looking for options to maintain a younger appearance through cosmetic enhancements like Botox ®.

When it comes to fast, effective treatments for reducing the signs of aging, Botox is the most popular option available. This safe injectable has helped millions of people soften lines and wrinkles that add years to their face. However, while many people may think this is a product targeted toward women, both genders enjoy the benefits.

Botox can have a positive impact for both men and women, giving them a youthful, more energetic appearance.

How Botox Works Even though Botox is the most common cosmetic procedure used in the U.S., many people are misinformed on exactly how this biological agent works to minimize the signs of aging. Botulinum toxin type A, or Botox, has been approved by the FDA to treat various conditions since 1989, specifically approved for cosmetic treatment for frown lines, between the eyebrows in 2002, and crow’s feet around the eyes. This toxin is derived from the Clostridium botulinum bacteria and is one of seven toxins it produces.

Botox works to soften the appearance of certain lines and wrinkles through selective muscle denervation. This is a medical term for a temporary paralysis that Botox causes in the muscle. This occurs by Botox blocking the targeted muscle receptors for acetylcholine, a chemical that causes the muscle to contract.

By stopping this muscle contraction, Botox softens lines and wrinkles that are caused by these contractions, creating a smoother, more youthful appearance.

Undergoing Botox Injections What makes Botox such a popular procedure for both men and women is how fast and effective the treatment is without down time.

Botox injections are extremely quick, only taking a few minutes to undergo the procedure in an office visit with a medical professional.

Page 6 — Healthy Cells Magazine — East Valley — ­ March 2016

Patients can get in and get out without a large investment in time, making it a convenient option to reduce the signs of aging.

Botox is injected directly to the targeted muscles causing what are referred to as “dynamic wrinkles” or wrinkles that deepen with muscle contraction. Within 48 hours, the effects of the agent begin to curtail muscle contraction, with noticeable aesthetic differences within three to seven days after the procedure.

Another reason Botox is the number one cosmetic procedure for reducing lines and wrinkles is that the effects last for months, yet they are temporary. Most people will continue seeing the benefits of Botox for about four months before the effects will begin to wear off. Since the toxin is temporary, those unsure of undergoing a permanent cosmetic procedure are more willing to try Botox. If they are happy with the treatment, they only need to have injections two to three times a year. For those that only want to try the product, they can have the peace of mind that it is only temporary if they decide not to continue with treatments.

More Men Are Seeking Botox Treatments When Botox first became popular, women were the target audience. After all, women had traditionally been the gender that spent the most money on anti-aging products. However, having a more youthful appearance is desired by both men and women, making Botox the perfect gender-crossover product. The treatment has become so popular with men that it has even earned its own nickname, “Bro-tox.”

Whether it is to look more virile for their partner, competing with younger co-workers in the workplace, or just to bolster their

own self-esteem, there is no doubt that Botox is becoming commonplace amongst men. Between 2000 and 2014, the American Society of Plastic Surgeons has reported a 337 percent increase in the number of men seeking Botox. In 2014, over 400,000 men received the treatment in the U.S., and those numbers continue to grow with each year as more men discover the positive impact Botox can have on their appearance and confidence.

The stereotype that striving to look younger and more attractive is only for women is finally being put to rest with the emergence of Botox. When it comes to wanting a safe, effective option to slow the signs of aging, with Botox, men and women are finally on an even playing field.

Over 40,000 Patients have trusted Derma Health; a leader in medical aesthetic technology and premiere skincare services. A core Derma health premise underlying everything we do is that a healthy body on the inside creates healthy beauty on the outside. With highly credentialed and experienced medical personnel at five clinics in the Phoenix area, Derma Health services include: aesthetic and laser treatments for the face and body; Botox and dermal fillers; anti-aging treatments for reducing lines and wrinkles; skin tightening; hormone therapy; nutritional solutions; tumescent Liposuction; and professional grade skincare products. Get a complimentary consultation and start your beauty transformation today. Call 602-903-3011 or visit www.dhiskin.com/health.

Photo credit: Alina Solovyova-Vincent/iStock

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www.simplysagephotography.com March 2016 — East Valley — ­ Healthy Cells Magazine — Page 7

nutritional

By Dee McCaffrey, Director of Nutrition, Processed-Free America

W

e eat every day, several times a day. But in our fast paced culture, more often than not we are eating on the run, grabbing a toaster pastry and a cup of coffee to gulp down in the car on the way to work. We grab fast food for lunch, or we multi-task our meals by sitting at our desk and eat while working. Then, because we are so wiped out from our fast-paced day, we look for the quickest way to get dinner on the table, often resorting to microwavable dinners or instant meals from a box. In the incredible pace of our lives, we have lost the connection between what we eat and how we feel, and we have forgotten what it means to truly nourish ourselves.

Eating is more than physical nourishment. How, when, why, and where we eat are just as important to our daily health as what we eat.

In an effort to educate and empower Americans to slow down, smell the coffee, and enjoy the experience of nourishing ourselves on many levels, the American Academy of Nutrition and Dietetics has established National Nutrition Month — a month long education campaign held annually during March — aimed at educating and empowering Americans into healthier lifestyles.

The theme for 2016 is “Savor the Flavor of Eating Right,” which encourages everyone to take time to enjoy food traditions and appreciate the pleasures, great flavors, and social experiences food can add to our lives.

Everyone has a different idea of what it means to “eat right,” but most can agree that eating right encompasses opting for foods that nourish our senses as well as our bodies.

Plant foods contain many beneficial compounds that give them their organoleptic properties — the aspects of food that we experience with our senses, such as taste, sight, smell, and touch. These compounds are also responsible for the many health benefits contained in our foods.

Garlic, for instance, is affectionately known as “the stinking rose” owing to its distinct pungent aroma. The compounds responsible for garlic’s characteristically pungent odor, alliin and allicin, are also the source of many of its health-promoting properties, including anti-inflamPage 8 — Healthy Cells Magazine — East Valley — ­ March 2016

matory, antibacterial, antiviral, anti-cancer, and cardiovascular benefits.

You can increase the health benefits you receive from garlic by “savoring” it before eating or cooking. Letting garlic sit after you’ve chopped or crushed it allows special enzymes in the garlic to activate the alliin and allicin, giving garlic an opportunity to work on behalf of your health.

The bitter tastes in foods are always an indication of high antioxidant content, which is why most leafy greens and cruciferous vegetables such as Brussels sprouts, cabbage, and kale have a bitter taste. Teas, coffee, grapefruit, and cacao are bitter in their natural form, and we can offset and savor their flavors by pairing them with natural sweeteners.

We can “Savor the Flavor of Eating Right” in many other ways as well, by taking the time to enjoy everything that a healthful and tasty meal brings with it. With that in mind, here are some ways to make the most of your eating experience: Savor the Flavor of Health Eating more fruits and vegetables can ward off chronic diseases including heart disease, cancer, and diabetes. But it’s not just about eating more plant foods, it’s about making sure you get enough variety and color in your produce choices. The colors in plant foods represent certain phytonutrients — beneficial compounds, including antioxidants, that give these foods their disease fighting properties. Each vibrant color group of fruits and vegetables offer unique health benefits that the other colors don’t have, so it’s important to make sure you include all of them in your meals.

• Purple fruits and vegetables, such as grapes, raisins, blueberries, red cabbage, purple potatoes, and eggplant promote brain health.

• Orange fruits and vegetables, such as apricots, oranges, carrots, pumpkin, and other winter squashes promote eye health.

• Green fruits and vegetables, such as broccoli, leafy greens like lettuces, spinach and kale, and cucumbers, green beans and peas promote the health of your cells and your blood. They are great cancer fighters.

• R ed fruits and vegetables, such as apples, grapes, peppers, cherries, and berries, promote heart health.

• White fruits and vegetables, such as garlic and onions, promote bone and joint health, in addition to their natural anti-bacterial and anti-viral properties.

You can savor the flavor of health by eating 5–13 servings of vibrantly colored fruits and vegetables per day, which is about 2.5 to 6.5 cups a day depending on your gender, age, and activity level.

To get the most benefit, make green leafy vegetables a daily staple food, while varying the other four color groups several times a week.

Savor the Flavor of Mindful Eating Mindful eating is an ancient practice that is as relevant and important today as it was generation ago. It is a conscious approach to eating that is the complete opposite of “blindful” eating — the type of eating that unfortunately most people engage in on a daily basis. Eating on the run, eating while working or watching TV, eating when not hungry, eating foods that you know are not in your best interest, eating for emotional reasons, entertainment and distraction, are all forms of “blindful” eating.

Mindful eating is more than eating slowly without distraction. It means paying attention to what and when you eat, and learning to make choices based on actual true hunger. It is a responsible manner of eating that allows you to be present so you can notice and enjoy your food and its effects on your body. Mindful eating also means learning to value the quality of your food. Learning to value the quality of your food also means learning to value yourself: a more important factor in improving your health than anything else.

Savor the Flavor of Family and Community Research shows that eating as a family or with groups of friends and loved ones has great benefits for your children as well as adults.

Conversations during meals provide opportunities for families and friends to bond, plan, connect, and learn from one another. It’s a chance to share information and news of the day, as well as give extra attention to children and teens. Family meals foster warmth, security, and love, as well as feelings of belonging — all important aspects of overall health. It can be a unifying experience for all.

Celebrate National Nutrition Month this March by slowing down and taking time to be present when eating and to appreciate the health benefits and the positive emotions that accompany mealtime. These are all important steps in developing a healthy, sustainable lifestyle.

Dee McCaffrey is an organic chemist, nutritionist, and author of The Science of Skinny and The Science of Skinny Cookbook. Dee lost 100 pounds and has kept the weight off for over 20 years by following a whole foods diet. She is the founder of Processed-Free America, a non-profit organization dedicated to bringing a national awareness of the effect processed foods have on our health, and the healing properties of natural whole foods. She offers fee based one-on-one nutrition counseling to help clients find the right nutritional balance for their lifestyle. Contact Dee at 888-322-9442 or www.processedfreeamerica.org.

Photo courtesy of eatright.com

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March 2016 — East Valley — ­ Healthy Cells Magazine — Page 9

emotional

Grieving the Loss of a Loved One Cathy Peterson

Submitted by Cathy Peterson, Gemini Hospice LLC

G

rief is a multi-faceted response to loss, particularly to the loss of someone to which a bond was formed. Grief is a natural response to loss and is different for each person, each situation, and each person’s life experiences.

It’s difficult to know how to help someone who is going through the grieving process.

Although there are known “stages of grief,” they are not always experienced in the same order and some people might skip certain stages completely. Do not assume that someone is in a certain stage of grief simply based on something you read. The best thing you can do for someone who has lost a loved one is to ask them how you can assist them with their grieving.

Stages of Grief Here are the Stages of Grief, KüblerRoss model (as defined by Wikipedia): • D enial: As the reality of loss is hard to face, one of the first reactions to follow the loss is denial. What this means is that the person is trying to shut out the reality or magnitude of his/her situation, and begins to develop a false, preferable reality.

• A nger: “Why me? It’s not fair!”; “How can this happen to me?”; “Who is to blame?”; “Why would God let this happen?”

Once in the second stage, the individual recognizes that denial cannot continue. Because of anger, the person is very difficult to care for due to misplaced feelings of rage and envy. Anger can manifest itself in different ways. People can be angry with themselves, with others, or at a higher power, and especially those who are close to them. It is important to remain detached and nonjudgmental when dealing with a person experiencing anger from grief.

• Bargaining: “I’ll do anything for a few more years”; “I will give my life savings if…”

The third stage involves the hope that the individual can somehow undo or avoid a cause of grief. Usually, the negotiation for an extended life is made with a higher power in exchange for a reformed lifestyle. Other times, they will use anything valuable as a bargaining chip against another human agency to extend or prolong the life they live. Psychologi-

Page 10 — Healthy Cells Magazine — East Valley — ­ March 2016

cally, the individual is saying, “I understand I will die, but if I could just do something to buy more time…” People facing less serious trauma can bargain or seek to negotiate a compromise.

For example “Can we still be friends?” when facing a break-up.

Bargaining rarely provides a sustainable solution, especially if it is a matter of life or death.

• D epression: “I’m so sad, why bother with anything?”; “I’m going to die soon so what’s the point?”; “I miss my loved one, why go on?”

During the fourth stage, the grieving person begins to understand the certainty of death. Much like the existential concept of The Void, the idea of living becomes pointless. Things begin to lose meaning to the griever. Because of this, the individual may become silent, refuse visitors and spend much of the time crying and sullen. This process allows the grieving person to disconnect from things of love and affection, possibly in an attempt to avoid further trauma. Depression could be referred to as the dress rehearsal for the “aftermath.” It is a kind of acceptance with emotional attachment. It is natural to feel sadness, regret, fear, and uncertainty when going through this stage. Feeling those emotions shows that the person has begun to accept the situation. Oftentimes, this is the ideal path to take, to find closure and make their ways to the fifth step, Acceptance.

• A cceptance: “It’s going to be okay”; “I can’t fight it, I may as well prepare for it.”

In this last stage, individuals begin to come to terms with their mortality or inevitable future, or that of a loved one, or other tragic

event. This stage varies according to the person’s situation. People dying can enter this stage a long time before the people they leave behind, who must pass through their own individual stages of dealing with the grief. This typically comes with a calm, retrospective view for the individual, and a stable mindset.

Kübler-Ross originally developed this model based on her observations of people suffering from terminal illness. She later expanded her theory to apply to any form of catastrophic personal loss, such as the death of a loved one, the loss of a job or income, major rejection, the end of a relationship or divorce, drug addiction, incarceration, the onset of a disease or chronic illness, an infertility diagnosis, as well as many tragedies and disasters (and even minor losses).

Special times like birthdays, anniversaries, and holidays can cause anxiety, sadness, and sometimes guilt, because we think we should feel happy and joyous instead of sad. These feelings are natural and we need to remember to seek ways that value and treasure the memories and allow us to continue to live in a manner that is forgiving to us.

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: CandyBoxImages/Thinkstock

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national sleep month

Sleep…Zzzzzz

Deana Charter, LCP

By Deana Charter, LCP, EMDR Therapist, Infinite Healing and Wellness

W

e need it, we want it, and we have to have enough of it to operate at an optimum level. According to the National Center on Sleep Disorders, 40 million Americans have a sleep disorder and do not get enough sleep. A sleep disorder is defined as; “a group of syndromes characterized by disturbance in the patient’s amount of sleep, quality or timing of sleep, or in the behaviors or physiological conditions associated with sleep.”

Insomnia, narcolepsy, and sleep apnea are some common sleep disorders. There are actually around 70 different sleep disorders.

To qualify for the diagnosis of sleep disorder, the condition must be a persistent problem, cause the patient significant emotional stress, and interfere with occupational functioning. Consider the impact sleep has on your quality of life. For most Americans, 6–8 hours of uninterrupted sleep is ideal. A lot of people operate on less sleep. Sleep problems make life harder to function. Lack of sleep can lead to physical problems such as high blood pressure and heart problems. It can also create emotional problems, such as low distress tolerance or emotional regulation issues, Page 12 — Healthy Cells Magazine — East Valley — ­ March 2016

like overreacting to things because we are more sensitive. These emotional problems can affect interpersonal relationships, work, and social interaction. Lack of sleep creates an internal struggle within our brains which can result in depression and anxiety, creating even more issues with sleep patterns.

We are constantly stimulated with all of the technology readily available to us today and have to find ways to turn our brains off so that we can recharge. We are constantly on our phones and most people do not leave the house without their phone chargers!

We don’t give ourselves the chance to let our brains rest and recharge. There’s always something to do and work that needs to get done. We create lists of things, obligations, and commitments. We create more and more to do and so many things to think about, and these life stressors can put us at risk for a sleep disorder.

March is national sleep month and in honor of this, it’s important to know what you can do to maintain healthy sleep habits and what you can do if you are at risk.

Good sleep habits include: • C reating a bed time ritual that allows your brain to tell your body it’s time to wind down (e.g., read 20 minutes before turning out the lights, take a bath, or light stretches.)

• Don’t play on electronic equipment 20 minutes before bedtime.

• Go to bed and rise at the same time each day and night.

• Don’t eat, drink, or smoke close to bedtime.

• M ake the atmosphere as comfortable as you can; minimizing noise, light, and temperature.

• W ear comfortable clothing that you can move around in and isn’t restricting.

• Get out of bed in the morning when your body naturally wakes up.

• M inimize taking naps during the day.

Sleep allows our bodies to recharge and restore. We need to rest so we can tackle all of the daily stress in our lives as best as possible. Sleep gives us the capacity to manage stress better.

What happens if I still can’t sleep, and I have been cleared of a medical sleep problem? Could you be suffering from an underlying emotional problem?

If so try the following suggestions: • T ake several deep breaths. Concentrating on your belly and breathing deeply helps to quiet the mind.

• R epeat the words to yourself “thought stop” over and over.

If you’re visual you can repeat the words “clear and release” and allow your mind to bring up a chalk board with whatever thoughts are on your mind and see them being erased away.

This will allow your mind to go from the emotional side of the brain to the logical part of the brain.

• P ut a notepad by your bed and write down what is on your mind, this will allow you to stop ruminating, you won’t forget what you wanted to remember because it will be on paper and it will be there in the morning.

• T urn the alarm clock away from you, don’t focus on what time it is, that will just add more worry depending on what time it is.

• D on’t get out of bed and use the computer or any device, this will just active the brain and cause you to be thinking about something else.

If you find you are still not able to sleep after medically ruling out any physical health problems and after trying all of these behavior modifications, there may be an underlying problem that needs to be addressed with the help of a professional. A counselor can help address the root of the issues as your body is trying to tell you something. Get the help you need, so you can get the rest you deserve!

Infinite Healing and Wellness LLC, at 2563 S. Val Vista Drive #108 in Gilbert, is a collaborative counseling practice designed to serve children, families, teens, adults, couples, first responders, and military veterans. For more information, call 480-448-1076, email: info@infinitehealingandwellness.com, or visit www.infinitehealingandwellness.com.

Photo credit: PeopleImages/iStock

Health,

it’s a matter of choice... YOURS! • In-home relaxed atmosphere for learning and support • Mindful solutions for how to live a healthier lifestyle • Simple basic tools to carry you through daily • Add years to your life and live strong, healthy and disease free • Live with much more energy!

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Reserve your place in class today as space is limited.

Marga L. Cullumber, Instructor His Best 4 Health

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Dan DiPomazio, CPA, PLLC 1820 E Ray Road, Suite A113 Chandler, AZ 85225 Office – 480-264-5140 Cell – 602-524-2004 Fax – 480-264-5142 dan@dipomaziocpa.com Helping individuals and companies with personalized accounting services, tax planning and tax preparation.

March 2016 — East Valley — ­ Healthy Cells Magazine — Page 13

foot health

Foot Pain – ­Is It Gout?

By Jason C. Harrill, DPM, FACFAOM, Desert Food and Ankle, PC

Jason C. Harrill, DPM, FACFAOM

G

out most commonly occurs in the foot and is represented by a very painful, swollen, and inflamed joint. This is often felt after being awakened in the middle of the night and having pain around the big toe. At one time it was considered a disease of royalty due to excessive alcohol consumption and improper diet.

So what causes gout?

Gout is a metabolic disease that is a disorder in the way proteins are processed. It leads to an excess of uric acid that forms crystals that collect around joints and bring about a gout attack.

These crystals can consolidate into large deposits called tophi.

Tophi can damage joints and cause deformities of malalignment of toes and potentially ulceration of skin and kidney problems.

Several studies indicate that the prevalence and incidence of gout has risen in recent decades.

One can relate gout to an experiment that may have been done in high school chemistry class. If you take a beaker of water and pour sugar in and stir, the sugar will dissolve. At some point it reaches a critical state where there is an excess of sugar and the crystals will precipitate out in the bottom of the beaker. If the water is cold, it will hold less sugar than if warm. If the beaker is bigger and is holding more water, it also holds more sugar. This is relevant in that the great toe is often affected by gout and is often the coldest part of the body, especially at night. Also, if you are dehydrated (the beaker is smaller), then gout is much more likely to happen.

Who is at risk for gout?

Men are twice as likely as women to be affected by gout, but women can get gout, especially after menopause. Obesity and high cholesterol can make gout more likely. Certain medications such as diuretics can also trigger a gout attack. People who drink a lot of alcohol, especially beer and red wine, are more at risk.

Also, certain foods, such as liver, seafood, and processed meat can trigger a gout attack.

Testing A physician will ask several questions of the history and nature of the onset of pain and do a physical examination. Testing can include x-rays and potentially a joint aspiration where fluid is collected and analyzed for uric acid crystals. Blood studies can also be done that analyze the uric acid content. At times, even a 24-hour urine collection is done.

Treatment Medication can be given for an acute attack of gout as well as management for the long-term. Occasionally injection therapy will be done to help reduce pain. All of this is coupled with diet management including staying well hydrated and avoiding certain foods. Some people take a more naturalistic approach and eat black cherries or take black cherry extract.

Page 14 — Healthy Cells Magazine — East Valley — ­ March 2016

Conclusion Gout is the most common form of inflammatory arthritis, and the findings of several studies suggest that the prevalence and incidence of gout has risen in recent decades. Numerous risk factors for the development of gout in men and women have now been established including elevated uric acid, genetic factors, dietary factors, alcohol consumption, hypertension, obesity, diuretic use, and renal disease.

Gout is a treatable metabolic disease and if you suspect that you have gout, early treatment can avoid much of the long-term sequela and lead to a much higher quality of life.

For more information about foot, ankle, and toe issues, contact Desert Foot and Ankle, PC, located at 1520 South Dobson Road, #307, in Mesa. They can be reached at 480-844-8218 or visit their website at www.desertfootandankle.com.

Photo credit: diego_cervo/iStock

eating Habits

Choosing Healthy Meals as You Get Older 10 Healthy Eating Tips

Chef Mike Kohley

Submitted by Chef Mike Kohley, Generations at Agritopia

M

aking healthy food choices is a smart thing to do — no matter how old you are! Your body changes through your 60s, 70s, 80s, and beyond. Food provides nutrients you need as you age. Use these tips to choose foods for better health at each stage of life.

1. D rink plenty of liquids. With age, you may lose some of your sense of thirst. Drink water often. Low-fat or fat-free milk or 100% juice also helps you stay hydrated. Limit beverages that have lots of added sugars or salt.

2. M ake eating a social event. Meals are more enjoyable when you eat with others. Invite a friend to join you or take part in a potluck at least twice a week. A senior center or place of worship may offer meals that are shared with others.

There are many ways to make mealtimes pleasing.

3. P lan healthy meals. Find sensible, flexible ways to choose and prepare tasty meals so you can eat foods you need. Limit adding salt, butter, cheese, and heavy sauces.

4. K now how much to eat. Learn to recognize how much to eat so you can control portion size. When eating out, pack part of your meal to eat later. One restaurant dish might be enough for two meals or more. MyPlate’s SuperTracker (www.supertracker.usda.gov) shows amounts of food you need.

5. V ary your vegetables. Include a variety of different colored vegetables to brighten your plate. Most vegetables are a low-calorie source of nutrients. Vegetables are also a good source of fiber.

6. E at for your teeth and gums. Many people find that their teeth and gums change as they age. People with dental problems sometimes find it hard to chew fruits, vegetables, or meats. Don’t miss out on needed nutrients! Eating softer foods can help. Try cooked or canned foods like unsweetened fruit, low-sodium soups, or canned tuna.

7. U se herbs and spices. Foods may seem to lose their flavor as you age. If favorite dishes taste different, it may not be the cook! Maybe your sense of smell, sense of taste, or both have changed. Medicines may also change how foods taste.

Add flavor to your meals with herbs and spices.

8. K eep food safe. Don’t take a chance with your health. A food-related illness can be life threatening for an older person. Throw out food that might not be safe. Avoid certain foods that are always risky for an older person, such as unpasteurized dairy foods. Other foods can be harmful to you when they are raw or undercooked, such as eggs, sprouts, fish, shellfish, meat, or poultry.

9. R ead the Nutrition Facts label. Make the right choices when buying food. Pay attention to important nutrients to know as well as calories, fats, sodium, and the rest of the Nutrition Facts label. Ask your doctor if there are ingredients and nutrients you might need to limit or to increase.

10. A sk your doctor about vitamins or supplements. Food is the best way to get nutrients you need. Should you take vitamins or other pills or powders with herbs and minerals?

These are called dietary supplements. Your doctor will know if you need them. More may not be better. Some can interfere with your medicines or affect your medical conditions.

Generations at Agritopia offers vibrant living with an extensive array of services and amenities for independent living, assisted living, and memory care residents, giving them the freedom to enjoy what matters most. Join us Fridays at 10am for a movie, lunch, and tour. Please RSVP to 480-485-2000.

We are located within the master plan of Agritopia, near Higley and Ray Roads in Gilbert, 2811 E. Agritopia Loop S. Find us on the web at www.generationsseniorliving.com or email us at info@generationsseniorliving.com.

Information from www.choosemyplate.gov Photo credit: PeopleImages/iStock

Alzheimer’s Family Support Group Every 2nd and 4th Tuesday at 11am Led by Chaplain & Bereavement Counselor of Sage Hospice Generations at Agritopia Call 480-485-2000 to RSVP

March 2016 — East Valley — ­ Healthy Cells Magazine — Page 15

courtesy

A Lesson on Driving A Lesson on Life

By Kalen R. Dorson, Win Win Fire Teams LLC.

D

riving has become something most of us are used to; an automatic activity we put very little thought into most of the time. As a relatively new driver on the road, I can attest to the different aspects of it that scared me initially and the lessons I learned about driving. I have a friend who is anxious to start driving and does not really know where to start, so I offered a few tips that had helped me. The more I explained the different rules of the road, the more I realized how the basic concepts apply beautifully to other portions of our lives as well. From checking your mirrors too often, to being courteous and giving the right of way, to checking everything before you get ready to leave, there are some great lessons we can take from learning to drive and apply to our lives that will leave us a better person.

Page 16 — Healthy Cells Magazine — East Valley — ­ March 2016

Some people may not check their mirrors enough, but I have the tendency to check mine too often. I cannot really say why I do this, but it draws my attention off the road in front of me and keeps me worried about events already behind me. Just like with driving, if we focus on our past too much, it can be hard to focus on the road ahead. From our own previous mistakes to horrendous crashes on the side of the road, a multitude of things can keep us looking backwards. It is alright to learn from the past, but remember to focus on the current goals in life. Learning from our mistakes and holding onto them can be the difference in succeeding and failing.

What some people choose to forget is that there is a common courtesy on the road, from giving the right of way to refraining

“Not only does helping and being kind to others encourage them, it has a way of reflecting on the giver, making them feel proud of their selfless service.” aggressive action when someone cuts you off. There is a reason “road rage” is a term. Having manners can change whether you get that promotion or job you want or not. Most people understand basic manners and regularly use them, but why not go beyond basic human kindness? Not only does helping and being kind to others encourage them, it has a way of reflecting on the giver, making them feel proud of their selfless service. And, it’s easy. Small changes in our daily activities can make a huge impact in our lives and the lives of the people around us. It is

easy to do nothing, to never change, but it is rewarding to see the change made in someone’s life from helping them.

Having to share a car with my family members, I find myself having to adjust the seat and the mirrors each time I take the car after they have driven it. Although I do have to do this quite often, I do not mind because it reminds me to check everything before heading out onto the roads. This is an important lesson for cars, but even more so concerning life and most of the things we do.

The planning before diving into something can make all the difference. If proper planning and preparation has been made, it is rare that a pothole in the road will stop progress forward.

Looking at some of the rules of the road, turning around, and applying them in our lives can be beneficial for us and those around us. Simple lessons like being kind and being prepared, that we may forget, despite how easy to do and helpful they are.

Do not let your personality and awareness be set on autopilot as you go through life, but rather decide your path. There are plenty more lessons we can learn from all sorts of daily activities that we do, so keep your eyes peeled and have a great day.

Mention this article when you call our office and receive a free half-hour consultation with a WinWin business coach. Win Win Fire Teams can be reached at kdorson@winwinfireteams.com, by phone at 480-890-0100, or visit www.winwinfireteams.com.

“You’ll be amazed at your results.”

Photo credit: Believe_In_Me/iStock

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March 2016 — East Valley — ­ Healthy Cells Magazine — Page 17

stress less

Rest, It’s a Matter of Choice... Yours!

Marga L. Cullumber

By Marga L. Cullumber, Health Instructor, His Best 4 Health

W

e have become a much stressed out society and with our stress comes many physical ails. Headaches, even migraines, diarrhea, constipation, indigestion, sleep apnea, eye twitching, achy muscles and more can simply be a symptom from stress. There are various reasons behind people’s stress today: • Work overload • Mind overload • Financial overload • Aging & other life changes • Strenuous circumstances and other life crisis • Even boredom can bring on stress related symptoms

There are ways for each of us to grab hold of our health and combat the stress in our lives. Stress less with: • F resh air & sunshine. Take the day and go to the park and walk, ride a bike, or simply bask in the sun for 20 minutes and clear your mind.

• D etoxing by drinking lots of water. Maybe even fast for a day! Even fasting one meal is a great detox.

• E at healthy meals and snacks. Choose fresh fruits and vegetables over those sugary foods and treats! Read the labels. It may surprise you what’s in the food you eat.

• T ake time out for renewing your mind. Read, journal, meditate and be thankful. Count your blessings!

• G et plenty of sleep. When you get restless through the night, learn to talk to the Shepherd instead of counting sheep! It’s a more positive side of the answer for falling asleep. You can rest in the Shepherd’s care. When we cast our cares on Him, we can trust Him to take charge over those things stirring us up.

Sometimes He will calm the sea but other times He will simply calm the sailor — you. Sweet sleep is what follows.

Rest, it does your body good.

It’s not always sleep that’s needed, however. The word rest means to “cease from work or movement in order to relax.” What is it that you like to do that puts you, your body and spirit, feelings, and emotions, at a state of relaxation and peace? For me I like to scrap book and/or work with pastels. To get myself to take time and do either of these, I sign up for a class. Gardening is another stress reliever I like to do, especially early in the cool of the morning. Whatever it is that you can do to relax and be stress free, just do it. Take time out for you. And be sure to put it on your calendar or in your planner so that it gets done and you find the rest you need and deserve. Learn what refreshes you with new energy on a daily basis. Sometimes it’s an hourly or moment-by-moment basis and maybe a day out in the country or at the beach is all you need. Don’t let stress steal your life out from under you!

Page 18 — Healthy Cells Magazine — East Valley — ­ March 2016

To help you get started, become a part of my healthy lifestyle classes or accountability groups. Classes are forming now. Call or text me at 928-970-3764, email hisbest4health@earthlink.net or visit www.hb4health.com.

Marga Cullumber is a health and lifestyle coach, teacher, encourager, and a woman of outstanding excellence and truth (even when it hurts). Marga has been trained as a health minister and coach through Hallelujah Acres, founded by George Malkmus.

Life is too short. Choose health!

Photo credit: MotoEd/iStock

women’s health

Strange Migrations and Killer Cramps Understanding Endometriosis

David N. Kells, MD

Submitted by David Kells, MD, iWomen’s Health Care

E

ndometriosis is linked to pain and infertility for many women.

It arises when cells like those that line the uterus (the endometrium) attach to other tissues and grow inside the lower belly. These out-of-place cells may be just the start of a problem that, for some, lasts a lifetime.

Endometriosis affects up to 1 in 10 women of childbearing age.

The pain it causes can range from extreme to barely noticeable.

A woman may not know she has the disease until she has trouble getting pregnant and her doctor makes the diagnosis. About 40% of women with infertility turn out to have endometriosis.

“Endometriosis is an incredibly complex disease. Its causes have been kind of a mystery, and we’re not sure how to prevent it,” says NIH scientist and gynecologist Dr. Pamela Stratton. She and other NIH-funded researchers have been gradually adding to our understanding of the condition. They’re working to find better ways to diagnose and treat endometriosis, and maybe even prevent it.

Many scientists think that endometriosis results when some of the endometrial tissue shedding from the uterus during menstruation flows backward into the pelvis. This strange migration — called retrograde menstrual flow — likely happens to most women but it doesn’t always lead to endometriosis.

Researchers are trying to figure out why some women have endometrial cells that stick and grow where they don’t belong and why other women don’t. These misplaced cells — sometimes called lesions or implants — can also form scars between tissues and organs like the bladder, intestine, or ovaries. Surprisingly, scientists have found that the number and size of lesions aren’t related to how severe the symptoms are.

The diagnosis of endometriosis is most often based on clinical history. Laparoscopy may be performed to assist in diagnosis

and treatment but currently hormonal therapy is generally preferred. Treatment may include birth control pills, DepoProvera, or medicines that mimic menopause such as Lupron. These medications can suppress the body’s natural production of reproductive hormones and lighten the menstrual flow, which can help ease pain. The type of treatment is guided by the goals and concerns of each patient.

“There’s a lot of active research into the basic biological mechanisms of endometriosis. There’s so much we don’t yet know,” says NIH’s Dr. Esther Eisenberg, an expert in reproductive health.

“Once we understand the mechanisms, we’ll have better tools to help women deal with this serious problem.”

Since endometriosis tends to run in families, researchers have been searching for culprit genes. Some are also looking for molecules in the blood that might help detect endometriosis without the need for laparoscopy. Others are testing potential new treatments in clinical trials.

While there’s currently no cure for endometriosis, there are ways to minimize its symptoms. Work with your doctor to explore your treatment options.

For additional information or to schedule a consultation, contact iWomen’s Health Care, email: info@iwomenshealthcare.com, call 480-855-5900, 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: newsinhealth.nih.gov/issue/Jun2011/Feature2 Photo credit: kaspiic/Thinkstock

March 2016 — East Valley — ­ Healthy Cells Magazine — Page 19

feature story

Biltmore

Sweet Dreams

Fighting Sleep Apnea, Snoring, and Headaches

Dr. Aftahi shows a patient undergoing oral appliance therapy for Obstructive Sleep Apnea how to adjust his appliance.

O

ur country is sleep-deprived — desperate for restful nights, to awaken easily, and be functional throughout the day without needing a nap. The anxiety and stress of our busy world certainly makes it difficult to fall asleep and stay asleep. But, those dreams of being rested are even more difficult to achieve when nights are fraught with the tossing, turning, snoring, choking, or gasping for breath of oneself or a bed partner.

Quality sleep is crucial to ensure good health and quality of life.

It is estimated that 60 million Americans snore and at least 18 million have a much more serious sleep disorder: obstructive sleep apnea. “Snoring is usually regarded as a social problem Page 20 — Healthy Cells Magazine — East Valley — ­ March 2016

with minimal adverse health effects,” admits Dr. Beth Hamann of the Koala Center for Sleep Disorders in Phoenix. “The snorer is usually unaware of the problem but it is a big problem for the bed partner who ends up sleeping in another bedroom or on the couch. Snoring is one of the hallmark signs of obstructive sleep apnea (OSA), though not all snorers have sleep apnea.”

The Myths and Facts of Sleep Apnea Apnea, a transient cessation of breathing, is such a common condition most Americans are familiar with at least the name, but far fewer are aware of what causes it and the dangers it can represent.

Snoring is the sound of partially obstructed breathing during sleep. When obstructive sleep apnea occurs, the tongue and tissue in the back of the throat collapse and completely block the airway, which restricts the flow of oxygen. When a person has sleep apnea, they can stop breathing from 10 seconds to a minute or longer. And, someone with severe sleep apnea may have hundreds of breathing pauses per night.

Each time your breathing stops during sleep, oxygen levels drop which alerts your brain. Your brain temporarily wakes you up to restart breathing, which prevents you from achieving deep sleep and leads to a constant drowsy feeling during the day. Symptoms of sleep apnea may include: insomnia or difficulty sleeping, loud snoring, choking or gasping during the night, morning headaches, depression, and memory loss. Many patients also suffer from gastroesophageal reflux (GERD) and migraine headaches.

Sleep-breathing disorders can be misdiagnosed as chronic fatigue syndrome, anxiety, and ADHD, especially in children. Can you imagine waking up 20 or more times an hour, every hour, all night long? It’s no wonder that patients with OSA are tired and irritable the next day. Patients with OSA can easily fall asleep during the day, whether it be at a meeting, at school, while driving, or stopped at a stoplight or watching TV. “Many believe the only people who have sleep apnea are those who are overweight or elderly. That is not the case... Sleep apnea has been linked to people of all ages including children and adolescents who may do poorly in school or have behavioral problems,” says Dr. Hamann.

OSA is a life-threatening disease becoming more and more prevalent in our society. Research has shown that treating OSA can save 7–10 years of one’s life expectancy. Patients who have untreated sleep apnea are not getting the oxygen they need.

Their heart has to pump harder increasing the risk for a heart attack. Besides the increased likelihood of heart attacks, sufferers of sleep apnea are also at a higher risk for stroke, cancer, high blood pressure, and diabetes.

OSA and Headache Treatment The first step toward combating sleep apnea is the proper diagnosis by a board-certified sleep physician who recommends the most effective treatment approach based on the results of the patient’s overnight sleep study. Sleep apnea is classified as mild, moderate, or severe, depending on the number of times the patient stopped breathing during the study. There are three primary ways to treat snoring and sleep apnea in addition to lifestyle changes such as good sleep hygiene, weight loss, and changing sleep position. Those treatment options are surgery, CPAP, and oral appliance therapy.

The CPAP or Continued Positive Airway Pressure machine has continued to be the gold standard of treatment for sleep apnea.

“If a patient is using CPAP and doing well, I encourage them to stay with it,” says Dr. Shari Aftahi. “According to the American Sleep Apnea Association, approximately 60 percent of CPAP users are still using it after six months. Unfortunately, this means that about 40 percent stop using their CPAP and go untreated. The majority who come to my office for sleep-breathing disorders have been encouraged to seek a solution for their snoring problem or because they were diagnosed with OSA and were either unable to wear the CPAP device or found it challenging to travel with.”

An alternative to a CPAP device is an oral appliance which is worn at night to reposition the jaw and tongue to maintain a more open upper airway while sleeping. The appliances are non-invasive and similar to athletic mouth guards, but less bulky.

According to Dr. Aftahi, “The American Academy of Sleep Medi-

Koala Center for Sleep Disorder – Biltmore. Back Row, L to R: Dr. Beth Hamann, Dr. Shari Aftahi. Front Row, L to R: Elizabeth, Clinical Assistant; Wende, Office Manager; Rebekah, Clinical Assistant. cine issued a statement in the 2006 journal of SLEEP declaring that oral appliance therapy was approved as a first line of treatment for those suffering from mild to moderate obstructive sleep apnea and has proven to be effective for those with severe sleep apnea who cannot tolerate the CPAP. “ The custom appliance is designed based on patient history and Dr. Hamann’s or Dr. Aftahi’s oral assessment of each individual.

This includes examination of the temporomandibular joints (TMJ), muscles, occlusion (bite), and jaw function as well as the use of a 3D cone beam CT scanner to determine the most appropriate oral appliance. The doctor will then take a custom impression and bite record based on their assessments in order to have an FDAapproved lab fabricate the oral appliance. Once the appliance is fitted, progress is monitored and specific adjustments are made to reach maximum effectiveness, which is confirmed by a followup sleep study.

While some patients may need a combination treatment, Dr. Hamann emphasizes the importance of working with each patient’s physician to ensure that the overall health and wellness of every patient is addressed. It is critical that anyone who suspects they have sleep apnea, or health care providers who have patients they suspect of possible sleep apnea, be referred to their primary care physician and sleep specialists for a sleep study in order to make a diagnosis.

March 2016 — East Valley — ­ Healthy Cells Magazine — Page 21

feature story

continued

Clinical Assistant Elizabeth, prepares a patient for a 3D Cone Beam CT scan, to take highly accurate 3D images of a patient’s teeth, jaws, TMJs, airway, and other facial structures at lower costs and less radiation than a conventional CT scan.

A Comprehensive Philosophy “Dentists do not just treat teeth,” Dr. Hamann states. “There is an oral-systemic connection between the mouth and the body.

Research shows a strong relationship between oral disease and other systemic disease and medical conditions.” Examining and treating teeth as part of the overall oral system helps dentists identify causes of problems, rather than simply treating the symptoms.

“I would have a patient come into my office to have a broken tooth repaired. Rather than just repairing the tooth, I believe in looking at why the tooth fractured in the first place. It’s getting to the source of the problem and having that comprehensive philosophy of looking at the cause and effects on the system as a whole.”

This comprehensive oral-systemic philosophy is what led her into the field of dental sleep medicine and orofacial pain. Dr. Hamann now devotes much of her practice to the management of sleep-related breathing disorders, such as snoring and sleep apnea, with oral appliance therapy as well as comprehensive diagnosis and conservative treatment of TMJ disorders (TMD), head, neck, and facial pain.

TMD is one of the most commonly misdiagnosed conditions.

Referred pain from the TMJ’s and associated muscles can cause debilitating pain in the head, face, neck, and ears that mimics sinus infections, toothaches, or migraines. Many patients exhibit ear ringing or stuffiness, dizziness, or even sensitive teeth with no apparent pathology. Clenching and grinding is often reported; however, this may be a result of TMD and/or an undiagnosed sleep-breathing disorder, especially if the patient suffers from fatigue, fibromyalgia-like symptoms, anxiety, or headaches.

Page 22 — Healthy Cells Magazine — East Valley — ­ March 2016

Close to Home Dr. Hamann and her team feel deeply connected to the problems their patients face, as many of them or a family member have suffered from the same issues.

Dr. Hamann’s own experience with Obstructive Sleep Apnea (OSA) allows her to empathize with her patients.

Wende, office manager for Dr. Hamann, understands the benefits of oral appliance therapy, having encouraged her own father to seek treatment for his sleep apnea with an Oral Appliance. He was diagnosed with sleep apnea and had an oral appliance made. “He cannot sleep without it and wears it even when he’s traveling for work, because it’s convenient and he sleeps so much better with it,” she states.

Dr. Aftahi’s son was diagnosed with OSA at a very young age of 25. His diagnosis led Dr. Aftahi to be interested to learn more about OSA and the treatment options available.

Sleep Apnea Awareness Day is March 18th. Dr. Hamann and her team are committed to building awareness of the risks of untreated sleep apnea and helping their patients breathe, sleep, and live well!

For more information on oral appliance therapy for the treatment of sleep apnea, TMJ Disorders, or facial and neck pain, please call 602-357-9845 or visit www.KoalaSleepCenters.com/Phoenix-Biltmore.

They are located at 4235 N. 32nd Street in Phoenix.

pain signature

How to Tell If a Person With Alzheimer’s Disease Is in Pain

Sheriolyn Curry, Mdiv, CSA

Submitted by Sheriolyn Curry, CSA, Comfort Keepers Inc.

I

t can be difficult to figure out whether someone with dementia is in pain, and what is causing the pain. People with dementia may not be able to tell you in words that they are in pain, or even where the pain is. Sometimes they can be in great pain, and not be able to communicate directly. In the early stage of dementia, he or she may answer in what seems like a response to the question the doctor is asking—even though they do not understand the question— but is simply trying to be helpful. For example, wherever the doctor touches and asks, “Does it hurt here?” They may keep saying, “Yes.” This does not help the doctor to figure out where the pain is. You know the person in your care better than the doctor, so you will be able to interpret her way of communicating.

Here are some signs of pain that will be of help when the person is unable to tell you directly— • verbal cues—crying or moaning, calling out • rubbing or protecting one part of the body • facial expression, frowning, or grimacing • decreased activity level • trouble sleeping • a stiffened upper or lower body that is held rigidly and moved slowly • increased agitation, aggressive behavior, pacing or rocking • mental status changes, increased confusion or irritability Each person has his or her own pain signature. You, as caregiver, will know what behavior is typical. You can recognize that there is a change in behavior and perhaps when that change indicates pain.

What to Do in an Emergency In the course of caring for a person with Alzheimer’s disease it is likely that an accident will occur or that the person will appear to be seriously ill. A person with dementia can fall and break a bone and not complain of pain. On the other hand, a relatively minor illness or discomfort may make the person extremely upset. Because of their dementia, the person may not be able to help you to decide what kind of care is needed. Is this an emergency? If it is, you should call 911, the fire department or whatever agency is in charge of sending the Emergency Medical Service in your area. You should not try to take the person to the emergency room on your own.

How can you decide there is an emergency? The following signs always indicate an emergency that needs immediate attention: • loss of consciousness or a marked change in mental state • sudden severe chest pain • a fall that results in severe pain or inability to move • an accident that results in a blow to the head • uncontrollable bleeding • high fever accompanied by confusion and delusions • difficulty breathing

• repeated or forceful vomiting • failure to urinate for more than twelve hours • s udden slurring of speech, loss of vision or balance, extreme weakness • violent or uncontrollable behavior • swallowing a poisonous substance Even if none of these signs are present and you think that the person is seriously ill, call for emergency help. No caregiver looks forward to a visit to the emergency room, but it is a better alternative than neglecting a situation that could be life threatening.

Sheriolyn Curry is a Certified Senior Advisor, a Pastor and a Coach.

Comfort Keepers of Chandler has been providing all levels of care and a wide variety of support services in the Southeast Valley for 14 years.

Caregivers are certified and have on -going training to give them all the skills 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: azndc/iStock March 2016 — East Valley — ­ Healthy Cells Magazine — Page 23

Brain Disorders

Lewy Body Dementia Submitted by Leslie Davis, Certified Dementia Practitioner, the Summit at Sunland Springs

L

ewy Body Dementia (LBD), although lesser known than its “cousins” Alzheimer’s disease and Parkinson’s disease, LBD is not a rare disorder. More than 1 million Americans are affected by its disabling changes in the ability to think and move.

The Basics LBD is a disease associated with abnormal deposits of a protein called alpha-synuclein in the brain. These deposits, called Lewy bodies, affect chemicals in the brain whose changes, in turn, can lead to problems with thinking, movement, behavior, and mood. LBD is one of the most common causes of dementia, after Alzheimer’s disease and vascular disease.

The precise cause of Lewy Body Dementia (LBD) is unknown, but scientists are learning more about its biology and genetics. For example, they know that an accumulation of Lewy bodies is associated with a loss of certain neurons in the brain that produce two important neurotransmitters, chemicals that act as messengers between brain cells.

One of these messengers, acetylcholine, is important for memory and learning. The other, dopamine, plays an important role in behavior, cognition, movement, motivation, sleep, and mood.

LBD is a progressive disease, meaning symptoms start slowly and worsen over time. The disease lasts an average of 5 to 7 years from the time of diagnosis to death, but the time span can range from 2 to 20 years. How quickly symptoms develop and change varies greatly Page 24 — Healthy Cells Magazine — East Valley — ­ March 2016

Leslie A. Davis, CDP

from person to person, depending on overall health, age, and severity of symptoms.

The two types of LBD are: • Dementia with Lewy Bodies, in which cognitive (thinking) symptoms appear within a year of movement problems • Parkinson’s disease dementia, in which cognitive symptoms develop more than a year after the onset of movement problems As LBD progresses, symptoms of both types of LBD are very similar.

Risk factors for LBD • Diseases and health conditions: Certain diseases and health conditions, particularly Parkinson’s disease and REM sleep behavior disorder, are linked to a higher risk of LBD. • Age: Most people who develop the disorder are over age 50.

• Genetics: A small percentage of families with dementia with Lewy bodies has a genetic association, such as a variant of the GBA gene, but in most cases, the cause is unknown. At this time, no genetic test can accurately predict whether someone will develop LBD Common Symptoms The most common symptoms include changes in cognition, movement, sleep, and behavior. People with LBD may not have every symp-

tom, and the severity of symptoms can vary greatly from person to person. Throughout the course of the disease, any sudden or major change in functional ability or behavior should be reported to a doctor.

Cognitive Symptoms • Dementia and can include changes in mood and behavior, poor judgment, loss of initiative, confusion about time and place, and difficulty with language and numbers.

• Visual and spatial abilities (judging distance and depth or misidentifying objects), planning, multitasking, problem solving, and reasoning.

• Memory problems often arise as LBD progresses.

• Cognitive fluctuations: Unpredictable changes in concentration, attention, alertness, and wakefulness from day to day and sometimes throughout the day • Hallucinations: Visual hallucinations occur in up to 80 percent of people with LBD, often early on. Auditory hallucinations are less common than visual ones but may also occur.

Movement Symptoms Some people with LBD may not experience significant movement problems for several years. Others may have them early on. At first, signs of movement problems, such as a change in handwriting, may be very mild and thus overlooked. Parkinsonism is seen early on in Parkinson’s disease dementia but can also develop later on in dementia with Lewy bodies. Specific signs of parkinsonism may include: • Muscle rigidity or stiffness • Shuffling gait, slow movement, or frozen stance • Tremor or shaking, most commonly at rest • Balance problems and falls • Stooped posture • Loss of coordination • Smaller handwriting than was usual for the person • Reduced facial expression • Difficulty swallowing • A weak voice Sleep Disorders Sleep disorders are common in people with LBD but are often undiagnosed. A sleep specialist can play an important role on a treatment team, helping to diagnose and treat sleep disorders.

Sleep-related disorders seen in people with LBD may include excessive daytime sleepiness, insomnia, restless leg syndrome and REM sleep behavior disorder.

Behavioral and Mood Symptoms • Depression: A persistent feeling of sadness, inability to enjoy activities, or trouble with sleeping, eating, and other normal activities.

Monthly Alzheimer’s/Dementia Caregiver Support Group The 4th Monday of every month at Sunland Springs Village Superstition Room: 4:00 – 5:00pm 11214 E. Laguna Azul Circle, Mesa Please RSVP to 480-378-0015 (space is limited)

• Apathy: A lack of interest in normal daily activities or events; less social interaction.

• Anxiety: Intense apprehension, uncertainty, or fear about a future event or situation. A person may ask the same questions over and over or be angry or fearful when a loved one is not present.

• Agitation: Restlessness, as seen by pacing, hand wringing, an inability to get settled, constant repeating of words or phrases, or irritability.

• Delusions: Strongly held false beliefs or opinions not based on evidence. For example, a person may think his or her spouse is having an affair or that relatives long dead are still living. Another delusion that may be seen in people with LBD is Capgras syndrome, in which the person believes a relative or friend has been replaced by an imposter.

• Paranoia: An extreme, irrational distrust of others, such as suspicion that people are taking or hiding things.

Diagnosing LBD can be challenging because early LBD symptoms are often confused with similar symptoms found in other brain diseases like Alzheimer’s. In addition, LBD can occur alone or along with Alzheimer’s or Parkinson’s disease. Currently, there is no cure for the disease, but some symptoms may respond to treatment for a period of time.

The Summit at Sunland Springs is designed to make a meaningful difference in the lives of our residents and their families. We are a Memory Care Community, which is an Assisted Living Community with a Directed Care license, catering to those with Alzheimer’s/Dementia.

Call today for your tour! Phone: 480-378-0015, email: Sales@TheSummitAZ.com. Please visit www.TheSummitAZ.com for more information.

We’re located at 2415 S Signal Butte Road, Mesa, AZ 85209.

Photo credit: Rauluminate/iStock

If they don’t know what to get you for your BIRTHDAY, How will they know how to plan for your FUNERAL? Hilary Samples, Funeral Preplanning Mountain View Funeral Home and Cemetery

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March 2016 — East Valley — ­ Healthy Cells Magazine — Page 25

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